Star 55

LARSEN & TOUBRO LIMITED

Service Manual

Star 55
I
 LARSEN & TOUBRO LIMITED
II
 LARSEN & TOUBRO LIMITED

Star 55

Service Manual
Star 55
III
Document Information:
CAT No. 3-86-020-0014-68
DRAFT COPY

Copy right:
© 2008 Larsen & Toubro Limited
This service manual is a sole property of Larsen & Toubro Limited and published for limited
circulation only.
This manual or any part of it should not be reproduced without prior and written permission
from Larsen & Toubro Limited.

Contact for any document related information:

Training & Documentation Cell
Medical Equipment and Systems
Larsen & Toubro Limited
KIADB industrial area
Hebbal - Hootagalli
Mysore - 570018
Karnataka (India)
Tel : (91) 0821 - 2403750
Fax: (91) 0821 - 2403749

Contact for any service related information:

customercare@[Link]

LARSEN & TOUBRO LIMITED

IV
About This Manual
This service manual covers the guidelines for servicing Star 55. This manual is for the use
by L&T service engineers or their authorized representatives only.
The scope of repairs, as described in this manual, is restricted to the replacement of
subassembly only. No component level repair is recommended under any circumstances,
unless specified otherwise. L&T shall not be responsible for consequences arising out of
such repairs.
Refer the relevant section of the operating manual for any safety related information.

Conventions Used in This Manual

The following conventions are used in this manual:
• A Warning describes precautions necessary to prevent injury or loss of life.
• A Caution describes precautions necessary to protect the product.
• The left side of the Star 55 is to your left as you stand facing the front panel.

Star 55
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 Table Of Contents

1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . .
1.1. Audience . . . . . . . . . . . . . . . . . . . . . . . .
1.2. About The System . . . . . . . . . . . . . . . . . . . .
1.3. System Software . . . . . . . . . . . . . . . . . . . . .

2. Safety . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.1. Electrical Safety . . . . . . . . . . . . . . . . . . . . .
2.1.1. Warning . . . . . . . . . . . . . . . . . . . . .
2.1.2. Caution . . . . . . . . . . . . . . . . . . . . . .
2.2. Equipment Safety . . . . . . . . . . . . . . . . . . . . .
2.3. ESD Protection . . . . . . . . . . . . . . . . . . . . . .
2.3.1. ESD Protection Materials . . . . . . . . . . . . . . .
2.3.2. Methods of Protection . . . . . . . . . . . . . . . .
2.3.3. Methods of Elimination . . . . . . . . . . . . . . . .

3. System Architecture . . . . . . . . . . . . . . . . . . . . . .
3.1. System Description . . . . . . . . . . . . . . . . . . . .
3.1.1. Main Board . . . . . . . . . . . . . . . . . . . .
3.1.2. Amplifier Module . . . . . . . . . . . . . . . . . .
3.1.3. NIBP Module . . . . . . . . . . . . . . . . . . .
3.1.4. SpO2 Module . . . . . . . . . . . . . . . . . . . .
3.1.5. CO2 Module . . . . . . . . . . . . . . . . . . . .
3.1.6. Power Supply . . . . . . . . . . . . . . . . . . .
3.1.7. Display . . . . . . . . . . . . . . . . . . . . .
3.1.8. Accessories . . . . . . . . . . . . . . . . . . . .
3.2. System Controls . . . . . . . . . . . . . . . . . . . . .
3.3. Block Diagram . . . . . . . . . . . . . . . . . . . . .
3.4. System Specifications . . . . . . . . . . . . . . . . . . .
3.5. Battery Requirement . . . . . . . . . . . . . . . . . . . .
3.5.1. Battery Specification . . . . . . . . . . . . . . . . .
3.5.2. Characteristics . . . . . . . . . . . . . . . . . . .
3.6. Safety Requirement . . . . . . . . . . . . . . . . . . . .
3.6.1. Product Safety Standard. . . . . . . . . . . . . . . .
3.6.2. EMC . . . . . . . . . . . . . . . . . . . . . . .
3.6.3. Classification. . . . . . . . . . . . . . . . . . . .

4. Getting Started . . . . . . . . . . . . . . . . . . . . . . . .
4.1. Unpacking and Installation . . . . . . . . . . . . . . . . . .
4.2. Turning the System ON and OFF . . . . . . . . . . . . . . . .
4.3. Battery Charging and Checking . . . . . . . . . . . . . . . .
4.4. Connecting / Disconnecting cables for Monitoring . . . . . . . . .

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5. Circuit Theory . . . . . . . . . . . . . . . . . . . . . . . .
5.1. System and Subsystem . . . . . . . . . . . . . . . . . . .
5.2. Main PWA. . . . . . . . . . . . . . . . . . . . . . . .
5.2.1. Microcontroller . . . . . . . . . . . . . . . . . . .
5.2.2. Address Decoding. . . . . . . . . . . . . . . . . .
5.2.3. Serial-port Controller . . . . . . . . . . . . . . . . .
5.2.4. Display Controller . . . . . . . . . . . . . . . . . .
5.2.5. Speaker Circuit . . . . . . . . . . . . . . . . . . .
5.2.6. Analog Output . . . . . . . . . . . . . . . . . . .
5.2.7. Keyboard and Module Buffer . . . . . . . . . . . . . .
5.3. Amplifier Module . . . . . . . . . . . . . . . . . . . . .
5.3.1. Power Supply Section . . . . . . . . . . . . . . . .
5.3.2. ECG Amplifier Section . . . . . . . . . . . . . . . .
5.3.3. Respiration Section . . . . . . . . . . . . . . . . .
5.3.4. Pacer Detection Section . . . . . . . . . . . . . . .
5.3.5. Diathermy Filter . . . . . . . . . . . . . . . . . . .
5.3.6. CAL Pulse Generation . . . . . . . . . . . . . . . .
5.3.7. Fault Detection . . . . . . . . . . . . . . . . . . .
5.3.8. IBP Section . . . . . . . . . . . . . . . . . . . .
5.4. NIBP Module . . . . . . . . . . . . . . . . . . . . . . .
5.5. SpO2 Module . . . . . . . . . . . . . . . . . . . . . .
5.6. Capnography Module . . . . . . . . . . . . . . . . . . . .
5.6.1. Module Description . . . . . . . . . . . . . . . . .
5.6.2. Calibration Procedure for CO2 Module . . . . . . . . . .
5.6.3. Calibration Interval . . . . . . . . . . . . . . . . . .
5.6.4. Calibration Kit . . . . . . . . . . . . . . . . . . .
5.6.5. Software Installation Procedure . . . . . . . . . . . . .
5.6.6. Interconnection . . . . . . . . . . . . . . . . . . .
5.6.7. Calibration Procedure . . . . . . . . . . . . . . . .
5.6.8. Calibration Failures . . . . . . . . . . . . . . . . .
5.6.9. Switch OFF the Patient Monitor Power . . . . . . . . . .
5.7. Universal Power Supply . . . . . . . . . . . . . . . . . . .
5.7.1. AC-DC Converter . . . . . . . . . . . . . . . . . .
5.7.2. DC-DC Converter . . . . . . . . . . . . . . . . . .
5.7.3. Recorder Power Supply . . . . . . . . . . . . . . . .
5.8. TFT (Thin Film Transistor) Display . . . . . . . . . . . . . . .

6. Assembly / Disassembly . . . . . . . . . . . . . . . . . . . .
6.1. General. . . . . . . . . . . . . . . . . . . . . . . . .
6.1.1. Removal . . . . . . . . . . . . . . . . . . . . .
6.1.2. Refitting . . . . . . . . . . . . . . . . . . . . .
6.2. Location of Modules . . . . . . . . . . . . . . . . . . . .
6.3. Removal of Rear Cover . . . . . . . . . . . . . . . . . . .
6.4. Removal of Main PWA . . . . . . . . . . . . . . . . . . .
6.5. Removal of SMPS . . . . . . . . . . . . . . . . . . . . .
6.6. Removal of Amplifier Module . . . . . . . . . . . . . . . . .

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 6.7. Removal of SpO2, NIBP and CO2 Module . . . . . . . . . . . . .
6.7.1. NIBP Module . . . . . . . . . . . . . . . . . . . .
6.7.2. CO2 Module . . . . . . . . . . . . . . . . . . . .
6.7.3. SpO2 Module . . . . . . . . . . . . . . . . . . .
6.8. Removal of the Battery . . . . . . . . . . . . . . . . . . .
6.9. Removal of Front Panel . . . . . . . . . . . . . . . . . . .
6.10. Removal of the Keyboard Assembly . . . . . . . . . . . . . .
6.11. Removal of Optical Encoder . . . . . . . . . . . . . . . .
6.12. Removal of Connector plate connectors . . . . . . . . . . . . .
6.13. Removal of Display . . . . . . . . . . . . . . . . . . . .
6.14. Removal of Inverter PWA . . . . . . . . . . . . . . . . . .
6.15. Removal of Alarm PWA . . . . . . . . . . . . . . . . . . .
6.16. Removal of the Recorder . . . . . . . . . . . . . . . . . .

7. Performance Tests . . . . . . . . . . . . . . . . . . . . . . .
7.1. Overview . . . . . . . . . . . . . . . . . . . . . . . .
7.2. Test Equipments . . . . . . . . . . . . . . . . . . . . .
7.3. Power Supply Tests . . . . . . . . . . . . . . . . . . . .
7.3.1. Power Transformer Test . . . . . . . . . . . . . . . .
7.3.2. DC-DC Voltage Test . . . . . . . . . . . . . . . .
7.3.3. Low Battery Checks . . . . . . . . . . . . . . . . .
7.3.4. Battery Charging Test . . . . . . . . . . . . . . . .
7.3.5. Internal / External Battery . . . . . . . . . . . . . . .
7.3.6. Variac Test . . . . . . . . . . . . . . . . . . . .
7.4. Recorder Power Supply Test . . . . . . . . . . . . . . . . .
7.5. Keyboard Test . . . . . . . . . . . . . . . . . . . . . .
7.6. Display Test . . . . . . . . . . . . . . . . . . . . . . .
7.7. Alarm Test . . . . . . . . . . . . . . . . . . . . . . . .
7.8. Inverter Test . . . . . . . . . . . . . . . . . . . . . . .
7.9. ECG Test . . . . . . . . . . . . . . . . . . . . . . . .
7.9.1. HR/PR Switching . . . . . . . . . . . . . . . . . .
7.9.2. LEAD Fault Checks . . . . . . . . . . . . . . . . .
7.9.3. Rate Alarm . . . . . . . . . . . . . . . . . . . . .
7.9.4. SYNC-O/P Check . . . . . . . . . . . . . . . . . .
7.10. Temperature Checks . . . . . . . . . . . . . . . . . . . .
7.11. SpO2 Test . . . . . . . . . . . . . . . . . . . . . . . .
7.12. Recorder Test . . . . . . . . . . . . . . . . . . . . . .
7.13. Analog Output Test . . . . . . . . . . . . . . . . . . . . .
7.14. Skyline Communication Check . . . . . . . . . . . . . . . .

8. Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . .
8.1. System Diagnosis . . . . . . . . . . . . . . . . . . . . .
8.2. Error Codes . . . . . . . . . . . . . . . . . . . . . . .
8.3. Troubleshooting Chart . . . . . . . . . . . . . . . . . . .

Spare Part List . . . . . . . . . . . . . . . . . . . . . . . . .

Glassary . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Chapter 1 INTRODUCTION
Read this manual before attempting to service Star 55. This manual is for L&T service
engineers or L&T authorized representatives only.

1.1. Audience
The intended audience of this manual is trained service personnel.

1.2. About The System

Star 55 is a portable eight channel monitor with 12.1” high resolution colour TFT display.

Star 55 offers continuous monitoring for ECG, Respiration, Pulse Oximetry, channel
(optional)Temperature (Along with Delta T), Dual channel Invasive Blood Pressure and Non
Invasive Blood Pressure and optional Capnography with two-channel thermal array recorder
which can record online data and ECG respiration, plethysmograph and CO2 waveforms
along with numerical values of other parameters and also can record tabular trends.

Star 55 has graded and colour coded alarms. Additionally, it also has a red message, yellow
message and white message areas (displayed on the Real Time Screen) which displays
messages during various alarm conditions for better user interpretation. It has 72 hours tabu-
lar and graphical trends with 5 sec resolution for ECG, RR, SP02, Temperature, ETCO2 and
special tabular trend for NIBP to store last 240 readings. Tabular and Graphical Trends can
be viewed at user selectable resolutions. Alarm recall feature offers last 24 alarm conditions.

The basic hardware is comprised of Main board, Power Supply Interface Card(PIC), Bat-
tery Card, Power supply unit (PSU), Module Interface Card(MIC), Communication Interface
Card(CIC), Display module inverter and Parameter modules.

Main board communicates with all the modules and updates the display, resulting in real-time
monitoring of the parameters. The CPU is a 32 Bit Microprocessor with various peripheral
options and controls all the activities of Star 55. VX Works Operating System is used here.

1.3. System Software

Star 55 is controlled by system software. L&T medical may provide new software for use with
the unit from time to time. This can be easily changed by the L&T authorized service persons.

The monitor software resides in a Disk On Chip. It can be upgraded externally through the
USB port using the Software Upload Facility.

Software for other different parameters are embedded in the corresponding modules.

Refer ALL INFO screen for Software versions encompassed in the unit.

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Chapter 2 SAFETY
Read this manual before attempting to service Star 55. This chapter explains the safety
requirements for servicing.

2.1. Electrical Safety

This equipment has been designed to meet IEC 60601-1 international standards and the
corresponding national standards. It has Class I type of protection against electrical shocks,
degree Type ‘CF’ and ‘BF’ against the electrical shocks.

2.1.1. WARNING
• Use insulated tools to adjust controls.
• Do not open the system enclosures in power ON condition.
• All internal adjustments and replacements must be done by a qualified service engineer.
• Do not operate the system in the presence of flammable gases or anaesthetic agents.
This can lead to an explosion.
• Disconnect the AC power adapter from the system before cleaning the system.
• Inspect the AC power adapter cord and plug on a regular basis for any damage.
• Use properly grounded equipment. The grounding wire must not be removed or
disconnected.
• Use accessories and peripherals as recommended for Star 55.

2.1.2. Caution
The following precautions can help reduce ESD (Electro Static Discharge)
• Anti-static spray on carpets
• Anti-static spray on linoleum
• Anti-static mats
• Antistatic wrist bands
• Proper grounding of the work area
Do not block the airflow through the ventilation holes on the back of the system to prevent
rise in temperature.

2.2. Equipment Safety

Observe this bulleted caution list carefully in order to protect the monitor.

Caution
• Excessive bending or twisting of cables can cause a failure or intermittent operation.
• Take care when connecting or disconnecting cables. A damaged cable can cause a short
in the electrical circuit.
• Do not plug in or remove PWA (Printed Wire Assembly) cards while the unit is in power
ON condition.
• Improper cleaning or disinfecting or any part of the system with non recommended cleaning
solutions can cause permanent damage.
• Do not use solvents such as thinner, benzene, or abrasive cleaners on any part of the
system.

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• Do not spill liquid on the system.
• Do not handle PWAs without proper static protection. Improper handling may damage components.
• Do not assemble or configure incorrectly. Use proper power source.
• Prevent damage to the connectors by aligning connector pins before you connect the
cable. Misaligned connector pins can cause damage to the system components when
power is swicthed ON.

2.3. ESD Protection

Electrostatic discharge is defined as the transfer of charge between bodies at different
electrical potentials. This can change the electrical characteristics of a semiconductor
device, degrading or destroying it. Electrostatic discharge can upset the normal operation
of an electronic system, causing it to malfunction or fail.

The damage done by ESD can cause the instant failure of the unit or result in performance
degradation and eventually fail.

The unit gets damaged by the electric field radiating from an electrostatic body. MOS
(Metal Oxide Semicondector) technology devices are most susceptible to voltage or
electrostatic field damage. Bipolar and TTL devices are more susceptible to the range of
electrical current.

2.3.1. ESD Protection Materials

Three types of materials are used to protect Components from ESD.
a) Conductive : These are metals, conductive plastics, conductive laminates,
or metal wire impregnated bags.
b) Static dissipative : These materials provide a lower level of protection and are
made out of the same materials as the conductive protection materials. They are
thinner than the conductive materials.
c) Anti-static : These materials include some melamine laminates, high
resistance conductive plastics, virgin cotton, wood and paper products, and static
dissipative or conductive materials of very small thickness.
2.3.2. Methods of Protection
ESD sensitive devices may be protected by one of the following methods
• Grounding
• Isolation
• Neutralization
The minimum equipment to be carried to measure ESD protection in the field are
• Anti-static conductive mat and grounding cable
• Wrist strap and grounding cables
• Supply of protective bags and other suitable containers
Field service engineers must also wear suitable clothing and avoid handling objects
that can generate dangerous electrostatic potentials. These objects include non-protective
bags, containers, beverage food containers and furniture.

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 2.3.3. Methods of Elimination
• You must have a reliable ground point available near the work site.
• Dissipate static electricity before handling any unit components (PWAs, cards) by
touching a grounded metal object. The system / unit unpainted metal chassis is an
example of such a metal objects.
• Connect your body to the ground point with a wrist strap.
• Handle the PWAs and cards using anti-static pouches.
• Do not wear clothing which generates static electric charges everytime you move
like clothing made of silk.
• Keep all PWA cards in anti-static envelopes.
• Turn OFF the power and remove the power plug from all equipment before working
on it.
• Always hold a card or module by its edges. Do not touch the contacts or components
on the module.

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Chapter 3 SYSTEM ARCHITECTURE
3.1. System Description
Star 55 is engineered in the view of designing a portable patient monitor for easy transportation
and better viewing of waveforms and parameters. It emcompasses the following main
functional groups:
• Main Board
• ERT2
• SP02 Module
• NIBP Module
• CO2 Module (Optional)
• Power Supply
• Display
• Accessories

3.1.1. Main Board

Its main features include:
• Embedded MPC8xx core up to 133 MHz
• Single-issue, 32-bit core (compatible with the PowerPC architecture definition) with
thirty-two 32-bit general-purpose registers (GPRs)
• Up to 32-bit data bus from D0-D31 (dynamic bus sizing for 8, 16, and 32 bits)
• 32 address lines from A0-A31
• Memory controller (eight banks)
• Software watchdog Timer
• Periodic interrupt timer (PIT)
• Clock synthesizer
• Reset controller
• IEEE 1149.1 test access port (JTAG), which is also used for programming the Boot
Loader in the Flash memory IC.
• 2 internal UART’s which communicates with the ECG and SpO2 modules.
• I2C Module which communicates with the power supply regarding battery charge
info, battery temperature, DC DC o/p voltage info, AC DC o/p voltage info and frequency
information
• USB compatible, used for S/W upgrade and trend download to USB thumb
drive.
• Two fast Ethernet controllers, which support features, like Bed-To-Bed and Re
mote Viewing over the Ethernet protocol.

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 The Main board also consists of:
• Flash Memory containing the boot loader and image
• Disk On Chip containing the (OS kernel + application software).This also contains
data such as institutional default settings, trend data, etc. that must be retained even
after power OFF
• 2 no 32 MB SDRAM’s from which the code executes
• CPLD chip for address decoding and for generating timing signals like chip
select, signals for RD and write Enable.
• Real Time Clock which maintains system date and time
• Display controller that provides interface between the microprocessor, EDORAM,
and 12.1" TFT display
• EDORAM which stores data for display controller
• Programmable Audio Generator IC for Beep tone and Alarm tones generation.
• 2 no external UART’s with asynchronous communication elements which
communicates with the modules (NIBP, CO2, Recorder) and RS232 ports for
PC Dump and Central Nursing Station (Skyline).
• Keyboard interface which consists of level shifter and buffers which provides the
interface between Main board and keyboard / optical encoder
• Power Supply filters, for power conditioning in 5V,3.3V and 1.8V voltage outputs.

3.1.2. ER2T Module

ER2T module stands for ECG, RESPIRATION and 2 channels Temperature. This module
comprises ECG section, Respiration section, Temperature section and Digital data
transmission section.

3.1.3. NIBP Module

This Suntec module is an oscillometric blood pressure system. Module is controlled via
software commands given by the host system. All module operations are initiated by the
[Link] module is designed to take BP samples on demand. The main board controls
the module by issuing commands from the serial port.

3.1.4. SP02 Module

This module is from Nellcor Incorporated, USA. It communicates with the Main Board on
serial protocol providing PR, SP02% which are refreshed on the display. The finger probe
houses an infrared source, red LED and a photo detector. It picks up the signal from patients
body and this signal is conditioned by the microcontroller to derive the oxygen saturation
level and pulse rate.

3.1.5. CO2 Module (Optional)

This module is from Oridion. It communicates with Main board on serial protocol providing
inspired / expired carbon dioxide and respiration rate which are refreshed on the display.
The method for measuring CO2 (EtCO2 and FiCO2) is based on non-dispersive IR
absorption of the CO2 in the breath sample using the Oridion IR source.

3.1.6. Power Supply

The universal power supply of Star 55 can work for the input voltages 95V to 264 V AC
at 50/60 Hz. It is also supported by internal battery .

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 The basic components of universal power supply are:
AC - DC Converter
DC - DC Converter

3.1.7. TFT (Thin Film Transistor) Display

Display of Star 55 is TFT (Thin film transistor) active matrix colour liquid crystal display
(LCD) comprising amorphous silicon TFT attached to each signal electrode, a driving
circuit and a [Link] has a built-in backlight. Backlight includes long-life lamps and
the lamps are replaceable. The 12.1" diagonal display area contains 800 x 600 pixels.
Features
• High luminance (300 cd/m2, typ.)
• Low reflection
• Wide viewing angle with retardation film (Antiglare treatment)
• Display reverse scan function
• 6-bit digital RGB signals
• Edge type backlight with long-life-lamps (Two lamp holders, inverter-less)
• Variable luminance control
• Recommended inverter

3.1.8. Remote
21 hotkeys along with standby key and an LED is provided on the wireless hand-held
remote. The remote can be used in parallel with the internal keyboard, over a maximum
distance of 20 feet.
Use the Remote in straight line with the remote sensor to avoid changes in other monitors
(55 series) kept near by.

3.1.9. Accessories
ECG
Star 55 offers 3 lead ECG monitoring facility.
• 3 lead ECG cable (I, II, III)
• 5 lead ECG cable (I, II, III, aVR, aVL, aVF, V)

Respiration

Figure 3.1 : 3 Lead ECG Cable Figure 3.2 : 5 Lead ECG Cable*

* Optional

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 Respiration can be monitored through same ECG cables 3 / 5 lead or through
Capnography (Refer Page No 12 and 13). Priority for respiration is given to
Capnography, if the option is installed.

Temperature

Figure 3.3 : 3 Lead ECG Cable Figure 3.4 : 5 Lead ECG Cable*

Figure 3.5 : Filter Line Adult/Paediatric

Star 55 is compatible with YSI 400 series of temperature probes.
YSI 401 : Rectal/Oesophageal temperature probe (Adult).
YSI 402 : Rectal/Oesophageal temperature probe (Neonatal).
YSI 409A : Tape-on skin probe.

Pulse Oximetry

Figure 3.6 : Temperature Probe (Adult)* Figure 3.7 : Temperature Probe (Neonatal)*

Figure 3.8 : Tape-on Skin Probe*

* Optional

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 Accessories for Pulse Oximeter
• DS 100™ (Dura Sensor) from Nellcor for adults application (patients above 40 Kg).
• Dura Y™ for universal application (patients above 1 Kg to 80 Kg).
• Extension cable.

Non Invasive Blood Pressure

Figure 3.9 : DS 100TM Figure 3.10 : Dura YTM *

Figure 3.11 : Extension Cable

Invasive Blood Pressure

Figure 3.12 :IBP Cable

* Optional
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 NIBP basic configuration comprises of following accessories:
• Adult cuff (14 cm x 37 cm) (Reusable)
• Child cuff (9 cm x 27 cm) (Reusable)
• Neonate cuff (3 cm x 9 cm) (Disposable)
• Hose tube (3 meters) (Reusable)

Capnography (Optional)

Figure 3.13 : Adult Cuff Figure 3.14 : Child Cuff

Figure 3.15:: Neonate Cuff Figure 3.16 : Hose Tube

Following accessories are provided for Capnography (microstream) along with

Star 55 monitor.
• Capno Line
- Adult
- Paediatric
- Infant - Neonate
• Filter Line

Figure 3.17 : Capno Adult Figure 3.18 : Capno Paediatric

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 Figure 3.19 : Capno Infact - Neonatal
- Adult / Paediatric
- H set Adult / Paediatric
- H set Infant / Neonatal

Grounding Cable

Figure 3.20 : Adult / Paediatric Figure 3.21 : H Set Adult / Paediatric

Figure 3.22 : H set Infant / Neonatal Filter Line

3.2. Technical Specifications

Figure 3.23 : Grounding Cable

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3.2. Front Panel

15 17 20

16

18

19 21

1 234 5 6 7 8 9 10 11 12 13 14
Figure 3.24 : Front View

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Front Panel Description:
Sl. No. Keys / Indicators Function
1. Monitor ON/OFF switch To switch ON or switch OFF the monitor (Unit should be
connected to the mains supply or to the internal battery).
2. Mains Indicator Amber color LED turns ON when monitor is connected
to Mains.
3. Remote Sensor To sense the remote signals.
4. Monitor ON indicators Green LED ON indicates Monitor ON.
Amber LED OFF and Green LED ON indicates unit
is ON in battery operation mode.
5. Alarm suspend/ On pressing this key all audio alarms are muted or
Acknowledge suspended. When Audio/Visual alarms
are indicated by the unit, this key acts as alarm
ackowledge key.
6. NIBP Start/Stop This key is used to start/stop the NIBP mesurement.
7. Freeze/Defreeze This key is used to Freeze/Defreeze the screen.
8. Record This key is used to Start/Stop recorder.
9. Goto This key used as a short cut key for Menu option.
10. Zero This key is used to make invasive blood pressure value
zero. (Ensure that the IBP transducer is connected to
the unit).
11. CO2 pump This key is used to ON CO2 pump when in use and
OFF when not in use.
12. Stand By To toggle between Stand By and ON.
13. Home To go back directly to the Main screen, from any other
screen.
14. Optical Encoder This is a special rotating knob used for multipurpose
applications. Rotating the optical encoder in clockwise
or anti-clockwise direction moves the cursor (highlighted
rectangular block) right or left in the Menu area of the
screen. Pressing the optical encoder selects the
particular function.
15. Message Display Area Displays error messages.
16. Waveform Display Area Displays waveforms. Maximum 8 channel.
17. Alarm Indicator Gives flashing Yellow color indication for cable /
accessory related alarms like cable coming off patient
and flashing Red color indication for patient related
alarms, e.g. when the value of any parameter being
monitored goes above or below the set alarm limits.
Audio frequency [AAMI [Link](i)]:
Red alarm : 1.7 K Hz
Yellow alarm : 1.4 K Hz
Video frequency:
Red alarm : 2 Hz (250ms ON, 250ms OFF)
Yellow alarm : 0.5 Hz ( 1s ON, 1s OFF)
Fixed 3 minutes realarm facility is present. Crossed
bell indication for alarm silence.
18. Parameter/Numeric Displays numerical values for all parameters.
19. Menu Display Area Displays Main menus.
20. Battery status Area Displays the status of the battery.
21. Non display parameters Displays the alarm of non display parameter

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3.3. Rear Panel

1 3

Figure 3.25 : Rear View

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Rear Panel Description:
Sl. No. Keys / Indicators Function
1. Equipotential Ground For external grounding
2. Mains Plug Connection for 95-265V AC, 50Hz/60Hz + 5%
3. CIC Communication Interface Card

CIC available in Star 55

CIC Connectors
CIC-4 PC Dump + CNS

Usage of the connectors as shown below:

Connector Description
DB9 PC Dump
USB* Central Nursing Station

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3.4. Left Side Panel

4
1 5
6

2 7
3

10

Figure 3.26 : Left Side View

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Left Side Panel Description:

Sl. No. Keys / Indicators Function

1. IBP To interface IBP tranducer to the monitor with the help
of IBP cable
2. CO2 Exhaust To vent for CO2 gas sample
3. CO2 To Input for gas sample
4. CO * Cardiac output
5. SpO2 To interface SpO2 sensor to the monitor with the help
of extension cable
6. ECG To interface ECG 3lead or 5lead cable with monitor
7. NIBP To interface NIBP cuff to the monitor with the help of
hose tube
8. TEMP To interface Temperature probe to the monitor
9. USB * To connect external Printer/ for software upgradation
10. SD Card * To transfer or store the trend data

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3.5. Right Side Panel

Figure 3.27: Right Side View

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Right Side Panel Description:
Sl. No. Keys / Indicators Function
1. Recorder To print the waveform with the digital values.
2. Nurse Call Configurable relay to activate nurse call.
3. Defib. Sync For synchronizing monitor with defibrillator.

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3.6. Interconnection Diagram

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3.7. Signal Flow

Switch on the monitor

SMPS takes input supply from mains or battery and converts it to +/-12V +5V and
8.5V. It charges battery voltage and gives supply to inverter PCB for display.

PIC receives +/-12V +5V ,& 8.5V and distributes to the various modules.

Motherboard loads the system defaults and performs a self test by sensing the
connected module and poping up the respective module.

Motherboard sends the parameter settings to all the boards connected. The data
(digital values and waveforms) from all the boards is collected and displayed
according to the display format selected by the user. This data is also stored for
72hrs. trend. The same data is available for output in RS232 protocol for serial
communication.

Motherboard monitors for fault conditions from all the modules and displays
accordingly. It compares the data to the user set limits and gives alarm whenever
limits are violated.

Power supply monitors the battery charge, if no input supply present. It sends low
battery message for display when battery charge level goes below 20% charge.

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3.8. System Specification

Equipment Classification
Mode of operation : Continuous
Type of protection against electric : Class1
shocks
Degree of protection against electric : Type CF for ECG, IBP, Temperature and Respiration
shocks Type BF- Capnography, NIBP and SpO2
(All with defib protection)
Degree of protection against hazards
of explosion : Not protected
Degree of protection against ingress
of liquids : Drip Proof - IPX1

Power Supply
Voltage : 95 - 265V AC, 50Hz / 60Hz at +/-5% tolerance.
Fuse : 3.15A Fast blow (2 no.s)
Indicator : Amber LED ON indicates Mains ON.
Green LED ON indicates Monitor ON.
Amber LED OFF and green LED ON indicates
unit is in battery mode
Current : 0.7 A max
Wattage : 100 watts

Battery
Type : 14.8 V (4AH / 8AH) Lithium ion
No. of battery : One pack / Two packs
Charging time (min) : 12 Hrs ( one pack )
Discharge time : 2 / 4 hrs
For 2 hrs backup :
One pack fully charged new batteries at 25 0C.
Discharge condition:
ECG, RESP, SpO2, Temp, NIBP running at 15 min interval, without CO2 and recorder printing.
For 4 hrs backup :
Two packs fully charged new batteries at 25 0C.
Discharge condition:
ECG, RESP, SpO2, Temp, NIBP running at 15 min interval without CO2 and recorder printing.
Low battery indication : 20% charge
Battery cut-off voltage : 12.2 +/- 0.2V
Indicator :
Green LED ON and Amber LED OFF indicates battery operation.
Green LED ON and Amber LED ON indicates mains operation and battery charging.

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Note &
Monitor shows battery capacities at two instances:
1) When the monitor is operated on battery (Green LED ON and Amber LED OFF) with
no alarm condition, battery capacity is more than 20%.
2) When the monitor shows low battery ( Battery status area blinks with red bar), the
monitor continues to work for 10-15 mins depending upon the load on the
battery. Monitor turns OFF when the battery reaches cut-off voltage.

Controls
Front Panel : Switch for unit ON/OFF control.
9 specific function switches.
Remote sensor.
Optical encoder with switch.

Display
Display size : 12.1 " TFT display (800X600).
Trace Speed : 12.5, 25, 50 mm/sec for ECG, SpO2, IBP.
6.25,12.5,25 mm/sec. for Respiration and CO2.
Waveform : 8 waveform display. one standard and six user
selectable format. Waveform and Digital fields are
individually selectable and can be stored.
Parameter colour : Colour of the parameter display ( w/f and digital
fields together ) is user selectable.
SpO2 Strength Indicator : Bar graph showing the signal strength.
Waveform sampling rate : 400 samples/sec for ECG ( max )
100 samples/sec for SpO2 ( fixed )
100 samples/sec for Respiration ( fixed )
10 samples/sec for Capnography.
Patient Modes : Adult/Neonate/Pediatric
Recording indication : RECORDING… message in the white message
area indicate recording in progress.
Arrhythmia indicator : Flashing red alarm and arrhythmia type in message
area on screen provided
Alarm detection status : Selected limits shown if enabled. Crossed Bell symbol
shown if disabled. Depends on mode, default alarm

Trends
Data storage : 5 sec for 72 hours
HR / PR, SpO2%, IBP, Temp, RR, EtCO2 : 72 hours graphical and tabular trend
FiCO2, ST.
NIBP : Last 240 readings will be displayed in Tabular format.
ST : 4 Hrs data with 1 min. resolution ( ST storage ) No
option to record strips.
OXYCRG display : 8 min. online monitoring of HR, SpO2 and RR with
the resolution of 2sec.
Graphical trend time scales : 2, 4, 12, 18, 24, 48 and 72 hrs.
Graphical trend view resolution : 30 sec, 1, 3, 4.5, 6, 12 and 18 min.
Tabular trend view resolution : 5, 10, 15, 30 sec, 1, 2, 4 and 8 min.
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Alarm Trend (Recall) : Tabular trend for display of last 24 patient alarms
Patient information : Max storage of 72 Hrs Data of 200 patients
Storage of ECG strips : 8 ECG strips (strip duration depends on the sweep
selected for ECG) what ever is appearing on the
display at that moment will be stored) ECG strip
recording is possible.
Auto Setting Of Alarms : Provided for HR, SpO2, IBP, RR, EtCO2, FiCO2, ST
and TEMP.
Formulae Used : HR high limit = Present HR value X 8/10 +76
HR low limit = Present HR value X 8/10 +2
SpO2 high limit = 100
SpO2 low limit = (Present SpO2 value - 8) or 80
(whichever is greater)
IBP systolic high limit = Present systolic value +8
IBP systolic low limit = Present systolic value -8
IBP diastolic high limit = Present diastolic value +8
IBP diastolic low limit = Present diastolic value -8
EtCO2 high limit = present value +5
EtCO2 low limit = present value -5
FiCO2 high limit = present value +2
FiCO2 low limit = 0
Temperature high limit = present temperature +2
Temperature low limit = present temperature -2
Respiration high limit = present RR +5
Respiration low limit = present RR -5
ST high limit = present value +2
ST low limit = present value -2

Inputs
Side Panel : Nicholay connector for ECG / Respiration
D-type connector for SpO2
Red colour round connector for IBP
Female coupling for NIBP
YSI connector for Temperature
CO2 filter line
Rear panel : Standard 3-pin IEC power connector.
Line and neutral lines protected by fuse.

ECG
Input : Isolated and floating 3/5 leads (depending on ECG
cables). Protected against surges produced by
Electro-Surgical and defibrillator potentials. Cascade
option available.
Input impedance : >2.5 M Ohms at 10Hz
CMRR : <15mm (max.) (Allowable noise for 3V p-p applied
sine wave of 20Hz)
Patient applied leakage current : < 10uA (Isolated Normal condition)
< 50uA (Isolated single fault condition)

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Overload recovery : < 8 Sec
Fault indication : Individual lead fault indication on screen
Calibration : Cal indicator for all the gains in lead II, III and V
for 5 lead ECG cable and lead II and III for 3 lead
ECG cable.
Patient isolation : 4KV rms (for 1 minute- isolated Normal condition)
Band width : 0.5 - 120 Hz for Monitoring mode
0.05 - 120 Hz for Diagnostic mode
0.5 - 20 Hz for OT mode
Gain : X0.2, X0.5, X0.75, X1, X2, X5 mV, Auto - User
selectable
Tall T Wave rejection : Up to 1.2mV or QRS amplitude ( whichever is
higher )
QRS beep volume Control : 12 steps (Off to Minimum)
Beep source : User selectable beep source from ECG / IBP / SPO2
/ NIBP
Leads : 3 leads for 3 lead cable.
5 leads for 5 lead cable
QRS Indicator : Beep and flashing heart symbol for every QRS
complex detected.

Heart Rate
Range : 20-350 BPM
Accuracy : 2BPM or 2% which ever is greater
HR alarms : Adjustable alarm limits
Min - 20 to 320 BPM.
Max - 50 to 350 BPM
4 sec delay for HR alarms
3 sec R-R interval triggers systole alarms if selected
in Arrhythmia menu.
Time to alarm for Tachy : 5 sec
Heart rate meter response time : Change from 80 to 120 BPM (6 to 7 sec).
Change from 80 to 40 BPM (6 to 8 sec).
Arrhythmias Detected : Irregular, Skip beat, Tachycardia, Bradycardia,
Asystole
Pacemaker pulse rejection capability : When pacer is ON the monitor will display the HR
for all single and double pacemaker pulses either
150 or 250 m sec apart with a pulse width of 0.1 to
2 m sec and amplitudes ±2 mV to ±500 mV without
overshoot.

Note &
Do not rely on the displayed HR value when pacer is OFF and pacer pulses are detected as
QRS.

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ST Analysis
Input : From ECG cable
Measurement range : -10mm to + 10 mm
Resolution : +/- 0.2 mm.
Leads : ST analysis can be performed on any one of I, II, III
incase of 3 lead configuration and any three of I, II,
III, avR, avL, avF, chest in case of 5 lead
configurations.
ST value updation : After every 8 valid QRS samples.
ISO point : -80 ms from QRS peak (Default) Any point in the
range of -150ms to 0 from QRS peak ( user
selectable ).
ST point : 120 ms from QRS peak (Default) any point in the
range of 0 to 200ms from QRS peak ( user
selectable ).
Marker resolution : 2.5ms.
Alarms : Alarm limits adjustable in the range
High : -8 to 12
Low : -12 to -8
Method of measurement : Cyclic

Respiration (When source is from ECG)

Input : From ECG cable ( RA - LA / RA - LL )
Leakage current : <10mA at 240V AC, 50Hz
Excitation current : < 300mA at 50 kHz.
Sensitivity (max) : 0.2 Ohms/cm
Sensitivity (min) : 4 Ohms/cm.
Range : 0 -150 breaths\min.
Accuracy : Up to 30, +/- 1bpm, from 30 to 60 +/- 2bpm,
>60 +/- 4bpm.
Fault indication : Cable/Electrode fault indication.
Gain : x1, x2, x3, x4, Auto( user selectable ) x4 is default
gain level.
No Breath Alarm delay : 10 - 90 sec (selectable) in steps of 5 sec.

Temperature
Inputs : Isolated and floating
Leakage Current : <10 mA at 240V AC, 50 Hz
Measurement Range : 0 0C - 50 0C
Scale value : Displays direct readings of Temperature input. ‘DT’
value displayed in place of T2. DT is the difference
between T1 and T2.
Warm up : <10 min (Excluding probe)
Accuracy : ±0.2 0C or ±0.4 0F
Alarms : Temperature limits adjustable
Minimum : 12.00 C to 47.0 0C
Maximum : 15.00 C to 50.0 0C
Unit : 0
C or 0F user selectable

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Probe fault : Display shows ‘OFF’ if the probe not connected.
Display shows out of range condition (-?-) in the
event of short circuit or open circuit probes. Out of
range condition also indicated if the Temperature
raises above 50 0C or falls below 1 0C
Calibration : Injects signal of (37.0 +0.1) 0C into both inputs.

SpO2
Tone variation with change in SpO2 : Provided
Measurement range : 0 -100%
Accuracy : Adults : (+1 Std. Dev.)
70 - 100% +2 digits
0 - 69% unspecified
Neonates : (+1 Std. Dev.)
70 - 100% +3 digits
0 - 69% unspecified
Alarms : Adjustable alarm limits
Minimum : 50 to 95%
Maximum : 55 to 100%
Pulse rate range : 20 to 230 BPM
Accuracy (+ 1 Std. Dev.) : +3 BPM

Capnography ( Micro Stream )

Measurement Range:
EtCO2 : 0-99 mmHg
FiCO2 : 0-20 mmHg
Measurement Accuracy:

Time CO2 Partial pressure Customer Accuracy

0-20 min 0-38 mmHg +4 mmHg
39-99 mmHg +12% of Reading
20 min and up 0-38 mmHg +4 mmHg
39-99 mmHg +5% of reading +0.08%
for every 1 mmHg
( above 38 mmHg )

RR : 0-150 BPM
Units : mmHg or kPa or Vol %.
Scale : 20, 40, 60, 80 or 100 mmHg or 2.6, 5.3, 8, 11 kPa /
Vol%
Flow rate : 50 ml/min
Warm up time : 40 sec (Typical)

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 Alarms : EtCO2
Upper : 5-80 mmHg
Lower : 0 - 75 mmHg
FiCO2
Upper : 2 - 20 mmHg
RR
Upper : 10 - 150 BPM
Lower : 5 - 145 BPM
Accuracy : 0-70 (±1) BPM
71-120 (±2) BPM
121-150 (±3) BPM
Calibration :
Zero calibration : Automatically performed by the module. Indicated
to the user through a message on the screen.

Note &
No Breath alarm limit is 10-90 with step of 5 sec.

Calibration interval : Initially calibrate after 1200 operating hours, then

once a year or after 4000 operating hours, whichever
comes first.

NIBP
Method : Oscillometric
Display : Systolic, Diastolic and Mean
Modes of measurement : Manual, Auto and Stat mode
• In Auto mode, intervals of 2, 3, 4, 5, 10, 15, 30, 60 and 90 minutes are user selectable
• In Stat mode, unit will take as many readings as possible in 5 minutes
• Duration between measurements is 10-12 sec
Unit (User selectable) : mmHg or kPa
Range : 20 - 250 mmHg
Accuracy : +5 mmHg with a standard deviation no greater
than 8 mmHg
Cuffs : Single quick connect hose
Auto zero : Zero pressure reference is automatically established
after every reading
Cuff inflation
Initial inflation
Adult : 160 mmHg
Neonates : 90 mmHg
Pediatric : 120 mmHg
Subsequent inflation approximately 30 mmHg greater than previous systolic pressure
Cuff deflation : Automatic
Alarms : Adjustable alarm limits (for both Sys and Dia)
Upper : 30 to 250 mmHg
Lower : 20 to 240 mmHg

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Safety features :
Automatic deflation if, cuff pressure exceed.
• 300 mmHg (Adult and Pediatric mode)
• 150 mmHg (Neonate mode)
• Measurement time exceeds more than one minute to deflate.

Drug Calculation
25 Standard default drug details are as follows:
AMINOPHYLLINE, DILTIAZEM, DOBUTAMINE, DOPAMINE, EPINEPHRINE, ESMOLOL
HCL, FENTANYL CITRATE, HEPARIN SODIUM, INAMRIONE LACTATE INSULIN REGULAR,
ISO PROTERENOL, HCL LABETOL, HCL LIDOCAINE, HCL LORAZEPAM, MIDAZOLAM,
MILRIONE, NICARDIPINE, NITROGLYCERIN, NITROPRUSSIDE, NOREPINEPHRINE,
PHENLYEPHRINE, PITOCIN, PROCAINAMIDE, HCL PROPOFOL, VASOPRESSIN. Apart
from above drugs there is a provision to add 10 New drugs.

Presure IBP1 - IBP4

Input : Isolated and floating. Protected against surges
produced by Electro-surgical and defibrillator
potential with L&T approved cables.
IBP1-IBP4 w/f sampling rate : 100
Input impedance : >1MW
Leakage Current : <10mA at 240V AC, 50Hz
Processed Pressure Signals : Systolic, Diastolic and Mean.
Accuracy : 2 mmHg or 2% whichever is greater.
Bandwidth : D.C to 20Hz
Sensitivity : 5mV / V/ mmHg of tranducers
Transducer Excitation : 2.6V DC short circuit protected and isolated.
Pressure ranges : 5, 10, 20, 30, 60, 80, 100, 150, 180, 200, 240, 300,
Auto mmHg
Measurement range : -40 to 300mmHg
Calibration : 100mmHg signal injected into the screen.
Alarms : Adjustable alarm limits.
PR range : 30 - 350 BPM
Accuracy : +/- 3 BPM

Pressure Table: Alarms -- Adult Pressure Table: Alarms -- Adult

Label Systolic Diastolic Label Systolic Diastolic
MIN MAX MIN MAX MIN MAX MIN MAX
IBP 60 140 50 130 IBP 45 80 20 45
CVP 12 28 10 26 CVP 09 16 04 09
PAP 06 14 5 13 PAP 04 08 02 04
LAP 12 28 10 26 LAP 09 16 04 09
RAP 12 28 10 26 RAP 09 16 04 09
LVP 30 70 25 65 LVP 22 40 10 22
ART 60 140 50 130 ART 45 80 20 45
PCWP 06 14 5 13 PCWP 04 08 02 04
ICP 10 26 6 12 ICP 09 16 04 09
User defined 12 6 10 26 User defined 09 16 04 09

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Alarms
Accessory alarms : Audio ( Alarm beep ), Visual ( Flashing Yellow LED )
and message indication
Patient alarms : Audio ( Alarm beep ), Visual ( Flashing Red LED
alarms ) and message indication
Re-alarm : 3 min after an alarm is acknowledged
Alarms suspend : Continuous Yellow LED to indicate “Alarms Suspend”
condition with display of alarm cross mark.
Alarm volume control : 12 steps (Min to Max)

Outputs
ECG Sync : Provides 5V P-P pulse for synchronizing with
defibrillator
Analog : 15 pin D-type sub connector ( Female ) ( Future
Upgrade )
External monitor : 15 pin D-type sub connector ( Female ) ( Future
Upgrade )
RS485 communication : USB type
Ethernet : RJ45 type (Future Upgrade)
Nurse call : Stereo phono jack type
PC Dump : 9 pin D-type, dumping of all real time data.
Software upgrade : USB type

Recorder
Recorder : Two channel
• Make : Woosim
• Printing method : Thermal recording
• Dot density : 203 DPI
• Paper Width : 58 mm
• Printing Width : 48 mm
• Speed : 25 mm/sec
Recording modes : Direct, Delayed / Continuous modes on red alarm
Recording duration : Direct : 8 sec
Delayed : -6 to +2 sec
Continuous : 30 sec
On alarm : -6 to +2 sec

Communication
CNS Interface : Communicating with Skyline ( L&T’s CNS - Future
Upgrade )
USB : USB connector
Ethernet port : RJ45 connector (Future Upgrade)
PCDUMP : Dumping of all trend data (9-pin D-type)

General
Dimensions ( H * W * D ) : 280 mm * 320 mm * 158 mm
Weight : 5.5 Kg (approx) with one battery pack and recorder
without accessories
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Mounting option : GCX option
Operating temperature : 0 to 40 0C
Operating humidity : 10 to 90% RH (Non condensing)
Storage and Transportation : -10 to 50 0C
temperature
Storage and Transportation : 0 to 90% RH (Non condensing)
humidity
Operating pressure : 500 to 760 mmHg
Storage pressure : 500 to 760 mmHg

Accessories Supported
ECG / Respiration : 3 lead cable with electrodes
SpO2 : DS ( Dura sensor ) 100A ( Adult )
Oxy-A / N ( Adult / Neonate ) ( Optional )
Dura Y ( Universal ) - ear clip ( Optional )
NIBP : Tuff-Cuff reusable blood pressure cuffs ( Infant to
large adult sizes )
IBP ( Optional ) : Disposable Transducer kit and IBP cable
Temperature ( Optional ) : YSI 400 series temperature probes
CO2 : Microstream filter lines
Remote : Infrared

Standards
Designed to confirm to the following international standards
Class 1 equipment requirement of IEC 60601-1.
EMI/EMC requirements as per IEC 60601-1-2.
IEC 60601-2-27 requirements for ECG.
IEC 60601-2-30 requirements for NIBP.
IEC 60601-2-34 requirements for IBP.
IEC 60601-1-8 requirements for alarm systems.
IEC 60601-2-49 requirements for multifunction patient monitor systems.
ISO 9919 requirements for SpO2.
ISO 21647 requirements for CO2.
AAMI EC 13 for ECG.
AAMI SP 10 for NIBP.

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3.9. Battery Requirement

Figure 3.28 : Battery

3.9.1. Battery Specification

Nominal Voltage : 14.8V
Rated Capacity : 4.0AH
Dimensions* (H x W x D) : 45x76x80 mm
Weight : 500g

3.9.2. Characterstics
Capacity 20 hour rate (60mA) 4.0AH

3.10. Safety Requirement

3.10.1. Product Safety Standard
Planet 55 ECG complies with safety standards of EN60601-2-27.

3.10.2. EMC
Conducted and radiated emission as per CISPR11/EN55011 Group1 ClassA,
IEC601-1-2,
Electrostatic discharge as per IEC 1000-4-2,
Radiated susceptibilty as per IEC 1000-4-3,
Electrical fast transient as perIEC 1000-4-4,
Surge immunity as per IEC 1000-4-5.

3.10.3. Classification
The equipment shall be of Class II and type CF.
Ingress of liquid suitability for use in presence of flammable anaesthetic mixture.

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Chapter 4 GETTING STARTED
Adhere to the installation requirements for the proper functioning of Star 55.
4.1. Input Mains Details
Item Value
Input Voltage 100-240VAC, 50/60Hz
Fuse Two F3.15A 250V in PSU (Cannot Be Replaced in Field)

4.2. Installation Site Requirements

4.2.1. Ventilation
To ensure a long operating life, run in a dust free and properly ventilated area. Keep ambient
temperature <400 C and relative humidity in the range of 10 to 95% (non-condensing).

4.2.2. Placement
Star 55 is a portable bedside patient monitor. It can be placed on a table, stand, or trolley
or mounted on a pole. Do not place the equipment in an enclosed area that could restrict
heat dissipation from the front or rear of the unit.

4.3. Unpacking and Installation

Star 55 is properly packed to ensure safety during transport. Read the following instructions
carefully before unpacking.
Read the instructions on the box carefully.
Verify the packing list.
Unpack the box and remove the unit carefully.
Check for any mechanical damage to the unit.
Check for the proper mains condition.
Connect the unit to the mains and switch it ON.
Ensure that the battery is charged before using the monitor without AC power. Turning the
System ON and OFF.
Enter into service menu and check All Info Screen for various Voltage outputs.
For additional Monitor settings during installation Refer Chapter “Configuring the Monitor”.

To turn power ON:

Check for the Amber LED once the unit is connected to Mains. Locate the switch it ON. The
green LED will glow.

To turn power OFF:

Press the power ON/OFF switch on the front panel of the Star 55 to switch OFF the monitor.
“Shutting Down Please Wait” Message will be displayed and the Monitor will Switch off in
around 5 sec.

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Note &
In case the monitor is not responding or not getting switched OFF you can do a hard shut
down by pressing the ON/Off key for more than 5 sec

4.3. Battery Charging And Checking

Star 55 emcompasses 14.8V Lithium Ion battery (2 batteries). Refer Battery specifications
on page 15.

Mains ON Battery operating/Unit ON

Figure 4.1

Battery charging time:

The battery charges when the system is using AC power. If the system is OFF and connected
to AC power with the Mains ON/OFF switch in ON position a fully is charged battery charges
in 12 hours.
Operation:
Backup time of 55-60 minutes with fully charged battery and with 2 minutes on NIBP timer and
recorder ON for 8 sec.
Checking the battery:
Switch OFF the Mains power switch on the rear panel and Switch ON the monitor ON/OFF
switch on the front panel as shown in Figure 4.1. Unit is working on battery, if orange LED
glows and monitor swtiches ON.

4.4. Connecting / Disconnecting Cables For Monitoring

Connect ECG cable, SP02 probe, NIBP hose tube and temperature probe to the connectors
provided. Figure 3.1, System Controls on Page 11.
ECG And IBP Connections:
While connecting ECG cable and IBP, align the pins properly to match the notch provided as
shown in Figure 4.2.

Notch
ECG IBP

Figure 4.2

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Temperature Connection:
• Insert the temperture probe in the temperature connector provided.
• Pull the temperature probe gently holding its connector part to remove it.

NIBP Connection:
• Insert the NIBP hose tube in the socket provided for NIBP connection.
• Press the NIBP socket to release the NIBP hose tube (Refer Figure 4.3).

Press this area

Figure 4.3

Caution
Do not push the connector forcefully while connecting.

Note:
Read the operating guide carefully to start monitoring the patients condition.

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Chapter 5 CIRCUIT THEORY
5.1. System And Subsystems
This section contains the detailed description of all the modules and PWA’s in Star 55. The
description provided in this section is only for the information of L&T authorised service
personnels. This information is not meant for the analysis of the problem with the unit or
troubleshooting.

5.2. Mainboard
The Main board controls the operation of the monitor (Refer to Figure 5.1). Power is supplied
to the Main board from the Power Supply Interface Card(PIC ) using a c/f. The voltage supplied
will be 5V. This 5V is inputted to a Regulator to derive 3.3V which is required for functioning
of the IC’s in the Motherboard. 1.8V is derived from 3.3V forsupplying to Processor core.

The MPC880 microprocessor controls the operation of the monitor. The Reset Control logic
controls the behavior of the board at power up. An on-board 25MHz crystal provides the
basic clock required to operate all devices. A programmable clock generator is used to
generate other frequencies that are used to clock components such as the Microprocessor,
Communication peripherals like USB, Ethernet, the display controller and for the SD Card
Controller.

The Boot Loader is programmed into the Flash IC which loads the initial image (L&T Logo)
and is responsible for loading the OS.

A CPLD is used to generate the chip selects, Read, Write Signals for various ICs. The
processor runs the program out on the SDRAM’s. The code memory resides in the Disk On
Chip. When the processor boots up, it loads the application into the SDRAM and starts
execution. The SDRAM’s also stores temporary data that is used by the monitor during code
execution.

Data that the monitor retains after shutdown is stored in the Disk On Chip. This includes
Date, Time, Trend Data and Institutional settings. The Display controller acts as the interface
between the processor, display memory (EDORAM) and the display.

The Main board has 2 external UARTs(Option is provided for the 3rd one) that control
communication with modules such as NIBP, CO2,Recorder and the RS232 port. In addition
to these external UART’s the 2 processor internal UART’s are used for communication with
the SpO2 and ECG modules. The communication interface between the Main Board and all
the modules in Star 55 are routed through a Module Interface Card(MIC). All Transmit, Receive
signals are transmitted between the MIC card and Main PWA using a Signal C/F. All the
modules are connected directly to the connectors mounted on the MIC Card.

A programmable Audio Generator IC is being used for audio output for Alarm and Beep
tones. This IC contains audio files which is is programmed before assembling into the
Motherboard.

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The SD USB card is connected to the motherboard using a high speed interface connector.
The SD and USB signals and power to SD USB card is transmitted between Motherboard
and SD USB Card using this connector.

The communication Interface Card directly connects to the motherboard using a 100 Pin
High Speed Connector. All the signals and Voltages for various communication modules like
PC Dump, CNS Slave Monitor, Ethernet and Analog Output are transmitted between the
Motherboard and connected Communication Interface Card using this high speed connector.

The motherboard also communicates directly with the Power Supply over the I2C protocol.
Various information’s like Battery Charge %,Temperature, Voltage Level Info and Frequency
info is being sent to the motherboard from the Power Supply using the power c/f between PIC
and Motherboard. This all information can be viewed in the service screen.

In addition to these there is a Alarm driving and keyboard interface circuit consisting of Buffers
and Level Shifters. The keyboard and Alarm LED pulse o/p directly comes out of from the
processor and is interfaced using Buffers and Level Shifters.

The mainboard of Star 55 uses a Powerful Motorola Power PC MPC880 as a CPU. It is a 32

bit Processor with various peripheral options and controls all the activities of Star 55. VX
Works Operating System is used here.

5.3. ER2T Module

ER2T module stands for ECG, RESPIRATION and 2 channels Temperature. This module
comprises ECG section, Respiration section, Temperature section and Digital data transmission
section.

ECG section:
Monitor measures the patients ECG signals by measuring the bio-potentials at different skin
surface of the body known as leads like RA,LA,LL for 3 lead configuration and RA,LA,LL,RL
and CL for 5 lead configuration. These leads will sense the muscular activity of the Heart in
form of bio-potential. These signals are of very low voltage signals. Module receives these
bio signals from patient body and signal amplification as well as filtering will takes place in
ECG circuitry of the module.

ECG section comprises Lead selection section, lead signal amplification and filtering section
as well as return path selection section, lead fault detection circuitry, DC level bias adjustment
section , ECG filter mode selection section for MON/DIAG/OT modes, PACER detection
section, SYNC pulse generation section. These Analog signals are fed to the ADC for digital
conversion.

Respiration Section:
Monitor measures the patient respiration signal by ECG leads with the minimal 2 lead combination
of RA-LA or RA-LL. This section comprises of respiration transformer, oscillator, amplifiers
and filters. We will measure the respiration signal by current injection to the body known as
impedence plethysmography. Resulting of this technique module receives the modulated
signal from the body and it will be detected using Demodulation method. The demodulated
signal is passed through low pass filter and high pass filter and Amplifier. Finally this amplified
respiration signal is given to ADC for digital conversion.

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 PROCESSOR CONTROL
PATIENT

Star 55
LEAD-I
RA LA RL RA CHANNEL CARD
LEAD-II
LA
LEAD-III
ESU FILTER, LL
ANA 40 Hz Bend ECG
Defibrillator Instrumentation
LOG Pass and 50Hz A
Pretection and Amplifier
MUX Notch filter N
buffer GAIN STATE &
A 10-BIT PROCESSOR
OFFSET
L ADC
RA ADJUSTMENT
O
SPDT DIODE Respiration Output G
TRANSFORMER
RELAY DETECTOR AND
LA AMPLIFIER M
U OPTO ISOLATOR

Block Diagram of Amplifier Module

PROCESSOR CONTROL L
50KHz CLOCK INPUT
T
I
Temperature Output P
T out L
RESISTANCE GAIN STAGE
REF VOLTAGE E
NETWORK WITH WITH OFFSET
GENERATOR X
THERMISTOR PROBE
E
R
PROCESSOR CONTROL
ANALOG MUX

CLOCK
TRANSFORMER RECTIFIER FILTER +5V REGULATOR
GENERATOR

NON-ISOLATED ISOLATED
-5V

41
Temperature Section:
Monitor measures patient temperature by temperature probes which will be placed on the
skin surface of the body. These probes are nothing but transducers which will convert temperature
in to equivalent resistance. This resistance will be sensed by the module and hence equivalent
temperature is measured. This equivalent signal will be fed to the ADC for digital conversion.

Digital Data Transmission Section:

The all 3 parameter’s analog signals will be converted in to equivalent digital signal levels
using ADC. These digitized data will be received by the processor and it will executes the S/W
algorithm loaded in programmable FLASH and transmits the data bytes in packets through
UART and OPTO-COUPLER to communicate with the HOST to -
• Display ECG waveform and Heart rate.
• Display Pacer detection signal with the QRS signals.
• Display and compute ST waveform and Arrhythmia analysis data.
• Generate the External defib SYNC pulse which is given through the connector provided
in the Right side of the monitor.
• Display Respiration waveform and Respiration rate.
• Display the temperature in terms of Centigrade or Fahrenheit unit.

5.4. NIBP Module

Pump

J3 – Data power

10

BP Module Connectors

Block Diagram of NIBP Module

The Model 2 ADVANTAGE OEM BPTM module is an oscillometric OEM blood pressure
system. It operates on +12V supply which is supplied from SMPS through main board. The
Module is controlled via software commands issued from a host system through an
asynchronous serial data port . All Module operations are initiated by the host system. The
Module is designed to take blood pressure samples on demand. After each blood pressure
sample, the Module will discard the previous blood pressure results. Serial communications
baud rate is 9600, with 8-bit data, no parity, and 1 stop bit. Inputs to the Module consist of:
• Cuff Pressure
• Power Outputs from the Module
• Serial Data Port
All Module Operating parameters will reset to default values at power-up. All Module blood
pressure values are discarded when the Module is reset.

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5.5. SP02 Module ( µP 506 / Nell 3 )

+5 µP

Nellcor SP02 Module Main Board

Control
Circuit

SP02 Sensor
Block Diagram of SpO2

This module is from Nellcor Inc., USA. It communicates with the main board on serial protocol
providing PR, SP02 % which are refreshed on the display. It oper ates on +5V supplied
from Main board. The finger probe houses an infrared source, red LEDs and a photo detector.
It picks up the signal from the patient and this signal is conditioned by the microcontroller to
derive the oxygen saturation level and pulse rate.

5.6. Capnography Module

RxD + TxD Serial Micro Controller

Interface +
Peripherals
5 - 15 Vdc Power 15 Vdc
Supply

Analog Section

5 Vdc Microstream
‘FRS’ Circuits
Sensor Flow Connector
Assembly System
Gas Outlet

Block Diagram of CO2

5.6.1. Description
The monitor uses Oridion’s MiniMediCO2 Capnography module. The Main board provides
5V to power the module. The module communicates with Main board using standard
non-isolated RS 232-level serial interface. The module provides inspired/expired carbon
dioxide and respiration rate data, which are refreshed on the display every 1 sec and CO2
waveform data on real time. The method for measuring CO2 is based on non-dispersive
IR absorption of the CO2 in the breath sample using the Oridion IR source. The major components
of the module are as follows:
• CO2 sensor assembly, including the Oridion long-life source
• Flow System, including pump
• Microcontroller + peripherals
• Serial interface

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 • Power supply
• FRS to identify the correct usage of a Microstream FilterLine
• Input gas connector with the FRS interface
Before the module begins to measure CO2, it completes the self-test and initialization
procedures required for proper operation. The module enters the power-up mode after
powering the module or after external or software reset. In the Power-up mode, the module
performs a set of self-tests. If the module passes the self-test, it transfers to measurement/
initialization mode. If the Main board fails to detect the module during the self-test, it shuts
down. The power-up takes up to 10 seconds, during which time there is no communication
available.
During the self test, if the either of the modules fail to communicate properly or do not pass
their self test; the respective error is displayed as”CO2 ERROR” or”SPO2 ERROR” on
the Capnostream.

5.6.2. Calibration Procedure for CO2 module

Connect the Capnostream CO2 inlet and CO2 calibration gas cylinder as shown in below,
and follow the procedure described.

Figure 5.1. Calibration Procedure Diagram

5.6.3. Calibration Interval
The initial calibration needs to be done after 1200 hours of use of the module. Subsequent
calibration should be performed annually or at 4000 operating hours, whichever comes
first. Calibration will be done when the Patient Monitor is dispatched from the factory.

5.6.4. Calibration Kit

Calibration should be performed by qualified personnel.
The calibration must be performed with a manufacturer-approved calibration kit.
A manufacturer approved Calibration Kit can be purchased from Scott Medical (part no.
0304653ORFBD) consists of:
• Calibration Gas containing 5% CO2, 21% O2, Bal N2
• Tubing Adapter (“T” Piece)
• Calibration Line (Short Calibration FilterLine)

5.6.5. Calibration for CO2 module

The monitor displays the Calibration and Service related information on the Turn-ON Screen,
Service Home Screen and Cal Screen.

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 The screens display the Remaining Hours to Calibration and indicate a Calibration Overdue
condition to the user. The CO2 Calibration screen recommends a date by which Calibration
must be done, irrespective of the hours of usage.
On the Home Screen, a Silent Advisory message “Calibration required” is shown if CO2
calibration is overdue.
The module is calibrated and the calibration check is done using the CO2 Cal Menu on
the Service Screen. The Service Screen displays the CO2 Hours Remaining Before Service
and CO2 Hours Remaining Before Calibration. The monitor takes the user through various
steps of calibration. The CO2 Cal screen gives the user two options: Calibration or Calibration
Check. It also gives the user information on the Date and Time of Last Calibration and
Hours before next calibration is due.
The Calibration sequence includes an Auto Zero, measurement of externally supplied
gas and updating the internal calibration table. In the calibration mode the module and
Main board handshake to optimize the calibration process. When a calibration check
is done, the internal calibration table is not updated, but the monitor tells the user whether
measured CO2 is within specifications or not and whether calibration is recommended.
The Calibration Check requires the following steps:
• Connect FilterLine to Monitor
• Connect 5% CO2 21% O2, Balance N2 Calibration Gas
• Open gas supply from cylinder
• Not Ready to Calibrate (if CO2 Module is still warming up)
• Calibration Check in Process
• Calculating Results, Gas supply may be closed
• Disconnect Calibration Gas and FilterLine
• Calibration Check Complete
• Measured CO2 XXXXX; Accuracy specification for a 5% gas is 4.7-5.3%
The Calibration procedure is done in the following steps:
• Connect FilterLine to Monitor
• Connect 5% CO2 21% O2, Balance N2 Calibration Gas
• Open gas supply from cylinder
• Not Ready to Calibrate (if CO2 Module is still warming up)
• Calibration in Process
• Calculating Results, Gas supply may be closed
• Calibration Successful, Next Calibration Date is XX/XX/XX
• Disconnect Calibration Gas and FilterLine

5.6.6. Calibration Failures

When any of the following failures occurs the module will abort calibration. The error messages
that may be displayed on the main screen are:
• Calibration Failed: FilterLine not Connected
• Calibration Failed: No gas, wrong gas concentration, or unstable gas
• Calibration Failed: Measurement Error; Check all connections and try again
• Calibration Failed: Calibration aborted by user
• Calibration Failed: CO2 Module Internal Self-Test Failed
• Stop will be replaced by start after the calibration ends, whether or not it ended
successfully
Back takes the user to the CO2 calibration section

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5.7. Power Supply Unit

AC - DC Converter

A/C Rectifier Fly back Over Volt 18.5V

Input EMI -Filter and filter Converter Protection

Frequency
sensing ckt F sense

Batt +Ve
Battery Battery Batt –Ve
Charger ckt Selector SCL

SDA
DC/DC +5V Output
ON/OFF 5V
Logic Converter
Ground

12 V +12V Output
Converters

8.5V +8.5V Output

Converter

-12 V -12V Output

SCL SCL Converters

Control
F sense
Logic SCL& SDA
ON/OFF to MB
Logic
DC - DC Converter

Block Diagram of PSU

Description
EMI Filter
This will help to reject the line noise and filter out the power supply generated noise. The
filter winding resistance and inductance can provide the necessary series impedance to
limit the transient current for efficient transient suppression.

Rectifier and Filter

The bridge rectifier converts input AC to DC. The filter removes the AC component of the
rectified output and makes a pure DC voltage.

Fly Back Converter

This is TOP Switch based fly back converter. The output of the rectifier and filter will be a
high voltage DC. The Fly back converter converts it into a low voltage DC (18V).

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 Over Voltage Protection
Input Over voltage protection is provided by Top Switch and is at 285V. Output Over voltage
protection is provided by SCR based circuit and is at 22V.

Frequency Sensing Circuit

The function of this circuit is to measure the input line frequency. An opto-coupler based circuit
will convert the input high voltage AC to a low voltage square wave and the controller in the
DC-DC card will read it and calculate the line frequency.

Battery Charger and Voltage Converters

Battery charger is a constant voltage (16.8V) source with a current limiting (800mA) circuitry. A
linear regulator is used in this circuit.
For converting 5V and 8.5V buck regulators are used and for 12V buck boost converter is
used. –12V out put is converted by using a linear regulator.

Control Logic
The functions of this card are control the ON/OFF logic, protect the DC-DC from short ckt
and over voltages, count the line frequency, collect the battery pack information through SMBUS
and send battery pack information, line frequency and output voltages to the main board
through I2C communication.

1 2
+5V 1 2 Gnd
3 4
+5V 3 4 Gnd
5 6
+5V 5 6 Gnd
7 8
+12V 7 8 Gnd
9 10
+12V 9 10 Gnd
11 12
Bat SCL 11 12 Bat SDA
13 14
-12V 13 14 Key Power ON
15 16
Mains ON 15 16 SDA Host
17 18
+8.5V 17 18 Gnd
19 20
Soft Shutdown 19 20 SCLK Host
21 22
VBat + 21 22 Gnd
23 24
VBat + 23 24 Gnd

PSU Output Connector

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Chapter 7 PERFORMANCE TESTS
7.1. Overview
WARNING
A failure of the system functions tested in this section could affect safety or effectiveness of
the system adversely. While performing the steps in this section, verify that the monitored
parameters are showing acceptable waveforms and values.
Verify that all controls operate smoothly over their full range and that the system responds
properly.
To obtain good quality ECG & RR traces L&T recommends use of quality gel and patient
electrodes. Do not use disposable electrodes and SP02 probes more than once.

7.2. Test Equipments

Following equipments should be carried for performing complete performance check of Planet 55.
1. Digital Multimeter
2. Adjustable power supply
3. ECG, Temperature, SP02 and NIBP simulators
4. Oscilloscope
5. Function generator

7.3. Power Supply Tests

Put 3.15 mA (2nos.) slow blow fuses in the rear panel fuse socket (Refer figure 7.1).

Figure 7.1
7.3.1. Power Transformer Test
With a digital multimeter (DMM) measure the resistance between Line and Neutral pins
of rear panel power socket. See that
a) DMM shows 700KW to 900KW when rear panel switch is On.
b) With the rear panel switch in ‘On’ position Line to Earth resistance should be
>10MW.
c) Resistance between EARTH and CHASSIS should be < 0.4W.

7.3.2. DC - DC Voltage Test

Check the following voltages in DC-DC UPS PWA at DC outputs connector.
PIN 1,3,5 : 5 volts PIN 17 : 8.5 volts
PIN 7,9 : 12 volts PIN 21,23 : VBAT
PIN 13 : -12 volts

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 PIN 13 : -12 volts
7.3.3. Low battery checks
1. Put rear panel switch to OFF position.
2. Give 12 Volt DC to external battery connector from an adjustable power supply. Switch
ON the unit. Wait till the unit comes to the main menu. Slowly reduce the voltage (using
fine adjustment knob of adjustable power supply).
3. Ensure the following points:
“LOW BATT” message and green LED flash at 11.3V to 11.7V.
System shuts OFF at 10.4V to 10.8V.

7.3.4. Battery charging test

1. Connect a battery to INT BAT connector of DC-DC converter.
2. Connect DMM (in ammeter mode) in series. Switch OFF the unit.
3. Put the rear panel switch to ON position.
4. Measure the charging current. It should be less than 450 mA.

External Battery Jack DC IN

12 V

7.3.5. Variac test

Connect mains lead to variac and set to 240V. Turn mains ON and check that display
is undisturbed over the range 95-265V and from 50Hz to 60Hz.

7.4. Keyboard test

Ensure the following :
1. All keys are functioning properly.
2. Amber LED glows when AC input is present and green LED glows when monitor is ON.
3. Both LED’s glow with adequate light.

7.5. Display test

Ensure the following :
1. Display background is uniform and flicker free.
2. There should not be any white patch, dust particle or line in the back ground.

7.6. Alarm test

Connect the alarm PWA to a working unit and enable global alarm. See that the alarm LED
flashes YELLOW for unit related alarms (eg. cable not connected) and RED for patient
related alarms (eg. low HR).

7.7. Inverter test

1. Connect the inverter PWA to the unit.

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2. Ensure that display background is uniformly and adequately lit up.

7.8. ECG test

1. Insert latest ECG firmware in EPROM socket.
2. Check for communication with the main PWA.
3. Observe the waveforms for all the leads.
7.8.1. HR/PR switching
• Ensure that SP02 module is connected.
• Now remove the ECG cables.
• The HR value must get replaced by the PR value .
• Connect back the ECG cable and see that HR value is displayed back.

7.8.2. LEAD fault checks

• Connect the 3 lead ECG cable to the ECG simulator.
• Make sure that no FAULT and no ALARM is detected.
• Remove RL lead and check for FAULT message on screen.
• If global alarm is enabled alarm, audio indication with visible yellow alarm flashing is
visible.
• Repeat by removing only RA and then only LL.

7.8.3. Rate alarm

• Set HR lower limit to 65 and set ECG simulator rate to 55.
• Enable Global alarm. Check for LOW message, red alarm and alarm tone
• Acknowledge the alarm.
• Audio indication and flashing of the red alarm are no more activated. Red LED glows
continuously and the LOW message flashes.
• Set simulator to HR=75, LOW message should disappears.
• Similarly check for HIGH message and alarm.

7.8.4. SYNC-O/P check

• Connect SYNC and plug into the socket provided.
• Go to OUTPUT menu and select REC ON.
• Observe SYNC-O/P on oscilloscope i.e. ECG waveform.

7.9. Temperature checks

• Connect temperature simulator to front panel connector.
• Select the temperature 42.8o.
• Monitor should display 42.8 oC .
• Check for all the values in temperature simulator and all readings should be +0.2oC.

7.10. SP02 test

• Remove ECG cable from ECG connector.
• Connect finger clip sensor to SP02 connector.
• Check for proper pleth w/f on the screen as well as at the analog o/p.
• Check for accurate SP02 and PR values.
• Ensure that :
1. Beep tone modulation occurs with SP02 value change.

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 2. Check for gain 1 and 2 in SP02 menu. The w/f amplitude should change in screen and
analog o/p.

7.11. Recorder test

Self test :
• Make sure paper roll has been installed properly.
• Turn ‘ON’ the power while holding down the FEED button. The self test begins.
• The self test prints the current printer status.
• The printer will print a pattern using the built-in characteristic.
• The self test ends automatically .
• Connect the ECG cable to ECG simulator, and SP02 finger sensor to finger.
• Observe the waveforms on the screen and press record button.
• Check for the proper printing.

7.12. Analog output test

Select Lead I, Gain 1.0mV
• Connect simulator, Adjust HR to 60 on screen and measure 0.9V approx. with multimeter
at analog output pin 5 and ECG w/f at pin 2.
• Adjust HR to 120 on screen and measure 1.8V approx.
• Adjust HR to 240 on screen and measure 3.5V approx.
• Connect SP02 probe and measure 4.0V(approximately) with multimeter at the analog output
pin 3 and SP02 w/f at pin 4.

7.13. Skyline communication check

• Interface the unit to Skyline and check whether the unit is being detected by Skyline.
• All the parameters (waveforms and digital data) must be sensed and displayed on the PC.

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Chapter 8 TROUBLESHOOTING
8.1. System diagnosis
This section covers basic diagnostic and troubleshooting procedures you may need if
the system does not operate properly. Before troubleshooting make sure thorough check
of the system has been done (Refer Chapter 7).

Note C
The system is repairable through subassembly replacements

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8.2. Troubleshooting Chart

Unit Not Switching ON A

Unit Tripping During Bootup B

NO Display C

Module Not Detecting D

ER2T Module / Communication Error / ECG,

E
Respiration And Temperature

SpO2 Communication Error / Not Working F

CO2 not working G

NIBP Communication Error / Not Working H

IBP Communication Error / Not Working I

Recorder Not Working J

Battery Related Problems K

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 A

Check Mains cord is connected

and check for Mains Supply

No Recorrect the Mains Supply and

Is Mains Supply OK?
Switch ON the unit

Yes

Replace the Power Supply and No

Is unit working?
Switch ON the unit

Yes

Yes
Is unit working? Unit working satisfactorily

No

Open Front Panel and check for

the Keyboard to Motherboard
Cable Form connections

Yes Replace Keyboard to Motherboard

Are connections OK? Cable Form and Switch ON
the unit
No

Reconnect Cable Form properly

and switch ON

Yes
Is unit working?

No

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 $

Replace the Keybaord and

Switch ON the unit

Yes
Is unit working? Unit working satisfactorily

No

Check for the Motherboard to

PIC Cable Form connections

Yes Replace Motherboard to PIC

Are connections OK? Cable Form and Switch ON
the unit
No

Reconnect Cable Form properly

and switch ON

Yes
Is unit working?

No

Replace the Keybaord and

Switch ON the unit

Switch ON the unit and check for

Functional test

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 B

No Recorrect the Mains Supply and

Is Mains Connected?
Switch ON the unit

Yes

Remove Battery and Switch ON No

Is unit working?
the unit
Yes

Yes
Is unit working? Replace the Battery

No

Replace Power Supply and

Unit working satisfactorily
Switch ON the unit

Yes
Is unit working?

No

Remove Recorder Cable Form

Replace the Recorder
from PIC PWA and Switch ON
the unit

Yes
Is unit working?

No

Remove Indivisuval Module

Cable Form from MIC PWA and
Switch ON the unit

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 +

Yes
Is unit working? Replace Particular Module

No

Remove PIC to MIC Power Cable

and Switch ON the unit

Yes
Is unit working? Replace the MIC PWA

No

Replace the PIC PWA and Switch Unit working satisfactorily

ON the unit

Yes
Is unit working?

No

Replace the Main PWA

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 C

No
Is Display Back Light #
coming?

Yes

Is Display to No Reconnect the Cable Form

Motherboard Cable Form properly and Switch ON the Unit
connected?

Yes
Yes
Switch ON the Unit Is unit working?

No

Replace the Display to

Motherboard Cable Form

No
Boot Bell is coming? Replace Motherboard

Yes

Replace Display Unit working satisfactorily

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 #

No
Is PIC to Inverter Cable Form Reconnect the Cable Form
connected?

Yes
No
Replace the PIC to Inverter Is unit working?
Cable Form and Switch On the
unit
Yes

Yes
is unit working? Unit working satisfactorily

No

Replace the Inverter and Switch

ON the unit

Yes
Is Display working?

No

Remove PIC to Motherboard

signal Cable Form and Switch
ON the Unit

No
Is Display Back light Replace PIC PWA
coming?

Yes

Replace Main PWA

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 D

No
Is Module to MIC Cable Form Reconnect the Cable Form
connected?

Yes

Replace the Module to MIC No

Cable Form and Switch ON the Is Module detecting?
unit
Yes

Yes
Is Module detecting? Unit working satisfactorily

No

Replace the PIC to MIC Signal

Cable Form and Switch ON the
unit

Yes
Is Module detecting?

No

Replace PIC to Motherboard

Cable Form and Switch ON the
unit

Yes
Is Module detecting?

No

Replace Motherboard

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 E

No
Is Module Sensing? D

Yes

Is Communication Error No
Replace ER2T Module
displayed on the screen?

Yes
Unit working satisfactorily

No Reconnect the Cable Form and

Is ER2T Module to MIC
Cable Form connected? Switch ON the unit

Yes
No Yes
Is unit working?

No
Is 5V at Pin No.5 in the Replace MIC PWA
Cable Form coming?

Yes

Is MIC to PIC and No

PIC to Motherboard Cable Forms Reconnect the Cable Form
connected?

Yes

Replace ER2T Module

No
Is unit working? Replace Motherboard

Yes
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 F

No
Is Module Sensing? D

Yes

Is Communication Error No
Replace SpO2 Module
displayed on the screen?

Yes
Unit working satisfactorily

No Reconnect the Cable Form and

Is SpO2 Module to MIC
Cable Form connected? Switch ON the unit

Yes
No Yes
Is unit working?

No
Is 5V at Pin No.5 in the Replace MIC PWA
Cable Form coming?

Yes

Is MIC to PIC and No

PIC to Motherboard Cable Forms Reconnect the Cable Form
connected?

Yes

Replace SpO2 Module

No
Is unit working? Replace Motherboard

Yes
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No
Is Module Sensing? D

Yes

Is Communication Error No
Replace CO2 Module
displayed on the screen?

Yes
Unit working satisfactorily

No Reconnect the Cable Form and

Is CO2 Module to MIC
Cable Form connected? Switch ON the unit

Yes
No Yes
Is unit working?

No
Is 5V at Pin No.5 in the Replace MIC PWA
Cable Form coming?

Yes

Is MIC to PIC and No

PIC to Motherboard Cable Forms Reconnect the Cable Form
connected?

Yes

Replace CO2 Module

No
Is unit working? Replace Motherboard

Yes
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 H

No
Is Module Sensing? D

Yes

Is Communication Error No
Replace NIBP Module
displayed on the screen?

Yes
Unit working satisfactorily

No Reconnect the Cable Form and

Is NIBP Module to MIC
Cable Form connected? Switch ON the unit

Yes
No Yes
Is unit working?

No
Is 5V at Pin No.5 in the Replace MIC PWA
Cable Form coming?

Yes

Is MIC to PIC and No

PIC to Motherboard Cable Forms Reconnect the Cable Form
connected?

Yes

Replace NIBP Module

No
Is unit working? Replace Motherboard

Yes
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No
Is Module Sensing? D

Yes

Is Communication Error Yes

Replace IBP to IC Cable Form
displayed on the screen?

No
Yes
Is unit working?
No
Is Sensor working?
No

Yes
Replace IBP Module

Replace Sensor

No
Is IBP Ext. Cable working? Unit working satisfactorily

Yes
Replace IBP Ext. Cable

Replace IBP Module

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 J

No
Is Module detecting?

Yes

Replace Recorder Module and Is PIC to Recorder Cable Form

Switch ON the unit connected? Yes

No

Reconnect the Cable Form and

Is unit working?
Yes Switch ON the unit

No

Yes
Replace Motherboard Is unit working?

No

Unit working satisfactorily Replace the Cable Form

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No
Is Module detecting?

Yes

Replace Battery Module and Is PIC to Battery Cable Form

Switch ON the unit connected? Yes

No

Reconnect the Cable Form and

Is unit working?
Yes Switch ON the unit

No

Yes
Replace Motherboard Is unit working?

No

Unit working satisfactorily Replace the Cable Form

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 Spare Part List

Sr No Part Number Description Ctry.* [Link]

1. F3-89-390-0153-35 CIC assembly
2. F3-86-100-0020-24 SpO2 Probe Durasensor
3. F3-86-100-0113-36 Adult cuff
4. F3-89-100-0024-07 Filterline set
5. F3-21-150-0036-60 ECG Electrode disposable (Adult)
6. F3-09-380-0031-93 SpO2 Extension cable
7. F3-84-390-0024-10 CBL 3 lead
8. F3-89-100-0010-49 Thermal paper
9. F0-00-522-0252-88 Mains power chord
10. F3-89-100-0058-02 TFT 8.4” Sharp display
11. F3-85-100-0064-23 Inverter for 6.4” Sharp TFT LCD-TDK
12. F3-89-290-0023-21 PWA-Alarm card
13. F0-00-500-0010-50 Fan
14. F3-89-290-0022-24 Battery PWA
15. F3-89-290-0021-27 PIC - PWA
16. F3-89-390-0155-29 Sub assembly module
17. F3-89-100-0018-25 NIBP module
18. F3-89-100-0023-10 Minimedico2 module
19. F3-85-100-0070-05 SpO2 PWA
20. F3-89-290-0017-39 ECG Board PWA
21. F3-89-290-0020-30 MIC - PWA

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 Glossary

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LARSEN & TOUBRO LIMITED
MEDICAL EQUIPMENT & SYSTEMS
(Annexe Building, Gate No. 7) Telephone: 91 22 67051223
P. O. Box No. 8901 : 91 22 67053223
Saki Vihar Road, Telefax : 91 22 67051276
Powai (E), E-mail : ebg-med@[Link]
Mumbai - 400 072. Website : [Link]

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