System 98 Datascope’INTRODUCTION CONTENTS Chapter 1. Operation 2 Theory of Operation 3. Specifications 4. Repair Information 5. Schematics 6. Parts 7. Calibration 8. Preventive Maintenance FOREWORD This Service Manual is intended as a guide for cechnically qualified personne! during repair and calibration procedures. The information has been divided into the eight chapters listed above. A detailed table of contents is provided on che firse page of each chapter. This publication may have been updated to reflect product design changes and/or manual improvements. Any such changes co this manual would be accomplished by supplying replacement pages and instructions for inserting or affixing them into che manual NOTE Unauthorized servicing may void the remainder of the warranty. Check with the faccory of with a local authorized Datascope representative to determine the warranty status of a particular instrument WARNING The System 98 operates on line voltages. Therefore, an electric shock hazard may exist when the instrument covers are removed. Repair and calibration procedures should only be performed by qualified personnel who proceed with care and | follow proper servicing cechniques. Warnings are given in Chapters 4 and 7, as well as in other appropriate locations System 98 Service Manual IntroductionCopyright © Dacascope Corp., 1998. Printed in U.S.A. All rights reserved. Contents of chis publication may nor be reproduced in any form wichout permission of Datascope Corp. System 98 Service Manual IntroductionOPERATION CONTENTS OF THIS CHAPTER 1.1 Introduction 1.2 Conttols and Indicators 1.3 Operation NOTE: Complete Table of Contents for sections 1.2 and |.3 are listed on the first page of each, 1.1 INTRODUCTION This section of the Service Manual provides general information about the instrament. Sections 1.2 and 1.3 are included as review of inscrument functions and operation, although the reader is encouraged to refer to che Operating Instructions, P/N 0070-00-0402, for more complete details. P: 1 age l 2 5 System 98 Service Manual Chapter 1, Operation TI1.2 CONTROLS AND INDICATORS ‘This section of che Operating Instructions identifies and describes each feature and concrol of the System 98. For step-by-step operating inscructions see Section 1.3 "Operation." Refer to the section and page numbers listed below for the location and description of a specific feature, control, or display "Section Number Page Number ‘Description Control/Display | | Number Tigges Sheed | IABP Control Kews 6-11 Aualary Kees [Pasiene Wavetorm Caer Opcion [Rear Panel ‘Trigger Select Keys L BCG 2, Pressure 3. Incernal 4. Pacer WAV 5. Pacer A IABP Control Keys 6. IAB Frequency 7. IAB Augmentation 8. IAB Fill 9. Assise/ Standby 10.TAB Inflation 11. TAB Deflation Auxiliary Keys 12. ECG Gaia 15. Pressure Threshold 14 Internal Rate 15. UP. ¢ DOWN 16. Normal Patient Waveforms Keys 7. ECG LEADIEXT. 18. Pressure Source 19. Inflation fncerval 20, Freeze Display User Options Keys Ref Line Aug. Alarm ‘laren Volume UP & DOWN Change Selec: Done 27, Preferences Mem Princer Menu Help Screen Zero Pressure Peine Strip Alarm Mure Override Keys 33, Slow Gas 34. IAB Fill Mode 35. Timing Display Screen, 36, Alarm Messages Advisories 38. ECG Lead Fron: Pane! 39. BCG Gain 40, Pressure Source and Scale 41 IAB Seatus 42. Trigger 43. Heart Rate 44. Systolic 45, Diastolic 46. Mean 47. Aug Aug. Alarm Battery Indicator Helium Indicator 5, Waveforms “Timang Markers Trigger Indicator ‘Time in Standby BP Waveform Tick Marks Rear Panel 58. IAB Catheter Extender Input 59. Trainer Input DC Output (CRM ECG Inpur Pressure Inpur Mains ON/OFF 67. Phone Line . System Timer 69, 70. Equipotenial Lug Pressure (Monitor Inpuc) ECG (Monitor Inpuc) 2. ECG! Pressure Ouspue 75, Manual Fill Pore Drain Pore IAB Fill Pore Helium Pressure Gauge Front Panel 77 IABP ONIOFF 78. Baccery Charging LED 12 System 98 Service Manual Chapter 1, Operation1.2.1 TRIGGER SELECT KEYS The five individual Trigger Select keys illuminate when activated. They are used co select the one signal by which the balloon pump is triggered and sychronized to the cardiac cycle. Each of the five keys are described below Figure 1-1 Trigger Select Keys ECG The System will trigger on the patienc’s R-wave, The ECG signal source can be from either patient clecceodes or an external ECG signal ‘ PRESSURE The System will crigger on the sytolic upstoke of the paciene’s arterial pressure waveform. The signal source can be either the pressure transducer or an external pressure signal, The pressure transducer must be zeroed to pump in the pressure trigger mode, When in the pressure trigger mode, this key can also be pressed to manually initiate an instantaneous resynchronization. INTERNAL The System will trigger from a built in timer asynchronous with the cardiac eyele. Trigger rate is adjustable from 40 to 120 bpm using the UP and DOWN arrow keys located in the Auxiliary Keys group. In the presence of a valid QRS complex, the System automatically deflates the [AB on each R-wave detected. The "ECG detected" alert message and a tone are generated. System 98 Service Manual 73 Chopter 1, OperationPACER WA-V The System will automatically identify and display which of the two pacer types, Ventricular or Acrio-Vencricular is present. The System eriggers on the vencricular pulse in either case. The patient must be 100% paced and captured (.e., no demand pacing). The ECG signal source can be either patient electrodes ot an external ECG signal. Electro-surgical noise interference automatically suspends pumping and activates "Trigger Interference” alarm message and tone. The IAB remains deflated uncil ESU noise interference stops. PACER A ‘The System will trigger on the patient's R-wave without interference from acrial pacer artifact. The ECG signal source can be either patient electrodes or an external ECG signal. This mode is recommended only if atrial pacer tails interfere with R-wave detection when using the ECG trigger mode. Fixed or demand atrial pacing can be used in this trigger mode. System 98 Service Manual Chapter 1, Operation1.2.2 IABP CONTROL KEYS Figure 1-2 |AB CONTROL KEYS 6. IAB FREQUENCY Press this key to select the ratio of augmented cardiac cycles to actual cardiac cycles. Selections available are every beat assisted (1:1), every other beat assisted (1:2), or every third bear assisted (1:3). The selected LAB frequency is indicaced by illuminated LED indicators. When either 1:2 oF 1:3 is selected, both the assisted and unassisted systolic and diastolic pressures are displayed and may be printed. They are labeled accordingly 7. IAB AUGMENTATION . Pressing the UP and DOWN arrow keys will adjust the time interval, from OFF to MAX, during which drive pressure is epplied to the safety disk. This interval determines che gas volume displaced from che safety disk into the patient balloon, 8. IAB FILL Press and hold for 2 seconds to initiate the IAB gas purge and fill cycle. Also used to perform the Safecy Disk Leak Test by holding ic pressed and turning the power on simultaneously 9. ASSIST/STANDBY tess ¢0 initiate or suspend balloon pumping. The key is continuously illuminated in the Standby Mode and flashes during the inflation period in the Assist Mode. Whenever the ASSIST/STANDBY key is pressed for che first time following system power-up, a rapid start feature will expedite the start of IAB assist (see Section 1.3.2.12 for details). System 98 Service Manual rs Chapter 1, Operation10. IAB INFLATION Slide control which adjusts the time duration between che crigger event and the beginning of the IAB inflation. 11, IAB DEFLATION Slide control which adjusts che time ac which the scart of IAB deflation occurs. Deflation will occur at this time or upon trigger detection, whichever occurs first. rs System 98 Service Manval Chapler 1, Operation1.2.3 AUXILIARY KEYS Figure 1-3 AUXILIARY KEYS, 12. ECG GAIN The ECG GAIN LED is illuminated when ECG, PACER V/A-V or PACER A is selected as the trigger source, When ECG GAIN is illuminated and the NORMAL key is pressed, a fixed gain (x1000) ECG signal is used for criggering che System 98. When either of the ARROW’ keys are pressed, the ECG signal gain can be varied over a range of 0.15 x Normal Gain to 3.0 x Normal Gain. The ECG Gain setting is posted in the "ECG GAIN’ field on the display. 13. PRESSURE THRESHOLD. ‘The PRESSURE THRESHOLD LED is illuminated when PRESSURE is selecced as the trigger source. When PRESSURE THRESHOLD is illuminated and the NORMAL key is pressed, the System will aucomatically select the optimal chreshold value and adapt to changes in systolic pulse height. When either ARROW key is pressed, che blood pressure trigger threshold can be manually adjusted in fixed steps of | mmHg within a 7 co 30 mmMlg range. The current chreshold is posted with the trigger source in the "Trigger" Hield on the display. The arterial waveform is also annotated to indicace when the system triggered and what poinc it «riggered on. NOTE: When manually adjusting Pressure Threshold, reassess the proper timing of balloon inflation and deflation and correct as required. 14, INTERNAL RATE The INTERNAL RATE LED is illuminated when INTERNAL is selected as the trigger source. When INTERNAL RATE is illuminated and the NORMAL key is pressed the internal rigger rate is set co 80 bpm. When either ARROW key is pressed, the internal crigger rate is adjusted by 5 bpm over che range of 40 - 120 bpm. The current internal rate is posted in the “heart race" field of the display. System 98 Service Manual v7 Chopter 1, Operation