Dinamap 400 SM
Dinamap 400 SM
Dinamap 400 SM
This manual is for DINAMAP ProCare Monitors models 100, 200, 300, and 400, with or without printers. ProCare 100: BP, Pulse ProCare 200: BP, Pulse, and Temp ProCare 300: BP, Pulse, and SpO2 ProCare 400: BP, Pulse, Temp, and SpO2 The model of the Monitor determines which parameters are in your monitor. Please refer to applicable sections.
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United States GE Medical Systems Information Technologies 4502 Woodland Corporate Boulevard Tampa, FL 33614 Germany GE Medical Systems Information Technologies GmbH Munzinger Strasse 3, - 7911 Frieburg, Germany
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2009381-001
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NOTE: The information in this manual only applies to ProCare Monitor. It does not apply to earlier Monitors. Due to continuing product innovation, specifications in this manual are subject to change without notice.
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Table of Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.1 Scope of Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1.2 Manual Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 1.3 Service Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.3.1 Service Contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.3.2 Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.3.3 Return to Factory Repair Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.3.4 Service Loaners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.3.5 Repair Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.3.6 Replacement Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 5 5 6 6 7
Product Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2.2. Product Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2.3. Controls, Indicators, and Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 2.3.1. ProCare Monitor Rear Panel Connections . . . . . . . . . . . . . . . . . . . . . . . 4 2.3.2. Front Panel Controls and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2.4. Host Communications Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2.4.1. DB15 Connector Pin Assignments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2.5. Compatible Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2.6. Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Principles of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
3.1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3.2 Overall Principles of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3.2.1 SpO2 (Model 300 and 400) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
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Table of Contents 3.2.2 Cuff Blood Pressure (BP) and Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3.2.3 Temperature (Model 200 and 400) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3.2.4 Host Communication Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3.3 Functional Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.3.1 Main Board PWA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.3.2 User Interface (UI) Board PWA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.3.3 SPO2 PWA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.3.4 Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.3.5 Pneumatic Valve/Manifold (PVM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.3.6 Optical Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 6 7 7 7 7
4.3 Periodic Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 4.3.1 As Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 4.3.2 Annual Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 4.4 Care of the Storage Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 4.4.1 Battery Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 4.5 Safety Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Notes on Electrical Safety Testing of the ProCare Monitor: . . . . . . . 9 4.5.1 Temp Circuit Leakage Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.5.2 SpO2 Circuit Leakage Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 4.6 ProCare Patient Monitor Parameter Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.1 SETUP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.2 Leakage Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.3 Pressure Transducer Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.4 Pressure Transducer Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.5 Overpressure Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.6 Button Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.7 LED Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.8 External DC Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.9 NIBP Determination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.10 NIBP Overpressure Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 11 12 12 13 14 14 15 15 15 16
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Table of Contents 4.6.11 Temperature (Perform if equipped with Temp module) . . . . . . . . . . . 4.6.12 SpO2 (Perform only if equipped with SpO2 module) . . . . . . . . . . . . . 4.6.13 Printer Output Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.6.14 Communication Port Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 17 18 18
4.7 Alarm Code Interpretation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 4.7.1 System Failures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Appendix A - Test Results Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Appendix B - Connectivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Appendix C - Display Cover: Removal, Installation . . . . . . . . . . . . . . . . . . . . . . . . . 25 Appendix D: Replacement Parts and Assemblies . . . . . . . . . . . . . . . . . . . . . . . . . . 27
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Table of Contents
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Introduction
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WARNING
To reduce the risk of electric shock, do not remove cover or back of any component. Refer servicing to qualified service personnel.
Only qualified technicians should perform repairs to this equipment. For information about operating the Monitor in a clinical environment, refer to the separate Operations Manual. This Service Manual consists of the following five sections: Section 1 describes this volume and tells you how to use it. Information is also provided about the physical and functional characteristics of the Monitor, and how to get assistance in the event the unit fails to function properly. Section 2 provides a general overview of the ProCare Monitor including the user controls, external connections and product/parameter specification. Section 3 presents principles of operation for the Monitor, including an overall system description and principles of operation at the component level. Section 4 provides information about periodic and corrective maintenance of the Monitor and part list, replacement part lists. Procedures include module performance testing, and calibration procedures. Information is also provided to facilitate isolating faults to the subassembly level. Section 5 provides component information about the Monitor, including assembly drawings and electrical schematics.
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1.3.2 Assistance
If the product fails to function properly, or if assistance, service or spare parts are required, contact Customer Support. Before contacting Customer Support, it is helpful to attempt to duplicate the problem and to check all accessories to ensure that they are not the cause of the problem. If you are unable to resolve the problem after checking these items, contact General Electric Medical Systems Information Technologies at 1-877-274-8456. Prior to calling, please be prepared to provide: product name and model number a complete description of the problem If repair parts or service are necessary, you will also be asked to provide: the product serial number the facility's complete name and address a purchase order number if the product is in need of non-warranty repair or to order spare parts the facility's General Electric Medical Systems Information Technologies account number the appropriate part number for spare or replacement parts
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Introduction: 1.3 Service Policy Contact General Electric Medical Systems Information Technologies at 1-877-274-8456 Monday through Friday, 8:00 a.m. to 6:00 p.m. EST, excluding holidays. Packing Instructions Follow these recommended packing instructions. Remove all hoses, cables, sensors, and power cords from the monitor before packing. Pack only the accessories you are requested to return; place them in a separate bag and insert the bag and the product inside the shipping carton. Use the original shipping carton and packing materials, if available. If the original shipping carton is not available: Place the product in a plastic bag and tie or tape the bag to prevent loose particles or materials from entering openings such as hose ports. Use a sturdy corrugated container to ship the product. Pack with 4 to 6 in. of padding on all sides of the product. Tape securely to seal the container for shipping. Insurance Insurance is at the customer's discretion. The shipper must initiate claims for damage to the product incurred during shipping. Shipping damage is not covered under warranty.
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Introduction: 1.3 Service Policy Most orders ship on the same day if received before 3PM Eastern Time. Overnight freight options are available to meet your critical needs. All orders must include the following information: Facility's complete name, address, and phone number FAX number Your purchase order number Your General Electric Medical Systems Information Technologies account number (if available)
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Product Description
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2.1 Introduction
DINAMAP ProCare Monitors provide non-invasive determination of systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse rate, temperature, and oxygen saturation.
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1 Speaker Grille. 2 Data interface connector: Host communications port (15 pin D-type RS232 serial port) for use only with equipment conforming to IEC 601-1, configured to comply with IEC 601-1. 3 Printer Door (optional.)
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Buttons 1 Silence button: Press to mute audible alarms. Any alarm active that is acknowledgeable is also removed whenever this key is pressed. When pressed after alarm sounds (silence active), the silence icon (bell) lights to indicate that audible alarms have been silenced for 2 minutes. 2 Alarms button: Press to view or adjust parameter alarm settings 3 +/- button (Plus/Minus): Press the + button to increment an adjustable setting and the - button to decrement an adjustable setting. This button is active only when a user-setting mode (limit or menu) is active. 4 Menu button: Press to access menu settings that can be adjusted while in clinical mode (i.e., ALARM VOLUME, PULSE VOLUME, INFLATE PRESSURE; refer to Operating Modes in this section for a description of clinical mode.) 5 SpO2 sensor connector: SpO2 sensor cable attaches here . 6 BP connector: BP cuff hose attaches here. 7 Inflate/Stop button: Press to start a manual BP determination or stop any BP determination. 8 Temperature probe holster: Temperature probe is stored here. 9 Cycle button: Press to start Auto Cycle or STAT mode. 10 Temperature probe cover storage: Box of probe covers is stored here 11 History button: Press to activate the history mode. When activated, it displays the most recent entries stored. Press and hold the button for 2 seconds to clear all entries stored. 12 Print button: Press to print currently displayed values or all stored entries when in history mode. 13 On/Off button: Controls on/off state of monitor; push for power on and push again for power off. 14 Temperature probe connector: Temperature probe cable attaches here.
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Front Panel 15 Silence icon: when Silence button is pressed after alarm sounds (silence active), silence icon (bell) lights to indicate that audible alarms have been silenced for 2 minutes. 16 Systolic window: 3-digit red LED indicates measured systolic Blood Pressure in mmHg. 17 Diastolic window: 3-digit red LED indicates measured diastolic Blood Pressure in mmHg. 18 Alarm volume indicator: lights to indicate you are making a change to the alarm volume. 19 Pulse volume: illuminates to indicate you are making a change to the pulse volume. 20 Inflate pressure: illuminates to indicate you are making a change to the inflation pressure. 21 Pulse Rate window: 3-digit yellow LED shows the pulse rate in beats per minute. 22 SpO2 pulse indicator: Red LED bar flashes to indicate that real-time pulse rate measurements are being derived from SpO2 signals. 23 SpO2 window: 3-digit red LED indicates oxygen saturation in %. 24 MAP/Cuff window: 3-digit red LED indicates measured MAP in mmHg and shows instantaneous cuff pressure during BP determination. 25 Min window: Displays the BP mode if manual or STAT is the cycle time when in Auto Cycle mode. 26 Battery power indicator: Green LED indicates the Monitor is operating on battery power. 27 Low battery power indicator: Yellow LED indicates LOW charge status of internal battery. 28 Charging indicator: Green LED indicates presence of external power source and battery charging. 29 Temperature window: 4-digit red LED indicates measured temperature.
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Right-Side Panel
30 External power socket: To be used with approved GE Medical Systems Information Technologies AC-DC power converter ONLY.
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Symbols
The following symbols are associated with the ProCare Monitor. Note: The model of the Monitor determines which symbols appear on it. Attention, consult accompanying documents Silence Alarms +/Menu Inflate/Stop Cycle History Print On/Off Battery Power External Communications Port Connector Charging Defibrillator-proof type BF equipment Class II equipment according to IEC 60536
Packaging label depicting the transportation and storage atmospheric pressure range of 500 to 1060 hPa.
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Function Common Inverted TTL Transmit Data Inverted TTL Receive Data +5 volts No connection No connection Common Remote Alarm No connection No connection RS232 Transmit Data (TxD) No connection RS232 Receive Data (RxD) No connection No connection
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Reorder Codes DINAMAP ProCare Monitor Operations Manual DINAMAP ProCare Monitor Service Manual Battery Power Cord Printer Paper (box of 10) DINAMAP Rolling Stand Pole Mounting Option Wall Mounting Option Hose Management Option Bed Rail Option Nurse Call NIBP OPTIONS: Airhose 12 ft Adult/Pediatric, Screw Connector Airhose 24 ft Adult/Pediatric, Screw Connector Airhose 12 ft Neonatal, Quick Disconnect Airhose 12 ft Adult/Pediatric, Quick Disconnect CUFF ASSORTMENT PACKS: CLASSIC-CUF Assortment pack Includes 1 each: Infant, Child, Small Adult, Adult, Large Adult, Thigh Cuff CLASSIC-CUF Assortment Pack, Neonate Includes 2 Neo #1, 3 Neo #2, 5 Neo #3, 5 Neo #4, 5 Neo #3 SOFT-CUF Assortment Pack Includes 1 each: Infant, Child, Small Adult, Adult, Large Adult, Thigh Cuff SOFT-CUF Assortment, Neonate Includes 2 Neo #1, 3 Neo #2, 5 neo #3, 5 Neo #4, 5 Neo #5 DURA-CUF Assortment Pack Includes 1 each: Infant, Child, Small Adult, Adult, Large Adult, Thigh Cuff DURA-CUF Assortment Pack, Adult Includes 1 each: Infant, CHild, Small Adult, Adult, Large Adult, Thigh Cuff
Product Code 2009360-001 2009381-001 633178CR 316579 089100 003215 2009762-001 2009763-001 2009764-001 2009765-001 487208CR
ECAT
E9050KP E9050JB
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Product Description: 2.5. Compatible Parts Reorder Codes DURA-CUF Assortment Pack, Child Includes 2 Infant, 3 Child, and 1 Small Adult Cuff Product Code 2697 ECAT E2697J
Additional Blood Pressure Cuffs are available through http://www.gemedicalsystems.com TEMPERATURE IVAC* Turbo Temp Oral Temperature Probe, Long Cord IVAC* Turbo Temp Rectal Temperature Probe, Long Cord IVAC* Temperature Probe Covers SpO2 Nellcor**: Pulse Oximeter Cable DOC-10 DuraSensor Adult Oxygen Sensor Masimo***: Adult Reusable Sensor, 1/Bx (NR125) Cable (PC08) * IVAC is a trademark of Alaris Medical Systems ** NELLCOR is a trademark of Mallinckrodt *** Masimo is a trademark of Masimo Corporation 2009745-001 2009743-001 2008773-001 DS100A 2008774-001 2008775-001 88015 E9050KK
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2.6. Specifications
0 0 8 6 IPX1 Power Requirements MAINS AC INPUT VOLTAGE Alternate Sources DC INPUT VOLTAGE Protection against electrical shock - Class II 120 VAC/60 Hz 24W Protection against electrical shock - Class II 24 VDC (nominal), at 1A The AC Mains adapter contains a nonresettable and nonreplaceable fuse. Battery Minimum Operation Time Fuses 6 volt, 3.3 amp-hours. Protected by internal auto-resetting fuse and thermal protection. 2 hrs (5 min cycle with adult cuff at 25 C, SpO2 active at 60 bpm, temp in monitor mode, printout of current values every 5 minutes) from full charge. The Monitor contains four fuses. The fuses are auto-resettable and mounted within the Monitor. The fuses protect the low voltage DC input, the battery, the remote alarm output and the +5V output on the host port connector. This product conforms with the essential requirements of the Medical Device Directive. Accessories without the CE Mark are not guaranteed to meet the Essential requirements of the Medical Device Directive. The ProCare Monitor is protected against vertically falling drops of water and conforms to the IEC-529 standard at level IPX1. Vertically falling drops shall have no harmful effects to the monitor.
Environmental Operating Temperature Storage Temperature Operating Atmospheric Pressure Range Humidity Range Radio Frequency +5 C to + 40 C (-41 F to +104 F) -20 C to +50 C (-4 F to +122 F) 700 to 1060 hecto Pascal 0% to 95% non-condensing Complies with IEC Publication 601-1-2 (April 1993) Medical Electrical Equipment, Electromagnetic Compatibility Requirements and Tests, and CISPR 11 (Group1, Class A) for radiated and conducted emissions.
Mechanical Dimensions Height: Width: Depth: Weight including battery Mountings Portability 7.8 lb (3.5 Kg) Self Supporting on rubber feet. Carried by built-in handle 9.8 in (25.0 cm) 9.8 in (24.8 cm) 6.9 in (17.5 cm)
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Product Description: 2.6. Specifications Mechanical Classification Information Mode of Operation: Continuous degree of Protection against harmful ingress of water: Drip-Proof IPX1.
NIBP CUFF PRESSURE RANGE DEFAULT TARGET: CUFF INFLATION TARGET CUFF INFLATION ADJUSTMENT RANGE BLOOD PRESSURE DETERMINATION TIME PULSE RATE: RANGE BLOOD PRESSURE: MEASUREMENT RANGES Adult Neonate NIBP ACCURACY Adult Neonate Adult Neonate Adult Neonate Adult Neonate Adult Neonate Systolic mmHg 30 - 290 30 - 140 0 mmHg to 290 mmHg 0 mmHg to 145 mmHg 150 15 mmHg 110 15 mmHg 100 - 250 mmHg (5mmHg Steps) 100 - 140 mmHg (5 mmHg Steps) 120 seconds maximum 85 seconds maximum 30 - 200 BPM 3% 30 - 220 BPM 3% MAP mmHg 20 - 260 20 - 125 Diastolic mmHg 10 - 220 10 - 110
Meets AAMI/ANSI standard SP-10 AAMI/ANSI standard: 5 mmHg mean error Intra-arterial method: 8 mmHg standard dev.
Temperature - Alaris Thermometry SCALES RANGE Monitor Mode Accuracy Predictive Mode Accuracy Determination Time SpO2 - Nellcor Pulse Oximetry SpO2 Range and Accuracy Pulse Rate Range and Accuracy Saturation Pitch Indicator Sensor Connect/Disconnect from Patient adult/neonate: 70-100% 3.5 digits 30 - 250 BPM 3 BPM Pitch changes with saturation The Monitor detects the connection or disconnection or a sensor to the patient within 15 seconds Fahrenheit Max Min 0.1 C 0.6 C Less then 60 seconds Celsius 42.2 Celsius 108.0 Fahrenheit 31.6 Celsius 88.9 Fahrenheit 0.2 F (when tested in a calibrated liquid bath; meets ASTM E1112, Table 1 in range specified) 1.0 F
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SpO2 - Nellcor Pulse Oximetry Sensor Connect/Disconnect from Monitor Pulse Detection Loss of Pulse Nellcor Sensors - SpO2 Range 70% to 100% OxiMAX Sensor Models Single Patient Use MAX-A,* MAX-AL* MAX-N* MAX-P* MAX-I* MAX-R OxiCliq Sensor Models Single Patient Use OxiCliq A OxiCliq P OxiCliq N Reusable Sensor Models D-YS D-YS & D-YSE D-YS & DYSPD DS-100A OXI-A/N OXI-P/I 3 3.5 3.5 3 3 3 2.5 2.5 2.5 2 2 2 2 3.5 The monitor detects the attachment or disconnection of a sensor from the Monitor within 5 seconds. The Monitor detects a pulse of enters a no-signal state within 15 seconds of being attached to a patient. the monitor detects loss of pulse from patient and enters a no signal state within 10 seconds.
* The accuracy specification under motion conditions is 3. For a definition of motion contact GE Medical Services Technical Support. The MAX-N and the OxiCliq N were tested on patients > 40 kg. The accuracy specification has been determined between saturations of 80-100%
SpO2 - Masimo Oximetry Saturation Range Pulse Rate and Accuracy Perfusion Range 1% - 100% 25-240 BPM 3 digits 0.02 to 20%
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SpO2 - Masimo Oximetry Accuracy and Motion Tolerance Without Motion - Adult/Ped* Without Motion - Neonate* With Motion - Adult/Ped/Neo** Low Perfusion Pulse Rate Without Motion With Motion 25 to 240 beats/min 3 digits normal physiologic range 25 to 240 beats/min 5 digits * The Masimo SET SpO2 parameter with LNOP-Adt sensors has been validated for no motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies in the range of 70-100% SpO2 against a laboratory co-oximeter and ECG monitor. This variation equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses 68% of the population. **The Masimo SET SpO2 parameter with LNOP-Adt sensors has been validated for motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies while performing rubbing and tapping motions at 2 to 4 Hz at an amplitude of 1 to 2 cm and a nonrepetitive motion between 1 to 5 Hz at an amplitude of 2 to 3 cm in induced hypoxia studies in the range of 70-100% SpO2 against a laboratory co-oximeter and ECG monitor. This variation equals plus or minus one standard deviation. Plus or minus one standard deviation encompasses 68% of the population. The Masimo SET SpO2 parameter with LNOP-Neo Pt sensors has been validated for neonatal motion accuracy in human blood studies on neonates while moving the neonates foot at 2 to 4 cm against a laboratory cooximeter and ECG monitor. This variation equals plus or minus, one standard deviation.Plus or minus one standard deviation encompasses 68% of the population. The Masimo SET SpO2 parameter with has been validated for low perfusion accuracy in bench top testing against a Biotek Index 2 stimulator and Masimos simulator with signal strengths of greater than 0.02% and a % transmission of greater than 5% for saturations ranging from 70 to 100%. This variation equals plus or minus, one standard deviation.Plus or minus one standard deviation encompasses 68% of the population. 70 to 100% 2 digits 70 to 100% 3 digits 70 to 100% 3 digits 70 to 100% 2 digits 0 to 69% unspecified
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Principles of Operation
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3.1 Introduction
This section provides overall theory of operation and functional description of the ProCare Monitor. The ProCare Monitor comes in six different configurations:
ProCare 100 - Capable of monitoring Blood Pressure (BP) and Pulse ProCare 200 - Capable of monitoring Blood Pressure (BP), Pulse, and
Temperature
ProCare 300 Nellcor - Capable of monitoring Blood Pressure (BP), Pulse and SPO2 (Nellcor technology) ProCare 300 Masimo - Capable of monitoring Blood Pressure (BP), Pulse and SPO2 (Masimo technology) ProCare 400 Nellcor - Capable of monitoring Blood Pressure (BP), Pulse, SPO2 (Nellcor technology), and Temperature ProCare 400 Masimo - Capable of monitoring Blood Pressure (BP), Pulse,
SPO2 (Masimo technology), and Temperature The model of your monitor determines which parameters are in your monitor. Using the ProCare monitor, a clinician can view, print and recall data that is derived from each parameter. The Monitor is also capable of alerting the clinician to changes in the patients condition. All of the main operations of the ProCare Monitor are easy-to-use and only a button-touch away. Please review the factory default settings and, where applicable, enter settings appropriate for your use.
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3.3.4 Printer
The printer receives power from the Main Board and communicates with the primary processor. Printer presence and print head temperature is indicated by PR_TH signal to the primary processor. When a print command is sent to the printer from primary processor, the following will occur: * PR_CLK signal - transfer the data into print head * PR_DI signal - serial dot to be printed * PR_LAT signal - latch the data stream into the head * PR_ST1-6 - cause the head to print various sections * PR_M1-4 signals - control power sequentially to the two stepper motor windings Together these signal (CONTROL DATA) cause the printer to print a graphic hardcopy of the patient vital sign values and trend data. It also causes the printer to print a hardcopy of error logging and service record data. The printer has a built-in sensor to monitor the printer paper presence. When the printer is out of paper, it sends a PAPER OUT signal to the primary processor.
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Optical Switch
Main Board
SpO2 Probe (Optional) SpO2 Circuit Isolated DC Power Supply
BP Cuff
tubing
Pump/Valve Manifold
Tubing Control
Pneumatic Control
UI Board
Temp Control Interface Switches
Display LEDs
Audio Control
Printer Driver
Speaker
Printer
Control/ Data
Speaker
Audio Control Pneumatic Valve Control PT1/PT2 NIBP Data SpO 2 Interface
Host Communications
Temperature Control/Data
Temperature Control
Revision A
4-1
4-2
Revision A
4.1 Introduction
This section contains general Monitor service procedures, including alarm code interpretation, service mode operation, and periodic maintenance and battery care. Refer to Section 5 for disassembly and reassembly procedures and related component service information.
Revision A
4-3
Setting SpO2 Averaging SpO2 Temp Unit of Measure Year Month Day Hour Minute Procedures
Text in Window
1. With the Monitor off, press and hold the Menu button at the same time as pressing the On/Off button for 3 seconds.
4-4
Revision A
Calibration & Maintenance: 4.2 Configuring Your ProCare Monitor 2. The Monitor automatically switches on in configuration mode. 3. To set the date and time, press the Menu button to move from one setting to another. (You will need to press the Menu button several times until the year setting appears. Use the +/- buttons to increment or decrement the individual settings.) Once you are finished changing a setting, press the Menu button again to move to the next setting. Note: For the date and time to be saved, you must advance the menu through the min setting. 4. To exit config mode, press the On/Off button.
Revision A
4-5
4-6
Revision A
Calibration & Maintenance: 4.3 Periodic Maintenance Cidex Formula 7 (registered trademark of Johnson & Johnson Medical Products, Inc.) or pHisoHex (registered trademark of Winthrop-Breon Laboratories.) Quaternary-based germicidal detergents like VESTAL INSURANCE (registered trademark of the Vestal Corp.), HI-TOR PLUS (registered trademark of the Huntington Corp.), or VIREX (registered trademark of S.C. Johnson & Son Corp.) For the above, follow manufacturers' recommendations for dilution rate and use. These recommendations are not an endorsement of the manufacturers or of the effectiveness of these materials for cleaning or disinfecting.
Revision A
4-7
4-8
Revision A
12VDC Power Supply DMM (Fluke 8842 or equivalent) NIBP Analyzer (DNI Nevada "Cufflink" or Equivalent) Adult BP Cuff, Neonate BP Cuff, hose, inflation bulb, and mandrel Inflation bulb and associated tubing Calibration Kit, p/n 320246 available through GE Medical Systems SPO2 Simulator (for appropriate SPO2 type if SPO2 is installed) SPO2 Cable (for appropriate SPO2 type, if SPO2 is installed) TE 1811 Temperature Probe Simulator (if TEMP is installed.) The
Temperature Simulator for the Alaris System is available from Alaris Medical Systems, Inc. (619) 458-7000
Revision A
4-9
Calibration & Maintenance: 4.5 Safety Testing pin at the ground pin location to aid mechanical retention of the Power Brick into the receptacle.) Dielectric strength (Hi-Pot) testing of the double (reinforced) mains insulation (4000 V RMS, 60 Hz) may be done by disconnecting the Power Brick from the Monitor and applying the Hi-Pot tester as follows: Connect one lead to the two mains power prongs. Connect the other lead to the conductive sleeve on the DC output connector at the end of the cord. Hi-Pot testing of the patient connections (1500 VRMS, 60 Hz) may be done by connecting one lead of the Hi-Pot tester to the outer shell of a spare DC connector plug inserted into the DC input connector on the Monitor. The other lead of the tester should be connected to the patient connection being tested. WARNING: Dont electrocute yourself or anyone else when performing HiPot testing. NOTE: Hi-Pot testing is done on every unit at the factory and should not be repeated unnecessarily nor performed more often than required.
4-10
Revision A
4.6.1 SETUP
1. Connect your NIBP Analyzer to the ProCare Monitor. 2. T an inflation bulb into the pneumatic setup 3. Consult the following diagram for pneumatic setup guidelines.
Revision A
4-11
Calibration & Maintenance: 4.6 ProCare Patient Monitor Parameter Tests 12. Record and verify the pressure reading on the top LED display (SYSTOLIC) 13. Record and verify the pressure reading on the bottom LED display (DIASTOLIC) 14. Use the valve on the bulb to reduce pressure to 50mmHg 15. Record and verify the pressure reading on the top LED display (SYSTOLIC) 16. Record and verify the pressure reading on the bottom LED display (DIASTOLIC) If any of the tests fail, continue to section 4.6.4. Otherwise, continue to section 4.6.5
Revision A
4-13
Calibration & Maintenance: 4.6 ProCare Patient Monitor Parameter Tests the button is pressed and another after the button has been depressed long enough for the process to complete.) 9. Turn the ProCare Monitor off
4-14
Revision A
Revision A
4-15
Calibration & Maintenance: 4.6 ProCare Patient Monitor Parameter Tests 5. Record and verify systolic, diastolic, map and heart rate from the monitor display 6. Press CYCLE button until is displayed on the HISTORY LED to initiate a determination in STAT mode. 7. Record and verify systolic, diastolic, map and heart rate from the monitor display 8. Press Start/Stop button, end STAT mode.
4. Remove the air restriction 5. Press "Inflate/Stop" and verify that the pump does not start 6. Press the "Silence" button 7. Press the "Silence" button again 8. Verify the alarm condition is cleared from the SYSTOLIC display
4-16
Revision A
Calibration & Maintenance: 4.6 ProCare Patient Monitor Parameter Tests 9. Calibration verification is complete. Disconnect the probe simulator and install the temperature probe. If the Monitor does not pass the calibration verification, then the Monitor needs repair.
Revision A
4-17
4-18
Revision A
NIBP
Alarm E89 E84 E85 E83 E82 E80 Definition NIBP No Determination Timeout Timeout Timeout: Inflation Excess Air in Cuff Overpressure Possible Cause Unable to make an NIBP determination due to insufficient signal. Determination time > 2 minutes. Motion Artifact. One cuff pressure at > 1 minute. Motion artifact. Inflation time is > 40 seconds Possible air leak is being detected. Residual air in cuff above threshold for successful auto-zero. Overpressure condition detected
SpO2
Alarm E20 Definition SpO2 No Sensor Possible Cause SpO2 sensor not connected. No sensor code detected. Sensor failure SpO2 sensor or cable possibly defective. Cable not connected properly.
E21
Revision A
4-19
Calibration & Maintenance: 4.7 Alarm Code Interpretation E23 E25 SpO2 Sensor off finger SpO2 No Signal No SpO2 signal, check or reposition the sensor No or very low SpO2 signal, reposition sensor
Printer Too Hot Recorder cannot print Memory Lost Internal Memory Errors Main battery voltage is too low to operate Refer Monitor to Customer Service Refer Monitor to Customer Service
4-20
Revision A
Revision A
4-21
Step 4.6.9
Description NIBP Determination (continued) Diastolic reading (mmHg) MAP reading (mmHg) Heart rate reading (bpm) Systolic reading (mmHg) Diastolic reading (mmHg) MAP reading (mmHg) Heart rate reading (bpm) Systolic reading (mmHg) Diastolic reading (mmHg) MAP reading (mmHg) Heart rate reading (bpm)
Actual
Pass-Fail-N/A
4.6.10
NIBP Overpressure "E80" displayed on SYSTOLIC display Pump will not start Overpressure alarm can be cleared
4.6.11
Temperature Test Temperature reading at 80.2 F Temperature reading at 102.0 F Temperature reading at BP verify reads E61
4.6.12
SpO2 Pulse Value Displayed Saturation Value Displayed Signal Strength Bar Graph Displayed "E23" displayed on SpO2 display Alarm is silenced, error display remains Pulse Value Saturation Value Displayed Signal Strength Bar Graph Displayed
4.6.13 4.6.14
Printer Test Printout is generated cleanly Communication Port Test "_NC+!@" is displayed on terminal Pump stops
4-22
Revision A
Appendix B - Connectivity
CHANT
Provides HL7 output for electronic Patient Medical Records Uses ILCs (Isolated Level Convertors) where required along with the
CHANT software to communicate with the HIS System Compatible Monitors: DINAMAP XL, Compact, MPS (Select and Portable), PRO 100-400 series, ProCare Series, and PRO 1000. Nurse Call System
When the DINAMAP monitor alarms, the Nurse Call System is triggered. Uses a Nurse Call Cable to attach to the System. P/N 487208CR.
Compatible Monitors: Compact, PRO 100-400 Series, ProCare Series, and PRO 1000. Alarm View
Wireless transmitter attached to the Monitor. Sends alarms and vital signs results to a pager
Compatible Monitors: Compact, MPS (Select and Portable) PRO 100-400 series, ProCare Series, and PRO 1000. CIC
Provides Central Alarm Notification & Data Management. Compatible with StatView for paging.
Compatible Monitors: PRO 1000 Version 2 and Dash 2000 (both hardwired) ApexPro
Provides Central Alarm Notification and data management. Transmits data wirelessly. Pro 100-400 Series and ProCare (requires P/N IPC-1931)
PatientNet
Provides central alarm notification and data management. Lethal arrhythmia at the Central Station. WMTS frequency hopping spread spectrum.
Note: Dash 2000 is incompatible with PatientNet. ILC-1926
Revision A
4-23
Calibration & Maintenance: Appendix B - Connectivity Requires Cables: -PRO 100-400, ProCare Series, Compact, Plus: cable p/n 683235 -XL monitor series: p/n 682234 ILC-1927
Interfaces the PRO 1000 monitor to any hardwire connection. Installs into the Communications bay at the rear of the monitor.
IPC1928
Interfaces the PRO 1000 Monitor to the Unity network, hardwire. Installs into the Communications bay at the rear of the monitor.
IPC1931 Connects DINAMAP Monitors to the CIC system. Transfers vital signs results from the Monitor to the CIC Requirements for use: - Plug DINAMAP into ApexPro using the DINALINK cable.
4-24
Revision A
Revision A
4-25
3. Twist the screwdriver so that the display cover is slightly separated from the body of the monitor. 4. Using two hands, grasp the top-middle edge of the display cover and pull away and down.
4-26
Revision A
Calibration & Maintenance: Appendix C - Display Cover: Removal, Installation 5. The fascia and displays are now visible.
Installing the Display Cover: 1. Place the Monitor on a flat, stable surface. 2. Insert the tabs at the base of the display cover into the slots underneath the bottom row of LEDs. 3. Using two hands, apply firm pressure to the outside edges, while flexing the upper middle-edge of the display cover away from the monitor. It is imperative that even pressure is applied as the plastic retention tabs can break free from the display cover.
4. Apply steady, even pressure to the opposite sides of the display cover until an audible click is heard.
Revision A
4-27
ID
1 2 3 4 5 6
FRU Number
2009910-001 2009911-001 2009912-001 2009913-001 2009914-001 2009915-001
Description
Main PWA Main PWA- Ausc UI PWA Nellcor Module Masimo Module Plastics kit
Content/comments
Supplied with Arterial ref product s/w Supplied with Auscultatory version of Monitor
Supplied with mounting spacers. Supplied with mounting spacers. 1. 2. 3. 4. 5. 6. 7. 8. 9. Case, front & rear Handle front & rear with h/w Bulkheads 4 types & NIBP insert. Nellcor & Masimo inside labels Std. labels, DC input, No temp side label. Battery door & foam. Help card guide and rubber feet. Printer door (and blanking plate when available). Cable tie hardware
2009916-001 7 2009918-001
All internal hardware, screws, washers etc 1. Housing front & rear. 2. Mounting bracket and plastic guide. 3. Sensor and cable. 4. Mounting hardware 1. Printer 2. Printer chassis and screw. 3. Printer door with roller and label. Door with label and roller Pump assembly Dump valve and adhesive tape to apply. Set, left and right keypads Include mounting bracket With mounting h/w UK plug 240V input Euro plug 230V input US plug 120V input 1. keypad labels set (LH & RH) 2. Fascia 3. Display cover For language variants reference following pages All 3 guides and for each language
2009917-001
Printer
9 10 11 12 13 14
Printer door Pneumatics Dump valve Kit, Keypads Speaker Host comms cable Power brick UK Power brick EUR Power brick US English 400 lbl kit English 300 lbl kit English 200 lbl kit English 100 lbl kit Help card guides
15
16
4-28
Revision A
2010429-001
Label Kit
P/N (-001) 2010429-001 2010478-001 2010479-001 2010480-001 2010481-001 2010482-001 2010483-001 2010484-001 2010485-001 2010486-001 2010487-001 2010488-001 2010489-001 2010490-001 2010491-001 2010492-001 2010493-001 2010494-001 2010495-001 2010496-001 2010497-001 2010498-001 2010499-001 2010500-001 2010501-001 2010502-001
Language English English English English English English English English English English English English English English English English French French French French French French French French French French
Model 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300
Is Printer Installed? Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed
Method of NIBP Determination (Auscultatory is labeled on left keypad) Traditional Traditional Traditional Traditional Auscultatory Auscultatory Auscultatory Auscultatory Traditional Traditional Traditional Traditional Auscultatory Auscultatory Auscultatory Auscultatory
Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed
Traditional Traditional Traditional Traditional Auscultatory Auscultatory Auscultatory Auscultatory Traditional Traditional
Revision A
4-29
2010503-001 2010504-001 P/N (-001) 2010505-001 2010506-001 2010507-001 2010508-001 2010509-001 2010510-001 2010511-001 2010512-001 2010513-001 2010514-001 2010515-001 2010516-001 2010517-001 2010518-001 2010519-001 2010520-001 2010521-001 2010522-001 2010523-001 2010524-001 2010525-001 2010526-001 2010527-001 2010528-001 2010529-001 2010530-001 2010531-001
French French Language French French French French German German German German German German German German German German German German German German German German Spanish Spanish Spanish Spanish Spanish Spanish Spanish
200 100 Model 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Is Printer Installed?
Traditional Traditional Method of NIBP Determination (Auscultatory is labeled on left keypad) Auscultatory Auscultatory Auscultatory Auscultatory Traditional Traditional Traditional Traditional Auscultatory Auscultatory Auscultatory Auscultatory Traditional Traditional Traditional Traditional Auscultatory Auscultatory Auscultatory Auscultatory
4-30
Revision A
2010532-001 P/N (-001) 2010534-001 2010535-001 2010536-001 2010537-001 2010538-001 2010539-001 2010540-001 2010541-001 2010542-001 2010543-001 2010544-001 2010545-001 2010546-001 2010547-001 2010552-001 2010553-001 2010554-001 2010555-001 2010556-001 2010557-001 2010588-001 2010559-001 2010560-001 2010561-001 2010578-001 2010589-001 2010590-001 2010592-001 2010593-001
Spanish Language Italian Italian Italian Italian Italian Italian Italian Italian Swedish Swedish Swedish Swedish Swedish Swedish Swedish Swedish Dutch Dutch Dutch Dutch Dutch Dutch Dutch Dutch Chinese Chinese Chinese Chinese Chinese
100 Model 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Printer Installed Is Printer Installed? Printer Installed Printer Installed Printer Installed Printer Installed Method of NIBP Determination (Auscultatory is labeled on left keypad)
Revision A
4-31
2010594-001 P/N (-001) 2010595-001 2010596-001 2010597-001 2010598-001 2010599-001 2010600-001 2010601-001 2010602-001 2010603-001 2010604-001 2010605-001 2010606-001 2010607-001 2010608-001 2010609-001 2010610-001 2010611-001 2010612-001 2010613-001 2010614-001 2010615-001 2010616-001 2010617-001 2010618-001 2010619-001 2010620-001 2010621-001 2010622-001 2010623-001
4-32
Chinese Language Chinese Chinese Japanese Japanese Japanese Japanese Japanese Japanese Japanese Japanese Danish Danish Danish Danish Danish Danish Danish Danish Norwegian Norwegian Norwegian Norwegian Norwegian Norwegian Norwegian Norwegian Korean Korean Korean
300 Model 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 Printer Installed Printer Installed Printer Installed
Revision A
Is Printer Installed?
P/N (-001) 2010624-001 2010625-001 2010626-001 2010627-001 2010628-001 2010629-001 2010630-001 2010631-001 2010632-001 2010633-001 2010634-001 2010635-001 2010636-001 2010638-001 2010639-001 2010640-001 2010641-001 2010642-001 2010643-001 2010644-001 2010645-001 2010646-001 2010647-001 2010648-001 2010649-001 2010650-001 2010651-001 2010652-001 2010653-001
Language Korean Korean Korean Korean Korean Finnish Finnish Finnish Finnish Finnish Finnish Finnish Finnish Portuguese Portuguese Portuguese Portuguese Portuguese Portuguese Portuguese Portuguese Russian Russian Russian Russian Russian Russian Russian Russian
Model 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100
Revision A
4-33
P/N (-001) 2010656-001 2010657-001 2010658-001 2010659-001 2010660-001 2010661-001 2010662-001 2010663-001 2010664-001 2010665-001 2010666-001 2010667-001 2010668-001 2010669-001 2010670-001 2010671-001 2010672-001 2010673-001 2010674-001 2010675-001 2010676-001 2010677-001 2010678-001 2010679-001 2010680-001 2010681-001 2010682-001 2010683-001 2010684-001
Language Hungarian Hungarian Hungarian Hungarian Hungarian Hungarian Hungarian Hungarian Czech Czech Czech Czech Czech Czech Czech Czech Slovak Slovak Slovak Slovak Slovak Slovak Slovak Slovak Polish Polish Polish Polish Polish
Model 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400 300 200 100 400
Is Printer Installed? Printer Installed Printer Installed Printer Installed Printer Installed
4-34
Revision A
P/N (-001) 2010685-001 2010686-001 2010687-001 2010688-001 2010689-001 2010690-001 2010691-001 2010692-001 2010693-001 2010694-001 2010695-001
Language Polish Polish Polish Greek Greek Greek Greek Greek Greek Greek Greek
Model 300 200 100 400 300 200 100 400 300 200 100
Is Printer Installed?
Revision A
4-35
Assembly Drawings & ProCare Schematics: Appendix D: Replacement Parts and Assemblies
4-36
Revision A
or
or
or
MAIN PROCESSOR
P5A C47 C50
25V 100nF
100nF 25V
C44 C46
100nF 25V
100nF 25V
100nF 25V
13 VDD1
22 VDD2
55 VDD3
91 VDD4
97 VDD5
R84 10K0
78 77 76 75 74 73 72 71
1K00 D_FROM_COMM D_FROM_SPO2 D_TO_COMM D_TO_SPO2 SPI_MISO SPI_MOSI SPI_CLK T_DE T_CLK T_TDI T_TDO T_TMS T_TRST RESET_TEST-0 TP39 TP40 TP41
R119
P3V3 1K00
R108
1K00
R106
U9 MMC2107
49 50 53 56 57 58 60 61
1K00
TP34 TP33
R116 100K
R201 75R0
7 PA0 6 PA1 5 PA2 4 PA3 3 PA4 2 PA5 1 PA6 100 PA7 PB0 PB1 PB2 PB3 PB4 PB5 PB6 PB7 PC0 PC1 PC2 PC3 PC4 PC5 PC6 PC7 PD0 PD1 PD2 PD3 PD4 PD5 PD6 PD7 17 16 15 14 11 10 9 8
PR_DI PR_CLK PR_ST1 PR_ST2 PR_ST3 PR_ST4 PR_ST5 PR_ST6 PR_VHON PR_M4 PR_M2 PR_M3 PR_M1 PR_EOP_EN PR_LAT PR_EOP 1K00
R113
8.0MHZ
R63 1K00
RESET_PRI-0 P3V3
90 CLKOUT 87 EXTAL 86 XTAL 83 RESET 84 RSTOUT 43 ICOC10 42 ICOC11 41 ICOC12 40 ICOC13 39 ICOC20 38 ICOC21 37 ICOC22 36 ICOC23 59 70 82 81 52 51 85 88 64 44 VPP VDDH VDDA VSSA VDDF VSSF VDDSYN VSSSYN VSTBY TEST
1K00
27 26 25 24 23 20 19 18 35 34 33 32 31 30 29 28 R114
SHDN_TO_PRI SW_MUX RTC_DATA RTC_CLK SPO2_RST-0 IPS_ON CS_SEC-0 FSP_FROM_PRI FAST_OVP-0 DUMP_ON_MON D_FROM_TEMP D_TO_TEMP REM_ALARM-0 TEMP_PROBE_IN DUMP2_ON_MON FSP_TO_PRI R190 10K0
TP42
R112
1K00
C12 10N0
100NF 25V
C49
P5D
P3V3 C53
R107 TP30 R98 P3V3 10K0 PE7 needs to be high at start-up R118 100K 1K00
C1 10U0
C14 10N0
100NF 25V
C52
P5A C2 10U0 C5
C15 10N0
100NF 25V
C16 10N0
100NF 25V
R95 1K00
12
21
54
89
96
100NF 25V
SCHEMATIC
P3V3SEC C141
100nF 25V
RESET
16 VCC
P3V3SEC
1 VIN U22 3 ON/OFFL LP2985 4 BYPASS GND 2 VOUT 5
U27
Q14 Q13 Q12 Q10 Q9 Q8 Q7 Q6 Q5 Q4
3 2 1 15 13 14 6 4 5 7
DTC143ZKA
Logic
Q14
C105 10U0
P3V3
74LV4060
SECONDARY PROCESSOR
U21 PCF8563T
CLKOUT 7 SCL 6 SDA 5
R2 4K99
C55
100nF 25V
TP1
2 3 4 5 6
9 OSC1
XL1
U3 PIC16LC73B
RC0 11
R35 0R0
10
FSP_TO_PRI SEC_ALARM
12 RC1/CCP2 13 RC2/CCP1
AGND 8
SCHEMATIC
P6VMIN C66
100nF 25V
P5A
1 VIN
LP2980-5V U7
GND 2 VOUT 5
PNEUMATICS
C37 2U2
16V
Pump Connector
J7
1 2 3 4 5 6
P5D P5D
PBAT
3 1
3 ON/OFF
BAS16
D9
C65 P5D
100nF 25V
XFPM-050
TP37
PBACK_IN
TP38
PBACK_OUT
C140 33U0
25V
C28 33U0
25V
1 3 3 1
5V1 D1 D10
3 1
PT1
3 2 1 6
PT1
BAS16
BAS16
D27
1K00 680P
Spare Parts
DUMP_ON_MON R202 100K
SI2306DS 3
U14
HCT04
P5A R9 10K0
3
TLC2272
P5A C60
100nF 25V
Q7
5
3
U14
HCT04
DUMP_ON
U14
HCT04
8 4
R10 10K0
FPT
DUMP2_ON_MON R203 100K DUMP2_ON R204 100K R205 100K R173 100K R121 100K
SI2306DS
3 1 1
SI2306DS
3
Q24
11
U14
HCT04
10
13
2
U14
HCT04
12
Q17
PNEU_OVERRIDE-0
P6VMIN
5 6 7 8 4 2 3
Q9 PUMP_ON
U14
ADC_PWM
SI9410DY
P5A2 LP2980-5V U6
GND 2 VOUT 5
1 VIN
Q8 FAST_OVP-0
4
5 6 7 8
3 ON/OFF
C36 2U2
16V
SI9410DY
R44
2 3
C63 C59
100nF 25V
XFPM-050
R5 10K0
R99 10K0
R100 10K0
100NF 25V
PT2
3 2 1 6
PT2
PUMP_I
PT2_SEC
SCHEMATIC
BATTERY CHARGER
DC Input Power
J3
1 2 3
V_IN FS1
100nF
PBAT
2 VIN
L4 900NH_0A7
D5
MIC4681-ADJ U17
GND 6 7
C104
2A5
SW 3 FB 4 8
BYG22
68U0 L1
D3
BYG22
D8
SM6T39CA
C29 33U0
25V
C69
100nF
1 SHDN 5
D4
BYS10
C40 220U0
25V
C70
100NF 25V
R25 49K9
BC_5V
8
MC78L05
IN GND 2 3 6 7
R149 0R10
U2
OUT
R39 301K
C68
100NF 25V
CW
VF = 6.9 V VC = 7.2 V
R42 10K0
Battery Connector
J2
1 2
MBR2030CTL
D14
C98 33U0
25V
3 2 U15
8 OPA2340 1 4
R72 4K99
D12
BAS16
R11 R138 10K0 R92 100K R147 100K R76 0R10 R182 0R10 R61 C91 C118 R64 4K99 V_BAT_MON_SEC V_BAT_MON_PRI I_CHG FAST_CHG 249K C117
100nF 25V
5 U15 6 OPA2340 7
R81
200K
10K0
V = 0.191 V @ 75mA
C116
100nF 25V
R148 150K
R93 49K9
100NF 25V
R146 100K
Q15
Logic
100NF 25V
DTC143ZKA
SCHEMATIC
+3.3 V SUPPLY
PBAT MIC4680-3V3 U12
GND 6 7
P3V3
1
2 VIN
SW 3 FB 4 8
1
68U0 L2
R101 10K0
C30 33U0
25V
100NF 25V
C74
1 SHDN 5
D6
BYG22
C41 220U0
25V
C75
100NF 25V
PS_ON
DTC143ZKA
Logic 1
Q12
SI2307DS
2
Q18
68U0 L3
P6VMIN
5 VIN
MIC3172 U16
VSW 7
D7
C31 33U0
25V
C93
4 EN SGND 1
100NF 25V
FB 3 GND COMP 8 6 2
BYG22
R27 12K1
C96 220U0
25V
C97 220U0
25V
C76
100NF 25V
R33 2K87
PROGRAM CONNECTOR
J1
1 2 3 4 5
16V
PGM_PS_ON-0
+5.0 V SUPPLY
2 VIN
P5D
MIC39101-5V U5
GND
VOUT 3 FLG 4
C38 2U2
16V
C72
100NF 25V
1 EN 5 6
C73
7 8
100NF 25V
C4 10U0
RESET_TEST-0
SCHEMATIC
P3V3 C79 R123 R59 100K 100K PR_DI PR_ST6 PR_ST5 PR_ST4 PR_ST3 PR_ST2 PR_ST1 PR_CLK R58 100K R57 100K R56 10K0 R55 100K R54 100K R122 100K
100nF 25V
P5D
PRINTER INTERFACE
16 1Y1 14 1Y2 12 1Y3 3 2Y0 5 2Y1 7 2Y2 9 2Y3
20 19 VCC 2OE 2 1A0 4 1A1 6 1A2 8 1A3 17 2A0 15 2A1 13 2A2 11 2A3 1OE 1
U11 1Y0 18
HCT240
GND 10
P5D
Printer Connector
J9
1 2 3 4 5 6 7 8 9 10 11 12 13 14
R97 1M00
7
8 4
TLC2272
R91 20K0
5 6
U13
R89 30K1
DTA143XKA
SI2307DS
Q5
15 16
2
R15 10K0
17 18
PBAT_PR
3
19 20 21 22
PR_VHON
Q3
DTC143ZKA
Logic
C6 33U0
25V
23 24 25 26 27
PR_TH P5D
R53 2K0
PR_LAT
Q4
DTC143ZKA
Logic
C77
25V 100nF
P3V3
C78
100nF 25V
7 IN2 15 IN3
LB1831M U4
OUT2 6 OUT3 14
11 IN4 OUT4 12 17 19 FG7 FG5 18 20 FG6 FG8 FG1 FG2 FG3 FG4 1 8 9 16
SCHEMATIC
AUDIO ALARMS
P5D P5D
3 C 1 B
PWM_VOL
Q27 MMBT3904LT1
E 2
C10 10N0
U10 LM386
3 2
1 4 7
C42
5
J4
1 2
C87
100NF 25V
C8 10U0
16V
220U0 C88
100NF 25V
Speaker Connector
PWM_PITCH
D18
BAS16
R94 49K9 C89 10N0 P5D P5D R178 1K00 R179 2K0
SEC_ALARM
R46 1K00
D15 5V1
DTC143ZKA
C85
P5D
D16 5V1
DTC143ZKA
Logic
Q28
P5D
DTC143ZKA
HOST COMM
100nF 25V
Comms Connector
GND TTL_TX
1 2
FS2
0A3
100NF 25V
C83
15 VCC
12 16 FON FOFF
V+ 3
C84
100nF 25V
J6
U8 ICL3221
V- 7
C81
100nF 25V
100NF 25V
C82
R1OUT
1 EN
DB15 1 2 3 4 7 8 11 13
D_FROM_COMM Q13
Logic
P5D
FS3
0A3
DTA143XKA
R110 10K0
NDT3055L
Q6
D2
SM6T15CA
SCHEMATIC
P3V3
Test Connector
R19 10K0 R18 10K0 R17 10K0
100NF 25V
R22 10K0
C92
1 2 3 4 5 6 7 8 9 10 11 12 13 14
J10
P5D
PBAT
Display Connector
1 2
J5
SW_MUX CS_DISPLAY SW_PWR-0 SPI_MOSI SPI_CLK V_IN R127 100K R126 100K
3 4 5 6 7 8 9
R133 499
R134 499
R135 499
CHARGING_LED 10
2 VIN
MIC39101-5V U29
GND
P5TEMP
VOUT 3 FLG 4
BYG22
C122 10U0
C148
100NF 25V
1 EN 5 6
C121 10U0
7 8
ISOLATION BARRIER
PBAT
1
SP
D21
2
R185 4K99
C124 10U0
C149
100NF 25V
C126 10U0
2 GND 5 -VIN
MIC5270-5.0 U28-VOUT
4
SP
N5VSP
BYG22
DO NOT POPULATE
100NF 25V
C151
C129 33U0
25V
T1 6395-TO12
7 2 2 8
P5VSP D20
1
2 VIN
MIC39101-5V U30
GND
VOUT 3 FLG 4
12
VIN
SW 11 FB 3 ROC 14 RCC 13
L13
11 5 12
L11 MCB1608S102E
BYG22
C123 10U0
C150
100NF 25V
1 EN 5 6
C125 10U0
7 8
MMZ2012R102A
SP
R152 3K01
LT1425CS U31
9 G3 16 G4 7 SG
G1 1 G2 8 PG 10
C101 1N0
3K15V
C102 1N0
3K15V
C145 1N0
3K15V
C146 1N0
3K15V
SP
ISOLATION BARRIER
SCHEMATIC
Allow 4mm clearance between these signal and all other board signals
1 2 3 4
FL3
8 7 6 5
MASIMO
IR LED CATHODE
1 2 3 4 5 6 7 8 9 3 4 10 2 1 11 12 13 14 15 2 1 16
Z>200/100MHZ
TO J1 ON NELLCOR MP506
FL1
NC
3 4
Z>200/100MHZ FL2
Z>200/100MHZ
J16
DET + A DET - C INNER SHIELD INNER SHIELD
1 2 3 4 5 6 7 8 9 10
3
P5VSP
NC
2
TO J1 ON MASIMO MS-5
N/C OUTER SHIELD IR LED CATH OUTER SHIELD RED LED CATH N/C
D35
BAV199
NC
1
P3V3 Q19
Logic
SP
P3V3
DTA143XKA
R144 249
U23 4N35
1 2 AN
R129 10K0
SP
NELLCOR
C-LOCK GND GND RESET GND +12V (N/A) ANALOG OUT (N/A) TRANSMIT (MP506 OUT) RECEIVE (MP506 IN) +5 ANALOG CTS (MP506 IN) GND +5V DIGITAL GND
C119 SPO2_RST-0
100nF 25V
P5D
U25 HCPL-2601
8 7 6 5 VCC VE VO GND AN CTH 2 3
C 3
Q16 MMBT3904LT1
2 E
1 B
R142 3K01
5 6 7 8 9 10 11 12 13 14
TO J2 ON NELLCOR MP506
D_FROM_SPO2
R184 1K00
SP SP
D_TO_SPO2
DTA143XKA
Logic
Q20
U26 HCPL-2601
C120
8 7 6 5
R145 249
100nF 25V
SP
R139 1K00
J17
1 2 3 4 5 6 7 8 9 10
MASIMO
+5V GND GND GND RESET RECEIVE (MS-5 IN) TRANSMIT (MS-5 OUT)
2 3
AN CTH
VCC VE VO GND
TO J3 ON MASIMO MS-5
SP
ISOLATION BARRIER
SCHEMATIC
SP
P5TEMP
6 5 4 3 2 1
DO NOT POPULATE
ADS1240
DSYNC-0 POL BUFEN PDWN-0 6 18 24 7
J15
BAS16
D24
16 AGND
DGND1 2 DGND2 8
R157
3
V_THERM
T T
ISOLATION BARRIER
BLM11B221SB L9 BLM11B221SB
BAS16
T T
D23
100NF 25V
C152
1K00
C136
100NF 25V
P3V3
U33 4N35
1 AN CTH C B E 5 6 4
P5TEMP P5TEMP
3
R168
T
L7 BLM11B221SB
BAS16
D28
SI2307DS
2 1
Q21
R192 10K0
R171 1K00
BAS16
D29
R160 10K0
100NF 25V
MON_HTR C134
RB7 RB6 RB5 RB4/PGM RA0/AN0 RB3 RB2/TX RA1/AN1 8 RA2/AN2/VREF RB1/RX 7 RA3/AN3/CMP1 RB0/INT RA4/T0CKI/CMP2 OSC1
14 13 12 11 10 9
R191 2K21
2K0
DTA143XKA
Logic
Q23
U32 4N35
5 6 4 C B E CTH AN 1 2
R198 10K0
T
R188 100K
T
U35 PIC16F628
VSS1 5 VSS2 6
P5TEMP
T
OSC2/OUT
R187 10K0
T
L10 BLM11B221SB
BAS16
D22
R162 0R0
BAS16
3
D25
SI2306DS
1
Q22
TEMP_PROBE_IN
T
R158 10K0
R189 499K
R132 10K0
J13
100NF 25V
C135
R165 499K
T
SCHEMATIC
Schematic - Main Board P/N 2008855 Rev B (10 of 10) page 5-23/24
P5D
C3
PBAT
P5D
C2 100NF 20 VCC R127 100R 11 12 8 2 DS0 CLK Q0 OE1 OE2 S0 S1 CLR
9
100NF 24 VCC 7 13 6 14 5 15 4 16 17 18 R60 10K0 1% 1 23 EL E HEF4514 U2 Y0 Y1 A0 A1 A2 A3 Y2 Y3 Y4 Y5 Y6 Y7 Y8 Y9 Y10 Y11 Y12 Y13 Y14 Y15 11 9 10 8 7 6 5 4 18 17 20 19 14 13 16 15 PDG_L0 PDG_L1 PDG_L2 PDG_L3 PDG_L4 PDG_L5 PDG_L6 PDG_L7 DG11 DG10 DG0 DG1 DG2 DG3 DG4 DG5 DG6 DG7 DG8 PDG_L9 PDG_L10 PDG_L11 PDG_L12 DG9 PDG_L8 PDG_L11 R1 10K0 1% R13 10K0 1% R4 10K0 1% R3 10K0 1% R5 10K0 1% R6 10K0 1% R7 10K0 1% R8 10K0 1% R9 10K0 1% R10 10K0 1% R11 10K0 1% R12 10K0 1%
PDG_L[0:12]
2 3 21 22
P5D
19
3 1 19
HCT299 U5
Q26 2SB1188
P5D
GND 10
Q1 DTC143ZKA
PDG_L10
Q3 DTC143ZKA
Q4 DTC143ZKA
Q5 DTC143ZKA
Q6 DTC143ZKA
Q7 DTC143ZKA
Q8 DTC143ZKA
Q9 DTC143ZKA
Q10 DTC143ZKA
Q11 DTC143ZKA
Q12 DTC143ZKA
Q14 DTC143ZKA
D1
P5D
HCT132
P5D
R61 10K0 1%
GND 12
DG[0:12]
R2 10K0 1%
U1
GND
BAT54C
R39 200R
C1 R40 470K 100NF
SYSTOLIC
SA0 2 15 13 11 9 5 SA4 SA5 SA6 7 3 14 10 4 12 17 DG1 SA1
MAP
LED10 DMR20A-1 RED
SA0 a f g e d
DP
PULSE
LED28 LTC4624Y
S0 R111 R105 200 R106 200 R107 200 200 R110 200 R109 200 R108 200 12 11 3 4 2 15 a
L3
PDG_L12
LED29 LTC2621JD
S8 R104 R98 620 R99 620 R100 620 620 R103 620 R102 620 R101 620 15 12 6 1 4 16 S9 S10 S11 S12 S13 S14 A/L1 B/L2 C/L3 D E f g c d
DP
RED
a b g e L2 d
DP
YELLOW
a b f g e
L2
a f g c b
a f g c b
50V
SA2 SA3
Q13 DTC143ZKA
SA3
SA2 SA3
a b f
S1 b S2 S3 S4 c S5 S6
a b
L3
L1
f g
L1
f g
CONN_S_2X5_HDRF
V_IN 10 PBAT 9 SPI_CLK 8 SPI_MOSI 7 SW_PWR 6 CS_DISPLAY 5 P5D 4 SW_MUX 3 GND 2
PBAT
P5D
C9 100NF HCT132 R55
HCT132
P5D
SA5 SA6
P5D
U1
GND
HCT132P5D S0 U1 GND S1 S2 S3 S4 S5 S6 R23 330 R25 330 R27 330 R14 330 R24 330 R26 330 R28 330 SA0 SA1 SA2 SA3 SA4 SA5 SA6 SA0 SA1 SA2 C4 100NF SA4 SA5 IO0 IO1 IO2 IO3 IO4 IO5 IO6 IO7 Q7 DS7 7 13 6 14 5 15 4 16 17 18 S8 S9 S10 S11 C5 100NF 20 S12 S13 S14 S15 R29 330 R30 330 R31 330 R32 330 R36 330 R35 330 R34 330 R33 330 DG7 DG8 DG9 DG10 14 16 13 3 5 11 15 SA3
e d
DP
c d
DP
e d
DP
100R U1
GND
SA[0:6]
J1
DIASTOLIC
SA0 2 15 13 11 9 5 SA4 SA5 SA6 7 3 14 10 4 12 17 SA1 A B C D1 D2 E1 E2 F G DP COM COM COM e d f g a
SPO2
LED27 LTC4624JD
S0 R97 R37 330 R57 330 R58 330 330 R96 330 R95 330 R94 330 DG9 DG10 DG11
1 5 7 14
LED9 1 2 3
b g c e d
DP DP
GURX10D
RED
20 19 18 17 16 15 14 13 12 11
200 R119 R120 200 S15 S14 S13 S12 S11 S15 S[0:15]
RED
a b f g e
L2
12 11 3 4 2 15 8 6
P5D
needs pull up on main board
a f g c b
a f g c b
SA2 SA3
S1 S2 S3 S4 S5 S6
a f g c
a b
L3
L1
4 5 6 7 8 9 10
DG6
R56 100R
20
P5D
11 12 8 2 3
19
PS0 PS1 PS2 PS3 PS4 PS5 PS6 PS7 LED30 LTC4627JD
A B C D E F G e d
DP
SA6
DP
R121 200
R122 200
R123 200
R124 200
HCT299 U4
19
TEMP
RED
a b f g b f g c d
DP
AUTO/TIME
LED11 LTC2623JD
S8 S9 R112 620 R113 620 R114 620 a b f g c d
DP
P5D
GND 10
RED
a b f g b
L1
13 15 2 6 5 16
a f g c e
a b
a f g c e
L2
S10 S11 S12 S13 c S14 DG3 DG4 DG5 DG6 DG11
L3
a f g b
P5D
e d
P5D
7 13 6 14 5 15 4 16 17 18
DP
e d
c d
e d
DP
DP
DP
P5D
GND 10
PS[0:15]
DTC143ZKA is a digital transistor with a 4K7 base resistor and a 47K base pull-down resistor DTD123EK is a digital transistor with a 2K2 base resistor and a 2K2 base pull-down resistor
S10 S9 S11 S12 S13 S1 S2 S3 S4 S5 S6 S7 S0 S8
S[0:15]
S14 S15
Q27 DTD123EK
Q28 DTD123EK
Q29 DTD123EK
Q30 DTD123EK
Q31 DTD123EK
Q32 DTD123EK
Q33 DTD123EK
Q34 DTD123EK
Q35 DTD123EK
Q36 DTD123EK
Q37 DTD123EK
SCHEMATIC
L
Q38 DTD123EK
Q39 DTD123EK
Q40 DTD123EK
Q41 DTD123EK
Q42 DTD123EK
PS10
PS11
PS12
PS13
PS14
PS15
PS0
PS1
PS2
PS3
PS4
PS5
PS6
PS7
PS8
PS9
2 1 7 6 4
5 3 0 8 9
ALARM
C7
16V
47U0
C12
100NF
C11
100NF
C10
100NF
C8
16V
47U0
C6
16V
47U0
50V
50V
50V
+ MENU
DG[0:12]
PDG_L[0:11]
DG4
R135 10K0 1% LED56 APTD3216SYCK YELLOW BELL LED60 APTD3216SYCK YELLOW LED54 AP3216SURC RED
DG5
R136 10K0 1%
SW_PWR
SW9
A B
ON/OFF
CHARGING
2 1
BATTERY LEFT
degF
LED65 APTD3216QYC GREEN
degC
SW_MUX
R20 38R3
R18 38R3
R133 38R3
R75 22R
R77 22R
R134 38R3
R16 22R
R74 22R
Q43 DTD123EK
D2
SW0
A
S7
B
S15
S7
S7
S15
S15
S15
S7
HISTORY
PDG_L0
BAT54C
SW1
A B
ALARM
PDG_L1
DG12
SW2 D6
A B
SILENCE
PDG_L2
minus
PULSE LOW
PULSE HIGH
SpO2 LOW
SpO2 HIGH
DIA LOW
DIA HIGH
SYS LOW
BAT54C
A
SW3
B
PDG_L3
CYCLE SW4
A B
R64 38R3
R79 22R
PDG_L4
R65 22R
R63 22R
R38 22R
R21 22R
R19 22R
R17 22R
R15 22R
D5
MENU
S8
S7
S6
S5
S4
S3
S2
S1
S0
BAT54C
SW5
A B
INFLATE
PDG_L5
DG0
SW6 D4
A B
MINUS
BAT54C
A
SW7
B
PDG_L7
AL VOL RIGHT
AL VOL MIDDLE
PLUS SW8
A B LED8 APTD3216QYC GREEN LED6 APTD3216QYC GREEN LED59 APTD3216QYC GREEN LED63 APTD3216QYC GREEN LED20 APTD3216QYC GREEN
LED35 APTD3216QYC GREEN AUTO RIGHT LED36 APTD3216QYC GREEN LED70 APTD3216QYC GREEN
2 1
D3
PDG_L8
R72 22R
R22 22R
R62 22R
R68 22R
R80 22R
R90 22R
R137 38R3
R89 22R
R87 22R
R85 22R
R84 22R
R82 22R
S7
S15
S15
S7
S7
S15
S15
S14
S14
S13
S12
S11
S10
2009829-001 A