Philips Trim 1 Service Manual

							TroubleshootingTroubleshooting Cardiograph Issues
PageWriter Trim Cardiograph Service Manual5-13
One or more leads 
show leads off (red 
dashed line) 
periodicallyPIM communications 
have been lost due to 
USB patient data cable 
connection failure, or 
defective leads are 
connected to the PIM. 1Check that PIM patient data cable is firmly seated 
to the PIM connector ( ) on the rear of the 
cardiograph. 
2If the PIM is firmly attached, perform the PIM test 
as described in “Maintenance Tests (Trim II/III/Rx 
only)” on page 4-1, or for the Trim I as described 
in “Trim I Diagnostic and Performance 
Verification Tests” on page 4-17. If the PIM Test 
fails, replace the patient data cable. If the PIM Test 
continues to fail with a new patient data cable 
attached, replace the entire PIM PCA Set. Contact 
Philips Medical Systems for further assistance (see 
page 1-32).
3If the PIM test passes, ensure that all lead wires are 
fully seated in the PIM lead connectors. 
4Ensure that all lead wires are intact and that there 
are no visible cracks in the lead wires. 
5Connect all of the lead wires to a metallic 
conductive surface or to a shortening bar. 
– Check the Leads off indicator on the Status 
Bar. Ensure that no leads are being reported as 
leads off. 
– If any of the precordial leads report as leads 
off, with all limb leads connected, replace the 
precordial lead(s). 
– If all leads report as leads off, replace the RL/
R lead with a lead that known to function 
normally. If the new lead connected to the RL/
R connector functions normally, replace the 
defective RL lead. Once the RL/R lead is 
operable, proceed to replace any other leads 
that display as leads off. 
– If the RL/R lead still displays leads off, the 
cardiograph will require internal repair, 
contact Philips Medical Systems for further 
assistance (see page 1-32).
Table 5-3 Signal Acquisition Issues (continued)
SymptomPossible Cause & 
Investigation StepSolution 
						

							TroubleshootingTroubleshooting Cardiograph Issues
5-14PageWriter Trim Cardiograph Service Manual
Real Time Screen Issues
One or more leads 
show leads off (red 
dashed line) 
periodically6If replacing the lead wires does not resolve signal 
quality issues, check the 
PIM Kernel Revision 
field in the Service Utility (see page 4-7).
– If the PIM Kernel version is 
G.001, upgrade 
the cardiograph software to version A.01.03. If 
the signal quality issues persist with software 
version A.01.03 installed, replace the PIM 
PCA sets. Contact Philips Medical Systems for 
further assistance (see page 1-32).
– If the PIM Kernel version is 
D.008, and the 
cardiograph passes the PIM Test (page 4-1) or 
(page 4-17), replace the PIM PCA sets. 
Contact Philips Medical Systems for further 
assistance (see page 1-32).
– After PIM PCA set replacement, upgrade the 
cardiograph to software version A.0.1.03 that 
includes PIM Kernel version G.003.
Table 5-3 Signal Acquisition Issues (continued)
SymptomPossible Cause & 
Investigation StepSolution
Table 5-4 Real Time Screen Issues 
SymptomPossible Cause & 
Investigation StepConfirmation Solution
Waveform display 
is no longer 
updating, system is 
unresponsiveMain controller board 
failure 
Action: Wait for 2 
minutes or longer. The 
cardiograph will restart 
automatically, or you can 
restart it by pushing the 
restart button (page 5-
33). Restart the cardiograph to 
see if the cardiograph can 
operate normally. The cardiograph must be 
serviced to inspect and 
possibly upgrade kernel and 
application or replace main 
controller board. Contact 
Philips Medical Systems 
for further assistance (see 
page 1-32).
System seems to 
be running slowly 
after boot-up Duplicate static IP 
configured for network
Action: Confirm that the 
static IP assigned is not 
already in use on LAN. IP was already in use.  It has been observed that 
boot up and operation can 
initially be slower when the 
PageWriter Trim is 
configured for an IP 
address that is already in 
use on the network.  
						

							TroubleshootingTroubleshooting Cardiograph Issues
PageWriter Trim Cardiograph Service Manual5-15
Archive Screen Issues
Table 5-5 Archive Screen Issues 
SymptomPossible Cause & 
Investigation StepConfirmation Solution
After attempting 
an Archive screen 
operation, an error 
message appears: 
Command 
timed-out
 The TraceMaster ECG 
Management system is 
busy. 
Action: Retry 
TraceMaster operation. Operation succeeds on 
subsequent try. Transfer operations use 
network and server 
resource, which may 
occasionally be unable to 
service the requests. 
After attempting 
an Archive screen 
operation, an error 
message appears: 
Requested 
Function Failed
Network or modem 
phone line was 
interrupted during 
operation. 
Action: Retry operation. 
Inspect cabling to 
network or analog phone 
line. Operation succeeds on 
subsequent try or 
damaged cabling or 
intermittent connection 
found.Transfer or query 
operations require reliable 
access to the network 
transport. 
 Selected removable 
media (PC card, USB 
memory stick) was not 
fully inserted into the 
slot on the cardiograph. 
Action: Verify that 
selected removable 
media (PC card, USB 
memory stick) is 
inserted correctly. Removable media (PC 
card, USB memory stick) 
is not fully inserted or is 
not operational. Attempting to save ECGs to 
removable media (PC card, 
USB memory stick) that is 
not accessible will result in 
an error message. Retry the 
operation with fully 
functioning removable 
media that is fully inserted 
into the applicable slot on 
the cardiograph. 
An attempt to transfer an 
unsupported ECG report 
type was made to 
TraceMaster 
Action: Inspect ECG that 
failed the requested 
operation for selected 
format (report type). Format is Pan-12 or 
12x1. Certain ECG report types 
are not supported by and 
will be rejected by the 
TraceMaster ECG 
Management System. 
A wireless LAN 
connection is being used 
to transfer ECGs to 
TraceMaster and LEAP 
credentials are not 
enabled.LEAP credentials are 
enabled and the ECG 
transfer subsequently 
completes.See “Enabling LEAP 
Credentials” on page C-10.  
						

							TroubleshootingTroubleshooting Cardiograph Issues
5-16PageWriter Trim Cardiograph Service Manual
When an error 
occurs during 
transfer of multiple 
ECGs to a 
TraceMaster 
system, the transfer 
process does not 
continue and 
transferred files are 
not deleted. Application limitation 
Action: None. Current system 
limitation. The current PageWriter 
Trim operations fail in a 
known safe manner when 
multiple ECG transfer 
operations are interrupted. 
Retry the transfer for the 
remaining ECGs. 
After pressing the 
Archive button, it 
takes longer than 
40 seconds before 
the Archive list is 
displayed when the 
main archive has 
more than 130 
ECGs stored. System slow-down from 
full ECG database Action: Save or delete 
ECGs from the Main 
Archive. Entry into the Archive 
Screen is faster.There is a known system 
performance impact when 
the near maximum number 
of ECGs have been stored 
in the main archive area. 
The message 
Requested 
Function Failure
 
appears after fax 
ECG transmission 
has completed. Fax application time-
out.Action: Close the Fax 
dialog box after 
transmission completes 
by touching 
OK. Message no longer 
appears after FAX ECG 
transmission. The FAX application 
requires the user to close 
the dialog box after 
successful transmission. 
Otherwise, the operation 
times out and indicates a 
failure. 
Transfer of ECGs 
to an external PC 
card or USB 
memory stick fails 
and there are still 
less than 200 
ECGs on the 
removable media 
device. P C  c a rd  o r  U S B  m e m o r y  
stick file system 
limitation 
Action: Delete extra non-
ECG files from the PC 
card or USB memory 
stick.ECGs can now be 
transferred. Delete unwanted files from 
the PC card or USB 
memory stick.
Table 5-5 Archive Screen Issues (continued)
SymptomPossible Cause & 
Investigation StepConfirmation Solution 
						

							TroubleshootingTroubleshooting Cardiograph Issues
PageWriter Trim Cardiograph Service Manual5-17
Configuration Screen Issues
Some ECGs 
retrieved from 
TraceMaster and 
printed on the 
cardiograph look 
different from 
TraceMaster prints 
or XLi printouts. Older or non-PageWriter 
Trim source ECG files 
were retrieved.
Action: Inspect the 
printed report date and 
information
ECG was not created by a 
PageWriter Trim 
cardiograph.Retrieving and printing 
older ECG files that were 
not sourced by the 
PageWriter Trim 
cardiograph can have the 
following differences when 
printed:
„Algorithm version 
appears as 
HPxxx on 
TraceMaster and 
PH on 
PageWriter Trim.
„Pacer tick marks are not 
present on PageWriter 
Trim printout.
„Frank lead system 
generates 3 rhythm 
traces with flat line and 
no lead label on 
PageWriter Trim 
printout.
„Custom lead names do 
not appear on 
PageWriter Trim 
printout.
„PageWriter Trim prints 
full interpretations 
regardless of original 
Xli ECG settings.
Table 5-5 Archive Screen Issues (continued)
SymptomPossible Cause & 
Investigation StepConfirmation Solution
Table 5-6 Configuration Screen Issues 
SymptomPossible Cause & 
Investigation StepConfirmation Solution
Can not enter the 
configuration 
windowForgot password. Contact Philips Medical 
Systems for further 
assistance (page 1-32). 
						

							TroubleshootingTroubleshooting Cardiograph Issues
5-18PageWriter Trim Cardiograph Service Manual
Printer Issues
Table 5-7 PageWriter Trim I Printer Issues Software Version A.00.03 and lower 
Error Code Possible Cause & Investigation Step Solution
0201
No battery or dead battery.1Replace battery.
2Replace motherboard, contact Philips 
Medical Systems for further 
assistance (page 1-32).
3Replace power supply cord.
0202UPR running: a new print job has 
been sent to the printer and the printer 
cannot accept a new print job.Follow the procedure to restart the 
cardiograph (see page 5-33).
0203„Paper drawer is not fully closed
„Out of paper, or paper loaded 
incorrectly
„Application error
1Open and firmly close the printer 
drawer.
2Open the printer drawer and check to 
make sure that the paper is properly 
inserted and aligned.
3Follow the procedure to restart the 
cardiograph (see page 5-33).
4It has been observed that on rare 
occasions a 
Printer Door Open 
message cannot be dismissed 
because of overlapping simultaneous 
error status reporting.
0204 „Paper jam
„Paper is not loaded correctly
„Defective TOF sensor assembly
„Defective paper tray assembly 
1Open and firmly close the printer 
drawer.
2Open the printer drawer and check to 
make sure that the paper is properly 
inserted and aligned.
3Replace TOF sensor assembly, 
contact Philips Medical Systems for 
further assistance (page 1-32).
4Replace paper tray assembly.
0205 No paper is in drawer Insert paper into drawer. 
						

							TroubleshootingTroubleshooting Cardiograph Issues
PageWriter Trim Cardiograph Service Manual5-19
0206 Temperature shutdown: the 
temperature of the print head is too 
high1Shut down cardiograph and wait 20 
minutes.
2If error persists, send cardiograph for 
repair, contact Philips Medical 
Systems for further assistance (page 
1-32).
0207Unknown error 1Shut down cardiograph
2Remove battery
3Reinsert battery and press On/
Standby button
4If error persists, contact Philips 
Medical Systems for further 
assistance (see page 1-32).
Table 5-8 PageWriter Trim I Printer Issues Software Version A.01.00 and higher 
Error Code Possible Cause & Investigation Step Solution
0101
Start Up CRC Failure Reinstall the cardiograph software (see 
page A-1).
0201USB printer - No USB connection Restart the cardiograph.
0202USB printer - running (busy) Restart the cardiograph.
0203USB printer - door open1Open and firmly close the printer 
drawer.
2Open the printer drawer and check to 
make sure that the paper is properly 
inserted and aligned.
3Follow the procedure to restart the 
cardiograph (see page 5-33).
4It has been observed that on rare 
occasions a 
Printer Door Open 
message cannot be dismissed 
because of overlapping simultaneous 
error status reporting.
Table 5-7 PageWriter Trim I Printer Issues Software Version A.00.03 and lower (continued)
Error Code Possible Cause & Investigation Step Solution 
						

							TroubleshootingTroubleshooting Cardiograph Issues
5-20PageWriter Trim Cardiograph Service Manual
0204 USB printer - paper jam or out of 
paper1Open and firmly close the printer 
drawer.
2Insert paper into drawer, if necessary.
3Open the printer drawer and check to 
make sure that the paper is properly 
inserted and aligned.
4Replace TOF sensor assembly, 
contact Philips Medical Systems for 
further assistance (page 1-32).
5Replace paper tray assembly.
0207No PIM or defective PIM is 
connected to cardiograph when 
powered up with software version 
A.01.03 installed, or some other 
unknown error (software version 
A.01.02 or lower)If software version A.01.03 is installed, 
follow the directions on page 5-5. 
If software version A.01.02 or lower is 
installed, perform the following steps:
1Shut down cardiograph.
2Remove battery.
3Reinsert battery and press On/
Standby button.
4If error persists, contact Philips 
Medical Systems for further 
assistance (see page 1-32).
All other errors
Unknown error Contact Philips Medical Systems for 
further assistance (see page 1-32).
Table 5-9 PageWriter Trim II/III/Rx Printer Issues 
SymptomPossible Cause & 
Investigation StepConfirmation Solution
After the paper 
drawer was opened 
during printing, the 
print image was 
corrupted or 
incorrect.Printer controller error
Action: NonePrinting continued on 
second page when only 
one page was 
expected.Occasional printer controller 
status errors can occur when 
opening the paper drawer 
during printing.
Table 5-8 PageWriter Trim I Printer Issues Software Version A.01.00 and higher (continued)
Error Code Possible Cause & Investigation Step Solution 
						

							TroubleshootingTroubleshooting Cardiograph Issues
PageWriter Trim Cardiograph Service Manual5-21
After the paper 
drawer was opened 
during printing, the 
print image was 
corrupted or 
incorrect and the 
paper does not stop 
feeding.Printer controller error
Action: Press the rear 
restart button (see page 
5-33).
The cardiograph 
restarts and boots 
correctly. Paper stops 
feeding.Occasional printer controller 
status errors can occur when 
opening the paper drawer 
during printing.
The message 
Printer 
Door is Open 
appears, and the 
cardiograph is not 
responding.
Application error
Action: Press the rear 
restart button (see page 
5-33).
The cardiograph 
restarts and boots 
correctly. It has been observed that on 
rare occasions a 
Printer Door 
Open 
message cannot be 
dismissed because of 
overlapping simultaneous 
error status reporting.
The message 
Check 
Printer 
appears with 
no apparent printer 
problem present. 
Printer controller error
Action: Open and close 
printer paper drawer.
Message does not 
reoccur.Infrequently, the printer 
controller may indicate a 
printer mechanism status error 
when no error exists. This has 
been noted specifically when 
A4 paper is in use.
Printed report looks 
too small or 
compressed. Printer controller error
Action: Press the rear 
restart button (see page 
5-33).Cardiograph restarts 
and boots correctly. 
Reports print correctly.On very rare occasions, 
reports with A4 paper show a 
compressed image. Restart the 
cardiograph to resolve the 
issue.
After opening and 
closing the paper 
drawer rapidly many 
times, the 
cardiograph was 
unresponsive. 
Printer controller error
Action: Press the rear 
restart button (see page 
5-33). 
Cardiograph restarts 
and boots correctly. 
Reports print correctly.A rapid and sustained 
repeating open-and-close 
action on the paper drawer 
can cause an application error 
related to printer status 
handling.
Table 5-9 PageWriter Trim II/III/Rx Printer Issues (continued)
SymptomPossible Cause & 
Investigation StepConfirmation Solution 
						

							TroubleshootingTroubleshooting Cardiograph Issues
5-22PageWriter Trim Cardiograph Service Manual
Printer Error: Out of 
Paper/Paper Jam/
Door Open„Paper drawer is not 
fully closed
„Out of paper, or 
paper loaded 
incorrectly
„Defective TOF 
sensor assembly
„Defective paper 
tray assembly
Error does not occur 
again.„Open and firmly close the 
paper drawer.
„Open paper drawer and 
check to make sure paper 
is aligned correctly.
„Replace TOF sensor 
assembly, contact Philips 
Medical Systems for 
further assistance (page 1-
32).
„Replace paper tray 
assembly.
Printer not 
detected
 message
„Application error
„Unseated or 
defective main 
harness assembly
„Defective printer 
control board
Message no longer 
appears.„Press the rear restart 
button (see page 5-33).
„Check seating of main 
harness assembly. 
Replace if necessary, 
contact Philips Medical 
Systems for further 
assistance (page 1-32).
„Replace the printer 
control board, contact 
Philips Medical Systems 
for further assistance 
(page 1-32).
Paper does not 
advance
„Application error
„Defective TOF 
sensor assembly
„Defective printer 
gearbox assembly
Paper advances 
correctly.„Press the rear restart 
button.
„Replace the TOF sensor 
assembly, contact Philips 
Medical Systems for 
further assistance (page 1-
32).
„Replace the printer 
gearbox assembly, contact 
Philips Medical Systems 
for further assistance 
(page 1-32).
Table 5-9 PageWriter Trim II/III/Rx Printer Issues (continued)
SymptomPossible Cause & 
Investigation StepConfirmation Solution