Service Handbook
206 Pages
Preview
Page 1
This handbook provides an overview of the servicing requirements of the SCHILLER ARGUS PRO LifeCare unit. Full operating instructions and system settings are provided in the ARGUS PRO LifeCare user guide.
Sales and Service Information The SCHILLER sales and service centre network is world-wide. For the address of your local distributor, contact your nearest SCHILLER subsidiary. In case of difficulty a complete list of all distributors and subsidiaries is provided on our internet site
SCHILLER AG Altgasse 68 CH-6341 Baar Switzerland
Article no.: 2.540047 Rev.: a Issue date: 02.02.07
Phone: + 41 (0) 41 766 42 42 Fax: + 41 (0) 41 761 08 80 E-mail: [email protected] Web: www.schiller.ch
ARGUS PRO LifeCare
Service Handbook
Art.-No.: 2.540047 Rev.: a
Contents 1
Safety Notes ... 9
1.1
Intended Use ... 9
1.2
Intended Use Defibrillator ... 10
1.3
Responsibility of the User ... 10
1.4
Organisational Measures ... 10
1.5
Safety Conscious Operation ... 11
1.6
Operation with other Devices ... 11
1.7
Maintenance ... 12
1.8
Safety Symbols and Pictograms ... 13
1.8.1 1.8.2 1.8.3 1.8.4
Symbols used in this Document... 13 Symbols Used on the Device and Accumulator ... 14 Symbols Used on the Electrode Packaging ... 15 Symbols used on the SpO2 Sensor Packaging ... 15
1.9
Additional terms ... 16
1.9.1 1.9.2
Implied Authorisation... 16 Terms of Warranty ... 16
2
ARGUS PRO LifeCare ... 17
2.1
Overview... 17
2.2
Operating and Display Elements ... 19
2.2.1 2.2.2
Connectors... 19 ARGUS PRO LifeCare Control Keys ... 20
2.3
LCD Screen ... 22
2.4
System Information and Controls ... 23
2.4.1 2.4.2 2.4.3 2.4.4
LCD Symbols ... 23 System and Technical Messages ... 24 System Indicators and Controls ... 26 Switching off the Monitoring Section and Alarm Stop key... 26
2.5
ARGUS PRO LifeCare Menu Structure ... 27
2.5.1 2.5.2 2.5.3
Menu Navigation ... 27 Password Protection ... 27 ARGUS PRO LifeCare Menu Table ... 28
2.6
Service Screen... 31
2.6.1 2.6.2 2.6.3
Update... 31 Accumulator Data... 31 Device Information ... 32
2.7
ARGUS PRO LifeCare Mounting Options... 33
2.8
Physical Overview ... 35
2.8.1 2.8.2 2.8.3
Exploded View Frame ... 35 Exploded View Defibrillator Section ... 36 Exploded View PB-1000 (Monitoring) Section ... 37
2.9
Measuring Principals and Theory ... 38
2.9.1 2.9.2 2.9.3 2.9.4 2.9.5 2.9.6
Measuring principle IRMA Mainstream CO2 Module ... 38 ECG ... 39 NIBP Processing ... 42 Temperature... 44 Invasive blood pressure ... 45 SpO2 measuring ... 46
Page 3
ARGUS PRO LifeCare
Service Handbook
2.10
Functional Overview ... 48
2.10.1 2.10.2 2.10.3 2.10.4 2.10.5
Defibrillator Boards... 49 CPU Board DE 7-1... 49 Function of the Master Board PB7-1... 53 Function of the Transducer board PB7-2 ... 57 PB-1000 board interconnections... 58
2.11
Assembly and Disassembly ... 60
Art.-No.: 2.540047 Rev.: a
2.11.1 Safety Notes... 60 2.11.2 Optional Shock Frame ... 60 2.11.3 Opening the Case ... 61 2.11.4 Defibrillator and Control Section ... 63 2.11.5 Processor Board DE 7-1b ... 63 2.11.6 Power and Accumulator Controller Board DE7-4c... 65 2.11.7 Defibrillator Controller Board DE7-2... 66 2.11.8 Defibrillator Power Controller Board DE7-3 ... 68 2.11.9 PB-1000 ((Monitoring) Section... 70 2.11.10 Changing Connectors ... 71 2.11.11 Master Board PB7-1... 73 2.11.12 Masimo SpO2 Board... 75 2.11.13 Transducer Board PB7-2 ... 77 2.11.14 Blood Pressure Pump ... 79 2.11.15 Backup Accumulator and Accumulator Board PB7-44... 80 2.11.16 Checks before and after Unit Re-assembly ... 81
3
ARGUS PRO Transport ... 82
3.1
ARGUS PRO Transport Overview ... 82
3.2
Argus Pro Rescue Mounting ... 84
3.2.1 3.2.2 3.2.3 3.2.4
Bedside Rescue Mounting ... 84 Rail Rescue Mounting ... 84 Function Keys ... 85 Docking Station ... 85
3.3
Charging Station... 86
3.3.1 3.3.2 3.3.3 3.3.4
Connecting Charging Station ... 86 Charging... 86 Accumulator Test ... 87 Changing Accumulator... 87
3.4
Connecting Link Cable ... 88
3.5
Assembly and Disassembly ... 89
3.5.1
Inserting the PCMCIA Card... 90
3.6
WLAN Configuration ... 90
3.6.1
Installation Setup Transport II and SL Monitor... 90
3.7
Configure and Start PCMCIA Card Services ... 94
4
SCHILLER OP-1 Thermal Printer ... 95
4.1
Printer Control Elements ... 95
4.1.1
Accumulator Capacity (and Error) Indicator ... 95
4.2
Connecting the Printer ... 96
4.3
Mounting the Printer with the ARGUS PRO LifeCare... 96
4.4
Print Quality and Printer Alignment Functional Check... 97
4.4.1 4.4.2
Printer Accumulator Check ... 97 Cleaning the Thermal Print Head... 98
4.5
Functional Overview ... 98
4.6
Exploded Views ... 99
Page 4
Service Handbook
4.7
Disassembly... 100
4.7.1 4.7.2 4.7.3 4.7.4 4.7.5
Safety Notes... 100 Optional Mounting Frame... 100 Opening the Case ... 101 Print Head and Paper Tray Assembly... 103 Control Board MK23-1 and Power Board MK 23-6 ... 103
4.8
Checks before and after Unit Re-assembly ... 104
4.8.1
Internal Sight Control ... 104
5
SCHILLER CS-1 Vehicle Charger Unit 105
5.1
Inserting an Accumulator ... 105
5.2
The Control Panel... 105
5.3
Accumulator Calibration ... 106
5.4
Input and Output Supplies... 107
5.4.1
Connector Panel ... 108
5.5
Mounting ... 109
5.6
Functional Overview ... 110
5.7
Disassembly... 111
5.7.1
Safety Notes... 111
5.8
Opening the Case ... 111
5.8.1
Procedure... 112
5.9
Checks before and after Unit Re-assembly ... 114
5.9.1
Internal Sight Control ... 114
6
ARGUS PRO LifeCare Software ... 115
6.1
ARGUS PRO Service Tool ... 116
6.1.1 6.1.2 6.1.3 6.1.4 6.1.5 6.1.6
Introduction ... 116 Preliminaries ... 116 Updating the Lifecare Software... 117 Updating the Parameter (PB-1000) Software ... 119 NIBP tests ... 119 Troubleshooting ... 120
6.2
FredCo Service Tool... 121
6.2.1 6.2.2 6.2.3 6.2.4
Introduction ... 121 Storage of the Configuration File. ... 121 Setup and Preliminaries ... 122 Download & Configuration ... 123
Art.-No.: 2.540047 Rev.: a
ARGUS PRO LifeCare
Page 5
Art.-No.: 2.540047 Rev.: a
ARGUS PRO LifeCare
Service Handbook
7
Care & Maintenance ... 126
7.1
Service Intervals ... 126
7.2
Visual Inspection ... 127
7.3
Key Test... 127
7.4
Cleaning the Device, Cable and Sensors ... 127
7.4.1
Cleaning the Device, Cables and Sensors... 127
7.5
Accumulator... 128
7.5.1 7.5.2 7.5.3
Charging and Calibrating the Accumulator ... 128 Internal Backup Battery... 128 Accumulator Disposal ... 128
7.6
Inspection and Check List Report ... 129
7.7
Trouble Shooting... 129
7.7.1 7.7.2
Defibrillation and General... 129 Parameter Measurement ... 130
7.8
Defibrillator Error and Statistic Messages ... 131
8
Measurement and Safety Checks ... 135
8.1
General information ... 135
8.1.1
Reference Documents ... 135
8.2
Measurement and Safety Checks ... 136
8.2.1 8.2.2 8.2.3
General Test Equipment ... 136 Test Requirements... 137 Preliminaries ... 137
8.3
ECG... 138
8.3.1 8.3.2 8.3.3 8.3.4
Equipment Required ... 138 Amplitude Check (with 1 mV Rectangular Waveform) ... 138 Amplitude Check with Simulated ECG Signal... 139 Electrode and Patient Cable Check ... 139
8.4
SpO2 ... 140
8.4.1 8.4.2
Equipment Required ... 140 Procedure... 140
8.5
NIBP ... 141
8.5.1 8.5.2 8.5.3 8.5.4 8.5.5 8.5.6
Test Setup and Preliminaries ... 142 Cuff Over Pressure Test ... 144 Leak Rate and Cuff Pressure Tolerance Test... 145 Deflation Curve Test ... 146 Measurement confirmation with a Test Person... 147 Troubleshooting ... 147
8.6
Invasive Blood Pressure ... 148
8.6.1 8.6.2
Invasive BP with a test Box... 148 Invasive BP with a Manometer... 149
8.7
Temperature ... 150
8.7.1 8.7.2 8.7.3 8.7.4 8.7.5
Equipment Required ... 150 Procedure... 150 Temperature check of the sensor according German directive ... 150 Messung des Isolationswiderstand des Temperaturaufnehmer... 150 Calculation of resistance and temperature... 152
8.8
CO2 Calibration / Offset ... 153
8.8.1
CO2 Settings... 153
8.9
Pacemaker... 154
8.9.1 8.9.2 8.9.3
Equipment Required ... 154 Test Setup for Pacemaker Energy Level and Timing Check ... 154 Timing and Pacemaker Delivery Check ... 155
Page 6
ARGUS PRO LifeCare
Service Handbook
8.9.4 8.9.5
Timing and Energy Level (Fixed Mode) Check ... 156 Timing and Energy Level (Demand Mode) Check ... 158
8.10
Defibrillator ... 160
8.10.1 8.10.2 8.10.3 8.10.4 8.10.5
Equipment Required ... 160 Setup... 160 Manual Mode Check ... 160 AED Mode Check... 162 Defibrillator Energy Check ... 163
8.11
Safety Tests ... 165
8.11.1 8.11.2 8.11.3
Protective Earthing and Potential Equalisation ... 166 Continuous Leakage and Patient Auxiliary Current ... 166 Dielectric Strength... 166
9
Parts List ... 167
9.1
General, Accessories and Disposables ... 167
9.2
Test Equipment, Boards and Connectors ... 170
9.3
Cables and Sensors ... 173
9.4
Sensors ... 184
9.4.1 9.4.2
Irma Gas Sensor (Phase-IN)... 184 SpO2 LNCS Sensors ... 185
10
Technical Specification ... 186
10.1
ARGUS PRO LifeCare ... 186
10.1.1 10.1.2 10.1.3 10.1.4 10.1.5 10.1.6
System Data... 186 Measured Values ... 187 IBP - Invasive Blood Pressure ... 188 Defibrillation ... 190 Pacemaker ... 191 Memory ... 191
10.2
ARGUS PRO LifeCare On-line Printer ... 192
10.3
ARGUS PRO LifeCare Vehicle Charger Unit CS-1 ... 192 EMC Information... 193
10.4.1 10.4.2 10.4.3 10.4.4
Electromagnetic Emissions - Table 201... 193 Immunity - Table 202 ... 193 Emissions Equipment and Systems - Table 204... 194 Recommended Separation Distances - Table 206 ... 195
11
Test Protocol Forms ... 197
12
Index ... 205
Art.-No.: 2.540047 Rev.: a
10.4
Page 7
ARGUS PRO LifeCare
Service Handbook
Safety Notes Intended Use
1 1.1
1 Safety Notes This Service Handbook is for qualified service personnel only, trained by SCHILLER AG. Refer to the operating instruction manual for operation the device.
1.1
Intended Use ▲
The ARGUS PRO LifeCare is for the monitoring of vital parameters such as: – ECG and Heartrate – SpO2 and pulse rate (PP) – Non invasive blood pressure: systolic, diastolic and mean – Invasive blood pressure: systolic, diastolic and mean – Temperature – CO2 ▲ The system incorporates an external defibrillator and external pacemaker. ▲ The ARGUS PRO LifeCare is intended for use with ground and air rescue services during inter-hospital transportation and internal hospital transportation. ▲ Do not use the ARGUS PRO LifeCare in or near magnetic resonance imaging equipment. ▲ The ARGUS PRO LifeCare is powered from an internal rechargable accumulator. ▲ There is no danger for patients with pacemaker. ▲ The device is only intended for single patient use. ▲ Only operate the device in accordance with the specified technical data. ▲ Do not use this unit in areas where there is any danger of explosion or in the presence of flammable gases such as anaesthetic agents. ▲ ▲
!
The ECG, Temperature, IBP, NIBP and SPO2 part of the unit is CF clas-
sified. It is defibrillation protected only when the SCHILLER original patient cable is used. However, as a safety precaution when possible, remove ECG electrodes before defibrillation. This product is not designed for direct cardiac application. The ARGUS PRO LifeCare is an emergency device and must be ready for operation at any time and in all situations. Ensure that the device is always equipped with a sufficiently charged accumulator, and keep a spare accumulator on hand.
Art.-No.: 2.540047 Rev.: a
▲ ▲
The Defibrillation part of the unit is BF classified.
Page 9
1 1.2
Safety Notes Intended Use Defibrillator
1.2
ARGUS PRO LifeCare
Intended Use Defibrillator ▲ The defibrillator of the ARGUS PRO LifeCare is used in the treatment of ventricular fibrillation (VF) and ventricular tachycardia (VT). It has both automated and manual modes. ▲ The device may be used with the appropriate electrodes on either adults or children. ▲ The device may only be used on a suspected cardiac arrest victim exhibiting the following symptoms: – Not responsive – Not breathing – No pulse ▲ The device must not be used if the patient: – is responsive – is breathing – has a pulse ▲ Always follow the indicated specifications when operating the device.
1.3
Responsibility of the User ▲ This ARGUS PRO LifeCare is provided for the exclusive use of qualified physicians or trained personnel under their direct supervision. ▲ The numerical and graphical results as well as any interpretation suggested by the device must be examined with respect to the patient's overall clinical condition and the quality of the recorded data. ▲ The responsibilities of the personnel for the operation and maintenance of the device must be specified. ▲ Ensure that personnel have read and understood these operating instructions. In particular this section safety notes must be read and understood. ▲ Damaged or missing components must be replaced immediately with original spare parts and accessories. ▲ The operator is responsible for compliance with all applicable accident prevention regulations and safety regulations. ▲ Store the device where it is not accessible to children.
Organisational Measures ▲ Before using the unit, ensure that an introduction regarding the unit functions and the safety precautions has been provided by a medical product representative. ▲ Keep these operating instructions in an accessible place for reference when required. Make sure that they are always complete and legible. ▲ Observe the operating instructions and maintenance instructions. ▲ These operating instructions do not override any statutory or local regulations, or procedures for the prevention of accidents and environmental protection.
Page 10
Art.-No.: 2.540047 Rev.: a
1.4
ARGUS PRO LifeCare
Service Handbook
1.5
Safety Notes Safety Conscious Operation
1 1.5
Safety Conscious Operation ▲
Make sure that the staff has read and understood the operating instructions - particularly this Safety Notes section. ▲ Position the device so that there is no possibility of it falling on the patient or floor. ▲ Do not touch the unit casing during defibrillation. ▲ Electric shock hazard. The energy supplied to the patient can be conducted through the patient to other persons, possibly resulting in a fatal electric shock. For this reason: – Do not touch the patient, the electrodes or other conductive objects while defibrillation is in progress. – Do not defibrillate the patient in a puddle of water or on other conductive surfaces. – Switch off the device when it is no longer needed. ▲ To ensure patient's safety neither the electrodes, including the neutral electrode, nor the patient, or persons touching the patient, must come into contact with conducting objects even if these are earthed. ▲ If the patient has an implanted pacemaker, be sure not to position the electrode directly on top of it. ▲ Immediately report any changes that impair safety (including operating behaviour) to the person responsible. ▲ Only connect original SCHILLER adhesive electrodes to the device. ▲ Prior to switching on the device, perform a visual inspection to ensure that there is no damage to the device casing or the electrode connector port.
1.6
Operation with other Devices ▲
▲
▲
Art.-No.: 2.540047 Rev.: a
▲
▲
▲
Use only accessories and other parts recommended or supplied by SCHILLER. Use of other than recommended or supplied parts may result in injury, inaccurate information and/or damage to the unit. Ancillary equipment connected to the analogue and/or digital interfaces must be certified according to the respective IEC standards (e.g. IEC/EN 60950 for data processing equipment and IEC/EN 60601-1 for medical equipment). Furthermore all configurations shall comply with the valid version of the system standard IEC/ EN 60601-1-1. Everybody who connects additional equipment to the signal input part or signal output part configures a medical system, and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC/EN 60601-1-1. If in doubt, consult the technical service department or your local representative. When the unit is connected to the ARGUS PRO Transport, any other equipment used with the patient must use the same common earth. Precautions must be observed when using high frequency devices. Use the original SCHILLER patient cables to avoid possible signal interference during data acquisition. There is no danger when other electrical stimulation equipment. However, the stimulation units should only be used at a sufficient distance from the electrodes and transducers. If in doubt, the patient should be disconnected from the monitor. If the ECG patient cable should become defective after defibrillation, an electrode becomes displaced, or an electrode resistance is too high, an acoustic alarm given.
▲
Page 11
1 1.7
Safety Notes Maintenance
ARGUS PRO LifeCare
1.7
Maintenance
Art.-No.: 2.540047 Rev.: a
▲ Danger of electric shock. Do not open the device. No serviceable parts inside. Servicing may only be carried out by a qualified technician authorised by SCHILLER. ▲ Before cleaning, switch off the device and remove the accumulator. ▲ Do not use high temperature sterilisation processes (such as autoclaving). Do not use E-beam or gamma radiation sterilisation. ▲ Do not use solvent or abrasive cleaners on either the unit or cable assemblies. ▲ Do not under any circumstances, immerse the unit or cable assemblies in liquid
Page 12
ARGUS PRO LifeCare
Service Handbook
Safety Notes Safety Symbols and Pictograms
1.8
Safety Symbols and Pictograms
1.8.1
Symbols used in this Document
1 1.8
The safety level is classified according ANSI Z535.4. The following overview shows the used safety symbols and pictograms used in this manual. For a direct danger which could lead to severe personal injury or to death.
For a possibly dangerous situation, which could lead to heavy bodily injury or to death.
For a possibly dangerous situation which could lead to personal injury. This symbol is also used to indicate possible damage to property.
For general safety notes as listed in this chapter.
Used for electrical dangers, warnings and other notes in regarding operation with electricity. Note For possibly dangerous situations, which could lead to damages to property or system failure. Important or helpful user information
Reference to other guidelines
Art.-No.: 2.540047 Rev.: a
Observe precautions for handling electrostatic sensitive devices. – when carrying out any maintenance procedures always place the unit or parts on an earthed antistatic mat. – personnel must be earthed when handling any boards or components. – always use an antistatic bag when transporting boards or components. Used tool for the following procedure.
Page 13
1 1.8
Safety Notes Safety Symbols and Pictograms
1.8.2
ARGUS PRO LifeCare
Symbols Used on the Device and Accumulator
The unit/component can be recycled.
Notified body of the CE certification (TÜV P.S.).
Attention: Consult accompanying documents.
BF symbol. The device's signal input is defibrillation-proof.
CF symbol. The device's signal input is defibrillation-proof. CF symbol. This unit is classified safe for internal and external use. However, It is only defibrillation protected when used with the original SCHILLER patient cable. Connector port for defibrillation and pacemaker electrode pads.
Symbol for the recognition of electrical and electronic equipment. Do not dispose the accumulator or the unit in household waste. Equipment/components and accessories no longer required must be disposed of in a municipally approved collection point or recycling centre. Alternatively, you can return the equipment to your supplier or SCHILLER for disposal. Improper disposal can harm the environment and human health. Do not incinerate, cut or crush accumulator.
Do not short-circuit the accumulator.
Accumulator storage temperature: Unlimited time: 0...+40 °C Limited 48 Hours: -20...+80 °C Expiry date of the accumulator.
Page 14
Art.-No.: 2.540047 Rev.: a
Rechargable accumulator.
ARGUS PRO LifeCare
Service Handbook
1.8.3
Safety Notes Safety Symbols and Pictograms
1 1.8
Symbols Used on the Electrode Packaging Open electrode packaging.
Remove protective cover.
Designed for single use only; do not re-use.
Do not bend packaging.
Electrode storage temperature.
Expiry date of the electrodes.
1.8.4
Symbols used on the SpO2 Sensor Packaging Only to be used on patients greater than 30 Kgs.
Art.-No.: 2.540047 Rev.: a
Sensor designed for children
Page 15
1 1.9
Safety Notes Additional terms
ARGUS PRO LifeCare
1.9
Additional terms
1.9.1
Implied Authorisation Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would alone, or in combination with this device, fall within the scope of one or more patents relating to this device.
1.9.2
Terms of Warranty Your SCHILLER ARGUS PRO LifeCare is warranted against defects in material and manufacture for the duration of one year (as from date of purchase). Excluded from this guarantee is damage caused by an accident or as a result of improper handling. The warranty entitles free replacement of the defective part. Any liability for subsequent damage is excluded. The warranty is void if unauthorised or unqualified persons attempt to make repairs. In case of a defect, send the apparatus to your dealer or directly to the manufacturer. The manufacturer can only be held responsible for the safety, reliability, and performance of the apparatus if: • assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorised by him, and • the ARGUS PRO LifeCare and approved attached equipment is used in accordance with the manufacturer's instructions..
Art.-No.: 2.540047 Rev.: a
There are no express or implied warranties which extend beyond the warranties hereinabove set forth. SCHILLER makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof.
Page 16
ARGUS PRO LifeCare
ARGUS PRO LifeCare Overview
Service Handbook
2 2.1
2 ARGUS PRO LifeCare 2.1
Overview Connector Panel
Mini SD Card Slot Carrying Handle and shock frame (end lugs for mounting) Accessory Bag Printer Connector (USB)
Speaker for system and voice indications
Defibrillator and Pacemaker pad connector
LCD Screen
Control and Function Keys
Microphone
ARGUS PRO LifeCare with Optional Shock Frame and Bag The ARGUS PRO LifeCare is a vital signs patient monitor with integrated defibrillator. It is designed to meet the specific needs of ground and air rescue services and in-house and inter-hospital transportation. Data is viewed on an LCD and optionally printed on an external thermal printer.
Art.-No.: 2.540047 Rev.: a
The unit is powered from a removable long-life accumulator that is charged via an independent charger. A fully charged accumulator provides >250 shocks at maximum energy, or 4 hours of monitoring (dependent on parameter settings and NIPB measurement interval). An internal backup battery is also provided to ensure uninterrupted monitoring backup when the main accumulator is not present (e.g. being exchanged). This battery provides approximately 15 minutes of independent patient monitoring. Additional monitoring options with diagnostic capability can be provided when the ARGUS PRO LifeCare is connected to the SCHILLER ARGUS PRO Transport or the SCHILLER ARGUS PRO Panel.
Standard Features Defibrillator
The defibrillator features biphasic pulsed defibrillation impulse – Multipulse Biowave®. The patient is defibrillated via disposable adhesive electrodes (pads), which are also used to acquire the ECG signal for defibrillation analysis (in AED mode).The defibrillator has text and audio message prompts to direct the user to the next step with the following modes of operation:
Page 17
2 2.1
ARGUS PRO LifeCare Overview
ARGUS PRO LifeCare
(Semi) Automated External Defibrillator (AED) - in AED mode the device identifies the connected electrode type (child / adult), analyses if defibrillation is required (when prompted by the user), selects the appropriate energy levels, and prompts the user to shock when appropriate. Manual Mode - there are two methods of using the manual mode as follows: • Defibrillation - the user sets the energy level and decides directly when to shock. • Cardioversion - the user sets the energy level and sets the unit to shock. The unit, monitoring the ECG, delivers the shock at the appropriate time in the patient heart cycle. External cardiac pacemaker
The pacemaker function monitors the ECG signal (from either the 3-lead, 5-lead, or 10-lead ECG cable) to determine when pacemaker pulses are to be generated.The pacemaker shock is delivered using the same electrode pads (adult or child) as those used for defibrillation. The frequency and current of the pacemaker pulses are defined by the user. There are two pacemaker modes as follows: • Fixed - no account is made of the monitored heart rate and the pacemaker pulse is delivered at the frequency and energy level as defined by the user. • On demand - the unit monitors the patient’s heart and delivers a pacemaker pulse as required. ▲ Defibrillation and pacemaker functions are only possible when the main accumulator is inserted.
Monitoring Parameters
• ECG – with 3-lead cable - lead II only – with 5-lead cable - leads I, II, III, aVL, aVR, aVF, V1 – with 10-lead cable - full 12-lead ECG • SpO2 • NIBP • Invasive Pressure - (two invasive pressures are available when used with the ARGUS PRO Transport). • Temperature (x2) • End tidal CO2; mainstream
Memory
• Circular memory record the last 90 minutes of monitoring trend data. This can be viewed when the ARGUS PRO LifeCare is connected to the ARGUS PRO Transport / Panel or printed on the optional external printer.
Mini SD slot
•
Options SCHILLER CS-1 Accumulator charger and calibration unit
• External charger unit for accumulators.
SCHILLER OP-1 Printer
• External thermal printer for printout of trend data and curves.
Shock Frame and Bag
• Frame and bag for rescue vehicle mounting and attached accessory bag.
Rescue Mounting Device
• Rescue vehicle mounting frame. Part numbers of accessories and disposables are detailed at the end of this book (see page 167).
Page 18
Art.-No.: 2.540047 Rev.: a
For storage of main actions during defibrillation and pacemaker modes.
ARGUS PRO LifeCare
ARGUS PRO LifeCare Operating and Display Elements
Service Handbook
2.2
Operating and Display Elements
2.2.1
Connectors
2 2.2
12 11
sd card ECG
♥
10
CO2/IN NIBP ♥ SpO2
T1
T2
P1
P2
♥
♥
♥
♥
♥
3
4
5
6
!
1
▲
2
OUT
7
9
8
All externally connected hardware must be approved by SCHILLER. Connection of any hardware not approved by SCHILLER is at the owner‘s risk. The unit guarantee may also be invalid.
Patient Connectors / Sensors 1.
SpO2 (7 pin)
2. 3. 4. 5. 6. 7.
ECG (12 pin) - for 3-lead, 5-lead or 10-Lead Cable Temperature T1 (5 pin) Temperature T2 (5 pin) Invasive Blood Pressure P1 (4 pin) Invasive Blood Pressure P2 (4 pin) CO2 (7 pin)
Monitoring and battery indicator. Connector to the ARGUS PRO Transport monitor or ARGUS PRO Panel (located on the side panel of the unit). 10. NIBP (micro connector male) 11. Mini SD card slot 12. External thermal printer connector (see page 95) Art.-No.: 2.540047 Rev.: a
8. 9.
Defibrillator and Pacemaker Pad Connector The defibrillator / pacemaker cable connector is BF
protected and situated on
the front of the unit. The LED by the connector flashes when the pad plug should be inserted and extinguishes when the lead is plugged in.
Page 19
2 2.2
ARGUS PRO LifeCare Operating and Display Elements
2.2.2
ARGUS PRO LifeCare
ARGUS PRO LifeCare Control Keys
Acoustic QRS Use this key to activate / disable the acoustic QRS signal. The loudspeaker symbol
is displayed when the QRS beep is enabled.
The source of the QRS beep can come for the ECG or the SpO2 sensor (PP). This is defined in system settings (see page 28).
Change Monitor Display This key changes the parameters displayed on the screen.
+
When a 5 or 10 lead cable is connected, press this key in conjunction with the up down keys to change the lead group on the display.
Reverse Screen, Back Light, Contrast
+
Page 20
➜ Screen reverse - Press to rotate the screen 180o. ➜ Back light - Press for one second to switch on / switch off the monitor back light. Contrast - Press and hold the reverse key and then use the arrow keys to adjust the contrast.
Art.-No.: 2.540047 Rev.: a
This key, either on its own or in conjunction with other keys, has three functions:
ARGUS PRO LifeCare
Service Handbook
ARGUS PRO LifeCare Operating and Display Elements
2 2.2
NIBP Measurement Press to take a single NIBP Measurement - the measurement commences after approximately 2 seconds. Note that automatic BP measurement settings and intervals are defined in system settings.
Pressure Calibration (Invasive BP) Press this key to set the Zero-Point pressure (for invasive BP). Note that zeroing of the invasive pressure is only possible when the invasive pressure measurement is displayed on the screen.
Function Key (On key and System Settings selection key) This key has three functions: ➜ Switches the unit on. ➜ Enters the system settings menu. ➜ Confirms a highlighted option when in the settings screen
Enter Defibrillation Mode and Analysis Key This key to enter either AED or manual defibrillation modes: ➜ AED Mode - Press this key briefly to enter AED defibrillation mode. When in AED mode press this key to analyse the patient ➜ Manual Defibrillation Mode - Press this key for 3 seconds to enter manual defibrillation mode. When in manual mode press this key to confirm energy setting.
Shock Key In both AED and manual defibrillation modes, the charge lamps above the key indicate that the capacitor is charged and ready to discharge. Press this key to discharge and defibrillate.
Print Press the print key to display a menu to print any of the following: • Print screen - the currently displayed monitor data. • Trend - Up to 24 hours of trend data. • ECG - when a 5 or 10 lead ECG cable is used, the ECG is printed in diagnostic quality. Note that this function is only applicable when the optional thermal printer SCHILLER OP-1 is connected (see page 95).
Arrow Keys Art.-No.: 2.540047 Rev.: a
These keys have the following functions: ➜ Toggle through menu items. ➜ When a dialogue is displayed select yes/no. ➜ When a multi-choice is displayed (e.g. Pacemaker frequency, energy selection, screen contrast) raise / lower selection.
Pacemaker This key has two functions: ➜ Enter pacemaker mode. ➜ Confirm settings when in pacemaker mode.
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2 2.3
ARGUS PRO LifeCare LCD Screen
ARGUS PRO LifeCare
2.3
LCD Screen The display will vary according to the current task being carried out. In all screens however, the top and bottom lines always display the same information: the top line displays system information, and the bottom line displays the temperature and mode information. The following is an example of a typical screen. 1
2
3
4
5
8
6
7
Items 1, 2, 3 and 7 are in the same position for all screens.
▲ An audible and visual indication is given during recording when accumulator capacity is limited. When the alarm is given it indicates that the power capacity is as follows: – approximately 10 minutes operation dependent on use OR – 30 defibrillator shocks (minimum). ▲ When the power is very limited (approximately one minute use or 3 shocks), a message is displayed that the unit will shut down. ▲ We recommend that the accumulator is replaced with a charged accumulator at the first opportunity when the low capacity indication is given. (4) Area for measured parameter data graphs. The parameters displayed will depend on settings and mode. The system menu options are also displayed in this area (see page 27). (5) Area for Parameter measurements. (6) Temperature T1 and T2. (7) Defibrillation and Pacemaker mode message area. (8) When in defibrillation mode (AED or Manual), or when setting pacemaker parameters, this area displays user instructions. In defibrillator mode, the instructions given here are also usually reinforced by the same instruction given audibly.
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Art.-No.: 2.540047 Rev.: a
(1) In this area any general or system messages are displayed, e.g. low battery capacity. See the following page for symbols and messages. (2) System date, and time. The date / time is toggled every 5 seconds. The format of the time display can be set to 24 hour or 12 hour display (Am/Pm displayed), and the date dd.mm.yy, mm.dd.yy, or yy.mm.dd. These settings are defined in System setup (see page 27). (3) The accumulator symbol indicates the capacity status. When the accumulator is full the symbol is solid. Other symbols are given to show the state of the accumulator (see next page).