GE Cardiocap 5 Service Manual
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Measurement Parameters 6.4.7 STP board—Invasive blood pressure measurement section Isolated +5 V voltage is supplied to the pressure transducer. From the bridge connection a differential voltage, which depends on pressure and supplied voltage, is calculated (see the formula below). Uout = Uin × Pressure × 5 V where Uin = 5 V Uout = 25 V × Pressure [mmHg] Pressure amplification is realized in the instrumentation amplifier. Gain of the amplifier is set so that the level of the signal transferred to the A/D converter stays within the measurement range even when there are circumstantial offsets or offsets caused by the transducer. A filter before the amplifier attenuates high frequency disturbances. Figure 6-17. Pressure measurement principle 6-23
Cardiocap/5 Technical Reference Manual 6.5 N-XOSAT or N-XNSAT optional pulse oximetry components 6.5.1 Datex-Ohmeda enhanced pulse oximetry components (N-XOSAT option) The Datex-Ohmeda enhanced pulse oximetry option (N-XOSAT) consists of the following parts: • Sensor connector board and cable assembly • Datex-Ohmeda pulse oximetry board (OSAT board) • SpO2 interface board The measured SpO2, pulse rate values and status information are transmitted through the connector board/cable assembly to the pulse oximetry board, then transferred to the SpO2 interface board. Communication between the pulse oximetry board and the SpO2 interface board is established through an RS-232C serial interface. The SpO2 interface board transmits the measurement information to the module bus of the monitor through an RS485 serial interface. Serial communications connector The OSAT board includes a bi-directional (2-wire) serial communications port. The serial interface connector is a 14-pin, dual row header. The pin assignments are shown below. Pin Description Pin Description Pin Numbering 1 3 5 7 9 11 13 +5IN COMMON COMMON UNUSED RX- RECEIVE RESET (Active Low) NO CONNECT 2 4 6 8 10 12 14 COMMON NO CONNECT NO CONNECT TX- TRANSMIT CTS COMMON COMMON Pin 2 Pin1 Connector viewed from solder side of board. Sensor interface connector The sensor interface connector is a 10 pin, dual row header. The pin assignments are shown below. Pin Description Pin Description Pin Numbering 1 3 5 7 9 DETECTOR ANODE ID RESISTOR COMMON NO CONNECT NO CONNECT IR CATHODE 2 4 6 8 10 DETECTOR RETURN LED ANODES ID RESISTOR # 1 RED CATHODE NO CONNECT Pin 2 Pin 1 Connector viewed from solder side of board. 6-24
Measurement Parameters 6.5.2 Nellcor pulse oximetry components (N-XNSAT option) The Nellcor compatible pulse oximetry option (N-XNSAT consists of the following parts: • Sensor connector board and cable assembly • Nellcor pulse oximetry board (NSAT board) • SpO2 interface board Sensors can be plugged into the monitor directly or used with sensor extension cables available from Nellcor. Sensors plug into a 9-pin female connector (D-type) on the front of the monitor. This connector is mounted on a small PC board, the connector board. This two-board system consumes approximately 1.3 W of power. • The Nellcor pulse oximetry board is a surface-mounted PC board manufactured by Nellcor. It contains the signal processing electronics and software that are based on Nellcor stand-alone pulse oximeters. It is used with an internal preamplifier. • The connector board/cable assembly consists of the patient connector, the connector board, and the cable that connects to the pulse oximetry board. The connector board contains the sensor interface connector, a differential preamplifier, and EMI protection. It provides analog signals to the pulse oximetry board from the oximeter sensor through a preamplifier inferface cable. The measured SpO2, pulse rate values, and status information are transferred from the pulse oximetry board to the SpO2 interface board. Communication between the pulse oximetry board and the SpO2 interface board is established through an RS-232C serial interface. The SpO2 interface board transmits the measurement information to the module bus of the monitor through an RS485 serial interface. Communication protocol jumper Jumpers on the Nellcor pulse oximetry board determine the interface used for communication. A jumper should always be installed on J6 (interface selection). NOTE: New, replacement boards may have jumpers installed on J5 (baud rate selection) and J6. The jumper on J5 should be removed before installing the board. 6-25
Cardiocap/5 Technical Reference Manual 6.5.3 SpO2 interface board (for N-XOSAT or N-XNSAT option) Figure 6-18. SpO2 interface board block diagram NOTE: Two switches located on the board are not used and have no function with the Cardiocap/5. RS485 drivers The SpO2 interface board contains drivers for data and for module reset functions. They drive the RS485-type serial communication bus between the pulse oximetry unit and the Central Unit. Data transmission speed of the bus is 500 kbps. In addition to RS485 bus RESET, a Power-up reset keeps the RESET pin of the CPU active during power up for about 500 ms despite the state at the RS485 bus RESET. This is used to prevent the sending of RS485 data during the RESET of the module. Power supply, non-isolated section The power supply is a half bridge type, switched mode circuit, where the driver FETs are controlled by a quartz oscillator. The load of the half bridge is the primary of the isolation transformer. The voltage, +15 Vdirty from the Central Unit, is used as the supply voltage of the switched mode circuit. Power supply, isolated section The secondary voltages of the isolation transformer are rectified, filtered, and regulated. The voltages can be measured from the test connector (X11). 6-26
Measurement Parameters Opto isolation The serial communication bus signals between the pulse oximetry board and the Central Unit are transferred through the patient isolation section by high speed opto couplers. Microprocessor, UART, nonvolatile memory The microprocessor, with on-chip memory, converts and transfers data from the pulse oximetry board to the monitor. The UART provides bidirectional asynchronous serial communication between the pulse oximetry board and interface board CPU. Nonvolatile memory stores identification information, such as serial number, control number, date, etc. Module bus connector Pin No I/O Signal Pin No I/O Signal 1 I RESET_RS485* 14 I +32 VDIRTY 2 I –15 VDC 15 I GroundDIRTY* 3 I +15 VDIRTY* 16 I CTSC 4 I +15 VDC 17 O RTSC 5 I/O -DATA_RS485* 18 I RXDC 6 I/O DATA_RS485* 19 O TXDC 7 - Ground & Shield* 20 - ON/STANDBY 8 I -RESET_RS485* 21 - BIT0IN 9 I CTSB 22 - RXDD_RS232 10 O RTSB 23 - TXDD_RS232 11 I RXDB 24 I +5 VDC 12 O TXDB 25 I +5 VDC 13 - Ground & Shield* *Used in the OSAT or NSAT pulse oximetry unit Test connector Pin No Voltage Name Note 1 +5V +5VTEST Supply voltage to the SpO2 interface board 2 +5V +5Vn Supply voltage to the pulse oximetry board 3 +15V +15Vn Supply voltage to the pulse oximetry board 4 - GND FGND 5 - –15V –15Vn 6 - - N/C 6-27
Cardiocap/5 Technical Reference Manual 6.6 Airway gases and spirometry components Airway gas measurement involves the following components: • Gas sampling system • TPX measuring unit • OM measuring unit and OM board • PVX measuring unit and PVX board for Patient Spirometry (N-XV option) • CPU board 6.6.1 Gas sampling system The gas sampling system draws a gas sample to the analyzers at a fixed rate. It also removes water and impurities from the gas sample. A sample line is connected to the water trap. The pump draws gas through the sampling line to the gas measuring units. After the measurements, the gas is exhausted from the sample gas out connector. Figure 6-19. Gas sampling system (N-XC option) 6-28
Measurement Parameters Figure 6-20. Gas sampling system (N-XCO and N-XCAiO options) D-fendTM The sample is drawn through a sampling line to the water trap, where it is separated into a main flow and a side flow. The main flow is drawn through into the analyzers. A hydrophobic filter separates this flow from the patient side. The side flow creates a slight subatmospheric pressure within the D-fend water trap, causing fluid removed by the hydrophobic filter to collect in the bottle. Zero valve The main flow passes through a magnetic valve before proceeding to the analyzers. This valve is activated to establish the zero points for the TPX and OM units. When the valve is activated, room air is drawn into the internal system and the gas sensors. NafionTM tube 1) A Nafion tube between the water trap and the zero valve balances the sample gas humidity with that of ambient air. The tube prevents errors caused by the effect of water vapor on gas partial pressure when humid gases are measured after calibration with dry gases. Gas analyzers After passing through the zero valve and Nafion tube, the gas passes through the TPX and the OM units. The oxygen sensor has two inputs. One input accepts the main flow and the other draws in room air for reference. Both gas flows exit from a single port. 1) Nafion is a trademark of Perma Pure Inc. 6-29
Cardiocap/5 Technical Reference Manual Sample flow differential pressure transducer The sample flow differential pressure transducer measures pressure drop across the OM inlet restrictor and calculates sample flow from the pressure difference. Working pressure transducer The working pressure transducer measures absolute working pressure between the TPX unit and the OM unit. It is used for the “Occlusion,” “Check D-fend,” “Replace D-fend,” and “Check sample gas outlet” messages. Pneumatic unit The pneumatic unit contains a zeroing valve, an occlusion valve, and tubing connections. A series of restrictors and chambers form a pneumatic filter to prevent pressure oscillations from the pump to reach the measuring units. Zeroing and occlusion valve connections to room air include a dust filter. Occlusion valve The valve is activated when the sampling line becomes occluded. The main flow is diverted to the side flow of the D-fend water trap to remove the occlusion quickly. Sampling pump and damping chamber The gas sampling pump is a membrane pump that is run by a brushless DC motor. Sample flow is measured with a differential pressure transducer across a known restriction. The motor is automatically controlled to maintain a constant flow, even when the D-fend water trap ages and starts to get occluded. It also enables use of sample tubes with varying lengths and diameters. The damping chamber is used to even out the pulsating flow and silence the exhaust flow. NOTE: The flow is never reversed towards the patient. Figure 6-21. Gas tubing layout 6-30
Measurement Parameters 6.6.2 TPX measuring unit The TPX unit is a non-dispersive infrared analyzer, measuring absorption of the gas sample at seven infrared wavelengths, which are selected using optical narrow band filters. The IR lamp is a 4W filament, surrounded by thermal isolation. A hole in the isolation passes the radiation to a conical, 4 mm long measuring chamber. From the sample chamber, radiation goes into seven tubular light guides that have reflective inner surfaces. A thermopile detector with an optical filter in front of it is at the other end of each light guide. The temperature sensor measures the temperature of the TPX unit and is used for temperature compensation. Figure 6-22. TPX measuring unit 6.6.3 OM measuring unit and board Oxygen measurement is based on paramagnetic susceptibility. The gas and the reference gas (usually room air) are conducted into a gap in an electromagnet. A strong magnetic field is switched on and off at a frequency of approximately 165 Hz. An alternating differential pressure is generated between the sample and reference inputs due to forces acting on the oxygen molecules in a magnetic field gradient. The pressure is measured with a sensitive differential transducer, rectified with a synchronous detector, and amplified to produce a DC voltage proportional to the oxygen partial pressure difference of the two gases. Figure 6-23. OM measuring unit OM board The Oxygen board contains the specific electronics for the oxygen sensor. Sample flow measurement and sampling system pressure sensors are on this board. It also contains EEPROMs that store calibration data of both the TPX and OM sensors. 6-31
Cardiocap/5 Technical Reference Manual 6.6.4 PVX measuring unit and board (Patient Spirometry, N-XV option) NOTE: Never apply overpressure or negative pressure of more than 300 cmH2O to the flow and volume tubing. Differential pressure maximum is 25 cmH2O on one port at a time (when connecting tubes, for example). Patient Spirometry provides patient respiration monitoring capabilities using D-lite and Pedi-lite flow sensors. When Patient Spirometry is used, a special sensor (D-lite) replaces the normal airway adapter in the patient circuit. Double lumen tubing is attached to the two connectors on the adapter and on the monitor front panel. Figure 6-24. PVX measuring unit The measurement unit consists of airway connections, two pressure transducers, valves, and preamplifiers. The preamplifiers connect to the A/D converter on the main monitor CPU. Measurement is based on measuring the kinetic gas pressure and is performed using the Pitot effect. A pressure transducer measures the Pitot pressure. The signal is linearized and corrected according to the density of the gas. Flow speed is calculated from the pressure and TV is integrated from it. The breathing flow of a patient passing through the D-lite adapter creates a pressure difference. This pressure difference is measured by pressure transducer B1. Overpressure and negative pressure in airways are measured by pressure transducer B2. PVX board The Spirometry board connects to the Oxygen board. It contains pressure sensors for airway pressure and flow measurement differential pressure, and the preamplifiers for them. An EEPROM stores spirometry calibration data. 6.6.5 Gas unit CPU board The gas unit CPU board contains the processor, memory, and A/D converters that are common to the whole unit. The board also contains TPX sensor preamplifiers and drivers for the valves, fan, pump, and lamp. The unit connects to the module bus through an RS485 serial channel. 6-32