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Dokumen - Tips - Manual-De-Servicio-Desfibrilador-Hp-Codemaster (001-100) (1) Perro

This document is the service manual for the CodeMaster XL+ Defibrillator/Monitor. It contains safety information and instructions for setting up, testing, troubleshooting, repairing and replacing parts for the defibrillator. The manual is organized into chapters covering introduction and specifications, setup and configuration, performance verification and maintenance, troubleshooting, removal and replacement of parts, parts lists, theory of operation, and appendix with connector pin assignments.

Uploaded by

Alejandro Meza
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© © All Rights Reserved
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0% found this document useful (0 votes)
57 views100 pages

Dokumen - Tips - Manual-De-Servicio-Desfibrilador-Hp-Codemaster (001-100) (1) Perro

This document is the service manual for the CodeMaster XL+ Defibrillator/Monitor. It contains safety information and instructions for setting up, testing, troubleshooting, repairing and replacing parts for the defibrillator. The manual is organized into chapters covering introduction and specifications, setup and configuration, performance verification and maintenance, troubleshooting, removal and replacement of parts, parts lists, theory of operation, and appendix with connector pin assignments.

Uploaded by

Alejandro Meza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 100

CodeMaster XL+ (M1722B) Defibrillator/Monitor

Service Manual

Printed in USA
HP Part Number: M1722-91909
Print Date: May 16, 2000
Edition 6

May 22, 2000 11:08 am DRAFT


Notice

About This Edition WARNING Responsibility of Manufacturer


Publication number M1722-91909 As with electronic equipment, Radio Hewlett-Packard only considers itself
Edition 6 Frequency (RF) interference between the responsible for any effects on safety, reliability
Printed in USA defibrillator and any existing RF transmitting or and performance of the CodeMaster XL+
receiving equipment at the installation site, defibrillator/monitor and the battery support
Edition History including electrosurgical equipment, should system if:
Edition 1, August 1992 evaluated carefully and
Edition 2, October 1992 any limitations noted before the equipment is assembly operations, extensions, re-
Edition 3, February 1993 placed in service adjustments, modifications or repairs are done
Edition 4, November 1994 by persons authorized by Hewlett-Packard, and
Edition 5, August 1996 Monitoring during quiescent periods of
Edition 6, May 16, 2000 electrosurgery is possible but electromagnetic
interference generated by electrosurgical tools the electrical installation of the relevant room or
Copyright during operation is sufficient to mask cardiac vehicle complies with the IEC or national
Copyright © 1992, 1993, 1994, 1996, 1998 signals. A momentary recovery period is requirements, and
Hewlett-Packard Company required for the monitor to return to normal
operation and will be longer if the diagnostic the instrument is used according to the
Andover, MA 01810 USA
monitoring mode is used. Pads or electrodes instructions for use presented in this manual.
Authorized EU-representative: should be placed as far from the surgical area as
reasonable while still performing normal
Hewlett-Packard GmbH
Deutschland GmbH function to minimize the possibility of burns.
Herrenbergerstr.130 Radio frequency generation from
electrosurgical equipment and close proximity
D 71034 Boeblingen, Germany
Fax: +49-7031-14-2346 transmitters may seriously degrade performance
of the CodeMaster XL+ defibrillator/monitor.
This information is subject to change without
notice. Hewlett-Packard assumes no liability for
failures resulting from RF interference between
HP medical electronics and any radio frequency
Reproduction, adaptation, or translation without
prior written permission is prohibited, except as generating equipment at levels exceeding those
allowed under the copyright laws. established by applicable standards.

Classified by Underwriters Laboratories, Inc.


Medical Device Directive with respect to electrical shock, fire, and
This product complies with the requirements of
mechanical hazards only in accordance with UL
the Medical Device Directive 93/42/EEC and
2601-1.
carries the CE mark accordingly.

This product complies with the requirements of


CAUTION
The manufacturer, importer and seller are
the EMC Directive 89/336/EEC and carries the
responsible for the effects on safety, reliability
CE mark accordingly.
and performance only if: assembly operations,
extensions, re-adjustments, modifications or
repair are carried out by persons authorized by
Warranty them, and the electrical installation of the
Hewlett-Packard makes no warranty of any kind
relevant room complies with all local
with regard to this material, included, but not
regulations and the equipment is used in
limited to, the implied warranties or
accordance with the instructions for use. Use of
merchantability and fitness for a particular
accessories other than those recommended by
purpose.
Hewlett-Packard may compromise product
performance.
Hewlett-Packard shall not be liable for errors
contained herein or for incidental or
THIS PRODUCT IS NOT INTENDED FOR
consequential damages in connection with the
HOME USE.
furnishing, performance, or use of this material.

This product may contain remanufactured parts


equivalent to new in performance or have had
incidental use.

ii
iii
0 Safety Summary

Safety Symbols Marked on the Defibrillator


The following symbols are used on the defibrillator.

On (Do not confuse with 1 Joule)

Off (Standby)
On/Off

Ground

Shock hazard
Caution - See operating instructions

Meets IEC type BF leakage current requirements and is defibrillator protected.

Meets IEC type CF leakage current requirements and is defibrillator protected.

Equipotential (rear of unit, adjacent to AC input)

Protective earth (ground)

Please see Chapter 3, Performance Verification and Maintenance, for safety


requirements that apply to the defibrillator.

iii
May 18, 2000 10:18 am DRAFT
0 Conventions Used in This Manual

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LQMXU\RUORVVRIOLIH

&$87,21 Caution statements describe conditions or actions that can result in damage to the
equipment or software.

127( Notes contain additional information on defibrillator usage.

TEXT represents the messages that appear on the display.

NH\ represents keys on the front panel.

/,*+7 represents lighted indicators on the key panel.

iv
May 18, 2000 10:18 am DRAFT
0 Preface

This manual contains service information for the HP M1722B CodeMaster XL+
Defibrillator/Monitor. If you are servicing one of the following defibrillators:
• the M1722B (manufactured before June of 2000)
• the M1722A
• the M1723A/B
then you may use this guide with the understanding that:
• The model M1723A/B is equivalent to the M1722B (without option A01).
• The model M1722A/B is equivalent to the M1722B (with option A01).
This manual is organized as follows:

Chapter 1—Introduction. Contains a general description of the defibrillators, lists of


technical specifications, and lists of options and accessories.

Chapter 2—Setup and Configuration. Summarizes the defibrillator installation and


explains how to configure the defibrillator for specific customer requirements.

Chapter 3—Performance Verification and Maintenance. Explains how to inspect,


test, and verify the defibrillator’s performance using built-in tests, and lists maintenance
procedures and safety requirements that apply to the defibrillator.

Chapter 4—Troubleshooting. Contains procedures and error codes to aid the service
person in localizing faults to a replaceable subassembly.

Chapter 5—Removal and Replacement. Contains procedures for removing and


replacing each of the defibrillator’s major subassemblies.

Chapter 6—Parts Lists. Lists part numbers for the defibrillator’s replaceable parts, and
provides assembly drawings.

Chapter 7—Theory of Operation. Provides an overview of how the defibrillator works


and describes the operation of the major subassemblies.

Appendix A—Appendix A Connector Pin Assignments. Identifies and defines the


signals assigned to the subassembly interconnections.

Index.

v
May 18, 2000 10:18 am DRAFT
vi
May 18, 2000 10:18 am DRAFT
Contents

Introduction
The CodeMaster XL+ Defibrillator/Monitor ........................................................................................................1-1
MTRO-00336L Cart ........................................................................................................................................1-2
Inquiries ................................................................................................................................................................1-3
Specification Data .................................................................................................................................................1-3
Options and Accessories .......................................................................................................................................1-7
CodeMaster XL+ Defibrillator/Monitor ..........................................................................................................1-7
Country Options.......................................................................................................................................... 1-8
Pacing Option—A01 Plus Package .......................................................................................................... 1-11
C02 Option................................................................................................................................................ 1-11
SpO2 Option ............................................................................................................................................. 1-11
Paddles and Pad Options ......................................................................................................................... 1-11
ECG Cable/Connector Options ................................................................................................................ 1-12
Defibrillator Case Color .......................................................................................................................... 1-12
Hardware Options ..................................................................................................................................... 1-12
Shock Advisory Option ........................................................................................................................... 1-12
Multifunction Electrodes ......................................................................................................................... 1-12
Upgrade Program ..................................................................................................................................... 1-12
Sync Cable Options ................................................................................................................................. 1-12
Documentation Options ........................................................................................................................... 1-13
Standard Accessories Supplied................................................................................................................. 1-13
Cart .......................................................................................................................................................... 1-13
Warranty ................................................................................................................................................... 1-13

Setup and Configuration


Introduction ........................................................................................................................................................... 2-1
Setup ......................................................................................................................................................................2-1
Line Voltage Settings ......................................................................................................................................2-1
Installing and Charging the Battery ................................................................................................................2-1
Loading the Recorder Paper ............................................................................................................................2-5
Connecting Paddles, Patient Cables and SpO2 sensors ...................................................................................2-7
Defibrillator Connector............................................................................................................................... 2-7
ECG Input Connector ............................................................................................................................... 2-13
SpO2 Connector........................................................................................................................................ 2-15
Configuration ......................................................................................................................................................2-16
Displaying the Setup/Diagnostic Menu .........................................................................................................2-17
Displaying/Printing Configuration Settings ..................................................................................................2-19
Changing Configuration Settings ..................................................................................................................2-22
Disabling the Internal Pace Pulse Detection Marker ................................................................................ 2-24
Shock Advisory Algorithm Measurement Matrix Print (optional) ...............................................................2-25

vii
Contents

Performance Verification and Maintenance


Introduction ........................................................................................................................................................... 3-1
Test Results Matrix ...............................................................................................................................................3-2
Setup/Diagnostic Menu Tests ................................................................................................................................3-6
Performance Verification ...................................................................................................................................... 3-8
Visual Inspection .............................................................................................................................................3-8
Defibrillator Calibration .................................................................................................................................3-9
Test Prerequisites...................................................................................................................................... 3-10
Calibrating the Defibrillator ..................................................................................................................... 3-10
Defibrillator Test ...........................................................................................................................................3-11
Test Prerequisites...................................................................................................................................... 3-11
Testing the Defibrillator ........................................................................................................................... 3-11
Delivered Energy Level Test .........................................................................................................................3-14
ECG Tests ....................................................................................................................................................3-14
Test Prerequisites...................................................................................................................................... 3-15
Testing the ECG ....................................................................................................................................... 3-15
PCI Calibration ..............................................................................................................................................3-16
Auxiliary Function Tests—CRT Test ...........................................................................................................3-16
Test Prerequisites...................................................................................................................................... 3-17
Testing the CRT........................................................................................................................................ 3-17
Auxiliary Function Tests—Recorder Test ....................................................................................................3-18
Test Prerequisites...................................................................................................................................... 3-18
Testing the Recorder................................................................................................................................. 3-18
Auxiliary Function Tests—Controls Test .....................................................................................................3-19
Auxiliary Function Tests—Indicator Test .....................................................................................................3-21
Testing the Indicators ............................................................................................................................... 3-21
Pacer Test (Option installed) .........................................................................................................................3-23
Test Prerequisites...................................................................................................................................... 3-23
Testing the Pacer....................................................................................................................................... 3-23
Parameter Function Tests—SpO2 Test .........................................................................................................3-25
SpO2 Internal Self-Test ............................................................................................................................ 3-25
SpO2 Functional Test ............................................................................................................................... 3-25
Parameter Function Tests—HR Alarm Test .................................................................................................3-26
Parameter Function Tests—ECG Simulation ...............................................................................................3-26
Parameter Function Tests—Sync Cardioversion Test with External Monitor ..............................................3-26
Safety Tests ...................................................................................................................................................3-28
Preventive Maintenance ...................................................................................................................................... 3-28
Battery Capacity Test ....................................................................................................................................3-28
Testing the Battery Capacity .................................................................................................................... 3-29
Printing the System (Error) Log ....................................................................................................................3-31
Care and Cleaning .........................................................................................................................................3-31
Equipment List.................................................................................................................................................... 3-32
Performance Verification Checklist ....................................................................................................................3-33
Visual Inspection ...........................................................................................................................................3-33
Calibration Test .............................................................................................................................................3-33
Defibrillator Test ...........................................................................................................................................3-33

viii
Contents
ECG Tests ..................................................................................................................... ................................3-34
Auxiliary Function Tests ...................................................................................................... .........................3-35
Pacer ......................................................................................................................... .....................................3-35
Parameter Function Tests ...................................................................................................... ........................3-35
Safety Tests .................................................................................................................. .................................3-35
Comments: ..................................................................................................................... ...............................3-36

Troubleshooting
Introduction ........................................................................................................................................................... 4-1
Maintenance Philosophy .................................................................................................................................4-1
Troubleshooting Guide ....................................................................................................................................4-1
Verify the Failure........................................................................................................................................ 4-1
Check the Error (System) Log.................................................................................................................... 4-1
Using the Troubleshooting Tables.............................................................................................................. 4-2
Using Setup/Diagnostic Tests in Troubleshooting ..........................................................................................4-2
Verification after Repair ..................................................................................................................................4-2
Test Equipment ...............................................................................................................................................4-3
Safety Considerations ......................................................................................................................................4-3
The System Log .................................................................................................................................................... 4-4
Error Codes .....................................................................................................................................................4-6
Clearing the Error Log................................................................................................................................ 4-9
Troubleshooting Tables....................................................................................................................................... 4-10
Testing the Power Supply 4-21

Removal and Replacement


Introduction ........................................................................................................................................................... 5-1
Tool Requirements ..........................................................................................................................................5-2
Removing the Battery ...........................................................................................................................................5-2
Opening the Defibrillator Chassis .........................................................................................................................5-3
Removing the Recorder ........................................................................................................................................ 5-5
Removing the Recorder Platen Assembly ............................................................................................................5-7
Removing and Disassembling the Keypanel Assembly ....................................................................................... 5-7
Removing the Pacer Keypad Assembly ................................................................................................................5-8
Removing the Pacer Board ................................................................................................................................... 5-9
Removing the Power Supply Assembly ..............................................................................................................5-10
Removing the CRT Assembly and SpO2 Board ................................................................................................. 5-11
Removing the Control Board .............................................................................................................................. 5-14
Removing the ECG Front End Board ................................................................................................................. 5-17
Removing the High Voltage Charger and Relay Assembly ............................................................................... 5-19
Removing the High Voltage Capacitor ............................................................................................................... 5-21
Removing the Patient Inductor ...........................................................................................................................5-23
Adjusting the CRT .............................................................................................................................................. 5-27
Adjusting the Internal Delivered Energy Calibration ......................................................................................... 5-30
Replacing the Lithium Battery ............................................................................................................................ 5-33
Replacing the Power Supply Fuses ..................................................................................................................... 5-35
Replacing the Battery Fuse .................................................................................................................................5-36

ix
Contents
Verifying Operation After Service ......................................................................................................................5-38

Parts Lists
Introduction ...........................................................................................................................................................6-1
The CodeMaster Models .................................................................................................................................6-1
Ordering Information ............................................................................................................................................6-2
Calling for Assistance ...........................................................................................................................................6-3
United States of America ................................................................................................................................6-3
Canada ............................................................................................................................................................6-3
Other International Areas ................................................................................................................................6-3
Cart Parts and Repair .......................................................................................................................................... 6-31

Theory of Operation
Introduction ...........................................................................................................................................................7-1
Circuit References ...........................................................................................................................................7-1
Control Board........................................................................................................................................................ 7-2
Defibrillator Processor Functional Group .......................................................................................................7-3
Defibrillation Control ................................................................................................................................. 7-4
Charging ..................................................................................................................................................... 7-4
Discharging................................................................................................................................................. 7-5
System Monitoring ..................................................................................................................................... 7-5
Keyboard and Indicator Interface ............................................................................................................... 7-6
The Monitor Processor Functional Group .......................................................................................................7-7
Central Processing ...................................................................................................................................... 7-7
Display Control........................................................................................................................................... 7-7
Recorder Control ........................................................................................................................................ 7-7
Interface to the Option Slot......................................................................................................................... 7-7
Digital Signal Processor ..................................................................................................................................7-8
Power Supply Interface ...................................................................................................................................7-8
Digital Backup Supply................................................................................................................................ 7-8
Power Failure Detector ............................................................................................................................... 7-8
Switch A Control ........................................................................................................................................ 7-8
LED Drivers................................................................................................................................................ 7-9
Miscellaneous Analog Functions ....................................................................................................................7-9
Power-Up/Down Processes .............................................................................................................................7-9
OFF State .................................................................................................................................................. 7-10
Power-Up .................................................................................................................................................. 7-10
Power-Down ............................................................................................................................................. 7-10
Power Supply ......................................................................................................................................................7-11
AC/DC Converter ..........................................................................................................................................7-11
Battery Charger Control ................................................................................................................................7-12
DC/DC Converter ..........................................................................................................................................7-12
High Voltage Board ............................................................................................................................................7-13
Battery Connector .........................................................................................................................................7-13
Safety Relay Drive ........................................................................................................................................7-14
Patient Relay Drive .......................................................................................................................................7-14

x
Contents
High Voltage Charger .......................................................................................................... .........................7-14
Patient Circuit ................................................................................................................ ......................................7-15
ECG Front End Board............................................................................................................ ............................. 7-17
Power Supplies ................................................................................................................ ..............................7-18
Leads Input Protection ........................................................................................................ ..........................7-19
Paddles Input Protection ...................................................................................................... ..........................7-19
Cal Pulse ..................................................................................................................... ...................................7-19
Data Communication ............................................................................................................ .........................7-19
Pre-Discharge Impedance ....................................................................................................... ......................7-19
Paddles in Pocket ............................................................................................................. .............................7-19
CRT Deflection Board ........................................................................................................... ............................. 7-20
Vertical Deflection ........................................................................................................................................7-22
Horizontal Deflection ......................................................................................................... ...........................7-22
Video ......................................................................................................................... ....................................7-22
Pacer Board .................................................................................................................... ......................................7-23
Power Supply .................................................................................................................. ..............................7-23
Pulse Control ................................................................................................................. ................................7-23
Pacer Current ................................................................................................................. ................................7-24
Patient Isolation .............................................................................................................................................7-24
SpO2 Board ......................................................................................................................................................... 7-24
Floating Section .............................................................................................................................................7-25
Photo Amplifier ........................................................................................................................................ 7-26
Excessive Light Detection ........................................................................................................................ 7-26
Ambient Light Rejection .......................................................................................................................... 7-26
Amplification ............................................................................................................................................ 7-26
Phase Separation - Dark Subtract Filter.................................................................................................... 7-26
Multiplexer ............................................................................................................................................... 7-27
A/D Converter .......................................................................................................................................... 7-27
LED Drivers.............................................................................................................................................. 7-27
Grounded Section ..........................................................................................................................................7-28
Microprocessor System ............................................................................................................................ 7-28
Communication......................................................................................................................................... 7-28
Power Supply............................................................................................................................................ 7-28
Patient Isolation ........................................................................................................................................ 7-28
Recorder Interface Board .................................................................................................................................... 7-29
Keypanel Boards ................................................................................................................................................. 7-29
Defibrillator-Pacer Patient Connections ............................................................................................................. 7-30
Standard External Paddles .............................................................................................................................7-30
Internal Paddles .............................................................................................................................................7-30
External Adhesive Pads .................................................................................................................................7-30

Appendix A Connector Pin Assignments


Control Board Connectors ...................................................................................................................................A-3
Front End Board................................................................................................................................................. A-20
ECG Out Connector ...........................................................................................................................................A-25
QRS Volume Control .........................................................................................................................................A-25

xi
Contents
Defibrillator Connector .......................................................................................................................................A-25
Keypanel Board.................................................................................................................................................. A-27
Pacer Keypanel Board ........................................................................................................................................A-28
Pacer Board ........................................................................................................................................................A-28
Power Supply Board ..........................................................................................................................................A-29
High Voltage Board ........................................................................................................................................... A-32
Patient Inductor ..................................................................................................................................................A-34
CRT Deflection Board .......................................................................................................................................A-34
SpO2 Board .........................................................................................................................................................A-37
Recorder Interface Board ...................................................................................................................................A-38
Battery Board ......................................................................................................................................................A-38
Battery Assembly ............................................................................................................................................... A-39
HV Capacitor ..................................................................................................................................................... A-39
Patient Relay ...................................................................................................................................................... A-39
50-Ohm Load Assembly .................................................................................................................................... A-40
ECG In Connector.............................................................................................................................................. A-40
AC Line Module ................................................................................................................................................ A-40
Energy Select Switch ......................................................................................................................................... A-40

xii
1 Introduction

This chapter introduces the CodeMaster XL+ M1722B Defibrillator/Monitor and lists the
technical specifications.

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&$87,21 Operation of this device in the vicinity of high-powered transmitters or electrosurgical


instruments may result in interference of the ECG display.

127( Safe and effective use of medical instrumentation requires periodic inspection and
preventive maintenance. Perform the preventive maintenance procedures in Chapter 3,
Performance Verification and Maintenance, of this manual at the required intervals to
ensure satisfactory instrument performance.

The CodeMaster XL+ Defibrillator/Monitor


1

This instrument is a portable defibrillator/monitor powered by internal battery or AC


power. It combines a 360-joule defibrillator, ECG monitor, and annotating strip chart
recorder in a compact, light-weight package. Instrument features include crisis-oriented
controls, fast charge, a real-time clock, interchangeable paddles, and automatic
documentation of events. The monitor includes a 5-inch screen which displays the ECG,
selected ECG source, heart rate, and messages and alerts. A microprocessor-based system
rejects noise and artifact, and automatically stabilizes and restores baseline.

In addition, the XL+ Option A01 has adjustable heart rate alarms, patient contact indicator
(PCI), recorder event marker, complete recorder annotation, event summary, and 3- and 5-
wire patient cable ECG capability. Oxygen saturation measurement (SPO2) is available as
an option. Transcutaneous external pacing is also available as an option or field upgrade
for the XL+. The optional 12-pin ECG input connector is compatible with the ECG patient
cable. The XL+ can interface to the HP Central Station via an analog-only high-level ECG
Out signal. Figure 1-1 shows the XL+ defibrillator.

The XL+ defibrillator fits onto the MTRO-OO336L cart. The cart features three drawers
(with a latch/lock system) for storing suction pumps and other resuscitation equipment.

1-1
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The defibrillator is designed for long-term reliability. The modular design makes
extensive use of VLSI and gate-array technology. The modular approach means less
downtime for the user, due to the quick field repair times inherent in the subassembly
replacement philosophy of repair. The built-in menu-driven tests efficiently aid in
identifying faulty operation, further speeding the repair process.

MTRO-00336L Cart
The MTRO-00336L Cart provides mobility for the CodeMaster defibrillator. The cart
shell and drawers are constructed of a durable light-weight polymer material that will not
corrode, rust, or dent. Built-in hand grips and 5-inch non-marring casters (two with
brakes) provide easy maneuverability. The cart surfaces are smooth and stain-resistant,
with rounded corners. Drawers can be removed without tools for thorough cleaning.

1-2
May 17, 2000 4:04 pm DRAFT
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1 Inquiries

For questions or comments regarding these instruments, contact the nearest Sales/Service
Office or one of the Service Dispatch Centers. Always identify the instrument by model
number and serial number in all correspondence. Sales and service offices are listed at the
end of this manual. Toll-free numbers for Service Dispatch Centers are listed in Chapter 6,
Parts Lists.

1 Specification Data

The following tables list the technical specifications for the defibrillator and the mobile
cart.

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&$87,21 The main battery will be damaged if stored for extended periods at a temperature greater
than 50° C.

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1 Options and Accessories

CodeMaster XL+ Defibrillator/Monitor


These tables list the options and accessories available for the XL+ defibrillator/monitor.

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Country Options

Each country option includes appropriate power cord, and language. Table 1-8 shows the
configuration of each country option.

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1
See Table 1-9 and Table 1-10 for part numbers.
2CodeMaster AC input: 100 to 230 VAC, ±15%, 50 to 60 Hz.
3See Table 1-10 for part numbers.

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Pacing Option—A01 Plus Package


• Paddle set with PCI
• 5-Lead ECG capability
• Configurable heart rate alarms
• Event review

C02 Option

Add Pacing

SpO2 Option

C62 Add SpO2


C73 SpO2 adult finger tip sensor, reusable (M1190A)
C74 Adaptor cable for Nellcor sensors (M1900B)

Paddles and Pad Options

C13 Delete Standard Ant/Ant Paddles


C14 Add Internal Paddle Adapter Cable
C15 Add 7.5 cm Internal Paddles (switchless)
C16 Add 6.0 cm Internal Paddles (switchless)
C17 Add 4.5 cm Internal Paddles (switchless)
C18 Add 2.8 cm Internal Paddles (switchless)
C20 Add Adhesive Pads Adapter
C21 Add Adhesive Pads
C24 Add Sterilizable External Paddle Set
C25 Add Paddle Contact Indicator (PCI)
C26 Add 7.5 cm Internal Paddles (switched)
C27 Add 6.0 cm Internal Paddles (switched)
C28 Add 4.5 cm Internal Paddles (switched)
C29 Add 2.8 cm Internal Paddles (switched)

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ECG Cable/Connector Options

C30 Substitute 6-pin AAMI ECG connector; includes 6-pin 3-wire AHA cable
C31 Substitute 6-pin AAMI ECG connector; includes 6-pin 5-wire AHA cable
(Option A01 only)
C32 Substitute 12-pin HP CMS ECG connector; includes 12-pin 3-wire AHA
cable
C33 Substitute 12-pin HP CMS ECG connector; includes 12-pin 5-wire AHA
cable (Option A01 only)
C34 Substitute 12-pin HP CMS ECG connector; includes 12-pin 3-wire IEC
cable
C35 Substitute 12-pin HP CMS ECG connector; includes 12-pin 5-wire IEC
cable (Option A01 only)
C36 Substitute 8-pin 5-wire AHA ECG cable (Option A01 only)
C37 Substitute 8-pin 5-wire IEC ECG cable (Option A01 only)

Defibrillator Case Color

048 Parchment White


049 High Visibility Yellow

Hardware Options

C50 Add Swivel Wall-Mount Hardware


C51 Add Carrying Case
C52 Add Accessory Pouch

Shock Advisory Option

C80 Add Shock Advisory

Multifunction Electrodes

C81 Multifunction Pediatric Defibrillator Electrode


C82 Multifunction Adult Defibrillator Electrode

Upgrade Program

085 Defibrillator Upgrade Program

Sync Cable Options

J01 Add 8-pin Sync Cable


J02 Add 6-pin AAMI Sync Cable
J03 Add 12-pin HP CMS Sync Cable

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Documentation Options

0B3 Service Manual (English only)


0BP In-Service Training Video (VHS-NTSC)
0BQ In-Service Training Video (VHS-PAL)
0BR Service Training Video (VHS-NTSC)
0BS Service Training Video (VHS-PAL)

Standard Accessories Supplied

o CodeMaster XL+ Users Guide (M1722A/B and M1723A/B)


o CodeMaster XL+ Series Quick Reference Card (M1722A/B and M1723A/B)
o ECG Patient Cable (language/country specific)—M1733A/M1735A
o Disposable Electrodes—HP 14445C
o 1 roll, Thermal Paper—HP 40457C

Cart

MTRO-00336L Add Cart

Warranty

W07 5 years warranty on-site

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2 Setup and Configuration

2 Introduction

This chapter covers setting up and configuring the CodeMaster XL+ Defibrillator/
Monitor. If you are a Hewlett-Packard service representative, this information provides a
factory-recommended process to use when assisting customers. The configuration
information guides you through the setup menus, and describes configuration choices.

2 Setup

The defibrillator is ready for operation when the following tasks have been properly
performed:

o Install battery.
o Charge battery (for 24 hours).
o Install paper.
o Make sure that the paddle set connector is seated and locked.
o Select configuration settings; set date and time.

Line Voltage Settings


The defibrillator automatically adjusts to the line voltage that is supplied (from 100–230
VAC ±15% at 50/60 Hz). No manual setting or adjustment is required.

Installing and Charging the Battery


This procedure describes installing the battery for the first time. To replace a battery, refer
to the battery replacement procedure in Chapter 5, Removal and Replacement.

127( The defibrillator operates from either battery or AC power.

Use only HP battery assembly M1758A. The use of a non-HP recommended battery, may
induce a problem and void the product warranty.

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A Battery compartment door.


1
B Retaining screws ( --- turn).
4

C Bottom side of defibrillator.

D AC power receptacle.

E Equipotential connector.

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A Battery.

B Battery compartment.

C Battery plug.

D Battery connector.

To install the battery:

1 Turn the instrument upside down.


1
2 Open the defibrillator battery compartment by turning the two --- -turn screws on the
1 4
battery door --- turn counter clockwise (as shown in Figure 2-1); then, lift off the battery
4
door.

3 Align the polarized battery plug with the battery connector located inside the battery
compartment (as shown in Figure 2-2). Be sure to match the keying.

4 Push the plug into the connector until the plug is locked.

5 Gently lower the battery into the battery compartment until completely seated.

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6 Route the battery cable between the battery and the compartment wall, so the cable will
not be caught between the compartment door and the case.
1
7 Replace the battery door and secure it by turning the two retaining screws --- turn,
4
clockwise.

8 Turn the instrument right side up.

9 Connect the power cord to the defibrillator, then plug the cord into an AC outlet. The
green $&32:(5 and %$77&+5* indicators on the front panel should light up. (The
$&32:(5 indicator lights when the instrument is plugged into AC power; the
%$77&+5* indicator is on when the battery is installed and the instrument is plugged
into AC power.)

127( To ensure full battery capacity, charge the battery for 24 hours following its installation in
the defibrillator.

&$87,21 If the defibrillator will be stored for longer than one month without AC power, remove the
battery from the unit. Note on the instrument that the battery has been removed. After an
extended storage period, the battery should be tested using the battery capacity check. See
Chapter 3, Performance Verification and Maintenance.

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Loading the Recorder Paper


The defibrillator recorder uses two-inch wide, thermal paper (40457C/D). To load the
paper:

1 Slide the recorder door toward the right side of the defibrillator until the paper platen
tilts up.

2 Pull up on the plastic removal tag to remove the old paper roll, if one is present.

3 Unroll about six inches of paper on the new roll; turn the paper roll so that the grid side
of the unrolled paper is on the bottom (facing downward).

4 Place the roll of thermal paper in the recorder so that the grid side of the paper will face
the print head in the recorder.

5 Pull the free end of the paper upward and over the recorder platen. (See Figure 2-3).

6 While holding the recorder door open (to the right), press the platen down to its normal
(closed) position.

7 Release the recorder door, allowing it to close over the platen.

8 Place the free end of the paper on the left side of the recorder. The grid side should be
visible (facing up).

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A Recorder Door.

B Paper Platen.

C Paper.

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Connecting Paddles, Patient Cables and SpO2 sensors


The defibrillator has a paddles connector (defibrillator connector) for attaching pads/
paddles sets and the ECG Input connector for attaching leads. It also has an optional SpO2
connector for attaching SpO2 sensors.

Defibrillator Connector

The defibrillator connector accepts external paddles, external adhesive pads, or internal
paddles. The next three figures show these paddles and pads.

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([WHUQDO3DGGOH6HW 2-4

A Adult/Pediatric Anterior/Anterior paddle set. (M1746A/B, M1747A/B)

B Standard external (adult) paddle. (M1746-62802)

C Adult adaptor release latch.

The standard external paddles set also includes pediatric paddles. To expose the pediatric
paddle set, depress the release latch at the front of a paddle while pulling forward on the
adult paddle surface. This will remove the adult paddle contact surface and uncover the
smaller pediatric contact surface.

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A Pads adapter cable—9 ft. in length (HP M1750A/B). This cable is not compatible with
the internal paddles set shown in Figure 2-6.

B External adhesive pads.


M3501A - adult AAMI
M3502A - adult IEC
M3503A - pediatric IEC
M3504A - pediatric AAMI

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A Internal paddles adapter cable—1 ft. in length. (M1740A/B)

B Internal paddle set.


(M1741A)
(M1742A)
(M1743A)
(M1744A)

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Table 2-1 lists the paddles sets, adapter cables, and their part numbers.

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1Parts numbered with an A and B suffix are identical except that a part ordered has a
different colored connector.
A. Parchment White
B. Yellow
2Application key: D = Defibrillation, S = Synchronized cardioversion,

M = Monitoring, P = Pacing.

You may configure the instrument to make PADDLES (PADS) the


default monitoring source at power-on. This choice is available in setup menu 2.
See “Configuration” on page 2-16.

Connecting Paddles or Pads. To connect external paddles, internal paddles, or adhesive


pads to the defibrillator, perform the following steps:

1 Slide the paddle connector lock on the paddles plug to the unlock position. To do this,
push the lock in the direction shown by the arrow in Figure 2-7.

2 Insert the paddles/pads adapter cable plug into the paddles connector on the defibrilla-
tor, as shown in Figure 2-8.

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&$87,21 Do not insert the plug into the connector without unlocking the connector lock (see step
1). If you do not unlock the connector lock before inserting the plug, the locking
mechanism may be disengaged.

3 Slide the paddle connector lock to the lock position, to latch the plug in place.

)LJXUH

2SHQLQJ/RFN 2-7

A Paddles Plug.

B Connector Lock. Push the lock in the direction indicated by the arrow to move the lock
to the unlock position (shown).

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&RQQHFWLQJ([WHUQDO3DGGOHV,QWHUQDO3DGGOHVRU3$'DGDSWHU&DEOH 2-8

A Paddles Plug in Paddles Connector.

B Connector Lock. Push the lock in the direction indicated by the arrow to move the lock
to the lock position (shown).

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ECG Input Connector

The ECG Input connector on the defibrillator is a 6-, 8-, or 12-pin connector, depending
on the option purchased with the instrument. For each connector option, several different
patient cables can be used for various ECG sources and applications. Figure 2-9 shows an
example of a patient cable.

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$Q(&*3DWLHQW&DEOH 2-9

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Table 2-2 lists available patient cables and lead sets, and their part numbers.

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3DWLHQW&DEOHV/HDGV/HDG6HWV 3DUW1XPEHU

3LQ3DWLHQW&DEOHV $+$RQO\ 

ZLUH 0$

ZLUH 0$

3LQ3DWLHQW&DEOHV

$+$ZLUH 0$

$+$ZLUH 0$

,(&ZLUH 0$

,(&ZLUH 0$

3LQ3DWLHQW&DEOHV DWUXQNFDEOHDQGDPDWFKLQJOHDGVHW 7UXQN&DEOH/HDG6HW3DUW1XPEHU

$+$ZLUH 0$0$

$+$ZLUH 0$0$

,(&ZLUH 0$0$

,(&ZLUH 0$0$

127( 3 wire = RA, LA, LL


5 wire = RA, RL, LA, LL + V (C)

Connecting a Patient Cable . The 3-wire or 5-wire patient cable connects to the ECG
Input connector located on the front of the defibrillator, behind the carrying handle. The
patient cable plug has 6-, 8-, or 12-pins. Before connecting the patient cable, make sure
that the pin count of the patient cable plug matches the pin count of the ECG Input
connector. To connect the patient cable:

1 Align the keyed cable plug with the slot in the ECG Input connector. See Figure 2-10.

2 Push the cable plug firmly into the ECG Input connector.

127( When a lead is selected for monitoring, the message LEADS OFF appears on the display
if the patient cable falls off or is incorrectly connected. Also, a dashed line appears on the
display in place of an ECG trace.

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A ECG Input connector with key slot.

B Keyed plug of patient cable.

SpO2 Connector

You can attach the HP M1190A SpO2 sensor or the M1900B adaptor cable to the SpO2
connector. Refer to the Sensor Guide (M1722-93970) for available sensors.

Connecting an SpO2 Sensor. The M1190A SpO2 sensor and the M1900B adaptor cable
attach to the SpO2 connector on the front of the defibrillator to the right of the carrying
handle. The connector and the end of the cable are color-coded blue. To connect the cable,
align the keyed cable plug with the slot on the connector as shown in Figure 2-11, and
push the plug firmly into the connector.

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&RQQHFWLQJDQ6S26HQVRU 2-11

2 Configuration

The defibrillator is designed to provide custom operation. Configuration settings let the
user program the defibrillator for the most useful and efficient operation. Defibrillator
configuration is set at the factory, but should be checked by the technician at initial setup
and changed, as desired.

This section describes how to display, print, or change the defibrillator configuration
settings and the current date and time.

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Displaying the Setup/Diagnostic Menu


To display the setup/diagnostic menu, press both the 6\QF and +5$ODUP keys while
turning the Energy Select control from the Off (Standby) to Monitor On position. A
display with a list of choices appears. Figure 2-12 shows the items on the menu.

)LJXUH

SETUP/DIAGNOSTIC MENU
CALIBRATE DEFIB (last calibration date)
SETUP MENU 1 (last setup date)
SETUP MENU 2
RESTORE FACTORY SETTINGS
PRINT LOG
TEST DEFIB
TEST ECG
TEST CRT
TEST RECORDER
TEST CONTROLS
TEST INDICATORS
TEST BATTERY
TEST PACER

TURN OFF TO EXIT DIAGNOSTIC

6HWXS'LDJQRVWLF0HQX 2-12

127( The pacer test is displayed on the menu only if the pacer option is installed.

Calibrates the defibrillator. The date when calibration


CALIBRATE DEFIB
was last performed is normally shown to the right. The
date disappears if the stored value that the defibrillator
test measures is lost. In either case, performing
defibrillator calibration puts the test date on the menu.
See “Setup/Diagnostic Menu Tests” on page 3-6 for test
information.

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Displays setup menu 1 or 2. The date when either menu


SETUP MENU 1
was last displayed is normally shown to the right of
SETUP MENU 2 SETUP MENU 1
. When factory defaults are
restored by the user or because configuration is lost, no
date is displayed. Displaying either menu puts the date
on the menu.

Changes the configuration settings in the setup menus


RESTORE FACTORY
back to the factory default settings. Exceptions are:
SETTINGS

LANGUAGE
• on setup menu 1 (maintains
selected language).

• System date on setup menu 1 (remains unchanged).

• System time on setup menu 1 (remains unchanged).

SETUP MENU 1
• date is cleared.

• Stored calibration value (maintains last value mea-


sured by Defibrillator Calibration; See “Setup/Diag-
nostic Menu Tests” on page 3-6 for test
information.)

• Shock counter (maintains current count; see “The


System Log” on page 4-4 for more information.)

• System (error) log (maintains current system log


data; see “The System Log” on page 4-4 for more
information.)

See Figure 2-13 and Figure 2-14 for factory default set-
tings information.

Prints the system (error) log. See “The System Log” on


PRINT LOG
page 4-4 for more information.

These menu items test defibrillator operation. See


TEST xxxx
“Setup/Diagnostic Menu Tests” on page 3-6 for test
information.

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Displaying/Printing Configuration Settings


To display or print the configuration settings, follow the steps described in Table 2-3.

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'HVFULSWLRQ 3URFHVV

'LVSOD\WKHVHWXSGLDJQRVWLF 3UHVVERWKWKH 6\QF DQG +5$ODUP NH\VZKLOHWXUQLQJWKH(QHUJ\


PHQX 6HOHFWFRQWUROIURP2II 6WDQGE\ WRWKH0RQLWRU2QSRVLWLRQ

+LJKOLJKWWKHVHWXSPHQX
3UHVV (&*6L]H RU (&*6L]H WRPRYHWKHKLJKOLJKWRYHU

SETUP MENU 1 RU SETUP MENU 2 

'LVSOD\WKHVHWXSPHQX 3UHVV /HDG6HOHFW WRVHOHFWWKHKLJKOLJKWHGPHQX7KHGLVSOD\FKDQJHVWR


VKRZWKHFRQILJXUDWLRQVHWWLQJVLQWKHVHWXSPHQX\RXVHOHFWHG7KHFRQILJXUD
WLRQVHWWLQJVOLVWHGLQHDFKVHWXSPHQXDUHVKRZQLQ)LJXUHDQG)LJXUH


3ULQWWKHFXUUHQWFRQILJXUDWLRQ 3UHVV 5HFRUG 7KHUHFRUGHUSULQWVWKHFXUUHQWVHWWLQJVIRUERWKVHWXS


VHWWLQJV PHQXV

([LWWKHVHWXSPHQX 3UHVVERWKDUURZVRQWKH (&*6L]H NH\VLPXOWDQHRXVO\WRUHWXUQWR


WKHPDLQVHWXSGLDJQRVWLFPHQX

([LWVHWXSGLDJQRVWLFPHQX 7XUQ(QHUJ\6HOHFWWRWKH2II 6WDQGE\ SRVLWLRQWRH[LWWKHVHWXSGLDJQRVWLF


PHQX

127( The (&*6L]H key has both up and down arrows; pressing s moves the highlight up,
and pressing t moves the highlight down.

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LANGUAGE ENGLISH
UPPER ALARMS 120* 140* 160*
LOWER ALARMS 40* 60* 90*

TIME HH:MM 00 00
DATE DD MMM YY 01 JAN 00
CHARGE DONE TONE ON
CRT ALERTS ON
ALERT VOLUME 15
MODE AFTER CV SYNC

PACER RATE 70
PACER OUTPUT 30

&RQILJXUDWLRQ'HIDXOW6HWWLQJV³6HWXS0HQX 2-13

*These values are fixed, not configurable, and not displayed for the CodeMaster XL.

127( The pacer information is displayed only if the pacer option is installed.

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RECORDER DELAY 6 S DELAY


RECORDER BW MONITOR
ADVISORY ENERGY 200 200 360
RECORD ON MARK ON*
RECORD ON CHARGE ON
RECORD ON SHOCK ON
RECORD ON ALARMS ON
POST SHOCK DATA ON*

POWER ON LEAD PADDLES


PATIENT CABLE 3 WIRE*
NOTCH FILTER 60 HZ ON
ECG TRACE SWEEP

&RQILJXUDWLRQ'HIDXOW6HWWLQJV³6HWXS0HQX 2-14

*Not shown for CodeMaster XL+ without Option A01. Note that for the Codemaster
XL+ without Option A01, RECORD ON MARK is fixed ON, POST SHOCK DATA is fixed
OFF, and only the 3-wire paddle set is supported. To return to the main setup/diagnostic
menu, press both arrows on the (&*6L]H key, simultaneously.

To exit the menus, turn the Energy Select control to the Off (Standby) position.

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Changing Configuration Settings


To change a configuration setting or to change the current date, use the process described
next.

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VDPHIDFLOLW\

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SETUP LOSTRQWKHVFUHHQDQGXVHWKHIDFWRU\VHWWLQJVIRUDOOVHWXSYDOXHV7R
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SETUP MENU 1 RU SETUP MENU 2 


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LIGHVLUHG

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QRVWLFPHQX FKDQJHVLQPHPRU\DQGH[LWWKHPHQXV

Table 2-5 and Table 2-6 show the configuration items and list possible settings. You can
change the settings back to the default settings by selecting

2-22
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RESTORE FACTORY SETTINGS on the setup/diagnostic menu. See “Displaying/


Printing Configuration Settings” on page 2-19 for information on restoring factory default
settings.

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1For
the CodeMaster XL+ without Option A01, the limits values cannot be changed; the factory default values listed in
Figure 2-13 and Figure 2-14 are used.

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Disabling the Internal Pace Pulse Detection Marker

In normal operation, the defibrillator detects internal pace pulses when monitoring with
leads. Internal pace pulse detection is indicated on the screen by a negative spike relative
to the ECG baseline.

127( Regardless of this configuration setting, the machine will continue to reject patient
internal pace pulses for heart rate calculation.

To enable or disable the Pace Pulse Marker, press 6\QF , +5$ODUP , and 0DUN
simultaneously while in Setup Menu 1. To determine if this feature is enabled, print out
the system log. See “The System Log” on page 4-4 for an explanation of the system log.

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1On
the CodeMaster XL, these menu items cannot be changed; it uses the factory default settings. See Figure 2-13 and
Figure 2-14 for factory default setting information

2-24
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Shock Advisory Algorithm Measurement Matrix Print (optional)


The Advisory Event Summary (AES) includes a configurable option to print the algorithm
measurement matrix after each algorithm decision event. This matrix contains the
measurements that the algorithm computed during the associated analysis period and on
which the algorithm decision is based. This measurement can be used by a factory service
representative to understand how the algorithm decision was made.

If you have a question about the algorithm decision for a particular rhythm strip, the
measurement matrix printout can be enabled and the AES reprinted with the measurement
matrix information, provided the AES memory has not been erased. Save the AES
printout with the measurement matrix attached at the end of the strip and contact your
service representative.

The factory default for the measurement matrix print option is disabled. A title is printed
as the top line, for example, "MEASUREMENTS 27 MAR 96 12:37:20") where the time/
date is the same as the decision event time/date.

MEASUREMENTS 27 MAR 96 12:37:20

D0 D1 D2 D3
M0= x x.x x.x x.x
M1= xx xxxx xxxx xxxx
M2= xx xx.xx xx.xx xx.xx
M3= xxx xxx.xx xxx.xx xxx.xx
M4= xxx xxxx xxxx xxxx
M5= xxxx xxxxx xxxxx xxxxx
M6= xxxx xxxxx xxxxx xxxxx
M7= xxx xx.xx xx.xx xx.xx
M8= xxx xxx.xx xxx.xx xxx.xx
M=9 xx xxxxx xxxxx xxxxx

The matrix rows are for feature measurements and are labelled M0 through M9. The
columns record data for internal algorithm decision points are labelled D0 through D3.

The measurement matrix printout can be enabled or disabled by entering diagnostic mode
setup menu 1 and simultaneously pressing the 6<1& and $1$/<=( keys. This key
sequence will toggle the measurement matrix print option from off to on and on to off.
The status of the measurement matrix print option is recorded in the system log options
area. The software revision of the defibrillator should be "57.00.52.33" greater.

127( Measurement Matrix can be turned ON after the unit has been powered off and then
Powered on again. It will still print the Event Summary with the measurement matrix
attached to each algorithm decision.

127( After the unit is powered off and then on, the next ECG event, ECG alarm or Mark key
pressed will erase the Event Summary. All previous information will be lost.

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2-26
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3 Performance Verification and Maintenance

3 Introduction

This chapter describes the tests and inspections required to verify performance of and
maintenance procedures for the CodeMaster XL+ and XL Defibrillator/Monitor.

The information is presented in the following sequence:

Test Results Matrix Lists an overview of performance/ safety tests


and provides expected CodeMaster XL+/XL
results

Setup/Diagnostic Menu Tests Explains how to use the defibrillator’s built-in


Setup/Diagnostic Menu Tests to calibrate the
defibrillator and do quick operational checks

Performance Verification Explains how to verify the defibrillator’s


performance
Preventive Maintenance Explains preventive maintenance procedures;
including how to check battery capacity and do
basic care and cleaning

Equipment List Lists specifications that must be met by the


equipment used to verify the defibrillator’s
performance

Performance Verification Provides a performance verification checklist


Checklist

For simple checking without using external equipment, you can use the menu-driven tests
built into the defibrillator. However, these tests are not as thorough as the tests listed for
performance verification. The exception is the battery capacity test, which is a built-in
menu-driven test that discharges and monitors the battery voltage. This test is included in
preventive maintenance for checking battery capacity.

3-1
3HUIRUPDQFH9HULILFDWLRQDQG0DLQWHQDQFH
7HVW5HVXOWV0DWUL[

3 Test Results Matrix

Table 3-1 summarizes performance verification for the CodeMaster XL+; including test
name, test or inspection to perform, expected test results, and data to record. Auxiliary
function tests include the CRT Test, the Recorder Test, the Controls Test, and the Indicator
Test. Parameter function tests include the SpO2 Test (if option is installed), the HR Alarm
Test, the ECG Simulation Test, and the Synch Cardioversion Test. The sections that follow
explain the individual tests and inspections in detail.

All performance verification tests outlined in Table 3-1 must be performed following any
service procedure performed on the CodeMaster XL+. In addition to testing after
servicing, instrument recalibration is always recommended should any of the following
events occur:

• If the user suspects that the defibrillator is delivering an energy level lower than the level
selected via the Energy Select control.

• If the CALIBRATE DEFIB date on the main setup/diagnostic menu is no longer dis-
played. Refer to Chapter 2, Setup and Configuration for information about the menu.
(Note that the defibrillator is shipped with no date displayed).

• If the SETUP LOST message is displayed on the screen. Refer to Chapter 2, Setup and
Configuration for information about the message.

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Data to Record
Test Block Test or "Inspection" to Expected (Passing)
x=P (pass) or F
Name Perform Test Results
(fail)
Visual Inspection • Inspect the unit—including • No apparent wear, V:x
power cord, recorder, elec- damage or corrosion:
trodes, and cables—for signs of
wear, damage, or example:
corrosion V:p

• Cycle power off and on; • AC Power &


verify indicator light function- Battery Charge light and
ality stay on; Charge, Sync
and Pacer On light
momentarily
Calibration Calibrate defibrillator from Message displayed: C:x
the setup/diagnostic menu "Calibration passed"

example:
C:p

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Data to Record
Test Block Test or "Inspection" to Expected (Passing)
x=P (pass) or F
Name Perform Test Results
(fail)
Defibrillator Test Using only battery power, set DT:aaaa,bbb,cc,dd,
(DT) Energy Select to 100; test: eeee,fff,gg,hh,iiii,
jjj,kk,ll,m
(conduct these tests • MSec. to charge - aaaa • <2000
in setup/diagnostic
mode) • Delivered Energy - bbb • 100+/- 15% example:
DT:1300,100,50,
• Impedance - cc • 50 Ohm +/- 10% 30,3600,360,50,
55,12000,360,50,
• Peak Current - dd • 30 A +/- 10% 55,p

Using only battery power, set


Energy Select to 360; test:

• MSec. to charge - eeee • <5000

• Delivered Energy - fff • 360+/- 15%

• Impedance - gg • 50 Ohm +/- 10%

• Peak Current - hh • 55 A +/- 10%

Using AC power (battery


removed), set Energy Select to
360; test:

• MSec. to charge -iiii • <15000

• Delivered Energy - jjj • 360+/- 15%

• Impedance - kk • 50 Ohm +/- 10%

• Peak Current -ll • 55 A +/- 10%

Conduct Disarm Test pass or fail


(charge to 360; disarm) - m

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Data to Record
Test Block Test or "Inspection" to Expected (Passing)
x=P (pass) or F
Name Perform Test Results
(fail)
ECG Tests (E) Check: E:x, aaa,e,fff

• Leads Status, Paddle "Good" displayed on


Status, and DSP Status - x screen example:
E:p,0,1,60
• DC Offset - aaa XXX mV

• PCI Calibration
o paddles shorted - e • 0+/-2 ohms

o paddles in pocket - fff • 20 - 100 ohms

Auxiliary Conduct the following tests: "Pass" displayed on A:x


Function Tests (A) screen for all tests
• CRT Test
example:
• Recorder Test A:p

• Controls Test

• Indicator Test

Pacer Test (PT) Conduct the Pacer Test with: PT:aa,bbb

• Selected Output set to 40mA - • Delivered mA is 40mA example:


aa +/- 5% PT:40,99

• Selected Output set to 100mA - • Delivered mA is 100mA


bbb +/- 10%

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Data to Record
Test Block Test or "Inspection" to Expected (Passing)
x=P (pass) or F
Name Perform Test Results
(fail)
Parameter Conduct the following tests: F:x
Function Tests (F)
• SpO2 Test • SpO2 option is
(if option is installed) functional example:
F:p

• HR Alarm Test • HR alarm sounds at


alarm setting

• ECG Simulation Test • leadwires


integrity verified; gain
settings accurate

• Synch Cardioversion Test • set unit to sync mode;


check if defibrillator fires
on sync

Safety Tests(S) Check: S:aaa,bbb,ccc,dd,


ee,ff
• Chassis-to-Ground • < 0.1 ohm
Resistance - aaa
example:
• Groundwire Leakage • < 500 uA S:09,400,90,7,7,16
Current - bbb

• Enclosure Leakage • < 100 uA


Current - ccc

• Patient Lead Leakage


Current
o To Ground - dd • < 10 uA

o Between patient leads - ee • < 10 uA

o With line voltage applied - ff • < 20 uA

Note: When recording test results, separate tests by a semi-colon(;). For example:
V:p;C:p;DT:1300,100,50,30,3600,360,50,55,p;E:p,0,1,60;A:p;PT:40,99;F:p;
S:09,400,90,7,7,16

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3 Setup/Diagnostic Menu Tests

The setup/diagnostic menu tests provide an easy method to check most areas of
defibrillator operation and the battery capacity. These tests are available in the
setup/diagnostic menu:

• Defibrillator test

• ECG test

• CRT test

• Recorder test

• Controls test

• Indicators test

• Battery capacity test

• Pacer test (Option installed)

The CRT test, recorder test, controls test, and indicators test require visual verification of
displayed or printed output. For these tests, visible failure symptoms appear in the
displayed or printed test information, or are shown by indicator operation. For other tests,
you determine whether a test has failed by examining test-results data shown on the
display.

127( The setup/diagnostic tests do not test the patient electrodes or the 3- or 5-wire patient
cables. You can test the patient electrodes and cables by recording an ECG from a patient
or ECG simulator as described in “Parameter Function Tests—ECG Simulation” on page
3-26.

To access the setup/diagnostic menu tests, turn the Energy Select control to Monitor On,
while pressing the 6\QF and +5$ODUP keys. The following display appears:

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SETUP/DIAGNOSTIC MENU
CALIBRATE DEFIB (last calibration date)
SETUP MENU 1 (last setup date)
SETUP MENU 2
RESTORE FACTORY SETTINGS
PRINT LOG
TEST DEFIB
TEST ECG
TEST CRT
TEST RECORDER
TEST CONTROLS
TEST INDICATORS
TEST BATTERY
TEST PACER

TURN OFF TO EXIT DIAGNOSTIC

6HWXS'LDJQRVWLF0HQX 3-1

127( The pacer test is listed only if the pacer option is installed.

The dates appear only if the unit has already been calibrated and the configuration has
been set up. See “Configuration” on page 2-16 for detailed information.

The setup/diagnostic menu lists the built-in tests and other items. With the panel keys, you
step through the menu items and select tests. When you select a test, the display changes
to show test information. Using the panel keys to select and start a test is described in
Table 3-2. These two keys select and initiate a test:

Moves the highlight bar down or up, depending on


(&*6L]H
whether you press the left or right side of the key.
Selects the menu item that is highlighted.
/HDG6HOHFW

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3 Performance Verification

Verify the performance of the defibrillator every six months and after servicing. The
procedures listed below make up performance verification. For daily check
of the defibrillator, see "Operational Checks" in the CodeMaster XL+Defibrillator/
Monitor User’s Guide"

The performance verification checklist at the end of this chapter summarizes the tests you
should perform to verify the defibrillator’s performance. These are some suggested uses
for this checklist:

• Make copies of the blank checklist; then, fill out a copy each time the defibrillator is
tested.

• Attach the recorder test output, simulator ECG trace, and error log printout to the com-
pleted checklist and file with the defibrillator's permanent maintenance record.

Visual Inspection
Before beginning the inspection, turn the Energy Select control to Off (Standby) and
unplug the power cord from the wall outlet. Then carefully examine the defibrillator and
its accessories for the following:

• Worn or damaged power cord

• Loose or missing hardware

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• Mechanical damage

• Evidence of liquid spill

• Worn recorder roller

• Worn or damaged cables or connectors

• Corroded or damaged electrodes

• Foreign material on the thermal printhead or paper sensor

Connect the defibrillator to AC power; observe that the $&32:(5 and %$77&+5*
indicators come on. Turn the Energy Select control to Monitor On and observe that the
&KDUJH and 6\QF indicators light momentarily, and that the monitor screen displays a
trace and other information. Also, the 3DFHU2Q indicator should light momentarily (if
pacer is installed).

Replace any damaged or missing items and clean the printhead, paper sensor, and patient
electrodes as necessary. Leaning instructions are listed under “Preventive Maintenance”
on page 3-28.

Defibrillator Calibration
The defibrillator should be recalibrated after any of the following events:

• The user suspects that the defibrillator is delivering an energy level lower than the level
selected via the Energy Select control.

• The CALIBRATE DEFIB date on the main setup/diagnostic menu is no longer dis-
played. See Table 2-3, “Displaying/Printing a Configuration Setting,” on page 19 for
information about the menu. (Note that the defibrillator is shipped with no date dis-
played).

• The SETUP LOST message is displayed on the screen. See “Configuration” on page 2-
16 for information about the message.

• After servicing which requires replacement of the HV capacitor, the Control board, or
each time the unit is opened.

• After each scheduled preventive maintenance.

When the defibrillator charges, it uses a measured value for the capacitance of the charge
capacitor to determine the energy required to reach the selected charge level. The
CALIBRATE DEFIB choice on the menu guides the user through a routine that
measures the capacitance of the HV capacitor, and adjusts the capacitance value based on
the routine's results. The capacitance value is stored in battery-maintained memory and

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used each time the defibrillator is charged. On the TEST DEFIB screen, the stored
capacitance value is displayed after CAPACITANCE.

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Test Prerequisites

Connect the external paddles and place them firmly in their holders in the defibrillator.

Calibrating the Defibrillator

To start the defibrillator calibration routine, select CALIBRATE DEFIB on the


setup/diagnostic menu; the screen displays the information shown in Figure 3-2.

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DEFIB CALIBRATION

1. PUT PADDLES IN POCKETS.


2. TURN ENERGY SELECT TO 300.
3. PRESS CHARGE.
4. WAIT FOR CALIBRATION TO FINISH.

MEASURED CAPACITANCE:

TURN OFF TO EXIT DIAGNOSTIC

&DOLEUDWH'HILEULOODWRU6FUHHQ 3-2

Follow the instructions displayed on the screen. (If you set the Energy Select control to a
level below 300 joules, the message, BAD USAGE: SEE MANUAL
is displayed.)

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If the test completes successfully, CALIBRATION PASSED is displayed at the bottom of


the screen. If the test fails, CALIBRATION FAILED is displayed and the nominal
capacitance value is used; see Chapter 4, Troubleshooting, and Table 4-13 for detailed
troubleshooting information.

Defibrillator Test
This test verifies defibrillator performance to specifications. You should run the
Defibrillator Calibration routine before performing the Defibrillator Test. You can
perform the defibrillator test using either external paddles or pads.

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Test Prerequisites

Connect the external paddles and place them firmly in their holders in the defibrillator or
attach the M1781A test load if you are using the pads adapter cable. The battery must be
fully charged.

Testing the Defibrillator

It is recommended that you test the defibrillator in the power configuration in which it is
normally used: battery only, or AC power. You should also test the disarm function as
described at the end of the defibrillator test.

The test is designed to check the defibrillator in these power configurations:

• With fully-charged battery installed; no AC power.

• With the defibrillator plugged into AC power; battery is removed.

With the defibrillator powered by battery only, you run the test at 100 joules and at 360
joules. The values of some test results vary depending on the power configuration being
used. Table 3-3 lists acceptable test result values for each power configuration.

To run the Defibrillator Test, follow these steps:

1 For battery only testing:


a. Make sure that the battery is installed and is fully charged.
b. Disconnect the defibrillator from AC power.
For AC power only testing:
a. Disconnect the battery.
b. Plug the defibrillator into AC power.

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2 Select TEST DEFIB in the setup/diagnostic menu; the screen displays the informa-
tion shown in Figure 3-3. This table shows defibrillator performance parameters. Some
of these parameters are not available until after the defibrillator is discharged.

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DEFIB TEST
AVAILABLE ENERGY: xxx (joules)
MSEC TO CHARGE: xx (milliseconds)
SEC TO DISARM: xx (seconds)
DELIVERED ENERGY: xx (joules)
IMPEDANCE: xx (ohms)
PEAK CURRENT: xx (amps)
DEFIB ERRORS: xxxxxxx (error code)
CAPACITANCE: xxx (in 0.1 µF units)
SHOCK COUNTER: xx

TURN OFF TO EXIT DIAGNOSTIC

'HILEULOODWRU7HVW6FUHHQ 3-3

AVAILABLE Current charge in joules; 0 when the defibrillator is not


ENERGY: armed.
MSEC TO CHARGE: After the defibrillator charges to the energy level selected,
the entry shows how many milliseconds the charge
required.
SEC TO DISARM: After the defibrillator signals Charge Done, it holds the
charge for 60 seconds, and then starts disarming the
charge through an internal safety relay. The entry shows
the time required to disarm the defibrillator to the "safe"
state.
DELIVERED The calculated delivered energy (in joules) based on the
ENERGY: internal peak current measurement.
IMPEDANCE: The calculated load impedance based on available energy
and the internal peak current measurement (in Amps).
PEAK CURRENT: The peak current measured during defibrillator dis-
charge.
DEFIB ERRORS: Defibrillator errors that have occurred while in diagnostic
test mode.

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CAPACITANCE: The capacitance used when charging the defibrillator.


The capacitance value is established during Defibrillator
Calibration (See “Defibrillator Test” on page 3-11 for
information).
SHOCK The number shown is the number of shocks since the
COUNTER: shock counter was reset. You can clear the shock counter
by pressing the 6\QF and +5$ODUP keys simulta-
neously, while displaying this screen. Only clear the shock
counter after replacing a patient circuit component, such
as the high voltage (HV) capacitor, HV inductor, patient
relay, or HV charger board. Record the value of the shock
counter prior to clearing it.

3 Turn the Energy Select control to the energy level for the power configuration you
selected.

4 Press &KDUJH . The value for AVAILABLE ENERGY increments.

5 Check that it reaches the energy level you selected, when the Charge Done LED is lit
on the front panel or the apex paddle.

6 Check that the entry for MSEC TO CHARGE is within the limits listed in Table 3-3 for
the power configuration you selected.

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7 Discharge the defibrillator by pressing the two shock buttons.

8 Check that the values for DELIVERED ENERGY, IMPEDANCE, and


PEAK CURRENT are within the limits listed in Table 3-3.

127( If the displayed Impedance is outside these limits, see “Adjusting the Internal Delivered
Energy Calibration” on page 5-30.

To test the automatic disarm function:

9 Press &KDUJH again.

10 Wait until an alternating tone sounds, and then the AVAILABLE ENERGY value dec-
rements to 0.

11 Repeat the test for the other power configuration if you are doing the battery only test;
or for the other energy level, if desired.

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To test the manual disarm function:

12 Turn the Energy Select control to 360 joules.

13 Press &KDUJH .

14 When the charge reaches 360 joules, turn the Energy Select control directly to Moni-
tor On. Turn the control quickly and do not stop at any level selection between 360
joules and the Monitor On position. This step disarms the defibrillator.

15 Check to see that the SEC TO DISARM test passed or failed as listed in Table 3-3.

16 Press both sides of (&*6L]H at once, to exit the test menu.

Delivered Energy Level Test


To perform the delivered energy level test, you need a test box. See Table 3-5 for
equipment specifications. The test checks that the delivered discharge energy measured by
the test box is equivalent to the charge level displayed on the defibrillator.

To verify the delivered energy level, follow the instructions provided with the test box.

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ECG Tests
This test verifies the operation of the leads and paddles ECG front end amplifiers and
checks digital signal processor filtering. The test also verifies communication between the
front end board and the control board.

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Test Prerequisites

Requires a calibrated ECG simulator for use with pads and leads. Also requires an AAMI
simulated patient load. See “Equipment List” on page 3-32 for equipment information.

Testing the ECG

To run the ECG test, follow these steps:

1 Select TEST ECG in the setup/diagnostic menu; the display shows the information
shown in Figure 3-4.

)LJXUH

ECG TEST
SELECTED LEAD: PADDLES
NOTCH FILTER: 50 or 60 HZ ON

LEADS STATUS: GOOD


PADDLES STATUS: GOOD
DSP STATUS GOOD
DC OFFSET: xxx (mV)
PEAK TO PEAK:
DIAGNOSTIC: xxxx (µV)
MONITOR: xxxx (µV)
PCI: ohms ON

TURN OFF TO EXIT DIAGNOSTIC

(&* 0RQLWRU 7HVW 3-4

SELECTED LEAD: Lets you select the ECG source.


NOTCH FILTER: Current power line filtering frequency: 50 or 60 Hz; you
can change the filtering and turn the filter off and on.
LEADS STATUS: GOOD indicates that communication between the Leads
Front End and DSP is acceptable.
PADDLES GOOD indicates that communication between the paddles/
STATUS: Front End and DSP is acceptable.
DSP STATUS: GOOD indicates that the DSP is communicating properly
with the monitor.

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DC OFFSET: An offset value used when measuring Leads Off. Largest


absolute value offset of any wire used in lead combination
according to the lead selected (mV).
PEAK TO PEAK Peak-to-peak signal of the SELECTED LEAD measured
DIAGNOSTIC: over a one-second interval. Results are given for both MON-
MONITOR: ITOR (0.5Hz to 40 Hz) and DIAGNOSTIC (0.05Hz to 150
Hz) bandwidth.
PCI: Paddles impedance measured in ohms. Used to
determine PADDLES OFF, and for PCI (paddles contact
indicator) bar graph on sternum paddle. Patient imped-
ance can be calibrated. See “PCI Calibration” on page 3-16
for instructions. PCI ON indicates that displayed data is
calibrated. PCI OFF indicates that displayed data is not
calibrated.

2 Check that LEADS STATUS is GOOD.

3 Check that PADDLES STATUS is GOOD.

4 Check that DSP STATUS is GOOD.

PCI Calibration
PCI calibration should be performed whenever setup is lost or whenever the user suspects
that PCI indication is wrong. Perform the following steps to calibrate PCI.

1 Attach the paddle set to the defibrillator.

2 Access the setup/diagnostic menu.

3 Select TEST ECG in the setup/diagnostic menu.

4 Press 6\QF and +5$ODUP simultaneously, so that OFF appears to the right of the PCI
value.

5 While shorting the paddles together, press 6\QF and +5$ODUP simultaneously. The
PCI value should now indicate 0±2 ohms and ON should now appear next to the PCI
value.

127( Turning the PCI indicator off, then on again calibrates it to 0 ohms. If you do not short the
paddles together, you will miscalibrate the PCI indicator.

6 Replace paddles in pockets. The PCI value with the paddles in the pockets should be
between 20 and 100 ohms (the PCI value varies because of inductance in the circuit).

Auxiliary Function Tests—CRT Test


This test lets you check the operation and alignment of the CRT.

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Test Prerequisites

A ruler that measures in millimeters is required to measure the display size.

Testing the CRT

To perform the CRT test, follow these steps:

1 Select TEST CRT in the setup/diagnostic menu; the display shows the
information shown in Figure 3-5.

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2 To determine whether the defibrillator CRT meets specifications, observe the test pat-
tern to ensure:

• accurate rendition of all lines

• no random lines or dots in the display

127( If any of the following steps require adjustment, see


“Adjusting the CRT” on page 5-27 for adjustment information.

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3 Check that the height and width of the display is within the limits shown in
Figure 3-5.

4 Check that all lines and characters are in focus.

5 Check that the display is centered on the CRT face, vertically and horizontally. Check
that the display is aligned horizontally and vertically.

6 Check that the intensity of the displayed image is acceptable.

Auxiliary Function Tests—Recorder Test


The recorder test checks recorder parameters and prints a test pattern to check the
printhead and paper drive mechanism.

Test Prerequisites

Recorder paper, and a ruler that measures in millimeters.

Testing the Recorder

To run the recorder test, follow these steps:

1 Check that the recorder contains paper.

2 Highlight TEST RECORDER on the main setup/diagnostic menu.

3 Press 5HFRUG or /HDG6HOHFW . The recorder starts printing a series of test patterns.

4 When the printed strip is about 3 feet long, press 5HFRUG or (&*6L]H to stop the
printing and return to the setup/diagnostic menu. Figure 3-6 shows the areas of the test
pattern.

• Inspect the recorder strip for: Consistent print quality for all pattern areas

• Constant width for all pattern areas

• Straight diagonal lines

• Visible separation between the close parallel lines

• Clean black bars with no dropout in black areas

• Accurate rendition of all characters

• A distance of 25 mm ±2 mm between the longest tick marks (5 mm between the interme-


diate tick marks)

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A. Test pattern for checking print speed

B. Major tick marks

C. Test pattern printout of all characters and symbols.

Auxiliary Function Tests—Controls Test


This test checks the operation of the panel keys.

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To test the panel key operation, follow these steps:

1 Select TEST CONTROLS in the setup/diagnostic menu. The information shown in


Figure 3-7 is displayed.

)LJXUH

CONTROLS TEST
PADDLE TYPE: (Paddles, Pads, or
Internal Paddles)
ENERGY SELECT: MONITOR

PRESSED KEYS ARE HIGHLIGHTED


PAD. CHARGE
CHARGE RECORD LEAD SELECT
SYNC MARK t ECG SIZE s
HR ALARM
l REVIEW l
PACER SPO2 ON/OFF
PACER ON SPO2 ALARM
t RATE s
START/STOP MODE
t OUTPUT s

TURN OFF TO EXIT DIAGNOSTIC

&RQWUROV7HVW 3-7

127( The pacer information is displayed only if the pacer option is installed.

2 Check that the entry for PADDLE TYPE matches the type that is attached
(paddles, pads, or internal paddles).

If you disconnect the paddles cable, the entry changes to NONE.

3 Turn the Energy Select control to each energy level position, checking that the entry for
Energy Select on the display matches the current control position.

4 Under PRESSED KEYS ARE HIGHLIGHTED, press each key listed. Simulta-
neously, check that the key name in the display is highlighted while the key is

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depressed. Highlighting indicates that the defibrillator has detected the key press. See
Table 3-4 for a list of keys and the response you should see on the monitor display.

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ULJKWH[WHUQDOSDGGOH NAL PADDLESLVKLJKOLJKWHG
&KDUJH 3UHVVWKHSDQHO &KDUJH NH\ CHARGELVKLJKOLJKWHG

6\QF 3UHVVWKHSDQHO 6\QF NH\ SYNCLVKLJKOLJKWHG


5HFRUG 3UHVVWKHSDQHO 5HFRUG NH\ RECORDLVKLJKOLJKWHG

0DUN 3UHVVWKHSDQHO 0DUN NH\ MARKLVKLJKOLJKWHG

/HDG6HOHFW 3UHVVWKHSDQHO /HDG6HOHFW NH\ LEAD SELECTLVKLJKOLJKWHG


(&*6L]H 3UHVVWKHSDQHO (&*6L]H NH\ 7KHDUURZLVKLJKOLJKWHG

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‡5HYLHZ‡ 3UHVVWKH ‡5HYLHZ NH\ 7KHOHIW‡LVKLJKOLJKWHG

3UHVVWKHSDQHO 5HYLHZ‡ NH\ 7KHULJKW‡LVKLJKOLJKWHG

;/RQO\ZLWKSDFHURSWLRQLQVWDOOHG

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5DWH 3UHVVWKHSDQHO 5DWH NH\ 7KH DUURZLVKLJKOLJKWHG

3UHVVWKHSDQHO 5DWH NH\ 7KH LVKLJKOLJKWHG

6WDUW6WRS 3UHVVWKHSDQHO 6WDUW6WRS NH\ START/STOPLVKLJKOLJKWHG

2XWSXW 3UHVVWKHSDQHO 2XWSXW NH\ 7KHDUURZLVKLJKOLJKWHG

3UHVVWKHSDQHO 2XWSXW NH\ 7KHDUURZLVKLJKOLJKWHG

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6S2$ODUP 3UHVVWKHSDQHO 6S2$ODUP NH\ SPO2 ALARMLVKLJKOLJKWHG

Auxiliary Function Tests—Indicator Test


The indicator test exercises each LED and audio tone controlled by the defibrillator.

Testing the Indicators

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To test the defibrillator indicators, follow these steps:

1 Select TEST INDICATORS on the setup/diagnostic menu; the defibrillator


displays the information in Figure 3-8.

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INDICATOR TEST
RECORDER STATUS: OKAY

SELECT INDICATOR TO TEST:


LIGHTS
CRT MESSAGE ALERT
HEART RATE ALARM
CHARGE DONE TONE
AUTO DISARM WARNING
SHUTDOWN WARNING

TURN OFF TO EXIT DIAGNOSTIC

,QGLFDWRUV7HVW 3-8

2 Check that the entry for RECORDER STATUS is OKAY. (If the recorder is out of paper,
the entry is CHECK.)

3 The items under SELECT INDICATOR TO TEST are tests for the lights and audible
tones. Use the (&*6L]H and /HDG6HOHFW keys to select and start a test. To stop
one of these tests, press /HDG6HOHFW again. Each test is described, next.

LIGHTS Sequentially lights the 6\QF , the key panel

&+$5*('21( , the pacer 3DFHU2Q , and the

paddle &+$5*('21( indicators for about one


second, each. If the unit has PCI indicators,
they are lit while the LIGHTS test is running.
CRT MESSAGE ALERT Generates the CRT Alert tone: three short
tones; after a pause, the tones repeat.
HEART RATE ALARM Generates a continuous tone.

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CHARGE DONE TONE Generates a continuous tone; this tone is lower


in frequency than the Heart Rate Alarm tone.
AUTO DISARM WARNING Generates an intermittent tone that is the same
frequency as the Charge Done tone.
SHUTDOWN WARNING Outputs a tone that alternates continuously
between the Charge Done tone and the HR
Alarm tone frequencies.

Pacer Test (Option installed)


Testing the pacer does not check the energy level that pacing delivers; testing verifies that
the current delivered is equivalent to the levels indicated on the defibrillator screen.

To verify pacer operation, use a commercially available pacer tester. See Table 3-5 for
equipment information. Follow the instructions provided with the pacer tester to perform
the test.

Test Prerequisites

A test load (HP M1781A) is required.

Testing the Pacer

Follow these steps to perform the pacer test:

1 While pressing the 6\QF and +5$ODUP keys, turn the Energy Select control from the
Off (Standby) position to Monitor On. The setup/diagnostic menu appears after a
moment.

2 Select TEST PACER on the setup/diagnostic menu.

3 Press /HDG6HOHFW to select the Pacer test. The monitor displays the information shown
in Figure 3-9.

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PACER DIAGNOSTIC
PACER STATUS: (OFF, STOPPED, or
PACING)
SELECTED RATE: xx (in ppm)

DELIVERED mAMPS: xx (in mA)

TURN OFF TO EXIT DIAGNOSTIC

3DFHU7HVW 3-9

PACER STATUS Shows whether the pacer function is turned off, is turned on
but is not pacing (STOPPED), or is pacing (PACING). The
3DFHU2Q key turns the pacing function on and off; pacing
can be turned on and also be stopped. (PACER STATUS may
also show NO PADS or PADS OFF momentarily after START
is pressed.)
SELECTED RATE Indicates the current output rate, in pulses per minute, as
selected by the pacer 5DWH key.
DELIVERED Indicates the output level of the delivered pulses as measured
mAMPS by the defibrillator, in mA.

4 Connect the test load (HP M1781A).

5 Press 3DFHU2Q once, to turn on the pacer function. The indicator in the key should turn
on; PACER STATUS should say STOPPED.

6 Press 2XWSXW to increment the pulse output to the desired level. The current level is
displayed on the screen.

7 Press 6WDUW6WRS to start pacing. PACER STATUS should say PACING.

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8 Check that the DELIVERED mAMPS on the display is within these


specifications:

2XWSXW/HYHO '(/,9(5('P$036

≤P$ “P$

!P$ “

Parameter Function Tests—SpO2 Test


Testing of the SpO2 option includes an internal self-test and a functional test.

SpO2 Internal Self-Test

Every time the SpO2 monitoring is turned on, the instrument runs a self-test on the SpO2
PCA.

1 Turn the defibrillator on by turning the Energy Select switch to Monitor On.

2 Press the SpO2 On/Off button to turn SpO2 monitoring on.

3 Verify that no error messages appear on the display.

4 Press the SpO2 On/Off button to turn SpO2 monitoring off.

SpO2 Functional Test

1 Attach an SpO2 sensor to a normal, healthy person. Refer to the sensor


packaging for directions on how to attach the sensor.

2 Plug the sensor into the defibrillator. If you are not using a Hewlett-Packard
sensor, you must use the M1900B adaptor cable.

3 Turn the Energy Select switch to Monitor On.

4 Press the SpO2 On/Off button.

5 After 15 seconds, verify that the display shows an SpO2 reading and a pulse rate.

6 Verify that the Pulse Amplitude Indicator moves up and down.

7 Verify that the SpO2 reading is between 95% and 100%. If the SpO2 reading is much
below 95% and the person is healthy, the reading indicates a monitor or sensor error.

8 Press the SpO2 On/Off button to turn SpO2 monitoring off.

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Parameter Function Tests—HR Alarm Test


To test the HR Alarm an ECG simulator is needed.

1 Run a normal ECG at 60 Hz

2 Press +5$ODUP , verify alarm setting in upper right corner of the display

3 Change the ECG simulator to get beyond both the upper and lower HR Alarm limits.

4 After a few seconds (approximately six seconds) the recorder will print a report and the
alarm will sound.

Parameter Function Tests—ECG Simulation


Taking an ECG using a 12-lead ECG simulator lets you verify areas of operation that the
setup/diagnostic menu tests cannot test:

• the integrity of the leadwires

• the accuracy of the gain settings

To simulate an ECG, use a commercially available ECG simulator. Follow the testing
instructions provided with the simulator.

Parameter Function Tests—Sync Cardioversion Test with External


Monitor
The sync cardioversion test should be performed only if the defibrillator will be used with
an external monitor as the synchronizing source. The test verifies that the delay introduced
by the external monitor is <60 ms of the R-wave detected.

Using an external monitor as the synchronizing source adds some amount of delay
between the patient R-wave and defibrillator discharge. This test verifies that the total
delay is within acceptable limits (<60ms).

To test sync cardioversion with an external monitor, follow this procedure:

1 Use a defibrillator test box capable of measuring synchronized cardioversion delay


time.

2 Connect a patient cable between the defibrillator test box and the external
monitor. See Figure 3-10.

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6\QF&DUGLRYHUVLRQ7HVW6HWXS 3-10

3 Connect the sync interface cable between the external monitor’s DEFIB/SYNC output
and the defibrillator ECG In connector.

4 Set up the external monitor to monitor LEAD II.

5 On the defibrillator, select LEAD II as the ECG source.

6 Put the defibrillator test box into cardioversion test mode.

7 Press 6\QF on the defibrillator to put the instrument in sync mode. The ECG signal
should have synchronization markers highlighting the ECG trace. Adjust ECG SIZE, if
necessary.

8 Turn the Energy Select control on the defibrillator to 50 joules.

9 Place the paddles on the defibrillator test box paddle pads; press the charge button on
the apex paddle. Wait for the Charge Done indicators on the defibrillator.

10 Press and hold both shock buttons on the paddles until the defibrillator discharges.

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Safety Tests
The safety tests listed below are performed at the time of manufacture to assure
compliance with these standards: IEC 601-1, IEC 601-2-4, UL 544, and CSA 22.2 No.
601.1.

• Chassis-to-ground resistance within an expected range of < 0.1 ohm

• Ground wire leakage current within an expected range of < 500 uA

• Enclosure leakage current within an expected range of < 100 uA

• Patient lead leakage current (source leakage) to ground within an expected


range of < 10 uA

• Leakage current between patient leads within an expected range of < 10 uA

• Patient lead leakage current (sink current) with line voltage applied within an expected
range of < 20 uA

These tests should be part of your preventive maintenance program, and should be
performed after any corrective maintenance to assure continued compliance with the
named standards.

To perform these tests, use commercially available safety testers or analyzers designed
specifically for this purpose. Follow the manufacturer's operating instructions for hookup
and test procedures.

3 Preventive Maintenance

Preventive maintenance for the defibrillator is a superset of performance verification and


consists of the battery capacity test, printing the system error log, cleaning and inspection,
followed by routine maintenance and/or troubleshooting.

&$87,21 The defibrillator does not require any kind of lubrication. Lubricating any part of the
defibrillator could damage it or diminish its performance.

Battery Capacity Test


The battery capacity test measures the current battery capacity. The battery capacity test
should be performed after any of the following:

• After installing a new battery.

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• After six months of service (more often if defibrillator use frequently depletes the battery
without allowing time for full charge cycles).

• After the defibrillator has been stored for an extended period or each time the unit is
opened.

The total time required to perform the battery capacity test is about 30 hours. The first
part of the battery capacity test involves charging the battery for eight hours to ensure
sufficient charge. Once started, the battery capacity test runs for about 3.5 hours. Because
the battery capacity test discharges the battery, allow an additional 18 hours after the test
to re-charge the battery to full capacity.

Testing the Battery Capacity

Follow these steps to perform the battery capacity test:

1 Charge the battery by plugging the instrument into AC power for eight hours. When
you start charging the battery, verify that the $&32:(5 and %$77&+5* lights are
on.

2 Verify that there is recorder paper in the recorder.

3 While pressing the 6\QF and +5$ODUP keys, turn the Energy Select control from the
Off (Standby) position to the Monitor On position. The setup/diagnostic menu
appears after a moment.

4 Unplug the instrument from AC power (the $&32:(5 and %$77&+5* lights go
off).

5 Press (&*6L]H to highlight TEST BATTERY .

6 Press /HDG6HOHFW to start the Battery Capacity Test. The monitor displays the informa-
tion shown in Figure 3-11.

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BATTERY TEST
START VOLTAGE: xx.xxx (volts)
VOLTAGE NOW: xx.xxx (volts)
ELAPSED TIME: xx (minutes)
LOW BATTERY TIME: xx (minutes)

TURN OFF TO EXIT DIAGNOSTIC

%DWWHU\&DSDFLW\7HVW 3-11

START VOLTAGE: The battery voltage when the test started.


VOLTAGE NOW: The battery voltage at the present time.
ELAPSED TIME: The elapsed time since the test started. The time
includes the LOW BATTERY TIME.
LOW BATTERY TIME: The length of time that the battery has been below the
low battery warning level.

7 When the battery voltages reaches a low level, the Shutdown Warning tone sounds and
the recorder prints out the final values of the displayed results just prior to turning off
the instrument.

8 Replace the battery if the recorded value for ELAPSED TIME is less than 150 minutes
(2.5 hours) or the value for elapsed LOW BATTERY TIME is less than 10 minutes.

9 Turn the Energy Select control to the Off (Standby) position.

10 Fully recharge the battery by plugging the instrument into AC power for 18 hours. Ver-
ify that the $&32:(5 and %$77&+5* lights are on.

11 The instrument is now ready to be returned to service.

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Printing the System (Error) Log


When an error occurs during normal operation, an error code associated with the error is
stored in memory in the error log. Selecting PRINT LOG in the setup/diagnostic menu
prints the stored error log. To decipher an error code on the printout, refer to the error lists
in Chapter 4, Troubleshooting. Store the error log printout with the defibrillator’s
permanent maintenance record.

When the printout is complete, you can select another test from the setup/diagnostic menu.

Care and Cleaning


The defibrillator and its accessories are chemically resistant to common cleaning solutions
and non-caustic detergents. The following list includes some approved cleaning solutions.

• 90% Isopropyl alcohol (except adapters and patient cable)

• Soap and water

• Chlorine Bleach (30ml/l water)

127( Keep the outside of the instrument clean and free of dust and dirt. Clean the paddles
thoroughly to prevent build-up of dried electrolyte paste.

&$87,21 Do not allow any fluids to penetrate the instrument case. Avoid pouring fluid on the unit
while cleaning.

Do not use abrasive cleaners, or strong solvents such as acetone, or acetone-based


compounds.

Clean the display screen carefully. It is especially sensitive to rough handling and is
subject to scratching.

Do not steam-sterilize the monitoring leads, submerge them for prolonged periods, or heat
them above 50°C. If metallic surfaces become oxidized, clean them with a very light
abrasive (toothpaste). Do not use highly abrasive cleaners, such as steel wool or silver
polish.

Do not steam- or gas-sterilize the external paddle set.

For detailed information on cleaning and sterilizing the internal paddles, see the
"Maintaining the Defibrillator" chapter in the CodeMaster XL+ Defibrillator/Monitor
User’s Guide.

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3 Equipment List

Table 3-5 lists specifications that must be met by the equipment used to verify
performance of the defibrillator. This equipment is commercially available.

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(&*VLPXODWLRQWHVW

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(&*VLPXODWLRQWHVW

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(&*VLPXODWLRQWHVW HDFKOHDGZLUH

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0HDVXUHPHQWUDQJH

0D[LPXPHQHUJ\ ≥MRXOHV

0D[LPXPYROWDJH ≥9

0D[LPXPFXUUHQW ≥$

0HDVXUHPHQWDFFXUDF\

≥MRXOHV ≤“RIUHDGLQJ GDPSHGVLQXVRLGDOZDYHIRUP

MRXOHV ≤“MRXOHV GDPSHGVLQXVRLGDOZDYHIRUP

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In addition, a test load is available for testing the external pads adapter (HP M1781A).

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3 Performance Verification Checklist

Model number _______________________________________________________


Serial number ________________________________________________________
Test date ____________________________________________________________
Test technician _______________________________________________________

Visual Inspection
Disconnect the defibrillator from AC power and inspect for the following:

o Loose or missing hardware.


o Frayed or damaged wiring.
o Mechanical damage.
o Evidence of liquid spill.
o Dirt on the thermal printhead
o Recorder roller wear.
o Wear or damage to power cord and associated strain relief.
o Corroded or damaged electrodes.
o Damaged adaptors or patient cables.

Connect the defibrillator to AC power and verify the following:

o The $&32:(5 and %$77&+5* indicators are lit


o The &KDUJH and 6\QF indicators light momentarily, when you turn the Energy
Select control to Monitor On to turn on the defibrillator.

Enter the data to record in the format V:x, where x is p (pass) or f (fail).
For example: V:p.

Calibration Test
o Calibrate Defibrillator

Enter the data to record in the format C:x, where x is p (pass) or f (fail).
For example: C:p.

Defibrillator Test
(Conduct these tests in setup/diagnostic mode)

Using only battery power, set Energy Select to 100; test the following:

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o Msec. to charge—aaaa
o Delivered Energy—bbb
o Impedance—cc
o Peak Current—dd

Using only battery power, set Energy Select to 360; test the following:

o MSec. to charge—eeee
o Delivered Energy—fff
o Impedance—gg
o Peak Current—hh

Using AC power (battery removed), set Energy Select to 360; test:


o MSec. to charge—iiii
o Delivered Energy— jjj
o Impedance—kk
o Peak Current—ll

o Disarm Test—m

Enter the data to record in the format DT:aaaa,bbb,cc,dd,eeee,fff,gg,hh


iiii,jjj,kk,ll,m. For example: DT:1300,100,50,30,3600,360,50,55,12000,360,50,
55,p.

ECG Tests
o Leads Status, Paddle Status, and DSP Status—x
o DC Offset—aaa
o PCI Calibration

o paddles shorted—e

o paddles in pocket—fff
Enter the data to record in the format E:x,aaa,e,fff. For example:
E:p,0,1,60.

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Auxiliary Function Tests


o CRT Test
o Recorder Test
o Controls Test
o Indicator Test

Enter the data to record in the format A:x, where x is p (pass) or f (fail).
For example: A:p.

Pacer
o Pacer Test (Option installed)
o Selected Output set to 40mA—aa
o Selected Output set to 100mA—bbb

Enter the data to record in the format PT:aa,bbb. For example: PT:40,99.

Parameter Function Tests


o SpO2Test (Option)
o HR Alarm Test
o ECG Simulation Test
o Synch Cardioversion Test
set unit to sync mode, check if defibrillator fires in synch

Enter the data to record in the format F:x, where x is p (pass) or f (fail).
For example: F:p.

Safety Tests
o Chassis-to-Ground Resistance Test—aaa
o Ground wire Leakage Current Test—bbb
o Enclosure Leakage Current Test—ccc
o Patient Lead Leakage Current Test

o To Ground—dd

o Between patient leads—ee

o With line voltage applied—ff

Enter the data to record in the format S:aaa,bbb,ccc,dd,ee,ff; for example:


S:09,400,90,77,16.

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Note: When recording test results, separate tests by a semi-colon(;). For example:
V:p;C:p;DT:1300,100,50,30,3600,360,50,55,p;E:p,0,1,60;A:p;PT:40,99;F:p;
S:09,400,90,7,7,16

Print out the system (error) log. Store the printout with the defibrillator’s permanent
maintenance record.

Print out the setup menu settings. Store the printout with the defibrillator’s permanent
maintenance record.

Comments:

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4 Troubleshooting

4 Introduction

This chapter provides information for localizing defibrillator/monitor problems to the


assembly level. This troubleshooting information is designed for use with the
defibrillator’s setup/diagnostic tests to efficiently repair the defibrillator with a minimum
of equipment.

Maintenance Philosophy
The repair philosophy for the defibrillator is assembly replacement. Replaceable
assemblies are identified in Chapter 6, Parts Lists.

&$87,21 Individual component replacement should not be attempted outside of an authorized HP


repair facility. Component level repair is extremely difficult due to the extensive use of
surface mount technology and the high parts-density on the circuit boards. Unauthorized
component replacement can impair defibrillator performance.

Troubleshooting Guide
The following information suggests ways of using the information in this manual to
troubleshoot defibrillator failures.

Verify the Failure

Before troubleshooting the defibrillator, make sure that the failure is not the result of
improper use. See the CodeMaster XL+ User’s Guide for a condensed description of
controls and their use.

The built-in diagnostic tests are useful for verifying some failures. See “Using Setup/
Diagnostic Tests in Troubleshooting” on page 4-2 for a description of these tests.

Check the Error (System) Log

Print the error log to see if it contains an error code. You can clear the error log, operate
the defibrillator and repeat the failure, and then print the error log to see if the failure
created a new error code. See “The System Log” on page 4-4 for detailed information on
error codes.

4-1
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Using the Troubleshooting Tables

Check to see which functional areas of the defibrillator are affected. The troubleshooting
tables organize symptoms by type: audible, displayed, and symptoms specific to a
functional area of the defibrillator.

In the tables, find the symptoms that apply to the instrument failure.

Try the solutions suggested in the tables for the symptoms of your defibrillator.

Before replacing parts, check that cables and connectors are seated, check that boards are
seated and look for damaged parts.

In the tables, replace the first board listed, since the board most likely to fail is usually
listed first. Verify that the failure still exists; then, replace the next board listed.

After repair, verify that the defibrillator operates to specification. See “Verification after
Repair” on page 4-2 for detailed information.

Using Setup/Diagnostic Tests in Troubleshooting


The setup/diagnostic tests are built-in, menu-driven tests that can quickly check
defibrillator operation without the use of additional equipment. The tests check these
functional areas:

Defibrillator Test Checks defibrillator charging and verifies post shock data
(Ipeak, delivered energy and patient impedance)
ECG (monitor) Test Verifies monitor operation
CRT Test Displays a test pattern
Recorder Test Prints a test strip
Controls Test Allows you to verify keypanel operation; on-screen indica-
tion gives direct feedback when a key is pressed
Indicators Test Cycles the keypanel indicators so that you can verify LED
operation; tests the CRT Alert tones.
Battery Test Checks battery charge capacity

Instructions for entering and using setup/diagnostic mode are found in Chapter 3,
Performance Verification and Maintenance.

Verification after Repair


After repairing the defibrillator, perform the tests described in Chapter 3, Performance
Verification and Maintenance, to verify operation of the defibrillator to specifications.
In addition, perform the defibrillator calibration and the defibrillator test in the built-in
menu tests; see Chapter 2, Setup and Configuration, for test descriptions.

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Test Equipment
The following test equipment is required to troubleshoot the defibrillator as described in
this chapter. This equipment is all commercially available.

• A digital voltmeter such as the HP E2373A handheld multimeter.

• 12-lead ECG simulator.

• Pacer tester.

• Energy meter.

• Paddles ECG simulator (built into many manufacturers energy meter).

• SpO2

Safety Considerations

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4 The System Log

The system log is battery-maintained memory that stores error codes for the last error
event that the instrument detected. In addition, the system log contains software version
and instrument option information. The system log can be printed by entering the setup/
diagnostic menu and selecting PRINT LOG as explained in Chapter 3, Performance
Verification and Maintenance. See Figure 4-1.

)LJXUH

SYSTEM LOG
ERROR CODE: xx
ERROR OCCURRED: "dd mm"
SOFTWARE VERSION: xx.xx.xx.xx
OPTIONS: a.xy
SHOCKS: xxxx
Calibration status See description below.

6\VWHP (UURU /RJ)RUPDW 4-1

ERROR The error code of a run-time error.


CODE:
ERROR The date and time that the error occurred according to the system
OCCURRED: clock.
SOFTWARE The software version of the firmware installed in the defibrillator; the
VERSION: version line has the following format:
Monitor code revision.Reserved.DSP code revi-
sion.Defib code revision.
OPTIONS: a code in the form of: a.xy
a = instrument, 0 = M1722A/B, 1 = M1723A/B
For an M1723A/B the second option number is always 0

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*FV = Feature Vector is also called "Measurement Matrix."

127( EMS filter and Measurement Matrix set up features are software revision dependent
(software revision: 57.00.52.33).

To activate these features, press the following keys: highlight "Setup Menu 1", press the
"Select" key, then press simultaneously:

Pace Pulse 6<1& +5$ODUP 0DUN

Measurement Matrix 6<1& $QDO\]H

To activate these features, press the following keys: highlight "Setup Menu 2", press the
"Select" key, then press simultaneously:

Auto Gain 6<1& +5$ODUP

EMS ECG 6<1& 0DUN

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SHOCKS: The number of shocks since the shock counter was last reset.
Calibration This area will contain one of these:
status:
• CALIBRATION PASSED dd mmm yy—The last defibrillator
calibration (on the date shown) was successful.
• CALIBRATION FAILED dd mmm yy —The last defibrillator
calibration (on the date shown) failed; the defibrillator will still
function but charge energy levels may not be accurate (the
defibrillator will use a nominal value for the charge capacitor).
• CALIBRATE DEFIB—The defibrillator has not been calibrated
or the calibration value has been lost. The defibrillator will still
function but charge energy levels may not be accurate (the
defibrillator will use a nominal value for the charge capacitor).

Error Codes
Table 4-1 describes the errors that can appear in the error log and suggests solutions.

127( Replace the board assemblies in the order shown. After replacing a board assembly, check
to see if the problem has been resolved. If the problem is still present, replace the next
board assembly listed. When the instrument is working properly, clear the error log. See
“Clearing the Error Log” on page 4-9 for detailed information.

If more than one defibrillator error occurs, the codes for those errors are summed and
printed in hexadecimal form. The hexadecimal sum of any combination of these error
codes yields a unique number. For example, an error code of 0AC can only be formed by
the sum of error codes 080, 020, 008, and 004.

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If an error repeats, use the appropriate setup/diagnostic test to help locate the failure. The
setup/diagnostic tests are described in Chapter 3, Performance Verification and
Maintenance.

Clearing the Error Log

After servicing the defibrillator/monitor, it is important to reset (clear) the error log.
This process clears the entries for ‘‘Error Code'' and ‘‘Error Occurred''.

To clear the error code from the error log, follow these steps:

1 Place the defibrillator in diagnostic mode.

2 On the setup/diagnostic menu, move the highlight bar over PRINT LOG .

3 Press the 6\QF and +5$ODUP keys simultaneously.

Turn the Energy Select control to the Off (Standby) position, to exit the setup/diagnostic
menu.

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4 Troubleshooting Tables

The troubleshooting tables in this section help you to locate a fault and correct it. The
following tables list errors and failure symptoms that can occur at power on, during
normal operation, or as a result of setup/diagnostic tests. The tables define and explain the
errors, and suggest one or more corrective actions for each.

The troubleshooting tables include the following:

Table 4-2 Describes tones made by the defibrillator.


Table 4-3 Explains system-level messages that the defibrillator can display.
Table 4-4 Describes displayed messages indicating defibrillator/monitor fail-
ures.
Table 4-5 Describes displayed messages that indicate pacer malfunction.
Table 4-6 Describes displayed messages that indicate a malfunction of the
pulse oximeter.
Table 4-7 Describes failure messages that the recorder can print.
Table 4-8 Lists indications of improper use.
Table 4-9 Describes indications of power supply or main battery failures.
Table 4-10 Lists recorder problems and their symptoms.
Table 4-11 Lists symptoms display and logic failures.
Table 4-12 Describes keypanel failures and their symptoms.
Table 4-13 Describes defibrillator problems and their symptoms.
Table 4-14 Describes pacer problems and their symptoms.

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127( Other tones normally occur because various functions are enabled. See “Auxiliary
Function Tests—Indicator Test” on page 3-22 for descriptions of these tones.

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