Beruflich Dokumente
Kultur Dokumente
Y OF AL-SAUMA HOSPITAL
Model 483
DigiCordeP
Solid-State Recorder
SERVICE MANUAL
AV PUB 95-9
September, 1995
NOTICE
Proprietary tights of DEL MAR AVIONICS are involved with the subject matter of this document and all manufacturing, reproduction, use, and salas rights pertaining to such subject matter are expressly resewed. The recipient, by accepting this document, agrees that the infomtion contained herein will not be used, copied, or raproduced in whole or in part, nor its contents revealed in any manner or to any person, except to meet the purpose for which thii document was prepared and delivered, without the express permission of Del Mar Avionics.
Del Mar Avionics 1621 Alton Parkway, Irvine, CA 92714-4878 PHONE: (714) 250-3200 . FAX: (714) 261-0529 TOLL-FREE TELEPHONE: 800-854-0481
Copyright 1995, Del Mar Avionics. All rights reserved. No part of this publication may be reproduced in any manner whatsoever without written permission from the owner. DEL MAR and AVIONICS are registered trademarks of Del Mar Avionics.
Scope of Applications
The Model 433 DigiCorder is intended primarily as a Holter Recorder. However, the manufacturer has confirmed the ability of the product to record ECG signals from which a Del Mar Holter Analysis System can extract accurate data for ST-level analysis. Measurement of Heart Rate is a function of the external Holter Analysis System. Del Mar makes no claim for the Recorder in this regard. Although patient-hookup information suggests a configuration for Late Potential (Micropotential) analysis, the present sample rate precludes application of the Recorder for this purpose. Higher sample rates in later models are expected to permit use of recordings for Late Potential analysis.
Batteries
Observe battery polarity when installing batteries in the Recorder. Do not attempt to recharge alkaline batteries. Dispose of used batteries in accordance with local regulations. Do not throw batteries into a fite. Follow the battery manufacturers instructions for use and recharging of batteries.
Standards Compliance
The Model 463 DigiCordeP is designed and manufactured to meet the following standards and requirements: IEC 601-l (Medical Electrical Equipment; General Requirements for Safety) IEC 601-l-2 (Medical Electrical Equipment; Electromagnetic Compatibility) UL!544 (Medical and Dental Equipment)
Classifications
The Model 463 DigiCorder Recorder conforms to the following classifications as defined by IEC 601-l:
n n n n
Internally powered equipment, Type BF Ordinary equipment (not drip-proof, splash-proof, or watertight) Designed for continuous operation Not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or nitrous oxide
The Model 463 DigiCorder Recorder is a Type 1 ambulatory ECG device according to ANSl/AAMl EC36
CONTENTS
CHAPTER1 GENEReAL DESCRIPIION
page
..2- 1 Transferring Patient Information ............... 2-l Installing the Memory Device ................ .2-2 Installing Batteries or Battery Pack ............. 2-2 Installing Batteries ................... .2-3 Intalling the Rechargeable Battery Pack ......... 2-4 Automatic Self-Test .....................2-4 Initializing the Recorder ................... .2-5 Enter Patient Identification ................ 2-5 Entering Patient ID Directly ............. 2-5 Confirmmgthe Patient ID Number ......... 2-6 SetECGGain .......................2-7 Preparing a Memory Device ................. .2-8
CHAPTER3 THEPATIENTHOOKUP
Introduction ..........................3-l Performing the Patient Hookup ................ 3-1 Universal Test Cable .....................3-2 CHAPTER 4 TECHNICAL DESCRIPTION General Description ......................4-l System Block Diagram ................... .4-l DigiCorder PWAs .......................4-2 Amplifier Assembly, PWA 26515 ............. 4-2 Input Amplifier .................... 4-2 High-Pass Filter, 0.05 Hz ............... 4-2 Programmable Low-pass Filter ............ 4-2 Programmable Gain Amplifier ............ 4-3 CPU Assembly, PWA 26528 ............... .4-3 Block Diagram. ................... .4-3 Microprocessor ................... .4-4 R O M . . . . . . . . . . . . . . . . . . . . . . . . ..4- 4 SBAM . . . . . . . . . . . . . . . . . . . . . . . ..4- 4 PCMCIA Port .................... .4-4 Time-of-Day and Date Clock ............. 4-5 Progammable Divider ................. 4-5 Analog-to-Digital Converter ............. 4-5 Power Supply .......................4-6
CONTENTS (contd)
C-R5 SElTlNGUPTHERECORDER
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . 5-l Setup Procedures . . . . . . . . . . . . . . . . . . . . . . . 5-1 Setting the Clock and Calendar . . . . . . . . . . . . . . . 5-3 Set Time-of-Day . . . . . . . . . . . . . . . . . . . . . 5-3 Set the Date . . . . . . . . . . . . . . . . . . . . . . . 5-4 CHAPTER6 ALARMS ANDERRORMESSAGES . . . CHAPTER 7 TNKING CARE OF THE RECORDER Introduction.......................... 7-l Cleaning the Recorder . . . . . . . . . ._ . . . . . . . . . . 7-l Battery Management . . . . . . . . . . . . . . . . . . . . . 7-l Replacing the Lithium Battery. . . . . . . . . . _ . . . . . 7-2 Parts List Drawings
ii
Chapter 1
- GENERAL DESCRIPTION
INTRODUCTION
This manual contains information for servicing the Del Mar Avionics Model 433 DigiCorde# SSFP Holter Recorder. For complete information for using the Recorder to record patient ECG, refer to the Users Guide AVPUB 93-18.
EOUIPMENT DESCRIPTION
The Model 433 DigiCorder is a compact, lightweight, 3-channel Holter Recorder intended to continuously record the ECG of an ambulatory patient for up to 24 hours. The DigiCorder records the ECG signal digitally on either a miniature hard disk drive or a flash memory card. After the recorder is returned to the medical facility the recorded digital ECG is transferred to the hard disk drive of the Del Mar Avionics Holter Analysis System (scanner). The recorded ECG may also be transfmd to optical storage for long-term storage and later analysis.
Mode/ 483 DigiCorder
Service Manual
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General Description
Recorder features include: A patient identification number may be entered directly into the Recorder memory. This number permanently links the ECG recording with the correct patient and eliminates the need to enter that information at the scanner. More comprehensive patient information, entered at the Del Mar scaxmer, may be written into the Recorder prior to recording.
l l
An LCD display shows operating status and error messages, aids in entry of patient information and time-of- day, and prompts the operator in setting-up the Recorder. With the press of a button the patient may mark, in the ECG recording, significant events such as symptoms or activities. These event markers permit the scanner to correlate segments of ECG with events written by the patient in the Patient Diary. A Setup program permits the user to select certain operating and display characteristics to suit preference or circumstances including selection of display language (English, French, German, Spanish, or Italian). Carrying pouch and shoulder strap. Patient cable. Set of ECG leads. One g-volt battery or optional Del Mar rechargeable power pack, depending on model ordered.
SPECIFICATIONS
Table l-l lists primary functional specifications for the DigiCorder.
Memory Module
Hard disk Flash Memory
Recording Period
1-2
Service Manual
General Description
Audio Alarm Time Code Pushbuttons Test Connector Analog Output Power Supply
Disposable
Mechanical
Dimensions Weight 4.00 x 4.68 x 1.94 in. (10.2 x 11.9 x 4.9 cm). 11.75 oz (333 gm) with one 9volt battery and disk drive, 16.6 oz with optional rechargeable battery.
Environment
Temperature, Operating Temperature, Storage Relative Humidity ooc to +50X. -20C to +6OC. 10% to 90% noncondensing.
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Chanter 2
INTRODUCTION
A number of operating characteristics may be selected to suit preferences or C!iR!mhef3 - for example, you may choose one of four languages for display. These set-up characteristics will, in many cases, be selected only on the first use of the Recorder and will remain unchanged within the using facility. Setup procedures are outlined in Chapter 5 of this manual. This section outlines procedures that must be performed prior to each use of the Recorder. Procedures are: Transfer patient information from the scanner to the D&&order memory device or enter directly into Recorder. InstaIl the memory device in the Recorder. The memory device supplied with the Recorder has been especially prepared for the application. Any other compatible device must be prepared following procedures outlined in Preparing a Memory Device in this section. Install standard battery or Del Mar battery pack. Perform initialization procedures including adjustment of channel gain, if necessary, and entry of a patient identification number if that number has not been transferred from the scanner.
1. Remove memory device from the Recorder, pressing the top edge of
the Recorders f+ont panel assembly away .from the Recorder body. It will hinge downward to reveal the memory device. Grasp tab at the end of the memory device firmly and pull outwards to disengage device from its connector. Plug the device into the docking module in the scanner tower, pressing it firmly into the docking module socket. At the scanners Data Base screen, press Fl key to display the Report List. Click on NEW PT INFO button or press F2 key to display the Patient Information screen. Enter required information on the Patient Information screen, then press ESC key and then Y key to restore the Report List. With the patient entry highlighted on the Report List, click on OFTIONS button or press FS key to display the Options menu.
2. 3. 4. 5. 6. 7.
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8.
At the Options menu, click on Prepare SSR Data. Patient information is copied to the memory device. memory device and replace it in the Recorder. Be sure that this F&corder is the one installed on the identified patient.
9.
Press the release button on the docking module, then remove the
INSTALLING THE MEMORY DEVICE BNOTE You must install the hard diik drive or flash card in the Recorder before
installing the battery. If the battery is installed first, ECG will not be recorded. The hard disk drive or flash card (figure 2-1) is removed from the Recorder in order to transfer its contents to the scanners hard disk drive. Because the drive or card may not have been reinstalled in the Recorder, check as follows:
1.
F&order body. It will swing downwards to reveal the battery compartment and the memory device or the slot into which it must be installed. 2. If the memory device is not in the Recorder, slip the disk drive or flash card completely into the slot, label side up, pressing firmly to be sure the connector is seated. If the Recorder uses 9volt disposable batteries, proceed with steps outlined in Installing
Press the upper edge of the Recorders front panel away from the
3.
Batteries.
4. Close the Recorders front panel assembly until it snaps into place.
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BNOTE You must install the hard disk drive or flash card in the recorder before installing the battery. If the battery is installed first, ECG will not be recorded.
Installing Batteries
The Recorder, with the memory device presently supplied, requires one fresh g-volt alkaline battery. Either the Duracell@ battery P/N MN1604 or the Everead@ battery P/N 522 is recommended. Do not attempt to use either low-cost zinc-carbon batteries or mercury batteries. Use of unsuitable batteries can result in incomplete recordings or damage to the recorder. The memory media supplied at the present time requires only a single 9V alkaline battery. Other types and models of media, or use of other than alkaline batteries, may require a greater number. The DigiCorder holds up to three batteries. NOTE Alkaline batteries are not rechargeable. Do not attempt to recharge disposable batteries. Install batteries as follows (see figure 2-2):
the Recorders front :$ from the Recorder body. It will swing downwards to reveal the battery compartment.
r.
2.
Hold the white gate latch to the right to release the battery gate. Swing-out the gate km $e right-hand side to permit access to the battery compartment. Insert one fresh battery in any battery slot, observing polarity as indicated at the &ont of the battery compartment. Swing the gate over the battery compartment, pressing down the right-hand end until it snaps into the latch.
3.
4. 5.
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kxlel483 DigCorder
6.
Close the Recorders &ont panel assembly until it snaps into place. The Recorder is now ready for setup and operation.
To remove batteries, reverse installation procedures. Dispose of used batteries so that they will not be mistaken for fresh batteries.
1.
2
Position the battery pack so that the name DEL MAR is oriented the same as lettering on the surface below it. While squeezing-together the release levers, press the battery pack into the recess so that a click is heard as it is locked into place. Press both ends of the battery pack to be sure that it is locked at both ends.
To remove the battery pack, proceed as follows: 1. Press the top edge of the Recorders front panel assembly away from the Recorder body. It will hinge downward to reveal two opposed locking levers. Holding the Recorder upside down with one hand ready to grasp the released battery pack, press together the two levers. The battery pack should drop into your hand.
3.
Battery Pack).
Automatic Self-Test
After batteries, or the battery pack, have been installed, the F&corder automatically performs a brief self-test sequence. During self test the display briefly indicates the model number and software revision (figure 2-3). As self-test terminates, the display indicates either that the test was successfully completed, or displays an error message (refer to Error Messages>. If the self-test was successfully completed, press MODE button to display the first item on the menu for Recorder initialization. This item permits acknowledgement or entry of a patient-identification number. Refer to Initializing the Recorder for procedures.
Figure 2-3. Self-test Displays
I
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Service Manual
displayed ID number.
. Check to see that the correct date and time-of-day are displayed. If
date and time-of-day are not correct, or are not displayed, refer to Chapter 5, Setting-up the Recwder for set-up procedures.
. If the level of the monitored ECG is too high (refer to Chapter 3, The
The following paragraphs outline steps for performing each of these procedures.
If patient information was not transferred km the scanner to the recording medium prior to II recording, the display presents a field into which you must enter a patient ID number of up to 11 characters. Refer to Entering Patient ID Directly for procedures. If patient information was previously transferred &om the scanner to the memory medium, the -1 display presents the patient ID code for confirmation. Refer to Confirming the Patient ID Number for procedures.
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Press SELECT button to advance the cursor to the next digit position. (Note that if you press the SELECT button after the 1 lth digit has been entered, the cursor will return to the left-most position.) F+ess the ADV button repeatedly until desired next numeral appears Repeat steps 2 and 3. until final numeral is displayed. Press MODE button to save the ID number and present the display for setting the time-of-day. If time-of-day is correct, press MODE button to check the date. If date is correct, press MODE button to present the ECG GAIN CHANGE display. If either time-of-day or date is incorrect or not displayed, refer to appropriate procedures in Chapter 5, Setting-up the Recorder.
3, 4. 5. 6.
Note that the MODE button cycles through all initialization steps. If you wish to edit the ID number before starting recording, press the MODE button repeatedly until the display again presents the ID entry field.
1.
2.
Press MODE button to exit and present the display for setting the
time-of-day. If time-of-day is correct, press MODE button to check the date. If date is correct, press MODE button to present the ECG GAIN CHANGE display. If either time-of-day or date is incorrect or not displayed, refer to appropriate procedures in Chapter 5, Setting-up the Recorder.
If the displayed ID number is not the correct number for this recording:
1.
2
Note that, if you have inadvertently pressed the SELECT or ADV button,
you may restore the ID number. Just remove and replace the battery and cycle through prior steps (MODE button) until the ID number is again displayed.
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Service Manual
that is, to the F&orders higher gain setting. If examination of the patients ECG (using the hookup to be used for the Holter recording) shows any amplitude in any channel greater than 5 mV peak-topeak, you must change the ECG gain for that channel to l/2. If ECG amplitude is in the normal range (less than 5 mV peak-to-peak), you do not need to change ECG gain. In this case, press the MODE button to exit the ECG GAIN CHANGE display and present the READY TO RECORD display (refer to Starting the J?.cz!ora?er in Chapter 3 of this manual). If ECG amplitude is excessive, reduce gain as follows: F!ress SELECT button to present the display for Channel 1. Press ADV button to move the arrow to the right of l/2. Note that pressing the ADV button a second time will return the arrow to the default position at FULL. If Channel 2 is in the normal range, press MODE button to view the READY TO RECORD display. To change Channel 2 gain, press SELECT button, then perform preceding steps 1. and 2. for Channel 2. If Channel 3 is in the normal range, press MODE button to view the READY TO RECORD 1 display. To change Channel 3 gain, press SELECT button, then perform preceding steps 1. and 2. for Channel 3. This ends initialization procedures. If you need to perform setup procedures (refer to Chapter 5), press the MODE button. If setup procedures are not required, and if patient preparation procedures outlined in Chapter3 have been completed, press SELECT button to start recording. The display briefly indicates that calibration pulses are being recorded, then time-of-day is continually updated during ECG recording. Note that time-of-day may be expressed in either 12-hour time (as shown) or in international 24-hour time, depending on set-up procedures. After the Holter test has ended, refer to Chapter 4, When the Recoiling is Completed, for turn-off and downloading procedures.
1.
2
3.
4.
5. 6.
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1.
2.
Plug the memory module into the PCMCIA docking module in the scanner. At the DOS prompt, type E:, then press Enter. If the monitor displays an E:\ prompt, skip to step 3. below. If the monitor displays the message: Not ready reading drive E: Abort, Retry, Fail? a. Type F, then press Enter. The monitor displays: Current drive is no longer valid>.
b. Type C:, then press Enter. c. At the C:\ prompt, type FDISK, then press Enter. d. In the resulting FDISK menu, select Select Drive, then press Enter. e. Click on drive number 2, then press Enter. f. Select Create DOS Partition, then press Enter. go Select Create Primary DOS Partition, then press Enter. k Select option to utilize entire disk space for Primary DOS Partition, then press Enter.
. 1.
3. 4.
5.
Ijp FORMAT E: /tJ, then press Enter. The monitor displays the question:
Proceed with Format (Y/N)? Type Y, then press Enter. After formatting is completed, you are prompted to enter a Volume Label. a. For a Hard Disk, type DM483HDXXXX, then press Enter.
6.
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Service Manual
7. 8. 9.
At the DOS prompt, type E:, then press Enter to log the E: drive.
to check the entire disk for detects, then exit that utility to the DOS prompt.
10. Insert diskette P/N 26697 @ID SETUP S/W) into the A: drive. 11. Type AZ, then press Enter. 12. Type 4&3SETUF, then press Enter. This executes a batch file t.o create necessary files on the E: drive. 13. At the DOS prompt, type DIR E:, then press Enter. The following
files should be listed: 563ECG. DAT LANGUAGE.LNG SPANISH.LNG ENGLlSH.LNG GERMAN.LNG FRENCHJNG lTALIAN.LNG
14. At the DOS prompt, type CHKDSK E:, then press Enter. If no
errors are reported, the memory device is ready to install in the DigiCorder.
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Chanter 3
INTRODUCTION
1.
2. 3. 4.
Prepare selected electrode sites on the patients skin, then apply electrodes to prepared sites. Connect leads to the electrodes and to the patient cable, then test the hookup. Instruct the patient on how to use the Recorder and how to cooperate in obtaining a useful test. Install the Recorder on the patient and start the recording.
This section contains information to determine whether or not a problem is caused by improper hookup materials or configuration. Refer to the Users Guide (AVPUB 93-18) for complete Patient hookup Information.
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H = Holter analysis
LP = Latepotential analysis
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Right manubrial border or the sternum. Left anterior axillary line, 6th rib. ! Left manubrial border of the sternum. Two-centimeters right of the xiphoid 1 process on rib marqin.
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This configuration provides two V leads consistent with typical two-channel Hotter recordings, plus a modified Lead III on the third channel. Because the reference electrode is very dose to the shoulder, some artifact may be seen. Place all electrodes directly over bone to reduce muscle artifact.
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Chapter 4
TECHNICAL DESCRIPTION
GENERAL DESCRIPTION
The Model 433 DigiCorder, a three-channel Holter Recorder, amplifies and digitizes ECG voltages &om electrodes on the body surface. The digital data is stored on a hard disk or on monolithic electronic memory (flash card). The digitized ECG data is stored continuously for up to 24 hours. At the rate of 128 samples per second, utilizing an &bit sample for each of three channels of data, approximately 33 megabytes of storage are required. The Recorder uses either a hard drive module of 105 megabytes, or a flash card of 40 megabytes. These storage devices are removable, PCMCIA-standard devices. When recording is completed, the memory device is removed from the recorder and plugged into a docking module in the Holter Analyzer System. The ECG and other data are transferred to the analysis system for analysis and report generation.
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Technical Descxbtion
The Power Supply Assembly converts battery voltage to +5V for all digital circuits and to power the memory device. Figure 4-2, the DigiCorder Interconnect diagram, shows the interconnection of all signals and power between the PWAs of the DigiCorder.
DICKORDER PWAS
The following paragraphs describe the function of each printed wiring assembly (l?WA) in the DigiCorder.
amplifier has a high impedance differential input and a single-ended output. One potentiometer adjusts gain between 9.7 and 11.5 to calibrate the overall gain of the channel to 1000. Another potentiometer adjusts Common Mode Rejection to a maximum value. The minimum value is 80 dB. Input amplifiers are identical for all channels.
the DC offset generated by the bioelectric electrodes on the patients shin. This DC voltage is the result of a battery effect and can be as high as 300 mV.
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Technical Descxiptiin
Block Diagram All the components in this block are interconnected by three main buses;
the 16-bit data bus, the 20-bit address bus and a control bus. The microprocessor can send or receive data from all units on the bidirectional data bus. The address bus contains the addresses generated by the microprocessor. Information on this bus determines which units of the CPU board will receive data from, or send data to the microprocessor. This PWA is a complete computer that can execute stored programs. When computer power is applied, the computer executes program code stored in the EPROM, a read-only memory. This code initializes the CPU, performs self-test and puts the first display on the LCD. The EPROM also contains software routines for reading and writing to the memory device. Program code can be copied from the memory device into static RAM (SRAM) and be executed to perform various operations. The ECG data samples are also stored until approximately 10 minutes of data samples have been accumulated, at which time the hard disk is turned on and the data samples are transferred to the hard disk. If flashcard memory is used, lo-minute samples buffered in static RAM are written to that medium.
Microprocessor
The V35 microprocessor is a highly integrated 16-bit processor using an instruction set almost identical to that of 8088- and 80X86-series processors. Some of the hardware functions integrated onto this microprocessor unit are two serial ports, a programmable DMA controller, a programmable interrupt controller, a counter timer, a parallel port with a comparator and a time base counter.
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Technical Descridiun
The microprocessor has a sleep mode which is used to save power when the processor has completed current operations. It is revived from the sleep mode when a new sample is available from the analog-to-digital converter, or by pushbutton operation. The serial RS-232 ports of the microprocessor are used only for test and setup at this time. In the current product, the microprocessors RS-232 serial ports are used only for test and setup. These ports may be used in future upgrades to connect to a printer, modem or fax. The parallel port of the microprocessor interfaces with the three tint panel pushbuttons, the EEPRQM, and the amplifier board bandwidth and gain controls. The comparator port contains an analog-to-digital converter that monitors the auxiliary battery that powers the time-of-day and date clock on the CPU card. Three main buses connect the microprocessor to the rest of the system: the 20-bit address bus, the 16-bit data bus and the control bus. The control bus handles information such as memory read, memory write, lj0 read, I;/0 write, the interrupt signals, and NIM and Reset signals and others.
ROM
The read-only memory (ROM) contains program data to initialize the microprocessor, perform self-tests, control the LCD, respond to the &ont panel pushbuttons and read and write to the memory device In response to LCD prompts or pushbutton operation, programs are loaded into SRAM from the memory device and executed to perform many functions. In general, programs are executed by a combination of program data in the ROM and program data copied from the memory device. a
SRAM
The static random access memory, SRAM, contains program data copied from the memory device using routines stored in the ROM, and stores samples of the ECG data digitized by the analog-to-digital converter. These samples are accumulated for about 10 minutes (230K samples at 128 samples per second for each of three channels), then the hard disk is spun-up and the samples are copied to it. This process continues while ECG data is recorded. Ihe SRAM also provides temporarily storage of other information, including patient events, during recording. This data is transferred to hard disk for permanent storage.
PCMCIA Port
This port interfaces with the memory device. The memory device is either a PCMCIA Type III hard drive, 40 megabytes or larger, or a flash card of 40 megabytes or larger. A flash card contains nonvolatile semiconductor RAM.
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Technical Desuiptii
The PCMCIA standard defines the mechanical and electrical parameter of the interface. All ECG data samples are stored on the memory device. At the completion of the test, the device is removed &om the recorder and plugged into a PCMCIA port on a Holter analyzer system. The ECG data samples are transferred to the hard disk in the analyzer for analysis and report generation.
counts down the 32.76%KHz crystal frequency to generate required clock frequencies under control of the microprocessor. One output causes the analog-to-digital converter to sample the ECG data. In the current program, this rate is 128 samples per second. Future models will generate 256 samples per second for high resolution ECG data, and 1000 samples per second to acquire ECG data for micropotential analysis. A wide variety of sample rates are possible for other applications. Another output &om this divider provides the audio tones produced by the beeper at various times during operation.
low-power analog-to-digital converter with built-in sample-and-hold. Three channels serve the three ECG data channels, and the fourth channel samples the main battery voltage. The digital data output is connected to the &bit data bus through which la-bit data is acquired by successive reads. The conversion process begins with the clock signal from the programmable counter. At the end of the conversion cycle, the end-of-conversion signal from the converter wakens the microprocessor from the sleep mode. The microprocessor then stores the data samples, checks to see if it is time to load data to the memory device, checks for the presence of patient events and does some other housekeeping functions. It then resumes the sleep mode waiting for the next end-of-conversion signal from the analog-to-digital converter.
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Power Supply
The output of the g-volt battery typically varies from 9.4 volts (new), to 7.0 volts at the end of a 24-hour monitoring period.
The DigiCorder contins two DC-to-DC power converters. One supplies
S-volt power to digital circuits, and the other supplies power to analog circuits. The analog and digital supply circuits are mutually isolated except for a common ground. Most battery power is consumed by the digital circuits. The CPU clock and hard drive start-up, spin-up, and spin-down cycles produce some noise in the 5-volt supply. The digital circuit supply, located on the Power Supply PWA, regulates to 4.85 volts with an efficiency of 90 percent. The analog power supply, located on the Amplifier PWA, is protected both mechanically and electrically to prevent damage from inadvertent reversal of battery polarity as the battery is installed. Shown in figure 4-9, dual P-Channel MOSFETs (U2 and U3), in line with input power, protect the converter circuit. The converter comprises the step-down switching regulator Ul, P-channel MOSFET U4, N-channel MOSFET U5, diode CRl, 68qH inductor Ll, 220qF capacitor C5, and resistors Rl and R3 which determine the regulated voltage level (4.8557 ). Refer to Figure 4-10 for the component layout of the PWA.
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Tectmical Descrbtion
Power Supply
The output of the 9-volt battery typically varies from 9.4 volts (new), to 7.0 volts at the end of a 24-hour monitoring period. The DigiCorder contains two DC-to-DC power converters. One supplies 5-volt power to digital circuits, and the other supplies power to analog circuits. The analog and digital supply circuits are mutually isolated except for a common ground. Most battery power is consumed by the digital circuits. The CPU clock and hard drive start-up, spin-up, and spin-down cycles produce some noise in the 5-volt supply. The digital circuit supply, located on the Power Supply PWA, regulates to 4.85 volts with an efficiency of 90 percent. The analog power supply, located on the Amplifier PWA, is protected both mechanically and electrically to prevent damage &om inadvertent reversal of battery polarity as the battery is installed. Shown in figure 4-9, dual P-Channel MOSFETs (U2 and U3), in line with input power, protect the converter circuit. The converter comprises the step-down switching regulator Ul, P-channel MOSFET U4, N-channel MOSFET U5, diode CRl, 68-FH inductor Ll, 220qF capacitor C5, and resistors Rl and R3 which determine the regulated voltage level (4.85V ). Refer to Figure 4-10 for the component layout of the PWA.
a
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4B
Chapter 5
INTRODUCTION
Certain display and operating characteristics programmed at the factory may be changed to suit preferences or specific operating requirements. Most of these characteristics remain unchanged, in most cases, within the using organization. The internal clock and calendar depend on the internal backup battery. Once set, time-of-day and date need not be set again for the life of that battery. When that battery is finally exhausted, failure of the clock and calendar indicate that the battery must be replaced. Refer to Chapter 7 for replacement procedures. Setup procedures may include: Set clock and calendar with date and time-of-day format, and current date and time of day. Set audio beeper control On or Off. Set Pacer recording control On or off (for future use -- OFF in this version, not effective for pacer analysis). Select the display language (English, French, German, Spanish, Italian). Select sample resolution (not effective in the present Recorder).
SETUP PROCEDURES
Setup procedures may be performed just prior to starting a recording, when the display states READY TO RECORD (refer to Chapter 2). To begin setup procedures, press MODE button to present the RECORDER SETUP display.
1.
At the RECORDER SETUP display, press SELECT button to present the DATE FORMAT display. If you do not wish to change the date format, press MODE button to advance to the TIME FORMAT display. If you do wish to change the date format, press SELECT button to present the Date Format Selection display. The arrow points to the present format: that is, to the Month-DayYear format, or the Day-Month-Year format. Press ADV button to select the desired format.
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5.
If you do not wish to change the time format (either 24-hour time or A&I/PM notation), press MODE button to exit to the BEEPER display. If you do wish to change the format, press SELECT button to display the Time Format Selection display. The arrow points to the present format: that is, to the 24-hour format, or the Ah$PM format. Press -1 ADV button to select the desired format. To exit the TIME FORMAT display and present the BEEPER display, press the MODE button. not wish to change the status of the audio beeper, press MODE button to present the PACER display. If you do wish to change the beeper status, press the ADV button to move the arrow to the desired status. MODE button.
6.
7. The arrow points to the present beeper status (On or off). If you do
8. To exit the BEEPER display and present the PACER display, press the 9. The arrow points to the present pacer recording status (On or Off,
fixed Off in this version of the Recorder). Press MODE button to present the LANGUAGE display. In a subsequent version, if you wish to change the pacer recording status, you will press the ADV button to move the arrow to the desired status. German, Spanish, or Italian), press MODE button to exit to the RESOLUTION display. If you wish to change the language, press SELECT button to show the LANGUAGE display.
10. If you do not wish to change the display language (English, French,
-1
The display shows the presently selected language. Press ADV button to step through the possible languages. When the desired language is displayed, press MODE button to exit to the RESOLUTION display.
NOTE Resolution in the present Recorder is fixed at 128 samples per second. This resolution-selection function anticipates later models offering higher sample rates and is inactive at this time.
a
Service Manual
5-2
14. Setup pmcedures are now complete except for setting the clock and calendar (refer to Setting the CZock am! Calendar below).
Press MODE button to exit Setup and present the PATIENT ID INPUT display. Refer to Chapter 2 of this manual for subsequent procedures.
Set Time-of-Day
Time may expressed either in 12-hour time (APCYPM) or in international
24-hour time. The format is determined by selection in setup procedures. If the TIME display shows the correct time of day, press MODE button to exit the display and present the DATE display (refer to Set the Date).. If the displayed time-of-day is not correct, press SELECT button. A new display appears with a cursor below the first digit. Set time-of-day as follows:
1.
2,
Select a time-of-day four or five minutes after the present time. This gives you an interval of time to perform steps 1. through 4. The cursor rests at the first changeable digit. Press the ADV button repeatedly until the desired numeral appears in that position.
3. Press SELECT button to advance the cursor to the next digit position. If you press the SELECT button after the final digit has been changed, the cursor will return to the leftmost position. Service Manual
5-3
4.
Press the ADV button repeatedly until the desired next numeral
appears. 5. 6. Repeat steps 2 and 3. until the final numeral has been changed. When the actual time matches the displayed time, press MODE button to exit the time-of-day display and present the DATE display (refer to Set the Date).
1.
2
The cursor rests at the first changeable character. Press the ADV button until the desired character appears in that position. Press SELECT button to advance the cursor to the next character position (Note that if you press the SELECT button after the final character has been changed, the cursor will return to the left-most position.) Press ADV button repeatedly until the desired character appears. Repeat steps 2 and 3. until the last character has been changed. When the correct date is displayed, press MODE button to exit the DATE display and present the ECG GAIN CHANGE display (refer to Set ECG Gain in Chapter 2).
3. 4. 5.
54
Service Manual
Chanter 6
The message LOW BATT VOLTAGE is displayed and three short beeps are heard if battery voltage is below the level that would insure a full 24-hour recording. That message would appear, for example, if used batteries were in- stalled. Remaining battery life might support a brief test, or setup or initialization procedures. The message REPLACE BAlTERY will appear on the display and five short beeps are heard if battery voltage is below the level that would support any reliable use of the Recorder.
Further releases of Recorder firmware m expected to provide additional alarm and error information.
Service Manual
6-l
Chapter 7
INTRODUCTION
The DigiCorder@ Recorder has no moving parts and requires no routine maintenance other than cleaning prior to each use.
Clean the Recorder c88e and rechargeable battery, if applicable, using only a clean soft cloth moistened with a mild disinfectant. Do not permit any cleaning fluid to flow within the Recorder case. Clean electrode leads using a clean soft cloth moistened with a mild disinfectant.
BAlTERY MANAGEMENT
Do not permit batteries to remain in the Recorder but remove them at the end of each test. Discard used disposable batteries as they are removed to prevent their inadvertent re-installation for another patient. CAUTION Old batteries may leak and cause serious damage to the recorder. As a rechargeable battery is removed from the Recorder, immediately tag the battery pack as discharged, then put it directly on a compatible recharger (for example, Ambico Model V-0917). A suitable recharger should be found in stores selling Camcorders. Recharge the battery in accordance with recommendations of the recharger manufacturer. It is a. good idea to label rechargeable batteries as freshly charged or uncharged. Make sure that battery terminals are clean before installing the batteries in the Recorder. Clean terminals by wiping with a clean cloth. The internal Lithium battery will eventually be depleted. This will be indicated by failure of the Recorder to maintain time-of-day. To replace the Lithium battery, perform the following steps:
1.
2.
Open front panel of the DigiCorder. Remove the memory device from the DigiCorder.
Service Mawal
7-l
3.
Supporting bottom side of the DigiCorder, place tip of right thumb inside the memory device bay, then gently apply pressure at positions shown in the illustration. This will release the front latch of the case.
4.
Insert tip of a small slot screwdriver into the gap between upper and lower sections of the case just behind the front latch, then slide screwdriver tip towards the rear of the case. This will release the rear latch of the case. Carefully open the case as if the left side (nearest patient cable connector) were hinged Using a small tool such as a jewelers screwdriver, remove battery from its holder. Do not pry screwdriver against the memory device slide rail. Install new battery into battery holder, then close and snap case edges together.
Reset clock and calendar (refer to page 5-3).
5. 6.
7. 8.
al
7-2 Service Manual
PARTS LIST
For the location of any part in the following lists, refer to the DigiCorder assembly drawing (figure 4-11) at the end of this manual.
DESCRIPTION Amplifier PWA CPU PWA Patient Input PWA Panel, Door Cap, Connector PWA, Front Panel Battery, Lithium 3V, 12SmAHr. Alarm, Piezo Plug, Molded Test COM. Label, Test Output Pin, Door, Hinge LCD Label, Logo 483 Label, Buttons 483 Post, Keying Screw, Panhead, 2-56X. 19 Screw, Panhead, 2-56X.44 Washer, SILK - #2 CD Screw, Flathead, 2-56X. 19X82 Screw, CSK, 82 Deg, #2-56X.625
1 1 1 1 1 1 1 1 1 1 1 2 6 2 8 2 2
26515 26518 26540 26505-3 26505-7 26521 CR2032 PKM35-4A0 26692 26693 25532-13 DMOS2 26507-S 26507-7 26702 MS3 5206-202 MS3 5206-206 MS35338-39 MS5 1959-2 MS5 1959-8B
26617-762 265 12-503 26538-3 26538-5 26539-l 26539-2 26541-3 26541-5 26541-7 26542-5 26562 26619-5 CE63 EO94-013-1000
ACCESSORIES 26638 26639 26571 25452-5 19 25459-505 24156 24244 26632 26630 93-18 Hard Disk Assembly Flash RAM Card Battery Rechargeable Snap Lead Set Patient Cable Assembly, 7 lead Shoulder Strap Belt, Waist Pouch carrying case Operations Manual
TOOLS 21357-791 26697 Device for Docking Module with Patient Data HD Setup Software Diskette
DRAWINGS
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4-l Model 483 DigiCorder@, Block Diagram 4-2 Interconnection Diagram 4-3 Amplifier Assembly, Block Diagram 4-4 Amplifier Assembly, Schematic Diagram 4-5 Amplifier Assembly, PWA Layout 4-6 CPU Assembly, Block Diagram 4-7 CPU Assembly, Schematic Diagram 4-3 CPU Assembly, PWA Layout 4-g Power Supply Assembly, Schematic Diagram 4-10 Power Supply Assembly, PWA Layout 4_11 Model 483 DigiCorder, Assembly Drawing
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