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Patient Monitor
SERVICE MANUAL
Intellectual Property Rights
Shanghai 3F Electronics Co., Ltd. has the copyright of this service manual and
also can require it as confidential data. This manual is only referred to the
maintenance and service of IRIS Vital Sign Monitor. This manual and
intellectual property rights (include copyright) belong to 3F Electronics Co.,
Ltd. Without the written approval of 3F, no one can use, publish or allowing
other people to get the information of this manual at any way. Without the
advanced permission of 3F, no one can take pictures, copy, print or translate
the content into other language.
Announcement
Ø 3F reserves the right of final explanation about this service manual.
Ø 3F reserves the right that update this manual without advanced notice.
Ø 3F reserves the right to change the monitor's specifications without
advanced notice.
Ø 3F doesn't guarantee this manual in any form.
3F is responsible for the effects of safety, reliability, and performance only if:
l Assembly operations, extensions, readjustments, modifications, or
repairing is carried out by 3F technical personnel or 3F's authorized
agent.
l The electrical installation complies with the requirements of the
appropriate government regulations.
l The instrument must be connected to the ground correctly.
l The monitor is used in accordance with the operation manual.
Guarantee
The range of free service:
The instrument, listed in the range of maintenance item can have the free
service.
Essential Guides for the Users
Warning: All Users must read following warnings and guide before
operating the Monitors. Any abnormalities or malfunction of the
monitor or body harms caused by the violations of the operational
guides will not be responsible by our company, nor any warranties
will be made by us.
l Do not touch the patient in defibrillation. Otherwise, it may lead to serious injury
or death.
l All cables must be away from patient’
s throat to avoid asphyxia.
l When using together with pacemaker or other electric equipment, all other
parts can’t be connected with patients, except the defibrillation ECG cable
supplied by pacemaker of 3F.
l The high frequency electrical bistoury can’t be touched the electrode when use
it together with the monitor, in order to avoid of burning the patients.
l Forbidden to place the electrode onto the injured or edematous site to prevent
infection.
l Blood pressure measurement mode are forbidden to use in the blood pressure
monitoring or test for neonates to prevent injuries.
l Do not measure the blood pressure on the limbs with catheter or infusion.
Do not put on the cuff at or near the wounded position.
l Local bleeding may be caused when using the blood pressure monitoring in the
patients with severe bleeding tendency. Be careful to use on the patients with
sickle cell disease.
l Forbidden to place the blood oxygen sensor onto the injured skin, edematous
or fragile tissues.
l Discom fort or pain may be caused by the continuous use of the clip type of
blood oxygen sensor especially in patients with micro-circulation disorder.
Better not to place the sensor over 2 hours at the same place.
l Non-disposable accessories should be sterilized before it is used on next
patient to prevent cross infection.
l Opening the apparatus by the unauthorized personnel of our company is
forbidden.
l Don’t need to note the user when the types of the accessories are changed.
l To the disposal of package waste, please deal with by the local waste law.
Terms for safety and symbols
The list of the symbols used in this instrument is as follows:
Symbol for “caution, consult accompanying documents”
CE mark, when a device has been past CE test, we must put the CE
mark on the device. And the CE NB number should be after the symbol.
a. The sym bol shall be accompanied by the name and the address of the
manufacturer, adjacent to the symbol. The address is not required with
the symbol on an immediate container as specified in EN375 AND
EN376, except when the immediate container is also the outer container.
b. The relative size of the symbol and the name and address is not
specified.
a. The symbol shall be accompanied by the name and the address of the
authorized representative in the European Community, adjacent to the
symbol. The address is not required with the symbol on an immediate
container as specified in EN375 AND EN376, except when the
immediate container is also the outer container.
b. The relative size of the symbol and the name and address is not
specified.
Smbol for “do not reuse”, “single use”, “use only once”
Content
CONTENT
Chapter 1 Complete Appliance Introduction .......................................1-1
1.1 Overview...............................................................................1-1
1.2 Model....................................................................................1-1
1.3 Appearance...........................................................................1-2
Chapter 2 Parameters and Theory.....................................................2-1
2.1 Summary ..............................................................................2-1
2.2 Parameters and Theory.........................................................2-2
2.2.1 ECG............................................................................2-2
2.2.2 Respiratory (RESP) parameters..................................2-3
2.2.3 Noninvasive blood pressure (NIBP) parameters..........2-3
2.2.4 SPO2 parameter.........................................................2-3
2.2.5 Temperature (TEMP) parameters..............................2-4
Chapter 3 Inspection .......................................................................3-1
3.1 System Inspection.................................................................3-1
3.1.1 The checking for appearance and assembling.............3-1
3.1.2 Power on.....................................................................3-1
3.1.3 Configuration...............................................................3-1
3.1.4 Running Normally........................................................3-1
3.1.5 Network function .........................................................3-1
3.1.6 Clock...........................................................................3-2
3.1.7 ECG waveform output.................................................3-2
3.1.8 Long time run..............................................................3-2
3.1.9 Factory settings...........................................................3-2
3.1.10 Safety testing............................................................3-2
3.2 The Testing and Calibration of Parameters............................3-2
3.2.1 ECG and respiratory parameters testing......................3-2
3.2.2 Non-invasive blood pressure parameter test ...............3-3
3.2.3 SPO2 parameters test.................................................3-3
3.2.4 Temperature Parameters Test .....................................3-4
Chapter 4 Maintenance......................................................................4-1
4.1 Malfunction guide..................................................................4-1
4.2. Malfunction List....................................................................4-1
4.2.1 Common faults............................................................4-1
4.2.2 TEMP Function Malfunction ........................................4-2
4.2.3 Infrared Temp Malfunction...........................................4-2
4.2.4 SPO2 Function Malfunction.........................................4-3
4.2.5 ECG Function Malfunction ..........................................4-3
4.2.6 Blood Pressure Function Malfunction..........................4-4
IRIS Service Manual
Content
1.1 Overview
IRIS Vital Sign Patient monitor is one of PMS8 patient monitor series of 3F Medical
Company. It is born on the base of the 3F PMS multi-parameter monitor series. Fully
considered the increasing need of clinical applications, 3F develops IRIS with the
latest technology, making it a newly generated medical electronic product.
IRIS monitor can monitor the patient's vital physiology signals, including: ECG, RESP,
NIBP, SPO2 and TEMP. It can be used for adults, pediatric and neonatal.
IRIS uses 50HZ, 100V or 220V main power supply. The real-time data and
waveform can be displayed on 3.2 inches high definition color LCD and LED. It
displays one or two waveforms and all monitoring parameters, which can be
connected to the central network monitoring system. IRIS can be optionally
equipped with a 50mm thermal-sensitive recorder, or a 8V built-in replaceable &
rechargeable lithium battery. It has many advantages: full parameters, compact size,
clear observation, convenient usage, and can be used for emergency monitoring.
1.2 Model
Trade Model Config
MODEL CONFIGURATION
Name Code Code
210 I(bxt) NIBP, TEMP
220 I(bsx) NIBP, SpO2
PMS8210A IRIS
300 I(bst) NIBP, SpO2, TEMP
400 II(bst) NIBP, SpO2, TEMP, ECG, RESP
500 III(bst) NIBP, SpO2, TEMP, ECG, RESP, etCO2
1.3 Appearance
Keyboard
Display Recorder
plate (optional)
Main
Power Control board Net port
(optional)
ECG/
NIBP SPO2 TEMP ETCO2
Respiration (optional)
Patients
2.2.1 ECG
1 The IRIS main function of ECG:
a) Lead: 3-Lead, 5-Lead
b) Lead measurement: I, II, III, avR, avL, avF, V, CAL
c) Drive by right foot
d) Anti- defibrillation
e) Detection of lead off
f) Magnify dual channel ECG, while process the ECG signal by any two lead
measurement.
2 The processing of ECG signals is achieved by circuit of ECG parameter, and the
circuit is constructed by several parts:
a) Input electric circuit: ECG electrode is connected to the input circuit with the
ECG cable. The main function of the circuit is to protect the input port of ECG,
and signal filter out interference from the outside.
c) Right foot drive circuit: The mid-point of the output buffer amplifier circuit to the
RL of the five lead ECG by reversed amplifying to ensure the human body in an
equipotential state, thereby reducing interference and improve the circuit's
common mode rejection ratio.
d) Lead off Detection: According to lead off caused by a buffer amplifier output
level change, adjust the lead off via comparing device and converted into
TTL-level for single-chip detection.
e) Lead connecting to the circuit: In the single-chip control, enlarge the main
release according to the requirements of connecting different lead electrode
access to the main circuit.
Chapter 3 Inspection
3.1 System Inspection
Please refer to the “PMS8210A operation manual”for the usual measurement of
IRIS. So here we will not describe in detail. The following steps are to indicate the
main point of the measurement as well as some parts which is not carefully
described.
3.1.2 Power on
When the power is on, check whether the patient monitor can function properly, the
screen display is OK, and no error message; the two waveforms can show correctly
the parameters are refreshed every second, the tracking time is precise too.
3.1.3 Configuration
Users can setup related function in “MENU”, including the switch of the recorder,
ECG, type of the lead,network bed number setting and the switch of arrhythmia.
Make the network connection from a certain aspect disconnect the central station
can direct the machine to resume after the networking to connect and work normally,
the time required, see the relevant technical indicators.
3.1.6 Clock
Instructions correctly, walking evenly, not mutation, non-stop.
2 Test steps
A Connect IRIS to ECG simulator.
B Confirm the number of ECG waveforms on the screen, and accord with the
selection of EC menu.
C Configure the default values of ECG1 l and ECG2 (when ECG2 exist).
D Ensure the waveform of ECG and RESP to be ok.
E Set parameter values of simulator are as follows:
HR = 30 (gain * 4)
RR = 15
3-2 IRIS Service Manual
Chapter 3 Inspection
F Check to the waveform or values of ECG, RESP, HR and RR, are correct.
G To change the simulator's configuration:
HR = 240
RR = 120
H Check the ECG, RESP, HR, RR values set with the simulator parameter
values consistent.
I If ECG leads is off, IRIS should be reported immediately.
2 Test steps
Calibration function with the use of non-invasive blood pressure simulator, in
accordance with the "user manual" give the calibration method and calibrated to
determine the accuracy of measurement of blood pressure pump. If the
calibration passes , the following tests are perform ed:
A Simulator and monitor all set adult model.
B In the non-invasive blood pressure simulator select a group of blood
pressure measurement within the scope of value, such as:
NS = 90
NM = 70
ND = 60
C Inspection IRIS portable measuring whether the outcome of the actual
simulator set with consistent value.
D change the simulator set pressure value, re-measurement
1 Tools
SPO2 Simulator
2 Test steps
A Connect SPO2 Simulator with IRIS.
B Set SPO2 simulator parameter values are as follows:
SPO2 = 98
PR = 70
C Inspection IRIS portable SPO2 and PR display value is consistent with the
simulator. (Note: To observe PR value must be in the ECG heart rate menu
will be selected as the source of PETH.)
D Change in SPO2 Simulator SPO2 and RP settings.
1 Tools
Physiological signal simulator
2 Test steps
A Temperature sensor will take a simulator, then an IRIS portable TEMP
mouth. Through the simulator settings: TEMP = 34 ℃.
B Inspection IRIS portable screen shows the value of the TEMP for 34 ℃;
C Change the simulator settings: TEMP = 40 ℃.
D Inspection IRIS portable screen shows the value of the TEMP for 40 ℃.
Chapter 4 Maintenance
4.1 Malfunction guide
During the transport, storage and usage, there is risks damage. If the instrument has
malfunction when using, the problems can be disposed as matrix shows below. If the
malfunction can not be debugged, please contact distributor or service department.
Cannot start the machine 1.the power board is damaged 1. Replace the power board.
and the power light is off 2.the charging board is damaged 2. Replace the charging
board.
Connect the AC power, The charging board is damaged Replace the charging board.
the light is off
The screen is black when 1.LCD screen is damaged. 1. Replace the LCD screen .
power on 2.LCD board is damaged. 2. Replace the LCD board.
The connect line of LCD Re-plug or replace the
The screen is white when system board is damaged connect line
power on LCD board is damaged Replace the LCD board.
The system board is damaged. Replace the system board.
1. The connect line of LCD 1. Re-plug or replace the
The screen is dim when system board is damaged connect line
power on 2. The system board is 2. Replace the system
damaged. board.
Nixie tube is abnormal LCD board is damaged Replace the LCD board.
The function lights is not 1. LCD board is damaged 1. Replace the LCD board.
2. The system board is 2. Replace the system
light.
damaged. board.
The sound of the speaker
The alarm board is damaged. Replace the alarm board.
is abnormal.
The system time cannot The module battery is damaged Replace the module battery.
be saved. The module board is damaged Replace the module board.
Restart automatically The system board is damaged. Replace the system board.
Upgrade Procedures:
1. Turn off the IRIS and insert the SD card.
2. Turn on the IRIS, it will load the upgrade interface and finish the upgrade
automatically.
Afterward the screen will show the upgrade successfully (the indication
sentence:"System Program Update Succeeded! Please Remove SD Card and
Restart. then remove SD card, and turn off IRIS.
3. Turn on the IRIS after upgrade, IRIS will format the internal RAM space and it
requires about 1 minute finishing the format. Afterward, IRIS works as normal.
4. The firmware version and issue date are updated automatically in the menu.
Special Situation:
I. Can't load the upgrade interface directly. --- Pls. make sure the SD card meets all
our requirement and check if it is correctly inserted.
II. White-screen during the upgrade. --- make sure the white screen phenomenon
is stable, waiting more than 30 seconds and turn off the monitor and restart
manually.
III. During the upgrade, the monitor restarts automatically with a reloads of the
upgrade interface. --- It's normal; please wait patiently until the indication of
successful upgrade is shown.
IV. It is white-screen when starting the monitor after the upgrade. --- Upgrade
failure. It
has to be upgraded via USB cable by the factory engineer.
Warning: Make sure power supplier well connected, don't touch any button
during upgrade and wait more than 1 minute to view the upgrade result.
5.2 Disassembly
This chapter describes the disassembly and notes. It can help the professional
persons to operate the monitor.
Remember to remove the AC power line and take out the battery box
before disassembly.
b. Remove the connect line which connects the system board and the module
board
alarm board
system
board
system
board
LCD
screen
LCD
board
5.2.4.1 The Separation of the Module Board and the Back Panel
Remove the four screws and separate the module board and the back panel
Remove
the four
screws .
Take
module
away from
base
ECG
board
The line
is behind
the SPO2
board.
Remove the four screws and take out the blood pressure board
NIBP
board
SPO2
board
power
charging
board
Pull out the WIFI module and remove the two screws, then take out the WIFI board.
WIFI module
Remove
Remove Remove
Remove the the two
the screw. the screw.
four screws. screws.
SPO2 plug
Temp plug
NIBP plug
ECG plug
Battery
M10-70-061 IRIS Li-Battery
(4650MA)
Chapter 6 Cleaning
Cleaning IRIS should use appointed method. To avoid the pollution and damage,
please use introduced material. For the safety of the patients, please do not use
destroyed cable, sensor or accessory.
6.1 Clean
Soft fabric is acceptable during the cleaning
The main engine and power can be cleaned by soap, amino, and ethanol –based
material.
ECG cable can be cleaned by soap and amino.
The repeatable cuff can be cleaned by soap, amino, and ethanol –based material.
The repeatable IBP sensor should be cleaned by soap and amino.
The repeatable SPO2 probe should be cleaned by soap, amino, and ethanol –based
material.
The repeatable TEMP probe should be cleaned by soap, and ethanol –based
material.
6.2 Sterilize
Sterilize when it is necessary on the basis of cleanliness,
Ethanol –based and aldehyde-based cleaner should be used when sterilize the main
machine and the power box.
Aldehyde-based cleaner should be used when sterilize the ECG cable.
Ethanol –based and aldehyde-based cleaner should be used when sterilize the
repeatable cuff.
Ethanol –based and aldehyde-based cleaner should be used when sterilize the
repeatable pulse wave probe .
Bleaching agent should be used when sterilize the TEMP probe.
Note:
1. Ethanol –based: Ethanol 70%
2. aldehyde-based: formaldehyde (35~37%)
3. Bleaching agent: Diluted javel water (for washing), the concentration is
500ppm~5000ppm 。Don’t let the liquid flow or soak the machine and the
parts.
4. No liquid should be remained on any surface.
6.3 Disinfection
Disinfection must be applied on the base of cleaning. The antisepsis step is
complex, so it must be operated according to the rules of the hospital for safety.
Generally use ETO gas.
A.2 Respiration
Measuring method The thorax impedance method (used with ECG lead)
Measuring range 15~120rpm
Resolution 1 rpm
Precision The bigger one between ±2 rpm or ±2 %
Alarm setup Resp rate overruns 、asphyxiation
Alarm method sound light alarm ,and record the alarm status for review
A.3 NIBP
Method Oscillometric
Application Neonatal, pediatric and adult patients
Measurement Modes
Manual Adaptive or preset cuff inflation
Automatic Host controlled (1-90 minutes as selected by host)
STAT Restarts a new measurement after 5 or 10 second
pause (host selectable); terminates after 5 minutes
Test Mode Provides continuous output of system pressure
Data unit mmHg / kPa optional
Data storage/review 4000 blood pressure value at most
Alarm setup The range is the same as parameter measurement
range of SYS、DIA、MAP
Alarm method Sound light alarm ,and record the alarm status for
review
Measuring range
Adult Mode
SYS 40~260 (mmHg)
DIA 20~200 (mmHg)
MAP 26~220 (mmHg)
Pediatric Mode
SYS 40~160(mmHg)
DIA 20~120(mmHg)
MAP 26~133(mmHg)
Neonate Mode
SYS 40~130(mmHg)
DIA 20~100(mmHg)
MAP 26~110 (mmHg)
Resolution 1 mmHg
Transducer Accuracy ±3 mmHg, over full range
Overpressure limit
Adult/ Pediatric Mode 290(mmHg)
Neonate Mode 150(mmHg)
Puls e Rate 30-220 BPM
Pulse Rate Accuracy ±2% or ±3 BPM, whichever is greater
A.4 SPO2
SpO2
Measuring method double length infrared wave
Measuring Range 0~100%
Alarm setup range 70~100%
Resolution 1%
Precision ±2% (70~100% adult/ Pediatric)
±3% (70~100% neonate)
Unspecified (0~69%)
Pulse rate
Measuring Range 20~250bpm
Alarm setup range 20~250bpm
Precision ±3bpm (Geostationary)
Or ±5 bpm (Campaign)
Sweep speed 12.5mm/s, 25mm/s
Alarm setup SpO2 overruns 、pulse rate overruns
Alarm method Sound light alarm ,and record the alarm status for review
A.5 Temperature
Channel 1
Measuring mode Thermal
Measuring and Alarm Range 0°C~50°C (32~122°F)
Resolution 0.1 °C
Precision ± 0.1 °C
Actualization interval 1 (Sec.)
Average Time Constant < 10 (Sec.)
Data unit °C/ °F