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Chapter 2  Principles 

2.2.3 CO/IBP 

Module 

2.2.3.1 General 

This module provides the function of measuring two parameters: Cardiac Output (CO) and 
Invasive Blood Pressure (IBP). 

2.2.3.2 Principle diagram 

     

 

Figure 2-6 Working principle of the CO/IBP module   

2.2.3.3 Principle 

This module collects the CO/IBP signal through the transducers, processes it and sends it 
to the main board throgh the serial port.   

CO Signal Process Network 

The CO parameter is measured with the thermal dilution method. The transducer 
sends two signals (TI: Temperature of Injectate; TB: Temperature of Blood) to the CO 
Signal Process Network. After that, the signals are amplified and low-pass filtered, and 
then sent to the CPU System for processing.   

IBP Signal Process Network 

The IBP signal is the differential signal. After the common-mode filtering, the difference 
signal is amplified by the difference amplifying circuit which changes the dual-end signal 
to the single-end signal. After the low-pass filtering, the IBP signal is sent to the CPU 
System for processing. 

CPU System 

 

Converting the analog signal obtained by the circuit to the digital signal; 

 

Implementing the logical control of all parameter parts; 

 

Implementing the data processing for the two parameters;   

 

Implementing the communication with the main board.

   

Power & Signal isolate Circuit 

 

Isolating the external circuits to ensure the safety of human body; 

 

Supplying power for all circuits; 

 

Implementing the isolation communication between the CPU System and the main 
board.  

 

11 

 

Summary of Contents for PM-9000 Express

Page 1: ...PM 9000 Express Patient Monitor Service Manual...

Page 2: ......

Page 3: ...of this material This publication may refer to information and protected by copyrights or patents and does not convey any license under the patent rights of Mindray nor the rights of others Mindray d...

Page 4: ...esence of the interfering signal on the screen of ultrasonic imaging system Keep the distance between the monitor and the ultrasonic imaging system as far as possible It is dangerous to expose electri...

Page 5: ...suse negligence or accident any instrument from which Mindray s original serial number tag or product identification markings have been altered or removed or any product of any other manufacturer Safe...

Page 6: ...eturn shipments will not be accepted if the Mindray number is not clearly visible Please provide the model number serial number and a brief description of the reason for return 2 Freight policy The cu...

Page 7: ...CAUTION Indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury 2 Meaning of Safety Symbols Symbol Description Type BF applied part Attention Refer to...

Page 8: ...s operation Do not bring or use devices which generate radio waves such as cellular telephones transceivers and radio controlled toys in the room where the system is installed 2 If a user brings a dev...

Page 9: ...e for use during defibrillation Equipotential grounding terminal CE mark 93 42 EEC a directive of the European Economic Community Silence Symbol Close all alarm volume Mark Event Next menu Highest lev...

Page 10: ......

Page 11: ...NETWORK 29 3 6 DATA STORAGE 30 3 7 SIGNAL OUTPUT SPECIFICATIONS 31 3 8 ECG SPECIFICATIONS 32 3 9 RESP SPECIFICATIONS 34 3 10 SPO2 SPECIFICATIONS 35 3 11 IBP SPECIFICATIONS 37 3 12 TEMP SPECIFICATIONS...

Page 12: ...Service Manual V 1 0 CHAPTER 6 MAINTENANCE AND CLEANING 66 6 1 MAINTENANCE 66 6 2 CLEANING 66 6 3 CLEANING REAGENT 66 6 4 STERILIZATION 67 6 5 DISINFECTION 67 II...

Page 13: ...it releases sine wave signals to the patient when measuring the respiration rate The patient monitor converts the measured physiological signals to the digital signals waveforms and values and then di...

Page 14: ...er the control of clinical staff PM 9000 Express patient monitor has the following functions Heart Rate HR 2 channel ECG waveform ECG Arrhythmia analysis and S T analysis optional Respiration Rate RR...

Page 15: ...Artema AION AG module 10 35 Transportation Storage 20 60 1 3 2 Humidity Work mode 15 95 non condensing Transportation Storage 10 95 non condensing Atmospheric pressure 70 0kPa 106 0kPa 1 3 3 Electric...

Page 16: ...P CO and CO2 are optional It consists of the following functional parts Parameter measurement Main control part Man machine interface Power supply Other auxiliary functions These functional units are...

Page 17: ...dant real time and history data and waveforms as well as various information and alarm information The recorder is a subsidiary of the display which is used for the user to print data The speaker prov...

Page 18: ...Chapter 2 Principles Figure 2 2 Functional structure of the PM 9000 Express 6...

Page 19: ...ples of modules are described in the following sections 2 2 1 Main Board 2 2 1 1 General The main board is the heart of the patient monitor It implements a series of tasks including the system control...

Page 20: ...l and other functions RTC RTC provides the calendar information such as second minute hour day month and year CPU can read and modify the calendar information from RTC Ethernet Controller Ethernet Con...

Page 21: ...MP module 2 2 2 3 Principle This module collects the ECG RESP and TEMP signals through the transducer processes the signals and sends the data to the main board through the serial port ECG Signal Inpu...

Page 22: ...cy carrier signal Finally the modulated signal is sent to the measurement circuit The purpose of this module is generating the high frequency carrier RESP Signal Input Circuit This circuit couples the...

Page 23: ...pass filtered and then sent to the CPU System for processing IBP Signal Process Network The IBP signal is the differential signal After the common mode filtering the difference signal is amplified by...

Page 24: ...ested object Led Drive Circuit This circuit supplies the LED with the drive current which can be regulated SPO2 Signal Process Network The pre amplifying circuit converts the photoelectric signal to t...

Page 25: ...gram Figure 2 8 Working principle of the NIBP module 2 2 5 3 Principle The NIBP is measured based on the pulse vibration principle Inflate the cuff which is on the forearm till the cuff pressure block...

Page 26: ...signal and then sends it to the A D conversion part A D The A D conversion part converts the analog signal to the digital signal and sends it to the CPU System for further processing Over Pressure De...

Page 27: ...printed Controlling the heat sensitive printer and step motor Collecting data about the status of the heat sensitive printer and controlling the printer Implementing the communication with the main bo...

Page 28: ...e This module can convert 220V AC or the battery voltage to 5V DC and 12V DC voltages which are supplied for other boards When the AC voltage and batteries coexist the AC voltage is supplied for the s...

Page 29: ...to the main board for processing 2 3 Software Description 2 3 1 General Figure 2 12 System function As shown in Figure 2 12 in the red frame is the software system on the left to the red frame are the...

Page 30: ...puts by buttons and displaying them on the screen In case of a button event 7 System monitoring System monitoring voltage monitoring and battery management 1 second 8 Network connection Implementing t...

Page 31: ...2 3 3 System Function The system tasks can be classified as follows Figure 2 13 System task 2 4 System Parameter 2 4 1 General For the PM 9000 Express patient monitor signals are collected by modules...

Page 32: ...O2 in real time and send the results to the main board for processing and displaying If necessary the results are sent to the recorder for printing The parameter monitoring functions are described res...

Page 33: ...dance principle While a man is breathing the action of the breast leads to impedance changes between RL and LL Change the high frequency signal passing the RL and LL to amplitude modulation high frequ...

Page 34: ...he pulse waveform The circuit of the SpO2 module is involved in four parts SpO2 probe signal processing unit LED driven sequencing control part and the MCU 2 4 5 TEMP Temperature measurement principle...

Page 35: ...oard and external mainstream infrared light transducer The infrared light transducer needs to be preheated In the sidestream mode the deflation rate can be set to 100ml min 150ml min or 200ml min acco...

Page 36: ...re two crystal balls full of nitrogen They are suspended in the symmetrical magnetic field and designed to point to the strongest outgoing part of the magnetic field Outside the balls is the paramagne...

Page 37: ...t the equipment shall be operated from its internal electric power supply batteries Degree of protection against electric shock Monitor Sidestream CO2 AG ECG RESP TEMP SpO2 NIBP IBP CO mainstream CO2...

Page 38: ...llyn CO2 module 5 to 35 With Oridion CO2 module Operating temperature 10 to 35 With AION AG module Operating humidity 15 to 95 noncondensing Altitude 500 to 4600m 1640 to 15092 feet 305 to 3014m 1000...

Page 39: ...rating time 48 minutes or 120 minutes typical when powered by one or two new fully charged batteries respectively 25 ECG SpO2 NIBP measurement per 15 minutes Charge time A maximum of 6 h for each batt...

Page 40: ...m s recording rate Vertical resolution 80 dots cm Width of the recorder paper 50 mm Length of the recorder paper 30 m Recording rate 25 mm s 50 mm s Recorded waveforms 2 LED indicator Alarm indicator...

Page 41: ...tandard color VGA monitor connector 15 PIN D sub Auxiliary output 1 BNC connector Equipotentiality 1 equipotential grounding connector 3 5 Wireless network Standards IEEE 802 11b Wi Fi compatible Freq...

Page 42: ...1 hour resolution 1 s or 5 s Alarm events 70 alarm events and associated waveforms with user selectable waveform length 8s 16 or 32 ARR events 80 ARR events and associated waveforms with 8s wavelengt...

Page 43: ...enhancement No pace rejection or enhancement IBP analog output Bandwidth 0 to 12 5 Hz 3dB reference frequency 1Hz Maximum propagation Delay 55ms the filter function is disabled Sensitivity 1 V 100mmH...

Page 44: ...0 05 to 100Hz 12 lead 0 05 to 150Hz 0 5 to 40Hz 1 to 20Hz Diagnostic mode Monitor mode Surgery mode 90 dB 12 lead 95 dB 105 dB 105 dB Common mode rejection The notch filter is turned off Differential...

Page 45: ...4s average 7 2s 6 6 to 14 5s average 10 5s Pace pulse Pace pulses meeting the following conditions are marked by the PACE indicator Pulse indicator Amplitude Width Rise time 4 to 700mV 0 1ms to 2ms 10...

Page 46: ...pedance test range 0 3 to 3 Excitation current 300 A Baseline impedance range 200 to 2500 using an ECG cable with 1k resistance Bandwidth 0 2 to 2Hz 3 dB Sweep speed 6 25 mm s 12 5 mm s 25 mm s RR Mea...

Page 47: ...ions 3 in motion conditions Undefined Refreshing rate 1s PR Measurement range 20 to 254bpm Resolution 1bpm Precision 3 bpm non motion conditions 5 bpm in motion conditions Refreshing rate 1s Masimo Sp...

Page 48: ...xiCliq P OxiCliq I 70 to 100 0 to 69 2 5 Undefined D YS DS 100A OXI A N and OXI P I 70 to 100 0 to 69 3 Undefined SpO2 measurement range and precision MAX R D YSE and D YSPD 70 to 100 0 to 69 3 5 Unde...

Page 49: ...30 60 90 120 180 240 480 minutes Measurement time in continuous mode 5 minutes mmHg Adult Pediatric Neonate Systolic pressure 40 to 270 40 to 200 40 to 135 Diastolic pressure 10 to 210 10 to 150 10 to...

Page 50: ...splayed parameters T1 T2 and TD Measurement range 0 to 50 C 32 to 122 F Resolution 0 1 C Precision 0 1 C excluding the sensor 0 2 C including the YSI 400 series sensor Update period 1s Minimum time fo...

Page 51: ...ls ART PA CVP RAP LAP ICP P1 and P2 ART 0 to 300 mmHg PA 6 to 120 mmHg CVP RAP LAP ICP 10 to 40 mmHg Measurement range P1 P2 50 to 300 mmHg Resolution 1 mmHg Precision 2 or 1mmHg whichever is greater...

Page 52: ...tions Measurement technique Thermal dilution Calculated parameter CO hemodynamics CO 0 1 to 20l min TB 23 to 43 C Measurement range TI 0 to 27 C Resolution CO TB TI 0 1 l min 0 1 C Precision CO TB TI...

Page 53: ...0 to 99mmHg Precision 0 to 40 mmHg 41 to 76 mmHg 77 to 99 mmHg 2mmHg 5 10 Deflation rate 100 150ml min Precision of deflation rate 15 Start up time of CO2 module 1min The module enters the warming up...

Page 54: ...2mmHg 5 0 08 reading 38mmHg Resolution Waveform Value 0 1mmHg 1mmHg Flow rate 7 5 15 50 ml min Initialization time 30s typical Response time 2 9s typical Delay time 2 7s typical AwRR measurement rang...

Page 55: ...s unnecessary Calibration stability There is a difference 1 from the precison criteria after a 12 month continuous service time Alarm range 0 to 99 mmHg AwRR measurement range 0 to 150 BrPM AwRR alarm...

Page 56: ...t Pediatric 120 150 200 ml minute user selectable Sampling flow sidestream Neonatal 70 90 120 ml minute user selectable Gas type CO2 N2O O2 optional Des Iso Enf Sev Hal Measurement range CO2 N2O Des S...

Page 57: ...g 2 to 100 BrPM Apnea alarm delay AwRR 20 40 s Refreshing rate 1s Calibration Yearly calibration requested Calibration stability After module being used for 12 consective months the error is 1 CO2 250...

Page 58: ...Chapter 3 Product Specifications HAL ISO SEV DES 300 ms water trap and adult DRYLINE sampling line 2 5m ENF 350 ms Delay time 4s 46...

Page 59: ...assembly 1 3 M04 000305 Cross head self tapping screw 3 12 5 4 M02 000802 Flat washer GB97 13 4 5 9201 30 35944 Support assembly Lithium battery 1 6 9201 20 35971 Battery door 1 7 M04 003105 Cross he...

Page 60: ...ssembly NO Standard Name Specification Quantity 1 M04 004015 Cross head screw M3 8 4 2 0010 10 12271 LG display LB121S02 1 3 9210 20 30180 12 1 back plate LG 1 4 9210 30 30169 LVDS TTL adapter board 1...

Page 61: ...04 002505 Cross head screw M3 6 10 7 9201 30 35954 CF wireless network adapter assembly 1 8 9210 30 30150 9210 main control board 1 9 9201 30 35922 Battery compartment assembly Lithium battery 1 10 00...

Page 62: ...ting plate of microstream CO2 module 1 4 1 4 Front Cover Assembly Figure 4 4 Front cover assembly NO Material Code Part Specification 1 9200 20 10513 Dust washer 1 2 9200 20 10514 Dust washer 2 3 M04...

Page 63: ...stream CO2 9201 30 35992 NO Material Code Part Specification Remark 1 M04 003105 Cross head self tapping screw 3 8 2 9200 20 10620 Speaker press plate 3 9200 21 10633 Speaker 4 9200 20 10622 Hook moun...

Page 64: ...igure 4 6 Microstream CO2 assembly NO Material Code Part Specification 1 9201 30 35959 Microstream CO2 connector 2 M04 003105 Cross head self tapping screw 3 8 3 9201 20 36010 Baffle of torsional spri...

Page 65: ...Chapter 4 Disassembling Assembling Troubleshooting 4 2 1 Black Screen Startup Failure Y Figure 4 7 Location flow of faults causing black screen 53...

Page 66: ...4 2 4 No Audio Alarm 1 Check whether the audio alarm function is disabled in the software settings 2 Replace the speaker 3 Replace the button panel 4 2 5 Printing Failure 1 Check whether there is any...

Page 67: ...eart like indicator and the R wave 3 The gain has no impact on the message ECG signal over weak in the HR calculation 4 Verify the range and precision Suppose that the amplitude of the GCG signal of t...

Page 68: ...ts should be respectively 120 8mmHg 80 8mmHg and 90 8mmHg 3 Press ESC and on the simulator to enter the NEONATE mode Set the blood pressure to the 60 30 40 mmHg level SHIFT to 20 HR to 120bmp and PM 9...

Page 69: ...fixture CO2 steel bottle containing 10 CO2 2 Test procedure Mainstream CO 2 measurement Set the calculation compensation of PM 9000 Express to COMMON Plug the mainstream transducer to the CO2 socket c...

Page 70: ...tor becomes OFF After the patient monitor is started without assembling the batteries x is displayed in the battery indication frame on the main screen After the batteries are assembled the battery el...

Page 71: ...ure point within the NIBP measurement range of the patient monitor should be no more than 3mmHg 0 4kPa Decrease the pressure step by step The maximum error at any pressure point within the NIBP measur...

Page 72: ...procedure The transducer must be vented to atmospheric pressure before the zero procedure The transducer should be placed at the same height level with the heart approximately mid axially line Zero pr...

Page 73: ...e item CALIBRATE to start calibrating channel 1 Turn the knob to select the item CH2 CAL VALUE press and turn the knob to select the pressure value to be calibrated for channel 2 Then turn the knob to...

Page 74: ...epeatedly until the value in the menu is equal to the pressure value shown by the mercury calibration 9 Press the Start button the device will begin calibrating 10 Wait for the calibrated result You s...

Page 75: ...5 1 AG Check 1 Using T piece to connect the watertrap and Agent steel bottle well One of the T piece ports must be vented to atmospheric pressure 2 Select MEASURE from work mode item in AG SETUP menu...

Page 76: ...t password MINDRAY entering CALIBRATE menu Note Make sure the AG in Measure mode not Standby mode before you do calibrate Figure 5 10 Figure 5 11 2 Input each gas concentration value according to the...

Page 77: ...tery 1 10 0010 10 12329 Lithium battery 2 11 9200 20 10516 Insulating plate of ECG board 1 12 812A 30 08557 812A ECG board 1 13 M04 060009 Stud M3 14 1 14 9200 20 10677 Insulating plate of mounting pl...

Page 78: ...e done by Mindray engineers The local office of Mindray at your region will be pleased to provide you with the information about the maintenance contract 6 2 Cleaning Do switch off the patient monitor...

Page 79: ...owest concentration under the instructions by the manufacturer Prevent the ingress of liquid to the enclosure Prevent any part of the system from being dipped In sterilization do not spill the liquid...

Page 80: ...P N 9201 20 35991...

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