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A.T.S. 3000 AUTOMATIC TOURNIQUET SYSTEM

Operator 

& Service Manual

Zimmer A.T.S.

®

 

3000

 AUTOMATIC TOURNIQUET SYSTEM

REF 60-3000-101-00

Summary of Contents for A.T.S. 3000

Page 1: ...A T S 3000 AUTOMATIC TOURNIQUET SYSTEM Operator Service Manual Zimmer A T S 3000 AUTOMATIC TOURNIQUET SYSTEM REF 60 3000 101 00 ...

Page 2: ...OF REMEDIES In no case shall Zimmer Inc be liable for any special incidental or consequential damages whether based on breach of warranty or other legal theory whether or not such damages are foreseeable Some states do not allow limitations on warranties or on remedies for breach in certain transactions In such states the limits in this paragraph and the preceding paragraph do not apply WARRANTY C...

Page 3: ...ressure LOP Determination 11 2 7 Single Cuff Operation 13 2 8 Dual Cuff Operation 14 2 9 Bier Block Cuff Operation IVRA 15 2 10 Speaker Volume Setting 15 2 11 Contrast Display Setting 15 2 12 Alarm Conditions 15 3 0 MAINTENANCE 3 1 General Maintenance Information 24 3 2 Access to Parts 24 3 3 Limb Occlusion Pressure LOP Sensor Cleaning and Disinfecting 24 3 4 Periodic Maintenance 24 3 5 Calibratio...

Page 4: ...RF 22 2 7 EMC Guidance and Declaration EMC Immunity Separation Distances 23 3 1 Board Plug Designators 24 3 2 Troubleshooting 29 3 3 Expected Test Point Readings 31 3 4 Parts List 32 ILLUSTRATIONS 1 A T S 3000 Overview front 33 2 A T S 3000 Overview rear 34 3 Main and Second Calibration Kit Setup 35 4 Battery Removal Overview 35 5 Rear Power Cord Cover Removal 36 6 Rear Clamp Removal 36 7 Wiring V...

Page 5: ...e second charging session Power Cord Type SJT or international equivalent of HO5VV F AWG 16 1 31mm2 14 ft 4 27 m Power Plug Hospital grade 3 prong straight blade 15 amp or proper equivalent power plug Line Protection 2 time delayed 1 0 amp 250 volt fuses CONTROLS ON STANDBY Button Turns the unit ON sets unit to STANDBY PRESSURE Button Used in conjunction with the shuttle knob to adjust the pressur...

Page 6: ...D Visual indicator to show the LOP function has been invoked Cuff Pressure Range 50 475 mmHg 1 mmHg increments Pressure Accuracy 3 mmHg 50 475 mmHg Pressure Regulation 4 mmHg of set point 10 second average under non transient conditions without external leaks Maximum Pressure 475 mmHg cuffs Time Alarm Set Range 5 240 minutes 1 minute increments Timer Accuracy 0 25 of elapsed time Internal Diagnost...

Page 7: ... is not suitable for use in the presence of flammable anesthetic or gases Emissions Immunity The A T S 3000 Tourniquet System complies with EMC criteria set forth in EN 60601 1 2 The user of this device should be aware that precautions should be taken in regards to EMC The device should be installed and used according to the EMC information provided in the instructions for use See EMC Guidance Tab...

Page 8: ...tructions of the cuff manufacturer should be followed carefully Do not use an elastic bandage for exsanguination in cases where this will cause bacteria exotoxins or malignant cells to spread to the general circulation or where it could dislodge thromboemboli that may have formed in the vessels The tourniquet cuff must be applied in the proper location on the limb for a safe period of time and wit...

Page 9: ...ened by elevation of the limb If full color does not return within 3 to 4 minutes after release the limb should be placed in a position slightly below body level Whenever IVRA Bier Block anesthesia is used it is recommended that the tourniquet remain inflated for at least 20 minutes from the time of injection WARNING Cuffs will not deflate in STANDBY mode Ensure cuffs are fully deflated before set...

Page 10: ... 5 INFLATE buttons Inflation of the respective cuff is initiated by depressing the INFLATE button 6 DEFLATE buttons Deflation of the respective cuff is initiated by depressing the DEFLATE button For greater safety the DEFLATE button has a delay and therefore must be held for approximately 2 seconds before the unit will allow a cuff to deflate 7 ALARM SILENCE button The ALARM SILENCE button will si...

Page 11: ...d in the following steps exactly as indicated Failure to do so indicates that a problem may exist and the device is not to be used until necessary repair or calibration has been made 1 Connect the power plug of the unit to a properly polarized and grounded power source with voltage and frequency characteristics compatible with the specifications listed in Section 1 1 Observe that the green AC Main...

Page 12: ... mmHg Both PRESSURE displays should read 250 5 mmHg i Increase the pressure to 475 mmHg Both PRESSURE displays should read 475 5 mmHg j Decrease the pressure to 0 mmHg and remove the calibration hose assembly from the unit The PRESSURE displays should return to 0 mmHg k Press and hold in the Main Cuff INFLATE and Main Cuff DEFLATE buttons to advance to the reservoir calibration check NOTE At this ...

Page 13: ...ing the TIME and PRESSURE buttons simultaneously for each respective cuff time 2 6 LIMB OCCLUSION PRESSURE LOP DETERMINATION NOTE Limb Occlusion Pressure LOP determination is not intended for use in pediatric procedures The patient s limb occlusion pressure is the lowest pressure required to stop the flow of blood in the extremity The A T S 3000 has the ability to estimate the patient s limb occlu...

Page 14: ...ain Cuff or Second Cuff port connectors The Main Cuff and Second Cuff both have the ability to perform the LOP function NOTE If the LOP determination is performed on the Main Cuff all readings and recommendations are for the Main Cuff only If the LOP determination is performed on the Second Cuff all readings and recommendations are for the Second Cuff only c Connect the LOP pulse sensor to the LOP...

Page 15: ... the corresponding PRESSURE button During this activity the RTP in step 4 will temporarily be cleared from the display but will return following a 3 second delay 6 If the RTP from the first LOP determination is higher than the second RTP turn the Shuttle Knob and follow the procedure in Section 2 4 3 c to adjust the second RTP to equal the first RTP 7 If the RTP from the first LOP determination is...

Page 16: ... degrees and steady pressure should be applied to the incision with sterile dressings 5 The cuff is inflated by pressing the red Main Cuff INFLATE button The unit will pressurize the Main Cuff to the set pressure and start the elapsed inflation time alarm clock The Main Cuff inflation information will be displayed on the LCD screen If the unit cannot pressurize the cuff to within 15 mmHg of the se...

Page 17: ...iate actions are shown in Table 2 1 The appropriate actions indicated are based on the most probable causes and should only be used as a guide Other causes of alarm conditions may indicate a need for other actions In addition to the conditions shown in Table 2 1 it is conceivable that a malfunction could occur for which the indications are unintelligible and unpredictable In this 15 5 When both cu...

Page 18: ...rator that a substantial leak is present a pressure alarm is declared when this type of leak is continuously present for more than 9 seconds If a pressure alarm occurs and the displayed pressure is not more than 15 mmHg from the set point then this type of substantial leak has been detected and all cuffs and pneumatic fittings should be checked for leaks Table 2 1 Alarm Condition CONDITION PRESSUR...

Page 19: ...L M CALIBRATION MAIN or CAL 2 CALIBRATION SECOND indicates a cuff transducer circuitry is out of calibration Pressure in error by at least 6 mmHg will cause these failures Calibrate the unit CALIBRATION OUT OF SPEC A transducer calibration is out of specification CAL FAIL Indicates general calibration fail Calibrate the unit AMPLIFIER FAILURE Amplifier is out of range AMP FAIL Cycle the ON STANDBY...

Page 20: ...y Do not use the LOP function follow normal tourniquet procedures LOP pulse sensor attached to incorrect limb normal CHECK SENSOR Attach LOP pulse sensor to correct limb and retry Replace LOP pulse sensor with known good working sensor and retry If problem persists service the unit LOP procedure stopped normal STOP A front panel button may have been pressed while in the LOP function Wait for the m...

Page 21: ...L Incorrect calibration point was detected Calibrate unit If problem persists note error code and contact manufacturer E017 CAL FAIL Calibration error was detected Calibrate unit If problem persists note error code and contact manufacturer E018 CAL M FAIL Main cuff transducer calibration error was detected Calibrate unit If problem persists note error code and contact manufacturer E019 CAL 2 FAIL ...

Page 22: ...vironments specified below The customer or the user of the A T S 3000 should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 8 kV air 6 kV contact 230 Vac 50 Hz battery 8 kV air 230 Vac battery Floors should be wood concrete or ceramic tile If floors are cov...

Page 23: ...l environment If the user of the A T S 3000 requires continued operation during power mains interruptions it is recommended that the A T S 3000 be powered from an uninterruptible power supply or a battery The A T S 3000 is equipped with a backup battery in the event of power mains interruptions Consult the Operator and Service Manual for additional specifications Power frequency 50 60 Hz magnetic ...

Page 24: ... in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance levels in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propa...

Page 25: ...quipment Rated maximum output power of transmitter W Separation distance according to frequency transmitter m 150 kHz to 80 MHz d 1 2 P 80 MHz to 800 MHz d 1 2 P 800 MHz to 2 5 GHz d 2 3 P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimat...

Page 26: ...amage tubing should not be disconnected at the transducer NOTE Failure to plug the electrical or pneumatic components into the correct associated receptacle can result in damage to the control board When reassembling the unit be extremely careful not to pinch any wiring or tubing 3 3 LIMB OCCLUSION PRESSURE LOP SENSOR CLEANING AND DISINFECTING Clean or disinfect the sensor before attaching to a ne...

Page 27: ...oughout this procedure the TIME display s will indicate the pressure in which the user is calibrating 3 For zero allow the port to be open to atmospheric pressure so the unit can sense the zero point i e when setting the zero point nothing should be connected to the cuff ports Press the Main PRESSURE button the unit will calibrate the zero pressure The unit will beep to let the user know the set p...

Page 28: ...to the unit and have now been saved into the non volatile memory NOTE If the CALIBRATION COMPLETE message is not displayed the calibration is incomplete and the adjustments will not be saved Be certain to end the calibration session by simultaneously pressing the Main Cuff INLFATE and Main Cuff DEFLATE buttons and verify the CALIBRATION COMPLETE message is displayed If any pressure setting is off ...

Page 29: ...unit is plugged into an acceptable AC Mains outlet The charger automatically sequences through several charge states based on the battery voltage and charging current conditions Based on a charger test the best charge mode is selected No maintenance is required of the battery charging circuit The life of the battery depends on the type of service and the storage method Battery replacement will nee...

Page 30: ...ons and is not able to display the correct failure message The unit should be serviced if this occurs The calibration error message CAL FAIL CAL M FAIL or CAL 2 FAIL may be due to defective circuitry or may simply indicate the need for calibration 3 10 TROUBLE SHOOTING GUIDE To aid in unscheduled maintenance Table 3 2 delineates a number of possible malfunctions that could occur with the unit The ...

Page 31: ...e Valve s electrical harness damaged f Defective valve driver circuitry 3 No green AC Indicator light a Unit not plugged into wall outlet b No power at wall outlet c Mains AC harness not properly plugged into P2 d Blown fuse s e Membrane Panel not properly plugged into P8 f Defective AC indicator g Defective AC indicator circuitry 4 No flashing orange Battery Indicator light a Unit running on AC b...

Page 32: ... c Unit not plugged into wall outlet verify the green AC indicator is illuminated d Mains AC harness not properly plugged into P2 verify the green AC indicator is illuminated e Unit was not permitted to charge for at least 24 hours f Defective battery g Defective battery charging circuitry 11 AMP FAIL alarm a Transducer s amplifier out of range b Battery fully depleted or defective c Extremely hig...

Page 33: ...ration Voltage will vary while on battery operation and condition of battery TP3 N A N A Not used for any measurement high voltage DC common only TP4 DC Common 50 mV DC common supply TP5 5 0 Vdc 0 2 5 Volt DC switch mode supply TP6 13 6 Vdc 1 0 Nominal system voltage Voltage will vary while on battery operation and condition of battery TP7 14 0 Vdc 1 0 Bulk system voltage 0 Vdc while on battery op...

Page 34: ... Drawer 5 x 20 mm 62117900100 1A Time Delay Fuse 1 4 x 1 1 4 in 62210001900 Battery Plate 62210002000 Battery Clamp 62210009600 Operator Service Manual English 622100096DE Operator Service Manual German Replacement Part Number Description 622100096DK Operator Service Manual Danish 622100096ES Operator Service Manual Spanish 622100096FI Operator Service Manual Finnish 622100096FR Operator Service M...

Page 35: ...MAINS Indicator 8 ON STANDBY Button 9 Second Cuff DEFLATE Button 10 Second Cuff INFLATE Button 11 LOP Sensor Holder 12 Orange Backup Battery Indicator 13 Second Cuff Ports 14 LOP Port Socket 15 Main Cuff Ports 16 Quick Reference Cards 17 Main Cuff DEFLATE Button 18 Main Cuff INFLATE Button 19 Red Alarm Indicator 20 Yellow LOP Indicator 21 Main Cuff LOP Button 22 Main Cuff TIME Button 23 Main Cuff ...

Page 36: ...QUET SYSTEM 34 2 REAR CASE VIEW 1 2 3 4 5 6 7 8 1 Power Cord 2 Cord Pole Clamp Cover 3 Potential Equalization Conductor Stud 4 Factory Test Port 5 Pole Clamp 6 Mains Fuse Block 7 Rear Case and Handle Screws 8 Bottom Feet Case Screws ...

Page 37: ... of 0 to 700 mmHg 2 Pressure Regulator Source adjustable from 0 to 700 mmHg minimum 3 Calibration Hose Kit included with unit Removing the Battery Easiest if unit is mounted to stand 1 Remove two 2 screws from Battery Plate Removing the Battery Continued 2 Carefully slide the bottom Battery Plate to the left and away from front of unit Battery will drop out Caution battery is heavy ...

Page 38: ...e the process to reassemble Removing the Rear Power Cord Clamp Cover 1 Remove the 4 6 nuts holding the Cord Pole Clamp Cover 6 7 Removing the Pole Clamp 1 Remove the two 2 Pole Clamp screws from the rear Disconnecting wiring from control board 1 Use caution when disconnecting wiring from printed circuit board headers 2 Mark wires before disconnecting and see Section 3 2 Table 3 1 for proper re con...

Page 39: ...ceeding See illustrations 5 and 6 3 Remove the power cord from the back of the unit 4 Remove the two screws from the rear bottom feet 5 Remove the rear handle screws one on each side of the handle 6 Slide the rear cover away from the front cover 7 Remove mufflers from inside of rear case 8 Reverse the process to reassemble Be extremely careful not to pinch any wiring or tubing when reassembling ...

Page 40: ... Port Header P12 4 Speaker Header P13 5 LOP Sensor Socket Header P9 6 Shuttle Knob Retaining Washer Screw not shown 7 Front Membrane Header P8 8 Battery Header P10 9 Battery Fuse F1 10 Second Cuff Valve Header P6 11 ON STANDBY Header P11 12 ALARM SILENCE Header P1 13 Not Used Development Ports Only P4 14 AC Power Input Header P2 15 Power Supply Area 16 Pneumatic Pump P14 ...

Page 41: ...cid Battery that must be recycled Do not dispose of battery in trash This product contains one or more toxic or hazardous substances or elements The Environmental Protection Use Period on the logo refers to the period in years which toxic or hazardous substances or elements contained in the product will not leak or mutate under normal operating conditions h P d M f CAUTION Federal law USA restrict...

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Page 44: ...evision 12 10 2005 2010 Zimmer Surgical Inc Printed in U S A 62210009600 ENG Zimmer U K LTD 9 Lancaster Place South Marston Park Swindon Wiltshire SN3 4FP United Kingdom M Zimmer Surgical Inc 200 West Ohio Avenue Dover Ohio 44622 U S A 0086 P ...

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