Service Manual

M4735A HeartStart XL Defibrillator/Monitor

Notice

About This Edition

Edition 6 Printed in the USA Publication number M4735-90900

The information in this manual applies to the M4735A HeartStart XL Release Main 20 and earlier. This information is subject to change without notice. Philips shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this material.

Edition History

Edition 1, October 1, 2000 Edition 2, February 2003 Edition 3, October 2004 Edition 4, July, 2005 Edition 5, April, 2006 Edition 6, April, 2007

Copyright

Copyright © 2007 Koninklijke Philips Electronics N.V

All rights are reserved. Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder.

Use of supplies or accessories other than those recommended by Philips Medical Systems may compromise product performance.

Warning

Radio Frequency (RF) interference from nearby transmitting devices may seriously degrade performance of the M4735A HeartStart XL Defibrillator ⁄ Monitor. Electromagnetic compatibility with surrounding devices should be assessed prior to using the defibrillator.

THIS PRODUCT IS NOT INTENDED FOR HOME USE. IN THE U.S., FEDERAL LAW RESTRICTS THIS DEVICE TO SALE ON OR BY THE ORDER OF A PHYSICIAN.

Manufacturer

Philips Medical Systems 3000 Minuteman Road Andover, MA USA 01810-1099

Medical Device Directive

The M4735A Defibrillator/Monitor complies with the requirements of the Medical Device Directive 93/42/EEC and carries the 0123^{mark accord-} ingly.

Authorized EU representative :

Philips Medizin Systeme Böblingen GmbH Hewlett Packard Str. 2 71034 Böbingen Germany Canada : EMC:ICES-001

China :

After sales service: Beijing MEHECOPHILIPS Medical Equipment Service Center After sales service address: No. 208, 2nd District, Wang Jing Li Ze Zhong Yuan, Chao Yang District, Beijing Postal Code: 100102 Telephone: 010-64392415 Registration Number: SFDA(I)20043212740 Product standard number: YZB/USA 2764-21

For the Declaration of Conformity Statement, please see the Philips Medical web site at http://incenter.medical.philips.com/ PMSPublic. Scroll over the Quality and Regulatory Tab located in the upper left corner of the window. Click to select Regulatory by Modality. Then click to select Defibrillators and select the entry for Declaration of Conformity (DoC).

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This manual uses the following text conventions:

Printed and On-Line

WARNING

CAUTION

NOTE

Warning statements describe conditions or actions that can result in personal injury or loss of life.

Caution statements describe conditions or actions that can result in damage to the equipment or loss of data.

Notes contain additional information on servicing this product.

TIP:

Tips provide hands-on insight into servicing this product.

Text represents messages that appear on the display

Softkey

represents softkey labels that appear on the display above or below the button to which they correspond

On-Line Only

Hypertext

represents hypertext links, which will display as blue; click on the link to go to that destination, then click on the destination to return.

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Contents

Introduction

Who Should Use this Manual ....................................................................................1-1
Overview ....................................................................................................................1-1
Web-Based Training ....................................................................................................... 1-1
Defibrillator/Monitor ...................................................................................................... 1-2
Batteries .......................................................................................................................... 1-2
Installation ...................................................................................................................... 1-3
Upgrades ......................................................................................................................... 1-3
Preventive Maintenance .................................................................................................. 1-3
Repair Philosophy ........................................................................................................... 1-3

Performance Verification and Safety Tests

Overview ....................................................................................................................2-1
Chapter Contents ............................................................................................................. 2-1
Required Testing Levels .............................................................................................2-2
External Repairs/No Trouble Found ............................................................................... 2-2
Printer .............................................................................................................................. 2-3
Internal Repairs ............................................................................................................... 2-3
Test and Inspection Matrix .........................................................................................2-4
Test Equipment ...........................................................................................................2-9
Configuration and Diagnostic Modes ......................................................................2-10
Configuration Mode ...................................................................................................... 2-10
Diagnostic Mode ........................................................................................................... 2-11
The Language Support Tool .....................................................................................2-12
Using the Language Support Tool ................................................................................ 2-12
Performance Verification Tests ................................................................................2-14
Visual Inspection ........................................................................................................... 2-15
Functional Checks ......................................................................................................... 2-17
Diagnostic Tests ............................................................................................................ 2-21
Safety Tests .................................................................................................................. 2-42
Battery Capacity Test .................................................................................................... 2-46

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Contents

Troubleshooting

Overview ....................................................................................................................3-1
Chapter Contents ............................................................................................................. 3-1
Repair Philosophy ........................................................................................................... 3-1
Equipment Required ....................................................................................................... 3-1
Troubleshooting and Repair Methodology ................................................................3-2
Methodology Overview .................................................................................................. 3-2
Evaluate ......................................................................................................................3-3
Troubleshoot ...............................................................................................................3-5
System Errors .................................................................................................................. 3-5
Repair .........................................................................................................................3-6
Check the repair .............................................................................................................. 3-6
Verify ..........................................................................................................................3-7
Troubleshooting Tables ..............................................................................................3-8
Using the Tables ............................................................................................................. 3-8
General Problems .......................................................................................................3-9
Unit Unresponsive .......................................................................................................... 3-9
Error Codes ................................................................................................................... 3-11
System Messages .......................................................................................................... 3-13
Momentary Messages ................................................................................................... 3-16
Audio Tones ................................................................................................................ 3-18
Extended Self Test Failures .......................................................................................... 3-19
Operational Problems ...............................................................................................3-20
ECG Monitoring ......................................................................................................... 3-20
SpO2 Monitoring ......................................................................................................... 3-23
Defibrillation and Cardioversion ................................................................................. 3-24
Pacing ............................................................................................................................ 3-26
Printer ........................................................................................................................... 3-27
Display .......................................................................................................................... 3-28
Audio ............................................................................................................................ 3-29
Controls ......................................................................................................................... 3-30
Battery and Charging Circuits ...................................................................................... 3-31
Data Card ...................................................................................................................... 3-32
Calling for Service ...................................................................................................3-33
North America .............................................................................................................. 3-33
Latin America ............................................................................................................... 3-33
Europe ........................................................................................................................... 3-33
Asia/Asia Pacific ........................................................................................................... 3-34
Equipment Information ................................................................................................. 3-35

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Contents

Removal and Replacement

Overview ....................................................................................................................4-1
Servicing Notes ..........................................................................................................4-1
Key Components ............................................................................................................. 4-1
Removal, Handling, and Replacement ........................................................................... 4-2
Tool Requirements .......................................................................................................... 4-3
Disposal .......................................................................................................................... 4-4
External Assemblies ...................................................................................................4-5
User Replaceable Parts and Accessories ......................................................................... 4-6
User Maintenance ........................................................................................................... 4-6
Printer Assembly ............................................................................................................. 4-7
Battery Cover ................................................................................................................ 4-11
Main Fuse ..................................................................................................................... 4-13
Battery Eject Assembly ................................................................................................ 4-15
Data Card Door ............................................................................................................. 4-17
Energy Select Knob .................................................................................................... 4-19
Paddle Holders .............................................................................................................. 4-20
Labels ............................................................................................................................ 4-22
Label Descriptions ........................................................................................................ 4-22
Removing and Replacing Labels .................................................................................. 4-25
Opening the Case .....................................................................................................4-26
Discharge the Power Supply Capacitors ...................................................................... 4-26
Separate the Case ........................................................................................................ 4-28
Discharge the Defibrillator Capacitor .......................................................................... 4-32
Identifying Internal Subassemblies ............................................................................... 4-34
Internal Assemblies – Top Case ...............................................................................4-35
Lithium Backup Battery ................................................................................................ 4-36
Control PCA ................................................................................................................ 4-38
Shield Plate ................................................................................................................... 4-42
Keyscan PCA (EL Display) .......................................................................................... 4-44
Keyscan PCA (LCD Display) ....................................................................................... 4-52
Bezel Assembly .......................................................................................................... 4-59
Energy Select Switch .................................................................................................... 4-63
Display Assembly (EL Display) ................................................................................... 4-65
Display Assembly (LCD Display) ................................................................................ 4-68
Hooded Plastic Shield ................................................................................................... 4-71
Parameter PCA ............................................................................................................. 4-72
SpO2 PCA .................................................................................................................. 4-78
ECG Connector ............................................................................................................. 4-81
SpO2 Connector ............................................................................................................ 4-84
Speaker ....................................................................................................................... 4-86
AC Mains Connector .................................................................................................... 4-88
ECG Out (Sync) Connector .......................................................................................... 4-91
Pacer Keypad ................................................................................................................ 4-92
Replacement Top Case .................................................................................................. 4-97

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Contents

Internal Assemblies – Bottom Case .......................................................................4-101
Battery PCA ................................................................................................................ 4-102
Defibrillator Capacitor ................................................................................................ 4-106
Power PCA ................................................................................................................. 4-108
Power Supply .............................................................................................................. 4-112
Patient Connector ........................................................................................................ 4-118
Replacement Bottom Case .......................................................................................... 4-121
Closing the Case .....................................................................................................4-123

Replacement Parts

Overview ....................................................................................................................5-1
Chapter Contents ............................................................................................................. 5-1
Ordering Replacement Parts .......................................................................................... 5-1
Ordering Supplies and Accessories ................................................................................ 5-1
Key Components ........................................................................................................... 5-2
Special Tools ..............................................................................................................5-3
M4735A Unit Exchange Program ..............................................................................5-4
Replacement Parts Tables ...........................................................................................5-5
Electrical Assemblies .................................................................................................5-6
Control PCA ................................................................................................................... 5-6
Other Replacement PCAs ............................................................................................... 5-7
Other Electrical Assemblies ........................................................................................... 5-7
Individual Electrical Parts ............................................................................................... 5-8
Mechanical Assemblies ..............................................................................................5-9
Bezel Assembly .............................................................................................................. 5-9
Pacer Keypad Assembly ............................................................................................... 5-10
Other Mechanical Assemblies ...................................................................................... 5-11
Connector Assemblies .................................................................................................. 5-11
Individual Mechanical Parts ......................................................................................... 5-12
Labels .......................................................................................................................5-13
Instruction Label Sets ................................................................................................... 5-13
Case Label Sets ............................................................................................................. 5-15
Paddle Labels ................................................................................................................ 5-17
Other Labels ................................................................................................................. 5-17
Supplies & Accessories ............................................................................................5-18
Key Components ......................................................................................................5-22

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Contents

Theory of Operation

Overview ....................................................................................................................6-1
PCA Descriptions .......................................................................................................6-2
Control PCA ................................................................................................................... 6-2
Power PCA ..................................................................................................................... 6-3
Parameter PCA ............................................................................................................... 6-3
Keyscan PCA .................................................................................................................. 6-3
SpO2 PCA ....................................................................................................................... 6-4
Battery PCA .................................................................................................................... 6-4
Battery ............................................................................................................................. 6-4
Power Supply .................................................................................................................. 6-4
Printer .............................................................................................................................. 6-4
System Level Interconnections ..................................................................................6-5
System Functional Descriptions .................................................................................6-6
Signal and Data Flow ...................................................................................................... 6-6
ECG Monitoring Functions ............................................................................................ 6-7
Patient impedance functions ........................................................................................... 6-7
SpO2 Monitoring Functions ........................................................................................... 6-8
Defibrillation Functions .................................................................................................. 6-9
Pacing Functions ........................................................................................................... 6-11
Audio Functions ............................................................................................................ 6-11
Display Functions ......................................................................................................... 6-11
Indicator Functions ....................................................................................................... 6-11
Key Functions ............................................................................................................... 6-11
Energy Select Switch .................................................................................................... 6-12
Printing Functions ......................................................................................................... 6-12
Battery/Power Functions ............................................................................................... 6-12
Lithium Backup Battery ................................................................................................ 6-16
Data Card ...................................................................................................................... 6-16

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Contents

Specifications

Overview ....................................................................................................................7-1
Specifications .............................................................................................................7-1
Defibrillator .................................................................................................................... 7-1
ECG Monitoring ............................................................................................................. 7-3
Display (EL) ................................................................................................................... 7-4
Display (LCD) ................................................................................................................ 7-4
Battery ............................................................................................................................. 7-5
Thermal Array Printer ..................................................................................................... 7-5
Noninvasive Pacing ........................................................................................................ 7-6
SpO2 Pulse Oximetry ..................................................................................................... 7-6
Event Storage .................................................................................................................. 7-7
General ............................................................................................................................ 7-7
Environmental ................................................................................................................. 7-8
Waveforms .................................................................................................................7-9
Symbol Definitions ..................................................................................................7-16
Safety Considerations ...............................................................................................7-19
Electromagnetic Compatibility ................................................................................7-22
Reducing Electromagnetic Interference ........................................................................ 7-22
Restrictions for Use ...................................................................................................... 7-23
Immunity Level ............................................................................................................ 7-23
Emissions and Immunity ............................................................................................. 7-23
Guidance and Manufacturer’s Declaration .................................................................. 7-24
Recommended Separation Distances ............................................................................ 7-30

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