REF: 9516-163-50-ENG Rev: B1 ELI 250 / ELI 210 Service Manual Manufactured by Mortara Instrument, Inc. Milwaukee U.S.A. CAUTION: Use of this service manual is intended for qualified service personnel only. CAUTION: Federal law restricts this device for sale to or on the order of a physician.
Copyright© 2004 by Mortara Instrument, Inc. 7865 N. 86th Street Milwaukee, Wisconsin 53224 This document contains confidential information that belongs to Mortara Instrument, Inc. No part of this document may be transmitted, reproduced, used, or disclosed outside of the receiving organization without the express written consent of Mortara Instrument, Inc.
TECHNICAL SUPPORT AND SERVICE Headquarters Mortara Instrument, Inc. 7865 North 86th Street Milwaukee, WI 53224 Tel: 414.354.1600 Tel: 800.231.7437 Fax: 414.354.4760 Internet: http://www.mortara.com Europe Economic Community Representative Mortara Rangoni Europe, Srl (European Headquarters, Italy) Via Oradour 7 40016 S. Giorgio di Piano, BO Tel: +39.051.6654311 Fax: +39.051.6651012 Service/Technical Support Group Mortara Instrument, Inc. 7865 North 86th Street Milwaukee, WI 53224 Tel: 414.354.
Notices Manufacturer’s Responsibility Mortara Instrument, Inc., is responsible for the effects on safety and performance only if: • Assembly operations, extensions, readjustments, modifications or repairs are carried out only by persons authorized by Mortara Instrument, Inc. • The device (ELI 250/210) is used in accordance with the instructions for use. Responsibility of the Customer The user of this product is responsible for ensuring the implementation of a satisfactory maintenance schedule.
Warranty Information Your Mortara Warranty MORTARA INSTRUMENT, INC. (hereinafter referred to as “Mortara”) hereby warrants that Mortara products (hereinafter referred to as “Products”) shall be free from defects in material and workmanship under normal use, service and maintenance for the warranty period of such Product from Mortara or an authorized distributor or representative of Mortara.
User Safety Information Warning: Caution: Electrostatic Caution Means there is the possibility of personal injury to you or others. Means there is the possibility of damage to the equipment. Means that there is the possibility of damage due to electrostatic discharge and appropriate precautions should be taken. Provides information to further assist in the use of the device. Note: Federal law restricts this device for sale to or on the order of a physician.
• Before attempting to use the device for clinical applications the operator must read and understand the contents of the manual and any documents accompanying the device. • Where the integrity of external protective earth conductor arrangement is in doubt, the ELI 250/210 shall be operated from its internal electrical power source. • All signal input and output (I/O) connectors are intended for connection of only devices complying with IEC 60601-1, or other IEC standards (e.g.
Caution(s) • To prevent possible damage to the keypad, do not use sharp or hard objects to depress keys, only use fingertips. • Do not attempt to clean the device or patient cables by submersing into a liquid, autoclaving, or steam cleaning. Wipe the exterior surfaces with a warm water and mild detergent solution and then dry with a clean cloth. • No user serviceable parts inside. Screw removal by qualified service personnel only.
• As defined by IEC 60601-1 and IEC 60601-2-25, the device is classified as follows: • Class I equipment or internally powered • Type CF applied parts • Ordinary equipment • Not suitable for use in the presence of flammable anesthetics • Continuous operation NOTE: From a safety perspective, per IEC 60601-1 and derivative standards / norms, this unit is declared to be “Class I” and uses a three-prong inlet to ensure an earth connection is made along with mains.
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Table of Contents 1 General Service Manual Purpose ......................................................................................................1-1 User Safety Information ........................................................................................................1-1 Periodic Safety Inspections .....................................................................................1-1 Proper Power Cord .......................................................................................
Date Format .................................................................................................................3-9 Plot Format ..................................................................................................................3-9 Interpretation Option ....................................................................................................3.9 Reasons.......................................................................................................................
5 Technical Description Introduction ............................................................................................................................5-1 ELI 250/210 Block Diagram...................................................................................................5-2 Main System Board ...............................................................................................................5-3 Front End Board .....................................................................
Appendix B ELI 250 Connectivity Options Modem Options .....................................................................................................................B-1 XIRCOM Modem........................................................................................................B-1 Multitech Modem........................................................................................................B-3 LAN Option ...................................................................................
__________________________________________________________________________ Section 1 1 General Service Manual Purpose The purpose of this manual is to supply information to service personnel so they can maintain the ELI 250/210 Interpretive and Non-Interpretive Electrocardiograph at the assembly and subassembly level.
ELI 250/210 _________________________________________________________________________ Sterilizing this Product Do not sterilize this product or any accessories unless specifically directed by the manufacturer. Sterilization and sterilization environments can seriously damage many components and accessories. Liquid Spills Do not set beverages or other liquids on or near the ELI 250/210, and/or optional equipment.
____________________________________________________________________________Section 2 2 Maintaining and Cleaning CAUTION: Remove battery fuse before attempting any disassembly. Removal of the battery fuse will not cause a loss of ECGs or of the configuration. This information is stored in FLASH memory. Introduction This section provides servicing and maintenance instructions for the ELI 250/210 interpretive electrocardiograph.
ELI 250/210__________________________________________________________________________ Cleaning and Inspecting Techniques This section contains instructions for periodic cleaning and inspection of the instrument as preventative maintenance measures. It also contains specific cleaning procedures to be conducted after disassembly. Parts having identical cleaning procedures are grouped under common headings. No special tools are required.
____________________________________________________________________________Section 2 Metallic and Plastic Parts Cleaning CAUTION Do not wipe over surfaces of nameplates or labels with abrasive cleaners or materials, as this will eventually wear away the nameplate information. Do not use solvents to clean plastic parts. Brush all surfaces and parts with a nonmetallic, soft bristle brush. Wipe metal surfaces with soft, nonabrasive cloth dampened with isopropyl alcohol. Dry surfaces with clean cloth.
ELI 250/210__________________________________________________________________________ Exterior Inspection Visually inspect the entire instrument for wear, maintenance damage, corrosion, deterioration, and damage resulting from dropping. Interior Visual Inspection Check all connectors for loose, bent or corroded contact points Check wire, harnesses and cables for signs of wear or deterioration. Inspect components and their leads for security of mounting, deterioration or leakage.
____________________________________________________________________________Section 3 3 System Settings Chapter Purpose This chapter is intended to provide the user with: • • • Instructions to access configuration menus Summary of configuration options Detailed descriptions of configuration settings Access Configuration Menus Four configuration pages define all ELI 250 operational conditions that do not change on a daily or patient-to-patient basis.
ELI 250/210__________________________________________________________________________ o Select Set Time/Date (number 3) from the application menu p From the Set Time/Date screen, simultaneously press Ï (SHIFT) + ALT + C. The first configuration screen will appear. Notice the page indicator in the upper right hand corner on each screen.
____________________________________________________________________________Section 3 NOTES: Use Page (F4) to toggle through the configuration pages. Use ▲ (F1) and ▼ (F2) to move back and forth through each configuration option. Use ► (F3) to toggle through pre-programmed available settings per configuration field. Use Exit (F6) to return to the Real-Time ECG View. Any changes you have made will be saved. Use the BACKSPACEÍ key to erase entry errors.
ELI 250/210__________________________________________________________________________ Summary of Configuration Menus Configuration Parameter Definition Configuration Screen Software Version The firmware version of the unit Screen One Cart Number User-defined (4 digits) Screen One Site Number User-defined (4 digits) Screen One Site Name User-defined (up to 30 alphanumeric characters) Screen One Telephone Number User-defined (up to 30 alphanumeric characters) Screen One Language Firmware l
____________________________________________________________________________Section 3 Append Unconfirmed Report, Reviewed by, Blank Screen Three #of copies 0-9 Screen Three #ECGs retrieved 0-9 Screen Three 3-5
ELI 250/210__________________________________________________________________________ Configuration Parameter Definition Configuration Screen Delete Rule Post plot, post transmit, post plot/xmt Screen Three Storage Sensitivity Normal or High Screen Three Auto-save ECG Yes or No Screen Three Auto-print ECG Yes or No Screen Three Baud Rate Serial Baud Rates: 9600, 19200, 38400, 57600, or 115200 Screen Three Use A4 paper Yes or No Screen Three Caps Lock Yes or No Screen Three Rhythm fo
____________________________________________________________________________Section 3 3 + 3 Rhythm Lead 2 V1-V6, I, II, III, aVR, aVL, aVF Screen Five 3 + 3 Rhythm Lead 3 V1-V6, I, II, III, aVR, aVL, aVF Screen Five Default XMT Media RS232, Modem, WLAN, LAN Screen Six DHCP (LAN only) Yes or No Screen Six IP Address XXX.XXX.XXX.XXX Screen Six Def Gateway XXX.XXX.XXX.XXX Screen Six Sub Net Mask XXX.XXX.XXX.XXX Screen Six Host IP XXX.XXX.XXX.XXX Screen Six Port Number XXX.XXX.XXX.
ELI 250/210__________________________________________________________________________ Configuration Page 1 Software Version The displayed number identifies the firmware version of your electrocardiograph. Cart Number Cart numbers indicate which electrocardiograph transmitted a particular ECG. Site Number This option identifies the site of your ELI 250.
____________________________________________________________________________Section 3 (If necessary, you can use both the letter W and the letter P in the same phone number.) TIP: Instead of entering the configuration menus, use a shortcut to quickly delete or modify a phone number. From the application screen, simultaneously press Ï (SHIFT) + ALT + P. To edit an existing number, use the tab key. Language There are several languages available on the cardiograph.
ELI 250/210__________________________________________________________________________ Configuration Page 2 Flash Size Flash Size indicates the ECG storage capacity of your electrocardiograph. Normal Flash Size is the standard memory capacity. If the optional expanded memory has been installed, Expanded will be displayed. ID Format This option defines the format for the patient ID information prompts. There are three standard formats: short, standard, or long.
____________________________________________________________________________Section 3 Filter The ECG plot frequency filter (or print filter) can be set to 40Hz, 150Hz, or 300Hz. The plot frequency filter does not filter the acquired digital record. A 40Hz plot filter setting will reduce the noise (40Hz and higher frequencies) on the printed ECG, a 150Hz plot filter setting will reduce the noise (150Hz and higher frequencies) on the printout and a 300Hz plot filter setting will not filter the printed ECG.
ELI 250/210__________________________________________________________________________ The ELI 250 automatically analyzes ECGs and prints the optional interpretation on the ECG printout. This option allows you to select or suppress the “interpretive” text on the ECG report. NOTE: A qualified physician should review the computer generated ECG interpretation before the treatment of any patient. Reasons The reason statements indicate why a particular interpretive statement was printed.
____________________________________________________________________________Section 3 This option defines the number of ECGs retrieved from an E-Scribe data management system. The ECGs are retrieved by ID number. A zero (0) setting retrieves the most current ECG for that ID number. Settings from one (1) to nine (9) retrieve the most current ECG plus “X” number of ECGs identified by the entered value.
ELI 250/210__________________________________________________________________________ Configuration Page 4 Rhythm Formats Configuration page four defines the default values for rhythm printing. It is possible to set a 3-channel, 6-channel or 12-channel default rhythm format. Define rhythm leads one through three to customize a three-channel rhythm printout or define rhythm leads one through six to customize the six-channel rhythm printout. Use (F3) to toggle through each of the 12 leads.
____________________________________________________________________________Section 3 Configuration Page 6 (optional LAN connectivity) The ELI 250 connectivity options are RS232 (or direct), modem, LAN or WLAN. Configuration parameters associated with each type of transmission media will be presented in configuration pages six and seven only if those media are installed in the cardiograph. Default XMT Media Configuration page 6 identifies the default transmission media.
ELI 250/210__________________________________________________________________________ Note: addresses are always entered as 4 sets of 3 digits; therefore, an address of 192.168.0.7 must be entered on the ELI 250 as 192.168.000.007. Port Number Enter the port number used by the host server. Configuration Page 6, continued (optional WLAN connectivity) SSID Service Set Provider (SSID) is the name of the wireless network.
____________________________________________________________________________Section 3 Security (WEP) Wired Equivalent Privacy (WEP) is an encrypted security protocol, part of the 802.11 standard, and is used to protect the network from unauthorized users. The IT Manager will provide the 26 HEX digits that are the same to be used by all access points on the network. Therefore, only devices with the proper WEP will be able to login. The ELI 250 adopts a 128-bit encryption.
ELI 250/210__________________________________________________________________________ Access Configuration Menus for the ELI 210 Three configuration pages define all ELI 210 operational conditions that do not change on a daily or patient-topatient basis. Once you set these default conditions, you will rarely need to use the configuration screens again. When you apply power to the ELI 210, it will operate according to the settings you have selected.
____________________________________________________________________________Section 3 o Select Set Time/Date (number 3) from the application menu. p Simultaneously press ▲ (F1) and ▼ (F2). The first configuration screen will appear. There are a total of 3 configuration screens. Notice the page indicator in the upper right hand corner on each screen. NOTES: Use Page (F4) to toggle through the three configuration pages. Use ▲ (F1) and ▼ (F2) to move back and forth through each configuration option.
ELI 250/210__________________________________________________________________________ Summary of Configuration Menus Configuration Parameter Definition Configuration Screen Software Version The firmware version of the unit Screen One Cart Number User-defined (4 digits) Screen One Site Number User-defined (4 digits) Screen One Language Firmware language availability Screen One Volume Range from 0 – 8 Screen One Battery Timeout 10min, 30min, 60min Screen One AC Filter None, 60Hz, 50Hz
____________________________________________________________________________Section 3 Configuration Parameter Definition Configuration Screen Rhythm format 3 channel, 6 channel or 12 channel Screen Three 3 Rhythm Lead 1 V1-V6, I, II, III, aVR, aVL, aVF Screen Three 3 Rhythm Lead 2 V1-V6, I, II, III, aVR, aVL, aVF Screen Three 3 Rhythm Lead 3 V1-V6, I, II, III, aVR, aVL, aVF Screen Three 6 Rhythm Lead 1 V1-V6, I, II, III, aVR, aVL, aVF Screen Three 6 Rhythm Lead 2 V1-V6, I, II, III, aVR,
ELI 250/210__________________________________________________________________________ Configuration Page 1 Software Version The displayed number identifies the firmware version of your electrocardiograph. Cart Number Cart numbers indicate which electrocardiograph transmitted a particular ECG. You can use up to four digits for the cart number. Site Number This option identifies the site of your ELI 210. You can use up to four digits for the site number.
____________________________________________________________________________Section 3 This setting determines when the cardiograph will switch off in order to conserve the battery life of the unit. The battery timeout will only occur if the keypad has not been depressed for the time specified. This setting will be ignored while the unit is transmitting, rhythm printing or detects an ECG input signal. AC Filter The ELI 210 removes 60Hz or 50Hz interference.
ELI 250/210__________________________________________________________________________ Configuration Page 2 Date Format This option defines the format for entering and displaying the patient’s date of birth in either the U.S. format or the European format. For example: July 16th, 2003 is displayed as follows: US Date Format: European Date Format: MM/DD/YYYY (07/16/2003) DD.MM.YYYY (16.07.2003) NOTE: the date format option does not modify the acquisition date printed on each ECG.
____________________________________________________________________________Section 3 12 10 seconds of 12 leads in a 12 channel format 6+6 10 seconds of 12 leads in a 2 page printout (six channels per page) Interpretation Option The ELI 210 automatically analyzes ECGs and prints the optional interpretation on the ECG printout. This option allows you to select or suppress the “interpretive” text on the ECG report.
ELI 250/210__________________________________________________________________________ Configuration Page 3 Rhythm Formats Configuration page four defines the default values for rhythm printing. It is possible to set a 3-channel, 6-channel or 12-channel default rhythm format. Define rhythm leads one through three to customize a three-channel rhythm printout or define rhythm leads one through six to customize the six-channel rhythm printout. Use (F3) to toggle through each of the 12 leads.
___________________________________________________________________________ Section 4 4 Assembly/Disassembly of Unit CAUTION: Remove AC power and battery fuse before attempting any disassembly. Removal of the battery fuse will not cause a loss of ECG’s or of the configuration. This information is stored in FLASH memory. For illustration purposes the ELI 250 will be used to demonstrate the disassembly of the unit. The disassembly of the ELI 210 is identical except for the keyboard components.
ELI 250/210 _________________________________________________________________________ Cover Assembly Removal / Installation From the standard operating position: Picture shown is ELI 250 4-2
___________________________________________________________________________ Section 4 Flip unit over so that it is resting on the writer. Locate the mounting screws for the top cover. These are the screws around the perimeter of the unit and marked with arrows in the plastic. Loosen these screws, item number 14 in parts list, using a Philips head screwdriver.
ELI 250/210 _________________________________________________________________________ Open the writer door approximately 4 to 5 inches.
___________________________________________________________________________ Section 4 Lift up and rotate the right side of the top cover to left a small distance. Rest the cover on the top of the writer this will allow you to remove the Keyboard/LCD cable, item number 34, from the motherboard. Note: Slide your hand into the unit and disconnect the Keyboard/LCD, item 34, ribbon cable from the motherboard. This cable may be inserted into a quick-disconnect connector.
ELI 250/210 _________________________________________________________________________ Slide top cover off the unit, rotating as needed to clear the writer door. Set the cover to the side. Re-assemble in reverse order.
___________________________________________________________________________ Section 4 Battery Removal Once the top cover is removed, the battery can be accessed for replacement if needed. Make sure that the battery fuse has been removed. Locate the battery, item number 11, near the front of the unit. Slide the cable connections off of the battery. The battery is attached to the unit using double-sided tape, using a flat blade screwdriver gently pry the battery loose from the bottom plastic chassis.
ELI 250/210 _________________________________________________________________________ Remove the LCD cable from the keyboard by 1) sliding the connector to the right then 2) lifting up on the connector.
___________________________________________________________________________ Section 4 The keyboard circuit board, item number 3 for the ELI 250 and item number 4 for the ELI 210, can then be lifted off the assembly. The silicon key pad, item 9 for the ELI 250 and item 10 for the ELI 210, can now be removed from the keyboard bezel, item 22 for the ELI 250 and item 23 for the ELI 210, along with the LCD.
ELI 250/210 _________________________________________________________________________ When replacing the LCD, remove the old double sided tape and cut a piece of double-sided tape approximately 3 inches. Place this strip of double-sided tape, item number 50, onto mounting surface on Keyboard Bezel as shown. For the installation of a new LCD, item number 12, cut four pieces of foam tape, item number 51, to approximately 2 inches. Place two strips of foam tape onto LCD as shown.
___________________________________________________________________________ Section 4 Writer Removal / Installation Located on the perimeter of the motherboard are the cables for the writer. There are a total of 5 cables that need to be removed, 2 print head cables, 1 cue sensor cable, 1 print head ground cable and the writer motor cable. Remove the listed cables.
ELI 250/210 _________________________________________________________________________ Flip the unit over and remove the 4 screws, item 14, holding the writer to the bottom chassis. CAUTION Due to the weight of the battery, the bottom chassis of the unit may tilt off the writer while the unit is upside down. Make sure that the bottom chassis is supported while performing this procedure. Lift the bottom chassis straight off of the writer assembly. Re-assemble in reverse order.
___________________________________________________________________________ Section 4 Printhead Removal / Installation CAUTION The printhead is a static sensitive part. Proper measures should be taken when handling this part. Note: The writer does not need to be removed from the unit for printhead to be replaced however removal of the writer from the chassis will make the job easier. With the top cover of the unit removed, close the writer door and remove the printhead cables from the motherboard.
ELI 250/210 _________________________________________________________________________ Carefully guide the printhead assembly out of the writer chassis making sure that no damage occurs to the cables attached to the printhead. Remove the 4 screws, item number52, that attach the printhead to the Printhead plastic support.
___________________________________________________________________________ Section 4 Writer Motor Removal / Installation Flip the writer assembly over and locate the writer motor and gear assembly. Remove the three screws that hold this assembly to the writer assembly, item number 53.
ELI 250/210 _________________________________________________________________________ To remove the writer motor remove the two screws, item number 45, holding it to the gear assembly bracket. The writer motor will slide through the assembly. Use a 0.05 inch or a 1.25 mm size Allen wrench to remove the gear from the writer motor. Re-assemble in reverse order.
___________________________________________________________________________ Section 4 Printed Circuit Board Assembly Removal / Installation CAUTION The Motherboard is a static sensitive part. Proper measures should be taken when handling this part. When replacing the motherboard of the ELI 250/210 the configuration will need to be entered on the new board.
ELI 250/210 _________________________________________________________________________ Once these cables are removed remove the 2 screws, item 45, at the “front” of the board. Remove the four screws, item number46, at the back of the Motherboard. The Motherboard will now be loose and can be removed from the bottom chassis. Re-assemble in reverse order.
___________________________________________________________________________ Section 4 CAUTION 1.) When installing a new board, do not replace the battery fuse until all cables have been connected to the board. 2.) The screws that hold the front of the motherboard down are shorter than the screws that hold the back of the motherboard down. Make sure that when installing the motherboard that the correct screws are used for the correct locations.
ELI 250/210 _________________________________________________________________________ Locate the 4 screws holding the front-end to the chassis and remove. Note: The screws located near the front end to motherboard interconnect cable will be shorter, item number 45, than those where the patient cable connects to the front end board, item number 46. This is important when reassembling the unit. Lift the front-end out of the chassis. Reassemble in reverse order.
____________________________________________________________________________Section 5 5 Technical Description Introduction The MORTARA ELI 250/210 is an advanced interpretive electrocardiograph system utilizing the latest electronic technology and software. The ELI 250/210 offers 12-lead patient ECG monitoring, a 320 by 240 LCD display.
ELI 250/210__________________________________________________________________________ ELI 250/210 Block Diagram 5-2
____________________________________________________________________________Section 5 Main System Board The main system board or motherboard of the ELI 250/210 contains the digital logic circuitry and the power supply of the ELI 250/210. The rear section of the motherboard (located at what is the back of the unit when mounted in the chassis) contains the power supply of the unit. Power Supply The AC power supply consists of the AC inlet connector, AC inlet fuses and a switching power supply.
ELI 250/210__________________________________________________________________________ Patient Input Connector: 5-4 Pin #: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Name: V2 V3 V4 V5 V6 SHIELD Reserved Reserved RA LA LL V1 Reserved RL Reserved Description: Patient Lead Patient Lead Patient Lead Patient Lead Patient Lead Isolated Front-End Ground Patient Lead Patient Lead Patient Lead Patient Lead Patient Lead
____________________________________________________________________________Section 5 Specifications * Note – The ECG Storage capability of the ELI210 is 1 ECG 5-5
ELI 250/210__________________________________________________________________________ Parts List Item Number 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 5-6 Part Number 26025-039-XX 26025-039-XX 26025-040-51 26025-051-50 26025-043-XX 4021-001 4021-006 4110-006 4160-026-51 4160-027-50 4800-006 5400-014 5450-004 6545-006-01 6570-842-02 690-1225 8342-001-XX 8342-002-XX 8342-003-XX 8342-004-50 8342-005-XX 8342-015-50 8343-001-50 8342
____________________________________________________________________________Section 5 Hardware Item Number 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 Part Number 6020-430 6020-530 6020-831 6020-930 6095-001 7401-003 7401-002 7401-005 6020-430-02 6020-730-02 9960-040 9910-015 6400-002-01 26025-056-50 26025-063-50 6400-010 25020-061-50 26025-059-50 25018-037-50 7495-001 Description Screw Phillips Panhead M3x6 Screw Phillips Panhead M3x5 Screw Phillips Panhead M3x8 Screw Phillips Panhead M3
ELI 250/210__________________________________________________________________________ 5-8
____________________________________________________________________________Section 6 6 Troubleshooting and Testing Introduction Since repair of the ELI 250/210 is limited to replacement of subassemblies the troubleshooting guide does not extend to the component level NOTE: Remove the battery fuse and AC power during any disassembly necessary for servicing. Troubleshooting AC power connected to unit, back-light is on, nothing on display. 1) Check AC fuses.
ELI 250/210__________________________________________________________________________ Unit turns on, no waveform is displayed but function key options are displayed. Press any key on the keyboard, if no response there is a possible communications problem between front end board and motherboard. 1) Replace cable between front end and motherboard.
____________________________________________________________________________Section 6 Optional Modem Transmit/Receive Problems If the unit does not transmit via the modem the first item to check is the configuration. Make sure that a telephone number is entered and that the number is correct. The next item to check is the modem initialization string (please see the configuration section of this manual or the operator manual).
ELI 250/210__________________________________________________________________________ Testing Power Supply Test 1.) 2.) 3.) 4.) 5.) 6.) 7.) 8.) 9.) Remove battery fuse and AC power from the unit. Open unit to access the connections to the battery. Remove one of the battery cables from its terminals. Connect DMM set to a current setting to measure the current that the unit is using. Install the battery fuse. Turn the unit on and measure the current draw from the battery. This should read less than 250 mA.
____________________________________________________________________________Section 6 Date / Time Test 1.) Turn the unit on. 2.) Press the F6, More, key. 3.) Press the number 3 key to select the “Date & Time” option. Writer Tests From the main menu press and hold the following key combination Alt + Shift +RHY. The following test strip will be printed. Note: This test should be performed with the AC power connected to the unit.
ELI 250/210__________________________________________________________________________ Description of printout At the top of the writer test print out will be the printable characters of the writer. The next section will have a 200-mm line. This line should be measures with a ruler and will indicate if there is a writer motor problem if the line is too short or too long. The tolerance of this line is +/- 2-mm. The next line that prints is a zigzag line. Check to see that none of the dots are missing.
____________________________________________________________________________Section 6 ECG Test 1.) 2.) 3.) 4.) Connect a simulator to the patient cable and connect the patient cable to the unit. Turn the unit on. Press the F1 key and enter a test patient name. Press the Auto key. The unit will acquire the ECG and depending on the units’ configuration, will print the ECG. 5.) Verify that the printed ECG is correct for the simulated input to the unit.
ELI 250/210__________________________________________________________________________ Lead Fail Test Perform the lead fail test as follows: Connect the patient cable to a simulator or a shorting bar. Disconnect one lead at a time from the simulator or shorting bar and verify that the correct lead fail message appears on the LCD while in the Main Menu screen. Only the message for the disconnected lead should appear as shown below.
____________________________________________________________________________Section 6 stored ECGs will remain in the directory until it becomes full, at this time, the ELI 250/210 will automatically remove a record, based on its size, in order to make room for the new ECG. Only those records that have been marked for deletion will be removed. Records are automatically marked for deletion based on the Delete Rule configuration.
ELI 250/210__________________________________________________________________________ The following screen appears during a batch transmission or for a single record transmission: After the transmission of your record(s), the Real-Time ECG View is displayed. Serial Port Test (Direct connect transmission) For a direct connection hookup, connect the ELI 250/210 to another ELI 250/210 with a direct connect serial cable (Mortara P/N: 25000-024). Plug each end of the cable into the serial ports (RS232).
____________________________________________________________________________Section 6 Real Time ECG View Application Menu From the Application Menu, simultaneously press ALT+SHIFT+M to access the modem initialization string. The following screens appear: Approximately 30 second delay Select F2 (+GCI=) to populate the prefix “AT+GCI” of the modem command.
ELI 250/210__________________________________________________________________________ TIP: “AT+GCI” will be highlighted – cursor is not present – use keypad to enter country code. Enter your country code as listed below. Select F1 (Send) to change your country code. “Command stored” will be displayed. Select F6 (Exit) to return to the Application Menu.
____________________________________________________________________________Section 6 The LCD displays the following message: When the LCD displays the above message, the unit is ready to receive the ECGs from the transmitting electrocardiograph. Follow the instructions on transmitting records as described in this section. The receiving unit only acts as a printer. Received ECGs will not be viewed or stored. To terminate the receiving mode, press the STOP key.
ELI 250/210__________________________________________________________________________ Channel Number: WEP info (if used) 6 Once this setup is completed ECGs can be transmitted by pressing the “XMT” key from the main menu and selecting the record you wish to send. Transmission information can be viewed in the test software window. When completed the UUT display will return to the ECG directory and a “T” flag will be set indicating proper transmission.
__________________________________________________________________________Appendix A Appendix A ELI 250 Connectivity Chapter Purpose This chapter is intended to provide the user with: • • • • • Transmitting Records • Direct • Modem • WLAN • LAN ECG Receiving instructions ECG Retrieving instructions Requests Download Custom ID Transmitting Records You may transmit ECGs from the ELI 250 to another Mortara Instrument electrocardiograph, to an E-Scribe Data Management System, or to ELI LINK using a direct c
ELI 250/210__________________________________________________________________________ An ECG may be listed in the directory but have a “deleted status” (indicated by “X”). The directory saves those records that have been marked for deletion in the event that you may want to recover the ECG at a later time. All stored ECGs will remain in the directory until it becomes full, at this time, the ELI 250 will automatically remove a record, based on its size, in order to make room for the new ECG.
__________________________________________________________________________Appendix A After the transmission of your record(s), the Real-Time ECG View is displayed. Direct Connection For a direct connection hookup, set the Default XMT media to RS232 from Configuration page 6 (see section 3 of this manual). Connect the ELI 250 to another Mortara Instrument electrocardiograph, to the E-Scribe, or to ELI LINK with a direct connect serial cable.
ELI 250/210__________________________________________________________________________ From the Application Menu, simultaneously press ALT+SHIFT+M to access the modem initialization string. The following screens appear: Approximately 30 second delay From the Configure Modem screen, select F2 (+GCI=) to populate the prefix “AT+GCI” of the modem command. TIP: “AT+GCI” will be highlighted – cursor is not present – use keypad to enter country code.
__________________________________________________________________________Appendix A Canada Czech Republic China Denmark Finland France Germany Greece Guam Hungary Hong Kong Iceland India Indonesia Ireland Israel Italy 20 2E 26 31 3C 3D 04 46 48 51 50 52 53 54 57 58 59 Netherlands New Zealand Norway Poland Portugal Russia South Africa Singapore Slovak Republic Spain Sweden Switzerland Taiwan Thailand United Kingdom United States Venezuela 7B 7E 82 8A 8B B8 9F 9C FC A0 A5 A6 FE A9 B4 B5 BB Blind Dialing
ELI 250/210__________________________________________________________________________ workstation. Also, it is required that your IT Manager set the ELI 250 WLAN configuration values. Refer to section 3 for more information on WLAN configuration setup. The ELI 250 can be configured for DHCP (Dynamic Host Communication Protocol) and for WEP (Wired Equivalent Privacy) security. NOTE: environmental conditions may affect the reliability of WLAN transmissions.
__________________________________________________________________________Appendix A Caution: Possible damage to the cardiograph may occur if telephone cable is connected to the LAN connector. Ethernet Status LEDs At the external LAN interface connector, the user is presented with two LEDs (Light Emitting Diodes). The two status indicator LEDs provide signals for “link status” and “packet transmit/receive”.
ELI 250/210__________________________________________________________________________ When the LCD displays the above message, the unit is ready to receive the ECGs from the transmitting electrocardiograph. Follow the instructions on transmitting records as described in this section. The receiving unit only acts as a printer. Received ECGs will not be viewed or stored. To terminate the receiving mode, press the STOP key.
__________________________________________________________________________Appendix A ECGs are retrieved by ID number. Enter the desired ID and select F1. E-Scribe transmits the most recent ECG with the specified ID number (or the configured number of ECGs retrieved– refer to Section 3). The ELI 250 prints the retrieved ECG(s) and returns to the Real-Time ECG View. Viewing and storing retrieved ECGs is not possible.
ELI 250/210__________________________________________________________________________ Under the heading “Site Selection”, the Request Code is displayed. Use F1 (F1) and (F2) to scroll through the available Request Codes. Request Codes are only available if a Custom ID has been downloaded. Once you find the desired Request Code, Select F3 (Selec) to download the Requests and the following screen appears: NOTE: A Custom ID must be downloaded before downloading the Requests.
__________________________________________________________________________Appendix A When the Request List has been downloaded, you may select the patients who need ECGs. Select ID (F1) from the Real-Time ECG View. Real Time ECG View Patient ID Patient Request List Select Req (F4) from the Patient ID screen and the Patient Request List is displayed. The Patient Request List is comparable to the Patient Directory in looks and in practice. The Patient Request List (sorted by name) is pictured below.
ELI 250/210__________________________________________________________________________ Select F1 to sort the requests by patient name (ID, time & date are displayed on the top row) Select F2 to sort the requests by patient ID (name is displayed on the top row) Select F3 to sort the requests by acquisition date (name is displayed on the top row) To make a printout of the Patient Requests List, select Print Requests (F4). Exit (F6) to return to the Patient Requests List.
__________________________________________________________________________Appendix A Custom ID Download Custom ID formats are uniquely defined by your facility’s needs. This customized ECG header information is designed in the Mortara E-Scribe data management system and downloaded to the ELI 250 as the Group Name either by serial connection (direct) or modem transmission.
ELI 250/210__________________________________________________________________________ “Waiting for Response”, “Connected”, and “Custom ID downloaded” will be displayed before returning to the RealTime ECG View, which indicates the Custom ID download is complete. The new Custom ID becomes the customized header format for all future ECGs until you select a different ID format in the configuration settings.
__________________________________________________________________________Appendix B Appendix B ELI 250 Connectivity Options Modem Options There are two possible modems that the ELI 250 can contain. The first is the XIRCOM modem and the second is the Multitech modem. Each modem is an internal modem. The Xircom modem is a PCMCIA modem and must be placed into the bottom slot of the motherboards PCMCIA connector.
ELI 250/210__________________________________________________________________________ Xircom Modem Removal 1. Remove the top cover and the writer assembly. 2. Locate the mounting screws, item 48, and bracket, item # 42, for the modem and remove them. 3. Remove the cable, part of item # 55, connected directly to the modem. If needed cut the cable ties, item # 63, that hold this cable to the chassis of the unit. Note: When replacing the modem remember to replace the cable ties.
__________________________________________________________________________Appendix B Multitech Modem The Multitech modem is a separate board, item #61, installed near the rear of the ELI 250 unit. There is one ribbon cable, item #62, that connects the motherboard to the Modem Interface board. This cable connects power and data to the modem. Multitech Modem Removal 1. Remove the top cover and the writer assembly. 2.
ELI 250/210__________________________________________________________________________ 3. Locate the 4 mounting screws , item # 45, for the modem and remove them. 4. The Modem Interface Board should lift out of the unit. 5. Install the new or replacement board in the reverse order.
__________________________________________________________________________Appendix B LAN Option The LAN, Local Area Network, option consists of two circuit boards and two interconnect cables. The first card, the LAN card (item #57) occupies the top slot of the PCMCIA slots on the motherboard. The second board is the LAN interface board, item #58, and is mounted inside the chassis near the rear of the unit. LAN Card Removal To remove the LAN Card from the unit follow theses steps 1.
ELI 250/210__________________________________________________________________________ Removal of the LAN Interface Board, item #58. 1. Open the unit to access the motherboard 2. Locate the LAN Interface board. Item number 58, near the back of the unit. 3. Remove the cables, item #s 59 and 60, from the LAN Interface board. 4. Locate the 4 mounting screw, item #45 for the LAN Interface board and remove. 5.
__________________________________________________________________________Appendix B LAN Card Interconnect cables. The picture below shows the positions of the LAN Interconnect cables, items 58 and 59. Please note that the cables are tie wrapped, item # 63, to the chassis of the unit to prevent the cables from coming in contact with the motherboard. The cables must be tie wrapped to the chassis in the locations shown to maintain the electrical safety of the unit.
ELI 250/210__________________________________________________________________________ Wireless LAN Option The Wireless LAN option is a PCMCIA card that connects to the bottom slot of the PCMCIA connector of the motherboard.
__________________________________________________________________________Appendix B Wireless LAN card (WLAN) Removal 1. Open the unit to access the motherboard. 2. Locate the WLAN card, item number 41, connected to the PCMCIA slot on the motherboard. 3. Remove the E-clip, Item #42 and 48, that retains the WLAN card. 4. Slide the WLAN card out of the PCMCIA slot. 5. Reassemble unit in reverse order.
