Datex-Ohmeda

S/5TM MRI Shield for Compact Monitor, N-MRI1 (rev. 00)

S/5TM MRI Multiparameter NESP Module, M-MRIP (rev. 00)

S/5TM MRI Multiparameter NES Module, M-MRI (rev. 01)
Technical Reference Manual Slot

All specifications are subject to change without notice.

Document No. 896618-2

May 2003

Datex-Ohmeda, Inc. Datex-Ohmeda Division,

P.O. Box 7550, Madison Instrumentarium Corp.
WI 53707-7550, USA P.O. Box 900, FIN-00031
Tel. 1-608-221-1551 Fax 1-608-222-9147 DATEX-OHMEDA, FINLAND
Tel. +358 10 39411 Fax +358 9 146 3310
www.us.datex-ohmeda.com www.datex-ohmeda.com
 Instrumentarium Corp. All rights reserved.
mailto:[email protected]
Intended purpose
The Datex-Ohmeda S/5 MRI Shield, N-MRI1, and Datex-Ohmeda S/5 MRI Multiparameter Modules, M-MRI and M-MRIP, are intended
for patient monitoring during magnetic resonance imaging (MRI) with Datex-Ohmeda S/5 Compact monitors.
The Shield can be placed inside MRI room, and the monitor is placed inside the Shield. Only the M-MRI or M-MRIP modules and a
choice of Compact Airway Modules can be used for patient monitoring during MRI.
The system (Compact Monitor + N-MRI1 + M-MRI or M-MRIP) is indicated for use by qualified medical personnel only.

System classification
System (Compact Monitor + N-MRI1 + M-MRI or M-MRIP) classification according to IEC 60601-1:

− CLASS I according to type of protection against electrical shock.

− TYPE BF or CF applied part according to the degree of protection against electric shock. Indicated by a symbol on each
parameter connector.

− The system is not suitable for use in the presence of a FLAMMABLE ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN or
NITROUS OXIDE.

− CONTINUOUS OPERATION according to the mode of operation.

− Degree of protection against the harmful ingress of water as detailed in the IEC 60529: IPX1
System classification according to EU Medical Device Directive (Compact Monitor + N-MRI1+ M-MRI or M-MRIP) is IIb.

Responsibility of manufacturer
Datex-Ohmeda Division, Instrumentarium Corp. is responsible for the safety, reliability and performance of the equipment only if:

− assembly, operations, extensions, readjustments, modifications, service and repairs are carried out by personnel authorized
by Datex-Ohmeda.

− electrical installation complies with appropriate requirements.

− the system is used in accordance with these instructions and the monitor’s manual.

Additional information
For more information on MRI Patient Monitor, refer to the Datex-Ohmeda N-MRI1 and M-MRIP/M-MRI User’s Reference Manual. For
detailed information on how to use the Datex-Ohmeda S/5 Compact monitors, refer to the User’s Guide, User’s Reference Manual, and
Technical Reference Manual of the corresponding monitor.
 Table of contents

TABLE OF CONTENTS

S/5 MRI Shield for Compact Monitor, N-MRI1 (rev. 00)

S/5 MRI Multiparameter NESP Module, M-MRIP (rev. 00)
S/5 MRI Multiparameter NES Module, M-MRI (rev. 01)

TABLE OF CONTENTS I
TABLE OF FIGURES III
INTRODUCTION 1
Placing ......................................................................................................................................................2
Electrical, keyboard and network connections .............................................................................................3
1 SPECIFICATIONS 5
1.1 General specifications ..............................................................................................................................5
1.1.1 MRI Shield, N-MRI1..........................................................................................................................5
1.1.2 MRI Multiparameter Modules, M-MRI and M-MRIP.............................................................................5
1.1.3 Fiber Optical Converter, N-FOC..........................................................................................................5
1.2 Parameter specifications ..........................................................................................................................6
1.2.1 NIBP................................................................................................................................................6
1.2.2 ECG (with N-MRI1)............................................................................................................................6
1.2.3 Pulse oximetry..................................................................................................................................7
1.2.4 Invasive blood pressure ....................................................................................................................7
1.3 Technical specifications............................................................................................................................8
1.3.1 NIBP................................................................................................................................................8
1.3.2 ECG (with N-MRI1)............................................................................................................................8
1.3.3 Pulse oximetry..................................................................................................................................8
1.3.4 Invasive blood pressure ....................................................................................................................9
1.3.5 Network spesifications .....................................................................................................................9
2 FUNCTIONAL DESCRIPTION 10
2.1 Measurement principles .........................................................................................................................10
2.1.1 NIBP..............................................................................................................................................10
2.1.2 ECG ...............................................................................................................................................10
2.1.3 Pulse oximetry................................................................................................................................10
2.1.4 Invasive blood pressure ..................................................................................................................12
2.2 MRI Shield for Compact Monitor, N-MRI1.................................................................................................13
2.2.1 Main components ..........................................................................................................................13
2.2.2 Mains power filtering ......................................................................................................................15
2.2.3 ECG ...............................................................................................................................................16
2.2.4 InvBP.............................................................................................................................................17
2.2.5 Fiber optical network ......................................................................................................................18
2.2.6 Keyboard .......................................................................................................................................18
2.3 Parameter modules ................................................................................................................................18
2.3.1 MRI Multiparameter Modules, M-MRI and M-MRIP...........................................................................18
2.3.2 Module main components ..............................................................................................................19

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2.4 Connectors and signals .......................................................................................................................... 28

2.4.1 Front panel connectors on modules M-MRI and M-MRIP.................................................................. 28
2.4.2 Connectors on MRI Shield, N-MRI1................................................................................................. 28
2.4.3 Module bus connector of the modules M-MRI and M-MRIP .............................................................. 29
2.4.4 Test points..................................................................................................................................... 30
3 NETWORK AND SLAVE SCREEN INSTALLATION 31
3.1 Datex-Ohmeda Network available........................................................................................................... 31
3.2 No Datex-Ohmeda Network available...................................................................................................... 33
4 SERVICE PROCEDURES 35
4.1 General service information .................................................................................................................... 35
4.2 Service check ........................................................................................................................................ 35
4.2.1 Recommended tools and parts....................................................................................................... 35
4.3 Disassembly and reassembly ................................................................................................................. 45
4.3.1 MRI Shield, N-MRI1 ....................................................................................................................... 45
4.3.2 MRI Multiparameter Modules, M-MRI and M-MRIP .......................................................................... 48
4.4 Adjustments and calibrations ................................................................................................................. 48
4.4.1 Pressure safety level detection “OFFSET” ........................................................................................ 48
4.4.2 NIBP calibrations........................................................................................................................... 48
4.4.3 Invasive pressure calibration .......................................................................................................... 50
5 TROUBLESHOOTING 51
5.1 MRI Shield, N-MRI1 ............................................................................................................................... 51
5.2 MRI Multiparameter Modules, M-MRI and M-MRIP .................................................................................. 51
5.2.1 ECG .............................................................................................................................................. 51
5.2.2 NIBP ............................................................................................................................................. 52
5.2.3 NIBP error code explanation ........................................................................................................... 55
5.2.4 Pulse oximetry (SpO2) .................................................................................................................... 56
5.2.5 Invasive blood pressure ................................................................................................................. 57
6 SERVICE MENU 59
6.1 NIBP service menu ................................................................................................................................. 60
6.1.1 NIBP demo menu........................................................................................................................... 61
6.1.2 NIBP calibration menu ................................................................................................................... 62
6.1.3 NIBP safety valve menu.................................................................................................................. 63
6.1.4 NIBP pulse valve menu .................................................................................................................. 64
6.1.5 NIBP buttons/leds menu................................................................................................................ 65
6.1.6 NIBP pneumatics menu ................................................................................................................. 66
6.1.7 NIBP watchdog menu..................................................................................................................... 67
6.2 ECG service menu .................................................................................................................................. 68
6.2.1 ECG setup menu............................................................................................................................ 70
6.3 STP service menu................................................................................................................................... 71
6.3.1 STP calibration menu ..................................................................................................................... 73
7 SPARE PARTS 75
7.1 Spare parts list....................................................................................................................................... 75
7.1.1 N-MRI1, rev.00.............................................................................................................................. 75
7.1.2 MRI Multiparameter NESP Module, M-MRIP, rev. 00........................................................................ 78
8 EARLIER REVISIONS 80
APPENDIX A 81

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SERVICE CHECK FORM A-1

TABLE OF FIGURES
Figure 1 MRI Patient Monitor..............................................................................................................................1
Figure 2 Example of 20 G line distance with 1.5T MRI device. .................................................................................2
Figure 3 Absorption of infrared light in the finger and finger probe parts layout and schematic diagram................12
Figure 4 Parts of the MRI shield, N-MRI1...........................................................................................................13
Figure 5 Rear view ...........................................................................................................................................14
Figure 6 Mains power filters .............................................................................................................................15
Figure 7 NIBP board functional block diagram ..................................................................................................19
Figure 8 ECG board block diagram ...................................................................................................................21
Figure 9 STP board block diagram ....................................................................................................................23
Figure 10 Pressure measurement principle.....................................................................................................24
Figure 11 Pulse oximetry measurement block diagram....................................................................................25
Figure 12 Serial communication and opto isolation of M-MRIP ........................................................................27
Figure 13 N-FOC Media Converter front panel connectors................................................................................31
Figure 14 Network installation 1; Datex-Ohmeda Network available.................................................................31
Figure 15 Network installation 2; no Datex-Ohmeda Network available ............................................................33
Figure 16 Changing the ECG and InvBP units ..................................................................................................45
Figure 17 Changing the network board ...........................................................................................................46
Figure 18 Changing the main door..................................................................................................................47
Figure 19 Exploded view, N-MRI1...................................................................................................................75
Figure 20 Exploded view N-MRI1....................................................................................................................76
Figure 21 Exploded view, M-MRI ....................................................................................................................78

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INTRODUCTION
This section provides information for service and maintenance of Datex-Ohmeda S/5 MRI Shield
for Compact Monitor, N-MRI1 and Datex-Ohmeda S/5 MRI Multiparameter Modules, M-MRI and
M-MRIP.
M-MRI and M-MRIP modules are double-width module designed to be used with S/5 Compact
monitors and N-MRI1 Shield. The parameters measured by M-MRI module are ECG, SpO2 and
NIBP. The parameters measured by M-MRIP module are ECG, SpO2, NIBP and InvBP (P1 and P2).

Figure 1 MRI Patient Monitor

MRI Patient Monitor consists of:

S/5 Frame for Compact Anesthesia Monitor, F-CM(REC)1 or
S/5 Frame for Compact Critical Care Monitor, F-CMC(REC)1
S/5 MRI Multiparameter NES Module, M-MRI or
S/5 MRI Multiparameter NESP Module, M-MRIP inside
S/5 MRI Shield for Compact Monitor, N-MRI1
Fiber Optical Converter, N-FOC and Optical cable

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Placing
1. Mount the shield to a fixed structure i.e. Wall Mount in the MRI room. Ensure that the
mounting location and hardware are mechanically robust enough to securely hold the
system. Do not install or use the patient monitoring system inside the 20 Gauss line. Verify
the 20 Gauss line from the safety instructions of the MRI imaging equipment. If the S/5
monitoring system is taken too close to the magnet it may hit the magnet.
A possible mounting solution is to use the anonized aluminum mounting elements, (p/n
572238 or 8000725). Since these mounts contain a small amount of ferromagnetic metal
take the normal precautions in MRI environment during installations.
2. Insert the MRI Multiparameter NES or NESP module, M-MRI or M-MRIP, or a choice of
Compact Airway Modules in the monitor.
5G

20 G

< 1.5 TESLA

Figure 2 Example of 20 G line distance with 1.5T MRI device.

WARNING Do not place the system closer than the 20 Gauss line to the MRI device.

WARNING Mount the shield to some fixed structure, so that the monitor cannot be taken
inside the 20 Gauss line.

WARNING Do not use the system with the MRI devices with static magnetic field stronger
than 1.5 T.

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Electrical, keyboard and network connections

3
6
5

1
2

1. Attach the power cord provided with the Shield to the mains power inlet located on the back
of the Shield.
2. Connect the power cord to the wall outlet.
3. Plug the power cord into the connector on the right side of the Compact Monitor.
4. Connect the Record keeping keyboard to the keyboard connector in the back of the shield.
5. Connect keyboard cable to the keyboard connector on the right side of the Compact Monitor
6. Connect network power cable to mini-din connector on the right side of the Compact Monitor
7. Connect network cable to RJ-45 connector and ID-plug to D-connector behind the Compact
Monitor

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1 SPECIFICATIONS

1.1 General specifications

Indicated for use with magnets of field strength 1.5 T or less.

1.1.1 MRI Shield, N-MRI1

Dimensions width: 586 mm/1.9 ft
depth: 257 mm/0.8 ft
height: 383 mm/1.3 ft
Weight 11.2 kg/24.7 lbs
Materials case: brass
EMC-gasket: tin coated beryllium-copper
Mounting Portable Monitor Wall Mount, outside magnetic field of 20 Gauss

Electrical requirements
Voltage range: 100...240 VAC, 50/60 Hz
Protection class: Class I
Power consumption 140VA max.

Environmental requirements
Operating temperature: 10...35 °C (50...95 °F)
Storage temperature: -10 °C...+50 °C (14...122 °F)
Atmospheric pressure: 500...800 mmHg, (660-1060mbar, 66-106kPa)
Humidity: 10...90 % non-condensing

1.1.2 MRI Multiparameter Modules, M-MRI and M-MRIP

Module size: 75 × 180 × 112 mm
Operation temperature: 10 °C...+ 40 °C (50...104 °F)
Module weight: 1 kg
Power consumption: about 9 W

1.1.3 Fiber Optical Converter, N-FOC

Dimensions: 38 × 118 × 113 mm
Operation temperature: 0 °C...+40 °C (32...104 °F)
Weight: 0.9 kg
AC input load: 95/240V - 50/60 Hz, 0.1/0.05A

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1.2 Parameter specifications

1.2.1 NIBP

Oscillometric measurement principle.

Measurement range adult 25...260 mmHg
child 25...195 mmHg
infant 15...145 mmHg
Pulse rate range accepted 30...250 bpm
Measurement interval from continuous to 60 min
Typical measuring time adult 23 s
infant 20 s
Initial inflation pressure adult 185 ±10 mmHg
child 150 ±10 mmHg
infant 120 ±10 mmHg
Venous stasis adult 80 ±10 mmHg / 2 min.
child 60 ±10 mmHg / 2 min.
infant 40 ±10 mmHg / 1 min.
Cuff widths please see User’s Guide

1.2.2 ECG (with N-MRI1)

Lead selection I, II, III
Sweep speeds 12.5, 25, 50 mm/sec
Display filter
Diagnostic 0.05...100 Hz
Monitoring 0.5...11 Hz (-3 dB, with 50 Hz reject filter)
0.5...12 Hz (-3 dB, with 60 Hz reject filter)
ST filter 0.05...30 Hz (-3 dB, with 50 Hz reject filter)
0.05...40 Hz (-3 dB, with 60 Hz reject filter)
Heart Rate from ECG
Range 30...230 bpm
Accuracy ±5 bpm or ±5 %, whichever is greater
Resolution 1 bpm
Update interval 5s
Averaging time 10 s
Synchronization
Direct ECG analog output of ECG, 1 V/1 mV
Pacer 5 V and 0.5...2.5 ms pulse, < 30 ms after pacer peak
Defibrillator 5 V and 10 ms pulse, < 35 ms after R-point synchronization

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Analog ECG output

Connector type Din, 4 pin, female
Signal amplitude 300 mV/1 mV
Delay 15 ms
Input impedance Appr. 10 kΩ (10 Hz)

1.2.3 Pulse oximetry

Measurement range 40...100 %
Accuracy 100...80 %, ±2 digits
(% SpO2 ±1 SD) 1 80...50 %, ±3 digits
50...40 %, unspecified
Resolution 1 digit = 1 %
Display averaging 20, 10 sec, beat-to-beat
Pulse beep pitch varies with SpO2 level
The monitor is calibrated over the measurement range against functional saturation SpO2 func.
Heart Rate from Pleth
Measurement range 30...250 bpm
Accuracy 30...100, ±5 bpm,
100...250, ±5 %
Resolution 1 bpm
Display averaging 10 s
Adjustable pulse beep volume.
Pleth waveform
Scales 2, 5, 10, 20, 50 mod%, Auto
Start up scale is 20 mod% if AUTO is not selected to be the default setting.

1.2.4 Invasive blood pressure

Measurement range -40...320 mmHg
Measurement accuracy ±2 mmHg or ±5 %
Zero adjustment range ±150 mmHg
Calibration range ±20 %
Scales upper limit is adjustable between 10 and 300 mmHg in steps of
10. Lower limit is 10 % of selected upper limit below zero.
Sweep speed 12.5, 25, 50 mm/s
Digital display
Range -40...320 mmHg
Resolution ±1 mmHg
Waveform display
Range -30...300 mmHg
Heart Rate from arterial pressure
Measurement range 30...250 bpm

1
1 SD (standard deviation) = 68 % of all readings in the specified range in stable conditions.

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Resolution 1 bpm
Accuracy ±5 bpm or ±5 % whichever is greater

1.3 Technical specifications

1.3.1 NIBP
Deflation rate, PR dep. 5...13 mmHg/s
Inflation time 1...5 s
Automatic software control, max. inflation pressure
adult 280 ±10 mmHg
child 200 ±10 mmHg
infant 150 ±10 mmHg
Over pressure limit, stops measurement after 2 seconds
adult 320 mmHg
child 220 mmHg
infant 165 mmHg
Safety valve limits the maximum cuff pressure to 320 mmHg in adult/child mode or 165 mmHg in
infant mode. Independent timing circuit limits pressurizing (>15 mmHg) time to 2 minutes 10
seconds maximum in adult/child mode, and 1 minute 5 seconds in infant mode.
Zeroing to ambient pressure is done automatically.
Inflation pressure is adjusted according to the previous systolic pressure, typically 40 mmHg
above. If the systolic pressure is not found, inflation pressure is increased typically 50 mmHg.
Max. measurement time adult 2 min
child 2 min
infant 1 min
Pressure transducer accuracy is better than ±3 mmHg or ±2 % whichever is greater.
Max. error ±4 mmHg.
Protection against electrical
shock Type BF defibrillation proof

1.3.2 ECG (with N-MRI1)

Defibrillation protection 5000 V, 360 J
Recovery time 4s
Input impedance >2.5 MΩ (10Hz)
CMRR >100 dB (ST)
Allowable offset ±300 mVDC
Protection against electrical
shock Type CF defibrillator proof

1.3.3 Pulse oximetry

Protection against electrical
shock Type BF defibrillation proof

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1.3.4 Invasive blood pressure

DIGITAL DISPLAY AVERAGING
Digital displays Art and P1 are averaged over 5 seconds and updated at 5 seconds intervals. All
other pressures have respiration artifact rejection.
Error ±5 % or ±2 mmHg
Transducer and input sensitivity
5 µV/V/mmHg, 5 VDC, 20 mA max current
Filter 0...4 - 22 Hz adjustable
Zero set accuracy ±1 mmHg
Calibration resolution ±1 mmHg
Zero time less than 15 s
Protection against electrical
shock Type CF defibrillation proof
NOTE: The accuracy of the measurement may be different from the specified, depending on
transducer/probe used. Please check the transducer/probe specification.

1.3.5 Network spesifications

IEEE 802.3 10Base-FL cabling standard with ST-connectors. For more information refer to Datex-
Ohmeda Central and Network Technical Reference Manual.

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2 FUNCTIONAL DESCRIPTION

2.1 Measurement principles

2.1.1 NIBP
NIBP (Non-Invasive Blood Pressure) is an indirect method for measuring blood pressure.
The NIBP measurement is performed according to the oscillometric measuring principle. The cuff is
inflated with a pressure slightly higher than the presumed systolic pressure, and deflated at a
speed based on the patient’s pulse, collecting data from the oscillations caused by the pulsating
artery. Based on these oscillations, values for systolic, mean and diastolic pressures are
calculated.
The following parts are necessary for the NIBP measurement:
• M-MRIP/M-MRI module
• twin hose (Adult or Infant model)
• blood pressure cuffs (different sizes)

2.1.2 ECG
Electrocardiography analyzes the electrical activity of the heart by measuring the electrical
potential produced with electrodes placed on the surface of the body.
ECG reflects:
• electrical activity of the heart
• normal/abnormal function of the heart
• effects of anaesthesia on heart function
• effects of surgery on heart function
See the User’s Reference Manual for electrodes positions and other information.

2.1.3 Pulse oximetry

A pulse oximeter measures the light absorption of blood at two wavelengths, one in the near
infrared (about 900 nm) and the other in the red region (about 660 nm) of light spectrum. These
wavelengths are emitted by LEDs in the SpO2 probe, the light is transmitted through peripheral
tissue and is finally detected by a PIN-diode opposite to LEDs in the probe. Pulse oximeter derives
the oxygen saturation (SpO2) using empirically determined relationship between the relative
absorption at the two wavelengths and the arterial oxygen saturation SaO2.
In order to measure the arterial saturation accurately, pulse oximeters use the component of light
absorption giving variations synchronous with heart beat as primary information on the arterial
saturation.

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A general limitation of the above pulse oximetry principle is that due to only two wavelengths used
only two hemoglobin species can be discriminated by the measurement.
The modern pulse oximeters are empirically calibrated either against fractional saturation
SaO2frac;
HbO2
SaO2frac = Formula 1
HbO2 + Hb + Dyshemoglobin

or against functional saturation SaO2func;

HbO2
SaO2func = Formula 2
HbO2 + Hb

which is more insensitive to changes of carboxyhemoglobin and methemoglobin concentrations in

blood.
The oxygen saturation percentage SpO2 measured by Datex-Ohmeda module is calibrated against
the functional saturation SaO2func. The advantage of this method is that the accuracy of SpO2
measurement relative to SaO2func can be maintained even at rather high concentrations of
carboxyhemoglobin in blood. Independent of the calibration method, pulse oximeter is not able to
correctly measure oxygen content of the arterial blood at elevated carboxyhemoglobin or
methemoglobin levels.

Plethysmographic pulse wave

The plethysmographic waveform is derived from the IR signal and reflects the blood pulsation at
the measuring site. Thus the amplitude of the waveform represents the perfusion.

Pulse rate
The pulse rate calculation is done by peak detection of the plethysmographic pulse wave. The
signals are filtered to reduce noise and checked to separate artifacts.

Probe
There are two MRI compatible probes available, Finger Probe, SAS-FMR, and wrap type probe,
SAS-WMR. Light source and detector are situated in a separate box placed inside MRI Shield, N-
MRI1.

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Intensity of
transmitted I max (DC-component)
light I max
AC-component
I min

Variable absorption
Transmitted
due to pulse added
light
volume of arterial
blood

Arterial blood

Venous blood

Tissue

Time
No pulsation Pulsatile blood

Incident light

SpO2 sensor connector

SpO2 sensor cable

6
GND
Emitter 7 I LED
IRED
4
RED 5 GND
8 V
B
R C

Detector 1 IS
9
GND

Figure 3 Absorption of infrared light in the finger and finger probe parts layout and
schematic diagram

2.1.4 Invasive blood pressure

To measure invasive blood pressure, a catheter is inserted into an artery or vein. The invasive
pressure setup, consisting of connecting tubing, pressure transducer, an intravenous bag of normal
saline all connected together by stopcocks, is attached to the catheter. The transducer is placed
level with the heart, and electrically zeroed.

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The transducer is a piezo-resistive device that converts the pressure signal to a voltage. The monitor
interprets the voltage signal so that pressure data and pressure waveforms can be displayed.

2.2 MRI Shield for Compact Monitor, N-MRI1

2.2.1 Main components

4 1

8 9 11 12
7 6 6
10

Figure 4 Parts of the MRI shield, N-MRI1

(1) Mesh window for display and keys

(2) ECG lead selector
(3) ECG connector
(4) Analog ECG output
(5) InvBP connectors
(6) InvBP cables
(7) ECG cable
(8) Power cord for Compact Monitor
(9) Network cable
(10) Network power cable
(11) Keyboard cable
(12) EMC gaskets

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3 4

Figure 5 Rear view

(1) Door for recorder paper and MemCard

(2) Mains power connector
(3) Keyboard connector X1
(4) ST-connectors for network

When S/5 Compact Monitor is placed inside the shield and the door is closed, electromagnetic
interference emitted from the system is minimized. All non-metallic sensor cables can be accessed
through lead-in holes on the left side of the case. The ECG trunk cable and InvBP cables are
connected to the connectors on the left side of the case. Mains power plug is connected in the rear
of the case.

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2.2.2 Mains power filtering

MRI Shield, N-MRI1 contains three filters for mains power. The filters minimize electromagnetic
noise from mains power cord. Mains power is connected to the Compact Monitor with a 30 cm long
power cord. The mains power plug is located in the filter case in the rear of the N-MRI1 case.

Appliance inlet Mains power cord

N N
P P

Figure 6 Mains power filters

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2.2.3 ECG

Isolation amplifier
MRI Shield, N-MRI1 contains an isolation amplifier for ECG. The amplifier minimizes induction of
electromagnetic interference to ECG trunk cable.

PATIENT

INPUT PROTECTION
R L F

LEAD SELECTION
Controlled by lead
selection switch

8x

LOW PASS FILTER

Leads-off ECG signal

detection filter

Pulse width
modulation

100 x

SUPPLY
VOLTAGES

Power Opto- Opto-

source coupler coupler
ISOLATION
Power Opto- Opto-
source coupler coupler

Pulse width
demodulation

Signal
Attenuation

Power ECG Sync

Input Output Output

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ECG board
The ECG board is an isolation amplifier that accepts the low level (approx. 1 mV) signal from the
patient cable via protection circuit and lead selector.

ECG input
The input circuit has a three-position switch for selecting the desired patient lead configuration and
for directing the signal into the preamplifier input. Input protection against defibrillation pulses is
established by 2.2 kΩ resistors and spark gaps F1 and F2.

Amplification and filtering

The signal is amplified by standard non-inverting amplifiers. They run as a differential amplifier, the
output of which is sent via filters and amplifier to a pulse-width modulator operating approximately
at 4 kHz. The pulse-width-modulated signal runs an optocoupler that transmits the ECG signal
across the isolation barrier.

ECG output
The output stage consists of a pulse-width demodulator and a low-pass filter. The signal is
demodulated, filtered and sent to the ECG cable and analog ECG output connector. Signal to ECG
cable is damped and cable is connected to module in the monitor. Analog ECG output signal is
appr. 300 mV/1 mV.

Leads off
Input amplifier saturation caused by a lead-off is detected by the IN-OP comparators. In case of
‘LEADS-OFF’, the output of both comparators is in a steady high-voltage state. The signal is then
transmitted across the isolation barrier using an optocoupler. At the non-isolated side the output of
the optocoupler draws the output of the ECG signal to steady high-voltage state.

ECG power supply

The supply voltage (15 VAC, 32.2 kHz) for the ECG board is taken from the module and is divided
for two purposes. In the first branch a zener-diode regulates the voltage to +3.3 V supply voltage for
the non-isolated part of the board. In the another branch a separating transformer takes the voltage
to the isolated part of the board. The voltage is then rectified, filtered and regulated by voltage
regulators to +5 V and -5 V.

2.2.4 InvBP

InvBP filter board

N-MRI has an additional filter board for two invasive blood pressure channels. Filter board
minimizes electromagnetic interference that is emitted from monitor through InvBP cables. Filter
board consists of eight (8) passive LC-filters for each line of two channels. Board has two male
Nicolay-type connectors for InvBP cables outside the Shield and two cables with female Nicolay
type connectors that are connected to the module inside the Shield.

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2.2.5 Fiber optical network

Fiber optical converter board

N-MRI Shield has an Ethernet media converter board that converts electrical ethernet-signal into
optical (10Base-FL 850 nm multimode). The board is situated under the monitor’s bed in the MRI
Shield. The board is connected to Compact Monitor by category 5 RJ-45 cable. There are two
female ST type connectors in the rear of the monitor for optical cable. Converter board requires
additional power (0.5 W/100 mA@5 VDC) which is taken from Compact Monitor’s mini Din
connector. Cables for ethernet signal and power come from the right side of the monitor’s bed.

2.2.6 Keyboard

Keyboard board
N-MRI has an additional filter board for Datex-Ohmeda keyboard. Board consists of four (4)
passive EMI-filters for each line of keyboard data communication. Board is connected to keyboard
connector outside the Shield. A cable with male din connector is connected to keyboard connector
in the monitor inside the Shield.

2.3 Parameter modules

2.3.1 MRI Multiparameter Modules, M-MRI and M-MRIP

The components in the M-MRI and M-MRIP modules are identical to the Datex-Ohmeda
hemodynamic modules M-NESTPR/-NETPR/-NESTR modules except the items mentioned below.

Respiration measurement
The ECG board of the M-MRI and M-MRIP modules does not include impedance respiration
measurement.

Temperature measurement
The STP board of the M-MRI and M-MRIP modules does not include temperature measurement.

ECG filtering
The monitoring filtering mode of M-MRIP is the following:
MONITORING 0.5...11 Hz (with 50 Hz reject filter)
0.5...12 Hz (with 60 Hz reject filter)
The purpose of the M-MRIP’s monitor filter is to reduce gradient and RF-noise in ECG waveform
caused by MR imaging.

ECG lead select

M-MRI and M-MRIP have only three lead connection.

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2.3.2 Module main components

The M-MRI and M-MRIP modules contain three main PC boards: the STP board, the ECG board
and the NIBP board. They work independently. Each of the boards has its own processor and
software EPROM.
In M-MRI module, additionally, there are two small boards, the SpO2 input and the ECG input
board, attached to the front panel of the module. The front panel has three connectors and two
keys. The connectors are for ECG, SpO2 and NIBP measurement. The keys are for NIBP Auto On/Off
and NIBP Start/Cancel.
In M-MRIP module, additionally, there are two small boards, the SP input and the ECG input
board, attached to the front panel of the module. The front panel has five connectors and four keys.
The connectors are for ECG, SpO2, NIBP and InvBP measurement. The keys are for NIBP Auto
On/Off, NIBP Start/Cancel, Zero P1 and Zero P2.

NIBP board

Exhaust valve 1

Cuff
Bleed valve
Zero Exhaust Pump
Joining chamber
valve valve 2 and
Check valve Pump valve
M
driver

B1 B2 Pressure
Overpressure control
transducers
Watchdog
timer

AD- +15 VD
converter
Address bus
CPU
80C51FA
Power-up
reset
Address
decoder
NESTPR_NIBP_board_blck_dgrm.vsd

RS485
to/from module bus

interf.
Front Software
Address RAM EPROM panel
X1 control
Internal latch keys
EEPROM watchdog
(calibration
data)
Databus
Write protection switch

Figure 7 NIBP board functional block diagram

Pressure transducers

The NIBP board contains two pressure transducers. They are of piezoresistive type. One is used for
measuring the pressure of the blood pressure cuff and the pressure fluctuations caused by arterial
wall movement (B1). The other is used for detection of cuff hose type, cuff loose and cuff occlusion

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situations etc. (B2). The transducers are internally temperature compensated. They are supplied by
a constant voltage and their output voltage changes up to 40 mV max. (50 kPa, 375 mmHg).

Signal processing

Two signals from the pressure transducers are amplified and sent to A/D converter. After the
converter, digitized signals are sent to microprocessor for data processing. Before the converter,
one of the signals is used to adjust the offset to the pressure safety level.
The NIBP board is controlled with 80C51FA microprocessor at 16 MHz oscillator frequency.

Memory

NIBP program memory (EPROM) size is 128k × 8. RAM size is 32k × 8 bit and it stores variable
values in NIBP measurement. EEPROM is size 64 × 16 bit and is used to store the calibration
values for the pressure transducers, the pulse valve constants gained during measurements, the
PC board identification, and module serial number.

Software control

Software controls valves and pump. In addition to the individual on/off signals for each component
there is a common power switch for the valves and the pump that can be used at pump/valve
failures.
In addition to external RS485 reset line the microprocessor system is equipped with its own power-
up reset.

Watchdog timer

The NIBP board is equipped with a software independent safety circuit to disconnect supply
voltages from the pump and the valves if the cuff has been pressurized longer than the preset time.
As soon as the cuff pressure rises over a specified pressure limit, timer starts counting. The timer is
adjusted to stop the pump and open the valves after 2 minutes 10 seconds in adult/child mode
and after 1 minute 5 seconds in infant mode.

Valves

Exhaust valves are used for emptying the cuff and the joining chamber after the measurement.
Exhaust valve 1 is also used as safety valve in infant mode. Valve opens at 165 mmHg. Exhaust
valve 2 is also used as safety valve in adult mode and opens at 320 mmHg.
Bleed valve is used for emptying the cuff during measurement. Zero valve is used for connecting
the pressure transducer B1 to open air.

Power supply section

All connections are established via 25-pin connector (D-type, female). The module needs +5 V,
±15 V, and +15 VD (dirty) power supply to operate. The pump and the valves use separate +15 VD
power line. The supply voltages are generated in the power supply section of the S/5 monitor. The
reference voltages ±5 Vref and +10 Vref are generated on the NIBP board.

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ECG board
Patient signals are connected to overload protection circuits (resistors and gas-filled surge
arresters) and analog switches to instrumentation amplifiers. Then the signals are amplified by 480
and limited by slew rate. Then they are A/D-converted, analyzed and transferred to module bus in
digital form.

PATIENT

INPUT PROTECTION

R L F

LEAD SELECTION LOGIC

Controlled by ECG lead
selection switch

8x

LOW PASS FILTER

Leads-off ECG signal

detection filter

100 x

Pulse width
modulation
SUPPLY
VOLTAGES

Power Opto- Opto-

source coupler coupler
ISOLATION

Power Opto- Opto-

source coupler coupler

Demodulation,
filtering and
damping

OUTPUT

Figure 8 ECG board block diagram

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Analog ECG section

ECG cable is connected to connector pins E1 to E6 on the input board, which contains an overload
protection circuit. Leads are connected to amplifiers via analog switches. State of the switches
depends on the cable type. Lead-off, noise and pacemaker are detected by a slew rate detector.
Lower frequency is determined by high pass (HP) filter 0.5 Hz (monitor bandwidth) or 0.05 Hz
(diagnostic or ST- bandwidth).

ECG filtering

The S/5 Compact monitors with M-MRI and M-MRIP modules have three ECG filtering modes:
MONITORING 0.5...11 Hz (with 50 Hz reject filter)
0.5...12 Hz (with 60 Hz reject filter)
DIAGNOSTIC 0.05...100 Hz
ST FILTER 0.05...30 Hz (with 50 Hz reject filter)
0.05...40 Hz (with 60 Hz reject filter)
The purpose of filtering is to reduce high frequency noise and low frequency (e.g. respiratory)
movement artifacts. The purpose of the M-MRI’s and M-MRIP’s monitor filter is to reduce gradient
and RF-noise in ECG waveform caused by MR imaging.
Monitor filter is used in normal monitoring. When monitoring during MR imaging, monitor filter must
be used. Diagnostic filter is used if more accurate diagnostic information is needed. ST filter gives
more accurate information of ST segment, but reduces high frequency noise.
The high-pass filters 0.5 Hz and 0.05 Hz are done with hardware. The monitor sends a command to
the ESTP(R) module determining which of the corner frequencies 0.5 Hz or 0.05 Hz is to be used.
The 50 Hz and 60 Hz reject filters are both low-pass filters with zero at 50 Hz or 60 Hz
correspondingly and they are done with software. They are for the mains supply filtering. When
these filters are used, 3 dB value for low-pass filter is 11 Hz or 12 Hz.
In diagnostic mode software filters are not used. Then the upper frequency is limited by hardware
and the -3 dB frequency is 100 Hz, for 12 lead ECG frequency is 150 Hz.

Microprocessor section

Microprocessor contains RAM and EPROM memories. The processor uses external EEPROM
memory. The microprocessor’s internal 8-channel A/D-converter converts the ECG-signals to
digital form.

Serial communication

Communication with the module bus is made through RXD and TXD pins. See the serial
communication section in STP board description.

Isolated section

WARNING Do not touch a battery-operated monitor during defibrillation procedure.

See the isolated section in STP board description.

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Power supply section

See the power supply section in STP board description.

There is a test connector (X20) on the board for voltages +5 VREF, +5 V, +12 V, GND and -12 V.

STP board

Patient connectors

TEMP INV PRESS POX pre-

measuring measuring amplifier
Front panel
keys unit unit

Pox LE Ds driver
POX
gain
control
Temp AD Press AD

m easur ing

m eas uring
Red

IR ed
AD-converter
- 8 chn
- 12 bit Pox AD

Serial device communication

Intensities
µprocessor unit
Module Non volatile
Power RAM internal 2K memory
external 16K bus
isolation data
EPROM 48K
section
RS communication
Reset

Isolation Opto
transformer Patient isolation isolation
NESTPR_STP_brd_blck_dgrm.vsd

Power
Power RS485 Driver
non-isolation reset RS485 Driver
for module for data
section reset

Power for Power for

module Communication Module reset Module data

Module bus connector or

connector to NIBP Board (NESTPR)

Figure 9 STP board block diagram

Microprocessor unit

Intel’s 80C196KC-16 is used as processor. There are external memories, an 8-bit data bus, a 16
MHz oscillator, an open collector reset, and a watchdog timer. Three A/D-converters within the
processor are used. The processor’s internal UART communicates with the CPU board.

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High speed I/O is used to obtain pulse control sequence necessary for pulse oximetry
measurement. It gets its timing clock from the oscillator.

Invasive blood pressure measurement unit

Isolated +5 V voltage is supplied to the pressure transducer. From the bridge connection a
differential voltage, which depends on pressure and supplied voltage, is calculated (see the
formula below).
Uout = Uin × pressure × 5 V, where Uin is 5 V
Þ Uout = 25 V × pressure [mmHg]
Pressure amplification is realized in the instrumentation amplifier. Gain of the amplifier is set so
that the level of the signal transferred to A/D converter stays within the measurement range even
when there are circumstantial offsets or offsets caused by the transducer. There is a filter before the
amplifier to attenuate high frequency disturbances.

Pressure
Vin transducer
Instrumentation
amplifier

Vout Input
Filter G

pressure_meas_principle.vsd
to A D converter

Figure 10 Pressure measurement principle

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Pulse oximetry measurement section

I=5-350mA IRed LE D inte nsity

L ED drivin g circuit a dju stm ent

R ed LE D inten sity
Level of LED current a djustm ent
measurement and
feedback circuit
Lev el of L ED current in dicatio n (to C PU)

Prob e
IR DC level

G =1/4096-1 G = 275
G =16 IRed AC signal
or 63

for NESTPR

NESTPR_POX_meas_blck_dgrm.vsd
Amplifier Two step
Preamplifier Digitally controlled G =18
Current - to - Voltage attenuator AC amplifier or 125
converter

Red AC signal
G =16
or 63

Red DC level

Figure 11 Pulse oximetry measurement block diagram

LED control signals

The processor sends pulse width modulated signals, IRED intensity and RED intensity, which are
converted to DC voltage and filtered. By switches either RED or IRED intensity is sent forward to
amplifier in LED driving circuit.

LED driving circuit

Voltage difference, which corresponds to LED current, is measured by the differential amplifier
circuit and its output is sent back to the processor in 0 to 5 V level. There are feedback circuits from
LED current measurement and LED intensity control.
Background light is measured by picking up a sample from the signal. The sample is modified to 0
to 5 V level and sent to the processor.

Measured signal preamplification

Preamplifier is current-to-voltage converter with gain selection. The higher gain is used for
measuring of thin tissue.

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Digitally controlled amplifier

D/A converter is a digitally controlled amplifier after which there is another constant amplifier.

Red and infrared channel separation

Red and infrared channels are separated from each other by switches. Operational amplifier
functions as a buffer and after this infrared DC signal is sent to the processor. A capacitor
separates AC signal from it and the AC signal is sent to the processor after amplification. There is a
switch to choose the amplification constant.

Serial communication

Serial communication between the module and the frame is done by RS485 type bus whose
buffers get their supply voltage (+5 VDC) from the Frame and in the isolation section get the supply
voltage (+5 V) from the isolated power supply.
The buffers of the serial communication are controlled also by Reset signal so that when the Reset
is active, the buffer does not transfer data.
Reset is also RS485 type and additionally, there is an auxiliary logic power reset, which keeps the
reset active for about 500 ms despite the state of reset in the module bus. Time constant
determines the power-up reset time. There are components to prevent the module from sending
data during reset. Data transmission rate is 500 kbps.

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NIBP Board
Receive data Data

m o d u le p r o s e s s o r
RS485
Send data Driver

connector for STP board

module bus connector

Receive data NData

Send data
send/receive send/receive
Reset
Reset in
RS485
Driver NReset in
Reset

STP Board
Receive data
m o d u le p r o s e s s o r

Data
RS485

connector for ECG board

connector for NIBP board

Driver
Send data NData
Receive data
Send data
send/receive Opto isolation send/receive
Reset
Reset in
Reset RS485
Driver
Isolation

NReset in
Patient

ECG Board
m o d u le p r o s e s s o r

connector for STP board

Receive data Receive data

Send data Send data
send/receive Opto isolation
send/receive
Reset Reset
Isolation
Patient

Figure 12 Serial communication and opto isolation of M-MRIP

Isolated section

There are two opto isolators. Signal is processed on logical high-low level even though the outputs
of the opto isolators are analog signals in the isolated section.
Reset line is an open collector type with a pull-up resistor. Thus the processor is able to use its
internal watchdog function.

Power supply section

Isolated supply voltage of the module is developed from +15 Vdirty voltage from the Central Unit.
Power supply is a switched-mode circuit, where FET transistor switch is controlled by an oscillator
using bipolar timer. The frequency of the oscillator is about 30 kHz and pulse ratio 50 %.
Controlling of the FET switch is slowed to suppress spurious interference.
A special pulse transformer is used in the circuit. In the secondary circuit normal linear regulators
are used except for +5 V (low drop type linear regulator).

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2.4 Connectors and signals

2.4.1 Front panel connectors on modules M-MRI and M-MRIP

ECG connector (ECG) SpO2 connector (SpO2) Inv. blood pressure connectors (P1, P2)

3 6 3 6 3 6
1 9 1 9 1 9
4 7 4 7 4 7
2 0 2 0 2 0
5 8 5 8 5 8

Pin No Signal Pin No Signal Pin No Signal

1 Right arm electrode (R) 1 Feedback resistor 1 Pressure +
2 Left arm electrode (L) 2 -7 V supply voltage 2 Pressure -
3 Right leg electrode (RL) 3 Not connected 3 Polarisation - (ground)
4 Left leg electrode (F) 4 Cable shield + probe 4 Polarisation +
identification ground
5 Chest electrode (C) 5 Probe identification 5 Not connected
6 Cable shield 6 LED drive ground 6 Not connected
7 ±15 V supply voltage 7 LED drive current 7 Not connected
8 3/5 lead identification 8 Input signal current 8 Not connected
9 Lead connection check 9 Ground 9 Ground
0 Ground 0 +7 V supply voltage 0 Cable detection

2.4.2 Connectors on MRI Shield, N-MRI1

ECG connector (ECG) Inv. blood pressure Analog ECG output
connectors (P1, P2)

3 6 3 6
1 9 1 9
4 7 4 7
2 0 2 0 2 3
5 8 5 8
1 4

Pin No Signal Pin No Signal Pin No Signal

1 Right arm electrode (R) 1 Pressure + 1 GND
2 Left arm electrode (L) 2 Pressure - 2 Sign
3 Right leg electrode (RL) 3 Polarisation - (ground) 3 Not Connected
4 Not connected 4 Polarisation + 4 Not Connected
5 Not connected 5 Not connected
6 Cable shield 6 Not connected
7 Not connected 7 Not connected
8 Not connected 8 Not connected
9 Not connected 9 Ground
0 Not connected 0 Cable detection

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Keyboard connector x1

1 4
2

5
3

Pin No Signal
1 CLK
2 DATA
3 Not Connected
4 GND
5 +5V

2.4.3 Module bus connector of the modules M-MRI and M-MRIP

13 1
25 14

Pin No I/O Signal Not used

1 I RESET_RS485
2 I -15 VDC ∗
3 I +15 VDIRTY
4 I +15 VDC ∗
5 I/O -DATA_RS485
6 I/O DATA_RS485
7 Ground & Shield
8 I -RESET_RS485
9 I CTSB ∗
10 O RTSB ∗
11 I RXDB ∗
12 O TXDB ∗
13 Ground & Shield
14 I +32 VDIRTY ∗
15 I GroundDIRTY
16 I CTSC ∗
17 O RTSC ∗
18 I RXDC ∗
19 O TXDC ∗
20 ON/STANDBY ∗
21 O PWM_ECG
22 RXDD_RS232 ∗
23 TXDD_RS232 ∗
24 I +5 VDC
25 I +5 VDC

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2.4.4 Test points

M-MRI and M-MRIP modules

NIBP board

There are test pad blocks on solder side. X8 and X6 pads and voltages are:
10 2 X6
9 1 2 1
X8
X6
X8 8 7
X5

X7

X8 X6
Pin No Signal Pin No Signal
1 GND 1 GND
2 WD out 2 A1 output
3 reset 3 -5V
4 +5 V 4 +5 V ref
5 +15 V dirty 5 B1 out - (A1 input)
6 +15 V 6 B1 out +
7 -15 V 7 B2 out +
8 - 8 B2 out -
9 -
10 GND

ECG and STP board

There are test pin blocks identical both on STP and ECG boards. Pins and voltages are as follows:
X11 pin 1 +5 Vref
pin 2 +5 V
pin 3 +7 V
pin 4 Gnd
pin 5 -7 V
X12 pin 1 -5 V (STP board only)

N-MRI1 Shield

ECG board
X7 Pin 1 +5 V
Pin 2 Anal. ECG out
Pin 3 Gnd

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3 NETWORK AND SLAVE SCREEN INSTALLATION

MRI patient monitor can be connected to Datex-Ohmeda network by optical cables and another
display can be utilized by this network. There are basicly two different options to utilize another
display by network implementation.

Figure 13 N-FOC Media Converter front panel connectors.

3.1 Datex-Ohmeda Network available

With this configuration an additional media converter N-FOC is needed. Converter has one RJ-
45 port and two ST connectors. N-FOC converts optical ethernet signal to electrical outside
MRI room. Ethernet signal is coupled to HUB by additional communication cable. Basic
installation is shown below.

5 1

2
4

Figure 14 Network installation 1; Datex-Ohmeda Network available

(1) MRI Patient Monitor in MRI room

(2) Fiber optic cable (90259)
(3) Media converter, N-FOC

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(4) Twisted pair Ethernet cable with RJ-45 connectors (N-MN1, N-MN3 or N-MN6)
(5) Wallbox with RJ-45 connector

Installation Instructions
1. Disconnect the NetID plug from the Ethernet cable N-MN1/3/6 and connect it to the Converter
Ethernet cable inside the MRI shield N-MRI1.
2. Connect the optical cable to the ST connectors in the back of the MRI Shield.
- Red cable connector must be connected to the Rx connector of the shield.
- Black cable connector must be connected to the Tx connector of the shield.
3. Lead the optical cable outside the MRI room and connect it to the media converter N-FOC.
- Red cable connector must be connected to the Rcv connector of N-FOC Fiber
Optic port.
- Black cable connector must be connected to the Xmt connector of N-FOC Fiber
Optic port. (see Figure 13)
4. Make sure that the Crossover switch is in pass-through position (pressed down)
(see Figure 13)
5. Connect the ethernet N-MN1/3/6 cable from the converter to the wallbox.
6. Make sure that the cable from the wallbox is connected to the monitor network, i.e. 10BT repeater.
7. For another display to control room, add ViewStation to the control room. Refer to Datex-Ohmeda
Central and Network Technical Reference Manual.
NOTE: Optical cable from MRI patient monitor can be connected directly to HUB, if HUB has
optical port.

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3.2 No Datex-Ohmeda Network available

An additional Datex-Ohmeda Central and media converter, N-FOC, is required to utilize

second display with this configuration. Configuration is basically Datex-Ohmeda Network
with only one monitor and one display. Basic installation is shown below.

7 5 3

6 4 2

Figure 15 Network installation 2; no Datex-Ohmeda Network available

(1) MRI patient monitor in MRI room

(2) Fiber optic cable (90259)
(3) Media converter, N-FOC
(4) Twisted pair Ethernet cable with RJ-45 connectors (N-MN1, N-MN3 or N-MN6)
(5) 10BT-repeater (HUB-8 or HUB-16); Optional, see the note below
(6) Twisted pair Ethernet cable with RJ-45 connectors (885268, 885269 or 885271);
Optional, see the note below
(7) Datex-Ohmeda Central
NOTE: The HUB and the latter Ethernet cable are needed, if the distance between Central and
MRI patient monitor is wished to be more than 26 m.

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Installation instructions
1. Disconnect the NetID plug from the Ethernet cable N-MN1/3/6 and connect it to the Converter
Ethernet cable inside the MRI shield N-MRI1.
2. Connect the optical cable to the ST connectors in the back of the MRI Shield.
- Red cable connector must be connected to the Rx connector of the shield.
- Black cable connector must be connected to the Tx connector of the shield.
3. Lead the optical cable outside the MRI room and connect it to the Media Converter N-FOC.
- Red cable connector must be connected to the Rcv connector of N-FOC Fiber Optic
port.
- Black cable connector must be connected to the Xmt connector of N-FOC Fiber Optic
port.
(see Figure 15)
If HUB is used, follow steps 4- 7
4. Make sure that the Crossover switch is in pass-through position (pressed down)
(see figure 14)
5. Connect the ethernet cable M-MN1/3/6 from the converter to the HUB
6. Connect the other ethernet cable (885268, 885269 or 885271) from HUB to the Monitor Network
board at Central (indicated “Mon.”)
7. To install and configure the Central, refer to Datex-Ohmeda Central and Network Technical
Reference Manual.
If HUB is not used, follow steps 8- 10
8. Make sure that the Crossover switch is in crossover position (upward position)
(see Figure 15)
9. Connect the ethernet cable M-MN1/3/6 from the converter to the Monitor Network board at
Central (indicated “Mon.”)
NOTE! The Ethernet cable 885268, 885269 or 885271 is not needed.
10. To install and configure the Central, refer to Datex-Ohmeda Central and Network Technical
Reference Manual.

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4 SERVICE PROCEDURES

4.1 General service information

The field service of the N-MRI1 Shield and M-MRI and M-MRIP modules is limited to replacing
faulty circuit boards or mechanical parts. Return the boards to the Datex-Ohmeda for repair.
Datex-Ohmeda is always available for service advice. Please provide the unit serial number, full
type designation, and a detailed description of the fault.

CAUTION Only trained personnel with the appropriate equipment should perform the tests
and repairs outlined in this section. Unauthorized service may void warranty of the
unit.

4.2 Service check

These instructions include complete procedures for service check. The service check is
recommended to be performed after any service repair, however, the service check procedures can
be used also for determining possible failures.
The procedures should be performed in ascending order.
The instructions include a check form (Appendix A) which should be filled in when performing the
procedures.

The mark ? in the instructions means that the performed procedure should be signed in the
check form.

4.2.1 Recommended tools and parts

Tool Order No. Notes
Patient simulator -
Pressure manometer -
MRI ECG lead set
SAS-FMR SpO2 probe
InvBP transducer
Adult NIBP cuff & hose
Infant NIBP cuff & hose
Screwdriver
Parts
NIBP pump filter 57142

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MRI Shield, N-MRI1

Visual inspection

1. Check that
- main door and printer paper door close tightly
- no slits can be seen between the EMC gaskets and the frame of the case
- mains power, ECG cable, InvBP cables, keyboard cable, ethernet cable and ethernet
power cable are properly connected and undamaged
- mesh of the main door is not damaged or torn.

?
Functional check

2. Connect the ECG cable to the M-MRI or M-MRIP module. Connect the MRI ECG lead set to
the N-MRI1. Select lead ‘II’ from the monitor. Check that all electrodes show OFF in the
service menu and that the message ‘Leads Off’ is displayed on the screen.

?
3. Connect the leads to a patient simulator. Check that appropriate ECG waveform and HR
value appear on the screen. Select lead ‘I’ and lead ‘III’ from the monitor.
Check that the message ‘Leads off’ is displayed on the screen.

?
4. Connect InvBP cables to M-MRIP module. Connect patient simulator to P1 and P2
connectors of N-MRI1 Shield. Check that appropriate waveforms and HR appear on the
screen.

Cleaning

5. Clean the EMC gasket contact surfaces on the N-MRI1 by wiping with a lint-free cloth
moisturised with i.e. alcohol or some other cleaning fluid.

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MRI Multiparameter Modules, M-MRI and M-MRIP

Detach the module box by removing the two screws from the back of the module. Be careful with
loose latch and spring pin for locking.
6. Check internal parts:
− screws are tightened properly
− cables are connected properly
− all IC’s that are on sockets are attached properly
− EMC covers are attached properly
− there are no loose objects inside the module

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7. Check external parts:
− the front cover and the front panel sticker are intact
− all connectors are intact and are attached properly
− the module box, the latch and the spring pin are intact

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8. Replace the NIBP pump filter if necessary.

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• Reattach the module box and check that the latch is moving properly.
• Switch the monitor on and wait until the monitoring screen appears. Configure the monitor
screen so that all the needed parameters are shown, for example as follows:
Monitor Setup - Waveform Fields - Field 1 - ECG1
Field 2 - ECG2
Field 3 - P1
Field 4 - P2
Field 5 - Pleth
Digit Fields - Lower Field 2 - NIBP
9. Plug in the module. Check that it goes in smoothly and locks up properly

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10. Check that the module is recognised, i.e. all needed parameter information, except invasive
blood pressure, starts to show on the screen.

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Preset ECG, InvBP and SpO2 measurement settings:
ECG - ECG Setup - Hr Source - Auto
Pacemaker - Show
Invasive Pressures - P1 ‘Art’ Setup - Label - Art
- P2 ‘Cvp’ Setup - Label - Cvp
Pulse Oximetry - Pleth Scale - Auto

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ECG measurement

11. Enter the service menu:

Monitor Setup - Install/Service (Password 16-4-34) -

Service (Password 26-23-8) - Parameters

Take down the information regarding module software by selecting SCROLL VERS and
turning the ComWheel.

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12. Enter the ESTP: ECG service menu:

Check that the ‘Timeouts’, ‘Bad checksums’ and ‘Bad c-s by mod’ values are not increasing
faster than by 5 per second. Check also that the ECG/RESP board memories have passed
the internal memory test, i.e. the ‘RAM’, ‘ROM’ and ‘EEPROM’ state all OK.

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13. Check that the power frequency value has been set according to the current mains power
frequency. Change the setting by selecting Power Freq, if necessary.

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14. Connect a 3-lead MRI ECG lead set to the module. Check that the ‘Cable type’ shows 3
lead.

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15. Check that all the electrodes except LA and LL show OFF in the service menu and the
message ‘RA/R lead off’ is shown on the screen.

Connect all the leads together, for example to a suitable screwdriver. Check that all the
electrodes show ON and the message ‘Asystole’ appears.

Disconnect one of the leads and check that the corresponding electrode in the service
menu shows OFF within 10 seconds from the disconnection, then reconnect the lead.
Check the rest of the leads using the same method.

NOTE: When the ground lead (black) is disconnected all the electrodes should show OFF.

NOTE: The asystole and different leads off -messages are shown using certain priority, so
even one of the leads is disconnected, the lead related leads off -message may not appear
onto the screen.

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16. Connect the leads to a patient simulator.
The settings and checks with Dynatech Nevada MedSim 300 Patient Simulator:

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ECG - BASE - BPM - 160

PACE - WAVE - NSR
Check that normal ECG waveform is shown, the HR -value is 160 (±5) and the ‘Pacer count’
-value is not increasing in the service menu. Check the lead selections by pressing the ECG
LEAD -key on the module.
ECG - PACE - WAVE - ASNC
Check that pacemaker spikes are shown on the ECG waveform, the HR -value changes to
75 (±5) and the ‘Pacer count’ -value is increasing according to shown pacemaker spikes.

Set the pacemaker option off:

ECG - PACE - WAVE - NSR

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Invasive blood pressure measurement

18. Enter the ESTP:STP service menu:

Parameters - ESTP:STP (Italic Bold)

Check that the 'Timeouts', 'Bad Checksums', and 'Bad c-s by mod' values are not
increasing faster than by 5 per second. Check also that the STP board memories have
passed the internal memory test, i.e. the 'RAM', 'ROM' and 'EEPROM' show all OK.
19. Check the front panel membrane keys that are related to the InvBP measurement.
Press each of the keys at least for one second. Check that the pressed key is identified, i.e.
one of the texts for ‘Buttons’ changes from OFF to ON in the service menu.

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20. Check that the ‘Cable’ and ‘Probe’ for P1 show OFF. Plug a cable with an invasive blood
pressure transducer into the front panel connector P1 and check that the ‘Cable’ and
‘Probe’ show ON and the corresponding pressure waveform appears onto the screen.

Perform the same check also for the InvBP channel P2.

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21. Calibrate the InvBP channels P1 and P2 according to the instructions in Invasive pressure
calibration.

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22. Check the InvBP channels with a patient simulator.

The settings and checks with Dynatech Nevada MedSim 300 Patient Simulator:

SENSITIVITY -switch - 5 µV/V/mmHg

ECG - BASE - BPM - 60 - BP - 1 - WAVE - ATM

2 - WAVE - ATM
Restore the normal monitoring screen by pressing the key Normal Screen.

Connect cables from the channels BP1 and BP2 to the module connectors P1 and P2. Zero
the InvBP channels by pressing the keys Zero P1 and Zero P2 on the module front panel.
BP - 1 - WAVE - ART
2 - WAVE - CVP
Check that appropriate InvBP waveforms are shown and the InvBP values are approximately
120/80 (±3 mmHg) for the channel P1 and 15/10 (±2 mmHg) for the channel P2.

Check that HR- value is calculated from P1 when ECG is not measured (ECG cable
disconnected).

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SpO2 measurement

22. Check that the message ‘No probe’ is shown when no SpO2 sensor is connected to the
module. Connect a SpO2 SAS-FMR or SAS-WMR probe to the module. Check that the
message ‘Probe off’ is shown when the probe is not connected to a finger.

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23. Connect the SpO2 probe onto your finger. Check that the reading of 95-99 and SpO2
waveform appear. Check that HR- value is calculated from SpO2 when ECG and InvBP (P1)
are not measured.

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Non Invasive Blood Pressure measurement

24. Enter the NIBP module service menu:

- Parameters - NIBP

Check that the ‘Timeouts’, ‘Bad checksums’ and ‘Bad c-s by mod’ values are not increasing
faster than by 5 per second. Check also that the NIBP board memories have passed the
internal memory test, i.e. the ‘RAM’, ‘ROM’ and ‘EEPROM’ show all OK.

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25. Check the front panel membrane keys.

Select Buttons/Leds.

Press each of the two NIBP related membrane keys at least for one second. Check that the
pressed key is identified, i.e. the corresponding text changes from OFF to ON in the menu.

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26. Check the pump and valves.

Highlight Pneumatics from the NIBP menu. Connect a pressure manometer to the NIBP
module cuff connector.

Select Start Pump and press the ComWheel. Check that the pump turns on and the pressure
inside the tubing system starts to increase. Stop the pump by pressing the ComWheel again
when the pressure reaches 280 mmHg.

Highlight Open Exh1. Press the ComWheel and check that the pressure inside the tubing
system starts to drop then press the ComWheel again. Check the other exhaust valve by the
same way by selecting Open Exh2 from the menu.
If necessary, turn the pump on again for a moment to increase the pressure inside the tubing
system.

Highlight Set Valve. Press the ComWheel and set the value under the text ‘Pulse Valve’ to
number 150 by turning the ComWheel. Press the ComWheel again and check that the
pressure inside the tubing system starts to drop. Finish the test by selecting Previous Menu.

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27. Check the NIBP tubing system for leakages.

Select Calibrations from the NIBP service menu.

Connect the pressure manometer to the NIBP module cuff connector. Start the Active Leak
Test from the menu by pressing the ComWheel. The module pumps a pressure of about 265
mmHg and then the pump stops.
Wait for 15 seconds for the pressure to stabilize then check that the pressure does not drop
more than 6 mmHg per one minute. Release the pressure by pressing the ComWheel once
more.

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28. Calibration check.

Recalibrate the NIBP measurement according to the instructions in the chapter Adjustment
and Calibration, NIBP calibrationsCalibration. Remember to set the calibration protection
back on after the calibration.

Disconnect the pressure manometer. Select Calibrations and then highlight Calibration
Check. Press the ComWheel and take down the zero offset values for both pressure
transducers, B1 and B2. The values should be within ±10 mmHg.

Connect the pressure manometer to the cuff connector and check the calibration with
pressures 100 mmHg, 200 mmHg and 260 mmHg. The zero offset value must be added to
the displayed pressure value in order to determine the real pressure.

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29. Check the watchdog timer activation pressure.

Select Pneumatics from the NIBP service menu.

Keep the pressure manometer connected to the cuff connector. Pump up the pressure very
slowly and note the value on the manometer when your hear a signal from the loudspeaker.
The pressure at where the watchdog timer should activate with an audible signal is
13 mmHg (11...15 mmHg). Adjust the limit with the trimmer on the NIBP board, if necessary.

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30. Check the watchdog timer.

Select Watchdog from the NIBP service menu.

Check the watchdog timer in the adult mode. Activate the timer by highlighting Test ADULT
and then pressing the ComWheel. Check that the time beside the text ‘Watchdog Interval’
starts to run. Wait until you hear a signal from the loudspeaker and then check the time again.
The time from the adult test should fall within 120...140 seconds.

Check the watchdog timer also in the infant mode by first selecting Test INFANT from the
menu. The time from the infant test should fall within 60...70 seconds.

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31. Check the safety valve.

Select Safety Valve from the NIBP service menu.

Keep the pressure manometer connected to the cuff connector.

NOTE: Make sure your pressure manometer can be used to measure pressures over 300
mmHg. If such a pressure manometer is not available, perform the check with an adult cuff
that is connected around some round object, for example a calibration gas bottle.

Highlight Start Test. Start the adult safety valve test by pressing the ComWheel. Wait until the
pump stops and the pressure is deflated. Check the pressure values ‘Max press’ and ‘2 s after
stop’ for both transducers. All the values should be within 290...330 mmHg.

Highlight ADULT. Press the ComWheel and check that the text changes now to INFANT. Select
Start Test and wait until the pump stops and the pressure values on the screen have been
updated. Check that the values ‘Max press’ and ‘2 s after stop’ are all now within 154...165
mmHg.

Return to the normal monitoring mode by pressing Normal Screen.

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32. Connect an adult NIBP cuff to the cuff connector and disconnect one of its hoses.
Start NIBP measurement by pressing the key Start/Cancel on the module and check that
the message ‘Cuff loose’ appears on the screen within 30 seconds.
Reconnect the hose and then bend it with your fingers. Restart the measurement and check
that the message ‘Cuff occlusion’ appears on the screen within 30 seconds.

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Check that automatic inflation limits are in use:
NIBP - NIBP Setup - Inflation Limits - Auto - Previous Menu

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33. Connect the cuff onto your arm, highlight Start Ven.Stasis in the NIBP menu and press the
ComWheel. Check the module identifies the cuff, i.e. the text ‘Adult’ appears into the NIBP
digit field for a short moment.

Keep the pressure inside the cuff for about half a minute in order to see that the cuff is not
leaking, then press the ComWheel again. Select Normal Screen.

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34. Keep the cuff on your arm and perform one NIBP measurement. Check that the module gives
a reasonable measuring result.

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35. Connect an infant cuff to cuff connector and wrap it around your fingers.
Start NIBP measurement and check that the module identifies the cuff, i.e. the text ‘Infant’
appears into the NIBP digit field. Cancel the measurement after the cuff identification.

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Both modules

36. Perform electrical safety check and leakage current test.

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37. Check that the module functions normally after the performed electrical safety check.

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38. Clean the module with suitable detergent.

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• Fill in all necessary documents.

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4.3 Disassembly and reassembly

4.3.1 MRI Shield, N-MRI1

CAUTION Perform leakage current measurement whenever service or repair has been done in
the monitor.

Changing the ECG and InvBP units

1. Remove the ECG knob and the sticker from the left side of the N-MRI1.
2. Open the ten screws that hold the ECG/InvBP case. Open the two upper screws that hold
the ECG unit in N-MRI1. Open the two screws that hold the ECG unit in grounding bars.
Disconnect analog ECG output cable from board and remove the ECG unit.
3. Break the cable tie in the ECG case and remove the ECG unit from the case.
4. Open the two upper screws that hold the InvBP unit in N-MRI1. Open the two screws that
hold the InvBP unit in grounding bars and remove the InvBP unit.
5. Place the new ECG unit or new InvBP unit in the ECG/InvBP case. Attach ferrite ring to
ECG/InvBP case with cable tie.
6. Attach the ECG unit or new InvBP unit and the ECG/InvBP case to the N-MRI1 Shield. Attach
a new sticker and the ECG knob.

Figure 16 Changing the ECG and InvBP units

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Changing the network board

1. Open the screws of monitor bed, remove the bed and break the ethernet cable strain relief.
2. Disconnect the optical cable, ethernet cable and ethernet power cable from the network board
3. Open the screws of network board and remove the board.
4. Install new board, attach screws and connect cables.
5. Place monitor bed to N-MRI1. Attach ethernet cable to monitor bed with strain relief so that
there is appr. 45 cm free end in the cable. Adjust the bed so that main door of N-MRI1 closes
when Compact Monitor is inside. Tighten screws.
NOTE: Make sure that the crossover button (X) is pressed down.

Figure 17 Changing the network board

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Changing the main door

1. Remove the screw covers from the upper hinge in the frame of N-MRI1 Shield. Open the
screws of the upper hinge in the frame and remove the hinge. Open the door and remove it
by lifting.
2. Remove the hinges and latch from the door and place them to new door.
3. Place a caution sticker to the new door. Replace it, attaching the upper hinge to the frame.
Attach the covers of the hinge.
4. When the door is closed, check carefully, for example with a piece of thin paper that the
EMC-gaskets of the door are in contact with the frame. If not, adjust the hinges by turning
them towards the front panel. Tighten the hinge screws.

Figure 18 Changing the main door

Changing the printer door

1. Remove the hinge covers. Open the screws of hinge and remove the printer door.
2. Replace the door and attach the covers to hinge.
3. When the door is closed, check carefully, for example with a piece of thin paper that EMC-
gaskets of the door are in contact with the frame.

Changing the EMC gaskets

1. Remove the EMC gaskets from the doors by tearing them out, for example with a
screwdriver.
2. Attach the new gaskets by pressing the pins of the gasket into the holes in the doors.

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4.3.2 MRI Multiparameter Modules, M-MRI and M-MRIP

Disassemble the M-MRI and M-MRIP module in the following way. See the exploded view of the
module.
1. Remove the two screws from the back of the module.
2. Pull the module box slowly rearwards and detach it from the main body. Be careful with
loose latch and spring pin for locking.
3. To detach the ECG board, detach four screws, disconnect ribbon cable from the STP board
(supply voltage), and ribbon cable from the ECG input board.
4. When the ECG board is removed, the STP board can be detached by removing four screws,
disconnecting the cable from the membrane keypad, the cable from the temperature
connectors, and cables from the SP input board. Also disconnect the NIBP hoses and the
ribbon cable from the NIBP board.
5. When the ECG board and the STP board are removed, the NIBP board can be detached by
removing four screws. The joining chamber can be detached by removing three screws and
disconnecting the hoses from the pressure transducers and the pump. The pump can be
detached by removing two screws. If the filter for the air inlet of the pump is removed, it
must be replaced.

4.4 Adjustments and calibrations

4.4.1 Pressure safety level detection “OFFSET”

Remove two screws at the rear of the module. Remove the module box. Connect first the service
cable (e.g. a long Gas Interface Cable) to the module connector inside the monitor frame and then
to the rear connector of the module. Turn the monitor on. Go to the NIBP service menu and select
Pneumatics. Pump reference pressure (13 mmHg) into the module. Adjust the trimmer so that AD5
signal sign changes from negative to positive at 5 mmHg.

4.4.2 NIBP calibrations

The electronics of NIBP pressure measurement is calibrated at the factory. Zeroing pressure is
automatically maintained by the processor. If the zero point of the pressure transducer drifts more
than specified, an error message is given and the NIBP board should be recalibrated or replaced.
The calibration can be checked and recalibrated in the NIBP service menu.
The calibration of the primary pressure channel can also be checked from the NIBP setup menu
(NIBP - NIBP Setup - Calibration Check). In this case the auto zeroing is performed at start -
remove hose before entering to ensure atmospheric pressure to the pressure transducers - the
primary pressure is displayed. The zero-offset value should then be zero.

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Calibration check
1. Enter Calibrations menu.

2. Select Calibration Check and press the ComWheel.

3. Connect an external precision manometer to the module.
4. Pump the following pressures to manometer and check the difference between the
manometer and monitor pressure display:
Table 1 NIBP calibration check pressures

Pressure Max. error Example

0 mmHg ±9 mmHg (=zero offset) -2
100 mmHg 100 + zero offset ±2 mmHg 98 ±2
200 mmHg 200 + zero offset ±3 mmHg 198 ±2

If the error of pressure channel B1 is larger than specified above, the module should be
recalibrated. The error of B2 is allowed to be even twice as large because it has no effect on blood
pressure measurement accuracy. However, it is recommended to recalibrate the module also when
the error of B2 is larger than specified above to ensure best possible operation.

Calibration
1. Enter Calibration menu.
2. Remove hoses from front panel connector to enable proper zeroing.
3. Select Calibration. If it is not available, perform the following steps A, B and C.
NOTE: Do not pull out the NIBP module from the monitor frame. The module must be in the frame
during the whole procedure.
A. Turn the toggle switch at the bottom of the NIBP module to enable the calibration. Turn the
switch to the right by, for example, a sharp pencil. This enables menu selection ‘Protection’.
The message ‘Calibration switch ON!’ appears.

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B. Select Protection OFF in the Calibration menu and press the ComWheel.
C. Return the toggle switch to the left. Menu selection Calibration is now enabled, and
Protection is disabled. When the calibration is enabled, a message ‘Calibration not
protected’ appears.
• Start Calibration by pressing the ComWheel. Messages ‘ZEROING’ and ‘ZEROED’ will appear
in the NIBP message field. After this a pressure bar will appear.
• Connect an external mercury manometer with pump to module through the both tubes of
the hose - both transducers B1 and B2 must be calibrated simultaneously. Pump up to a
pressure about 200 mmHg according to the manometer. Calibration is possible in the range
150 to 300 mmHg.
• Verify that both pressure values in the prompt field match the manometer reading. If not,
adjust by turning the ComWheel. When the values of the pressure bar and the manometer
are equal, press the ComWheel to confirm the calibration. The message ‘Calibrating’ will
appear onto the NIBP digit field. After a few seconds it is followed by ‘Calibrated’, which
means that the calibration has succeeded, and the new calibration data has been saved
into EEPROM.
− To set the protection on:
Turn the toggle switch to the right. Select Protection ON and push the ComWheel.
Then turn the toggle switch back to the left.
• Remove the module from the frame and plug it back again. Then perform Calibration Check
(see the preceding page) to verify the new calibration.

4.4.3 Invasive pressure calibration

Calibrate invasive pressure when the pressure transducer (probe) is replaced with a different type
of transducer, and when STP board is replaced.
1. Enter ESTPR: the STP service menu.
(Monitor Setup, Install/Service (password 16-4-34), Service (password 26-23-8),
Parameters).
2. Enter Calibrations menu.
3. Connect a pressure transducer with a pressure manometer to the P1/P2 connector. Choose
Calibrate P1 or Calibrate P2. Leave the transducer to room air pressure.
4. Press the ComWheel to start zeroing.
5. Supply a pressure of 100 mmHg to 300 mmHg to the transducer. The recommended
pressure is 200 mmHg.
6. Set the pressure on the display to match the pressure reading on the manometer and press
the ComWheel. A tolerance of ±1 mmHg is allowed.
7. The text ‘Calibrated’ will appear on the display.

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5 TROUBLESHOOTING

5.1 MRI Shield, N-MRI1

Trouble Possible Cause/ Treatment
No response when the monitor is turned on. Power cord is disconnected or not connected properly
either inside or outside the case.
Message ‘Leads-off’ is displayed although leads are ECG cable inside the case is disconnected or not
connected to patient and trunk cable is connected to connected properly.
N-MRI1.
Lead ‘I’ or ‘III’ is selected from the monitor.
MRI images are distorted. The main door or the printer paper door is not closed
properly.
EMC gaskets or mesh are damaged.

5.2 MRI Multiparameter Modules, M-MRI and M-MRIP

5.2.1 ECG
Trouble Cause Treatment
HR numerical display No heart rate available. If no ECG waveform, check LEADS OFF
shows ‘---’ message and connect the leads.
If ECG waveform exists, check heart rate
source e.g. in the ECG Setup menu behind ECG
key.
Lead ‘II’ is not selected on the monitor. Check that lead ‘II’ is selected on the monitor.
Unacceptable ECG waveform Poor electrode or poor electrode to skin contact. Too much/little gel is used.
Poor electrode condition. Electrodes are dried out.
Improper site of electrodes. Check that electrodes are not placed over
bones, active muscles, or obvious layers of
flat.
Improper skin preparation. Remove body hair. Clean attachment site
carefully with alcohol.
MRI device causes distortion in ECG waveform when Change lead selection to obtain best ECG
patient is placed to magnet and when patient is curve quality. If necessary, change electrode
imaged. position.
Improper bandwidth filter. Check that monitor filter is selected.
No ECG trace Waveform not selected on screen. Press the Monitor Setup key and make
configuration.
Lead ‘II’ is not selected on the monitor. Check that lead ‘II’ is selected on the monitor.
Module not plugged in correctly. Plug in the module.
‘Noise’ message High frequency or 50/60 Hz noise. Isolate noise source.
When measuring ECG during MR imaging ‘Noise’ Change lead selection to obtain best ECG
message may appear occasionally. curve quality. If necessary, change electrode
position.

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5.2.2 NIBP
Trouble Cause Treatment
No NIBP value displayed NIBP not selected on screen. Check monitor setup.
NIBP menu fading No M-MRI/M-MRIP module, module Plug in the module.
not properly connected, or NIBP and
M-MRI/M-MRIP module connected
at the same time.
Artifacts-message Unsuccessful measurement due to
patient movements or shivering.
Weak pulsation-message Weak or unstable oscillation pulses Check patient condition and retry.
due to:
Check any leaks and retry.
• artifacts (accurate diastolic
Use proper size of cuff. Check
pressure difficult to measure)
attachment.
• marked arrhythmia
• marked drop in diastolic
pressure
• diastolic pressure difficult to
measure
• improper cuff position or
attachment
• too few pulses detected
• weak or unusual blood
circulation
• may give systolic value

Call service NIBP hardware error. See the description of the error message
Error X-message X = error number. code, the causes and the solutions
listed in the next chapter.

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Trouble Cause Treatment

‘Cuff loose’ message 1. Hose and/or cuff not connected. 1. Connect the hose and the cuff.
2. Hose and cuff connected. 2.
Reasons:
− cuff loosely wrapped − tighten the cuff
− leakage in cuff or hose − replace cuff/hose

− leakage inside module − check internal tubing and air

chamber, and fix if necessary
− pump does not work − check pump connector; if OK, replace
pump
− no pulses during the last three − check cuff positioning
measurements
‘Air leakage’ message 1. Hose or cuff leaking. Reasons: 1. Replace cuff
− cuff damaged − replace cuff
− cuff connector damaged − replace cuff connector (if the fault is
in hose connector,)
− O-ring damaged or missing − replace O-ring

− hose double connector − replace hose

damaged
2. Hose and cuff OK. Reasons: 2. Connect or replace tube
− leakage inside the module − replace the whole tubing
− tube disconnected or damaged − fix connections

− air chamber leaking −

− tubes or valve(s) damaged − replace tubes/valve(s)

‘Unable to measure Sys’ Systolic blood pressure probably Automatic retrial with increased
message higher than the maximum inflation pressure.
pressure.

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Trouble Cause Treatment

Cuff occlusion-message 1. Cuff and/or hose occluded. 1.
Reason:
− cuff tube kinked − straighten tube
− tube inside module kinked − straighten tube
− occlusion inside/outside − remove occlusion
module
2. Cuff, hose, and tubes OK. 2.
Reason:
− fault in pressure transducer −
− fault in A/D converter − replace the NIBP board
− faulty calibration − check calibration

− missing voltages − recalibrate

Calibration switch on - EEPROM protection switch at the Enables setting the protection OFF in the
message bottom of the module is turned to Calibration menu. Turn switch to left if you
right. are not going to calibrate.
Calibration not protected - Calibration protection is set to Set the protection ON in the NIBP
message. OFF. Calibration menu.

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5.2.3 NIBP error code explanation

Code Explanation Treatment
0 RAM failure; memory failure Change NIBP board.
1 ROM checksum error; memory failure Change NIBP board.
2 +15 V failure Check short circuits. Change NIBP
board.
3 -15 V failure Check short circuits. Change NIBP
board.
4 EEPROM protection switch error (only Turn the toggle switch to the left at the
with S-STD93) bottom of the module.
5 Calibration not protected. (only with S- Protect calibration by selecting
STD93) Protection ON in the NIBP calibration
menu.
6 ADC error ADC circuit failure. Change NIBP board.
7 Watchdog time too short Change NIBP board.
8 Watchdog time too long Change NIBP board.
9 Watchdog activated Change NIBP board.
10 EEPROM checksum error; memory failure Change NIBP board.
11 Auto zero range exceeded Calibrate NIBP.
12 Communication break; temporal break Automatic recovery
down of communication from monitor
detected
13 - -
14 Too early Auto Start (needs 25 seconds
without pressure)

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5.2.4 Pulse oximetry (SpO2)

Trouble Cause Treatment
Message ‘NO PROBE’ No probe connected to the Check probe connections.
monitor.
Probe faulty. Change the probe.
Message ‘PROBE OFF’ though Unsuitable site. Try another site.
probe properly attached to the
patient
Probe faulty. Try another probe.
Probe connection cable not Connect the cable to probe.
connected to probe.
Finger probe falls off 1. Probe is slippery. 1. Wipe with 70 % isopropyl alcohol
and allow to dry.
2. Finger is too thin or thick. 2. Try other fingers, or other probe
types.
Weak signal artifacts Poor perfusion. Try another place.
Movement artifacts.
Shivering.
Message ‘NO PULSE’ Pulse search > 20 sec. and low Try other fingers.
SpO2 or low pulse rate.
Message ‘ARTIFACT’ Pulse modulation exceeds the Try another place or another probe.
present scale.
Message ‘CHECK PROBE’ DC value not in balance. Try another probe.
Message ‘POOR SIGNAL’ Modulation (Red or Ired) < 0.25 % Patient may be cold.
Message ‘FAULTY PROBE’ Probe is faulty. Change the probe.
No SpO2 No waveform selected on screen. Check selected SpO2 waveforms by
pressing Monitor Setup key and
selecting Modify waveforms.
Wrong configuration setting. Check the configuration settings from
the ESTPR:STP/Calibrations menu
(Monitor Setup - Install/Service -
Service - Parameters)

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5.2.5 Invasive blood pressure

Trouble Cause Treatment
Abnormally low pressure Transducer wrongly positioned. Check mid-heart level and reposition
transducer.
No pressure Defective transducer. Check transducer.
No pressure module plugged in. Check the module.
No waveform selected on screen. Check selected pressure waveforms
by pressing Monitor Setup key and
selecting modify waveforms.
Check that pressure transducer is
open to patient.
Wrong configuration setting Check the configuration setting from
the ESTPR:STP/Calibrations menu
(Monitor Setup - Install/Service -
Service - Parameters)
‘Not zeroed’ message Measurement on, channel not Zero the channel.
zeroed.
‘Zeroing failed’ message Unsuccessful zeroing of P1 /P2 Possibly due to pulsating pressure
(number field). waveform. Open the transducer to air
and zero the channel.
Offset is > 150 mmHg. Open the
transducer to air and zero the
channel.
Defective transducer. Replace it and
zero the channel.
‘Calibration failed’ message Unsuccessful calibrating of P1/P2 Turn the transducer to sphygmomanometer
(number field), possibly due to pulsating and try again (zeroing takes place first).
waveform
Gain is beyond the limits (± 20 % of the
default gain). Replace the transducer.
Out of range < 40 mmHg Measurement pressure is beyond Check transducer level. Zero the channel.
measurement range.
Out of range > 320 mmHg Measurement pressure is beyond Check transducer level. Zero the channel. The
measurement range. patient may also have high pressure.
Zero adj. > 100 mmHg Offset when zeroing is > 100 mmHg (but Check transducer. The waveform may hit the
< 150 mmHg) from the absolute zero of top and the numeric display not shown.
the module (with default gain).
Out of range Measured pressure is beyond the internal The waveform hits the top and the numeric
measurement range of the module. display not shown. Check transducer and its
level. Zero the channel.

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6 SERVICE MENU

1. Press the Monitor Setup key.

2. Select Install/Service (password 16-4-34).
3. Select Service (password 26-23-8).
4. Select Parameters - NIBP.

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6.1 NIBP service menu

Service Data
Pressure shows measured pressure multiplied by 10.
Zero shows pressure at auto zeroing multiplied by 10 and changes between +20 and -20 mmHg.
Absolute pressure is the sum of Pressure and Zero.

Protect handle indicates hardware protection for EEPROM memory. It should be ON all the time in
normal operation. If it is OFF data can not be read from or written to EEPROM, only the calibration
protection can be set or reset by software. It can be turned to OFF by turning the toggle switch to the
right at the bottom of the module, which also enables ‘Protection ON/OFF’ menu selection in the
calibration menu.
Calibr. prot. shows software calibration protection and it should be OFF to enable calibration.

+15 V power indicates the condition of the supply voltage +15 Vdirty for the pump and valves. It
exists (ON) or not (OFF) depending on service menu function. The supply voltage can be turned on
by selecting the previous Menu and then the desired menu again.

AD0 to AD7 show the values of each eight channels of A/D converter.

Timeouts is a cumulative number that indicates how many times the module has not responded to
the monitor’s inquiry. Bad checksums is a cumulative number that indicates how many times
communication from the module to monitor broke down.
Bad c-s by mod is a cumulative number that indicates how many communication errors the
module has detected.
The monitor starts counting these items at power up and resets to zero at power off. The nonzero
values do not indicate a failure, but the continuous counting (more than 5 per second) indicates
either serial communication failure, or module not in place. Also other modules can cause
communication errors that cause these numbers rise.
RAM indicates the state of the RAM memory.
ROM indicates whether the checksum in the EPROM is in accordance with the one the software has

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calculated.
EEPROM indicates if the values stored in the permanent memory are valid.
The state is either OK, Fail or? (module not in place or a communication error).

6.1.1 NIBP demo menu

A service menu for demonstrating the oscillometric method of NIBP measurement. The menu
shows the realtime pressure signals that are measured from the NIBP cuff. The measurement result
is shown in the adjoining digit field.
Wave Recording Wave Recording is for selecting the recording option. If ON is selected, the pressure signals are
recorded in realtime onto the M-REC paper.
Remove menu Remove menu widens the displayed waveform area.
Previous Menu The menu can be closed by selecting the Previous Menu or just by pressing the ComWheel if the
Remove menu was selected.

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6.1.2 NIBP calibration menu

Active Leak Test Wrap an adult cuff around a pipe and connect the cuff to the module. Select the active leak test
(ON). The module automatically pumps a pressure of 260 mmHg into the cuff. Wait for several
seconds until the pressure stabilizes. Then check that the pressure reading does not drop more
than 6 mmHg per minute. If it does, leaking point(s) should be detected and fixed. Cancel the test
by selecting Active leak test OFF.
Calibration Check
After the calibration check is selected (ON), manually pump pressure into the module and make
sure that the same pressure values are shown both on the display and on manometer. Pressure of
both pressure channels B1 and B2 are shown. Note that if the display shows +2 mmHg at zero
pressure and if you pumped +200 mmHg into the module, the display should show +202 mmHg.
Protection Software calibration protection (ON/OFF). Select OFF when calibrating. Protection can be set to ON
or OFF only when the toggle switch at the bottom of the module is set to the right.
Calibration Calibration selection is available only when protection is OFF.
NIBP calibration can be performed in the NIBP Service menu as follows:
NOTE: Both channels B1 and B2 must be calibrated simultaneously.
1. If Protection is ON change it to OFF by first turning the toggle switch to the right at the
bottom of the module, which enables the Protection selection. Then turn the toggle switch
to the left to enable Calibration.
NOTE: Do not disconnect the module from the frame when turning the switch. The module must be
in the frame during the whole procedure.
NOTE: When the switch is at the right, the NIBP field shows an error message ‘Calibration switch
on!’
NOTE: When calibration is enabled, a message ‘Calibration not protected’ appears.
2. For proper zeroing to take place, remove the hose from the front panel connector. Select
Calibration and push the ComWheel. Messages ‘ZEROING’ and ‘ZEROED’ will appear in the
NIBP message field. After this a pressure bar will appear beside the menu.

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3. Connect an external mercury manometer with pump to module through the both tubes of the
hose. Pump up to about 200 mmHg pressure (range of 150 to 300 mmHg allowed) according
to the manometer. Verify that both pressure values in the prompt field match the manometer
reading. If not, adjust by turning the ComWheel.
4. When the values are equal, push the ComWheel to confirm the calibration. First the message
‘Calibrating’ will appear in the digit fields for NIBP followed after a few seconds ‘Calibrated’,
which means that the calibration data has now been saved.
5. Use the bottom switch to enable Protection setting and set it ON, and finally disable
Protection setting.

6.1.3 NIBP safety valve menu

Start Test Start test is for starting and Stop test is for stopping the Safety Valve test.

Safety Valve Data

See NIBP Service menu in chapter 5.1 for information on general items Pressure, Zero, Protect
handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc.
Max. press and 2 s after stop show the measured values at Safety Valve test.
Safety Valve Test Adult/Infant
Wrap an adult cuff around a pipe and connect the cuff to the module. Highlight Start test and give
the ComWheel a push. The test ends automatically or when Stop test (appears in place of Start
test) is pushed.
Max. press indicates the pressure at which the safety valve opens and is normally 310 ±15 mmHg
for adult and 150 mmHg ±15 mmHg for infant. 2 s after stop indicates the pressure at 2 seconds
after the pump has stopped and is normally > 280 mmHg for adult and > 120 mmHg for infant. If
the value is less, check leakage by the active leak test.

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6.1.4 NIBP pulse valve menu

Start Test Start test is for starting and Stop test is for stopping the test.
Set Valve Set Valve lets you adjust the opening of the pulse valve.

Pulse Valve Data

See NIBP Service menu in chapter 5.1 for information on general items Pressure, Zero, Protect
handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc.

Pulse Valve Checking

Wrap an adult cuff around a pipe and connect the cuff to the module. Select the Start test and
push the ComWheel. The pressure rises beyond 240 mmHg and stops. The pulse valve opens. The
module counts the time it takes for the pressure to go down from 240 mmHg to 50 mmHg and
displays it on the screen. The test can be manually stopped by selecting Stop test.
The valve can be adjusted between 0 and 255 (0 for fully closed and 255 for fully open). First
select Set Valve and push the ComWheel. See the pulse valve value and adjust it by turning the
ComWheel. Then push the ComWheel to confirm the value.
The ‘Interval 240 mmHg -> 50 mmHg’ time should be less than 60 seconds when the valve is
‘150’ and less than 10 when fully opened (255). When fully closed (0), the system should be
airtight and the pressure does not drop. Depending on an individual, the pulse valve may remain
closed up to approx. value 100.
If the measured time deviates much from those above, then the pulse valve or its tubes are faulty.

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6.1.5 NIBP buttons/leds menu

The selections Auto ON/OFF, Manual ON/OFF, STAT ON/OFF, and Measur. ON/OFF have no
effect on the module.

Buttons/Leds Data
See NIBP Service menu in chapter 6.1 for information on general items Pressure, Zero, Protect
handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc.
Buttons checking
The front panel keys function is confirmed by pressing the key and observing OFF turns to ON at
Auto On/Off, and Start Cancel.

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6.1.6 NIBP pneumatics menu

Start Pump/Stop Pump

A manual control for the pump. The selection changes to Stop Pump when the pump turns on.
Open Exh1/Close Exh1
A manual control for the exhaust valve 1. The selection changes to Close Exh1 when the valve is
opened.
Open Exh2/Close Exh2
A manual control for the exhaust valve 2. The selection changes to Close Exh2 when the valve is
opened.
Set Valve With Set Valve, the opening of the pulse valve is adjusted between 0 and 255 (0 for fully closed
and 255 for fully open). First push the ComWheel, then turn it to adjust the value on screen and
finally push to set the value.
Reset Clock Reset Clock will zero the time on the display.

Pneumatics Data field

See NIBP service menu in chapter 5.1 for information on general items Pressure, Zero, Protect
handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc.
Pump, Exh1 Valve, and Exh2 Valve show their states.
Pulse Valve shows how much the valve is opened (0 to 255) during Valve Setting.
Interval 20 mmHg -> 185 mmHg Checking
Select the Start pump at different combinations of the valves open/closed and push the
ComWheel. The module counts the time it takes for the pressure to go up from 20 mmHg to 185
mmHg and displays it. When all the valves are closed, the pump should be able to pump the
pressure in about 1 to 4 seconds into an adult cuff wrapped around a pipe. The pump does not
stop without selecting the Stop Pump by pushing the ComWheel.
Watchdog BEEP
Connect manometer to the front panel and pump pressure into the module. When the AD5 value

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changes from negative to positive value (at about 13 mmHg) a beep is heard. This is the watchdog
threshold pressure. Beyond this pressure the watchdog is active and cut pressures at about 2 min.
(adult).

6.1.7 NIBP watchdog menu

Test ADULT Test ADULT is to test watchdog timer in adult mode (120 to 140 seconds).
Test INFANT Test INFANT is to test watchdog timer in infant mode (about 60 to 70 seconds).
Stop Test Stop Test is for stopping the test.

Watchdog Data field

See NIBP Service menu in chapter 5.1 for information on general items Pressure, Zero, Protect
handle, Calibr. prot., +15 V power, AD0 to AD7 as well as Timeouts etc.
Watchdog Interval shows the time the +15 Vdirty stays on during the test.
Adult watchdog time testing
Select Test ADULT and push the ComWheel. Watchdog interval starts counting up seconds and
keeps on counting as long as the +15 Vdirty is on. The time should be 120 to 140 seconds.
Infant watchdog time testing
Select Test INFANT and push the ComWheel. Watchdog interval starts counting up seconds and
keeps on counting as long as the +15 Vdirty is on. The time should be 60 to 70 seconds.

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6.2 ECG service menu

NOTE: Service Data field values are for reference only.

Power freq Set power frequency; 50 Hz/60 Hz.
Filter low Set filter low frequency; 0.05 Hz/0.5 Hz.
Filter high Set filter high frequency; 11 Hz (12 Hz if power freq is 60 Hz) /100 Hz.
Service Data field
Power freq, and Cable type show the values chosen or detected, Filter low and high defines the
selected filter (Monitor/Diagnostic/ST).

Quick zero is ON when the signal in any of the three internal amplifiers goes beyond scale, and
therefore, a capacitor connected to the related channel discharges overvoltage. At least one of
Quick zero values is OFF when 3-lead cable is used. All three values are OFF when 5-lead cable is
used. Quick zero also takes place when lead is changed in 3-lead measurement.

Cable shows ON when an ECG cable is connected.

Electrode shows ON when each of these electrodes are connected.

Pacer count is a running number for pacemaker users.

The front panel ECG key function is confirmed by pressing the key and observing OFF turns to ON at
Button.
Resp Available indicates that ECG hardware is capable of measuring impedance respiration.
Measurement shows ON when the respiration measurement is on.
Amp zero shows ON when zeroing of the respiration amplifier takes place.
Waveform VALUE will be updated in one second interval.

Timeouts is a cumulative number that indicates how many times the module has not responded to

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the monitor’s inquiry. Bad checksums is a cumulative number that indicates how many times
communication from the module to monitor broke down.
Bad c-s by mod is a cumulative number that indicates how many communication errors the
module has detected.
The monitor starts counting these items at power up and resets to zero at power off. The nonzero
values do not indicate a failure, but the continuous counting (more than 5 per second) indicates
either serial communication failure, or module not in place. Also other modules can cause
communication errors that cause these numbers rise.
RAM indicates the state of the RAM memory.
ROM indicates whether the checksum at the EPROM is in accordance with the one the software
has calculated.
EEPROM indicates if the values stored in the permanent memory are valid.
The state is either OK, Fail or ? (module not in place or a communication error).

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6.2.1 ECG setup menu

Filter Filters the ECG signal high frequency noise and slow respiratory artefacts.
Monit (monitor) filter is used in routine monitoring. It effectively filters the artefacts caused by the
electrosurgery unit and respiration.
Diagn (diagnostic) filter is used if more accurate information of the waveform is needed (e.g., of P-
wave or AV block). The diagnostic filter is more susceptible to both high frequencies and baseline
wander than monitor filter.
STfilt (ST filter) permits more accurate information of ST segment. It filters the high frequency
artefacts caused by electrosurgery unit but catches the slow changes in ST segment. The ST filter is
more susceptible to baseline wander than the monitor filter.
Pacemaker Selects how to display the pacing pulse of cardiac pacemaker. The selections are Show, Hide, ON
R and Sensit.
Hide, the pacing pulse is filtered away from ECG data.
Show, the pacer pulse is filtered away from ECG data but the pulse is displayed as a constant
height marker.
ON R, pacing pulses are not filtered away from ECG data. This improves ECG monitoring with A-V
pacemaker patients, as QRS complexes are counted even if the pacing pulse hits the QRS
complex. However, during asystole the monitor may count pacing pulses as heartbeats.
Sensit selection uses a more sensitive pacemaker detection. Pacemaker spike is displayed on
ECG.

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6.3 STP service menu

Record Data A selection to print out the shown service data to the device defined in the ...Service - Record Data
menu.
Temp Test Temp Test activates the automatic temperature test for the temperature channels T1 and T2. The
result from the test is shown in the service data field.
NOTE: The Temp Test needs to be selected twice before the test starts.
Service Data field
Gain is a coefficient to compensate gain error. Usually the values for P1 and P2 are between
17000 and 25000 and for T1 and T2 between 13000 and 14300. Zero indicates offset
compensation value of each parameter in A/D converter. Typically the values for P1 and P2 are
within ±1000 and for T1 and T2 between -150 and +300. Calibrate if zero and/or gain value is
outside the ranges.

Cable shows ON when a corresponding cable is connected to the front panel and Probe shows ON
when a corresponding probe is connected to the cable.

Under Value the measured numeric values are displayed simultaneously. Pressure values are real
time values and shown in mmHg. Temperature values are shown in degrees Celsius.
The front panel STP keys functions are confirmed by pressing each key and observing OFF turns to
ON at Button.
SpO2 shows measured beat-to-beat SpO2 value. Modpr is a modulation % that indicates AC/DC
ratio in the measured signal. Hr is a pulse rate calculated from every beat.

Cable and Probe can be either OFF or ON, and these indicate the state PROBE OFF.
Under them there is a message field for SpO2. It can be OK, PULSE SEARCH, NO PROBE, PROBE
OFF, NO PULSE, ARTEFACT, POOR SIGNAL, or CHECK PROBE.
Balance between leds is adjusted by changing the intensity of red/infrared. Intensity of infrared
(Ired int.) is in the range of 40...255 and red intensity (red int.) is in the range of 40...255.

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DC gain shows the gain of DC signal adjusted by the module.

IDC is the value of infrared signal.
RDC is the dc value of red signal.
AC gain is the gain of infrared and red ac signals. AC gain values can be 1 or 0. Value 1 means high
ac gain and 0 means low gain.
Pre gain is a preamplifier gain for infrared and red signals. Pre gain values can be 1 or 0. Value 1
means normal operation. Value 0 means that signal levels are very low and extra gain is taken into
use.
Temp error shows the status of the temperature test. No errors found shows the status (OFF) and
errors found (ON).

Protect key shows normally OFF but turns to ON when the button at the bottom of the module is
pressed.

Protect mode is normally ON. It turns to OFF when Protect is switched to OFF for the temperature
calibration in Calibration Menu.
Configuration shows the chosen module configuration: TP, ST, or STP.

Timeouts is a cumulative number that indicates how many times the module has not responded to
the monitor’s inquiry. Bad checksums is a cumulative number that indicates how many times
communication from the module to monitor broke down.
Bad c-s by mod is a cumulative number that indicates how many communication errors the
module has detected.
The monitor starts counting these items at power up and resets to zero at power off. The nonzero
values do not indicate a failure, but the continuous counting (more than 5 per second) indicates
either serial communication failure, or module not in place. Also other modules can cause
communication errors that cause these numbers rise.
RAM indicates the state of the RAM memory.
ROM indicates whether the checksum at the EPROM is in accordance with the one the software
has calculated.
EEPROM indicates if the values stored in the permanent memory are valid.
The state is either OK, Fail or? (module not in place or a communication error).

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6.3.1 STP calibration menu

Protection Protection for the configuration and temperature calibrations can be set ON and OFF only when
protect button at the bottom of the module is pressed.
Set Config The module configuration should be set according to the module type. The setting is possible only
when the protection is set OFF. The available selections are TP, ST or STP. The configuration setting
should be checked if the STP board is replaced.
Calibrate P1/Calibrate P2
The functions are for calibrating the invasive blood pressure channels P1 and P2. The calibrations
require a pressure transducer (with an appropriate cable) and a pressure manometer.
1. Connect the pressure transducer with the pressure manometer to the P1 / P2 connector.
Select Calibrate P1/Calibrate P2. Leave the transducer to room air pressure.
2. Press the ComWheel to start zeroing.
3. Supply a pressure of 100 mmHg to 300 mmHg to the transducer. The recommended
pressure is 200 mmHg.
4. Set the pressure on the display to match the pressure reading on the manometer and press
the ComWheel.

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7 SPARE PARTS

7.1 Spare parts list

NOTE: Accessories are listed in the Patient Monitor Supplies and Accessories.

7.1.1 N-MRI1, rev.00

Figure 19 Exploded view, N-MRI1

Item Description Order No. Replaced by

1 ECG Unit, N-MRI1 897863
3 ECG grounding bar 640436
15 Spacer,hexagon bar, M3X12, metall 640460
16 InvBP Unit, N-MRI1 897864

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Figure 20 Exploded view N-MRI1

Item Description Order No. Replaced by

2 Ethernet cable strain relief, d=5.0-6.5mm(PVC) 640080
4 Button-plastic,d=15mm,black,axle=6mm 51501
6 Main door, N-MRI1 897678
7 Printer door, N-MRI1 897862
11 PCB Converter N-MRI1 90340
12 Converter power cable, N-MRI1 897868
13 Converter ethernet cable 1m 885266
14 Converter optical cable, N-MRI1 54574
17 Protection case sticker, DA ; N-MRI1 (rev.00) ; S/5 898829
17 Protection case sticker, DE ; N-MRI1 (rev.00) ; S/5 898820
17 Protection case sticker, EN ; N-MRI1 (rev.00) ; S/5 898819
17 Protection case sticker, ES ; N-MRI1 (rev.00) ; S/5 898823
17 Protection case sticker, FI ; N-MRI1 (rev.00) ; S/5 898826
17 Protection case sticker, FR ; N-MRI1 (rev.00) ; S/5 898821
17 Protection case sticker, IT ; N-MRI1 (rev.00) ; S/5 898824
17 Protection case sticker, JA ; N-MRI1 (rev.00) ; S/5 8000388
17 Protection case sticker, NL ; N-MRI1 (rev.00) ; S/5 898822
17 Protection case sticker, NO ; N-MRI1 (rev.00) ; S/5 898828
17 Protection case sticker, PT ; N-MRI1 (rev.00) ; S/5 898825
17 Protection case sticker, SV ; N-MRI1 (rev.00) ; S/5 898827

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Item Description Order No. Replaced by

18 Caution sticker, DA ; N-MRI1 (rev.00) ; S/5 897385
18 Caution sticker, DE ; N-MRI1 (rev.00) ; S/5 897335
18 Caution sticker, EN ; N-MRI1 (rev.00) ; S/5 896166
18 Caution sticker, ES ; N-MRI1 (rev.00) ; S/5 897338
18 Caution sticker, FI ; N-MRI1 (rev.00) ; S/5 897382
18 Caution sticker, FR ; N-MRI1 (rev.00) ; S/5 897336
18 Caution sticker, IT ; N-MRI1 (rev.00) ; S/5 897339
18 Caution sticker, JA ; N-MRI1 (rev.00) ; S/5 897386
18 Caution sticker, NL ; N-MRI1 (rev.00) ; S/5 897337
18 Caution sticker, NO ; N-MRI1 (rev.00) ; S/5 897384
18 Caution sticker, PT ; N-MRI1 (rev.00) ; S/5 897340
18 Caution sticker, SV ; N-MRI1 (rev.00) ; S/5 897383

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7.1.2 MRI Multiparameter NESP Module, M-MRIP, rev. 00

Figure 21 Exploded view, M-MRI

Item Description Order No. Replaced by

1 Module box (wide) 886168
2 Spring pin 879182
3 Latch for module box 879181
4 ECG-board, M-MRI 893189
5 STP board, M.MRI 8002576
5 STP-BOARD, M-MRI (rev.00) 8000802 8002576 *)
6 EMC cover 884099
7 NIPB board, M-NESTPR (rev.00) 887520
8 EMC cover 892305
9 NIPB pump, M-NESTPR, M-NIBP (rev.04) 889993
10 EMC cover 892307
11 Air filter (NIBP) 57142
12 Check valve 58542
13 Damping chamber, M-NESTPR, M-NIBP (rev.04) 888240
14 Bleed valve, M-NESTPR, M-NIBP (rev.04) 58566
15 Magnetic valve 58562
16 NIBP Cuff connector 64654
17 T-Input connectors 887152
18 ECG Input Board, M-NESTPR (rev.00) 889985
19 SPO2 Input Board, M-NESTR (rev.00), M-MRIP (rev.00) 890833
20 Fitting plate 879510

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Item Description Order No. Replaced by

23 Membrane keypad 888242
24 Front panel frame, M-NESTPR 888241
25 Metal frame 888230
26 Cross recess screw M3x8 black 616215
27 Cross cylinder-head screw M3x6 61721
27 Cross cylinder-head screw M3x6 61721
28 Cross cylinder-head scerw M3x12 628700
28 Cross cylinder-head scerw M3x12 628700
29 Front Panel sticker, DA ; M-MRI (rev.00) 894272 8000190
29 Front Panel sticker, DE ; M-MRI (rev.00) 894269 8000181
29 Front Panel sticker, EN ; M-MRI (rev.00) 892739 8000180
29 Front Panel sticker, ES ; M-MRI (rev.00) 894270 8000184
29 Front Panel sticker, FI ; M-MRI (rev.00) 894268 8000187
29 Front Panel sticker, FR ; M-MRI (rev.00) 894273 8000182
29 Front Panel sticker, IT ; M-MRI (rev.00) 894275 8000185
29 Front Panel sticker, JA ; M-MRI (rev.00) 894974 8000395
29 Front Panel sticker, NL ; M-MRI (rev.00) 894274 8000183
29 Front Panel sticker, NO ; M-MRI (rev.00) 894276 8000189
29 Front Panel sticker, PT ; M-MRI rev.00 895258 8000186
29 Front Panel sticker, SV ; M-MRI (rev.00) 894271 8000188
30 Flat cable, STP 890874
30 Flat cable, STP 890874
31 Flat cable, ECG 890876
32 Flat cable, M-PP 891573

*) NOTE: The STP board 8002576 includes the STP software 8002573
Adaptation codes: DA=Danish, DE=German, EN=English, ES=Spanish, FI=Finnish,
FR=French, IT=Italian, JA=Japanese, NL=Dutch, NO=Norwegian, PT=Portuguese,
SV=Swedish

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8 EARLIER REVISIONS
Revision Manual slot Note!
MRI Shield, N-MRI rev. 00 895 156-1 Main document no. 895 586-1

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APPENDIX A

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SERVICE CHECK FORM

MRI SHIELD and MRI MULTIPARAMETER MODULES

Customer

Service

Service engineer Date

OK = Test OK N.A. = Test not applicable Fail = Test Failed

N-MRI1 Shield
Visual inspection
OK N.A. Fail OK N.A. Fail
1. Internal parts

Notes

Functional check
OK N.A. Fail OK N.A. Fail
2. ‘Leads off’ 3. ECG check with patient
simulator
4. P1 and P2 check 5. Cleaning

Notes

M-MRIP Module
OK N.A. Fail OK N.A. Fail
6. Internal parts 7. External parts

8. NIBP pump filter 9. Installation

10. Recognition

Notes

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ECG measurement S/N

11. Module software (serial numbers)
ECG/RESP
STP
NIBP
OK N.A. Fail OK N.A. Fail
12. Communication and 13. Power frequency
memories
14. Cable recognition 15. Lead detection

16. Test with patient

simulator
Notes

InvBP measurement S/N

OK N.A. Fail OK N.A. Fail
17. Communication and 18. Membrane keys
memories
19. Cable and transducer 20. Calibration
detection
21. Test with patient
simulator
Notes

SpO2 measurement S/N

OK N.A. Fail OK N.A. Fail
22. SpO2 probe detection 23. Test measurement

Notes

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NIBP measurement S/N

OK N.A. Fail OK N.A. Fail
24. Communication and 25. Membrane keys
memories
26. Pump and valves

27. Leak test ≤ 6 mmHg/min

28. Calibration check Measured B1 Measured B2 Allowed range
0 mmHg ± 9 mmHg
100 mmHg 100 + z.o. ± 2 mmHg
200 mmHg 200 + z.o. ± 3 mmHg
260 mmHg 260 + z.o. ± 4 mmHg
z.o. = zero offset at 0 mmHg pressure
29. Watchdog timer activation 11…15 mmHg
pressure
30. Watchdog timer

Adult 120...140 s
Infant 60...70 s
31. Safety valve functions
B1 B2 Allowed range
‘Max press’ ADULT 290...330 mmHg
‘2 s after stop’ ADULT 290...330 mmHg
‘Max press’ INFANT 154...165 mmHg
‘2 s after stop’ INFANT 154...165 mmHg
OK N.A. Fail OK N.A. Fail
32. Cuff related 33. Adult cuff detection
messages
34. Test measurement 35. Infant cuff detection

Notes

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For both modules

OK N.A. Fail OK N.A. Fail
36. Electrical safety 37. Functioning after
check electrical safety check
38. Final cleaning

Notes

Notes

Used Spare Parts

Signature

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