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Philips Trim 1 Service Manual

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    							IntroductionPageWriter Trim Cardiograph Learning Product Part Numbers
    PageWriter Trim Cardiograph Service Manual1-31
    M4992-91177 PageWriter Trim I, II, III User’s Guide Slovak
    Table 1-29 Spanish Learning Product Part Numbers
    Part Number Title Language
    453564083051 PageWriter Trim I, II, III Quick Help Card Spanish
    M4992-91158 Getting Started Guide Spanish
    M5000-91004 Philips 12-Lead Algorithm Physician’s Guide Spanish
    M4992-91154 PageWriter Trim I, II, III Instructions for Use Spanish
    Table 1-30 Swedish Learning Product Part Numbers
    Part Number Title Language
    M4992-91198 PageWriter Trim I, II, III Quick Help Card Swedish
    M4992-91966 PageWriter Trim I, II, III Instructions for Use Swedish
    Table 1-31 Traditional Chinese Learning Product Part Numbers 
    Part Number Title Language
    M4992-91199 PageWriter Trim I, II, III Quick Help Card Traditional Chinese
    M4992-91171 Getting Started Guide Traditional Chinese
    M4992-91136 Philips 12-Lead Algorithm Physician’s Guide Traditional Chinese
    M4992-91162 PageWriter Trim I, II, III Instructions for Use Traditional Chinese
    Table 1-32 Turkish Learning Product Part Numbers 
    Part Number Title Language
    453564086371 PageWriter Trim I, II, III User’s Guide Turkish
    453564086381 PageWriter Trim I, II, III Quick Help Booklet  Turkish
    Table 1-28 Slovak Learning Product Part Numbers (continued)
    Part Number Title Language 
    						
    							IntroductionContacting a Philips Response Center
    1-32PageWriter Trim Cardiograph Service Manual
    Contacting a Philips Response Center 
    The Philips Response Center can assist with product troubleshooting and provide technical 
    expertise to help with any issue with the PageWriter Trim cardiograph or any of its 
    accessories. 
    For more information on the Philips Response Center go to: 
    www.medical.philips.com/main/services/response_center
    North America Response Centers 
    Country Telephone Number
    Canada (800) 323 2280
    Mexico 01 800 710 8128
    Puerto Rico 1 787 754 6811
    United States (800) 722 9377
    South America Response Centers 
    Country Telephone Number
    Argentina 54 11 4546 7698
    Brazil 0800 701 7789
    Chile 0800 22 3003
    Columbia 01 8000 11 10 10
    Peru 51 1 620 6440
    Europe Response Centers 
    Country Telephone Number
    United Kingdom 44 0870 532 9741
    Fax: 44 01737 23 0550
    Austria 43 1 60101 820
    Belgium 32 2 525 7102 (French)
    32 2 525 7103 (Flemish)
    Czech Republic
    MCR Response Center (located in The Netherlands)31 40 2781619
    Denmark 45 80 30 30 35
    Finland 358 615 80 400 
    						
    							IntroductionContacting a Philips Response Center
    PageWriter Trim Cardiograph Service Manual1-33
    France 0 810 835 624
    Germany 0180 5 47 5000
    Greece
    MCR Response Center (located in The Netherlands)31 40 2781619
    Hungary
    MCR Response Center (located in The Netherlands)31 40 2781619
    Italy 0800 232100
    Netherlands 31 40 27 211 27
    Norway 47 800 84 080
    Poland
    MCR Response Center (located in The Netherlands)31 40 2781619
    Rumania
    MCR Response Center (located in The Netherlands)31 40 2781619
    Russia
    MCR Response Center (located in The Netherlands)31 40 2781619
    Slovak Republic
    MCR Response Center (located in The Netherlands)31 40 2781619
    Spain 34 90 230 4050
    Sweden 46 200 81 00 10
    Switzerland 0800 80 3000 (German)
    0800 80 3001 (French)
    Asia Response Centers 
    Country Telephone Number
    Australia 1800 251 400
    China  800 810 0038
    Hong Kong 852 2876 7578
    India 1600 112 444
    Indonesia 62 21 7910040, ext 8610
    Japan 81 (0)120 095 205
    Europe Response Centers (continued)
    Country Telephone Number 
    						
    							IntroductionContacting a Philips Response Center
    1-34PageWriter Trim Cardiograph Service Manual
    Korea 82 (0)2 3445 9010
    Malaysia 1800 886 188
    New Zealand 0800 251 400
    Philippines 63 2 8162617 ext. 875
    Singapore 1800 Philips
    Taiwan 0800 005 616
    Thailand 66 (0)2 614 3569
    Africa and Middle East
    Country Telephone Number
    All countries 
    MCR Response Center (located in The Netherlands)31 40 2781619
    Asia Response Centers (continued)
    Country Telephone Number 
    						
    							2
    2-1
    Chapter 2Theory of Operation
    Overview
    At a system level, the PageWriter Trim cardiograph performs acquisition, analysis, printing, 
    storage, and transfer of ECG waveforms and other patient clinical data. 
    The PageWriter Trim cardiograph consists of three major subsystems:
    „Main controller
    An Intel StrongArm-base single-board computer (SBC) with extensive I/O facilities, 
    running Windows CE 4.1. The PageWriter Trim application software runs on the main 
    controller, which includes the display and user-input subsystems.
    „Print controller
    A Motorola Coldfire-based control circuit, embedded in the main controller board that 
    provides all the real-time management of the printer. The print controller communicates 
    with the main controller through USB.
    „Patient Interface Module (PIM)
    An Intel StrongArm-based controller running Windows CE 4.1, coupled with a signal 
    acquisition board employing Philips proprietary mixed-signal ASIC technology for ECG 
    acquisition. The PIM communicates with the main controller through USB.
    Hardware Logical View 
    Control of the PageWriter Trim cardiograph is provided by application software running on 
    the main control board, interacting with numerous hardware and software subsystems. The 
    following are high-level descriptions of these various subsystems.
    Main Control Board
    The main control board contains loader software and the Windows CE kernel image in its 
    internal flash memory (32 MB for PageWriter Trim II, III, Rx; 16 MB for PageWriter Trim I). 
    At system boot, a system RAM test is performed by the loader (onboard RAM is 64 MB), and 
    then the Windows CE kernel loads. When Win CE loads, the application launcher runs, 
    verifying system and executable images before loading the main application. For PageWriter 
    Trim II/III/Rx, all interaction with the operator is through the 
    Ruby300_APP application. For 
    PageWriter Trim I, all interaction with the operator is through the 
    Ruby100_APP application. 
    The application software is stored in internal Flash memory.  
    						
    							Theory of OperationHardware Logical View
    2-2PageWriter Trim Cardiograph Service Manual
    The PageWriter Trim II, III and Rx cardiographs each have an internal ECG archive that 
    consists of a CompactFlash (CF) card installed on the main control board. The number of 
    ECGs that can be stored to this internal memory varies by cardiograph model as shown in the 
    following table. 
    NOTEThe PageWriter Trim I cardiograph does not provide internal storage.
    Figure 2-1 illustrates the devices and interfaces provided by the main control board.
    Table 2-1 ECG Storage Capacity
    Model ECG Storage 
    Capacity
    *
    *. ECG storage capacity is not dependent upon the size of the in-
    ternal CF card. The ECG storage capacity is controlled by the
    cardiograph software application.
    PageWriter Trim II 50
    PageWriter Trim III 150
    PageWriter Trim Rx 200 
    						
    							Hardware Logical ViewTheory of Operation
    PageWriter Trim Cardiograph Service Manual2-3
    Figure 2-1 Devices and Interfaces for the Main Control Board
    The board presents a backplane through the rear of the PageWriter Trim case. This allows the 
    user to access interfaces shown as external in Figure 2-1. Other external interfaces include the 
    PCMCIA slot, USB connector, and the PS/2 connection for a barcode reader device. 
    						
    							Theory of OperationHardware Logical View
    2-4PageWriter Trim Cardiograph Service Manual
    Display 
    The PageWriter Trim II, III and Rx cardiograph display is 640 x 480 pixels, up to 64-color 
    TFT LCD with backlight. All display functions are handled by the main control board using 
    the S1D13506 (EPSON) graphics accelerator chip. 
    The PageWriter Trim I display is a 40 x 2 line character LCD with cursor. Its function is 
    driven directly by SA1110.
    Patient Interface Module (PIM)
    The PIM is a SA1110-based WinCE subsystem that is connected by USB to the main control 
    board. It provides real-time data acquisition of ECG signals from electrodes connected to the 
    patient. 
    Printer Control (USB)
    All data printing is handled by the Main Board. The printer control is a Motorola Coldfire 
    processor-based control circuit. It provides ECG waveform rendering and basic bitmap 
    imaging operations, and uses a PCL-like control language API for page description and feed 
    control. 
    Battery (Lead-Acid)
    The battery is a lead-acid 12-volt unit, providing 2.9 Amp-Hours of current when fully 
    charged. 
    Keyboard/Trim Knob (PS/2)
    The PageWriter Trim II, III and Rx cardiographs include a laptop-format, PS/2, sealed, full-
    key action keyboard. Also included is a Trim Knob that is used as a pointing device for easy 
    navigation, and six dedicated function keys located on the right side of the cardiograph. This 
    assembly also includes a keyboard matrix, Trim Knob decoder, and daughter board. The 
    daughter board provides language-specific keyboard support and decoding via PS/2, with 
    standard WinCE device drivers for key and Trim Knob input into the cardiograph. It is 
    powered by a PS/2 connection.
    The PageWriter Trim I cardiograph includes six dedicated function keys and a Trim Knob. 
    The dedicated function keys and the Trim Knob interface to the Main Board through the PS/2 
    port. 
    Magnetic Card Reader (PS/2)
    A magnetic card reader is available as an option for all product models except the PageWriter 
    Trim I. It connects through an external PS/2 connector and provides ISO and standard encoded 
    magnetic strip support. Manual removal and insertion is required.
    NOTEThe PS/2 port is not a plug-and-play port. You must attach the magnetic card reader to the port 
    before powering on the cardiograph. 
    						
    							Hardware Logical ViewTheory of Operation
    PageWriter Trim Cardiograph Service Manual2-5
    Barcode Reader (PS/2)
    A barcode reader is available as an option for all product models except the PageWriter Trim 
    I. It connects through an external PS/2 connector and provides standard barcode scanning 
    capability. It emulates a keyboard, allowing scanned codes to be presented to the PageWriter 
    Trim cardiograph as if they had been typed on the standard keyboard, powered by a PS/2 
    connection. The barcode reader can be configured using special barcodes.
    NOTEThe PS/2 port is not a plug-and-play port. You must attach the barcode reader to the port before 
    powering on the cardiograph.
    Smart Card Reader
    A Smart Card Reader is available as an option for all product models except the PageWriter 
    Trim I. It connects through an external USB connector and provides standard Smart Card 
    reading capability. The PageWriter Trim cardiograph uses the Smart Card Reader to obtain 
    patient information.
    USB Memory Stick 
    A USB memory stick is available as an option for all product models except the PageWriter 
    Trim I. It connects through the USB connector located on the rear panel of the cardiograph. 
    The USB memory stick can be used to store and transfer ECGs and orders between the 
    cardiograph and a TraceMaster or TraceMasterVue ECG Management System.
      CAUTIONDo not insert a USB memory stick into the cardiograph, or remove a USB memory stick from the 
    cardiograph when the cardiograph is acquiring ECG data from a patient.
      CAUTIONOnly use the USB memory stick to transfer data between the cardiograph and a computer. Do not use 
    the USB memory stick with other devices.
    PCMCIA Storage Card
    A PCMCIA Storage Card is available as an option for all product models except the 
    PageWriter Trim I. It connects through the PCMCIA slot located on the rear of the 
    cardiograph. The PCMCIA storage card can be used to store and transfer ECGs and orders 
    between the cardiograph and a TraceMaster or TraceMasterVue ECG Management System, or 
    can be used to store custom configured cardiograph settings. 
    PCMCIA LAN Card
    A PCMCIA LAN Card is available as an option for all product models except the PageWriter 
    Trim I. It connects through the PCMCIA slot and provides standard LAN capability. The 
    PageWriter Trim cardiograph communicates with the TraceMaster or TraceMasterVue ECG 
    Management System through the PCMCIA LAN Card.  
    						
    							Theory of OperationHigh Level ECG Data Flow and Storage
    2-6PageWriter Trim Cardiograph Service Manual
    PCMCIA Wireless LAN Card
    A PCMCIA wireless LAN Card is available as an option for the PageWriter Trim III and Rx 
    model cardiographs only. It connects through the PCMCIA slot and provides standard LAN 
    capability and is compatible with the 802.11b wireless standard. The PageWriter Trim 
    cardiograph communicates with the TraceMaster or TraceMasterVue ECG Management 
    System through the wireless PCMCIA LAN Card. For information on configuring the wireless 
    LAN card, see “Wireless LAN Installation Instructions” on page C-1.
    PCMCIA Modem Card
    A PCMCIA modem card is available as an option for all product models except the 
    PageWriter Trim I. It connects through the PCMCIA slot and provides standard modem 
    capability. The PageWriter Trim cardiograph faxes ECG data to remote receivers or 
    communicates with a TraceMaster or TraceMasterVue ECG Management System through the 
    PCMCIA modem card.
      WARNINGDo not connect the modem card to a phone line when the cardiograph is connected to a 
    patient.
    High Level ECG Data Flow and Storage
    General ECG data flow begins with acquisition by the Patient Interface Module (PIM) from 
    electrodes placed on a patient. Data is streamed real-time to the main control board, where it is 
    received into the application buffers in RAM. These buffers are used to present the signal data 
    on the real-time screen. When the user initiates an Auto ECG print, the corresponding 10-
    second segments of the signal data are then copied to the temporary ECG storage memory in 
    RAM.
    These 10-second segments are named ECG reports that can be previewed and printed. In the 
    case of Auto mode, the ECG report may be configured to automatically print. An ECG report 
    contains signal data, analysis information, patient demographics, and acquisition information, 
    along with operator and device information. See the XML Utility Suite Instructions for Use 
    available on the Philips InCenter site (
    incenter.medical.philips.com) for a complete description of 
    the contents of the ECG data record. For information on using the InCenter site, see page 1-26.
    If the 
    Automatic Save After Print option is enabled on the cardiograph, the ECG report is 
    saved in XML format to the internal main archive. This archive is non-volatile and resides on 
    the internal CompactFlash (CF) card. Index files with a CDB extension are also maintained in 
    this archive.
    From the internal main archive, the ECG XML data format files can be copied, deleted, 
    previewed, printed, and transferred to other devices. The internal main archive cannot receive 
    ECG XML files from external devices. Retrieved ECG file storage is limited to the internal 
    remote archive.
    NOTEPageWriter Trim-generated ECG XML files comply with the Philips Medical Systems ECG XML 
    Schema version. They incorporate an embedded CRC32 value, which is used to ensure the data 
    integrity of the file. 
    						
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