Philips Trim 1 Service Manual
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IntroductionSupplies and Ordering Information PageWriter Trim Cardiograph Service Manual1-21 Special Note about Welsh Bulb Electrodes Figure 1-8 Welsh Bulb Electrode Welsh Bulb electrodes are offered as an optional supply part with all models of the PageWriter Trim cardiograph. Special care is necessary when using these electrodes. Pay special attention to all warnings associated with these electrodes. For information on cleaning the reusable Welsh Bulb electrodes, see “Reusable Electrode Cleaning” on page 3-3. Philips Medical Systems recommends the use of disposable electrodes with all models of the PageWriter Trim cardiograph. WARNING The Welsh bulb electrodes (available as an accessory for the cardiograph) do not meet the requirements of IEC 60601-2-25 for defibrillation recovery time, and cannot be reliably used for immediate patient diagnosis following defibrillation. WARNING Always clean and disinfect reusable electrodes before patient use. Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients. CAUTIONThe Welsh bulb electrodes contain natural rubber latex which may cause allergic reactions. Use the part numbers listed in this section for reference to ensure that the correct supplies are ordered. Table 1-6 Complete Lead Sets Part Number Description 989803129161 Complete Lead Set (AAMI) 989803129191 Complete Lead Set (IEC) Table 1-7 Replacement Lead Sets and Accessories Part Number Description 989803129141 Limb Lead Set, 99 cm/39 in (AAMI) 989803129151 Chest Lead Set, 61 cm/24 in (AAMI) 989803129171 Limb Lead Set, 99 cm/39 in (IEC) 989803129181 Chest Lead Set, 61 cm/24 in (IEC)
IntroductionSupplies and Ordering Information 1-22PageWriter Trim Cardiograph Service Manual 989803129201 Long Limb Lead Set, 137 cm/54 in (IEC) 989803129211 Long Chest Lead Set, 99 cm/39 in (IEC) 989803129221 Long Complete Lead Set (IEC) 989803129231 Alligator Clips for Disposable Tab Electrodes (AAMI) 989803129241 Alligator Clips for Disposable Tab Electrodes (IEC) Table 1-8 Electrodes and Connectors Part Number Description 989803101361 Alligator Clip Extender for Disposable Tab Electrodes (10 total per pack) (AAMI) 989803101371 Alligator Clip Extender for Disposable Tab Electrodes (10 total in pack) (IEC) 989803106061 Wide Disposable Tab Electrode Connector (10 total per pack) (AAMI/IEC) 989803101691 Adult Limb Clamp Electrode (4 total in pack) (AAMI/IEC) 989803100441 Disposable cardiography electrode, resting diagnostic ECG 989803106051 Disposable electrode, adult, resting ECG (not available in Japan) 989803149901 Pediatric disposable tab electrode 989803100461 Wet Gel Foam Electrode, resting ECG 989803101311 15 mm diameter Welsh Bulb Electrode (AAMI) 989803101651 15 mm diameter Welsh Bulb Electrode (IEC) with banana plug adapter Table 1-9 Printer Paper Part Number Description M3707A Thermal Paper (100 sheets), A size (8.5 x 11 in/21.6 x 28 cm) M3708A Thermal Paper (100 sheets), A4 size (8.27 x 11.69 in/21 x 29.69 cm) Table 1-10 Battery Part Number Description 989803130151 Battery Table 1-7 Replacement Lead Sets and Accessories (continued) Part Number Description
IntroductionPreventive Maintenance PageWriter Trim Cardiograph Service Manual1-23 Preventive Maintenance The PageWriter Trim cardiograph does not require scheduled preventive maintenance. Preventive maintenance and periodic operational checks are intended to be performed by the user. Both topics are covered in the Cardiograph Care and Maintenance chapter of the PageWriter Trim Instructions for Use and this service manual. If further technical assistance is required, contact the nearest Philips Response Center. See Contacting a Philips Response Center on page 1-32. Repair Philosophy The repair philosophy of the PageWriter Trim cardiograph and Patient Interface Module (PIM) is subassembly replacement. Examples of subassemblies are: print-head assembly, LCD, the main Processor Circuit Assembly (PCA), the power supply board, the power module, the PIM PCA sets, and the printer drawer. CAUTIONOnly Philips authorized personnel can repair this product. Repairs by users that involve replacing subassemblies and components are not supported or authorized, and attempting to perform internal repairs on the cardiograph may void conditions of the product warranty. Country/Region Options Country and region options include the appropriate keyboard, power cord, printer paper, patient leads, and language. The following table lists the configuration options for specific countries and regions. Table 1-11 PageWriter Trim I, II, III and Rx Country and Region Options Option CodeCountry/ RegionUser InterfaceLead StandardKeyboard PIM/ Lead VersionPower Cord Opt.Default Paper Size AB0 Taiwan Traditional ChineseEnglish US EnglishAAMI 8120- 5429A AB2 China Simplified ChineseChinese US EnglishIEC 8120- 8376A4 AB4 Singapore & Hong KongEnglish English US EnglishAAMI 8120- 1351A4 AB9 Portugal Portu- guese (Brazilian)Portu- gueseEuropean IEC 8120- 1689A4
IntroductionCountry/Region Options 1-24PageWriter Trim Cardiograph Service Manual ABA USA/ Canada (English)English English US EnglishAAMI 8120- 5429A ABB European EnglishEnglish English European EnglishIEC 8120- 1689A4 ABB Romania EnglishEnglish English European EnglishIEC 8120- 1689A4 ABC Canada (French)French French European AAMI 8120- 5429A ABD Germany German German European IEC 8120- 1689A4 ABE Spain Spanish Spanish European IEC 8120- 1689A4 ABF France French French French IEC 8120- 1689A4 ABG Australia English English US EnglishAAMI 8120- 4475A4 ABH Nether- landsDutch Dutch US EnglishIEC 8120- 1689A4 ABM Latin AmericanSpanish Spanish European AAMI 8120- 5429A ABN Norway Norwegian Norwe- gianEuropean IEC 8120- 1689A4 ABS Sweden Swedish Swedish European IEC 8120- 1689A4 ABU UK English English US EnglishIEC 8120- 1351A4 ABX Finland Finnish Finnish European IEC 8120- 1689A4 ABZ Italy Italian Italian European IEC 8120- 6978A4 AC4 Brazil Portuguese Portu- gueseEuropean AAMI 8120- 5429A Table 1-11 PageWriter Trim I, II, III and Rx Country and Region Options (continued) Option CodeCountry/ RegionUser InterfaceLead StandardKeyboard PIM/ Lead VersionPower Cord Opt.Default Paper Size
IntroductionCountry/Region Options PageWriter Trim Cardiograph Service Manual1-25 AC6 South KoreaEnglish Korean US EnglishAAMI A4 AC8 Argentina Spanish Spanish European AAMI 8120- 6869A ACB Russia English English European IEC 8120- 1689A4 ACE Denmark & Faroe Islands Danish Danish European IEC 8120- 4933A4 ACJ India English English US EnglishIEC 8120- 4211A4 AKB Czech RepublicEnglish English European IEC 8120- 1689A4 AKD Poland English English European IEC 8120- 1689A4 AKJ Israel & Gaza StripEnglish English US EnglishIEC 8120- 5182A4 AKR Slovak RepublicEnglish English European IEC 8120- 1689A4 AKV Chile & othersSpanish Spanish European AAMI 8120- 6978A AR0 *Japan Japanese Japanese Japanese IEC 8120- 5429A4 AR2 Greece English English European IEC 8120- 1689A4 ARF Hungary English English European IEC 8120- 1689A4 *. The Japanese AR0 option is no longer available. The supported software revision level for this localization option is A.00.03. There is no software upgrade path for this localization option. Table 1-11 PageWriter Trim I, II, III and Rx Country and Region Options (continued) Option CodeCountry/ RegionUser InterfaceLead StandardKeyboard PIM/ Lead VersionPower Cord Opt.Default Paper Size
IntroductionPhilips 12-Lead ECG XML Information and Tools 1-26PageWriter Trim Cardiograph Service Manual Philips 12-Lead ECG XML Information and Tools The PageWriter Trim II, III, and Rx model cardiographs export 12-lead ECG data in XML (Extensible Markup Language) format. The XML schema for the Philips 12-lead ECG files, and a complementary suite of XML utilities and tools are available for download from the Philips InCenter web site. An XML Utility Suite Instructions for Use is also available for download. This Instructions for Use describes how to install and configure the XML utilities. Check the InCenter site regularly for documentation updates, and for further information and updates to the XML Utility Suite. NOTEThe PageWriter Trim I cardiograph does not support exporting ECG data. Using the Philips InCenter Site The Philips InCenter site provides frequent updates to all Philips Cardiac Systems product documentation and product software, including the PageWriter Trim cardiographs. The Philips InCenter site requires an active registration and password. To register, go to the InCenter site at: incenter.medical.philips.com and click on the Need help? link on the main page. On the following E Support page, click the Click here for access to software updates and documentation for cardiology products link located on the right side of the page. The Cardiac Systems InCenter Registration page appears. Complete all of the information fields on the page to receive a login and password for the InCenter site. Registration for the InCenter site requires the serial number(s) for all PageWriter Trim cardiographs in active use at your facility. The serial number is found on the product identification label. The product identification label is located on the rear panel of the cardiograph below the battery door. The serial number is listed next to the text SN. Figure 1-9 Serial Number on Product Identification Label About Adobe Acrobat Versions Adobe Acrobat Reader version 8.0 must be installed on the PC that is used to access the Philips InCenter site. Previous versions of Acrobat Reader are not compatible with the Philips
IntroductionPageWriter Trim Cardiograph Learning Product Part Numbers PageWriter Trim Cardiograph Service Manual1-27 InCenter site, and attempting to access InCenter with a previous version of Acrobat Reader will result in error messages when opening documents. Uninstall all previous versions of Acrobat Reader, and then proceed for a free install of Acrobat Reader 8.0 at: www.adobe.com. Any version of Adobe Acrobat Professional or Acrobat Elements are also not compatible with the Philips InCenter site, and error messages will appear when opening documents with these applications. Acrobat Reader 8.0 must be installed in addition to Acrobat Professional or Acrobat Elements. Follow this procedure when accessing documents on the Philips InCenter site. To access documents on the Philips InCenter site: 1 Exit Acrobat Professional or Acrobat Elements (if open). 2Start Acrobat Reader 8.0. 3Open Internet Explorer, and go to the Philips InCenter site. Keep Acrobat Reader 8.0 open the entire time while accessing the InCenter site. PageWriter Trim Cardiograph Learning Product Part Numbers The following tables list all of the PageWriter Trim Cardiograph Learning Product part numbers by language for the I, II, III, and Rx model cardiographs. All of the following Learning Products are available for download from the Philips InCenter web site at: http://incenter.medical.philips.com. Users must register with the InCenter web site before accessing materials on the site. Information on registering for the site is found on the InCenter homepage. For more information on using the Philips InCenter site, see page 1-26. Learning Products may also be downloaded from the Philips Medical Systems Documentation & Downloads site at: http://www.medical.philips.com/goto/productdocumentation. Select Cardiology from the Product Downloads menu (top of screen). The Cardiology Documentation & Downloads screen appears. Select the applicable product from the left menu bar. This web site is available to all customers. NOTEThe PageWriter Trim Interactive Training Program is only available in English for the PageWriter Trim I, II, and III model cardiographs, and is only available for download from the Philips InCenter site. Table 1-12 English Learning Product Part Numbers Part Number Title Language M4992-91903 PageWriter Trim I, II, III Interactive Training ProgramEnglish M4992-91181 PageWriter Trim I, II, III Quick Help Card English M4992-91164 PageWriter Trim I, II, III Getting Started Guide English M4992-91150, Edition 4 PageWriter Trim I, II, III Instructions for Use English 453564065311 PageWriter Trim I, II, III, Rx Product Update AddendumEnglish
IntroductionPageWriter Trim Cardiograph Learning Product Part Numbers 1-28PageWriter Trim Cardiograph Service Manual M5000-91000 Philips 12-lead Algorithm Physician’s Guide English M4994-91120, Edition 2 PageWriter Trim Rx Quick Help Card English M4994-91100 PageWriter Trim Rx Instructions for Use English M4994-91140 PageWriter Trim Rx Getting Started Guide English 453564051211 Installing TraceMasterVue and Configuring Cardiograph CommunicationEnglish 453564038681, Edition 2 Using OrderVue with PageWriter Cardiographs English 453564057671 OrderVue Web Select Utility Quick Help Card English 453564034061 XML Utility Suite Instructions for Use English Table 1-13 Czech Learning Product Part Numbers Part Number Title Language M4992-91182 PageWriter Trim I, II, III Quick Help Card Czech M4992-91172 PageWriter Trim I, II, III User’s Guide Czech Table 1-14 Danish Learning Product Part Numbers Part Number Title Language M4992-91183 PageWriter Trim I, II, III Quick Help Card Danish M4992-91963 PageWriter Trim I, II, III Instructions for Use Danish Table 1-15 Dutch Learning Product Part Numbers Part Number Title Language 453564087181 PageWriter Trim I, II, III Quick Help Card Dutch M4992-91165 Getting Started Guide Dutch M4992-91153 PageWriter Trim I, II, III Instructions for Use Dutch M5000-91003 Philips 12-Lead Algorithm Physician’s Guide Dutch Table 1-16 Finnish Learning Product Part Numbers Part Number Title Language M4992-91185 PageWriter Trim I, II, III Quick Help Card Finnish M4992-91964 PageWriter Trim I, II, III Instructions for Use Finnish Table 1-12 English Learning Product Part Numbers (continued) Part Number Title Language
IntroductionPageWriter Trim Cardiograph Learning Product Part Numbers PageWriter Trim Cardiograph Service Manual1-29 Table 1-17 French Learning Product Part Numbers Part Number Title Language 453564087191 PageWriter Trim I, II, III Quick Help Card French M4992-91166 Getting Started Guide French M5000-91001 Philips 12-Lead Algorithm Physician’s Guide French M4992-91151 PageWriter Trim I, II, III Instructions for Use French Table 1-18 German Learning Product Part Numbers Part Number Title Language 453564087201 PageWriter Trim I, II, III Quick Help Card German M4992-91167 Getting Started Guide German M5000-91001 Philips 12-Lead Algorithm Physician’s Guide German M4992-91151 PageWriter Trim I, II, III Instructions for Use German Table 1-19 Greek Learning Product Part Numbers Part Number Title Language M4992-91188 PageWriter Trim I, II, III Quick Help Card Greek M4992-91173 User’s Guide Greek Table 1-20 Hungarian Learning Product Part Numbers Part Number Title Language M4992-91189 PageWriter 2 I, II, III Quick Help Card Hungarian M4992-91174 User’s Guide Hungarian Table 1-21 Italian Learning Product Part Numbers Part Number Title Language 453564087211 PageWriter Trim I, II, III Quick Help Card Italian M4992-91168 Getting Started Guide Italian M5000-91005 Philips 12-Lead Algorithm Physician’s Guide Italian M4992-91155 PageWriter Trim I, II, III Instructions for Use Italian Table 1-22 Norwegian Learning Product Part Numbers Part Number Title Language M4992-91191 PageWriter Trim I, II, III Quick Help Card Norwegian
IntroductionPageWriter Trim Cardiograph Learning Product Part Numbers 1-30PageWriter Trim Cardiograph Service Manual M4992-91965 PageWriter Trim I, II, III Instructions for Use Norwegian Table 1-23 Polish Learning Product Part Numbers Part Number Title Language M4992-91192 PageWriter Trim I, II, III Quick Help Card Polish M4992-91175 PageWriter Trim I, II, III User’s Guide Polish Table 1-24 Portuguese Learning Product Part Numbers Part Number Title Language 453564087221 PageWriter Trim I, II, III Quick Help Card Portuguese M4992-91169 Getting Started Guide Portuguese M5000-91006 Philips 12-Lead Algorithm Physician’s Guide Portuguese M4992-91163 PageWriter Trim I, II, III Instructions for Use Portuguese Table 1-25 Romanian Learning Product Part Numbers Part Number Title Language M4992-91961 PageWriter Trim I, II, III Quick Help Card Romanian M4992-91962 PageWriter Trim I, II, III User’s Guide Romanian Table 1-26 Russian Learning Product Part Numbers Part Number Title Language M4992-91194 PageWriter Trim I, II, III Quick Help Card Russian M4992-91176 PageWriter Trim I, II, III User’s Guide Russian Table 1-27 Simplified Chinese Learning Product Part Numbers Part Number Title Language 453564078871 PageWriter Trim I, II, III Quick Help Card Simplified Chinese M5000-91135 Philips 12-Lead Algorithm Physician’s Guide Simplified Chinese M4992-91956 PageWriter Trim I, II, III Instructions for Use Simplified Chinese Table 1-28 Slovak Learning Product Part Numbers Part Number Title Language M4992-91196 PageWriter Trim I, II, III Quick Help Card Slovak Table 1-22 Norwegian Learning Product Part Numbers (continued) Part Number Title Language