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Visualizar Anexo, Notas de estudo de Cultura

Cardioversores

Tipologia: Notas de estudo

2011

Compartilhado em 10/10/2011

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TEC-5500
DEFIBRILLATOR
0634-002155
TEC-5521C
TEC-5531C
TEC-5521E
TEC-5531E
TEC-5521K
TEC-5531K
SERVICE MANUAL
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TEC-

DEFIBRILLATOR

TEC-5521C
TEC-5531C
TEC-5521E
TEC-5531E
TEC-5521K
TEC-5531K

SERVICE MANUAL

Tradmark

The mark printed on the holter card and SD card adapter that are used in this instrument is a trademark. The company name and model name are trademarks and registered trademarks of each company.

Service Manual TEC-5500 i

GENERAL HANDLING PRECAUTIONS

This device is intended for use only by qualified medical personnel.

Use only Nihon Kohden approved products with this device. Use of non-approved products or in

a non-approved manner may affect the performance specifications of the device. This includes,

but is not limited to, batteries, recording paper, pens, extension cables, electrode leads, input

boxes and AC power.

Please read these precautions thoroughly before attempting to operate the instrument.

**1. To safely and effectively use the instrument, its operation must be fully understood.

  1. When installing or storing the instrument, take the following precautions:** (1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly ventilated areas, and dust, saline or sulphuric air. (2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport. (3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage. (4) The power line source to be applied to the instrument must correspond in frequency and voltage to product specifications, and have sufficient current capacity. (5) Choose a room where a proper grounding facility is available. 3. Before Operation (1) Check that the instrument is in perfect operating order. (2) Check that the instrument is grounded properly. (3) Check that all cords are connected properly. (4) Pay extra attention when the instrument is in combination with other instruments to avoid misdiagnosis or other problems. (5) All circuitry used for direct patient connection must be doubly checked. (6) Check that battery level is acceptable and battery condition is good when using battery-operated models. 4. During Operation (1) Both the instrument and the patient must receive continual, careful attention. (2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety. (3) Avoid direct contact between the instrument housing and the patient. 5. To Shutdown After Use (1) Turn power off with all controls returned to their original positions. (2) Remove the cords gently; do not use force to remove them. (3) Clean the instrument together with all accessories for their next use. 6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is **not functioning properly, it should be clearly marked to avoid operation while it is out of order.
  2. The instrument must not be altered or modified in any way.
  3. Maintenance and Inspection:** (1) The instrument and parts must undergo regular maintenance inspection at least every 6 months. (2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect operating condition.

ii Service Manual TEC-

(3) Technical information such as parts list, descriptions, calibration instructions or other information is available for qualified user technical personnel upon request from your Nihon Kohden distributor.

9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or location of electrodes and/or transducers to avoid possible burn to the patient.

WARRANTY POLICY

Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded from the warranty.

NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period, provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.

No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any other warranty, either implied or in writing. In addition, service, technical modification or any other product change performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding this warranty.

Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure. Shipping costs must be pre-paid.

This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism, water or other casualty, improper installation or application, or on which the original identification marks have been removed.

In the USA and Canada other warranty policies may apply.

CAUTION

United States law restricts this device to sale by or on the order of a physician.

iv Service Manual TEC-

Caution - continued

  1. Use of unspecified configuration When the equipment and/or system is used with the unspecified system configuration different than the configuration of EMC testing, it may cause increased electromagnetic emission or decreased electromagnetic immunity. Only use this equipment and/or system with the specified configuration.
  2. Measurement with excessive sensitivity The equipment and/or system is designed to measure bioelectrical signals with a specified sensitivity. If the equipment and/or system is used with excessive sensitivity, artifact may appear by electromagnetic interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the surrounding electromagnetic conditions and remove this artifact source.

If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden distributor or representative for additional suggestions.

For EMC compliance, refer to “Specification - Electromagnetic Compatibility” in the Reference section

The CE mark is a protected conformity mark of the European Community. The products herewith comply with the requirements of the Medical Device Directive 93/42/EEC.

Service Manual TEC-5500 v

Conventions Used in this Manual and Instrument

Dangers, Warnings, Cautions and Notes

Dangers, Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.

DANGER

A danger is used to alert the user to a hazardous situation which will cause death or serious injury.

WARNING

A warning alerts the user to the possible injury or death associated with the use or misuse of the instrument.

CAUTION

A caution alerts the user to possible injury or problems with the instrument associated with its use or misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other property.

NOTE

A note provides specific information, in the form of recommendations, prerequirements, alternative methods or supplemental information.

Service Manual TEC-5500 vii

On LCD

Symbol Description Symbol Description

Battery fully charged Add Z-fold recording paper

More than 2/3 battery charge remains QRS sync mark

More than 1/3 battery charge remains

The point of implanted pacemaker pulse output

Battery power for one 270 J charging remains AC power operation

Battery operation not available Alarm off

Real time/delayed recording Event recording

SD card inserted Cannot write to the SD card

Writing to the SD card Can eject SD card

ECG cascaded display Report recording

AED analysis paused SpO 2 pulse wave unstable

CPR start VF/VT alarm off

1 3

0

viii Service Manual TEC-

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1C.2 Service Manual TEC-

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Service Manual TEC-5500 1.

1. GENERAL

Introduction

This service manual provides useful information to qualified service personnel to understand, troubleshoot, service, maintain and repair this TEC-5500 series defibrillator

The information in the operator’s manual is primarily for the user. However, it is important for service personnel to thoroughly read the operator’s manual and service manual before starting to troubleshoot, service, maintain or repair this defibrillator. This is because service personnel needs to understand the operation of the defibrillator in order to effectively use the information in the service manual.

Functions TEC-5521 TEC-

External paddles Standard Standard

Internal paddles Option Option

Disposable pads Option Option

Defibrillation and synchronized cardioversion

Pediatric electrode assy 44 mm φ Option^ Option

3 lead ECG Standard Standard

AED function Standard Standard

Noninvasive pacing Not available Standard

SpO 2 measurement Option Option

CO 2 measurement Option Option

Voice prompt Standard Standard

5 lead ECG Option Option

External ECG input Option Option

External ECG output Option Option

SD card slot Standard Standard

Sound recording Standard Standard

Models and Functions

Service Manual TEC-5500 1.

1. GENERAL

Caution - continued

Transport

  • Use the specified shipment container and packing material to transport the defibrillator. If necessary, double pack the defibrillator. Also, put the defibrillator into the shipment container after packing so that the buffer material does not get into the inside of the defibrillator.
  • When transporting a board or unit of the defibrillator, be sure to use a conductive bag on. Never use an aluminum bag when transporting a board or unit on which a lithium battery is mounted. Also, never use a styrene foam or plastic bag which generates static electricity to wrap the board or unit of the defibrillator.

Handling the defibrillator

  • Because the outside surface of the defibrillator is made of resin, the outside surface of the defibrillator is easily damaged. So when handling the defibrillator, remove clutter from around the defibrillator and be careful to not damage the defibrillator or get it dirty.
  • Because most of the boards in the defibrillator are multilayer boards with surface mounted electrical devices (SMD), when removing and soldering the electrical devices, a special tool is required. To avoid damaging other electrical components, do not remove and solder SMD components yourself.

Measuring and Test Equipment Maintain the accuracy of the measuring and test equipment by checking and calibrating it according to the check and calibration procedures.

1.4 Service Manual TEC-

1. GENERAL

Service Policy, Service Parts and Patient Safety Checks

Service Policy Our technical service policy for this defibrillator is to replace the faulty unit, board

or part or damaged mechanical part with a new one. Do not perform electrical device or component level repair of the multilayer board or unit. We do not support component level repair outside the factory for the following reasons:

  • Most of the boards are multilayer boards with surface mounted electrical devices, so the mounting density of the board is too high.
  • A special tool or high degree of repair skill is required to repair the multilayer boards with surface mounted electrical devices.

Only disassemble the defibrillator or replace a board or unit in an environment where the defibrillator is protected against static electricity.

As background knowledge for repair, pay special attention to the following:

  • You can reduce the repair time by considering the problem before starting repair.
  • You can clarify the source of most of the troubles using the information from the troubleshooting tables. Refer to “Troubleshooting“ of this manual.

Refer to “Replaceable Parts List” of this manual for the service parts for technical service that we provide.

NOTE

When ordering parts or accessories from your Nihon Kohden representative, please quote the NK code number and part name which is listed in this service manual, and the name or model of the unit in which the required part is located. This will help us to promptly attend to your needs. Always use parts and accessories recommended or supplied by Nihon Kohden Corporation to assure maximum performance from your defibrillator.

Service Parts