CONTENTS |
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Contents |
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Conventions Used in this Manual and Instrument ………………………………………………………….. |
i |
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Warnings, Cautions and Notes …………………………………………………………………………… |
i |
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Explanations of the Symbols in this Manual and Instrument …………………………………… |
i |
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Section 1 |
General ………………………………………………………………………. |
1C.1 |
Introduction ………………………………………………………………………………………………………….. |
1.1 |
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Service Policy ………………………………………………………………………………………………………. |
1.2 |
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Specifications ………………………………………………………………………………………………………. |
1.3 |
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Panel Description ………………………………………………………………………………………………….. |
1.5 |
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ECG-9010K Electrocardiograph ………………………………………………………………………. |
1.5 |
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Top View …………………………………………………………………………………………….. |
1.5 |
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Operation Panel…………………………………………………………………………………… |
1.6 |
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Right Side Panel …………………………………………………………………………………. |
1.7 |
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ECG-9020K/P Electrocardiograph …………………………………………………………………… |
1.8 |
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Top View …………………………………………………………………………………………….. |
1.8 |
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Operation Panel…………………………………………………………………………………… |
1.9 |
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Right Side Panel ……………………………………………………………………………….. |
1.10 |
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ECG-9022K Electrocardiograph …………………………………………………………………….. |
1.11 |
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Top View …………………………………………………………………………………………… |
1.11 |
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Operation Panel…………………………………………………………………………………. |
1.12 |
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Right Side Panel ……………………………………………………………………………….. |
1.13 |
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Composition ……………………………………………………………………………………………………….. |
1.14 |
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ECG-9010K Electrocardiograph …………………………………………………………………….. |
1.14 |
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ECG-9020K Electrocardiograph …………………………………………………………………….. |
1.15 |
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ECG-9020P Electrocardiograph …………………………………………………………………….. |
1.16 |
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ECG-9022K Electrocardiograph …………………………………………………………………….. |
1.17 |
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Location ……………………………………………………………………………………………………………… |
1.18 |
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Block Diagram …………………………………………………………………………………………………….. |
1.19 |
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Connection Diagram …………………………………………………………………………………………….. |
1.20 |
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Section 2 |
Maintenance ………………………………………………………………. |
2C.1 |
Replacement ………………………………………………………………………………………………………… |
2.1 |
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Periodic Replacement Schedule ……………………………………………………………………… |
2.1 |
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Cleaning ………………………………………………………………………………………………………………. |
2.2 |
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Cleaning and Greasing Schedules…………………………………………………………………… |
2.2 |
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Cleaning the Paper Mark Sensor and Paper Empty Sensor …………………………………. |
2.2 |
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Cleaning the Motor Rotation Sensor and |
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Greasing the Motor Gear and Gear Meshed with Motor Gear ………………………………. |
2.3 |
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Section 3 Troubleshooting and System Error Message ……………… |
3C.1 |
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Troubleshooting Flowchart ………………………………………………………………………………………. |
3.1 |
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Troubleshooting Table …………………………………………………………………………………………….. |
3.4 |
Service Manual ECG-9010/9020 Rev B |
C.1 |
CONTENTS |
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Troubleshooting General Operation Problem……………………………………………………… |
3.4 |
Troubleshooting Recording Problem ………………………………………………………………… |
3.6 |
System Error Message …………………………………………………………………………………………… |
3.7 |
Section 4 |
System Test, Adjustment and Setting………………………….. |
4C.1 |
System Test …………………………………………………………………………………………………………. |
4.1 |
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Overall ………………………………………………………………………………………………………… |
4.1 |
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Calling up the Test Level 1 …………………………………………………………………………….. |
4.2 |
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Calling up the Test Level 2 …………………………………………………………………………….. |
4.3 |
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Entering the System Test Number …………………………………………………………………… |
4.4 |
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Executing the System Test ……………………………………………………………………………. |
4.5 |
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Quitting the System Test ……………………………………………………………………………….. |
4.6 |
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Exiting the System Test Mode ……………………………………………………………………….. |
4.6 |
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Demonstration ………………………………………………………………………………………………………. |
4.7 |
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Recorder ………………………………………………………………………………………………………………. |
4.8 |
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Thermal Head ……………………………………………………………………………………………………… |
4.11 |
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Key ……………………………………………………………………………………………………………………. |
4.12 |
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Memory ……………………………………………………………………………………………………………… |
4.13 |
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Single Memory Test Mode ……………………………………………………………………………. |
4.14 |
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Continuous Memory Test Mode …………………………………………………………………….. |
4.14 |
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LCD/LED ……………………………………………………………………………………………………………. |
4.15 |
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Input Unit …………………………………………………………………………………………………………… |
4.17 |
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Calibration ………………………………………………………………………………………………………….. |
4.18 |
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Communication …………………………………………………………………………………………………… |
4.19 |
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CRO/EXT1 …………………………………………………………………………………………………………. |
4.21 |
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System Setup Initialization …………………………………………………………………………………… |
4.23 |
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ECG Findings List Recording ………………………………………………………………………………… |
4.24 |
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Recording Resolution Setting ………………………………………………………………………………… |
4.25 |
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Cue Mark Adjustment …………………………………………………………………………………………… |
4.26 |
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Date and Time Setting ………………………………………………………………………………………….. |
4.28 |
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Setting the Date and Time ………………………………………………………………….. |
4.28 |
Section 5 |
Board/Unit Description …………………………………………………. |
5C.1 |
Block Diagram ……………………………………………………………………………………………………… |
5.1 |
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Power Unit…………………………………………………………………………………………………………… |
5.2 |
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ECG Control Board ………………………………………………………………………………………………. |
5.2 |
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Flash ROM Board ………………………………………………………………………………………………… |
5.3 |
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Inverter Board ……………………………………………………………………………………………………… |
5.3 |
Section 6 Disassembly and Assembly ………………………………………….. |
6C.1 |
Before You Begin ………………………………………………………………………………………………….. |
6.1 |
Warnings and Cautions ……………………………………………………………………………….. |
6.1 |
Required Tools ……………………………………………………………………………………………. |
6.1 |
Board and Unit Location ………………………………………………………………………………. |
6.2 |
Cable Connection ……………………………………………………………………………………….. |
6.3 |
Removing the Top Casing ……………………………………………………………………………………….. |
6.4 |
C.2 |
Service Manual ECG-9010/9020 Rev B |
CONTENTS |
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Removing the LCD Assy ………………………………………………………………………………………… |
6.5 |
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Removing the Thermal Head Assy …………………………………………………………………………… |
6.6 |
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Removing the Motor Assy ………………………………………………………………………………………. |
6.8 |
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Removing the Speaker Assy …………………………………………………………………………………… |
6.9 |
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Removing the Inverter Board ………………………………………………………………………………… |
6.10 |
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Removing the ECG Control Board ………………………………………………………………………….. |
6.11 |
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Removing the Power Unit ……………………………………………………………………………………… |
6.12 |
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Replacing the Thermistor and Termistor Cable …………………………………………………. |
6.14 |
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Removing the Battery Terminal Assy ………………………………………………………………………. |
6.15 |
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Removing the Magazine Assy ……………………………………………………………………………….. |
6.16 |
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Removing the Bottom Casing ………………………………………………………………………………… |
6.17 |
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Replacing the Fuse on the Power Board ………………………………………………………………….. |
6.18 |
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Replacing the Lithium Battery on the ECG Control Board …………………………………………… |
6.19 |
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Section 7 |
Replaceable Parts List………………………………………………… |
7C.1 |
General Parts List …………………………………………………………………………………………………. |
7.2 |
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Top Casing Assy …………………………………………………………………………………………………… |
7.4 |
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Top Casing Assy, RK-0007 for ECG-9010K ………………………………………………………. |
7.4 |
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Top Casing Assy, RK-0009 for ECG-9020K ………………………………………………………. |
7.5 |
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Top Casing Assy, RK-0044 for ECG-9020P ………………………………………………………. |
7.6 |
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Top Casing Assy, RK-0058 for ECG-9022K ………………………………………………………. |
7.7 |
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Thermal Head Assy, YZ-011H8 ……………………………………………………………………………….. |
7.8 |
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Motor Assy, GC-0011 …………………………………………………………………………………………….. |
7.9 |
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Speaker Assy, RK-0005 ……………………………………………………………………………………….. |
7.10 |
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Magazine Assy, RH-0001 ……………………………………………………………………………………… |
7.11 |
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Battery Terminal Assy, RK-0006 …………………………………………………………………………….. |
7.12 |
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LCD Assy, VL-0001 ……………………………………………………………………………………………… |
7.13 |
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Patient Cable Hanger ……………………………………………………………………………………………. |
7.14 |
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Section 8 |
Connector Pin Assignment ………………………………………… |
8C.1 |
Power Unit ……………………………………………………………………………………………………………. |
8.1 |
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CN11 (to AC Inlet) ………………………………………………………………………………………… |
8.1 |
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CN21 (to ECG control board) ………………………………………………………………………….. |
8.1 |
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CN31 (to Thermal Head) ………………………………………………………………………………… |
8.1 |
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CN51 (to Battery) …………………………………………………………………………………………. |
8.1 |
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ECG Control Board ………………………………………………………………………………………………… |
8.2 |
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CNJ011 (to Thermal Head) …………………………………………………………………………….. |
8.2 |
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CNJ012 (to Inverter Board) ……………………………………………………………………………. |
8.2 |
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CNJ013 (to LCD) ………………………………………………………………………………………….. |
8.3 |
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CNJ021 (to Flash ROM Board) ……………………………………………………………………….. |
8.3 |
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CNJ031 (to SIO Connector) …………………………………………………………………………… |
8.5 |
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CNJ032 (to Key Connector) ……………………………………………………………………………. |
8.5 |
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CNJ033 (to Speaker) …………………………………………………………………………………….. |
8.6 |
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CNJ035 (to Power Unit) …………………………………………………………………………………. |
8.7 |
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CNJ036 (to Motor) ………………………………………………………………………………………… |
8.8 |
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CNJ041 (to CRO Connector) ………………………………………………………………………….. |
8.8 |
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CNJ043 (to EXT INPUT Connector) ………………………………………………………………… |
8.8 |
Service Manual ECG-9010/9020 Rev B |
C.3 |
CONTENTS
CNJ091 (to ECG Connector) ………………………………………………………………………….. |
8.9 |
Flash ROM Board ………………………………………………………………………………………………… |
8.10 |
CNJ021 (to ECG Control Board) ……………………………………………………………………. |
8.10 |
Inverter Board …………………………………………………………………………………………………….. |
8.12 |
CN1 (to ECG Control Borad) ………………………………………………………………………… |
8.12 |
CN2 (to LCD module) ………………………………………………………………………………….. |
8.12 |
External Input/Output Socket ………………………………………………………………………………… |
8.13 |
SIO Socket ……………………………………………………………………………………………….. |
8.13 |
EXT Input and CRO Output ………………………………………………………………………….. |
8.13 |
C.4 |
Service Manual ECG-9010/9020 Rev B |
Conventions Used in this Manual and Instrument
Warnings, Cautions and Notes
Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING
A warning alerts the user to the possible injury or death associated with the use or misuse of the instrument.
CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other property.
NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative methods or supplemental information.
Explanations of the Symbols in this Manual and Instrument
The following symbols found in this manual/instrument bear the respective descriptions as given.
Cardiograph
Attention, consult |
Input terminal for analog |
Type CF applied part |
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operator’s manual |
signal |
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Equipotential terminal |
Output terminal for analog |
The CE mark is a protected |
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signal |
conformity mark of |
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European Community. |
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The products herewith |
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comply with the |
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Serial input/output terminal |
Eject (magazine release |
requirements of the |
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button) |
Medical Device Directive |
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93/42/EEC. |
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Service Manual ECG-9010/9020 Rev A |
i |
Operation panel (for ECG-9010K onlly)
Alternating current |
Age |
Filter |
|
“On” only for a part of |
REST/PERIODIC |
Copy |
|
equipment |
recording |
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“Off” only for a part of |
Paper speed |
Calibration |
|
equipment |
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Battery charging (lamp/on |
Gain |
START/STOP recording |
|
screen) |
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Battery check (lamp/on |
Paper feed |
Automatic control |
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screen) |
|||
QRS sync lamp |
Mark |
Manual control |
Operation panel (for ECG-9020K only)
Alternating current |
Age |
Filter |
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“On” only for a part of |
Sex |
Copy |
|
equipment |
|||
“Off” only for a part of |
Mode |
Calibration |
|
equipment |
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Battery charging (lamp/on |
Rhythm |
START/STOP recording |
|
screen) |
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Battery check (lamp/on |
Paper feed |
Automatic control |
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screen) |
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Mark |
Manual control |
ii |
Service Manual ECG-9010/9020 Rev A |
Display (for ECG-9020K only)
QRS sync lamp
Patient cable
Attention, consult |
Defibrillation-proof |
|||||
operator’s manual |
Type CF applied part |
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Service Manual ECG-9010/9020 Rev A |
iii |
Section 1 General
Introduction ………………………………………………………………………………………………………… |
1.1 |
Service Policy …………………………………………………………………………………………………….. |
1.2 |
Specifications ……………………………………………………………………………………………………… |
1.3 |
Panel Description ………………………………………………………………………………………………… |
1.5 |
ECG-9010K Electrocardiograph …………………………………………………………………… |
1.5 |
Top View ………………………………………………………………………………………….. |
1.5 |
Operation Panel ………………………………………………………………………………… |
1.6 |
Right Side Panel ……………………………………………………………………………….. |
1.7 |
ECG-9020K/P Electrocardiograph ………………………………………………………………… |
1.8 |
Top View ………………………………………………………………………………………….. |
1.8 |
Operation Panel ………………………………………………………………………………… |
1.9 |
Right Side Panel ……………………………………………………………………………… |
1.10 |
ECG-9022K Electrocardiograph …………………………………………………………………. |
1.11 |
Top View ………………………………………………………………………………………… |
1.11 |
Operation Panel ………………………………………………………………………………. |
1.12 |
Right Side Panel ……………………………………………………………………………… |
1.13 |
Composition ……………………………………………………………………………………………………… |
1.14 |
ECG-9010K Electrocardiograph …………………………………………………………………. |
1.14 |
ECG-9020K Electrocardiograph …………………………………………………………………. |
1.15 |
ECG-9020P Electrocardiograph …………………………………………………………………. |
1.16 |
ECG-9022K Electrocardiograph …………………………………………………………………. |
1.17 |
Location …………………………………………………………………………………………………………… |
1.18 |
Block Diagram …………………………………………………………………………………………………… |
1.19 |
Connection Diagram ………………………………………………………………………………………….. |
1.20 |
Service Manual ECG-9010/9020 Rev B |
1C.1 |
1. GENERAL
Introduction
This service manual provides useful information to qualified service personnel to understand, troubleshoot, service, maintain and repair the ECG-9010K, ECG9020K/P and ECG-9022K Electrocardiograph (referred to in this service manual as “the instrument”, “ECG-9010K” or “ECG-9020K” which includes ECG-9020P and ECG-9022K).
All replaceable parts or units of this instrument and its optional units are clearly listed with exploded illustration to help you locate the parts quickly.
The System test, Adjustment and Setting section in this service manual describes the maintenance that should be performed by qualified service personnel. The Maintenance section in the operator’s manual describes the maintenance that can be performed by the user.
The information in the operator’s manual is primarily for the user. However, it is important for service personnel to thoroughly read the operator’s manual and service manual before starting to troubleshoot, service, maintain or repair this instrument. This is because service personnel needs to understand the operation of the instrument in order to effectively use the information in the service manual.
Service Manual ECG-9010/9020 Rev B |
1.1 |
1. GENERAL
Service Policy
Nihon Kohden Corporation’s basic policy for technical service is to replace faulty units, printed circuit boards or parts. We do not support component-level repair of boards and units outside the factory for the following reasons:
•A special facility is necessary to repair multi-layer boards because most of the components on the board are SMD (surface mount devices) and most of the circuits employ a gate array method.
•To fulfill safety certification requirements, a special facility is necessary to verify safety as medical equipment after the power unit is repaired.
NOTE
•When ordering parts or accessories from your nearest Nihon Kohden Corporation’s distributor, please quote the NK code number and part name which is listed in this service manual, and the name or model of the unit in which the required part is located. This will help us to promptly attend to your needs.
•Always use parts and accessories recommended or supplied by Nihon Kohden Corporation to assure maximum performance from your instrument.
1.2 |
Service Manual ECG-9010/9020 Rev B |
1. GENERAL
Specifications
ECG input |
|
Input impedance |
10 MΩ or more |
Electrode offset tolerance |
±500 mV or more |
Input unit protection |
Isolated and defibrillator protected |
Standard sensitivity |
10 mm /mV ±2% |
Common mode rejection ratio |
100 dB or more |
Frequency response |
0.05 to 150 Hz (– 3 dB or more) |
Waveform data processor |
|
Sample rate |
500 samples/s (input unit: 8,000 samples/s) |
AC line filter |
50/60 Hz, OFF |
High-cut filter |
75, 100, 150 Hz |
EMG filter |
25/35 Hz |
Time constant |
3.2 s or more |
Waveform status detection |
Electrode detachment (polarization voltage), |
Noise (high frequency) |
|
Sensitivity selection |
5, 10 , 20 mm/mV |
LCD (monochrome with CCFT backlight) (for ECG-9020K/P, ECG-9022K only)
Size |
5.6 inch |
|
Number of dots |
320 × 240 |
|
ECG waveform |
3 channel:Real time 12 ECG lead complexes |
|
6 channel: 2.5 s |
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Rhythm lead: 10 s |
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Displayed data |
Waveform, patient information, recording settings, |
|
operation mode, heart rate, QRS sync mark, error message, |
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electrode detachment, noise |
||
Recorder |
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Printing method |
High resolution thermal printer head |
|
Printing density |
200 dpi (8 dots/mm) |
|
Scanning line density |
1 ms |
|
Recording width |
104 mm |
|
Number of recording channels |
2, 3, 4, 6 |
|
Paper speed |
10, 12.5, 25, 50 mm/s |
|
(10 and 12.5 mm/s available for ECG-9020K only) |
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Printed data |
Program type, version, date and time, paper speed, sensitivity, |
|
lead name, filter, hospital name, patient information, |
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timing mark, event mark, electrode detachment, noise |
||
Mechanical noise |
48 dB or less at paper speed 25 mm/s |
|
External input/output |
||
External input |
10 mm/0.5 V ±5%, input impedance 100 kΩ or more |
|
Signal output |
0.5 V/1 mV ±5%, output impedance 100 Ω or less |
|
Serial I/O |
Communication method: |
RS-232C |
Baud rate: |
2400, 4800, 9600, 19200, 38400, |
|
57600, 115200 |
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Service Manual ECG-9010/9020 Rev B |
1.3 |
1. GENERAL
Power requirement |
|||
Line voltage |
100 to 127 VAC, 220 to 240 VAC ±10% |
||
Line frequency |
50 or 60 Hz |
||
Power input |
Up to 120 VA |
||
Power consumption |
49 W or less |
||
Built-in battery |
Voltage: 12 V |
||
(LCT-1912ANK) |
Current consumption: 6A or less |
||
Environment |
|||
Operating temperature |
10 to 40°C |
||
Operating humidity |
25 to 90% RH |
||
Operating atmospheric pressure |
70 to 106 kPa |
||
Storage duration and temperature |
2 weeks or less: |
−20 to 65°C |
|
(Depends on the battery) |
Between 2 weeks and One year: |
−15 to 40°C |
|
Over one year: |
−15 to 25°C |
||
Storage humidity |
10 to 95% RH (non condensing) |
||
Storage atmospheric pressure |
70 to 106 kPa |
||
Recording paper storage temperature |
−20 to 50°C |
||
Recording paper storage humidity |
25 to 90% RH |
||
Electromagnetic compatibility |
Class B |
||
Other |
Indoor portable |
Dimensions and weight
Dimensions |
280 W × 52 H × |
Weight |
ECG-9010K: |
ECG-9020K/P: |
|
ECG-9022K: |
216 D mm (excluding protrusions) Approx. 1.9 kg (without battery) Approx. 2.1 kg (without battery) Approx. 2.1 kg (without battery)
Safety
Safety standard:
IEC 60601-1 (1988), IEC 60601-1 Amendment 1 (1991), IEC 60601-1 Amendment 2 (1995) IEC 60601-2-25 (1993), IEC 60601-2-25 Amendment 1 (1999)
Type of protection against electric shock:
AC power: Class I
Batty power: Internally powered equipment
Degree of protection against electric shock:
Defibrillator proof type CF applied part when patient cable BJ-901D, BJ-902D or BJ-903D is used
Degree of protection against harmful ingress of water:
Ordinary equipment
Degree of safety of application in the presence of a flammable anaesthetic mixture with air, oxygen or nitrous oxide:
Not suitable for use in the presence of a flammable anaesthetic mixture with air, oxygen or |
|
nitrous oxide |
|
Mode of operation: Continuous |
|
Performance |
|
Performance standard: IEC 60601-2-51 (2003) |
|
1.4 |
Service Manual ECG-9010/9020 Rev B |
1. GENERAL
Panel Description
ECG-9010K
Electrocardiograph
2
1
Name
1.Operation panel
2.Magazine (recording paper container)
3.Magazine release button
Service Manual ECG-9010/9020 Rev B |
1.5 |
1. GENERAL
Operation Panel
14 13
18
4
5
6
7
15 |
16 |
17 |
8 |
9 |
10 |
|
12 |
||||||
11 |
Name
4.Battery charge lamp
5.Battery operation lamp
6.AC power lamp
7.POWER key/lamp
8.FEED/MARK key
9.FILTER key/lamp
10.COPY/CAL key/lamp
11.START/STOP key/lamp
12.AUTO/MANUAL key/lamp
13.REST/PERIODIC key/lamp
14.AGE key/lamp
15.SPEED key/lamp
16.GAIN key/lamp
17.LEAD keys/lamp
18.QRS sync lamp
1.6 |
Service Manual ECG-9010/9020 Rev B |
1. GENERAL
Right Side Panel
For the mark, refer to the descriptions for the Right Side Panel in Section 1 “Panel Descriptions” of the ECG-9010K Operator’s Manual.
23
24
25
Name
19.Patient input connector
20.EXT-IN connector
21.CRO-OUT
22.SIO connector
23.AC power cord socket
24.Battery compartment
25.Equipotential ground terminal
Service Manual ECG-9010/9020 Rev B |
1.7 |
1. GENERAL
ECG-9020K/P |
Top View |
|
Electrocardiograph |
||
3 |
||
2
4
1
Name
1.Operation panel
2.Magazine (recording paper container)
3.Magazine release button
4.LCD screen
The keyswithes on the ECG-9020P have a name label instead of the symbol.
1.8 |
Service Manual ECG-9010/9020 Rev B |
1. GENERAL
Operation Panel
5
6
7
8
9 |
10 |
11 |
12 |
13 |
14 |
15
Name
5.Battery charge lamp
6.Battery operation lamp
7.AC power lamp
8.POWER key/lamp
9.MODE key
10 RHYTHM key/lamp
11.FEED/MARK key
12.FILTER key/lamp
13.COPY/CAL key/lamp
14.START/STOP key/lamp
15.AUTO/MANUAL key/lamp
16.F1, F2, F3 function keys
17.AGE key
18.SEX key
Service Manual ECG-9010/9020 Rev B |
1.9 |
1. GENERAL
Right Side Panel
For the mark, refer to the descriptions for the Right Side Panel in Section 1 “Panel Descriptions” of the ECG-9020K or ECG 9020P Operator’s Manual.
23
24
25
Name
19.Patient input connector
20.EXT-IN connector
21.CRO-OUT
22.SIO connector
23.AC power cord socket
24.Battery compartment
25.Equipotential ground terminal
1.10 |
Service Manual ECG-9010/9020 Rev B |
ECG-9022K
Electrocardiograph
1. GENERAL
Top View
3
2
4
1
Name
1.Operation panel
2.Magazine (recording paper container)
3.Magazine release button
4.LCD screen
Service Manual ECG-9010/9020 Rev B |
1.11 |
1. GENERAL
Operation Panel
5
6
7
8
9 |
10 |
11 |
12 |
13 |
14 |
15
Name
5. Battery charge lamp
6. Battery operation lamp
7. AC power lamp
8. POWER key/lamp
9. MODE key
10 RHYTHM key/lamp
11. FEED/MARK key
12. FILTER key/lamp
13. COPY/CAL key/lamp
14. START/STOP key/lamp
15. AUTO/MANUAL key/lamp
16. F1, F2, F3 function keys
17. AGE key
18. SEX key
1.12 |
Service Manual ECG-9010/9020 Rev B |
1. GENERAL
Right Side Panel
For the mark, refer to the descriptions for the Right Side Panel in Section 1 “Panel Descriptions” of the ECG-9022K Operator’s Manual.
23
24
25
Name
19.Patient input connector
20.EXT-IN connector
21.CRO-OUT
22.SIO connector
23.AC power cord socket
24.Battery compartment
25.Equipotential ground terminal
Service Manual ECG-9010/9020 Rev B |
1.13 |
1. GENERAL
Composition
ECG-9010K Electrocardiograph
ECG-9010K |
RK-0002 |
Bottom Casing Assy |
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RK-0003 |
Internal Parts |
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GC-0011 |
Motor Assy |
|||||||
RH-0001 |
Magazine Assy |
|||||||
RK-0004 |
Thermal Head Assy |
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RK-0005 |
Speaker Assy |
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RK-0006 |
Battom Terminal Assy |
|||||||
RK-0007 |
ECG-9010K Top Casing Assy |
|||||||
SC-903D |
Power Unit |
|||||||
UT-23561 |
ECG Control Board |
|||||||
UT-2357 |
Flash ROM Board |
|||||||
(Optional) |
||||||||
KD-104E |
Cart |
|||||||
KH-801E |
Patinet Cable Hanger |
|||||||
DI-106D |
Fixing Plate for Cart |
|||||||
YC-901D |
Carrying Case |
|||||||
•To order a replacement assembly above, use the Code No.
•To order a replacement component inside an assembly, refer to “Section 7 Replaceablet Parts List”.
1.14 |
Service Manual ECG-9010/9020 Rev B |
1. GENERAL
ECG-9020K Electrocardiograph
ECG-9020K |
RK-0002 |
Bottom Casing Assy |
||||||
RK-0003 |
Internal Parts |
|||||||
GC-0011 |
Motor Assy |
|||||||
RH-0001 |
Magazine Assy |
|||||||
RK-0004 |
Thermal Head Assy |
|||||||
RK-0005 |
Speaker Assy |
|||||||
RK-0006 |
Battom Terminal Assy |
|||||||
RK-0009 |
ECG-9020K Top Casing Assy |
|||||||
SC-903D |
Power Unit |
|||||||
UT-23561 |
ECG Control Board |
|||||||
UT-2357 |
Flash ROM Board |
|||||||
VL-0001 |
LCD Assy |
|||||||
(Optional) |
||||||||
KD-104E |
Cart |
|||||||
KH-801E |
Patinet Cable Hanger |
|||||||
DI-106D |
Fixing Plate for Cart |
|||||||
YC-901D |
Carrying Case |
|||||||
•To order a replacement assembly above, use the Code No.
•To order a replacement component inside an assembly, refer to “Section 7 Replaceablet Parts List”.
Service Manual ECG-9010/9020 Rev B |
1.15 |
1. GENERAL
ECG-9020P Electrocardiograph
ECG-9020P |
RK-0002 |
Bottom Casing Assy |
||||||
RK-0003 |
Internal Parts |
|||||||
GC-0011 |
Motor Assy |
|||||||
RH-0001 |
Magazine Assy |
|||||||
RK-0004 |
Thermal Head Assy |
|||||||
RK-0005 |
Speaker Assy |
|||||||
RK-0006 |
Battom Terminal Assy |
|||||||
RK-0044 |
ECG-9020P Top Casing Assy |
|||||||
SC-903D |
Power Unit |
|||||||
UT-23563 |
ECG Control Board |
|||||||
UT-23577 |
Flash ROM Board |
|||||||
VL-0001 |
LCD Assy |
|||||||
(Optional) |
||||||||
KD-104E |
Cart |
|||||||
KH-801E |
Patinet Cable Hanger |
|||||||
DI-106D |
Fixing Plate for Cart |
|||||||
YC-901D |
Carrying Case |
|||||||
•To order a replacement assembly above, use the Code No.
•To order a replacement component inside an assembly, refer to “Section 7 Replaceablet Parts List”.
1.16 |
Service Manual ECG-9010/9020 Rev B |
1. GENERAL
ECG-9022K Electrocardiograph
ECG-9022K |
RK-0002 |
Bottom Casing Assy |
||||||
RK-0003 |
Internal Parts |
|||||||
GC-0011 |
Motor Assy |
|||||||
RH-0001 |
Magazine Assy |
|||||||
RK-0004 |
Thermal Head Assy |
|||||||
RK-0005 |
Speaker Assy |
|||||||
RK-0006 |
Battom Terminal Assy |
|||||||
RK-0058 |
ECG-9022K Top Casing Assy |
|||||||
SC-903D |
Power Unit |
|||||||
UT-23564 |
ECG Control Board |
|||||||
UT-2357D |
Flash ROM Board |
|||||||
VL-0001 |
LCD Assy |
|||||||
(Optional) |
||||||||
KD-104E |
Cart |
|||||||
KH-801E |
Patinet Cable Hanger |
|||||||
DI-106D |
Fixing Plate for Cart |
|||||||
YC-901D |
Carrying Case |
|||||||
•To order a replacement assembly above, use the Code No.
•To order a replacement component inside an assembly, refer to “Section 7 Replaceablet Parts List”.
Service Manual ECG-9010/9020 Rev B |
1.17 |
1. GENERAL
Location
Thermal Head Assy |
LCD Assy (for ECG-9020K/9020P/9022K only) |
|
Motor Assy |
Flash ROM Board |
|
Inverter Board |
||
(for ECG-9020K/9020P/9022K only) |
||
Speaker Assy |
ECG Control Board
Power Unit
1.18 |
Service Manual ECG-9010/9020 Rev B |
1. GENERAL
Block Diagram
NOTE
The LCD module and inverter board are used for the ECG-9020K,
ECG-9020P and ECG-9022K only.
Piezo-electric |
CNA011 |
CNJ032 (2pin) |
||||||||||||||||||||||
buzzer |
Flash ROM Board |
|||||||||||||||||||||||
Motor, Motor sensor, |
CNA012 |
|||||||||||||||||||||||
CNJ036 (12pin) |
||||||||||||||||||||||||
Mark sensor |
||||||||||||||||||||||||
CNJ011 (80pin) |
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Membrane key |
CNJ033 (40pin) |
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CNJ021 (80pin) |
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LCD module |
CNJ012 (12pin) |
CNJ031 (D-SUB 9pin) |
||||||||||||||||||||||
ECG Control Board |
||||||||||||||||||||||||
2 pin |
5 pin |
CNA015 |
CNJ013 (6pin) |
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Inverter board |
CNJ043 (mini jack) |
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CNA013 |
CNJ041 (mini jack) |
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Thermal head |
CNJ011 (12pin) |
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CN11 (3pin) |
CN31 (16pin) |
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AC |
||||||||||||||||||||||||
Power Unit |
CN021 |
CNJ035 (30pin) |
CNJ091 (D-SUB15pin) |
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source |
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(30pin) |
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SIO
EXT-IN
CRO
Patient Input
CN51 (4pin)
CNA014
Battery
Service Manual ECG-9010/9020 Rev B |
1.19 |
1. GENERAL
Connection Diagram
Index |
Connector No. |
NK Code No. |
Description |
1* |
CNA011 |
543993A |
ZHR-2 speaker cable (L50) |
2 |
CNA012 |
544002A |
ZHR-12 motor cable (L120, 65) |
3 |
CNA013 |
544029B |
FCN723/DF11(100)/51021(40) |
4 |
CNA014 |
544011A |
EHR-4 battery terminal cable (L150) |
5 |
CNA015 |
544038A |
51021-0500/51021-0600 (L50) |
*We cannot provide this cable seperately; we can only provide it as part of a complete Speaker assy. Refer to “Speaker Assy” in Section 8.
CNA013
CNA012
CNA015
CNA011
CNA014
1.20 |
Service Manual ECG-9010/9020 Rev B |
Section 2 Maintenance
Replacement ………………………………………………………………………………………………………. |
2.1 |
Periodic Replacement Schedule …………………………………………………………………… |
2.1 |
Cleaning …………………………………………………………………………………………………………….. |
2.2 |
Cleaning and Greasing Schedules ……………………………………………………………….. |
2.2 |
Cleaning the Paper Mark Sensor and Paper Empty Sensor ……………………………… |
2.2 |
Cleaning the Motor Rotation Sensor and |
|
Greasing the Motor Gear and Gear Meshed with Motor Gear …………………………… |
2.3 |
Service Manual ECG-9010/9020 Rev A |
2C.1 |
2. MAINTENANCE
This section describes the periodic replacement and cleaning of parts which are required to maintain the instrument in good working condition.
Replacement
This subsection only describes replacement schedule for parts that need to be periodically replaced. The actual replacement procedures are described in the section for Disassembly and Assembly. Read the whole “Disassembly and Assembly” section, especially its Warnings and Cautions, before replacing any of the parts described here.
Periodic Replacement
Schedule
To maintain the performance of the instrument, the parts listed in the table below must be periodically replaced by qualified service personnel.
Part |
NK Code No. Description Recommendation |
LCT-1912ANK |
332543B |
KPT-104-8MGF1-NKC 541816 |
|
LM32019T |
545946 |
Motor ASSY |
GC-0011 |
BR2032/1F2 |
390765 |
Battery |
* See below. |
Thermal head |
After 30 km of |
recording |
|
LCD Module |
After 10000 hours |
Motor ASSY |
After 1000 hours |
Lithium battery ** See below.
*Replace the battery when it cannot last for 30 minutes during battery operation at the temperatures between 20 and30° C.
**Replace the lithium battery on the ECG control board when the No. 08 or 09 system error message appears or after the lithium battery is used for 7 years. The life time of the battery is approx. 7 years.
Service Manual ECG-9010/9020 Rev A |
2.1 |
2. MAINTENANCE
Cleaning and Greasing
Cleaning and Greasing
Schedules
Cleaning the Paper Mark
Sensor and Paper Empty
Sensor
This subsection describes the cleaning and greasing procedures for parts that must be cleaned and greased by qualified service personnel. The cleaning procedures for parts that can be cleaned by the user are described in the Operator’s Manual.
To maintain the performance of the instrument, the parts listed in the table below must be regularly cleaned or greased.
Part |
Frequency |
Performed by |
Instrument (external) |
After each use |
User |
Thermal Head |
Once a month |
User |
Platen Roller assy |
Once a year |
User |
Paper Mark Detection Sensor |
Once a month |
Qualified service personnel |
Paper Empty Sensor |
Once a month |
Qualified service personnel |
Motor Sensor |
Once a year |
Qualified service personnel |
Motor Gear and Gear |
Once a year |
Qualified service personnel |
Meshed with Motor Gear |
1.Remove the magazine. The illustration below shows the location of the paper mark sensor and paper empty sensor.
2.Use a piece of cotton moistened with alcohol to clean both sensors.
Paper mark sensor
Paper empty sensor
2.2 |
Service Manual ECG-9010/9020 Rev A |
Cleaning the Motor Rotation Sensor and Greasing the Motor Gear and Gear Meshed with Motor Gear
2. MAINTENANCE
1.Detach the top casing from the bottom casing as described in the “Disassembly and Assembly” section.
2.Remove the two screws holding the motor assy to the bottom casing and remove the motor assy.
3.Remove the two screws to expose the motor rotation sensor and photodiode.
Motor assy |
Motor rotation sensor and |
photodiode |
Motor SENS board
Bottom casing
4.Use a piece of cotton moistened with alcohol to clean the sensor and photodiode.
5.Use a brush to clean the holes in the gear.
Service Manual ECG-9010/9020 Rev A |
2.3 |
2. MAINTENANCE
6.Use EM-50L (NK code No. 547712) grease to grease the motor gear and the gear which directly meshes with the motor gear as shown below.
Top view
Motor gear
Gear meshed |
Motor |
with motor gear |
7.Reattach the MOTOR SENS board to the motor with the two screws.
8.Reattach the motor assy to the bottom casing with the two screws.
9.Reattach the top casing to the bottom casing as described in the “Disassembly and Assembly” section.
2.4 |
Service Manual ECG-9010/9020 Rev A |
Section 3 Troubleshooting and
System Error Message
Troubleshooting Flowchart ……………………………………………………………………………………. |
3.1 |
Troubleshooting Table…………………………………………………………………………………………… |
3.4 |
Troubleshooting General Operation Problem ………………………………………………….. |
3.4 |
Troubleshooting Recording Problem ……………………………………………………………… |
3.6 |
System Error Message ………………………………………………………………………………………… |
3.7 |
Service Manual ECG-9010/9020 Rev A |
3C.1 |
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
This section describes how to troubleshoot the instrument, using the following:
—flowchart
—troubleshooting table
—system error messages at power-up
Troubleshooting Flowchart
Use the troubleshooting flowchart to find the possible sources of a problem.
Troubleshooting Flowchart
<ECG-9020K only>
The power LED is on but there is no LCD display.
No
Is the LCD backlight on?
Yes
Is there any response when No any switch is pressed?
Yes
Check the cable connection to the CNJ012 connector on the ECG control board.
Normal
The LCD unit is faulty.
Is the cable firmly |
Yes |
The ECG control board is faulty. |
|
connected to the CNJ013 |
The Inverter board is faulty. |
||
connector on the ECG |
|||
control board? |
|||
The ECG control board |
|||
is faulty. |
|||
Service Manual ECG-9010/9020 Rev A |
3.1 |
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
The power of the instrument does not turn on.
Does the instrument |
No |
||||||||||||||||||
operate during AC |
|||||||||||||||||||
power operation? |
|||||||||||||||||||
Yes |
|||||||||||||||||||
Does the LED of the AC power |
No |
Check the cable connections |
|||||||||||||||||
light? |
to the CNJ013 connector on |
||||||||||||||||||
the ECG control board and |
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Yes |
|||||||||||||||||||
the connector on the Inverter |
|||||||||||||||||||
board. |
|||||||||||||||||||
The membrane key is faulty. |
|||||||||||||||||||
Normal |
|||||||||||||||||||
The ECG control board is faulty. |
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The power board is faulty. |
|||||||||||||||||||
Check the F0102 battery |
|||||||||||||||||||
fuse on the power board. |
|||||||||||||||||||
Normal |
|||||||||||||||||||
The instrument does not |
|||||||||||||||||||
operate during battery |
|||||||||||||||||||
power operation. |
No |
The power board is faulty. |
|||||||||||||||||
Is the battery charged? |
Charge the battery. |
||||||||||||||||||
Yes |
|||||||||||||||||||
Check the cable connection |
|||||||||||||||||||
to the CN51 connector on |
|||||||||||||||||||
the power board. |
|||||||||||||||||||
Normal |
|||||||||||||||||||
Yes |
|||||||||||||||||||
Is the F0102 battery fuse |
Replace the F0102 battery |
||||||||||||||||||
on the power board blown?. |
fuse on the power board. |
||||||||||||||||||
No |
|||||||||||||||||||
The power unit is faulty.
3.2 |
Service Manual ECG-9010/9020 Rev A |
The recorder does not feed the recording paper when the Start switch is pressed.
Does the LED for the Start No switch light up?
Yes
Does the recorder print when the recording paper is manually pulled out from under the thermal head?
Yes
Check the cable connection to the CNJ036 connector on the ECG control board.
Normal
The motor is faulty. The ECG control board is faulty.
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
Does the recorder print |
Yes |
||
in manual mode? |
|||
No |
|||
Does the paper empty |
Yes |
||
mark blink? |
|||
No |
|||
The ECG control board is |
|||
faulty. |
|||
Normal
Check the cable connection to the CNJ036 connector
on the ECG control board.
Normal
The ECG control board is faulty.
The paper mark sensor is faulty.
Service Manual ECG-9010/9020 Rev A |
3.3 |
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
Troubleshooting Table
Use the troubleshooting table to locate, identify and solve a problem in the instrument. The problems are divided into general operation and recording. Each category has its own troubleshooting table for fast and easy troubleshooting.
How to use the troubleshooting table
1.Determine which troubleshooting table to use.
2.In the “Problem” column find the trouble item that matches the problem.
3.Do the action recommended in the “Corrective Action” column.
4.If the problem is not solved, do the action for the next possible cause or criteria.
5.If none of the actions solve the problem, contact your nearest Nihon Kohden dealer.
Troubleshooting General
Operation Problem
Problem |
Possible Cause/Criteria |
Action |
The power LED lights but there |
Faulty connection to the CN012 |
Check the connection to the CNJ012 |
is no display or backlight on the |
or CNJ013 connector on the ECG |
and CNJ013 connector on the ECG |
LCD screen. |
control board. |
control board. |
Faulty Inverter board. |
Replace the Inverter board. |
|
Faulty LCD module. |
Replace the LCD module. |
|
The instrument does not operate |
Blown F011 or F012 power unit |
Replace the F011 or F012 power unit |
during AC power operation. |
fuse. |
fuse. |
Faulty connection to the CN033 |
Check the connection to the CNJ033 |
|
or CNJ035 connector on the ECG |
and CNJ035 connector on the ECG |
|
control board. |
control board. |
|
Damaged power cord. |
Replace the power cord. |
|
Faulty power unit. |
Replace the power unit. |
|
Faulty ECG control board. |
Replace the ECG control board. |
|
Damaged membrane key. |
Replace the membrane key. |
|
The instrument does not operate |
The battery is not charged. |
Charge the battery. |
on battery power. |
||
Blown F051 battery fuse. |
Replace the F051 battery fuse. |
|
Damaged battery. |
Replace the battery. |
|
Faulty connection to the CNJ033 |
Check the connection to the CNJ033 |
|
or CNJ035 connector on the ECG |
and CNJ035 connector on the ECG |
|
control board or the CN031 or |
control board and the CN031 and |
|
CN051 connector on the power |
CN01 connector on the power unit. |
|
unit. |
||
3.4 |
Service Manual ECG-9010/9020 Rev A |
Contents Conventions Used in this Manual and Instrument …………………………………………. ………………….. ……………………………………… ………………. i Warnings, Cautions and Notes ………………………………………… ………………….. …………………………………………… ……………………………….. ………… i Explanations of the Symbols in this Manual and Instrument ………………………………….. ………………… ……………….. i
General General …………………… ……………………………… …………………… …………………… …………………… …………………..1C.1 ………..1C.1 Introduction …………………………………………………………………………………………………………. 1.1 Service Policy ……………………………………………………………………………………………………… 1.2 Specifications ……………………………………………… ……………………… …………………………………………….. …………………………………………….. ……………………………….. ……….. 1.3 Panel Description …………………………………………… …………………… ……………………………………………… ……………………………………………… ……………………………. ……. 1.5 ECG-9010K Electrocardiograph ……………………………………………………………………. 1.5 Top View …………………………………………………………………………………………… 1.5 Operation Panel ……………………………………………….. ………………………. ………………………………………………… ……………………………….. ……… 1.6 Right Side Panel ………………………………………………………………………………… 1.7 ECG-9020K Electrocardiograph ……………………………………………………………………. 1.8 Top View …………………………………………………………………………………………… 1.8 Operation Panel ……………………………………………….. ………………………. ………………………………………………… ……………………………….. ……… 1.9 Right Side Panel ………………………………………………………………………………. 1.10 Composition …………………………………………….. ……………………. ………………………………………………. ………………………………………………. ……………………………….. ………. 1.11 ECG-9010K Electrocardiograph ………………………………………………………………….. 1.11 ECG-9020K Electrocardiograph ………………………………………………………………….. 1.12 Location ……………………………………………………………………………………………………………. 1.13 Block Diagram …………………………………………….. ……………………… …………………………………………….. ……………………………………………… …………………………….. …….. 1.14 Connection Diagram …………………………………………………………………………………………… 1.15
Maintenance Maintenance ………………….. …………………………….. ………………….. ………………….. ………………….. …………….. ……2C.1 2C.1 Replacement ……………………………………………. ……………………. …………………………………………….. …………………………………………….. ………………………………….. ………….. 2.1 Periodic Replacement Schedule ……………………………………………… ……………………. ……………………………………………… ……………………. 2.1 Cleaning ……………………………………………….. ……………………… ………………………………………………… ………………………………………………… …………………………………… …………. 2.2 Cleaning and Greasing Schedules ………………………………………………………………… 2.2 Cleaning the Paper Mark Sensor and Paper Empty Sensor ………………………………. 2.2 Cleaning the Motor Rotation Sensor and Greasing the Motor Gear and Gear Meshed with Motor Gear ……………………………. …………………. ………… 2.3
Trouble roubleshoot shooting ing and System System Error Error Message Message ……………… …………………. ….3C.1 3C.1 Troubleshooting Flowchart …………………………………………………………………………………….. 3.1 Troubleshooting Table……………………………………………………………………………………………. 3.4 Troubleshooting General Operation Problem …………………………………………………… 3.4 Troubleshooting Recording Problem ………………………………………………………………. 3.6 System Error Message …………………………………………………………………………………………. 3.7
Contents Conventions Used in this Manual and Instrument …………………………………………. ………………….. ……………………………………… ………………. i Warnings, Cautions and Notes ………………………………………… ………………….. …………………………………………… ……………………………….. ………… i Explanations of the Symbols in this Manual and Instrument ………………………………….. ………………… ……………….. i
General General …………………… ……………………………… …………………… …………………… …………………… …………………..1C.1 ………..1C.1 Introduction …………………………………………………………………………………………………………. 1.1 Service Policy ……………………………………………………………………………………………………… 1.2 Specifications ……………………………………………… ……………………… …………………………………………….. …………………………………………….. ……………………………….. ……….. 1.3 Panel Description …………………………………………… …………………… ……………………………………………… ……………………………………………… ……………………………. ……. 1.5 ECG-9010K Electrocardiograph ……………………………………………………………………. 1.5 Top View …………………………………………………………………………………………… 1.5 Operation Panel ……………………………………………….. ………………………. ………………………………………………… ……………………………….. ……… 1.6 Right Side Panel ………………………………………………………………………………… 1.7 ECG-9020K Electrocardiograph ……………………………………………………………………. 1.8 Top View …………………………………………………………………………………………… 1.8 Operation Panel ……………………………………………….. ………………………. ………………………………………………… ……………………………….. ……… 1.9 Right Side Panel ………………………………………………………………………………. 1.10 Composition …………………………………………….. ……………………. ………………………………………………. ………………………………………………. ……………………………….. ………. 1.11 ECG-9010K Electrocardiograph ………………………………………………………………….. 1.11 ECG-9020K Electrocardiograph ………………………………………………………………….. 1.12 Location ……………………………………………………………………………………………………………. 1.13 Block Diagram …………………………………………….. ……………………… …………………………………………….. ……………………………………………… …………………………….. …….. 1.14 Connection Diagram …………………………………………………………………………………………… 1.15
Maintenance Maintenance ………………….. …………………………….. ………………….. ………………….. ………………….. …………….. ……2C.1 2C.1 Replacement ……………………………………………. ……………………. …………………………………………….. …………………………………………….. ………………………………….. ………….. 2.1 Periodic Replacement Schedule ……………………………………………… ……………………. ……………………………………………… ……………………. 2.1 Cleaning ……………………………………………….. ……………………… ………………………………………………… ………………………………………………… …………………………………… …………. 2.2 Cleaning and Greasing Schedules ………………………………………………………………… 2.2 Cleaning the Paper Mark Sensor and Paper Empty Sensor ………………………………. 2.2 Cleaning the Motor Rotation Sensor and Greasing the Motor Gear and Gear Meshed with Motor Gear ……………………………. …………………. ………… 2.3
Trouble roubleshoot shooting ing and System System Error Error Message Message ……………… …………………. ….3C.1 3C.1 Troubleshooting Flowchart …………………………………………………………………………………….. 3.1 Troubleshooting Table……………………………………………………………………………………………. 3.4 Troubleshooting General Operation Problem …………………………………………………… 3.4 Troubleshooting Recording Problem ………………………………………………………………. 3.6 System Error Message …………………………………………………………………………………………. 3.7
System System Test, Adjustment Adjustment and Setting Setting ………… ………………… ……………… …………. ….4C.1 4C.1 System Test ………………………………………………………………………………………………………… 4.1 Overall ………………………………………………………………………………………………………. 4.1 Calling up the Test Level 1 ……………………………………………………………………………. 4.2 Calling up the Test Level 2 ……………………………………………………………………………. 4.3 Entering the System Test Number …………………………………………………………………. 4.4 Executing the System Test …………………………………………… ……………………. ……………………………………………. ………………………………. ……….. 4.5 Quitting the System Test ………………………………………………………………………………. 4.6 Exiting the System Test Mode…………………. Mode ………………………………………… ……………………………………………. …………………………….. ……… 4.6 Demonstration …………………………………………………………………………………………………….. 4.7 Recorder …………………………………………………………………………………………………………….. 4.8 Thermal Head ……………………………………………………………………………………………………. 4.11 Key …………………………………………… …………………… …………………………………………….. …………………………………………….. ………………………………………………. ………………………. 4.12 Memory ……………………………………………. …………………….. ……………………………………………. ……………………………………………. ……………………………………….. ………………… 4.13 Single Memory Test Mode ………………………………………………………………………….. 4.14 Continuous Memory Test Mode …………………………………………………………………… 4.14 LCD/LED …………………………………………….. ……………………. ……………………………………………….. ……………………………………………….. …………………………………… ………….. 4.15 Input Unit ………………………………………………………………………………………………………….. 4.17 Calibration ………………………………………………… ………………………. …………………………………………………. ………………………………………………… …………………………….. ……. 4.18 Communication …………………………………………….. …………………….. …………………………………………….. …………………………………………….. ……………………………. ……. 4.19 CRO/EXT1 …………………………………………… …………………… ……………………………………………… ……………………………………………… …………………………………… …………… 4.21 System Setup Initialization ……………………………………………. …………………… ……………………………………………….. …………………………………….. ……………. 4.23 ECG Findings List Recording ……………………………………………. …………………….. ……………………………………………. …………………………………. ………….. 4.24 Recording Resolution Setting ………………………………………………………………………………. 4.25 Cue Mark Adjustment …………………………………………………………………………………………. 4.26 Date and Time Setting ………………………………………………………………………………………… 4.28 Setting the Date and Time …………………………………………………………………. 4.28
Board/Unit Board/Unit Description Description ……………….. …………………………. ………………… ………………… ……………..5C.1 ……5C.1 Block Diagram …………………………………………….. …………………….. ……………………………………………… ……………………………………………… ………………………………. ………. 5.1 Power Unit…………………………………………………………………………………………………………… 5.2 ECG Control Board …………………………………………. ………………….. ……………………………………………. ……………………………………………. ……………………………. …….. 5.2 Flash ROM Board ………………………………………………………………………………………………… 5.3 Inverter Board ……………………………………………………………………………………………………… 5.3
Disassembl Disassembly y and Assembly Assembly ………………… ………………………….. …………………. ………………6C.1 …….6C.1 Before You Begin ………………………………………………… ………………………. ………………………………………………… ………………………………………………. ……………………….. 6.1 Warnings and Cautions ……………………………………………………………………………….. 6.1 Required Tools ……………………………………………………………………………………………. 6.1 Board and Unit Location ………………………………………………………………………………. 6.2 Cable Connection ……………………………………………………………………………………….. 6.3 Removing the Top Casing ……………………………………………………………………………………… 6.4 Removing the LCD Assy ………………………………………… …………………… …………………………………………. …………………………………………. ………………………. …. 6.5 Removing the Thermal Head Assy …………………………………………………………………………. 6.6 Removing the Motor Assy ………………………………………….. …………………… …………………………………………… …………………………………………. …………………… 6.8 Removing the Speaker Assy ……………………………………….. ………………….. …………………………………………. ………………………………………… ………………….. 6.9
CONTENTS Removing the Inverter Board ……………………………………………………………………………….. 6.10 Removing the ECG Control Board ………………………………………………………………………… 6.11 Removing the Power Unit…………………………………………………………………………………….. 6.12 Replacing the Thermistor and Termistor Cable ………………………………………………. 6.14 Removing the Battery Terminal Assy …………………………………………………………………….. 6.15 Removing the Magazine Assy ……………………………………………………………………………… 6.16 Removing the Bottom Casing ………………………………………………………………………………. 6.17 Replacing the Fuse on the Power Board………………………………………………………………… 6.18 Replacing the Lithium Battery on the ECG Control Board ………………………………………… 6.19
Replaceable Parts List…………………………………………………..7C.1 General Parts List ………………………………………………………………………………………………… 7.2 Top Casing Assy ………………………………………………………………………………………………….. 7.4 Top Casing Assy, RK-0007 for ECG-9010K …………………………………………………….. 7.4 Top Casing Assy, RK-0009 for ECG-9020K …………………………………………………….. 7.5 Thermal Head Assy, YZ-011H8 ………………………………………………………………………………. 7.6 Motor Assy, GC-0011 ……………………………………………………………………………………………. 7.7 Speaker Assy, RK-0005 ………………………………………………………………………………………… 7.8 Magazine Assy, RH-0001 ……………………………………………………………………………………… 7.9 Battery Terminal Assy, RK-0006 …………………………………………………………………………… 7.10 LCD Assy, VL-0001 …………………………………………………………………………………………….. 7.11 Cart and Fixing Plate ………………………………………………………………………………………….. 7.12 Patient Cable Hanger ………………………………………………………………………………………….. 7.14
Connector Pin Assignment ……………………………………………8C.1 Power Unit…………………………………………………………………………………………………………… 8.1 CN11 (to AC Inlet) ………………………………………………………………………………………. 8.1 CN21 (to ECG control board) ……………………………………………………………………….. 8.1 CN31 (to Thermal Head) ……………………………………………………………………………… 8.1 CN51 (to Battery)………………………………………………………………………………………… 8.1 ECG Control Board ………………………………………………………………………………………………. 8.2 CNJ011 (to Thermal Head) …………………………………………………………………………… 8.2 CNJ012 (to Inverter Board)…………………………………………………………………………… 8.2 CNJ013 (to LCD) ………………………………………………………………………………………… 8.3 CNJ021 (to Flash ROM Board) ……………………………………………………………………… 8.3 CNJ031 (to SIO Connector)………………………………………………………………………….. 8.5 CNJ032 (to Key Connector) ………………………………………………………………………….. 8.5 CNJ033 (to Speaker) …………………………………………………………………………………… 8.6 CNJ035 (to Power Unit) ……………………………………………………………………………….. 8.7 CNJ036 (to Motor) ………………………………………………………………………………………. 8.8 CNJ041 (to CRO Connector) ………………………………………………………………………… 8.8 CNJ043 (to EXT INPUT Connector) ………………………………………………………………. 8.8 CNJ091 (to ECG Connector) ………………………………………………………………………… 8.9 Flash ROM Board ………………………………………………………………………………………………. 8.10 CNJ021 (to ECG Control Board) …………………………………………………………………. 8.10
CONTENTS Inverter Board ……………………………………………………………………………………………………. 8.12 CN1 (to ECG Control Borad) ………………………………………………………………………. 8.12 CN2 (to LCD module) ………………………………………………………………………………… 8.12 External Input/Output Socket ……………………………………………………………………………….. 8.13 SIO Socket ……………………………………………………………………………………………….. 8.13 EXT Input and CRO Output ………………………………………………………………………… 8.13
Conventions Used in this Manual and Instrument Warnings, Cautions and Notes Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.
WARNING A warning alerts the user to the possible injury or death associated with the use or misuse of the instrument.
CAUTION A caution alerts the user to possible injury or problems with the instrument associated with its use or misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other property.
NOTE A note provides specific information, in the form of recommendations, prerequirements, alternative methods or supplemental information.
Explanations of the Symbols in this Manual and Instrument The following symbols found in this manual/instrument bear the respective descriptions as given.
The CE mark is a protected conformity mark of European Community. The products herewith comply with the requirements of the Medical Device Directive 93/42/EEC.
Introduction ………………………………………………………………………………………………………… 1.1 Service Policy …………………………………………………………………………………………………….. 1.2 Specifications……………………………………………………………………………………………………… 1.3 Panel Description ………………………………………………………………………………………………… 1.5 ECG-9010K Electrocardiograph …………………………………………………………………… 1.5 Top View ………………………………………………………………………………………….. 1.5 Operation Panel ………………………………………………………………………………… 1.6 Right Side Panel ……………………………………………………………………………….. 1.7 ECG-9020K Electrocardiograph …………………………………………………………………… 1.8 Top View ………………………………………………………………………………………….. 1.8 Operation Panel ………………………………………………………………………………… 1.9 Right Side Panel ……………………………………………………………………………… 1.10 Composition ……………………………………………………………………………………………………… 1.11 ECG-9010K Electrocardiograph …………………………………………………………………. 1.11 ECG-9020K Electrocardiograph …………………………………………………………………. 1.12 Location …………………………………………………………………………………………………………… 1.13 Block Diagram …………………………………………………………………………………………………… 1.14 Connection Diagram ………………………………………………………………………………………….. 1.15
1. GENERAL
Introduction This service manual provides useful information to qualified service personnel to understand, troubleshoot, service, maintain and repair the ECG-9010K/9020K Electrocardiograph (referred to as “the instrument” in this service manual). All replaceable parts or units of this instrument and its optional units are clearly listed with exploded illustration to help you locate the parts quickly. The System test, Adjustment and Setting section in this service manual describes the maintenance that should be performed by qualified service personnel. The Maintenance section in the operator ’s manual describes the maintenance that can be performed by the user. The information in the operator’s manual is primarily for the user. However, it is important for service personnel to thoroughly read the operator’s manual and service manual before starting to troubleshoot, service, maintain or repair this instrument. This is because service personnel needs to understand the operation of the instrument in order to effectively use the information in the service manual.
1. GENERAL
Service Policy Nihon Kohden Corporation’s basic policy for technical service is to replace faulty units, printed circuit boards or parts. We do not support component-level repair of boards and units outside the factory for the following reasons: • A special facility is necessary to repair multi-layer boards because most of the
components on the board are SMD (surface mount devices) and most of the circuits employ a gate array method. • To fulfill safety certification requirements, a special facility is necessary to verify
safety as medical equipment after the power unit is repaired.
Corporation’s distributor, please quote the NK code number and part name which is listed in this service manual, and the name or model of the unit in which the required part is located. This will help us to promptly attend to your needs. • Always use parts and accessories recommended or supplied by
Nihon Kohden Corporation to assure maximum performance from your instrument.
1. GENERAL
Waveform, patient information, recording settings, operation mode, heart rate, QRS sync mark, error message, electrode detachment, noise
Program type, version, date and time, paper speed, sensitivity, lead name, filter, hospital name, patient information, timing mark, event mark, electrode detachment, noise
1. GENERAL Power requirement Line voltage
ECG-9010K: approx. 2.5 kg (with battery), approx. 1.9 kg (without battery) ECG-9020K: approx. 2.9 kg (with battery), approx. 2.1 kg (without battery)
Safety Safety standard: IEC601-1 Amendment 1,2 IEC601-2-25 Type of protection against electric shock: AC power:
Batty power: Internally powered equipment Degree of protection against electric shock: Defibrillator proof type CF applied part when patient cable BJ-901D, BJ-902D or BJ-903D is used Degree of protection against harmful ingress of water: Ordinary equipment Degree of safety of application in the presence of a flammable anaesthetic mixture with air, oxygen or nitrous oxide: Not suitable for use in the presence of a flammable anaesthetic mixture with air, oxygen or nitrous oxide Mode of operation: Continuous
1. GENERAL
Name 1. Operation panel 2. Magazine (recording paper container) 3. Magazine release button
1. GENERAL Operation Panel
Name 4. Battery charge lamp 5. Battery operation lamp 6. AC power lamp 7. POWER key/lamp 8. FEED/MARK key 9. FILTER key/lamp 10. COPY/CAL key/lamp 11. START/STOP key/lamp 12. AUTO/MANUAL key/lamp 13. REST/PERIODIC key/lamp 14. AGE key/lamp 15. SPEED key/lamp 16. GAIN key/lamp 17. LEAD keys/lamp 18. QRS sync lamp
1. GENERAL Right Side Panel
“Panel Descriptions” of the ECG-9010K Operator ’s Manual.
Name 19. Patient input connector 20. EXT-IN connector 21. CRO-OUT 22. SIO connector 23. AC power cord socket 24. Battery compartment 25. Equipotential ground terminal
1. GENERAL
1. Operation panel 2. Magazine (recording paper container) 3. Magazine release button 4 .
1. GENERAL Operation Panel
5. Battery charge lamp 6. Battery operation lamp 7. AC power lamp 8. POWER key/lamp 9. MODE key 10 RHYTHM key/lamp 11. FEED/MARK key 12. FILTER key/lamp 13. COPY/CAL key/lamp 14. START/STOP key/lamp 15. AUTO/MANUAL key/lamp 16. F1, F2, F3 function keys 17. AGE key 18. SEX key
1. GENERAL Right Side Panel
“Panel Descriptions” of the ECG-9020K Operator’s Manual.
19. Patient input connector 20. EXT-IN connector 21. CRO-OUT 22. SIO connector 23. AC power cord socket 24. Battery compartment 25. Equipotential ground terminal
1. GENERAL
To order a replacement assembly above, use the Code No.
To order a replacement component inside an assembly, refer to “Section 7 Replaceablet Parts List”.
1. GENERAL
To order a replacement assembly above, use the Code No.
To order a replacement component inside an assembly, refer to “Section 7 Replaceable Parts List ”.
1. GENERAL
1. GENERAL
Block Diagram NOTE The LCD module and inverter board are used for the ECG-9020K only.
1. GENERAL
Connector No.
NK Code No.
* We cannot provide this cable seperately; we can only provide it as part of a complete Speaker assy. Refer to “Speaker Assy” in Section 8.
Replacement ………………………………………………………………………………………………………. 2.1 Periodic Replacement Schedule …………………………………………………………………… 2.1 Cleaning …………………………………………………………………………………………………………….. 2.2 Cleaning and Greasing Schedules ……………………………………………………………….. 2.2 Cleaning the Paper Mark Sensor and Paper Empty Sensor ……………………………… 2.2 Cleaning the Motor Rotation Sensor and Greasing the Motor Gear and Gear Meshed with Motor Gear …………………………… 2.3
2. MAINTENANCE This section describes the periodic replacement and cleaning of parts which are required to maintain the instrument in good working condition.
Replacement This subsection only describes replacement schedule for parts that need to be periodically replaced. The actual replacement procedures are described in the section for Disassembly and Assembly. Read the whole “Disassembly and Assembly ” section, especially its Warnings and Cautions, before replacing any of the parts described here.
To maintain the performance of the instrument, the parts listed in the table below must be periodically replaced by qualified service personnel.
NK Code No.
* See below.
Lithium battery ** See below.
* Replace the battery when it cannot last for 30 minutes during battery operation at the temperatures between 20 and30 °C. ** Replace the lithium battery on the ECG control board when the No. 08 or 09 system error message appears or after the lithium battery is used for 7 years. The life time of the battery is approx. 7 years.
2. MAINTENANCE
Cleaning and Greasing This subsection describes the cleaning and greasing procedures for parts that must be cleaned and greased by qualified service personnel. The cleaning procedures for parts that can be cleaned by the user are described in the Operator’s Manual.
To maintain the performance of the instrument, the parts listed in the table below must be regularly cleaned or greased.
1. Remove the magazine. The illustration below shows the location of the paper mark sensor and paper empty sensor. 2. Use a piece of cotton moistened with alcohol to clean both sensors.
2. MAINTENANCE
Cleaning the Motor Rotation Sensor and Greasing the Motor Gear and Gear Meshed with Motor Gear
1. Detach the top casing from the bottom casing as described in the “Disassembly and Assembly ” section.
2. Remove the two screws holding the motor assy to the bottom casing and remove the motor assy. 3. Remove the two screws to expose the motor rotation sensor and photodiode.
4. Use a piece of cotton moistened with alcohol to clean the sensor and photodiode. 5. Use a brush to clean the holes in the gear.
2. MAINTENANCE
6. Use EM-50L (NK code No. 547712) grease to grease the motor gear and the gear which directly meshes with the motor gear as shown below.
7. Reattach the MOTOR SENS board to the motor with the two screws. 8. Reattach the motor assy to the bottom casing with the two screws. 9. Reattach the top casing to the bottom casing as described in the “Disassembly and Assembly ” section.
Troubleshooting Flowchart ……………………………………………………………………………………. 3.1 Troubleshooting Table…………………………………………………………………………………………… 3.4 Troubleshooting General Operation Problem ………………………………………………….. 3.4 Troubleshooting Recording Problem ……………………………………………………………… 3.6 System Error Message ………………………………………………………………………………………… 3.7
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE This section describes how to troubleshoot the instrument, using the following: — flowchart — troubleshooting table — system error messages at power-up
Troubleshooting Flowchart Use the troubleshooting flowchart to find the possible sources of a problem.
The power LED is on but there is no LCD display.
Is the LCD backlight on? Yes
No
Is there any response when No any switch is pressed? Yes
Is the cable firmly connected to the CNJ013 connector on the ECG control board?
Yes
The ECG control board is faulty. The Inverter board is faulty.
The ECG control board is faulty.
Check the cable connection to the CNJ012 connector on the ECG control board. Normal The LCD unit is faulty.
Service Manual ECG-9010/9020 Rev A
3.1
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
The power of the instrument does not turn on.
Does the instrument operate during AC power operation?
No
Yes Does the LED of the AC power light?
No
Yes
Check the cable connections to the CNJ013 connector on the ECG control board and the connector on the Inverter board.
The membrane key is faulty. The ECG control board is faulty. The power board is faulty.
Normal Check the F0102 battery fuse on the power board. Normal
The instrument does not operate during battery power operation.
Is the battery charged? Yes
The power board is faulty.
No
Charge the battery.
Check the cable connection to the CN51 connector on the power board. Normal Yes Is the F0102 battery fuse on the power board blown?.
Replace the F0102 battery fuse on the power board.
No The power unit is faulty.
3.2
Service Manual ECG-9010/9020 Rev A
3. TROUBLESHOOTING AND AND SYSTEM ERROR MESSAGE MESSAGE
The recorder does not feed the recording paper when the Start switch is pressed.
Does the LED for the Start No switch light up? Yes Does the recorder print when the recording paper is manually pulled out from under the thermal head?
Does the recorder print in manual mode?
Yes
Normal
No
Does the paper empty mark blink? No
Yes
Check the cable connection to the CNJ036 connector on the ECG control board. Normal
Yes Check the cable connection to the CNJ036 connector on the ECG control board. Normal
The ECG control board is faulty.
The ECG control board is faulty. The paper mark sensor is faulty.
The motor is faulty. faulty. The ECG control board is faulty.
Ser vice Manual ECG-9010/9020 Rev A
3.3
3. TROUBLESHOOTING AND SYSTEM ERROR ERROR MESSAGE
Troubleshoo rouble shooting ting Table Table Use the troubleshooting table to locate, identify and solve a problem in the instrument. The problems are divided into general operation and recording. Each category has its own troubleshooting table for fast and easy troubleshooting.
How to use the troubleshooting table 1. Determin Determinee which trouble troubleshoo shooting ting table table to use. 2. In the “Problem” column find the trouble item that matches the problem. 3. Do the the action action recommen recommended ded in in the “Corrective Action” column. 4. If the problem problem is not solved, solved, do the action action for the next next possible cause cause or criteria. criteria. 5. If none of the actions actions solve solve the problem, problem, contact your your nearest Nihon Nihon Kohden Kohden dealer.
Troubleshooting General Operation Problem Problem
Possible Cause/ Criteria
Action
The power LED lights but there
Faulty connection to the CN012
Check the connection to the CNJ012
is no display or backlight on the
or CNJ013 connector on the ECG and CNJ013 connector on the ECG
LCD screen.
control board.
control board.
Faulty Inverter b oard.
Replac e the Inverter b oard.
Faulty LCD module.
Replace the LCD module.
The instrument does not operate
Blown F011 or F012 power unit
Replace the F011 or F012 power unit
during AC power operation.
fuse.
fuse.
Faulty connection to the CN033
Check the connection to the CNJ033
or CNJ035 connector on the ECG and CNJ035 connector on the ECG
The instrument does not operate
control board.
control board.
Damaged power cord.
Replace the power cord.
Faulty power unit.
Replace the power unit.
Faulty ECG control rol boa board.
Rep Replace the the EC ECG co control rol boa board.
Dama amaged membr mbrane key.
Replac lace the membr mbrane key.
The batte ttery is not ch charg arged.
Charg arge the the ba batter tery.
Blow lown F0 F051 batt attery fus fuse.
Replace th the F0 F051 batt attery fus fuse.
Damaged battery.
Replace the battery.
Faulty connection to the CNJ033
Check the connection to the CNJ033
on battery power.
or CNJ035 connector on the ECG and CNJ035 connector on the ECG control board or the CN031 or
control board and the CN031 and
CN051 connector on the power
CN01 connector on the power unit.
unit.
3 .4
Ser vice Manual ECG-9010/9020 Rev A
3. TROUBLESHOOTING AND AND SYSTEM ERROR MESSAGE MESSAGE
Problem
No key or swi switch operatio tion.
Possible Cause/Criteria
Action
Damaged membrane key.
Repl eplace the membrane key.
Faulty connection to the CNJ033
Check the connection to the
connector on the ECG control
CNJ033 connector on the ECG
board.
control board.
Faulty ECG ECG control rol bo board.
Replace ace the the ECG control rol bo board.
Only certain electrode lead
The electrodes or cables
Make sure that al electrodes and
waveforms are displayed on the
connections from the patient to
cables connection from the patient
screen or noise appears on the
the instrument is not properly
to the instrument are properly
waveform.
connected.
connected.
Faulty ECG ECG control rol bo board.
Replace ace the the ECG control rol bo board.
No electrode lead waveforms are
Electrodes not attached to the
Make sure that the electrodes are
displayed on the screen or noise
patient.
properly attached to the patient.
Faulty ECG ECG control rol bo board.
Replace ace the the ECG control rol bo board.
Vertical and horizontal strips
Faulty connection to the CNJ013
Check the connection to the
appear on the LCD screen at
connector on the ECG control
CNJ013 connector on the ECG
constant intervals.
board.
control board.
Faulty ECG ECG control rol bo board.
Replace ace the the ECG control rol bo board.
Faulty LCD unit.
Replace the LCD unit.
Check the connection to the
Check the connection to the
CNJ032 connector on the ECG
CNJ032 connector on the ECG
control board.
control board.
Faulty spea ker.
Replac e the spea ker assy.
appears on all waveforms.
No sound.
Ser vice Manual ECG-9010/9020 Rev A
3.5
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
Troubleshooting Recording Problem Problem
Possible Cause/Criteria
Action
The recorder does not feed the Dirty paper mark sensor.
Clean the paper mark sensor.
recording paper when the Start switch is pressed. Faulty connection to the CNJ033
Check the connection to theCNJ033
or CNJ036 connector on the ECG and CNJ0336 connectors on the ECG control board.
control board.
Damaged membrane key.
Replace the membrane key.
Faulty ECG control board.
Replace the ECG control board.
Faulty motor.
Replace the motor.
The recording paper is fed but The thermal head is incorrectly
Readjust the position of the thermal
there is no printing.
positioned.
head.
Faulty connection to the CNJ011
Check the connection to the CNJ011
connector on the ECG control
connector on the ECG control board
board or the CN031 connector on and the CN031 connector on the
The paper mark cannot be
the power unit.
power unit.
Faulty thermal head.
Replace the thermal head.
Faulty power unit.
Replace the power unit.
Faulty ECG control board.
Replace the ECG control board.
Dirty paper mark sensor.
Clean the paper mark sensor.
Faulty connection to the CNJ036
Check the connection to the CNJ036
connector on the ECG control
connector on the ECG control board.
detected.
board. Faulty ECG control board.
Replace the ECG control board.
Faulty paper mark sensor board.
Replace the paper mark sensor board.
Sometimes the recorder does
The input protection circuit which Check the electrode attachment to the
not print and blank recording
protects the thermal head from
paper is fed from the recorder. strong noise like hum is rejecting The recording paper tracks
patient, and if necessary, re-position the electrodes so that a good ECG
noisy waveforms.
waveform is displayed.
Dirty thermal head.
Clean the thermal head.
The recording paper is not
Make sure that the recordig paper is
properly set in the instrument.
aligned with the lower recording
zigzag or to one side.
paper guide The thermal head is incorrectly
Readjust the position of the thermal
positioned.
head.
Inaccurate or worn out platen
Replace the magazine assy.
roller.
3.6
Service Manual ECG-9010/9020 Rev A
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
System Error Message During power-up and operation the instrument continuously checks itself for system failure. If a failure is detected, system information and error history are printed on the recording paper and all operations are stopped. System information and error history are also displayed (ECG-9020 only) or printed due to transient noise. After printing the system information and error history, the power of the instrument is automatically turned off.
NOTE If the same system information appears again after restarting the instrument, do not use the instrument until service personnel has corrected the cause of the problem. Sending a copy of the system information to your nearest Nihon Kohden distributor helps us to troubleshoot your problem quickly. System Information Indicates an error number to identify the problem. To solve the problem, do the corrective action described below. Error No.
«00»
Corrective Action
Meaning
Input unit error: An interrupt signal of 2 ms
Replace the ECG control board.
is generated. «01»
Input unit error: There is no response to the
Replace the ECG control board.
host. «02»
Input unit error: Communication protocol
Replace the ECG control board.
error. «03»
4 bit CPU error: Initialization error.
Replace the ECG control board.
«04»
4 bit CPU error: «No response» error.
Replace the ECG control board.
«05»
A key on the operaton panel is short-
Replace the membrane key.
circuited. «06»
RTC error: No interrupt signal of 125 ms.
Replace the ECG control board.
«07»
RTC error: Incorrect data in SRAM.
Replace the ECG control board.
«08»
All the system setup settings other than the
«Error 08» appears once after the lithium
items described in the following note are
battery is replaced. Corrective action is not
returned to the factory initial settings. This
required.
is because the lithium battery is replaced. «09»
Lithium battery is completely discharged.
Replace the lithium battery.
«10»
Bus error.
Replace the ECG control board.
«11»
Address error.
Replace the ECG control board.
Service Manual ECG-9010/9020 Rev A
3.7
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
Error No.
Corrective Action
Meaning
«12»
Illegal command.
Replace the ECG control board.
«13»
Zero division error.
Replace the ECG control board.
«14»
Power off time out.
Replace the ECG control board.
«15»
EEPROM error: This occurs due to the
Replace the ECG control board.
EEPROM check error, installed language error or communication error between the host and EEPROM. «16»
Local language flash memory error.
Replace the ECG control board.
«17»
ECG model error.
Replace the ECG control board.
«18»
Local language is not installed.
Install the local language.
«19»
Local language is not installed.
Install the local language.
Error in memory area for local language.
Re-install the local language.
Local language text file version does not
Install the local language text file which is
match the ECG software version.
the same version as the ECG software.
ECG interpretation error (Time over).
Check the input waveforms. If any noise is
«20»
«21»
superimposed on the waveforms, find and eliminate the cause. If no noise is superimposed on the waveform, replace the ECG control board. «22»
The entered information does not match the
Replace the ECG control board.
data in the flash memory.
NOTE •
“Error 05” also appears when any key on the operation panel is pressed and held down.
•
When “Error 08” appears, the following settings are not reset to the factory initial settings even if the instrument is initialized. — display language
—
hum filter
— hospital name
—
direct/modem connection
— recording resolution setting —
cue mark position
— elapsed time
local language font
—
— saved ECG data
3.8
Service Manual ECG-9010/9020 Rev A
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
Error History Indicates the latest three errors and the date of the latest error, as in the example below. ********** System Information ********** Error number:
15
Date:
Apr 20, 1998 10:41 AM
Program:
9020K
Version:
01-00 01-01 01-01
********** Error History ********** No.1
Error number: 15 Apr 20, 1998 10:30 AM
No.2
Error number: 15
No.3
Error number: 15
NIHON KOHDEN Mon Apr 20, 10:41 11 JST 1998
Service Manual ECG-9010/9020 Rev A
3.9
Section 4
System Test, Adjustment, And Setting
System Test ……………………………………………………………………………………………………….. 4.1 Overall ……………………………………………………………………………………………………… 4.1 Calling up the Test Level 1 …………………………………………………………………………… 4.2 Calling up the Test Level 2 …………………………………………………………………………… 4.3 Entering the System Test Number ………………………………………………………………… 4.4 Executing the System Test …………………………………………………………………………… 4.5 Quitting the System Test ……………………………………………………………………………… 4.6 Exiting the System Test Mode ………………………………………………………………………. 4.6 Demonstration ……………………………………………………………………………………………………. 4.7 Recorder ……………………………………………………………………………………………………………. 4.8 Thermal Head …………………………………………………………………………………………………… 4.11 Key ………………………………………………………………………………………………………………….. 4.12 Memory……………………………………………………………………………………………………………. 4.13 Single Memory Test Mode …………………………………………………………………………. 4.14 Continuous Memory Test Mode ………………………………………………………………….. 4.14 LCD/LED ………………………………………………………………………………………………………….. 4.15 Input Unit …………………………………………………………………………………………………………. 4.17 Calibration ………………………………………………………………………………………………………… 4.18 Communication …………………………………………………………………………………………………. 4.19 CRO/EXT1 ……………………………………………………………………………………………………….. 4.21 System Setup Initialization ………………………………………………………………………………….. 4.23 ECG Findings List Recording………………………………………………………………………………. 4.24 Recording Resolution Setting ……………………………………………………………………………… 4.25 Cue Mark Adjustment ………………………………………………………………………………………… 4.26 Date and Time Setting ……………………………………………………………………………………….. 4.28 Setting the Date and Time …………………………………………………………………………. 4.28
Service Manual ECG-9010/9020 Rev A
4C.1
4. SYSTEM TEST, ADJUSTMENT AND SETTING This section describes: •
how to check the operation of the instrument in the System Test mode.
•
how to output the ECG findings list in the System Test mode.
•
how to initialize the system in the System Test mode.
•
how to adjust the thermal head recording resolution and recording paper cutting position in the System Test mode.
•
how to set date and time in the System Setup mode.
System Test Overall
The instrument has two System Test modes: Test level 1 for operator and Test level 2 for qualified service personnel. The test items marked with * perform the same test in Test levels 1 and 2. Each Test level consists of the following system t est items: Test level 1
Test level 2
•
Demonstration
•
Recorder
•
Recorder
•
Thermal head
•
Key*
•
Recording resolution setting
•
Memory*
•
Key*
•
LCD/LED*(1)
•
Memory (single)*
•
Input unit*
•
Memory (continuous)
•
Calibration*
•
LCD/LED*(1)
•
Communication*
•
Input unit*
•
CRO/EXT1*
•
Calibration*
•
System Setup Initialization*
•
Communication*
•
ECG Findings List Recording
•
CRO/EXT1*
•
System Setup Initialization*
•
Cue mark adjustment
(1)
LCD is checked for the ECG-9020K only.
NOTE In the description of some test items in this section, whenever it is appropriate, a description of the source of problem and its corrective action will be described in table form for fast and easy troubleshooting. If none of the actions solve the problem, contact your Nihon Kohden representative.
Service Manual ECG-9010/9020 Rev A
4.1
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Calling up the Test Level 1
1. If the power is on, turn it off.
NOTE Release the FEED/MARK key immediately after the instrument starts printing. If you continue to hold the FEED/MARK key for more than 15 seconds, the instrument recognizes that the FEED/MARK key is short-circuited and prints the system information “Error 05” at the end of printing. 2. Press the POWER key while pressing the FEED/MARK key. Hold the FEED/ MARK key until the instrument begins to print the system test procedure, relationship between the input number and its corresponding key name on the operation panel and system test number li st as shown below. The Test level 1 is called up and the instrument is in standby mode for entering the system test number. (The System Test screen appears for the ECG-9020K only as shown below.) To cancel printing the following information, press the START/STOP key. The only difference between the ECG-9010K and ECG-9020K printouts is the description of the key explanation. Printout (ECG-9020K) System Test 1: To check system, press system test number, then press START/STOP key. 2: To quit the test, press AUTO/MANUAL key. Key Explanation 0: COPY/CAL 1: F1 2: F2 3: F3 4: AGE 5: SEX 6: MODE 7: RHYTHM 8: FEED/MARK 9: FILTER
Test level 1 Demonstration Recorder Key Memory LCD/LED Input unit Calibration Communication CRO/EX1 System Setup Initialization ECG Findings List Recording
[00] [01] [02] [03] [04] [05] [06] [07] [08] [10] [11]
Sytem Test Screen (ECG-9020K)
4.2
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Calling up the Test Level 2
1. If the power is on, turn it off.
NOTE Release the FEED/MARK key immediately after the instrument starts printing. If you continue to hold the FEED/MARK key for more than 15 seconds, the instrument recognizes that the FEED/MARK key is short-circuited and prints the system information “Error 05” at the end of printing. 2. Press the POWER key while pressing the FEED/MARK and AUTO/MANUAL keys together. Hold the FEED/MARK and AUTO/MANUAL keys until the instrument begins to print the system test procedure, relationship between the input number and its corresponding key name on the operation panel and system test number list as shown below. The Test level 2 is called up and the instrument is in standby mode for entering the system test number. (The System Test screen appears for the ECG-9020K only as shown below.) To cancel printing the following information, press the START/STOP key. The only difference between the ECG-9010K and ECG-9020K printouts is the description of the key explanation. Printout (ECG-9020K) System Test 1: To check system, press system test number, then press START/STOP key. 2: To quit the test, press AUTO/MANUAL key.
Test level 2 Recorder Thermal head Recording resolution setting Key Memory (single) Memory (continuous) LCD/LED Input unit Calibration Communication CRO/EXT1 System Setup Initialization
Key Explanation 0: COPY/CAL 1: F1 2: F2 3: F3 4: AGE 5: SEX 6: MODE 7: RHYTHM 8: FEED/MARK 9: FILTER
[00] [01] [02] [03] [04] [05] [06] [07] [08] [09] [10] [12]
Cue mark adjustment (−4.0 mm) Cue mark adjustment (−3.5 mm) Cue mark adjustment (−3.0 mm) Cue mark adjustment (−2.5 mm) Cue mark adjustment (−2.0 mm) Cue mark adjustment (−1.5 mm) Cue mark adjustment (−1.0 mm) Cue mark adjustment (−0.5 mm) Cue mark adjustment ( 0 mm) Cue mark adjustment (−0.5 mm) Cue mark adjustment (−1.0 mm) Cue mark adjustment (−1.5 mm) Cue mark adjustment (−2.0 mm) Cue mark adjustment (−2.5 mm) Cue mark adjustment (−3.0 mm) Cue mark adjustment (−3.5 mm) System Setup transfer System Setup receiver Reset elapsed time Download font
[13] [14] [15] [16] [17] [18] [19] [20] [21] [22] [23] [24] [25] [26] [27] [28] [29] [30] [31] [32]
Sytem Test Screen (ECG-9020K)
Service Manual ECG-9010/9020 Rev A
4.3
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Entering the System Test Number
Use the following keys on the operation panel to enter a 2-digit number for executing the desired system test. The specified system test numbers are indicated in the [ xx] bracket at the right of each system test item on the printout output when the Test level 1 or 2 is called up. Refer to the “Calling up the Test Level X ” section. To delete the entered number, press the AUTO/MANUAL key. To delete a 2-digit number, press the AUTO/MANUAL key twice. At this time, the ones digit number is deleted before the tens digit number is deleted. ECG-9010K Keys and Corresponding Number Values
Number
Key
Number
Key
0
GAIN
5
SPEED + GAIN
1
LEAD < (left arrow)
6
SPEED + LEAD < (left arrow)
2
LEAD > (right arrow)
7
SPEED + LEAD > (right arrow)
3
FEED/MARK
8
SPEED + FEED/MARK
4
FILTER
9
SPEED + FILTER
Operation panel
9010 Program sheet
For easy reference, place the provided 9010 Program sheet on the operation panel.
ECG-9020K Keys and Corresponding Number Values
Number
Key
Number
0
COPY/CAL key
5
SEX key
1
F1 function key
6
MODE key
2
F2 function key
7
RHYTHM key
3
F3 function key
8
FEED/MARK key
4
AGE key
9
FILTER key
1
2
6 4.4
Key
7
3
8
4
9
5
0
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Executing the System Test
Press the START/STOP key. For some tests, the System Test screen is displayed during the test as shown below (ECG-9020K only). System Test Screen (ECG-9020K)
If you entered an unspecified number, an alarm occurs. The alarm indication is different between the ECG-9010K and ECG-9020K as follows: •
ECG-9010K:
8 repeating “pips” alarm sound is generated.
•
ECG-9020K:
8 repeating “pips” alarm sound and the “Invalid number. Please re-enter number” error message is displayed as shown below.
To re-enter the system test number, do either of the folowing: •
Delete the previously entered number by pressing the AUTO/MANUAL key.
•
Enter the system test number by overwriting the previously entered number.
Service Manual ECG-9010/9020 Rev A
4.5
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Quitting the System Test
The procedures to quit each system test vary from test to test. Some tests automatically end after an alarm sound is generated or a printout is output. Refer to the following explanations for each test. After quitting each test, the instrument returns to the standby mode for entering the system test number. After a system test is completed, you can execute other system test without exiting the System Test mode .
Exiting the System Test Mode
4.6
After all desired system tests are finished, press the POWER key.
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Demonstration This is used to learn or teach instrument operation. While executing this test item, the instrument generates dummy 12 lead ECG resting waveforms until the power of the instrument is turned off. The ECG waveforms can be recorded and also displayed as shown below (ECG-9020k only).
Procedure Enter the system test number [00] (Test level 1) and press the START/STOP key. To quit the test, turn the power of the instrument off by pressing the POWER key. Dummy 12 lead ECG resting waveforms on LCD
Service Manual ECG-9010/9020 Rev A
4.7
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Recorder This is used to check the condition of the recorder by printing test patterns. The recording test patterns consist of the following and are printed in the following order: 1. Diagonal lines 2. Characters H and X (Test level 1 only) 3. Grid 4. Paper speed scales (10, 12.5, 25 and 50 mm/s) 5. Paper mark detection The recorder test of Test level 1 contains the same recorder test and thermal head test as Test level 2. With regard to the check procedure for characters H and X, refer to the “Thermal Head” section.
Procedure Enter the system test number [01] (Test level 1) or [00] (Test level 2) and press the START/STOP key. The following test patterns are printed. This test automatically ends after the folowing has been printed. The instrument returns to the standby mode for entering the system test number. Printout of Test level 1
Not printed in Test level 2. Refer to the “Thermal Head” section for this check. Paper mark
Small rectangle printed when the paper mark is detected. 4.8
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING Check Procedure for Diagonal Lines Check that all the diagonal lines are evenly and completely printed.
Corrective Action
Possible Source of Problem
A dirty thermal head can cause some parts to be unevenly or incompletely printed.
1. Clean the thermal head with the thermal head cleaner pen. 2. If this does not fix the problem, replace the thermal head.
A faulty thermal head can cause some parts at a certain position to be unevenly or incompletely printed.
1. Clean the thermal head with the thermal head cleaner pen. 2. If this does not fix the problem, replace the thermal head.
Check Procedure for Grid Check that all the parts of the grid are clearly, evenly and completely printed. Corrective Action
Possible Source of Problem
A faulty ECG control board can cause all or Replace the ECG control board. some parts to be unclear, unevenly or incompletely printed.
Check Procedure for Paper Speed Scales Check that the accuracy of each paper speed during actual recording is within 2%. The scales for 4 seconds at 10 mm/s and 12.5 mm/s paper speeds and the scales for 2 seconds at 25 mm/s and 50 mm/s paper speeds are consecutively printed. For example, the length for 4 seconds on the time scale printed at 10 mm/s paper speed must be within 39.2 mm to 40.8 mm. Corrective Action
Possible Source of Problem
Badly positioned thermal head.
1. Adjust the thermal head position. 2. If this does not fix the problem, replace the thermal head.
Damaged, deformed or badly positioned
1. Check the motor gear and its position.
motor gear.
2. If this does not fix the problem, replace the motor gear.
Dirty motor rotation sensor.
Clean the motor rotation sensor as described in the «Maintenance» section.
Loose or damaged axle.
Tighten and check the axle as described in the «Disassembly and Assembly» section.
Faulty motor.
Replace the motor.
Faulty ECG control board.
Replace the ECG control board.
Service Manual ECG-9010/9020 Rev A
4.9
4. SYSTEM TEST, ADJUSTMENT AND SETTING Check Procedure for Paper Mark Detection In one complete recorder test, a small rectangle is printed near each paper mark if the paper mark is correctly detected by the mark sensor. (Refer to “Cleaning and Greasing ” in Section 2 for the location of the mark sensor.) Check that a small rectangle is printed before each paper mark on the second and third pages only. Corrective Action
Possible Source of Problem
If the paper mark is not occasionally
Clean the paper mark sensor as described
detected, the paper mark sensor is dirty.
in the «Maintenance» section.
If the paper mark is not detected at all, the
Replace the paper mark sensor board.
paper mark sensor board is faulty.
About paper mark Every page of recording paper has a paper mark at the lower right corner. Pages are divided by broken lines. In the automatic recording, the recording stops after the paper mark is detected by the mark sensor. This enables the next printing to start from the beginning of the next page.
Broken line Paper feed direction Small rectangle Paper mark
4.10
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Thermal Head This is used to check the condition of the thermal head by printing out the characters “H” and “X” continually.
Procedure Enter the system test number [01] (Test level 2) and press the START/STOP key. The characters “H” and “X” are printed as follows. To quit the test, press the AUTO/MANUAL key and the instrument returns to the standby mode for entering the system test number. Printout of Thermal Head Test Result
H H H H H H H H H H H H H
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
H H H H H H H H H H H H H
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
H H H H H H H H H H H H H
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
H H H H H H H H H H H H H
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
H H H H H H H H H H H H H
XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX XXXXX
Check Procedure for Characters H and X Check that all the parts of the characters “H” and “X” are clearly, evenly and completely printed and that the characters are not printed zigzag or diagonally. Corrective Action
Possible Source of Problem
Incorrectly set thermal head recording
Adjust the thermal head recording resolution
resolution setting.
as described in this section.
Faulty cable connection to the CNJ011
Check the cable connections to the CNJ011
connector on the ECG control board or the
connector on the ECG control board and the
CN031 connector on the power unit.
CN031 connector on the power unit.
Faulty power unit.
Replace the power unit.
Badly positioned recorder component.
Check and adjust the recorder component position.
Service Manual ECG-9010/9020 Rev A
4.11
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Key This is used to check the condition of the keys on the operation panel.
Procedure 1. Enter the system test number [02] (Test level 1) or [03] (Test level 2) and press the START/STOP key. 2. Press the key on the operation panel. The name of the pressed key is printed if the key is functioning correctly. To quit the test, press the AUTO/MANUAL key. The instrument returns to the standby mode for entering the system test number.
NOTE The POWER and AUTO/MANUAL keys cannot be checked by this test. To check if these two keys are functioning correctly, do the following: •
POWER key Check that the power of the instrument is on or off when the POWER key is turned on or off.
•
AUTO/MANUAL key Check that the Key test is stopped by pressing the AUTO/MANUAL key.
Check Procedure for Operation Panel Key Check that the name of the pressed key is printed. Possible Source of Problem
Damaged membrane key.
4.12
Corrective Action
Replace the membrane key.
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Memory This is used to check the condition of the memory by comparing the data of the test patterns written to and read from each memory area. The instrument provides two memory test modes: single and continuous. When single memory test mode is selected, entire memory is tested once. When continuous memory test mode is selected, the memory is continuously tested until the AUTO/MANUAL key is pressed. The number of “Count of test ” increases by one each time the entire memory test is tested. One complete memory test takes about 30 seconds. If no fault is detected, an “OK” message appears for each memory. If a fault is detected, an “Error” message appears and the number of “Error count” for each memory increases by one.
Printout of Memory Test Result
Memory test result (Count of test:
1)
Main memory (BIT/ADR) Recorder memory (BIT/ADR) VRAM (BIT/ADR) Program ROM Flash memory Input unit SRAM Input unit ROM Input unit EEPROM File memory
OK Error (E88004/000000h) Error (C10000h/C10004h) OK NONE Error OK OK Error
Hospital Model Version Input unit version Analizing version Date Cardiograph internal temp
NIHON KOHDEN HOSPITAL 9020K 01-01 01-01 01-01 Apr 24, 1998 10:41 AM 46.5 C
Elapsed time Thermal head temperature Battery voltage
0 hours 36.0 C 13.4 V
Service Manual ECG-9010/9020 Rev A
Error count 0 1 1 0 0 1 0 0 1
4.13
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Single Memory Test Mode
This mode tests the entire memory once. You can use this mode to fully check all memory if a memory problem frequently occurs.
Procedure Enter the system test number [03] (Test level 1) or [04] (Test level 2) and press the START/STOP key. After the test, the test result is automatically printed. When the test result is completely printed, a “bing bong” alarm sound is generated and instrument returns to the standby mode for entering the system test number. To cancel the test or cancel printing the test result, press the AUTO/MANUAL key.
Check Procedure for Single Memory Test Mode Check that no “Error” messages appear. Corrective Action
Possible Source of Problem
Faulty memory on the ECG control board.
Replace the ECG control board. Each memory mounted on the ECG control board cannot be replaced at memory component level.
Continuous Memory Test Mode
This mode continues testing the entire memory until the AUTO/MANUAL key is pressed. You can use this mode to check an intermittent memory problem.
Procedure Enter the system test number [05] (Test level 2) and press the START/STOP key. To print the test result without quitting the test, press the START/STOP key. All results of the tests performed until the START/STOP key are pressed is printed on one page. To cancel the test, press the AUTO/MANUAL key. All results of the tests performed until the START/STOP key is pressed are printed on one page. When the test result is completely printed, 8 repeating “pips” alarm sound is generated and the instrument returns to the standby mode for entering the system test number.
Check Procedure for Continuous Memory Test Mode Check that no “Error” messages appear. Corrective Action
Possible Source of Problem
Faulty memory on the ECG control board.
Replace the ECG control board. Each memory mounted on the ECG control board cannot be replaced at memory component level.
4.14
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
LCD/LED This is used to check all LEDs on the operation panel, LED/LCD control circuit and all dots on the LCD (ECG-9020K only). First, the LCD test starts and after the LCD test is complete, the LED test starts. The LCD test is not performed for the ECG-9010K.
LCD Test (ECG-9020K only) The LCD displays the following four types of test patterns every two seconds in the following order: 1. Diagonal lines are displayed. 2. Entire LCD lights up. 3. LCD is completely dark but backlight lights. 4. Backlight does not light. The LCD image for each pattern changes as follow:
1
2
4
3
LED Test The LEDs on the operation panel light up by one and remain lit until all LEDs light up. After all LEDs light up, they go out at a time.
NOTE With regard to the LEDs of Battery charge lamp, AC power lamp and POWER lamp, check if they are in the following condition during the LED/LCD test: •
Battery charge lamp:
Not lit (This lamp indicates the remaining battery power before and after the LED test during battery operation.)
Service Manual ECG-9010/9020 Rev A
•
AC power lamp:
Lit
•
POWER lamp:
Lit when AC power is used
4.15
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Procedure Enter the system test number [04] (Test level 1) or [06] (Test level 2) and press the START/STOP key. After the test, the instrument returns to the standby mode for entering the system test number. To cancel the test, press the AUTO/MANUAL key.
Check Procedure for LCD Test Check that all the dots on the screen light up and go out according to the test pattern. Possible Source of Problem
Corrective Action
Faulty cable connection to the CNJ012 or
Check the cable connections to the CNJ012
CNJ013 connector on the ECG control
and CNJ013 connectors on the ECG control
board.
board.
Faulty LCD module.
Replace the LCD module.
Faulty ECG control board.
Replace the ECG control board.
Check Procedure for LED Test Check that all the LEDs on the operation panel light up. Corrective Action
Possible Source of Problem
4.16
Faulty cable connection to the CNJ012 or
Check the cable connections to the CNJ012
CNJ013 connector on the ECG control
and CNJ013 connectors on the ECG control
board.
board.
Damaged membrane key.
Replace the membrane key.
Faulty ECG control board.
Replace the ECG control board.
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Input Unit This is used to check if the input analog signal processing circuit detects the lead off condition correctly, using the provided input check jig. If each lead is connected when the input analog signal processing circuit works correctly, the “Normal” message is printed at the right of each electrode lead name in the test
result. If a lead is not connected, the “Error” message is printed. The following is an example printout of the input unit test result when the R(RA) lead is disconnected. Input unit test result RF (RL) R (RA) L (LA) F (LL) C1 C2 C3 C4 C5 C6
Normal Error Normal Normal Normal Normal Normal Normal Normal Normal
Procedure 1. Connect the electrode lead to the instrument. 2. Attach all tips of each electrode lead to the input check jig.
Input check jig
3. Enter the system test number [05] (Test level 1) or [07] (Test level 2). 4. Disconnect one of the leads from the check jig and press the START/STOP key. The disconnected lead name is printed out. 5. Repeat steps 3 and 4 for all leads by one. To quit the test, press the AUTO/MANUALl key. The instrument returns to the stanby mode for entering the system test number.
Check Procedure for Input Unit Test Check that the lead off condition is detected correctly. Possible Source of Problem
Corrective Action
Faulty ECG control board.
Replace the ECG control board.
Faulty input check jig.
Replace the input check jig.
Service Manual ECG-9010/9020 Rev A
4.17
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Calibration This is used to check the sensitivity and time constant of the input analog signal processing circuit. After starting the test, the CAL waveforms for leads I, II and V1 to V6 are printed as shown below. If all the rectangular printed CAL waveforms have the amplitude of 1 mV and time constant of more than 3.2 seconds, the sensitivity and time constant of the input analog signal processing circuit are normal.
Procedure Enter the system test number [06] (Test level 1) or [08] (Test level 2) and press the START/STOP key. After all CAL waveforms for eight leads are printed, the test automatically ends and the instrument returns to the standby mode for entering the system test number. To cancel the test, press the START/STOP key or AUTO/MANUAL key. The instrument returns to the standby mode for entering the system test number.
Check Procedure for Calibration Waveforms Check that all the rectangular printed CAL waveforms match the following conditions in the illustration below: •
Amplitude when CAL waveform is risen:
10 mm±2%
•
Amplitude of point which is 25 mm :
more than 7.3 mm
from the rising point of the CAL waveform
more than 7.3 mm
10 mm±2%
25 mm Possible Source of Problem
Faulty ECG control board.
4.18
Corrective Action
Replace the ECG control board.
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Communication This is used to check the external communication input/output line of the instrument, using the check jig. The instrument has one standard communication connector (SIO). This test is performed by comparing the original test patterns sent from the output line with the test patterns received at the input line. If any received test pattern is different from its original, a “Error” message is printed. A “Normal” message is printed if the communication line is normal. With regard to TxD-RxD line, if the same data is printed, the line is normal. Every time the test of one set is repeated, the number of “Count of test” increases by one. Every time the error is detected during continuous test, the “Error count” increases by one. The test of one set takes about 5 seconds. The following is an example printout of the communication test result. Communication test result (Count of test:
1) Error count 0
DTR-DSR: RTS-CTS: TxD: RxD: Hospital Model Version Input unit version Analizing version Date Cardiograph internal temp
Normal Normal 00 00 NIHON KOHDEN HOSPITAL 9020K 01-01 01-01 01-01 Apr 24, 1998 10:41 AM 46.5 C
Preparation A locally made check jig is required for the test. To make the check jig, short-ciruit the pins as shown below.
Connector Pin Assigment 1.
FG
2.
TXD
3.
RXD
4.
RTS
5.
CTS
6.
DSR
7.
GND
8.
HS
9.
DTR
Mating Connector Connector:
HDEB-9PF (05)
Case:
HDE-CTH
Service Manual ECG-9010/9020 Rev A
4.19
4. SYSTEM TEST, ADJUSTMENT AND SETTING Procedure 1. Connect the check jig to the SIO socket of the instrument. 2. Enter the system test number [07] (Test level 1) or [09] (Test level 2) and press the START/STOP key. The instrument prints the test result of each test if the instrument detects an “Error”.
To print the test result without quiting the test, press the START/STOP key. The results of all tests performed until the START/STOP key are pressed are printed. You can see the test number and the number of errors on “Count of test” and “Error count” on the printout, respectively.
To quit the test, pr ess the AUTO/MANUAL key. The instrument prints the results of all tests performed until the AUTO/MANUAL key is pressed. When the test result is completely printed, 8 repeating “pips” sound is generated and the instrument returns to the standby mode for entering the system test number.
Check Procedure for Serial Communication Check that no error messages appear.
Possible Source of Problem
Faulty ECG control board.
4.20
Corrective Action
Replace the ECG control board.
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
CRO/EXT1 This is used to check the external output/input terminal, using the check jig. The instrument has the input signal terminal (EXT-IN connector) and output signal terminal (CRO-OUT connector) at the rear of the instrument. In this test, the instrument prints the known triangular waveform signals generated inside the instrument at the lower trace on the recording paper the moment the instrument outputs the signals from the CRO-OUT terminal to the EXT-IN connector. At the same time, the instrument prints the triangular waveform signals input to the EXT-IN connector at the upper trace on the recording paper. There is no delay time between the printed waveforms on the upper and lower traces. The following is an example printout of the CRO/EXT1 test result.
Preparation A locally made check jig is required for the test. To make the check jig, use the two 3.5φ monaural jacks and leads and solder the signal line and ground line of the two jacks with leads as shown below.
Signal line
Ground line
Service Manual ECG-9010/9020 Rev A
4.21
4. SYSTEM TEST, ADJUSTMENT AND SETTING Procedure 1. Connect the check jig to the CRO-OUT/EXT-IN sockets of the instrument. 2. Enter the system test number [08] (Test level 1) or [10] (Test level 2) and press the START/STOP key. To quit the test, press the START/STOP key or AUTO/MANUAL key. The instrument returns to the standby mode for entering the systme test number.
Check Procedure Check that the shape of the two printed triangular waveforms are the same and there is no delay time between them. Possible Source of Problem
Faulty ECG control board.
4.22
Corrective Action
Replace the ECG control board.
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
System Setup Initialization This is used to reset all the system settings to the factory initial settings.
NOTE The following settings are not reset to the factory initial settings even if the instrument is initialized. •
date and time*
•
recording resolution setting* • hospital name**
•
cue mark position*
•
direct/modem connection**
•
elapsed time
•
local language font
•
saved ECG data
•
display language**
For settings marked with *, refer to the following corresponding subsection in this section; for settings marked with **, refer to “Changing Settings Before Measurement (System Setup Screen)” in the ECG-9010K/9020K operator’s manual.
Procedure Enter the system test number [10] (Test level 1) or [12] (Test level 2) and press the START/STOP key. If the initialization is completed, the folloing occurs: •
ECG-9010K: One “bing bong” alarm sound is generated and the instrument returns to the stanby mode for entering the system test number.
•
ECG-9020K: A “System Setup Initialization” message appears with one “bing bong” alarm sound and the instrument returns to the stanby mode for entering the system test number.
Refer to the ECG-9010K/9020K operator ’s manual for the factory initial settings. Following is the LCD display after the system has been initialized.
Service Manual ECG-9010/9020 Rev A
4.23
4. SYSTEM TEST, ADJUSTMENT AND SETTING
ECG Findings List Recording This is used to print out the list of all ECG findings used for the instrument. The instrument informs you of the ECG finding as a result of the ECG interpretation when analyzing the ECG.
Procedure Enter the system test number [11] (Test level 1) and press the START/STOP key. When the list is completely printed, one “bing bong” alarm sound is generated and the instrument returns to the standby mode for entering the system test number. To cancel printing the list, press the START/STOP key or AUTO/MANUAL key. The instrument returns to the standby mode for entering the system test number.
4.24
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, TEST, ADJUSTMENT AND SETTING
Recording Resolution Setting This is used to adjust the thermal head recording resolution after the thermal head is replaced with a new one or when the printout is not clearly, evenly and completely printed. Normally, the resistor value of the heating element on the thermal head is a specific value which varies from thermal head to thermal head. Even if the same energy is applied to the thermal head, the recording quality varies due to the difference of the thermal head resistor value. value. Therefore, adjusting the thermal head recording resolution is required to evenly print regardless of the thermal head resistor value. Do the following procedure to automatically adjust the thermal head recording resolution.
Procedure Enter the system test number [02] [0 2] (Test level 2) and press the START START/STOP /STOP key. After adjustment is completed, the instrument prints out the test result as shown below and returns to the stanby mode for entering the system test number. A number of 1 to 8 is printed at the right of “Thermal head level ” if the thermal head resolution is adjusted correctly. An “Error” is printed when it is necessary that the thermal head is replaced with a new one. The following is an example printout of the Recording Resolution Setting system test.
Thermal head level: 4
Ser vice Manual ECG-9010/9020 Rev A
4.25
4. SYSTEM TEST, TEST, ADJUSTMENT AND SETTING
Cue Mark Adjustment This is used to adjust the distance (mm) between the broken line on the recording paper and paper cutting part on the top casing so that the paper can be just cut at the broken line. The ideal adjustment is that the broken line on the paper lines up with the cutting part on the top casing when cutting the paper.
Procedure 1. Enter the system system test number [21] (Test (Test mode 2) and press the STAR START/STOP T/STOP key to verify the distance between the broken line on the paper and the paper cutting part. The instrument feeds the recording paper with the “Cue mark adjustment (0.0 mm)” message and stops feeding it after a paper mark is detected. The right edge of the paper mark against the paper tracking direction lines up the broken line on the paper. 2. Put the paper to to the paper cutting cutting part as as if the paper paper was cut as shown shown below. below. If the broken line lines up the paper cutting part, you do not have to perform this adjustment. If there is a deviation between the broken line and paper cutting part, go to step 3.
Paper cutting part
Tracking direction Broken line
Paper mark
3. Mark the point where where the paper paper is at the paper paper cutting part. part. 4. Measure the distance distance (mm) between between the broken line line and marked marked point. point.
Measure direction. Marked point
Tracking direction
Apply “+” to
Apply “−” to
measured value.
measured value. Broken line Paper mark
5. Apply Apply the plus plus symbo symboll “+” to the measured value when the marked point is before the broken line against the tracking direction of paper or minus symbol “−” to the measured number when the marked point is behind the broken line.
The resulting value is recognized as the adjustment value.
4.26
Ser vice Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, TEST, ADJUSTMENT AND SETTING
The following is a list of the relationship between the adjustment value and its corresponding system test number you should execute.
System Test
Adjustment
System Test
Adjustment
No.
Value (mm)
No.
Value (mm)
[13]
− 4.0
[ 21 ]
0.0
[14]
− 3.5
[22]
+ 0.5
[15]
− 3.0
[23]
+ 1.0
[16]
− 2.5
[24]
+ 1.5
[17]
− 2.0
[25]
+ 2.0
[18]
− 1.5
[26]
+ 2.5
[19]
− 1.0
[27]
+ 3.0
[20]
− 0.5
[28]
+ 3.5
6. Enter Enter the appropr appropriate iate syste system m test numbe numberr [ xx] and press the START/STOP key. The “Cue mark adjustment [ xxx mm]” message is printed and the instrument returns to the standby mode for entering the system test number. number. The adjustment is completed. 7. Verify that the broken broken line line on the paper lines lines up with the the cutting part part on the top casing.
Ser vice Manual ECG-9010/9020 Rev A
4.27
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Date and Time Setting The date and time of the instrument are set in the System Setup mode. In the System Setup mode, you can also set the entire system settings of the instrument which determines the operation conditions of the instrument. Refer to the ECG9010K/9020K operator’s manual for details. This setting is necessary when the back-up battery (lithium battery) is completely or almost completely discharged or replaced with a new one. The life time of the back-up battery is about 7 years. You can note whether the back-up battery is completely or almost discharged by the system error message. Refer to the “System Error Message ” section in Section 3.
Setting the Date and Time
1. Call up the System Setup mode 1) If the power is on, turn it off.
NOTE Release the FEED/MARK key immediately after the instrument starts printing. If you continue to hold the FEED/MARK key for more than 15 seconds, the instrument recognizes that the FEED/MARK key is short-circuited and prints the system information “Error 05” at the end of printing. 2) Press the POWER key while pressing the COPY/CAL key. Hold the COPY/ CAL key until the instrument begins to print the list of the system setup settings. The System Setup mode is called up. To cancel printing the list, press the START/STOP key. 2. Enter a 3-digit number to call up the stanby mode for entering the new numbers for year, month/date, hour/minute or second, respectively. Refer to the “Entering the System Test Number ” in this section for entering the numbers.
Following is the LCD screen when the year setting mode is called up.
4.28
Service Manual ECG-9010/9020 Rev A
4. SYSTEM TEST, ADJUSTMENT AND SETTING
Year
Enter the system setup number [318]. Month/date
Enter the system setup number [319]. Hour/minute
Enter the system setup number [320]. Second
Enter the system setup number [322]. To cancel the entered number, press the AUTO/MANUAL key.
NOTE You cannot enter numbers for “second” setting. 3. Enter a 4-digit number to enter the new numbers of the year, month/date or hour/minite. The range of the number which is possible to enter is as follows: Year
[1980] to [2079] Month/date
[0101] to [1231] Hour/minute
[0000] to [2359] To cancel the entered number, press the AUTO/MANUAL key. Following is the LCD screen when the year “1998” is entered.
Service Manual ECG-9010/9020 Rev A
4.29
4. SYSTEM TEST, ADJUSTMENT AND SETTING
NOTE • If the START/STOP key is pressed in the “second” setting mode, the
second is reset to “00” seconds and the instrument starts working from “00” seconds. • If the power of the instrument is turned off before the START/STOP
key is pressed, the newly entered numbers are invalid. 4. Press the START/STOP key to save the new numbers. The newly entered numbers are automatically printed. Following is the LCD screen when year “1998” is saved.
If you entered an unspecified number, an alarm occurs. The alarm indication is different between the ECG-9010K and ECG-9020K as follows: •
ECG-9010K: 8 repeating “pips” alarm sound is generated.
•
ECG-9020K: 8 repeating “pips” alarm sound and the “Invalid number. Please re-enter number” error message is displayed.
To re-enter the system test number, do either of the folowing: •
Delete the previously entered number by pressing the AUTO/MANUAL key.
•
Enter the system test number by overwriting the previously entered number.
5. Repeat steps 2 to 4 to enter the new numbers for the other setting. 6. Turn the power of the instrument off to exit the System Setup mode.
4.30
Service Manual ECG-9010/9020 Rev A
Section 5
Board/Unit Description
Block Diagram …………………………………………………………………………………………………….. 5.1 Power Unit ………………………………………………………………………………………………………….. 5.2 ECG Control Board ……………………………………………………………………………………………… 5.2 Flash ROM Board ……………………………………………………………………………………………….. 5.3 Inverter Board …………………………………………………………………………………………………….. 5.3
Service Manual ECG-9010/9020 Rev A
5C.1
5. BOARD/UNIT DESCRIPTION
Block Diagram NOTE The LCD module and inverter board are used for the ECG-9020K only.
Piezo-electric buzzer
CNA011
CNJ032 (2pin)
Flash ROM Board (UT-2357)
Motor, Motor sensor, Mark sensor
CNA012
CNJ036 (12pin)
CNJ011 (80pin)
Membrane key
CNJ033 (40pin) CNJ021 (80pin)
LCD module
CNJ012 (12pin)
2 pin 5 pin
CNA015
Inverter board
Thermal head
CNA013
CNJ013 (6pin)
CNJ031 (D-SUB 9pin)
ECG Control Board (UT-23561) CNJ043 (mini jack)
CNJ041 (mini jack) CNJ011 (12pin)
SIO
EXT-IN
CRO
CN31 (16pin)
AC source
CN11 (3pin)
Power Unit (SC-903D)
CN021 (30pin)
CNJ035 (30pin)
CNJ091 (D-SUB15pin)
Patient Input
CN51 (4pin)
Battery
CNA014
Service Manual ECG-9010/9020 Rev A
5.1
5. BOARD/UNIT DESCRIPTION
Power Unit The Power unit consists of the power source, battery charging and control circuits. The Power unit uses the switching regulation method to produce the power required for the instrument.
ECG Control Board The ECG Control board consists of the following components:
Component
Description
CPU:
MC68EC020 (Operating frequency: 25 MHz)
ROM:
For system software, 2 MB
DRAM:
Main memory, 1 MB
Flash memory:
For font of local language, 1 MB For filing data, 256 KB
Real time clock:
For monitoring back-up battery, built-in 140 B SRAM
Timer:
1 ms timer Interrupt request signal ON/OFF: selectable Operation mode: fixed
Serial interface:
Equivelent to RS-232C, 1 channel Baud rate: 2,400 to 115,200 bps selectable
Speaker circuit:
Beep sound, Sound by noise generator
Interrupt request: Auto-vector method Interface:
To ECG input section
Recorder: LCD: Controller:
For keyboard
A/D converter:
5.2
Service Manual ECG-9010/9020 Rev A
5. BOARD/UNIT DESCRIPTION
Flash ROM Board The Flash ROM board has a 2 MB flash ROM for writing the control program, analysis program, Japanese font and English font to the ROM. Also, there is a space for mounting an EEPROM.
Inverter Board The inverter board produces the power for the LCD backlight module using +12 VDC power from the power unit, and turns on/off the power of the instrument according to the signal from the ECG control board.
Service Manual ECG-9010/9020 Rev A
5.3
Section 6
Disassembly and Assembly
Before You Begin …………………………………………………………………………………………………. 6.1 Warnings and Cautions ………………………………………………………………………………. 6.1 Required Tools …………………………………………………………………………………………… 6.1 Board and Unit Location ……………………………………………………………………………… 6.2 Cable Connection ………………………………………………………………………………………. 6.3 Removing the Top Casing …………………………………………………………………………………….. 6.4 Removing the LCD Assy ………………………………………………………………………………………. 6.5 Removing the Thermal Head Assy ………………………………………………………………………… 6.6 Removing the Motor Assy …………………………………………………………………………………….. 6.8 Removing the Speaker Assy…………………………………………………………………………………. 6.9 Removing the Inverter Board ………………………………………………………………………………. 6.10 Removing the ECG Control Board ……………………………………………………………………….. 6.11 Removing the Power Unit ……………………………………………………………………………………. 6.12 Replacing the Thermistor and Termistor Cable ……………………………………………… 6.14 Removing the Battery Terminal Assy ……………………………………………………………………. 6.15 Removing the Magazine Assy …………………………………………………………………………….. 6.16 Removing the Bottom Casing ……………………………………………………………………………… 6.17 Replacing the Fuse on the Power Board……………………………………………………………….. 6.18 Replacing the Lithium Battery on the ECG Control Board ……………………………………….. 6.19
Service Manual ECG-9010/9020 Rev A
6C.1
6. DISASSEMBLY AND ASSEMBLY The procedures in this section tell how to remove, replace and install major components in the instrument.
Before You Begin Removing, replacing and installing major components should be done by qualified service personnel.
Warnings and Cautions WARNINGS •
To avoid the possibility of injury to yourself or damage to the instrument, do not install or remove any component or change switch settings while the power is on and wait 10 minutes before installing to or removing any component from the instrument after the power is off.
•
To avoid accidental discharge of static electricity which could damage the instrument components, use a wrist ground strap when installing or removing any component of the instrument.
CAUTIONS •
Before connecting or disconnecting any cables, turn off the instrument, unplug the AC power cord from the instrument and remove the rechargeable battery.
•
Fuses cut off the power when an abnormality occurs in the instrument. Eliminate the malfunction before replacing the fuse. Use the correct fuse only. The fuse rating is shown on the holder.
•
Removal and replacement of any component in the instrument should be done by qualified service personnel.
•
Use only parts recommended by Nihon Kohden to assure maximum performance from your instrument.
Required Tools
•
Anti-static bench mat
•
Wrist ground strap
•
Phillips screwdriver (insulated type)
•
Flat-blade screwdriver (insulated type)
•
Hex (Allen) wrench or hex keys
•
Hex driver
•
Tweezers
Service Manual ECG-9010/9020 Rev A
6.1
6. DISASSEMBLY AND ASSEMBLY
Board and Unit Location
The following see-through diagram shows the location of the boards and units in the instrument. See-through Diagram
Thermal Head Assy Motor Assy
Speaker Assy
LCD Assy (for ECG-9020K only) Flash ROM Board
Inverter Board (for ECG-9020K only)
ECG Control Board Power Unit
6.2
Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY
Cable Connection
The following cable connection diagram shows the connection of the cables in the instrument. Cable Connection Diagram
® CNA013
— CNA012
° CNA015
¬ CNA011
¯ CNA014
Service Manual ECG-9010/9020 Rev A
6.3
6. DISASSEMBLY AND ASSEMBLY
Removing the Top Casing 1. Reverse the instrument and remove the three M3 pan head screws.
M3 pan head screw
CAUTION When opening the top casing, be sure not to let the top casing fall off. Otherwise, the film cable which connects the top casing and ECG control board and the film cable connector may be damaged. If the film cable is damaged, you must replace it with a new top casing assy.
2. Open the top casing in the direction of the arrow shown below. 3. Release the lock of the film cable connector with the small flat blade driver and your finger as shown in the expanded illustration and remove the film cable.
Film cable connector
Film cable
Top casing
6.4
Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY
Removing the LCD Assy
NOTE This procedure is used for the ECG-9020K only.
1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the four M3 pan head screws with spring washers which are marked with circles shown below. 3. Disconnect the LCD assy cable from the ECG control board. 4. Lift up the LCD assy so that the LCD assy flat cable is perpendicular to the ECG control board and pull out the LCD assy film cable from the connector on the ECG control board to remove it.
LCD assy cable connector
M3 pan head screw with spring washer
LCD assy film cable
Service Manual ECG-9010/9020 Rev A
6.5
6. DISASSEMBLY AND ASSEMBLY
Removing the Thermal Head Assy
CAUTION Do not touch the surface of the thermal head with your bare hands. This can cause some dots of the thermal head to malfunction. If you touch the surface of the thermal head, clean it with the provided thermal head cleaner pen or cotton moistened with alcohol.
1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Disconnect the thermal head assy connector from the thermal head assy. 4. Push the thermal head bracket fixed rib in the direction of the arrow shown below and lift off the thermal head bracket from the thermal head bracket fixed rib. If the thermal head bracket is not removed completely, push the other side of the thermal head bracket fixed rib the same as above and completely lift off the thermal head bracket.
M3 pan head screw with spring washer
Thermal head bracket
Thermal head spring Thermal head assy Thermal head assy connector
Thermal head spacer
Thermal head bracket fixed rib
Mark sensor BD earth plate spring Thermal head spring hook
6.6
Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY 5. Remove the thermal head springs from the thermal head spring hooks. 6. Remove the three M3 pan head screws with spring washers.
CAUTIONS WHEN REPLACING •
Replace the thermal head bracket so that the mark sensor BD earth plate spring is not damaged.
•
Hook the thermal head springs to the thermal head spring hooks after replacing the thermal head bracket.
Service Manual ECG-9010/9020 Rev A
6.7
6. DISASSEMBLY AND ASSEMBLY
Removing the Motor Assy 1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Remove the thermal head bracket as described in the “Removing the Thermal Head Assy ” section. 4. Remove the two M3 pan head screws holding the motor assy to the bottom casing. 5. Disconnect the motor assy connector from the ECG control board. 6. Remove the bundle of leads which connects the mark sensor board and ECG control board from the lead hook. 7. Remove the M2 pan head screw with spring washer holding the mark sensor BD earth plate to the bottom casing.
NOTE The motor assy does not contain the motor sensor BD earth plate. To order the motor sensor BD earth plate, refer to “General Parts List” in Section 8. 8. Lift off the motor sensor board with the motor sensor BD earth plate.
M2 pan head screw Mark sensor BD
with spring washer
earth plate Mark sensor board M3 pan head screw with spring washer
Motor assy connector
Lead hook
6.8
ECG control board
Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY
Removing the Speaker Assy 1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Disconnect the speaker assy connector from the ECG control board.
ECG control board
Speaker
Speaker assy connector
Service Manual ECG-9010/9020 Rev A
6.9
6. DISASSEMBLY AND ASSEMBLY
Removing the Inverter Board
WARNING The inverter board has a high voltage circuit for the LCD backlight. This can cause shock up to 10 minutes after the power is turned off. After the power is turned off, wait 10 minutes before disassembling the instrument.
NOTE This procedure is used for the ECG-9020K only.
1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Remove the M2 pan head screw holding the inverter board to the ECG control board. 4. Remove the bundle of leads which connects the inverter board and ECG control board from the mini clamp on the power unit. 5. Disconnect the inverter board connector from the ECG control board. 6. Lift off the inverter board from the ECG control board.
Inverter board connector Inverter board
ECG control board
6.10
Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY
Removing the ECG Control Board
CAUTION Local language text is stored in the flash memory on the ECG control board. When the ECG control board is replaced, local language text is not available; only English text is available. To use the ECG with your own language after the ECG control board is replaced, you must reload the local language files to the ECG. Refer to the YZ-012H6 Translator Support Tool operator’s manual.
1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Remove the inverter board as described in the “Removing the Inverter Board ” section. This step is for the ECG-9020K only. 4. Remove the three M3 pan head screws with spring washers. 5. Remove the two spacer bolts 1. 6. Disconnect the thermal array assy connector from the ECG control board. 7. Lift off the ECG control board from the power board. The CNJ035 connector on the ECG control board is directly connected to its socket on the power board.
Spacer bolt 1
ECG control board
Service Manual ECG-9010/9020 Rev A
Thermal array assy connector
6.11
6. DISASSEMBLY AND ASSEMBLY
Removing the Power Unit 1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Remove the inverter board as described in the “Removing the Inverter Board” section. This step is for the ECG-9020K only. 4. Remove the ECG control board as described in the “Removing the ECG Control Board” section. 5. Remove the ground terminal assy. 6. Remove the two M3 pan head screws with spring washers holding the power unit to the bottom casing.
CAUTION Be sure to use the correct length spacer bolt when replacing the power unit. The two types of spacer bolts which are used in the power unit are almost the same length.
7. Remove the three spacer bolts holding the power unit to the bottom casing.
M3 pan head screw with spring washer
Spacer bolt 2 (shorter)
Spacer bolt 3 (longer) Thermistor wire Thermistor
Battery cover plate 6.12
Ground terminal assy Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY
8. Disconnect the battery terminal assy connector from the power unit. 9. Remove the ferrite tape holding the thermistor wire to the battery compartment. 10.Remove the battery cover plate.
CAUTION Do not completely lift off the power unit from the bottom casing before removing the thermistor. Otherwise, the thermistor wire will break.
11.Slightly lift up the power unit and pull out the thermistor from under the rechargeable battery. 12.After pulling out the thermistor, lift off the power unit from the bottom casing.
Thermistor wire Thermistor Ferrite tape
Thermistor seal
Service Manual ECG-9010/9020 Rev A
6.13
6. DISASSEMBLY AND ASSEMBLY
Replacing the Thermistor and Thermistor Cable
CAUTION Observe the following when replacing the thermistor:
• The thermistor wire must go under the thermistor seal as shown below. Positioning the thermistor wire over the thermistor seal results in incorrect temperature measurement or a damaged thermistor.
• To prevent incorrect temperature measurement, the thermistor must be positioned so that only the tip is just past the edge of the thermistor seal, as shown below.
1. Replace the thermistor so that is in the correct position, as shown below.
CAUTION The thermistor cable must be attached to the side of the battery compartment with the ferrite tape so that the thermistor cable is not put on the battery cover plate. This will cause the thermistor cable to be damaged.
2. Attach the thermistor cable to the side of the battery compartment with the ferrite tape as shown previously.
< Side view > Thermistor seal
Thermistor wire
6.14
Battery compartment
Thermistor tip
Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY
Removing the Battery Terminal Assy 1. Remove the top casing as described in the “Removing the Top Casing ” secion. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Remove the inverter board as described in the “Removing the Inverter Board ” section. This step is for the ECG-9020K only. 4. Remove the ECG control board as described in the “Removing the ECG Control Board” section. 5. Remove the Motor assy as described in the “Removing the Motor Assy ” section. 6. Remove the battery cover plate. This plate is attached to the bottom casing by the five hooks on the bottom casing. 7. Remove the battery terminal assy cable from the cable hooks on the bottom casing. 8. Remove the M3 flat screw and M3 nut.
Battery cover plate Battery terminal assy cable
M3 nut
Hook
M3 flat screw
Service Manual ECG-9010/9020 Rev A
6.15
6. DISASSEMBLY AND ASSEMBLY
Removing the Magazine Assy Removal Put the tip of the small flat-blade driver in the space between the E-ring and magazine chassis then push the E-ring in the direction of the smaller arrow shown below and pull off the magazine assy in the direction of the bigger arrow shown below.
E-ring
Magazine shaft
Replacement Put the plastic magazine shaft into the attachment hole and put the metal magazine shaft with the E-ring and spring into the attachment hole while pressing and holding down the shaft in the direction of the smaller arrow above.
6.16
Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY
Removing the Bottom Casing NOTE The instrument label is not attached to the bottom of the provided new bottom casing. If you want to attach the instrument label to the new bottom casing, send the damaged bottom casing, and we will provide the same instrument label at our price. 1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Remove the inverter board as described in the “Removing the Inverter Board ” section. This step is for the ECG-9020K only. 4. Remove the ECG control board as described in the “Removing the ECG Control Board” section. 5. Remove the Motor assy as described in the “Removing the Motor Assy ” section. 6. Remove the power unit as described inthe “Removing the Power Unit” section. 7. Remove the battery terminal assy as described in the “Removing the Battery Terminal Assy ” section. 8. Remove the magazine assy as described in the “Removing the Magazine Assy ” section.
Service Manual ECG-9010/9020 Rev A
6.17
6. DISASSEMBLY AND ASSEMBLY
Replacing the Fuse on the Power Board NOTE A blown fuse indicates that there may be a faulty circuit in the instrument. Always check the instrument for the cause of the blown fuse before replacing the fuse. The illustration below shows the location of four fuses inside the instrument. Three fuses are the same. Use the correct fuse only. The fuse rating is shown on the fuse holder. 1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Remove the inverter board as described in the “Removing the Inverter Board” section. This step is for the ECG-9020K only. 4. Remove the ECG control board as described in the “Removing the ECG Control Board” section. 5. Remove the power unit as described in the “Removing the Power Unit” section. 6. Remove the blown fuse from the fuse bracket with the small flat-blade screwdriver.
Symbol
NK Code No.
Description
1
323241
218008, 8A
2
322893
218002, 2A
2 1
6.18
Service Manual ECG-9010/9020 Rev A
6. DISASSEMBLY AND ASSEMBLY
Replacing the Lithium Battery on the ECG Control Board The lithium battery is used for backing up the system setup setting.
NOTE Replace the lithium battery when the No. 08 or 09 system error message appears or after the lithium battery is used for approx. 7 years. 1. Remove the top casing as described in the “Removing the Top Casing ” section. 2. Remove the LCD assy as described in the “Removing the LCD Assy ” section. This step is for the ECG-9020K only. 3. Remove the LCD inverter board as described in the “Removing the LCD Inverter Board” section. This step is for the ECG-9020K only. 4. Remove the ECG control board as described in the “Removing the ECG Control Board” section. 5. Remove the expired lithium battery with a soldering iron and a pair of tweezers.
CAUTION Be careful of the polarity of the lithium battery when soldering it. Incorrect attachment of the lithium battery causes the instrument to malfunction.
6. Solder a new lithium battery to the ECG control board.
ECG control board
Service Manual ECG-9010/9020 Rev A
Lithium battery
6.19
Section 7
Replaceable Parts List
General Parts List ……………………………………………………………………………………………….. 7.2 Top Casing Assy …………………………………………………………………………………………………. 7.4 Top Casing Assy, RK-0007 for ECG-9010K ……………………………………………………. 7.4 Top Casing Assy, RK-0009 for ECG-9020K ……………………………………………………. 7.5 Thermal Head Assy, YZ-011H8 ……………………………………………………………………………… 7.6 Motor Assy, GC-0011 …………………………………………………………………………………………… 7.7 Speaker Assy, RK-0005 ……………………………………………………………………………………….. 7.8 Magazine Assy, RH-0001 …………………………………………………………………………………….. 7.9 Battery Terminal Assy, RK-0006 ………………………………………………………………………….. 7.10 LCD Assy, VL-0001 ……………………………………………………………………………………………. 7.11 Cart and Fixing Plate …………………………………………………………………………………………. 7.12 Patient Cable Hanger …………………………………………………………………………………………. 7.14
Service Manual ECG-9010/9020 Rev A
7C.1
7. REPLACEABLE PARTS LIST When ordering parts or accessories from your nearest Nihon Kohden Corporation distributor, please quote the NK code number and part name which are listed in this service manual, and the name or model of the unit in which the required part is located. This will help us to promptly attend to your needs. Always use Nihon Kohden parts and accessories to assure maximum performance from your instrument.
Service Manual ECG-9010/9020 Rev A
7.1
7. REPLACEABLE PARTS LIST
General Parts List Index
NK Code No.
101
RK-0009
1
ECG-9020K top casing Assy
ECG-9020K 上部ケース Assy
101A
RK-0007
1
ECG-9010K top casing Assy
ECG-9010K 上部ケース Assy
201
VL-0001
1
LCD Assy
LCD Assy
205
1124-037173
1
High voltage label
コウアツラベル (BS)
206
543984
1
Inverter board
CXA-K0505-VJL インバータ BD
207
6114-088371A
1
Shield sheet 1
インバータゼツエンシート
208
UT-2357
1
Flash ROM board
FLASH ROM BD
209
6113-028492B
1
Flash ROM board guide
Flash ROM BD ガイド
210
6113-028741B
1
Shield plate
ニュウリョクブシールドバン
211
6114-088335
2
Spacer bolt 1
LCD シチュウ
212
UT-23561
1
ECG control board
ECG CONTROL BD
213
6113-030453A
1
Shield sheet 2
ECG CONT シールドシート
301
6114-073378A
2
Ground lug
アースラグ
302
515284
3
Bearing B-F3-27
ベアリング B-F3-27
303
2229-000673
3
Power unit ground name plate
SC-612E アースメイバン
304
6112-010405A
1
Thermal head bracket
サーマルヘッドオサエ
305
6114-088291A
2
Thermal head spring
サーマルヘッドバネ
306
YZ-011H8
1
Thermal head Assy
307
6114-088308A
1
Mark sensor BD earth plate
サーマルヘッド Assy ペーパ BD アースバン
308
GC-0011
1
Motor Assy
モータ Assy
309
6114-096077
1
Thermal head assy
ヘッドスペーサ
310
6111-004405A
1
Recorder plate
レコーダキバン
311
RH-0001
1
Magazine Assy
マガジン Assy
312
6114-096086
1
Connector spacer
コネクタスペーサ
313
6114-097085
2
Thermal head bracket collar
サーマルヘッドオサエカラー
401
SC-903D
1
Power unit
電源ユニット
402
6114-087764A
1
Flash ROM board cover
Flash ROM BD フタ
404
6114-088326A
2
Spacer bolt 2
Flash ROM BD シチュウ
405
6114-088317A
1
Spacer bolt 3
BD カンシチュウ
412
547507
4
Mini clamp TMC-6
横型ミニクランプ TMC-6
501
RK-0006
1
Battery terminal Assy
バッテリ端子 Assy
502
6114-088398A
1
Thermistor seal
サーミスタシール
503
6114-087862A
1
Release lever
カイジョレバー
505
6111-004388A
1
Bottom casing
カブホンタイ
506
6144-005993A
1
Ground terminal Assy
アースタンシ Assy
507
6113-028483A
1
Battery case cover
BATT フタ
508
6114-094293
1
Battery case rubber
BATT ラバ
509
6114-088424A
1
Suction paper
キュウスイシ
510
547516
4
Rubber foot TM-166-12
バンポン TM-166-12
511
6114-088406A
1
Battery cover plate
BATT カバ
512
RK-0005
1
Speaker Assy
スピーカ Assy
7.2
Qty
Description
Service Manual ECG-9010/9020 Rev A
7. REPLACEABLE PARTS LIST
Service Manual ECG-9010/9020 Rev A
7.3
7. REPLACEABLE PARTS LIST
Top Casing Assy Top Casing Assy, RK-0007 for ECG-9010K Index
NK Code No.
Qty
Description
1
6114-087853A
1
Release button
解除ボタン
2
547525
1
Ultra spring C105
ULTRA SPRING C105 ( 圧縮コイルバネ )
3
6143-008671
1
Operation panel Assy
9010K 操作パネル Assy for ECG-9010K
4
6123-010278B
1
Top casing for ECG-9010K
XM 上部本体シルク図
5
6114-092731A
1
Membrane EMI spring
メンブレイン EMI バネ
6
541914
1
Ferrite core FPC-24-12-3
フェライトコア FPC-24-12-3
7
6114-092749A
1
Ferrite tape
フェライトテープ
7.4
Service Manual ECG-9010/9020 Rev A
7. REPLACEABLE PARTS LIST
Top Casing Assy, RK-0009 for ECG-9020K Index
NK Code No.
Qty
Description
1
6114-087853A
1
Release button
解除ボタン
2
547525
1
Ultra spring C105
ULTRA SPRING C105 ( 圧縮コイルバネ )
3
6143-008234B
1
Operation panel Assy
9020K 操作パネル Assy
for ECG-9020K 4
6123-010153A
1
Top casing for ECG-9020K
上部本体シルク図
5
6114-092731A
1
Membrane EMI spring
メンブレイン EMI バネ
6
6114-088362A
1
LCD filter
LCD フィルタ
7
541914
1
Ferrite core FPC-24-12-3
フェライトコア FPC-24-12-3
8
6114-092749A
1
Ferrite tape
フェライトテープ
Service Manual ECG-9010/9020 Rev A
7.5
7. REPLACEABLE PARTS LIST
Thermal Head Assy, YZ-011H8 Index
NK Code No.
1
541816
2
6114-088389A
Qty
Description
1
Thermal head
サーマルヘッド
KPT-104-8MGF1-NKC
KPT-104-8MGF1-NKC
Shield sheet 3
ジョデンシート
1
2 1
7.6
Service Manual ECG-9010/9020 Rev A
7. REPLACEABLE PARTS PARTS LIST
Motor Assy, GC-0011 Index
NK Code No.
Qty
Description
1
61 13 — 02 85 36 A
1
Gear bracket
ギヤ取り付け板
2
6114-087906A
1
Gear 2
ギヤ 2
3
1 06 99 3
1
E-ring E-24
E リング E-24
4
6114-087898A
1
Gear 1
ギヤ 1
5
6114-087915A
1
Gear 3
ギヤ 3
6
3 5 51 0 8
1
Hexagon socket screw M2×4
六角穴付き止めネジ M2×4
7
61 14 — 08 78 89 C
1
Motor gear
モータギア
8
6114-088282A
1
Motor bracket
モータ取り付け板
9
34 39 75
1
Motor DN35-7306NIB
モータ DN35-7306NIB
10
544002A
1
ZHR-12 motor cable (L120, 65)
ZHR-12 カタタン L=120 L=65
11
61 90 — 00 58 44
1
Motor sensor board
12
38 76 26
1
Photo-interrupter GP1A53HR
フォトインタラプ GP1A53HR
13
24 84 38
1
Ceramic capacitor
セラミックコンデンサ
K104Z20Z5UF53H5
K104Z20Z5UF53H5
14
61 90 — 01 65 83
1
Mark sensor board
15
54 18 34
1
Photo-reflector
フォトリフレクタ
NJL5801K-F1
NJL5801K-F1
1
2 3 4 5 6 7 8 14 15 9 12
10
13 11
Ser vice Manual ECG-9010/9020 Rev A
7.7
7. REPLACEABLE REPLACEABL E PARTS LIST
Speaker Assy, RK-0005 Index
NK Code No.
1
0 4 2 4- 0 0 7 6 5 4
7.8
Qty 1
Description RK-0005
Ser vice Manual ECG-9010/9020 Rev A
7. REPLACEABLE PARTS PARTS LIST
Magazine Assy, RH-0001 Index
NK Code No.
Qty
Description
1
1 07 00 2
2
E-ring E-32
E リング E-32
2
61 14 — 08 84 15 A
2
Paper roller spacer
軸スぺーサ
3
61 12 — 01 03 97 A
1
Paper Magazine
マガジン
4
61 14 — 08 83 53 A
1
Paper magazine shaft
マガジン固定軸
5
54 753 4
1
Ultra spring C147
ULTRA SPRING C147 ( 圧縮コイルバネ )
6
61 14 — 08 78 71 A
1
Paper roller gear
プラテンギヤ
7
61 13 — 02 85 27 A
1
Paper roller 14 (110)
プラテンローラ 14(110)
8
6114-023887A
2
Brush
ブラシ
1 2
3 4
1 5
2 6
8
7
1
Ser vice Manual ECG-9010/9020 Rev A
7.9
7. REPLACEABLE PARTS LIST
Battery Terminal Assy, RK-0006 Index
NK Code No.
Qty
Description
1
544011A
1
EHR-4 battery terminal cable (L150) EHR-4 カタタン L=150
2
2113-013175B
1
Battery bracket
バッテリ端子台
3
2114-040865A
2
Battery terminal
バッテリ端子
4
299784
1
Battery cable tube
スミチューブ
1
2
3 4
7.10
Service Manual ECG-9010/9020 Rev A
7. REPLACEABLE PARTS LIST
LCD Assy, VL-0001 Index
NK Code No.
Qty
Description
1
545946
1
LCD module
LCD module LM32019T
2
541914
1
Ferrite
フェライト FPC-24-12-3
3
6114-092749A
1
Ferrite tape
フェライトテープ
4
6114-088344B
1
LCD holder
LCD カナグ
5
6144-092758A
1
LCD shield sheet
LCD シールドシート
1
2 3 4
5
Service Manual ECG-9010/9020 Rev A
7.11
7. REPLACEABLE PARTS LIST
Cart and Fixing Plate Index
NK Code No.
Qty
Description
101
B-8471
1
Top plate 2
上台 2 (103E)
102
B-8476
1
Top plate 1
上台 1 (103E)
103
B-9335
1
Patient cable hanger holder
コードハンガー受け具 (103E)
104
B-9142
1
Lock plate (left)
ロック板(左)
105
2114-04323
1
Cart spacer
ECG カートスペーサ
106
———
2
Cart knob
GA 型つまみ GA-35
107
B-9144
1
Lock spring (left)
ロックバネ(左)
108
B-9145
1
Lock spring
ロックバネ(右)
109
B-8056A
1
Cord hanger
コード巻き具
110
B-9143
1
Lock plate (right)
ロック板(右)
111
B-9147
2
Lock screw
ロック軸
112
2851-200119
4
Pan head screw M6×40
クロスアナ小ネジ M6×40
113
2114-053414
2
Cart wing screw
ECG カート固定ネジ
201
B-8475
1
Bottom plate
中台 2 (103E)
202
B-8051
1
Connection bar 1
連結棒 1
203
B-7196
1
Pipe 2 (right)
パイプ 2 左
204
B-7197
1
Pipe 2 (left)
パイプ 2 右
205
B-8450
1
Side bar 1
206
———
4
Side bar bolt M12×25
サイドバー 1 Bolt M12×25
207
———
2
Caster
キャスタ
208
B-8053
1
Basket connection bar
カゴ連結棒
209
B-8441
1
Basket
カゴ
210
B-8052
1
Connection bar 2
ロック板(右)
211
B-7195
1
Pipe 1
パイプ 1
212
B-8451
1
Side bar 2
サイドバー 2
213
———
4
M12 spring washer
M12 スプリングワッシャー
214
———
2
Caster with stopper
キャスタ(ストッパ付き)
A*
6113-031996
1
Fixing plate
9010 固定プレート
B*
291818
1
Wing nut
ウイングナット
NOTE * Parts A and B parts comprise the fixing plate, DI-106D.
7.12
Service Manual ECG-9010/9020 Rev A
7. REPLACEABLE PARTS LIST
A
104
103 101
111 105
106
112
107 108 110
102
111 113 109 B
203 202
201 b
209 210
a
204
112
b
205 211 206 213 208 207
a
212
213 214
Service Manual ECG-9010/9020 Rev A
7.13
7. REPLACEABLE PARTS LIST
Patient Cable Hanger Index
NK Code No.
Qty
Description
1
6124-202372
1
CH panel N*
分岐部表パネル N
2
6112-00 6045
1
CH cover N*
分岐部カバー N
3
2219-013205
2
CH cover screw*
化粧ネジ
4
2219-013214
2
CH knob spacer
分岐部スペーサ
5
2114-038707A
1
CH arm screw
アームネジ
6
6113-016941
1
CH base plate N
分岐部取付板 2N
7
6113-016879A
1
CH joint DN
ジョイント DN
8
6113-016888
1
CH pipe 3N
パイプ .3N
9
398855
8
Taping screw M3×8
タッピングネジ M3×8
10
6113-016905
1
CH pipe cover. 1N
パイプカバ .1N
11
2114-038814B
4
CH joint spacer
ジョンイントスペーサ
12
6113-016923
4
CH knob not. 3N
ノブナット .3N
13
6114-052392
2
CH joint AN
ジョイント .AN
14
2114-038672B
1
CH top arm screw
アームバネ上
15
2219-011858
1
CH spring axle. 3
バネ軸 .3
16
6114-052409
1
CH joint BN
ジョイント .BN
17
289768
2
CH hexagon socket bolt M4×50
6 角穴付ボルト M4×50
18
6113-016897
1
CH pipe. 4N
パイプ .4N
19
6113-016914
1
CH pipe cover. 2N
パイプカバ .2N
20
2114-038681B
1
CH bottom arm screw
アームバネ下
21
6114-052427
1
CH joint CN
22
6113-016932
1
CH knob nut. 4N
ジョイント .CN ノブナット .4N
A
6113-011901
1
CH input box connector
取付板
B
6114-035999
2
CH guide pin
ガイドピン
C
283702
2
ISO flat-head screw(M3×6)
ISO 皿ネジ M3×6
D
6114-036008
1
Bracket spring
押さえ板バネ
NOTE The parts marked with * are replaced by parts A, B and C when the Input Box is used.
7.14
Service Manual ECG-9010/9020 Rev A
7. REPLACEABLE PARTS LIST
Service Manual ECG-9010/9020 Rev A
7.15
Section 8
Connector Pin Assignment
Power Unit ………………………………………………………………………………………………………….. 8.1 CN11 (to AC Inlet) ……………………………………………………………………………………… 8.1 CN21 (to ECG control board) ………………………………………………………………………. 8.1 CN31 (to Thermal Head) …………………………………………………………………………….. 8.1 CN51 (to Battery)……………………………………………………………………………………….. 8.1 ECG Control Board ……………………………………………………………………………………………… 8.2 CNJ011 (to Thermal Head) ………………………………………………………………………….. 8.2 CNJ012 (to Inverter Board)………………………………………………………………………….. 8.2 CNJ013 (to LCD) ……………………………………………………………………………………….. 8.3 CNJ021 (to Flash ROM Board)…………………………………………………………………….. 8.3 CNJ031 (to SIO Connector)…………………………………………………………………………. 8.5 CNJ032 (to Key Connector) …………………………………………………………………………. 8.5 CNJ033 (to Speaker) ………………………………………………………………………………….. 8.6 CNJ035 (to Power Unit) ………………………………………………………………………………. 8.7 CNJ036 (to Motor) ……………………………………………………………………………………… 8.8 CNJ041 (to CRO Connector) ……………………………………………………………………….. 8.8 CNJ043 (to EXT INPUT Connector) ……………………………………………………………… 8.8 CNJ091 (to ECG Connector) ……………………………………………………………………….. 8.9 Flash ROM Board ……………………………………………………………………………………………… 8.10 CNJ021 (to ECG Control Board) ………………………………………………………………… 8.10 Inverter Board …………………………………………………………………………………………………… 8.12 CN1 (to ECG Control Borad) ……………………………………………………………………… 8.12 CN2 (to LCD module) ……………………………………………………………………………….. 8.12 External Input/Output Socket ………………………………………………………………………………. 8.13 SIO Socket ………………………………………………………………………………………………. 8.13 EXT Input and CRO Output ……………………………………………………………………….. 8.13
Service Manual ECG-9010/9020 Rev A
8C.1
8. CONNECTOR PIN ASSIGNMENT
Power Unit CN11 (to AC Inlet) Pin No.
Signal name
Description
1
AC
AC power
2
DGND
Ground
3
AC
AC power
CN21 (to ECG control board) Pin No.
Signal name
Description
Pin No.
Signal name
1
DGND
Ground for logic circuit
16
PWROVER
2
DGND
Ground for logic circuit
17
SPOFF
3
DGND
Ground for logic circuit
18
HEADRST
4
DGND
Ground for logic circuit
19
DCXAC
5
DGND
Ground for logic circuit
20
OFFKEY
6
DGND
Ground for logic circuit
21
CHGLEDA
7
DGND
Ground for logic circuit
22
CHGLEDK
8
DGND
Ground for logic circuit
23
ACLED
9
DGND
Ground for logic circuit
24
POWERSW
10
DGND
Ground for logic circuit
25
NF5V
11
DGND
Ground for logic circuit
26
NF5V
12
DGND
Ground for logic circuit
27
NF5V
13
DGND
Ground for logic circuit
28
DCPOWER
14
DGND
Ground for logic circuit
29
DCPOWER
15
DGND
Ground for logic circuit
30
AGNDSND
Description
CN31 (to Thermal Head) Pin No.
Signal name
Description
Pin No.
Signal name
Description
1
+24 V
+24 V for thermal head
7
+24VGND
Ground for thermal head
2
+24 V
+24 V for thermal head
8
+24VGND
Ground for thermal head
3
+24 V
+24 V for thermal head
9
+24VGND
Ground for thermal head
4
+24 V
+24 V for thermal head
10
+24VGND
Ground for thermal head
5
+24 V
+24 V for thermal head
11
+24VGND
Ground for thermal head
6
+24 V
+24 V for thermal head
12
+24VGND
Ground for thermal head
Pin No.
Signal name
Description
Pin No.
Signal name
Description
1
BATT+
Battery power (+)
3
BATT−
Battery power (−)
2
BATT+
Battery power (+)
4
BATT−
Battery power (−)
CN51 (to Battery)
Service Manual ECG-9010/9020 Rev A
8.1
8. CONNECTOR PIN ASSIGNMENT
ECG Control Board CNJ011 (to Thermal Head) Model: 63261-1490
Pin No.
Signal name
Direction
Description
1
THLATCH
Output
Data latch output to thermal head
2
THDATA
Output
Print data to thermal head
3
XSTROPE1
Output
Thermal head driver enable output
4
XSTROPE1
Output
Thermal head driver enable output
5
XSTROPE1
Output
Thermal head driver enable output
6
XSTROPE1
Output
Thermal head driver enable output
7
XSTROPE1
Output
Thermal head driver enable output
8
XSTROPE1
Output
Thermal head driver enable output
9
THERM
Input
Thermal head temperature input detected by thermistor
10
DGND
Ground for digital circuit
11
+5 V
+5 V for digital circuit
12
+5 V
+5 V for digital circuit
13
THSCLK
14
NC
Output
Data shift output to thermal head Not connected
CNJ012 (to Inverter Board) Model: 53261-0690
Pin No.
Signal name
Direction
Description
1
VIN
Output
+10.4 to 12 V for backlight
2
GND
3
VREMOTE
Output
Backlight On/Off output (0 V: Not light, + 5 V: Light)
4
VBRIGHT
Output
Backlight brightness control output
Ground
(0 V: when bright is set to maximum)
8.2
5
NC
6
XLCD
Not connected Input
LCD identification input
Service Manual ECG-9010/9020 Rev A
8. CONNECTOR PIN ASSIGNMENT
CNJ013 (to LCD) Model: FH3-12S-1.25DSA
Pin No.
Signal name
Direction
Description
1
S
Output
Scannning start output
2
CP1
Output
Input data latch ouput
3
CP2
Output
Data input clock output
4
NC
5
LCDON
Output
Display control output (“L” = OFF)
6
LCD [0]
Output
Display data output [0]
7
LCD [1]
Output
Display data output [1]
8
LCD [2]
Output
Display data output [2]
9
LCD [3]
Output
Display data output [3]
10
+5 V
Output
+5 V for logic circuit
11
DGND
12
+28 V
Not connected
Ground for digital circuit Output
+17 to 26 V for driving LCD
Direction
Description
CNJ021 (to Flash ROM Board) Model: 87BFN-080R
Pin No.
Signal name
1
DGND
Ground for digital circuit
2
DGND
Ground for digital circuit
3
+5 V
+5 V for logic circuit
4
XCSRO1
Output
Chip select 1 for ROM (Address: $000000 to $0FFFFF)
5
XCSRO2
Output
Chip select 2 for ROM (Address: $100000 to $1FFFFF)
6
SROMC
Output
Serial ROM clock output
7
SROMR
Output
Serial ROM clock output
8
LA [00]
Output
Address bus
9
LA [01]
Output
Address bus
10
LA [02]
Output
Address bus
11
LA [03]
Output
Address bus
12
LA [04]
Output
Address bus
13
LA [05]
Output
Address bus
14
LA [06]
Output
Address bus
15
LA [07]
Output
Address bus
16
LA [08]
Output
Address bus
17
LA [09]
Output
Address bus
18
LA [10]
Output
Address bus
19
LA [11]
Output
Address bus
20
LA [12]
Output
Address bus
21
LA [13]
Output
Address bus
22
LA [14]
Output
Address bus
23
LA [15]
Output
Address bus
24
LA [16]
Output
Address bus
25
LA [17]
Output
Address bus
26
LA [18]
Output
Address bus
Service Manual ECG-9010/9020 Rev A
8.3
8. CONNECTOR PIN ASSIGNMENT
8.4
Pin No.
Signal name
Direction
Description
27
LA [19]
Output
Address bus
28
LD [08]
Input/Output
Data bus
29
LD [09]
Input/Output
Data bus
30
LD [10]
Input/Output
Data bus
31
LD [11]
Input/Output
Data bus
32
LD [12]
Input/Output
Data bus
33
LD [13]
Input/Output
Data bus
34
LD [14]
Input/Output
Data bus
35
XRESET
Output
Reset output
36
XDSACK0
Output
Output for system test
37
XDSACK1
Output
Output for system test
38
XOE
Output
Read output
39
XWE
Output
Write output
40
XBERR
Output
Output for system test
41
LA [22]
Output
Address bus
42
LA [21]
Output
Address bus
43
SROMD
Input
Serial ROM data
44
LA [20]
Output
Address bus
45
LA [23]
Output
Address bus
46
FC [0]
Out put
Output for system test
47
FC [1]
Out put
Output for system test
48
FC [2]
Out put
Output for system test
49
LA [26]
Output
Address bus
50
LA [25]
Output
Address bus
51
LA [24]
Output
Address bus
52
SIZ0
Output
Output for system test
53
SIZ1
Output
Output for system test
54
XAS
Output
Output for system test
55
RXW
Output
Output for system test
56
LD [07]
Input/Output
Data bus
57
LD [06]
Input/Output
Data bus
58
LD [05]
Input/Output
Data bus
59
LD [04]
Input/Output
Data bus
60
LD [03]
Input/Output
Data bus
61
LD [02]
Input/Output
Data bus
62
LD [01]
Input/Output
Data bus
63
LD [00]
Input/Output
Data bus
64
LD [23]
Input/Output
Data bus
65
LD [22]
Input/Output
Data bus
66
LD [21]
Input/Output
Data bus
67
LD [20]
Input/Output
Data bus
68
LD [19]
Input/Output
Data bus
69
LD [18]
Input/Output
Data bus
70
LD [17]
Input/Output
Data bus
71
LD [16]
Input/Output
Data bus
72
LD [27]
Input/Output
Data bus
73
LD [28]
Input/Output
Data bus
74
LD [29]
Input/Output
Data bus
Service Manual ECG-9010/9020 Rev A
8. CONNECTOR PIN ASSIGNMENT Pin No.
Signal name
Direction
Description
75
LD [30]
Input/Output
Data bus
76
LD [31]
Input/Output
Data bus
77
LD [15]
Input/Output
Data bus
78
+5 V
+5 V for logic circuit
79
DGND
Ground for digital circuit
80
DGND
Ground for digital circuit
CNJ031 (to SIO Connector) Model: JEY-9S-1A28
Pin No.
Signal name
Direction
Description
1
FG
2
TXD
Output
Transmission data
3
RXD
Input
Receiving data
4
RTS
Output
Request to send
5
CTS
Input
Clear to send
6
DSR
Input
Data set ready
7
GND
8
HS
Ground for main unit
Ground for signal Input
With modem = DCD Without modem = Short to 4-pin
9
DTR
Output
Data terminal ready
CNJ032 (to Key Connector) Model: S2B-ZR
Pin No.
Signal name
Direction
Description
1
SPKOUT
Output
Speaker output
2
AGNDSND
Service Manual ECG-9010/9020 Rev A
Ground for speaker
8.5
8. CONNECTOR PIN ASSIGNMENT
CNJ033 (to Speaker) Model: 52559-4092
8.6
Pin No.
Signal name
Direction
Description
1
+5 V
Output
+5 V for logic circuit
2
+5 V
Output
+5 V for logic circuit
3
LED [00]
Output
LED display output
4
LED [01]
Output
LED display output
5
LED [02]
Output
LED display output
6
QRS
Output
QRS display LED output
7
LED [04]
Output
LED display output
8
FILTER
Output
Filter display LED output
9
LED [06]
Output
LED display output
10
LED [07]
Output
LED display output
11
LED [08]
Output
LED display output
12
LED [09]
Output
LED display output
13
LED [10]
Output
LED display output
14
LED [11]
Output
LED display output
15
LED [12]
Output
LED display output
16
LED [13]
Output
LED display output
17
LED [14]
Output
LED display output
18
LED [15]
Output
LED display output
19
LED [16]
Output
LED display output
20
LED [03]
Output
LED display output
21
ONLED
Output
LED display output at power-on
22
LED [05]
Output
LED display output
23
ACLED
Output
LED display output for AC power
24
DGND
25
CHGLEDK
Output
Charging display LED cathode output
26
CHGLEDA
Output
Charging display LED anode output
27
PSW
Input
Power switch
28
DGND
29
K00
Input
Keyboatd input
30
K01
Input
Keyboard input
31
K02
Input
Keyboard input
32
K03
Input
Keyboard scan input
33
KS0
Output
Keyboard scan input
34
KS1
Output
Keyboard scan input
35
KS2
Output
Keyboard scan input
36
NC
Not connected
37
NC
Not connected
38
NC
Not connected
39
NC
Not connected
40
NC
Not connected
Ground for digital circuit
Ground for digital circuit.
Service Manual ECG-9010/9020 Rev A
8. CONNECTOR PIN ASSIGNMENT
CNJ035 (to Power Unit) Model: TX24-30P-12ST-H1
Pin No.
Signal name
1
DGND
Ground for logic circuit
2
DGND
Ground for logic circuit
3
DGND
Ground for logic circuit
4
DGND
Ground for logic circuit
5
DGND
Ground for logic circuit
6
DGND
Ground for logic circuit
7
DGND
Ground for logic circuit
8
DGND
Ground for logic circuit
9
DGND
Ground for logic circuit
10
DGND
Ground for logic circuit
11
DGND
Ground for logic circuit
12
DGND
Ground for logic circuit
13
DGND
Ground for logic circuit
14
DGND
Ground for logic circuit
15
DGND
Ground for logic circuit
16
PWOVER
Input
Power overheat input
17
POFF
Output
Power-off output
18
HDOVER
Input
Thermal head power over-current input
19
DCXAC
Input
Battery operation status input
20
OFFKEY
Input
Power-off request input
21
CHGLEDA
Input
Charging display LED input
22
CHGLEDK
Input
Charging display LED inut
23
ACLED
Input
AC power display LED input
24
PSW
Output
Power ON/OFF switch
25
+5 V
+5 V for logic circuit
26
+5 V
+5 V for logic circuit
27
+5 V
+5 V for logic circuit
28
+12 V
+12 V for analog circuit
29
+12 V
+12 V for analog circuit
30
AGNDSND
Ground for sound circuit
Service Manual ECG-9010/9020 Rev A
Direction
Description
8.7
8. CONNECTOR PIN ASSIGNMENT
CNJ036 (to Motor) Model: B12B-ZR
Pin No.
Signal name
Direction
Description
1
+5 V
2
PAEMP
Input
Paper empty snsor input
3
PAMARK
Input
Mark sensor input
4
DGND
5
M
Output
Paper empty sensor LED output
6
+5 VR301
Output
Mark sensor LED output
7
+5 V
8
DGND
Ground for digital circuit
9
+5 VR499
LED signal for sensor which detects number of motor
+5 V for paper empty/mark sensor
Ground for paper empty/mark sensor
rotation 10
MOTRET
Detection input of number of motor rotation
11
MOTPP
Motor power (+)
12
MOTPM
Motor power (−)
CNJ041 (to CRO Connector) Model: SG8036
Pin No.
Signal name
Direction
Description
1
CRO
External signal output (0.5 V/10 mm)
2
AGND
Ground for analog circuit
CNJ043 (to EXT INPUT Connector) Model: SG8036
8.8
Pin No.
Signal name
Direction
Description
1
EXT-IN
External signal input (10 mm/0.5 V)
2
AGND
Ground for analog circuit
Service Manual ECG-9010/9020 Rev A
8. CONNECTOR PIN ASSIGNMENT
CNJ091 (to ECG Connector) Model: JAY-15S-1A28
Pin No.
Signal name
Direction
Description
1
C2
Input
ECG signal input
2
C3
Input
ECG signal input
3
C4
Input
ECG signal input
4
C5
Input
ECG signal input
5
C6
Iutput
ECG signal input
6
SHIELD
Cable shield
7
NC
Not connected
8
NC
Not connected
9
R
Input
ECG signal input
10
L
Input
ECG signal input
11
F
Input
ECG signal input
12
C1
Input
ECG signal input
13
NC
14
RF
15
NC
Service Manual ECG-9010/9020 Rev A
Not connected Input
ECG signal input Not connected
8.9
8. CONNECTOR PIN ASSIGNMENT
Flash ROM Board CNJ021 (to ECG Control Board) Model: 87BMN-080R
8.10
Pin No.
Signal name
Direction
Description
1
DGND
Ground for digital circuit
2
DGND
Ground for digital circuit
3
+5 V
+5 V for logic circuit
4
XCSRO1
Output
Chip select 1 for ROM (Address: $000000 to $0FFFFF)
5
XCSRO2
Output
Chip select 2 for ROM (Address: $100000 to $1FFFFF)
6
SROMC
Output
Serial ROM clock output
7
SROMR
Output
Serial ROM clock output
8
LA [00]
Output
Address bus
9
LA [01]
Output
Address bus
10
LA [02]
Output
Address bus
11
LA [03]
Output
Address bus
12
LA [04]
Output
Address bus
13
LA [05]
Output
Address bus
14
LA [06]
Output
Address bus
15
LA [07]
Output
Address bus
16
LA [08]
Output
Address bus
17
LA [09]
Output
Address bus
18
LA [10]
Output
Address bus
19
LA [11]
Output
Address bus
20
LA [12]
Output
Address bus
21
LA [13]
Output
Address bus
22
LA [14]
Output
Address bus
23
LA [15]
Output
Address bus
24
LA [16]
Output
Address bus
25
LA [17]
Output
Address bus
26
LA [18]
Output
Address bus
27
LA [19]
Output
Address bus
28
LD [08]
Input/Output
Data bus
29
LD [09]
Input/Output
Data bus
30
LD [10]
Input/Output
Data bus
31
LD [11]
Input/Output
Data bus
32
LD [12]
Input/Output
Data bus
33
LD [13]
Input/Output
Data bus
34
LD [14]
Input/Output
Data bus
35
XRESET
Output
Reset
36
XDSACK0
Output
Output for system test
37
XDSACK1
Output
Output for system test
38
XOE
Output
Read output
Service Manual ECG-9010/9020 Rev A
8. CONNECTOR PIN ASSIGNMENT Pin No.
Signal name
Direction
Description
38
XOE
Output
Read output
39
XWE
Output
Write output
40
XBERR
Output
Output for system test
41
LA [22]
Output
Address bus
42
LA [21]
Output
Address bus
43
SROMD
Input
Serial ROM data
44
LA [20]
Output
Address bus
45
LA [23]
Output
Address bus
46
FC [0]
Out put
Output for system test
47
FC [1]
Out put
Output for system test
48
FC [2]
Out put
Output for system test
49
LA [26]
Output
Address bus
50
LA [25]
Output
Address bus
51
LA [24]
Output
Address bus
52
SIZ0
Output
Output for system test
53
SIZ1
Output
Output for system test
54
XAS
Output
Output for system test
55
RXW
Output
Output for system test
56
LD [07]
Input/Output
Data bus
57
LD [06]
Input/Output
Data bus
58
LD [05]
Input/Output
Data bus
59
LD [04]
Input/Output
Data bus
60
LD [03]
Input/Output
Data bus
61
LD [02]
Input/Output
Data bus
62
LD [01]
Input/Output
Data bus
63
LD [00]
Input/Output
Data bus
64
LD [23]
Input/Output
Data bus
65
LD [22]
Input/Output
Data bus
66
LD [21]
Input/Output
Data bus
67
LD [20]
Input/Output
Data bus
68
LD [19]
Input/Output
Data bus
69
LD [18]
Input/Output
Data bus
70
LD [17]
Input/Output
Data bus
71
LD [16]
Input/Output
Data bus
72
LD [27]
Input/Output
Data bus
73
LD [28]
Input/Output
Data bus
74
LD [29]
Input/Output
Data bus
75
LD [30]
Input/Output
Data bus
76
LD [31]
Input/Output
Data bus
77
LD [15]
Input/Output
Data bus
78
+5 V
+5 V for logic circuit
79
DGND
Ground for digital circuit
80
DGND
Ground for digital circuit
Service Manual ECG-9010/9020 Rev A
8.11
8. CONNECTOR PIN ASSIGNMENT
Inverter Board CN1 (to ECG Control Borad) Pin No.
Signal name
Direction
Description
1
VIN
Output
+10.4 to 12 V for backlight
2
GND
3
VREMOTE
Output
Backlight On/Off output (0 V: Not light, +5 V: Light)
4
VBRIGHT
Output
Backlight brightness control output
Ground
(0 V: when bright is set to maximum) 5
NC
Not connected
6
XLCD
Input
LCD identification input
Pin No.
Signal name
Direction
Description
1
Iout
Output
Power for backlight
2
NC
3
Ioutreturn
CN2 (to LCD module)
8.12
Not connected Input
Power for backlight
Service Manual ECG-9010/9020 Rev A
8. CONNECTOR PIN ASSIGNMENT
External Input/Output Socket SIO Socket Pin No.
Signal name
Direction
Description
1
FG
2
TXD
Output
Transmission data
3
RXD
Input
Receiving data
4
RTS
Output
Request to send
5
CTS
Input
Clear to send
6
DSR
Input
Data set ready
7
GND
8
HS
Ground for main unit
Ground for signal Input
With modem = DCD Without modem = Short to 4-pin
9
DTR
Output
Data terminal ready
Main Unit Side Connector on ECG Control Board
Connector model: NK code No. JEY-9S-1A2B Mating Connector
Connector: DE-9P (NK Code No. 079362) Case:
DE-C1-J6 (NK Code No. 080788)
EXT Input and CRO Output Main Unit Side Connector on ECG Control Board
Connector model: NK code No. SG8036 Mating Connector
Mini plug: AP-313 (NK Code No. 355456A)
Service Manual ECG-9010/9020 Rev A
8.13
-
OOppeerraattoorr TTrraaiinniinngg GGuuiiddeeffoorr
CCaarrddiiooffaaxx EECCGG—99002200KK
FFrroomm NNiihhoonn KKoohhddeenn
ECG Recording for Most Mammalsand
Interpretive ECG Analysisfor Dogs and Cats
Veterinary ECG Software Kit QP-992E
AA nnoottee aabboouutt tthhiiss gguuiiddee:: It is intended to
be used as a brief overview of the instruments operation andto
familiarize you with the basic operations you are likely to
require. It is not intended to replace theaccompanying Operators
Manual. The Operators Manual should be read in its entirety and
referredto for further explanation of the instruments
operation. -
QQuuiicckk RReeffeerreennccee IInnddeexx
I. Getting Started — An Instrument Overview 1
II. Keypad Overlay 6
III. System Setup Menu 7
IV. Using System Test Menu for Simulated ECG Recordings 10
a. Exercise One: ECG Analysis on Medium Size Dog 11 — 12
b. Exercise Two: ECG Analysis on a Cat 11 — 13
c. Exercise Three: Rhythm Strip Recording 11 — 14
d. Manually Recording ECG Waveforms 15 — 16
e. Manual Mode — Rhythm Strip Recording 15 — 17
f. Lead II (Rhythm Strip) Surgical Monitoring 15 — 18
V. Attaching Electrodes and Performing an ECG Recording 19
VI. Troubleshooting 22
VII. Reference Articles 24
-
1GGEETTTTIINNGG SSTTAARRTTEEDD Install Battery Charge Battery —
(an installed, charged battery is required for AC Power Operation)
Install Printer PaperAC Operation and Battery Operation
AACC PPoowweerr OOppeerraattiioonn::When AC power is supplied,
the cardiograph operates on AC power and the ACpower lamp is
lit.CCAAUUTTIIOONNAAllwwaayyss iinnssttaallll tthhee bbaatttteerryy
wwhheenn tthhee ccaarrddiiooggrraapphh ooppeerraatteess oonn AACC
ppoowweerr.. OOtthheerrwwiisseessuuddddeenn ppoowweerr ddoowwnn ooccccuurrss wwhheenn aann
eelleeccttrrooddee iiss ddeettaacchheedd dduurriinngg
rreeccoorrddiinngg..BBaatttteerryy PPoowweerr OOppeerraattiioonn::When AC power is
not supplied, the cardiograph automatically switches to to bat-tery
power operation and the battery operation lamp is lit to indicate
the reminingbattery power.The cardiograph can operate at least 60
minutes with a new fullycharged battery.NNOOTTEE WWhheenn tthhee bbaatttteerryy iiss aallmmoosstt
ddiisscchhaarrggeedd aanndd tthhee ppoowweerr iiss ttuurrnneedd
oonn,, tthhee CChhaarrggee BBaatttteerryy mmeessssaaggee
aappppeeaarrss,, tthhee bbaatttteerryy ooppeerraattiioonn llaammpp
bblliinnkkss iinn oorraannggee,, aann aallaarrmm ssoouunnddss
aanndd tthhee ccaarrddiiooggrraapphh iimmmmeeddiiaatteellyy
ttuurrnnss tthhee ppoowweerr ooffff..AAuuttoommaattiicc PPoowweerr OOffffOn battery operation, to
prevent unwanted battery consumption in battery operation,the
cardiograph automatically turns the power off when the Fail message
(no electrode is attached to the animal) is displayed on the screen
and there is no keyoperation for approximately three minutes. In
this case, temporarily changed settingsare lost. If this happens,
turn the power back on to use the cardiograph continuously.In AC
operation, the backlight turns off.To light the backlight, press
any key.BBaatttteerryy OOppeerraattiioonn TTiimmee
NNOOTTEERReemmaaiinniinngg bbaatttteerryy ppoowweerr
cchhaannggeess ddeeppeennddiinngg oonn tthhee
ssuurrrroouunnddiinnggtteemmppeerraattuurree aanndd qquuaalliittyy ooff
rreeccoorrddiinngg wwaavveeffoorrmm..BBaatttteerryy OOppeerraattiioonn LLaammpp AAvvaaiillaabbllee
RReeccoorrddiinngg TTiimmeeLit in GREEN Approximately 60 minutesLit
in GREEN and ORANGE Approximately 40 minutesLit in ORANGE
Approximately 20 minutesBlinking in ORANGE Power will be lost in
approximately one minute.Recharge the battery immediately or operate on AC power.
AC power lamp on
Battery operation lamp on
-
2IINNSSTTRRUUMMEENNTT OOVVEERRVVIIEEWW
TToopp VViieeww
NNAAMMEE FFUUNNCCTTIIOONN1. Operation Panel Refer to the next
page.2. Magazine (recording paper container) Contains the recording
paper.3. Magazine Release Button Press this button to open the
magazinewhen loading the recording paper.4. LCD Screen Displays ECG
waveforms, animal information,marks and messages.
OOppeerraattiioonn PPaanneell
NNAAMMEE FFUUNNCCTTIIOONN5. Battery Charge Lamp Indicates the
battery charge statusLIT — The battery is being chargedBLINKING — The battery is
almost fully chargedOFF — The battery is fully
chargedNNOOTTEEAAfftteerr cchhaarrggiinngg iiss ccoommpplleettee,,
tthhee bbaatttteerryy cchhaarrggee llaammpp wwiillll bblliinnkk..
TThhiiss iiss bbeeccaauussee aa ssmmaallll ccuurrrreennttiiss
ssuupppplliieedd ttoo tthhee bbaatttteerryy
((ssuupppplleemmeennttaarryy rreecchhaarrggiinngg)) iinn oorrddeerr
ttoo pprreevveenntt sseellff—ddiisscchhaarrggiinnggooff tthhee
bbaatttteerryy.. KKeeeepp tthhee ppoowweerr ccoorrdd pplluuggggeedd
iinnttoo tthhee AACC oouuttlleett..6. Battery Operation Lamp During battery operation, indicates
the remaining battery power with the color and lighting state.
Blinking in orange indicates the battery is almost discharged.Panel Descriptions
-
37. AC Power Lamp Lit when AC power is supplied.
8. POWER Key/Lamp Turns the cardiograph on/off.
The cardiograph is turned on.
The cardiograph is turned off.
9. MODE Key Calls up the Main Menu screen.
10. RHYTHM Key/Lamp Starts the rhythm recording in ECG
examination.The lamp is lit while waveforms are acquired and
recorded.11. FEED/MARK Key Paper Feeding:Paper with a paper mark (black
rectangle) at the bottom of the paper: Feeds the paper until the
paper mark is detected.Paper without the mark:Feeds the paper
continuously while this key is pressed.Event Mark:In the manual
recording mode, you can annotate the ECG waveform by pressing this
key. An event mark is recorded.12. FILTER Key/Lamp Turns the EMG filter on/off.The lamp is lit
when the EMG filter is turned on.NOTE:The EMG filter reduces the
amplitude of high frequency components which may distort the
waveform. Automatic ECG analysis is performed on this possibly
distorted waveform.Refer to section 11 ECAPS 12V ANI-MAL ECG INTERPRETATION
PROGRAM.13. COPY/CAL Key/Lamp Automatic recording mode and rhythm
recording mode:Prints any number of copies of the recording
results. When copy is available and during printing, the lamp is
lit.Manual Recording Mode:Records the calibration waveforms. For
external input signals, this key is not operative.14. START/STOP Key/Lamp Starts or stops recording. During
recording, thelamp is lit.15. POSITION Key/Lamp Selects animal position during
examination.Right L (Lying on right side), Sitting, Steral (lying
flat on stomach with front paws forward),Standing. -
416. F1, F2, F3 Function Keys Correspond to the functions
displayed at the bottom of the screen.17. AGE/SEX Key Selects the animal age zone and sex.
18. CLASSIFICATION Key Selects the animal classification. Large
(Dog),Medium (Dog), Small (Dog), Mini (Dog), and Cat.RRIIGGHHTT SSIIDDEE PPAANNEELL
CCAAUUTTIIOONN
WWhheenn ccoonnnneeccttiinngg tthhee eexxtteerrnnaall
iinnssttrruummeenntt ttoo tthhee ccoonnnneeccttoorrss mmaarrkkeedd
wwiitthh U,, eennssuurree tthhee eexxtteerrnnaall
iinnssttrruummeenntt ccoommpplliieess wwiitthh tthhee
IIEECC6600660011—11 ssaaffeettyy ssttaannddaarrdd ffoorr
mmeeddiiccaall eeqquuiippmmeenntt oorr CCIISSPPRR 1111
SSeeccoonnddEEddiittiioonn 11999900—0099,, GGrroouupp 11 aanndd
CCllaassss BB SSttaannddaarrdd.. WWhheenn eexxtteerrnnaall
iinnssttrruummeenntt ddooeess nnoott ccoommppllyy
wwiitthheeiitthheerr ooff tthheessee ssttaannddaarrddss,, uussee aa
llooccaallllyy aavvaaiillaabbllee mmeeddiiccaall uussee
iissoollaattiioonn ttrraannssffoorrmmeerr uunniitt bbeettwweeeenn
tthheeeexxtteerrnnaall iinnssttrruummeenntt aanndd tthhee AACC
oouuttlleett.. DDoo nnoott uussee tthhee oouuttppuutt ssiiggnnaall
ffrroomm tthhee oouuttppuutt ccoonnnneeccttoorr ffoorr aa
ssyynncchhrroonniizzaattiioonn ssiiggnnaall ssuucchh aass tthhee
ssyynncchhrroonniizzeedd ccaarrddiioovveerrssiioonn ssiiggnnaall..
TThheerree iiss aa ttiimmee ddeellaayy bbeettwweeeenn tthhee
iinnppuutt EECCGG ssiiggnnaall aanndd tthhee oouuttppuutt
ssiiggnnaall..NNaammee FFuunnccttiioonn
19. Patient input connector Connects the patient cable.
20. EXT-IN Connector Inputs an analog signal from an external
instrument.21. CRO-OUT Outputs the rhythm lead (lead II) to an external
instrument.22. SIO Connector Connects to other cardiographs and personal
computer for RS-232C digital communication.23. AC Power Cord Socket Connects the power cord to supply AC
power to the cardiograph.24. Battery Compartment Contains the battery.
CCAAUUTTIIOONNAAllwwaayyss iinnssttaallll tthhee bbaatttteerryy
wwhheenn tthhee ccaarrddiiooggrraapphh ooppeerraatteess oonn AACC
ppoowweerr.. OOtthheerrwwiissee ssuuddddeenn ppoowweerr
ddoowwnnooccccuurrss wwhheenn aann eelleeccttrrooddee iiss
ddeettaacchheedd dduurriinngg rreeccoorrddiinngg..25. Equipotential Ground Terminal When the equipotential
grounding is required to ensure electrical safety, connect this
terminal to the equipotential ground terminal with the ground
lead.!
-
5EEXXPPLLAANNAATTIIOONN OOFF TTHHEE EECCGG SSCCRREEEENN
1. Selected mode in the Main Menu screen.
2. Animal information display areaAnimal age zone/sex,
classification and examination position are displayed. For the
default settings, refer to section 3 Changing settings before
measurement.3. Heart RateUpdated every two seconds.
4. QRS Sync MarkBlinks in synchronization with the QRS wave.
5. Electrode Status Display AreaDisplays the error message for
electrode detachment and noise.6. Waveform Display Area
7. Message and Key Function Display AreaDisplays the function of
the function keys F1 to F3 and screen message. -
6KKEEYYPPAADD OOVVEERRLLAAYY
Purpose: Keys have an assigned numerical value and
action/function.F1, F2, F3 keys have their assigned numerical value
and the function displayed above them on the display screen.1. Use the following keys on the operation panel to enter the
numbers of the desired setting.Refer to the printed setting list
for the current status of all settings. Every setting has a 3 digit
number to change the setting.NNuummeerriicc KKeeyy NNuummeerriicc KKeeyy0 COPY/CAL Key 5
CLASSIFICATION Key1 F1 Function Key 6 MODE Key2 F2 Function Key 7
RHYTHM Key3 F3 Function Key 8 FEED/MARK Key4 AGE/SEX Key 9 FILTER
KeyFor easy reference, place the provided 9020 program sheet on the
operation panel.To delete the entered number, press the POSITION key.
-
7SSYYSSTTEEMM SSEETTUUPP MMEENNUUThe system setup menu allows
the operator to configure functions and operations to fit
particularneeds and situations it is to be used in. A list of
options will be printed out bye the instrument at thebeginning of
this exercise. Asterisks(*) indicate the current setting in the
instrument. All listed functionscan be selections/changes have been
completed, the instrument must be turned off and restarted
toactivate new settings/changes.Printer operation can be terminated
at any point by depressing the Start/Stop key.SSEETTTTIINNGG UUPP TTHHEE SSYYSSTTEEMM SSEETTUUPP
SSCCRREEEENN1. If the power is on, turn it off.2. Press the POWER key and COPY/CAL key together. Hold the
COPY/CAL key until the cardiograph begins to print the list
ofsettings.The System Setup screen is displayed.To stop printing, press the START/STOP key.
NNOOTTEE::IIff yyoouu ccoonnttiinnuuee ttoo hhoolldd tthhee
CCOOPPYY//CCAALL kkeeyy wwhhiillee tthhee lliisstt ooff
sseettttiinnggss iiss pprriinntteedd,, tthhee ssyysstteemm
iinnffoorrmmaattiioonnEErrrroorr 0055 iiss pprriinntteedd aatt
tthhee eenndd ooff pprriinnttiinngg.. TThhiiss mmeeaannss tthhaatt
tthhee CCOOPPYY//CCAALL kkeeyy wwaass pprreesssseedd ffoorr ttoooo
lloonngg..EEXXEERRCCIISSEE — CCHHAANNGGIINNGG SSEETTTTIINNGGSS IINN
TTHHEE SSYYSSTTEEMM SSEETTUUPP MMEENNUU1. Change manual recording channels. Select 3 ch + RHYTHM (502).
On the displayed System Setup screen, enter setting number and
press START/STOP key.2. From the printed system list, select setting number for
turning the QRS SYNC SOUND on (301). On the displayed System Setup
screen, enter setting number and press START/STOP key.3. Verify AC Filter setting is 60 HZ. Active selections are
indicated by asterisk (*).4.Turn Power off. At next power-up, the cardiofax will start
with new settings.502
-
8System Setup T shold printout : (0000)Recorder setting :Grid
recording : On (207)*To change configuration, press : Off (208)system set number.
then press Slow paper speed : 12.5 mm/s (211)START/STOP key. 10
mm/s (212)*Key Explanation0: COPY/CAL Baseline drift suppression :
On (214)*1: F1 Off (215)2: F2 High cut filter : 75 Hz (217)3: F3
100 Hz (218)*4: Age/Sex 150 Hz (219)5: Classification EMG
suppression : 25 Hz (220)6: MODE 30 Hz (221)*7: RHYTHM AC filter :
50 Hz (222)8: FEED/MARK 60 Hz (223)*9: FILTER Off (224)Lead selection mode : Limb leads (226)*Cabera leads (227)
Machine Settings Date display format : yyyy/mm/dd (325)QRS
sync/pen sound selection :QRS sync sound (301 ) yyyy/mm/dd
(326)Pen sound (302 ) mmm-dd-yyyy (327)*Off (303 )* dd-mmm-yyyy
(328)QRS sync sound volume :1 (min) (304 )* Time display format: 12
hour day (329)*2 (305 ) 24 hour day (330)3 (306 ) Display language
: English (334)*4 (max) (307 ) Local language(335)Alarm sound volume :0 (off) (308 )*Communication settings *1
(min) (309 ) Modem initialize command (401)2 (310 ) ATV1Q0X4S)=ODT3
(311 ) Telephone number : (402)4 (max) (312 )Time sound volume :0 (off) (313 )* Direct/modem
connection:Direct (403)*1 (min) (314 ) Modem (404)2 (315 )3 (316 )4
(max) (317 )Date and Time :Year (318yyyy)Month and Date (319mmdd)Hour and
Minute (320hhmm)Set (322 )Baud rate (bps) :2400 (405) Power on4800 (406) EMG Suppression
:On (901)*9600 (407)* Off (902)19200 (408) Sex :M (903)*38400 (409)
F (904)57600 (410) Space (905)115200 (411) Age :0 (916)After receiving :Save (412)* 1+ (917)*Print (413) System set
printing (999)Save and Print(414)**********System Information**********Manual recording
Recording channels :3 ch (501)*3 ch + rhythm (502)6 ch (503)
Error number: 05COPY/CALAuto recording
Auto feed after recording :On (529)*Off (530)
Auto file save :On (531)Off (532)* Date: Jul 18, 2001 7:23
PMInclude reason :On (607)Off (608)* Program: 9020KV
Measurement Table :On (612)Off (613)* Version: 01-04 01-02
01-02**********Error History**********
No. 1 Error number: 27
-
9UUSSIINNGG TTHHEE SSYYSSTTEEMM TTEESSTT MMEENNUU FFOORR
SSIIMMUULLAATTEEDD EECCGG RREECCOORRDDIINNGGSSBy accessing the System Test Menu you can use the Demonstration
Mode of operation to familiarizeyourself with the instruments many
features.The resulting simulated canine tracing enables user
tofamiliarize oneself with basic operation without involving use of
an animal. All instrument functionsare active.To access the System Test Mode:1. With the power off, PRESS BOTH
POWER key and #8 (PAPER FEED) keys simultaneously.Hold down until printer starts to print, then release both.2.
From printed menu, select Demonstration Code (00) and enter setting
number.3. Press START/STOP key.4. Review screen-recorder should be
in AUTO MODE (Upper left corner)System TestTest Level 1 Input unit test result
1: Demonstration (00)To check system, press system Recorder (01)
RF (RL) Normaltest number. then press Key (02) R (RA)
NormalSTART/STOP key. Memory (03) L (LA) Normal2: LCD/LED (04) F (LL) NormalTo quit the test, press Reccumb.
Input unit (05) C1 Error key Calibration (06) C2 ErrorCommunication (07) C3 ErrorKey Explanation CRO/EXT1 (08) C4
Error0: COPY/CAL System Setup Initialization (10) C5 Error1: F1 ECG
Findings List Recording (11) C6 Error2: F23: F34: Age/Sex5:
Classification6: MODE7: RHYTHM8: FEED/MARK9: FILTER -
10
CCAALLLLIINNGG UUPP TTHHEE TTEESSTT LLEEVVEELL 221.If the power
is on, turn it offNNOOTTEERReelleeaassee tthhee FFEEEEDD//MMAARRKK kkeeyy
iimmmmeeddiiaatteellyy aafftteerr tthhee iinnssttrruummeenntt
ssttaarrttss pprriinnttiinngg.. IIff yyoouu ccoonnttiinnuuee ttoo
hhoolldd tthhee FFEEEEDD//MMAARRKK kkeeyy ffoorr mmoorree tthhaann
1155 sseeccoonnddss,, tthhee iinnssttrruummeenntt
rreeccooggnniizzeess tthhaatt tthhee FFEEEEDD//MMAARRKK kkeeyy iiss
sshhoorrtt—cciirrccuuiitteedd aanndd pprriinnttss tthhee
ssyysstteemm iinnffoorrmmaattiioonn EErrrroorr 0055 aatt tthhee
eenndd ooff pprriinnttiinngg..2. Press the POWER key while pressing the FEED/MARK and
EXAMPOSITION keys together. Hold the FEED/MARK and EXAM
POSITIONkeys until the instrument begins to print the system test
procedure,relationship between the input number and its
corresponding key nameon the operation panel and system test number
list as shown below.The Test Level 2 is called up and the
instrument is in standby mode for entering the system test number
(The System Test screen appears for the ECG-9020K only as shown
below.)To cancel printing the following information, press the
START/STOP key.The only difference between the ECG-9010K and ECG-9020K
printoutsis the description of the key explanation.Printout (ECG-9020K)System Test Test Level 21: Recorder (00) Cue
mark adjustment (-4.0 mm) (13)To check system, press system Thermal
head (01) Cue mark adjustment (-3.5 mm) (14)test number, then press
Recording resolution setting (02) Cue mark adjustment (-3.0 mm)
(15)START/STOP key. Key (03) Cue mark adjustment (-2.5 mm) (16)2: Memory (single) (04) Cue mark adjustment (-2.0 mm) (17)To
quit the test, press Memory (continuous) (05) Cue mark adjustment
(-1.5 mm) (18)AUTO/MANUAL key. LCD/LED (06) Cue mark adjustment
(-1.0 mm) (19)Input unit (07) Cue mark adjustment (-0.5 mm) (20)Key
Explanation Calibration (08) Cue mark adjustment ( 0 mm) (21)0:
COPY/CAL Communication (09) Cue mark adjustment (-0.5 mm) (22)1: F1
CRO/EXT1 (10) Cue mark adjustment (-1.0 mm) (232: F2 System Setup
Initialization (12) Cue mark adjustment (-1.5 mm) (24)3: F3 Cue
mark adjustment (-2.0 mm) (25)4: AGE Cue mark adjustment (-2.5 mm)
(26)5: SEX Cue mark adjustment (-3.0 mm) (27)6: MODE Cue mark
adjustment (-3.5 mm) (28)7: RHYTHM System Setup transfer (29)8:
FEED/MARK System Setup receiver (30)9: FILTER Reset elapsed time
(31)Download font (32)
System Test Screen (ECG-9020K)
-
11
EXERCISE ONE
1. Select MMeeddiiuumm DDoogg using the AANNIIMMAALL
CCLLAASSSSIIFFIICCAATTIIOONN key2. Select 11 yyeeaarr oolldd,
MMaallee using the AAGGEE//SSEEXX key3. Select SSttaannddiinngg
PPoossiittiioon using the EEXXAAMM PPOOSSIITTIIOONN key4. Change
SSeennssiittiivviittyy setting to 2200 mmmm//mmvv ((FF22
kkeeyy))(NNOOTTEE:: DDeeffaauulltt sseettttiinngg iiss 1100
mmmm//mmvv)5. Press FF11 key for printout (RReeaall TTiimmee
PPrriinnttiinngg Mode)6. Review printout. Note input setting made
by operator(See sample printout on page 12)
EEXXEERRCCIISSEE TTWWOO
1. Select CCaatt using the AANNIIMMAALL
CCLLAASSSSIIFFIICCAATTIIOONN key2. Select LLeessss tthhaann 11
yyeeaarr,, ffeemmaallee using the AAGGEE//SSEEXX key3. Select
RRiigghhtt LLaatteerraall examination position using EEXXAAMM
PPOOSSIITTIIOONN key4. Change SSeennssiittiivviittyy to 2200
mmmm//mmvv using the FF22 key(NNOOTTEE:: DDeeffaauulltt sseettttiinngg iiss 1100
mmmm//mmvv)5. Turn on the EEMMGG FFIIlltteerr using FFIILLTTEERR
((##99)) key6. Press SSTTAARRTT//SSTTOOPP key to print
(RReevviieeww RReeccoorrdd PPrriinnttiinngg Mode)7. Press CCOOPPYY
key to make a copy(See sample printout on page 13)
EEXXEERRCCIISSEE TTHHRREEEE (DVM requests rhythm strip [Lead
II])1. Depress RRHHYYTTHHMM key2. Acquire 3300 sseeccoonnddss
elapsed time (waveform acquisition)3. WWaattcchh eellaappsseedd
ttiimmee ddiissppllaayyeedd oonn ssccrreeeenn4. AAtt 3300
sseeccoonnddss eellaappsseedd ttiimmee, press RRHHYYTTHHMM key.
Acquisition will stop and printout begins. AAnnyyttiimmee uupp ttoo 6600 sseeccoonnddss ccaann bbee
aaccqquuiirreedd. If left to acquire 60 seconds of elapsed time,
printout will occur automatically at 60 seconds.5. Review recorded rhythm strip. NNOOTTEE:: TTrraaccee
ssppeeeedd iiss ffiixxeedd aatt 2255 mmmm//sseecc(See sample printout on page 14)
-
12
EEXXEERRCCIISSEE OONNEE(See instructions on page 11)
-
13
EEXXEERRCCIISSEE TTWWOO(See instructions on page 11)
-
14
EEXXEERRCCIISSEE TTHHRREEEE(See instructions on page 11)
-
15
EEXXEERRCCIISSEE FFOOUURR — MMAANNUUAALL RREECCOORRDDIINNGG
You can manually record the ECG waveform. During recording you
can annotate the ECG wave-forms when there is a change in animal
condition or artifact. In the manual recording mode, thebaseline is
automatically adjusted every time a recording is started, a lead
group is selected or asensitivity change is made.The paper trace
speed [Slow Paper Speed, 10 mm/sec or 12.5 mm/sec(see System
Set-up)] can be selected.1. Change recorder settings if necessary. (Refer to System
Set-up menu)2. Press PPOOWWEERR and ##88 ((PPAAPPEERR FFEEEEDD))
keys simultaneously.3. Enter DDEEMMOONNSSTTRRAATTIIOONN MMOODDEE
(00)4. Change mode by depressing MMOODDEE ((##66)) key. From the
resulting MAIN MENU screen, selectMMAANNUUAALL RREECCOORRDD using the F2 (NEXT) key followed by
the F3 (OK) key. Note change on main menu screen (Upper left
corner).5. Press FF11 key to select first lead Group (I, II, III)6.
Select PPAAPPEERR ((TTRRAACCEE)) SSPPEEEEDD using FF33 key. Set to
50 mm/sec. Note: Either 10 mm/sec or12.5 mm/sec available with the slow paper speed. See System
Set-up menu for selection.7. Change SSEENNSSIITTIIVVIITTYY to 20
mm/mv using FF22 key.8. Enter patient parameters if appropriate for
later reference. Reminder; interpretation ofwaveform will not be made in manual mode.9. Press
SSTTAARRTT//SSTTOOPP key to start printout.10. Press
SSTTAARRTT//SSTTOOPP key to end printout.(See sample printout on page 16)
EEXXEERRCCIISSEE FFIIVVEE
AA — RRHHYYTTHHMM SSTTRRIIPP RREECCOORRDDIINNGG IINN
MMAANNUUAALL MMOODDEE1. Select EExxtteerrnnaall IInn ( Rhythm [II] lead) group using
the FF11 key (I, II, III) (AVR, AVL, AVF) p Rhythm [II]2. Acquire 3300 sseeccoonnddss of (Lead II) Rhythm lead by:a.
Press ((##77)) RRHHYYTTHHMM key.b. At elapsed time of 30 seconds,
press ((##77)) RRHHYYTTHHMM key again. Note: Will automaticallyprint 60 seconds of acquired time if no action is taken.c.
Review printout. Note heart rate, elapsed time and trace speed (25
mm/sec)(See sample printout on page 17)
BB — PPRRIINNTTIINNGG RRHHYYTTHHMM SSTTRRIIPP ((LLEEAADD IIII))
DDUURRIINNGG LLEEAADD IIII MMOONNIITTOORRIINNGG
((SSUURRGGEERRYY))1. Using the recorder setting from Exercise Four. Press the
SSTTAARRTT//SSTTOOPP key. Note: Printer starts printing lead II as
seen on recorder screen. Printout is continuous in real time.
Recorderdoes not acquire waveform nor show elapsed time.2. Press SSTTAARRTT//SSTTOOPP key to end printing.3. Review
printout. Note that trace speed is as selected on Main Menu screen
— NOT as fixed 25mm/sec.
(See sample printout on page 18)
-
16
EEXXEERRCCIISSEE FFOOUURR(See instructions on page 15)
-
17
EEXXEERRCCIISSEE FFIIVVEE ((AA))(See instructions on page
15) -
18
EEXXEERRCCIISSEE FFIIVVEE ((BB))(See instructions on page
15) -
19
AATTTTAACCHHIINNGG TTHHEE EELLEECCTTRROODDEESS AANNDD
PPEERRFFOORRMMIINNGG AANN EECCGGLLeeaavvee tthhee iinnssttrruummeenntt ttuurrnneedd ooffff
uunnttiill tthhee lleeaaddss aarree aattttaacchheedd aanndd tthhee
aanniimmaall iiss ccaallmm..Right lateral recumbency is the standard body position for
recording the ECG in the dog and cat. If respiratory distress is
evident, the ECG should be recorded with the animal standing or in
sternal position.To obtain the most accurate assessment of the ECG tracing, care
needs to be taken toavoid undo stress, and minimize the white coat
effect.The animal should be allowed toacclimate to the area.
Establishing contact with the animal is important, especially for
the person that will be administering the ECG.The area where the
recording is to be taken should be quiet and away from the hub-bub
of the ongoing practice activities.Owner participation will also
minimize anxiety, especially in cats. Excessive restraint is also
not desirable. Dogs may be more comfortable on the floor than begin
raised to tables. Cats could be left in the owners lap. Use of
sedatives and anesthetics is not advisable for diagnostic
recordings. If used, their likely affects should be understood and
taken into consideration when assessing the interpretations
provided.Attach the electrodes to the skin and moisten with 70% alcohol
or ECG gel. When using alcohol, avoid excessive amounts and having
alcohol travel between leads.This in effect is the same as having
the electrodes touch each other! -
20
AATTTTAACCHHIINNGG TTHHEE LLIIMMBB EELLEECCTTRROODDEESS
Attach four limb electrodes to soft muscular, not bony, areas at
the limb joints using the followingsteps.1. Clean the skin with a cotton moistened with alcohol to remove
oil.2. Connect the patient cable to the electrodes.
3. Apply a small amount of 70% alocohol or electrode gel on
thecontact surfaces of the electrodes.4. Clip the cleaned electrode site with the electrode.
PPAATTIIEENNTT CCAABBLLEE TTIIPP CCOOLLOORR CCOOAATTIINNGG
Firmly insert the lead tip of the patient cable to the
electrode, matching the tip color and electrodesite. Refer to the
table below.LLEEAADD CCOONNNNEECCTTIIOONNAAHHAA SSTTAANNDDAARRDD
SITE
RIGHT FORE LIMB
LEFT FORE LIMB
RIGHT REAR LIMB
LEFT REAR LIMB
CODE
RA
LA
RL
LL
COLOR
WHITE
BLACK
GREEN
RED
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21
PPRROOBBLLEEMM SSOOLLVVIINNGG WWIITTHH CCAATTSS
Unlike humans and most dogs, the cardiac axis is not aligned top
right to bottom left in cats.Theheart has a tendency to lie more
centrally with its apex more ventral than the atria, i.e., the
heartpoints downward towards the ground when the animal stands.This
gives rise to one of the common problems with monitoring cats,
finding the strongest signal topresent to the RA and LL
electrodes.The best signal is derived top/bottom axis i.e. Lead II in
humans, with RA looking at the top of theheart and LL at the
bottom. In cats, as stated, the axis may not lie across the body.
(see figure 1)As lead II may not align with the cats axis, the signal is small
and sometimes cancels.Therefore, bymoving RA more centrally onto
the cats body above the top, and LL onto the cats body below
thebottom of the heart, a much larger signal will be obtained.The plane in which the cats heart lies within its body may also
vary.The top of the heart may be more dorsal and the bottom more
ventral. In this case, we would referto the base/apex axis (see
figure 2) when the following instructions should be followed.1. Move LL to the left apex of the heart.
2. Move RA to the V10 position (over the dorsal spinous process
of the seventh thoracic vertebra) and LL to the V4 position (sixth
left intercostal space at the costochondrail junction). It will be
necessary to annotate the printouts, if any, with actual
configurations used to avoid later confusion.Figure 1
Figure 2
-
22
TTRROOUUBBLLEESSHHOOOOTTIINNGG
AACC IInntteerrffeerreennccee Appears on the ECG as even-peaked,
regular voltages superimposed throughout the tracing. It may appear
in conjunction with muscle tremor.Causes: Dirty or corroded lead wire tips or electrodes Loose
electrode connection Patient or technician touching an electrode
during recording Patient touching any metal part of a bed or
examination table Broken lead wire, patient cable or power cord
Electrical devices in the immediate area, lighting, concealedwiring in walls or floors Improperly grounded electrical
outletMMuussccllee TTrreemmoorr Appears on the ECG as random,
irregular voltages superimposedIInntteerrffeerreennccee ((EEMMGG))
on the tracing. It may resemble or occur in conjunction with ACinterference.
Causes: Patient is uncomfortable, tense, nervous or apprehensive
Patient is cold and shivering Patient has neuro or muscular
disorder Examination table is too narrow or short to support
limbscomfortably Patient may have white coat effect
See Getting a Quality ECG for suggestions
-
23
WWaannddeerriinngg BBaasseelliinnee Appears on the ECG as a
fluctuation of the tracing up and downward on the grid.Causes: Dirty or corroded electrodes Loose electrodes or
electrodes positioned on a bony area Insufficient or dried out
Alcohol or Electrode Gel Rising and falling of chest during normal
or apprehensiverespiration
When wandering baseline occurs: Clean skin with alcohol or
acetone if necessary Reposition electrodes Check the electrode
connections Assist the patient in relaxationOOtthheerr When an electrosurgical unit is used with the
cardiograph, noise generated by an ESU is superimposed on the ECG
waveforms.Equipment in the same room as the cardiograph may generate noise
which is superimposed on the ECG waveforms. Noise generated by an
electrosurgical unit Noise from AC power line Spike noise caused by
electrostatic energy as shown below..
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24
So you are a veterinary technician and you would like tolearn
how to interpret electrocardiograms (ECGs). Great idea!What is
reasonable to expect of yourself? Even veterinarianscan be somewhat
daunted by all those squiggly lines.After 20 years as a technician in the cardiology section of
theVeterinary College at the University of Minnesota, I can
testifythat learning to read ECGs is fun, well within your grasp,
andcan be a tremendously satisfying skill to have tucked underyour
belt.You can master the technique of recording an ECG as well
aslearning the fundamentals of arrhythmia interpretation.Although,
measuring the ECG to assess heart chamber enlarge-ment is certainly
not beyond your skill level, it can be a tediousphase of the
learning process. The good news is that your vet-erinarian can use
other tools, such as radiographs and ultra-sound to determine heart
chamber size. This allows us to focuson arrythmias which are more
fun and require almost no meas-uring. Recording the ECGThe ECG can be recorded with the patient right side down orin a
standing position with any standard ECG strip chartrecorder.1.
Attach the electrode clips directly to the skin (taking care
toattach the correct electrodes to the appropriate limbs) and
mois-ten with alcohol or gel to assure good contact.2. Enter a 1 cm
= 1 m V calibration signal.3. Record lead II for about a minute at
25 mm/sec to assessarrythmias. Increase the length of the tracing
if an arrhythmia isseen. If you are determined to measure waveforms
as well,record a brief tracing at 50 mm/second.Its helpful to center the tracing on the paper so that both
thetop and bottom of the waveforms can be seen. Also, decreasethe
sensitivity to 1/2 cm = 1 mV if the QRS complexes go offthe
paper.The Normal ECGNext on the agenda is learning what a normal ECG looks like- and
why.You probably already know all the anatomy you need. Theheart has
four chambers: two atria and two ventricles. They areconnected by a
conduction system that spreads an electricalcurrent that enables
the heart to contract. The ECG is simply agraphic recording of this
electrical activity during the differentphases of the cardiac
cycle.Read Between the LinesLearning to interpret electrocardiograms
will prove invaluable to your patients and practiceBy: Naomi L.
Burtnick, MT (ASCP)The normal sequence of electrical activation in the heart is
asfollows:1. Sinoatrial (SA) node — located in the right atrium.2.
Atrioventricular (AV) node — conduction link between theatria and
ventricles.3. Left and right bundle branches — located in the left
and rightventricles.The following waveforms are part of a single heart beatP wave —
corresponds to atrial contractionPR interval — corresponds to the
time it takes for the impulse topass through the AV nodeQRS waves —
correspond to ventricular contractionQ is the first negative
deflection.R is the first positive deflection.S is the negative
deflection that follows the S wave.Note: Not all QRS complexes have a Q and an R and an S.Thats
OK.T wave — represents ventricular relaxation. T waves can be
posi-tive or negative, but every QRS complex has to have one. If
itcontracts it has to relax before it can contract again.Calculating the Heart RateThe heart rate (beats/min) can be
calculated easily by count-ing the number of beats (R-R intervals) between two sets ofmarks
in the margin of the ECG paper (3 seconds at 25mm/sec) and
multiplying by 20. ECG rulers are also available.this is all the
measuring thats necessary. -
25
Recognizing ArrythmiasThis is where you will be of most help to
you patient and thestaff at your clinic. Think how much more interesting your
jobwill be if you watch a monitor during a surgery; you can
beresponsible for alerting the doctor if abnormal beats occur.To recognize arrythmias you need to know two things:1. The site
of origin of the abnormal beat.2. Recognize deviations from the
normal rate of automaticityfor that site.Site of OriginThree different sites can be identified on lead II by the
following features:Atrial origin — These beats originate from nowhere in the atria
other than the SA mode. They look just like a normally conducted
beat except that their timing is very early. A big hint is that the
P wave of the atrial beat touches the T wave of the beat before
it.Junctional origin — These beats originate near the AV node and
have a negative deflection P wave, or no P wave, with a normally
conducted, short duration QRS complex.Ventricular origin — These beats originate somewhere in the
ventricles. No P waves are evident. QRS complexes arewide and
bizarre appearingand may be positive or negative polarity.
Intrinsic Rates of AutomaticityAtrial, junctional and
ventricular sites each have a normal rateof automaticity (the ability to initiate impulses), buy
mayrespond in the following abnormal ways:Too fast (tachycardia)
Too irritable (premature)Too slow (bradycardia) Absent
(block)Normal pacemaker rates in the dog:A great rule of thumb: Whichever site is fastest will drive
theheart.A Case ExampleHeres an example to get you thinking along these
lines. a 7-year-old male boxer lethargically walks into the exam roomwith a
history of exercise intolerance. You run a lead II rhythmstrip that
looks like the following:How are we going to analyze it? Scanning from left to rightyou
see a P wave, PR interval, R wave (its OK for a QRS com-plex not to
have a Q an R and an S) and a negative T wave. Inother words, a
normally conducted heat, which is followed bytwo more normally
conducted heats. The fourth beat has alarge, wide QRS complex with
a big negative T wave. Whatsite do you think it originates from? It
cant be atrial becausethere is no P wave. It cant be junctional
(near the AV node)because its too wide and sloppy looking and
junctional beatsshould be of normal duration. But it definitely
fits the criteriafor a ventricular origin beat! To further describe
it we also usethe term premature because it comes before the next
expectednormal beat. Next, are four more normally conducted beats
fol-lowed by another VPC (ventricular premature
contraction).Wouldnt it be nice if they all came labeled! Can you
spot thenext VPC on the strip?This strip is recorded from the same dog one hour later. Asyou
can see, there are five normally conducted beats followedby a long
run of ventricular origin beats.We have already decided the site of origin. the next step is
todecide if this an appropriate rate for that site. Heres a chance
topractice the technique for calculating heart rate.
Countingbetween the markers (3 seconds at 25mm/second) we have
15beats. If we multiply by 20 we will have the number of beats in60
seconds. therefore, 20 x 15 = 300 beats per minute. Thatsway above
the normal healthy ventricular conduction tissue rateof 20-40 beats
per minute indicated on the illustration of nor-mal pacemaker rates
in the dog. Now we want to apply the termtachycardia to imply that
the rate is too fast for that particu-lar site. Ventricular
premature contractions and ventriculartachycardia are a significant
finding in boxers. This breed ispredisposed to a form of dilated
cardiomyopathy which haslife-threatening arrythmias.A Second Case
ExampleA middle aged female miniature schnauzer faints while walk-ing
into the exam room, then gets up as if nothing happened.The ECG you
run looks like this:Clearly, that long flat line is not normal. But how do we
decidewhat site in the heart is creating the problem? As was
men-tioned earlier, in the normal sequence of electrical activation
in -
26
the heart the SA node (the primary pacemaker of the
heart)stimulates the atria generating a P wave, the impulse
continuesthough the AV node (PR interval) , and down into the
ventricles(QRS complex). But in this case, there is no P, PR or
QRSwhich implies that the SA node never started the wholesequence
or was blocked in the process. Hence, the term SAblock to describe
this abnormality. SA block is a feature of aconduction disease
called sick sinus syndrome. Surgicallyimplanting an artificial
pacemaker will restore almost normalquality of life.Dont feel pressured to learn everything at once. It will
beextremely helpful even if you only learn how to record an
ECGwell. Simply recognizing that an abnormal beat has occurredand
alerting your veterinarian will be appreciated. The key isrunning
lots of ECGs and trying to learn a little more from eachone.NNaaoommii LL.. BBuurrttnniicckk,, MMTT ((AASSCCPP)) wwoorrkkss
aatt VVeetteerriinnaarryySSppeecciiaallttyy RReeffeerrrraall
CCeenntteerr,, VVEETTMMEEDD ((DDrr.. TTiilllleeyy
&&AAssssoocciiaatteess)),, iinn SSaannttee FFee,,
NNMM.. -
27
Some electrocardiographic complexes to emphasize differences in
rate, rhythm, and shape.Normal Sinus Rhythm
Impulses originate at SAnode at normal rate
Sinus Bradycardia
Impulses originate at SAnode at slow rate
Sinus Tachycardia
Impulses originate at SAnode at rapid rate
Sinus Arrhythmia
Impulses originate at SAnode at varying rate
Nonsinus Atrial (Coronary sinus) Rhythm
Impulses originate low inatrium travel retrogradeas well as
distallyNormal Sinus Rhythm
Impulses originate at SAnode at normal rate
Variations in P wave con-tour, PR interval, PP, andRR
intervalsAll complexes evenly spaced; rate 60 to 100 / minute
All complexes normal, evenly spaced; rate 100 / minute
All complexes normal but rhythmically irregular. Longest PP orRR
interval exceed shortest by 0.16 second or moreP waves inverted in leads II, III, and a VF
-
28
Some electrocardiographic complexes to emphasize differences in
rate, rhythm, and shape.Idioventricular Rhythm
Accelerated Idioventricular Rhythm (AIVR)
VentricularTachycardia
Ventricular Fibrillation
Pacer Rhythm
Rate < 40 / minute
Rate 40 to 120
Rate > 120
Pacemaker spike
-
29
PP WWaavvee:: the P wave is the first positive deflection and
represents atrial depolarization. It normallyappears smoothly
rounded and recedes each QRS complex at a specific interval.PP—RR
IInntteerrvvaall:: the P-R interval represents impulse conduction
through the atria and into the AV node.It extends from the
beginning of the P wave to the onset of the Q wave.QQRRSS
CCoommpplleexx:: the QRS complex represents ventricular
depolarization. It consists of three deflec-tions.The Q-wave is the
first negative deflection after the P wave. it results from the
initial left-to-rightseptal depolarization. the R wave is the first
positive deflection after the P wave.The S wave is thenegative
deflection following the R wave.SS—TT IInntteerrvvaall:: the S-T
segment extends from the end of the S wave to the beginning of the
T wave.T Wave: the T wave represents ventricular repolarization.
Normally this wave is positive and symmet-rical, but drugs, change
in position, electrolyte imbalance, and food intake may alter the T
wave.QQ—TT IInntteerrvvaall:: the Q-T interval extends from the
beginning of the QRS complex to the end of the Twave. it represents
ventricular depolarization and repolarization.UU WWaavvee:: the U
wave is a small positive deflection after the T wave. It reflects
repolarization of thePurkinje fibers.This wave is not usually
visible on the ECG.Technical or mechanical problems that are superimposed on the
normal P-QRS-T complexes areknown as artifacts. Other equipment in
the area that uses electrical current may cause artifacts.Muscle
tremor or body movement may also cause artifacts, and efforts
should be made to calm theanimal and make it comfortable. It is
important to place the electrode clips correctly and hold thelimbs
away from the body during right recumbent position to prevent the
electrodes from moving withthe thoracic respiratory motions.IInnddiiccaattiioonnss ffoorr
EElleeccttrrooccaarrddiiooggrraapphhyyElectrocardiography is useful
in clinical veterinary practice:1. In the definitive diagnosis of
cardiac arrythmias.2. As an adjunct to determine cardiac
enlargement (dilatation or hypertrophy)3. As an indicator of
certain electrolyte, acid-base, systemic, or metabolic
disorders.4.To individualize heart failure therapy.TThhee AAbbnnoorrmmaall EElleeccttrrooccaarrddiiooggrraammThe
first and most important step in ECG interpretation is
differentiating between normal and abnor-mal waveforms.The second
step is differentiating between the various abnormal ECG patterns
andcorrelating them with known cardiac entities.A Simple Checklist:1. Are the P waves present?
a. If not, is there other evidence of atrial activity
(fibrillatory waves)?2. What is the relationship between atrial
activity and QRS complexes?a. What are the atrial and ventricular rates?b. Is a P wave
related to each QRS complex?c. Does a P wave precede or follow the
QRS complex?d. Is the P-R and R-R interval constant?3. Are the P waves and QRS complexes regular or irregular?4. Are
the QRS complexes wide or normal?5. Is the ventricular rhythm
regular or irregular?6. Are there pauses or premature complexes
that require explanation? -
30
EElleeccttrrooccaarrddiiooggrraapphhiiccaall SSiiggnnss ooff
PPaatthhoollooggiiccaall CChhaannggeess iinn tthhee HHeeaarrttRight
atrial enlargementP wave is usually tall, slender, and peaked.Left atrial enlargementIncreased duration of the P wave,
notching of the P wave.LLeefftt VVeennttrriiccuullaarr EEnnllaarrggeemmeennttAs a
result of the increased muscle mass the height of the R wave is
increased, the QRS complexis delayed or altered in conduction, the
S-T segment is depressed, and the T wave is changed.CCoonndduuccttiioonn
AAbbnnoorrmmaalliittiieessSSiinnooaattrriiaall BBlloocckkSinoatrial
(SA) block is a disturbance of conduction in which the SA nodal
impulse is blocked fromdepolarizing the atria.Causes: dilatation,
fibrosis, cardiomyopathy, drug toxicity, and electrolyte
imbalances.ECG: SA block is suggested when pauses in the rhythm are
precise multiples of normal R-R inter-vals.The P wave and the QRS
complexes are usually of normal configuration.Figure 4-17 sinoatrial block or arrest in a female miniature
schnauzer with syncope. Note the ventric-ular escape complex
(arrow).FFiirrsstt DDeeggrreeee AAVV BBlloocckkA delay or interruption
in conduction of a supraventricular impulse through the AV junction
and bun-dle of His is called AV block.First-Degree AV block may
occur in animals that are clinically normal and healthy.ECG:
Prolonged P-R interval, QRS complex and P wave are usually
normal.Figure 4-19: First-Degree and second-degree AV block in a dog
with syncope.The P-R interval isprolonged (0.14 second). Every
other atrial impulse is conducted (2:1 second-degree block).SSeeccoonndd—DDeeggrreeee AAVV BBlloocckkSecond-degree Av block
is characterized by an intermittent failure or disturbance of AV
conduction.The second-degree AV block can further be characterized
as Mobitz type I (Wenckebach phenome-non) usually type A and Mobitz
type II, usually type B. -
31
ECG: One or more P waves are not followed by QRS-T
complexes.CCoommpplleettee HHeeaarrtt BBlloocckkComplete heart block
occurs when AV conduction is absent and the ventricles are under
the controlof pacemakers below the area of the block.Clinical signs
associated with complete heart block are syncope, sudden death, and
congestiveheart failure.ECG:The ventricular rate is slower than the
atrial rate (more P waves than QRS complexes).Figure 4-21 Complete heart block with an indioventricular escape
rhythm (arrows) of 30 beats/min.from a dog with syncope and severe
ascites. A cardiac neoplasm was found at necropsy. (Tilley
LP:Essentials of Canine and Feline Electrocardiography. 2nd Ed. Lea
& Febiger, Philadelphia, 1885.)AArrrryytthhmmiiaassAn arrhythmia is an abnormality in the rate,
regularity, or site of cardiac impulse and/or disturbanceof impulse
conduction. during normal sinus rhythm, the cardiac impulse
originates in the SA nodeand spreads throughout the atria, AV node
and His-Purkinje system, and ventricles.AArrrryytthhmmiiaass OOrriiggiinnaattiinngg iinn tthhee
SSiinnuuss NNooddee SSiinnuuss TTaacchhyyccaarrddiiaaSinus
tachycardia is the most common arrhythmia in the dog and the cat.
All ECG criteria are nor-mal except that the heart rate is above
160 bpm in the dog and above 240 bpm in the cat.Examples of
physiologic conditions associated with sinus tachycardia include
pain, fright, or excite-ment. Pathological conditions include
fever, shock, anemia, infection, congestive heart failure,
hypox-ia, and hyperthyroidism. Drugs that can cause sinus
tachycardia include atropine, epinephrine, keta-mine, and
vasodilators.SSiinnuuss BBrraaddyyccaarrddiiaaA regular sinus rhythm slower
than the normal sinus heart rate is sinus bradycardia. Sinus
bradycar-dia can occur from severe systemic disease (e.g. renal
failure), from toxicities, with dilated cardiomy-opathy in the cat,
or during end-stage heart failure.Physiologic causes of sinus
bradycardia include increased vagal tone due to carotid sinus
pressure,eyeball compression, or elevated intracranial
pressure.Drug induced causes include tranquilizers, digitalis,
quinidine, morphine, and various anestheticagents.ECG criteria are
normal except that the heart rate is less than 70 bpm in the dog
and less than 160bpm in the cat.SSiinnuuss AArrrreessttSinus arrest is a failure of SA nodal
impulse formation caused by depressed automaticity.ECG:The rhythm
can be regular or irregular with pauses demonstrating a lack of
P-QRS-T complex-es. -
32
AArrrryytthhmmiiaass OOrriiggiinnaattiinngg iinn tthhee
AAttrriiaall MMuusscclleeAAttrriiaall PPrreemmaattuurree CCoommpplleexxeessAtrial
premature complexes arise from ectopic atrial foci.They are
frequently caused by cardiac dis-ease and may progress to atrial
tachycardia or atrial fibrillation.Atrial premature complexes are
often caused by atrial enlargement from acquired chronic
valvularinsufficiency, primary myocardial disease, right atrial
hemangiosarcoma, hyperthyroidism, digitalis tox-icity, general
anesthesia, and various drug, chemical or noxious stimuli.Figure 4-36 Atrial premature complexes (arrows) and P mitrale in
a dog with congestive heart failure.ECG: Usually normal heart rate, but the rhythm is irregular due
to the premature P wave that dis-rupts the normal sinus-initiated P
wave rhythm.AAttrriiaall FFiibbrriillllaattiioonnAtrial fibrillation is
common in the dog and is usually associated with severe organic
heart disease. itis usually associated with chronic AV valvular
insufficiency in small breeds, dilated cardiomyopathyin large and
giant breeds, and congenital heart defects.ECG: Atrial and ventricular rates are rapid an totally
irregular. Large oscillations waves replace thenormal sinus P
waves.AArrrryytthhmmiiaass OOrriiggiinnaattiinngg iinn tthhee
VVeennttrriiccuullaarr MMuusscclleeVVeennttrriiccuullaarr
PPrreemmaattuurree CCoommpplleexxeessVentricular premature
complexes (VPCs/PVCs) are impulses that arise from an ectopic
ventricularfocus.Cardiac causes of VPCs include congestive heart
failure, myocardial infarction, neoplasia, pericardi-tis, traumatic
myocarditis, idiopathic myocarditis in boxers and Doberman
pinschers, and bacterialendomyocarditis. Secondary changes include
changes in autonomic tone, hypoxia, anemia, uremia,pyometra,
gastric-volvolus, pancreatitis, and parvovirus. Drugs that can
cause VPCs include digitalis,epinephrine, anesthetic agents and
atropine. -
33
ECG: Heart rate is usually normal. the ectopic QRS complex is
premature, bizarre, and often of largeamplitude.The T wave is
directed opposite to the QRS deflection. VPCs of identical shape
are calledunifocal when the QRS is variable, they are termed
multiformed.VVeennttrriiccuullaarr TTaacchhyyccaarrddiiaaVentricular
tachycardia is a continuous series of three or more VPCs.The same
conditions thatcause VPCs also cause ventricular tachycardia.ECG: QRS complexes are wide and bizarre with T waves directed
opposite to the QRS deflection.There is no relationship between the
QRS complexes and the P waves; the P waves may precede,be hidden
within, or follow the QRS complexes.VVeennttrriiccuullaarr FFiibbrriillllaattiioonnVentricular
fibrillation causes cardiac arrest and is often a terminal event.
Ventricular contractions areweak and uncoordinated. Cardiac output
is essentially nonexistent.ECG:The heart rate is rapid with irregular chaotic and bizarre
waves. P waves cannot be recognized. -
34
EEffffeecctt ooff SSeelleecctteedd DDiisseeaasseess oonn tthhee
EElleeccttrrooccaarrddiiooggrraammHHyyppeerrkkaalleemmiiaaHyperkalemia
is a common clinical problem in cats with urinary tract
obstruction. Addisons diseaseis a common cause of hyperkalemia in
the dog.ECG Changes:K+>5.5 mEq/l:T waves larger and
peaked.K+>6.5 mEq/l: R wave decreased, QRS prolonged, P-R
interval prolonged.K+>7.0 mEq/l: P wave amplitude decreased, P
wave duration increased, QRS longer, P-R intervallonger, Q-T
interval prolonged.K+>8.5 mEq/l: P wave disappearance, atrial
standstill, sinoventricular rhythm.K+>10.0 mEq/l: Ventricular
fibrillation or ventricular asystole.Figure 4-30 (A) Hyperkalemia in a dog presenting with
hypovolemic shock due to addisonian crisis.P waves are absent and T
waves are tall and peaked. Serum potassium was 8.4 mEq?L. (B)
Afterinstitution of therapy, P waves are present and the QRS-T
complex is of smaller amplitude. Serumpotassium was 4.8 mEq/L.
(Tilley LP: Essentials of Canine and Feline Electrocardiography,
2nd Ed.Lea & Febiger, Philadelphia, 1985.)PPeerriiccaarrddiiaall EEffffuussiioonnECG: Decreased QRS
amplitude, S-T segment elevation in lead II and P-R segment
depression inlead II.Figure 4-31 Electrical alternans in a dog with pericardial
effusion. Every other R wave alternates inamplitude.
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1. GENERAL
1.12 Service Manual ECG-9010/9020 Rev A
ECG-9020KElectrocardiograph
GC-0011 Motor Assy
RH-0001 Magazine Assy
RK-0004 Thermal Head Assy
RK-0005 Speaker Assy
RK-0006 Battery Terminal Assy
RK-0009 ECG-9020K Top Casing Assy
SC-903D Power Unit
UT-23561 ECG Control Board
VL-0001 LCD Assy
RK-0002 Bottom Casing Assy
RK-0003 Internal Parts
(Optional)
ECG-9020K
KD-103E Cart
KH-801E Patient Cable Hanger
DI-106D Fixing Plate for Cart
YC-901D Carrying Case
UT-2357 Flash ROM Board
••••• To order a replacement assembly above, use the Code No.
••••• To order a replacement component inside an assembly, refer to “Section 7
Replaceable Parts List”.
1. GENERAL
Service Manual ECG-9620 1.17
Composition
· To order a replacement assembly above, use the Code No.
· To order a replacement component inside an assembly, refer to “Section 7
Replaceablet Parts List”.
RHC-0004 Record Assy
RHC-00041 Motor Assy
UTC-0009 Paper senser board
UTC-0010 Motor sensor board
RHC-00042 Magazine Assy
RKC-0001 Transfer Assy (220 V) for L and P version
RKC-0002 Transfer Assy (230 V) for M version
RKC-0003 Transfer Assy (240 V) for N version
RKC-0004 Transfer Assy (110 V) for S version
RKC-0005 Transfer Assy (120 V) for T version
RKC-0006 Transfer Assy (127 V) for U version
UTC-0006 Key board
UTC-0007 ECG control board
UTC-0008 Power board
ECG-9620L
ECG-9620M
ECG-9620N
ECG-9620P
ECG-9620S
ECG-9620T
ECG-9620U
KD-103E Cart
KH-801E Patient Cable Hanger
ECG-9620 Standard Components
Options
1. GENERAL
Service Manual ECG-9010/9020 Rev A 1.13
Location
Thermal Head Assy
Motor Assy
Speaker Assy
ECG Control Board
LCD Assy (for ECG-9020K only)
Flash ROM Board
Inverter Board(for ECG-9020Konly)
Power Unit
1. GENERAL
1.18 Service Manual ECG-9620
Location
Transfer Assy
Thermal Head Assy
Motor Assy
Key board
ECG control board
LCD
Buzzer
Power board
1. GENERAL
1.14
Block Diagram
ACsou
NOTEThe LCD module and inverter board are used for the ECG-9020K only.
ECG Control Board(UT-23561)
Motor, Motor sensor,Mark sensor
Membrane key
LCD module
Inverter board
Thermal head
Power Unit (SC-903D)rce
Battery
CNJ035 (30pin)CN021(30pin)
CNA014
Piezo-electricbuzzer
2 pin
5 pin
CNA011
CNA012
CNJ032 (2pin)
CNJ036 (12pin)
CNJ033 (40pin)
CNJ012 (12pin)
CNA015CNJ013 (6pin)
CNA013CNJ011 (12pin)
CN11 (3pin)
CN51 (4pin)
Flash ROM Board(UT-2357)
CNJ011 (80pin)
CNJ031 (D-SUB 9pin)
CNJ043 (mini jack)
SIO
EXT-IN
CRO
Patient InputCNJ091 (D-SUB15pin)
CNJ021 (80pin)
CNJ041 (mini jack)
CN31 (16pin)
Service Manual ECG-9010/9020 Rev A
ECG input connector A/D GA Isolater
EXT input Amp/A/D converter
32 bit CPU
CRO Amp/A/D converter
RS232C driver
ROM
DRAMROMsystem software
RTC
Backup batttery
Flash ROM256KBData filing
Flash ROM1 MBFont, Local langrage
Operation panel 4 bit CPU
Battery voltage detection
Thermal head temperature detection
Flash ROMboard 2 MB
AC input
Battery charger
Battery
Switching regulator
Switching regulator
AC/DC selecter
DC/DC converter
Charge pump
+24 V to Thermal head
+5 V
+12 V
Motor assy Paper senser Thermal head
LCD module Inverter board
Video RAM 16 KB
Sound I/FBuffer RAM 8 KBfor thermal head
Paper/papermark detection
CPU I/FPort
ECG I/F LCD control
Power unit
ECG Control board
Gate array
5. BOARD/UNIT DESCRIPTION
Service Manual ECG-9620 5.1
Block Diagram
Buzzer
CNA011
CNA012
CNA014
CNA013
CNJ091 (D-sub 15 pin)
Patient cable connector
CNJ032 (2 pin)
CNJ021 (80 pin)
CNJ036 (10 pin)
CNJ031 (9 pin)
CNJ043 (miniature plug)
CNJ041 (miniature plug)
CRO output connector
External input connector
SIO connector
CNJ011 (16 pin)
CNJ033 (24 pin)CNJ201 (12 pin)
CNJ101 (34 pin)
CNJ035 (30 pin)
CNJ201 (30 pin)
CNJ101 (2 pin)
CNJ102 (3 pin)
Thermal head
Key board
LCD
ECG control board
Battery (SB-901D)
Power boardPower transformer unit
AC socket
Motor sensor
Paper sensor
Motor
16bits CPU
A/D
Conv
TRANS
TRANS
A
—
+
MOTOR
PWM Control
Gate Arry
Lead Fail
Pace Marker EEPROM
+12V,-12V
+2.5V,-2.5V12V
12V Reg
Charge
DC/DC conv
DC/DC conv
Control
5V
24V
12V
AC INPUT
LCD
4bits CPU
SW
AC-DC Conv
Contrast Control
Main CPU
LCD 256 Kbits SRAM
2 MB FlashROM
16 MB FlashROM
16 Mbits DRAM
CLOCK RTC
T.H 256 Kbits SRAM
DC/DC Conv
A/D Conv
CRO AMP
RS232C
Speaker AMP
Data FilesSystem Setting
ProgramFont
+8V,-8V
Ext In Amp
SPEAKER
Gate ArryPaper Sensor
Motor Sensor
Thermal head24V
Detection
Detection
320×240
ECG control BD
Operation BD
Power BD
R
L
F
C1
C2
C6
I
II
C1
C2
C6
I = L — R II = F — R III = II — IaVR = I + II/2 aVL = 2I — II/2 aVF = 2II + I/2
R1R1R1
1. GENERAL
Service Manual ECG-9010/9020 Rev A 1.15
Connection Diagram
Index Connector No. NK Code No. Description
1* CNA011 543993A ZHR-2 speaker cable (L50)
2 CNA012 544002A ZHR-12 motor cable (L120, 65)
3 CNA013 544029B FCN723/DF11(100)/51021(40)
4 CNA014 544011A EHR-4 battery terminal cable (L150)
5 CNA015 544038A 51021-0500/51021-0600 (L50)
* We cannot provide this cable seperately; we can only provide it as part of a complete Speaker assy. Refer to
“Speaker Assy” in Section 8.
CNA011
CNA014
CNA012
CNA013
CNA015
6. DISASSEMBLY
Service Manual ECG-9620 6.3
No. Code No. Description
CNA011 08SK3.670.00216A ZHR-10 L=120, 90, 130 between motor assy and ECG control board
CNA012 08SK3.670.00181B PHR-16 L=80, between thermal head and ECG control board
CNA013 08SK3.670.00172A PHDR-24VS (W=100), between key board and ECG control board
CNA014 08SK3.670.00199B SHDR-30V-S-B (W=60), between power board and ECG control board
CNA012 cable
CNA014 cable
CNA013 cable
CNA011 cable
ECG-9620Power supply Connector Pin No.
+5 V for digital circuit CNJ201 (Power BD) -CNJ035 (ECG control BD)
pin 12 to 14(GND: pin 15 to 23)
+12 V for analog circuit CNJ201 (Power BD) -CNJ035 (ECG control BD)
pin 10 to 11(GND: pin 15 to 23)
+24 to 30 V for thermalhead
CNJ201 (Power BD) -CNJ035 (ECG control BD)
pin 24 to 30(GND: pin 15 to 23)
+5 V for LCD CNJ201 (Key BD) to LCD module pin 7 (GND: pin 2)Motor CNJ036 (ECG control BD) —
Motor/Motor sensor/Paper sensor Motor rotation detection: pin 8Motor power (+): pin 9Motor power (-): pin 10GND: 3
ECG-9020Power supply Connector Pin No.
+5 V for digital circuit CNJ201 (Power unit) -CNJ035 (ECG control BD)
pin 25 to 27(GND: pin 1 to 15)
+12 V for analog circuit CNJ201 (Power unit) -CNJ035 (ECG control BD)
pin 28 and 29(GND: pin 30)
+24 V for thermal head CNJ301 (Power unit) -Thermal head
pin 1 to 6(GND: pin 7 to 24)
+28 V for LCD CNJ013 (ECG control BD) -LCD module
pin 12(GND: pin 11)
+12 V for LCDbacklight
CNJ012 (ECG control BD) -Inverter BD
pin 1(GND: pin 2)
Motor CNJ036 (ECG control BD) -Motor/Motor sensor/Paper sensor
Motor rotation detection: pin 10Motor power (+): pin 11Motor power (-): pin 12GND: 8
9. TROUBLESHOOTING AND ERROR MESSAGES
9.10 Operator’s Manual ECG-9620
Checking the Software Version
The software version numbers are also printed at the bottom space of the paper in
automatic or manual ECG recording.
Model
System Software Input unit
ECG analysis
9. TROUBLESHOOTING AND ERROR MESSAGES
Operator’s Manual ECG-9620 9.9
System Information and Error History
During power-up and operation the cardiograph continuously checks itself for
system failure. If a failure is detected, system information and error history are
printed on the recording paper and all operations are stopped. System information
and error history are also printed due to transient noise. After printing the system
information and error history, the power of the instrument is automatically turned
off.
NOTEIf the same system information appears again after restarting the
cardiograph, do not use the cardiograph until service personnel has
corrected the cause of the problem. Sending a copy of the system
information to your nearest Nihon Kohden distributor helps us to
troubleshoot your problem quickly.
System Information
Indicates an error number to identify the problem. Refer to the Service manual.
Error History
Indicates the latest three errors and the date of the latest error, as in the example
below.
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
Service Manual ECG-9620 3.7
System Error Message
During power-up and operation the instrument continuously checks itself for
system failure. If a failure is detected, system information and error history are
printed on the recording paper and all operations are stopped. System information
and error history are also displayed or printed due to transient noise. After printing
the system information and error history, the power of the instrument is
automatically turned off.
NOTEIf the same system information appears again after restarting the
instrument, do not use the instrument until service personnel has
corrected the cause of the problem. Sending a copy of the system
information to your nearest Nihon Kohden distributor helps us to
troubleshoot your problem quickly.
System Information
Indicates an error number to identify the problem. To solve the problem, do the
corrective action described below.
Error No. Meaning Corrective Action
00 Input unit error: An interrupt signal of 2 msis generated.
Replace the ECG control board.
01 Input unit error: There is no response to thehost.
Replace the ECG control board.
02 Input unit error: Communication protocolerror.
Replace the ECG control board.
03 4 bit CPU error: Initialization error. Replace the ECG control board.
04 4 bit CPU error: “No response” error. Replace the ECG control board.
05 A key on the key board is short-circuited. Replace the key board.
06 RTC error: No interrupt signal of 125 ms. Replace the ECG control board.
07 RTC error: Incorrect data in SRAM. Replace the ECG control board.
09 The lithium battery to back up the date andtime and all system settings is completelydischarged. The system settings other thanthe items described in the following noteare returned to the factory initial settings.
Replace the ECG control board. Thelithium battery is in the real time clock ICon the ECG control board. The date andtime is reset to January 1, 1980.
10 Bus error. Replace the ECG control board.
11 Address error. Replace the ECG control board.
3. TROUBLESHOOTING AND SYSTEM ERROR MESSAGE
3.8 Service Manual ECG-9620
NOTE••••• “Error 05” also appears when any key on the operation panel is
pressed and held down.
••••• When “Error 08” appears, the following settings are not reset to
the factory initial settings even if the instrument is initialized.
— display language — hum filter
— hospital name — direct/modem connection
— recording resolution setting — elapsed time
— local language font — saved ECG data
Error No. Meaning Corrective Action
12 Illegal command. Replace the ECG control board.
13 Zero division error. Replace the ECG control board.
14 Power off time out. Replace the ECG control board.
15 EEPROM error: This occurs due to theEEPROM check error, installed languageerror or communication error between thehost and EEPROM.
Replace the ECG control board.
16 Local language flash memory error. Replace the ECG control board.
17 ECG model error. Replace the ECG control board.
18 Local language is not installed. Install the local language.
19 Local language is not installed. Install the local language.
Error in memory area for local language. Re-install the local language.
20 Local language text file version does notmatch the ECG software version.
Install the local language text file which isthe same version as the ECG software.
21 ECG interpretation error (Time over). Check the input waveforms. If any noiseis superimposed on the waveforms, findand eliminate the cause. If no noise issuperimposed on the waveform, replace theECG control board.
22 The entered information does not matchthe data in the flash memory.
Replace the ECG control board.
27 Program version error. The program isupdated.
Turn the power off, then on and check thatthe ECG waveforms are displayedcorrectly.
System Test
Calling up the System Test Screen
Test Level 1: Power on with pressing and holding the FEED/MARK key [8].
Test Level 2: Power on while pressing and holding the FEED/MARK key [8] andAUTO/MANUAL key [CLR].
The list of the system test items is printed. You can start each system test by entering thenumber with a key switch.
Test No. Page Item MemoT1-00 4.7 Demonstration ECG analysis is available.T1-01 4.8 Recorder Slant lines
Characters H and XGridPaper speed scales (10, 12.5, 25 and 50 mm/s)
T1-05 4.17 Input unit (analog)(Check result is printed)
Lead off detection and patient cable check
T1-06 4.18 Calibration(Check result is printed)
Sensitivity, TC for lead I, II V1 to V6Digital processing circuit
T1-04 4.15 LCD/LEDT1-02 4.12 Key
(Check result is printed)T1-07 4.19 Communication For transferring ECG data filesT2-02 4.25 Thermal head check and
adjustmentECG-9620: Enter the number according to the
resistance (T2-41 to 49)
ReferenceSystem Setting: Power on while pressing and holding the COPY/CAL key [0].
1
―――― Q & A ――――
(ECG-9010/9020/9110/9130)
1. The life time of the battery (LCT-1912ANK/12V1.9Ah)
• The capacity of the battery will be half by discharging and charging 300 times. Although it depends on frequency
in use of the doctor, the life time of the battery is about 1 year. Also replace the battery when it cannot last for 15
minutes during battery operation at the temperature between 20 and 30 degrees.
2. The life time of the thermal head
• Replace the thermal head after 30 km recording. For example, if the paper is used 60 cm (6 channel auto
recording + analysis + dominant) per one patient, it can be record for about 5000 patients.
3. The life time of the LCD backlight (ECG-9020/9130)
• The brightness of the backlight may be half by using 10000 hours. In other word, it may last 6 years by using 6
hours a day and 5 days a week.
4. The life time of the lithium battery.
• Replace the lithium battery on the ECG control board when the No. 08 or 09 system error message appears or after
the lithium battery is used for 7 years. The life time of the lithium battery is about 7 years. The parts number and
the cord number is as follows.
NK parts number: BR2032/1F2
NK cord number: 3907653
5. We know that the ECG-9010/9020/9110/9130 does not function stress test. But we want to examine the stress
test on the manual mode by using those ECG. Do you have any recommended patient cable to use in the stress
test.
• As you know already, the ECG-9010/9020/9110/9130 does not function stress test. But we are preparing the patient
cable for the disposable electrode. You can specify the lead length of limb and chest. Please see the attached
paper.
6. During AC operation without battery, the power was turned off. And the «system error 22» was printed. How
do I have to do?
• Regarding ECG-9010 and 9020, it occurred because the condenser does not include on the control board. Please
confirm the S/N of the ECG. The following S/N is the already measured. There is not problem regarding ECG-
9110 and ECG-9130.
ECG-9010: 00312 or later
ECG-9020: 00182 or later
However even if the ECG-9010, 9020, 9110 or 9130 is operated AC power, use the battery necessary in order to
prevent the trouble. Because battery works as a condenser. If the «error 22» occurs, the ECG must be returned to
Nihon Kohden for repair.
ts2126
The ECG-9010K/9020K cardiograph can operate on both battery power and AC power. The battery power is also used for sudden power loss when the cardiograph operates on AC power. When the battery is not installed in the cardiograph and operates on AC power, if the AC power is not supplied suddenly, such as AC power down or AC power cord is unplugged, the amplifier settings saved in the EPROM are lost. After this, every time when the power is turned on, the cardiograph automatically prints the system information with “Error 22” and enters to the System test mode to be adjusted the lost amplifier settings. The repair can only be performed in the factory of Nihon Kohden.
ts2126
We know that the ECG-9010/9020/9110/9130 does not function stress test. But we want to examine the stress test on the manual mode by using those ECG. Do you have any recommended patient cable to use in the stress • As you know already, the ECG-9010/9020/9110/9130 does not function stress test. But we are preparing the patient cable for the disposable
ts2126
electrode. You can specify the lead length of limb and chest. Please see the attached
2
7. Regarding ECG-9010, 9020, 9110 and 9130, the analysis age is more than 3 years old. Cannot you analyze
under the age of 3?
• We Nihon Kohden analyze the ECG data by getting the ECG data from certain hospital to estimate by age standard.
However we cannot estimate the data enough under the age of 3 because the data is a very few. So we cannot
warranty the analysis result about under age of 3.
8. Can the ECG-9010, 9020, 9110 and 9130 be connected with the mechano-cardiograph amplifier?
• The mechanocardiograph is as follows.
Model name: AK-101E
Connection cable: YZ-014H8
The ECG-9010 and 9020 has one terminal of analog output. The ECG-9110 and 9130 have two analog output
terminals.
9. Regarding ECG-9020, the ID number of the patient is named automatically. Can we modify the ID number or
patient information?
• The ID number of the patient cannot be modified on the ECG-9020. If the saved data on the ECG-9020 transfer to
the PC, the data can be modified freely.
10. We select the «Local language» in the system setting without installation of the local language. The «system
error 18″ is printed out when turn the power on.
• The phenomenon is no problem. If you want to select the «local language» in the system setting, please install the
local language. Otherwise you have to select the «English» in the system setting.
11. The doctor wants to save the ECG data without recording.
• When the ECG data can be saved without recording, the doctor has to judge the data only by seeing display. We
cannot hold responsible if the saved data is very noisy when recording later. That is way we cannot standardize
the function.
12. Can the ECG-9130 use the PCMCIA card which come onto the market?
• The memory card can be used for the ECG-9130 is only QM-040V. The access timing of the memory card which
is produced by SUNDISK Corporation has recently been changed without report. Therefore for ECG-9130 and
ECG-9320 you can only use the memory card which is produced by Nihon Kohden. Otherwise we cannot
guarantee accurate function.
13. We have the ECG-9130 but the ECG cannot save the data even if using the PCMCIA card, QM-040V. How do
we have to operate to save the ECG data?
• Please confirm the S/N of the ECG you have. If the S/N of the ECG is under 00240, the ECG has to be upgraded.
Please refer to the attached material and contact the sales person in charge. We will measure as soon as possible.
14. Regarding ECG-9020 and ECG-9130, the data can be transferred by using the modem. In the future, can the
data be transferred to the fax.
• We are sorry that we have no plan at the present.
1/1
How to upgrade
Figure 5
Figure 1
Figure 2
Figure 3
Figure 4
Caution:The board can be damaged by staticelectricity.Prepare the upgraded ROM on ananti-static. (Refer to Fig. 3)
1. Record the list of the system set before
the replacement.
2. Open the back cover with a phillips head.
(Refer to Fig. 1)
3. Pull out the ROM board with a pair of
pliers. Be careful not to damage the
board. (Refer to Fig. 2)
4. Put the ROM board on the anti-static
sheet. (Refer to Fig. 3)
5. Insert the upgraded ROM board. (Refer
to Fig. 4)
6. Close the cover with 2 screws. (Refer to
Fig. 5)
7. Turn the power on.
ü At this time the backlight is lit but
nothing is displayed for 5 seconds.
And system error (No. 27) is recorded
automatically with the error sound.
But this is no problem. Do not turn the
power off. The power is turned off
automatically after the recording.
8. Turn the power on and set the system
setting as referring the list recorded at
procedure 1.
After replacement, please return theold ROM board to us immediately,wrapped in an anti-static sheet.
Troubleshooting
Problem1.� The power LED light but there is no display or backlight on the LCD screen.
2.� The instrument does not operate on the battery power.
3.� No key or switch operation.
4.� Only certain electrode lead waveforms are displayed on the screen or noise appears on all
waveforms.
5.� No electrode lead waveforms are displayed on the screen or noise appear on all waveform.
6.� The instrument does not operate on AC power.
7.� Vertical and horizontal strips appear on the LCD screen at contrast intervals.
8.� No sound.
9.� The recorder does not feed the recording paper when the start switch is pressed.
10.� The recording paper is fed but there is no printing.
11.� The paper mark cannot be detected.
12.� The recording paper tracks zigzag or to one side.
1/7
Getting Clear and Accurate ECG Recording
Artifact and Interference
Leakage Current
Figure Leakage Current
If a wire or insulation gets dusty, damp or oily or develops tiny cracks, it is no longer fullyinsulated. This “leaky” insulation provides an unwanted path for a tiny amount of currentbetween the AC power source and ground.
Typical paths for leakage current are:AC wall outlet → floor → bed → PATIENT → patient cable → ECG machine → groundECG machine → patient cable → PATIENT → bed → floor → earth ground
Leakage current is on the order of microvolts so it is too weak for a person to sense.However, leakage current can cause microshock and AC interference (hum) in ECGmeasurement.
To prevent leakage current, do the following steps:1. Connect a metal bed to the (electric) ground.2. Spread a shield sheet beneath the patient.3. Mount an insulator to each leg of the bed.4. Securely connect the ECG unit to the (electric) ground.
2/7
Electrostatic Induction
Figure Electrostatic Induction
Many of us remember how, as children, we rubbed a piece of celluloid against a shirt andthen held it over scraps of paper on a desk. The celluloid attracted the pieces of paperbecause rubbing the celluloid made it electrically charged. Some materials like celluloidare easily charged in this way.This phenomenon is called electrostatic induction and it is the principle by which acapacitor works. An electrically charged material can induce an electrical charge in anearby material, even through the air. In other words, if an insulator separates twoconductors, an electrical charge in one conductor induces an opposite charge in the otherconductor. The symbol of the capacitor represents two plates separated by a thin insulator.
Electric induction can also be found between a indoor wire for a wall light or ceiling andthe human body.
To eliminate electric induction: Place the patient as far from the AC power outlet and AC power line as possible. Connect a metal bed to a ground Insert a shielding sheet between the body of the patient and the bed for insulation.
3/7
Electromagnetic Induction
Figure Electromagnetic Induction
You can demonstrate the phenomenon of electromagnetic induction by winding a wirearound a non-conductive rod and connecting it to a battery and switch. Wind a secondwire around the rod so it doesn’t touch the first wire, and connect the second wire to anammeter. When you turn on the switch, the ammeter needle jumps for a second. Whenyou turn off the switch, the ammeter needle jumps again.
A constantly changing electrical current produces a constantly changing magnetic fieldaround it. Conversely, a constantly changing magnetic field induces a constantlychanging electrical current in any nearby conductor. (A constant magnetic field or DCcurrent does not cause electromagnetic induction.) Electromagnetic induction is theprinciple behind coils and transformers. [This principle also allows such things asgenerators, alternators and windmills which involve electricity and mechanically turnedmagnets.]
The 50/60 Hz AC current in a power cord induces a changing electromagnetic field aroundit. If another conductor, such as a patient cable, runs parallel to the AC cord, theelectromagnetic field induces a weak 50/60 Hz current in the patient cable. This results in50/60 Hz noise mixed with the ECG signal—AC hum.
4/7
Electrodes and Skin Contact Impedance
Figure Electrode and Contact Resistance
When measuring the ECG waveforms, skin preparation of the electrode attachment sites isvery important. Failure to do this can cause impedance between the surface and theelectrode which will result in noise.
To prepare the skin, thoroughly clean it with cotton soaked in alcohol. Next, apply a thincoat of Cardiocream to the surface of the electrodes and the area where they are to beplaced on the skin.
Contact resistance on the surface of the skin can reach as high a level as 100 k ohm if theskin is dry. However, contact resistance can be reduced to the less than 10 k ohm if theskin preparation described above is carefully followed.
5/7
Electrodes and Polarized Voltage
Figure electrode and Polarized Voltage
The combination of electrode, cream and skin forms a kind of battery cell which cangenerate a polarized voltage of up to 100 mV. When polarized voltage is high, it causesbaseline fluctuations.
To prevent polarized voltage: Use good quality electrodes e. g. silver chloride electrodes. Clean the electrodes thoroughly to keep the surfaces smooth and even. Do not use abrasive cleanser pr steel wool to clean electrodes.
6/7
EMC (Electromagnetic Interference)
The following describes some common interference sources and remedial actions:
• The equipment and/or system is not grounded:For AC powered equipment and/or system. use the provided grounding cable to connectthe equipotential terminal of the equipment to the grounding system of the facility.
• Strong electromagnetic interference from a nearby emitter source such as an authorizedradio station or cellular phone:Install the equipment and/or system at another location if it is interfered by an emittersource such as an authorized radio station. Keep the emitter source such as cellularphone away from the equipment and/or system.
• Radio-frequency interference from other equipment through the AC power supply ofthe equipment and/or system:Identify the cause of this interference and if possible remove this interference source.If this is not possible, use a different power supply.
• Effect of direct or indirect electrostatic discharge:Make sure all users and patients in contact with the equipment and/or system are freefrom direct or indirect electrostatic energy before using it. A humid room can helplessen this problem.
If the above suggested remedial actions do not solve the problem. consult your NihonKohden Corporation subsidiary or distributor for additional suggestions.
7/7
Location of the Instrument
The electrocardiograph is an instrument to record a very small electric potential change.Ideally, it is recommended that the instrument is installed in a shielded room whichprovides constant environmental conditions. If this is not possible, the examinationlocation should be carefully selected as follows.
The room should be equipped with a local 3-prong outlet where the third contact isgrounded.
The instrument should not be installed near a power line, dynamo or motor which haselectromagnetic induction.
The instrument should not be installed near equipment with a high power consumption,such as large-scale X-ray equipment.
A room adjacent to an area which has electrosurgical units or RF therapeuticequipment should be avoided.
A room with no excessive noise, vibration, sunshine, high-humidity or water splashesshould be selected.
Check before Turning Power On
1. Is the instrument grounded properly Is the grounding pin of the power cord broken or damaged ? Is the AC wall outlet properly grounded ?
2. Is the power cord connected properly ? Is the power cord plugged in to the outlet firmly ? Is the power cord free from entanglement with other cords ?
3. Are the patient cables connected properly ? Are the patient cables sufficiently separated from the power cord ? Are the patient cable tips firmly connected to the correct electrodes ?
4. Have the electrodes been properly prepared ? Has the skin been cleaned of oil and prepared with a high quality ECG electrolyte
cream ? Are electrodes (especially chest electrodes) free from contact with each other ? Are the electrodes free of corrosion, pit marks and scratches ?
5. Is the sufficient recording paper in the instrument ?
6. Is the patient comfortable ? Is the bed sufficiently wide and long to support the patient’s limbs fully ? Is the patient relaxed ? Is the examination room warm ?
When the instrument and the patient are found to be free from improper conditionsaccording to the above checks, turn on the power switch of the instrument.
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Maintenance Information
No. Product ProblemMI-0103R ECG-9130K/P, ECG-9132K RecorderMI-0106 ECG-9320A/KG, ECG-9522A/P BatteryMI-0119 ECG-9130K/P, ECG-9132K Battery charging circuit
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