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Cardio-Aid 360-B
R-6487-2
Biphasic defibrillator
Service Manual
Contents
1.
1.7.
Special advantages of the Cardio-Aid 360-B device.............................................. 5
2. Technical data of the defibrillator ...................................................................................... 6
2.1.
Applied standards ....................................................................................................... 6
2.2.
Classifications ............................................................................................................ 6
2.3.
General data................................................................................................................ 6
2.4.
Display ....................................................................................................................... 7
2.5.
LED-displays on the front board................................................................................ 7
2.6.
Defibrillator................................................................................................................ 8
2.7.
Battery ........................................................................................................................ 9
2.8.
ECG via pads or defibrillator paddles electrodes..................................................... 10
2.9.
ECG via patient cable and ECG electrodes.............................................................. 10
2.10.
ECG from external monitor.................................................................................. 11
2.11.
Heart rate measurement from ECG signal ........................................................... 12
2.12.
Pacer ..................................................................................................................... 12
2.13.
SpO2 measurement .............................................................................................. 12
2.14.
Non-invasive bloodpressure measurement (NIBP).............................................. 15
2.15.
Printing ................................................................................................................. 15
2.16.
Event storage ........................................................................................................ 16
2.17.
Connection possibilities for data transfer............................................................. 16
2.18.
Parameters of defibrillation impulse .................................................................... 17
3. Accessories, order information ........................................................................................ 20
4.
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In defibrillation mode the device performs STAR biphasic waveform, and in pacing mode it
performs rectangular current impulse.
1.1.1. STAR biphasic waveform
It has been prooved about the STAR biphasic waveform during clinical researches made
according to FDA guidelines, that it is one of the most effective waveforms for stopping
ventricular fibrillation.
STAR (BTE) biphasic waveform characteristics: the period of first phase is depending on
patient impedance, 3 11 ms, the period of second phase is fixed 3,2ms. The amplitude of the
signal depends on the set energy and on patient impedance.
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In pacing mode
External pacer, in demand and in fixed modes.
ECG, HR, SpO2, NIBP monitoring.
In ECG mode
ECG monitoring on 1, 3, 7, or 12 channels
HR, SpO2, NIBP monitoring
4/45
STAR
Self-Tracking Active Response, denomination of the applied
waveform
Pads electrode
Disposable, adhesive defibrillator-pacing electrode with gel on
it (see section no. 4.1.1)
Paddle electrode
defi-paddle electrode (see section no. 4.1.2 )
Internal defi paddle electrode spoon electrode for direct defibrillation of the heart (see
section no. 4.1.3)
Default
basic setup by manufacturer
Dump status
The high-voltage capacitors were discharged by an internal
circuit
5/45
2.2. Classifications
The CA360-B defibrillator is classified as II.b. according to the rule no. 9 described in the
point III./3.1 of the supplement no. IX of the 93/42/EEC board directive amended by
Directive 2007/47/EC.
From the aspect of electromagnetic compatibility the classification of the CA360-B
defibrillator, according to the EN 55011 standard is: group no. 1, class B.
Weight
Power
Capacity
Temperature
@100VAC:
max. 1,3 A;
@240VAC:
max. 0,5 A;
Operating: 0 - 45C
Storage: -20 - 60C (<168h)
max. 130 VA
max. 120 VA
Humidity
550 1060hPa
Classification
Environmental
stability
Mode of operation
6/45
2.4. Display
Type
Size
Resolution
800x480 pixel
Semi-automatic mode: 1 ECG curve
Manual mode: two selectable curves with individually
settable curve speed
ECG window
Curve speed
Sensitivity
Frequency transmission to
the display
2 Hz 25 Hz
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2.6. Defibrillator
Defibrillator impulse
External defibrillator
paddles or pads
electrodes
2-5-7-10-20-30-40-5060-80-100-150-200-270360J
Internal paddles
1-2-3-4-5-6-7-8-9-1015-20-30-40-50J
Energy accuracy
Energy availabilty
Synchronous marker
From
(25C)
battery
Fully charged
battery
<7s
(typically)
After
15 < 10 s
defibrillations
(typically)
From mains
(in voltage range
of 100V~ 240V~)
With
battery
90V~
voltage
In
case
of < 15s
completely empty (typically)
battery
mains
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charged < 5 s
(typically)
From
(25C)
battery Fully
battery
After
15 < 20 s
defibrillations
(typically)
From mains
(in voltage range
of 100V~ 240V~)
With
battery
90V~
voltage
In case of
completely empty
battery
mains
charged < 17 s
(typically)
charged < 15 s
(typically)
< 25 s
(typically)
< 40 s (typically)
DF-39
2.7. Battery
Type
Nominal voltage
10,8 V (9 cells)
Monitoring: 4 hours or
Defibrillation: 100 shocks at 270J, or
60 shocks at 360 J, or
In case of pacing at 60bpm and at 100mA: 2
hours
2,5 hours
Lifetime
9/45
Differential
5 mV
DC tolerance
400 mV
Frequency response(-3dB)
2-60 Hz
Gain
Input-related noise
Max. 30 uVpp
Min. 20 Mohm
CMRR
Min. 100 dB
<5s
Pacemaker tolerance
Max. 700 mV / 2 ms
Pacemaker detection
Min. 2 mV / 0,25 ms
Max. 700 mV / 2 ms
Defibrillator tolerance
Max. 400 J
10-200 ohm
Signal delay
viewing)
Max 20 ms
(in
correlation
with
Sampling frequency
400 Hz
AD resolution
5 uV / bit
200 SV
Safety classification
10 mV
DC tolerance
320 mV
0,05 150 Hz
0,5 Hz
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Mains filter
50 or 60 Hz
Gain
Input-related noise
Max. 20 uVpp
Min. 20 Mohm
Min. 120 dB
< 5s
Pacemaker tolerance
Max. 700 mV / 2 ms
Pacemaker detection
Min. 2 mV / 0,25 ms
Max. 700 mV / 2 ms
Defibrillator tolerance
Max. 400 J
Signal delay
(in correlation with viewing)
Blocking
Automatic
Sampling frequency
8 kHz
AD resolution
200SV
Per electrode
Per channel
Classification
Defibrillation-protected, class CF
Signal delay
(in correlation with viewing)
Sensitivity
Connecting
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15 300 bpm
Accuracy of measurement
2 bpm vagy 1 %
Resolution of displaying
1 bpm
Alarms
2.12. Pacer
Mode
Pulse type
Pulse duration
40 ms 5%
Pulse amplitude
20 200 mA 5%.
1 mA
Pace rhythm
1 bpm
Output voltage
Max. 250V
Fingerclip
1 100%
Over 70% 2%
1%
Pulse
range
number
measurement
1 bpm
Alarms
Defibrillator-protection
5 kV
660 nm (red)
900 nm (infrared)
Typically less, than 15 mW
12/45
Data Update Period, Effect of Data Averaging, and Other Signal Processing:
OxiMax Algorithm
Response Mode
13/45
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Measurement range
Adult:
3 mmHg
Modes
Displayed values
Alarms
Defibrillation-protection
5 kV
2.15. Printing
Printing mode
Manual or automatic
Printing time
Speed
25 mm/s
Paper
Preprinting of curves
8s
15/45
200
16/45
U2
Phase 1
t3
t1
t2
T [ms]
Phase 2
-U3
-U2
U1
U2
-U2
-U3
t1
t2
t3
17/45
Delivered energy by the defibrillator as a function of patients chest impedance at the range
between 2 360 J
18/45
19/45
Description
K25528-4
K25529-2
F25531-8
FF32773-B
P007152
FF33603-A
F25527-6
F25530-0
FF20437-9
K20438-8
KEG260
KP58S-5
K49576-4
K7955
K7955P
K7955-10
K7955P-10
R-5651-1
R-5650-1
R-5649-1
ECG patient cable with 10 leads and clips and with V-lead selector.
KFS50
R-xxxx-x
KDEFSPFU
KDEFSPFUH
R-4198-1
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Part number
Description
R-4198-2
R-4198-3
R-4198-4
R-4198-5
KITMANT
KITMANCST3
R-5702-1
R-xxxx-x
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22/45
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5. CA 360 B - Dismantling
This section provides information about the dismantling and re-assembly
procedures for the CA 360 B.
The CA 360 B is dismantled in steps braking the unit down into its major
components.
Note!
Note!
Before starting dismantle operation you have to shoot down the device,
disconnect power cable and wait at least 2 minutes. Before handling High
Voltage parts such as HV-capacitor, HV-circuit etc., ensure that there is no
voltage using a high voltage probe (1000:1). High-voltage parts are identified
with the Danger High-voltage symbol. Be very careful when connecting the
high voltage probe- avoid touching the terminals and use proper insulation If
voltage is present, leave the unit until the HV-capacitor is fully drained. If the
capacitor remains charged it can be discharged by connecting a drain resistor
e.g. 100kohm, 17W, directly over the HV capacitor terminals for min. 30 sec.
Be very cautious when connecting the resistor and use proper insulation. When
storing an HV-capacitor, always leave it in a short-circuit state. Re-assembling
the CA 360 B taking care that the various rubber seals are seated correctly.
Important
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Do not remove the smaller screw holding the metal plate on the Paddle holders
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To avoid damaging the front panel, place the CA 360 B on a soft fabric or
something similar.
5. Gently lift up the rear cover assembly until the connected printer cable
(optional) do not scretch.
6. Disconnect the printer cable.
7. Remove the rear cover assembly entirely.
Printer cable
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Remove the nine screws marked with arrows in the front panel.
2.
Carefully remove the front assembly from the black internal chassis until
connected cables do not stretch.
3.
Gently disconnect the keyboard cable, and the internal ECG cable.
keyboard
cable
internal ECG
cable
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2.
3.
To romove the NIBP module carefully dislock the four pcb supports and
lift the NIBP module while disconnect the electrical plug.
4.
To remove the ECG board, unscrew the four screws in the board.
pcb supports
Assembled
connector rack
NIBP
module
ECG
module
30/45
4.
To remove the keyboard, disconnect the display cables (a film cable and a
power cable)
5.
Remove the nine screws marked with arrows to dismantle the keyboard
circuit.
6.
To remove the LCD, unscrew the four hexagon nut on the LCD fixing rail,
lift the rails and remove the LCD.
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Note !
1.
To remove the power supply module, unscrew the seven screws on power
supply circuit board, marked with arrows.
2.
To remove the battery connector board, remove the one screw as shown,
and carefully disconnect the electrical plug on the board
3.
To remove the DEFI test board unscrew the marked bolt, and pull out the
board from its slot.
4.
The defi board and the power supply board are connected to each other with a
rigid multipin socket and plug. During remove operation you have to carefully
disconnect this socket and plug.
Defi test board and
fixing screw
5.
HV
capacitors
Battery connector
board and fixing
screw
Rigid
connection to
defi board
32/45
To remove defi board, unscrew the seven screws on the board marked with
arrows.
6.
Note !
The defi board and the power supply board are connected to each other with a
rigid multipin socket and plug. If the power supply board is not removed before
this step you have to carefully disconnect this socket and plug to remove defi
board, see steps above!
33/45
6. Devices blockdiagramms
6.1. Electrical module interconnections:
34/45
35/45
36/45
37/45
38/45
39/45
7. Troubleshooting
What is to be done in case of defibrillator malfunction?
The CA360-B defibrilltor stores every technical events under work with a timestamp into a
servicelog file. If the defibrillator does not work due to an error, then the user has to make a
note of the error circumstances and time and date of error appearance and has to read out the
servicelog file mentioned above. The date and time of error appearance is important, because
we can find the registry about that error in the log file according to the date and time.
Please send this servicelog directory in compressed form with a note of the failure time and
description to Innomed Medical. The Innomed Medical will give the solution in very short
time.
To read out the servicelog file the first step is to enter the service menu.
4. Select Save service data in "Logs and Reports Menu" within Service Settings menu.
The service data saving to the pendrive starts now.
5. When the text Storage State: Done appears in the last line of the window, the copy
is finished. Now unplug the pendrive and switch off the defibrillator.
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Enter configuration menu and then protected service menu (See 7.1 )
Select "Clear Flag" in Calibrations Menu/Defibrillator Calibration Menu within
Service Settings menu by OK^. Now the color of text Off changes green. Push the
] key, then the green text changes to On. Press OK^ which deletes the error flag on
the defi board.
Select "Clear error flags" in "Calibrations Menu/Battery Calibration Menu" within
Service Settings menu by OK^. Now the color of text Off changes green. Push the
] key, then the green text changes to On. Press OK^ which deletes error flag on the
power board.
Leave the Service settings menu, switch off the defibrillator, and switch it on again.
Check whether red flashing ceases.
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42/45
Important! Switch the Online data to Off state before You leave this menu point.
Select Device to Bridge
This is for later versions.
43/45
8.8. DEVICE ID
This is only an information about the device identification number, this is not a selectable
menu item.
44/45
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