Инструкция экг аппарат schiller at 1

• Contents

• Table of Contents

• Bookmarks

Summary of Contents for Schiller CARDIOVIT AT-1

This manual is also suitable for:

Cardiovit at-1 smartprint

1

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

AT-1 /AT-1smartprint

ECG unitService Handbook

SCHILLER AG

Altgasse 68

CH-6341 Baar, Switzerland

Phone: + 41 41 766 42 42

Fax: + 41 41 761 08 80

Home page: http://www.schiller.ch/

June 2001 Article Number: 2.540022

2

AT-1 / AT-1 smartprint Service Handbook

Article Number 2. 540022b

Issue a : March 2001

Issue b : June 2001

Associated Documents

Guide to the SCHILLER Interpretationand Measurement Program E/ D/ F Article No. 2. 510179

SCHILLER AT-1 / AT-1 smartprint User Guide — EDF Article No. 2. 510171 e

Windows™ is a trademark of Microsoft Corporation.

3

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Where to Obtain Service

USA /Canada

WELCH ALLYN SCHILLER Inc., 7420 Carroll Road, San Diego, CA , US-92121-2334 USA

Tel.: +1 858 635 6023 Fax : +1 858 635 6611

Home Page : www.welchallyn.com

Asia Pacific SCHILLER Asia Pacific, 10 Jalan SS 3/33, Taman Universiti, 47300 PetalingJaya, Selangor, Malaysia

Tel.: + 603 7877 5336 Fax : + 603 7877 5744

Austria SCHILLER HmbH, Kampmüllerweg 24, A-4044 Linz, Austria

Tel.: + 43 732 709 90 Fax : + 43 732 757 000

France SCHILLER Medical S.A, BP 50, 19, Avenue de la Gare, F-67162 Wissembourg /Cedex, France.

Tel.: +33 3 88 63 36 00 Fax : +33 3 88 94 12 82

Germany(EU authorized

representative)

SCHILLER Medizintechnik GmbH, Rudolf-Diesel Strasse 14, D-85521Ottobrunn, Germany

Tel.: + 4989 629 981 0 Fax : + 4989 609 509 0

India SCHILLER Healthcare India Pvt. Ltd.,D.C.Silk Mills Compound, ‘A’ Wing, 1stfloor, 5, Chunawala Estate, Kondivitta Lane, Andheri — Kurla Road, Andheri (E,Mumbai — 400 059, India

Tel.: + 9122 826 3520 Fax : + 9122 826 3525

Italy ESAOTE Spa (SCHILLER), Via di Caciolle 15, I-50127 Firenze, Italy

Tel.: + 39055 4229 201 Fax : + 39055 4229 208

Switzerland SCHILLER Reomed AG, Riedstrasse 14, CH-8953 Dietikon, Switzerlan

Tel.: +411 744 3000 Fax : + 411 740 3710

All othercountries

SCHILLER AG, Altgasse 68, CH-6341 Baar, Switzerland

Tel.: + 4141 766 4242 Fax : + 4141 761 0880

Home Page : www.schiller.ch

The SCHILLER sales and service centre network is worldwide. For the address of your local distributer,contact your nearest Schiller subsidiary. In case of difficulty a complete list of all distributers and subsidiariesis provided on our internet site or can be supplied from our head office.

4

Warranty

Terms of Warranty

The SCHILLER AT-1 / AT-1 smartprint is warranted against defects in material andmanufacture for the duration of one year (as from date of purchase). Excluded fromthis guarantee is damage caused by an accident or as a result of improper handling.The warranty entitles free replacement of the defective part. Any liability for subsequentdamage is excluded. The warranty is void if unauthorized or unqualified persons attemptto make repairs.

In case of a defect, contact your dealer or the manufacturer.

The manufacturer can only be held responsible for the safety, reliability, and performanceof the apparatus if:

* assembly operations, extensions, readjustments, modifications, or repairs are carriedout by persons authorized by him, and

* the ECG unit and approved attached equipment are used in accordance with themanufacturers instructions.

THERE ARE NO EXPRESS OR IMPLIED WARRANTIES WHICH EXTEND BEYOND THE WARRANTIESHEREINABOVE SET FORTH. SCHILLER MAKES NO WARRANTY OF MERCHANTABILITY OR FITNESSFOR A PARTICULAR PURPOSE WITH RESPECT TO THE PRODUCT OR PARTS THEREOF.

Physicians responsibility

THIS UNIT IS PROVIDED FOR THE EXCLUSIVE USE OF QUALIFIED PHYSICIANS OR PERSONNELUNDER THEIR DIRECT SUPERVISION. THE NUMERICAL AND GRAPHICAL RESULTS AND ANYINTERPRETATION DERIVED FROM A RECORDING MUST BE EXAMINED WITH RESPECT TO THEPATIENTS OVERALL CLINICAL CONDITION. THE RECORDING PREPARATION QUALITY AND THEGENERAL RECORDED DATA QUALITY, WHICH COULD EFFECT THE REPORT DATA ACCURACY,MUST ALSO BE TAKEN INTO ACCOUNT.

IT IS THE PHYSICIANS RESPONSIBILITY TO MAKE THE DIAGNOSIS OR TO OBTAIN EXPERTOPINION ON THE RESULTS, AND TO INSTITUTE CORRECT TREATMENT IF INDICATED.

5

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Safety Notices

NOTES

DO NOT USE SOLVENT CLEANERS.

THIS UNIT COMPLIES WITH EMC REGULATIONS FOR MEDICAL PRODUCTS WHICH AFFORDSPROTECTION AGAINST EMISSIONS AND ELECTRICAL INTERFERENCE. HOWEVER SPECIAL CAREMUST BE EXERCISED WHEN THE UNIT IS USED WITH HIGH FREQUENCY EQUIPMENT.

BEFORE USING THE UNIT, ENSURE THAT AN INTRODUCTION REGARDING THE UNIT FUNCTIONSAND THE SAFETY PRECAUTIONS HAS BEEN PROVIDED BY A PRODUCT REPRESENTATIVE.

CAUTIONS

SWITCH THE UNIT OFF BEFORE CLEANING AND DISCONNECT FROM THE MAINS.

THE DEVICE MUST ONLY BE OPERATED USING BATTERY POWER IF THE EARTH CONNECTIONIS SUSPECT OR IF THE MAINS LEAD IS DAMAGED OR SUSPECTED OF BEING DAMAGED.

USE ONLY ACCESSORIES AND OTHER PARTS RECOMMENDED OR SUPPLIED BY SCHILLER AG.USE OF OTHER THAN RECOMMENDED OR SUPPLIED PARTS MAY RESULT IN INJURY INACCURATEINFORMATION AND / OR DAMAGE TO THE UNIT.

IT MUST BE ENSURED THAT NEITHER THE PATIENT NOR THE ELECTRODES (INCLUDING THENEUTRAL ELECTRODE) COME INTO CONTACT WITH OTHER PERSONS OR CONDUCTINGOBJECTS (EVEN IF THESE ARE EARTHED).

THERE IS NO DANGER WHEN USING THE ECG UNIT FOR A PACEMAKER PATIENT OR WITHSIMULTANEOUS USE OF OTHER ELECTRICAL STIMULATION EQUIPMENT. HOWEVER, THESTIMULATION UNITS SHOULD ONLY BE USED AT A SUFFICIENT DISTANCE FROM THEELECTRODES. IN CASE OF DOUBT, THE PATIENT SHOULD BE DISCONNECTED FROM THERECORDER.

IF SEVERAL UNITS ARE COUPLED THERE IS A DANGER OF SUMMATION OF LEAKAGE CURRENTS.WHEN OPERATING SEVERAL DEVICES FOR MEDICAL AND NON-MEDICAL APPLICATION DONOT USE ANY EXTENSION CABLES OR DISTRIBUTION BOXES FOR THE CONNECTION.

EARTH MUST BE CONNECTED WHEN THE EXTERNAL PRINTER IS USED.

6

WARNINGS

SERVICING IS TO BE CARRIED OUT BY QUALIFIED PERSONNEL ONLY.

DO NOT USE THIS UNIT IN AREAS WHERE THERE IS ANY DANGER OF EXPLOSION OR THEPRESENCE OF FLAMMABLE GASES SUCH AS ANAESTHETIC AGENTS.

THIS PRODUCT IS NOT DESIGNED FOR STERILE USE.

THIS PRODUCT IS NOT DESIGNED FOR OUTDOOR USE.

DO NOT, UNDER ANY CIRCUMSTANCES, IMMERSE THE UNIT OR CABLE ASSEMBLIES IN LIQUID.

DO NOT USE HIGH TEMPERATURE STERILISATION PROCESSES (SUCH AS AUTOCLAVING). DONOT USE E-BEAM OR GAMMA RADIATION STERILISATION.

THIS UNIT IS CF CLASSIFIED ACCORDING TO IEC EN 60601-1. THIS MEANS THAT THEPATIENT CONNECTION IS FULLY ISOLATED AND DEFIBRILLATION PROTECTED. SCHILLER CANONLY GUARANTEE PROTECTION AGAINST DEFIBRILLATION VOLTAGE HOWEVER, WHEN THEORIGINAL SCHILLER PATIENT CABLE IS USED.

DO NOT TOUCH THE CASING DURING DEFIBRILLATION.

IF THE PATIENT CABLE SHOULD BECOME DEFECTIVE AFTER DEFIBRILLATION, LEAD OFF WILLBE DISPLAYED AND AN ACOUSTIC ALARM GIVEN.

7

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

What is in this book

THE SERVICE PHILOSOPHY FOR ALL SCHILLER UNITS IS FAULT FINDING TO MODULE LEVEL ONLY.THE PURPOSE OF THIS BOOK IS TO PROVIDE ALL THE INFORMATION NECESSARY TO ENABLETHE SERVICE ENGINEER TO EFFICIENTLY LOCATE AND REPLACE A FAULTY MODULE. THIS BOOKASSUMES NO DETAILED KNOWLEDGE OF THE ECG UNIT BUT DOES REQUIRE THAT THE SERVICEENGINEER IS FAMILIAR WITH STANDARD WORKSHOP PRACTICES.

The book is divided into the following chapters:

Chapter 1 — Operating Elements

The purpose of this chapter is to provide an easy reference for all main operator functionsand to give a basic introduction to the AT-1 / AT-1smartprint. This chapter gives details ofthe operator controls with the operation and function of each key briefly explained.The information in this chapter provides a background to the operating functions only.Complete operating information is provided in the SCHILLER AT-1 / AT-1 smartprint UserGuide.

Chapter 2 — Functional Overview

This chapter provides a functional overview of the AT-1 / AT-1 smartprint. The descriptionis supported by functional block diagrams.

Chapter 3 — Fault Diagnosis

This chapter provides a guide to locate a fault to module level. The diagnostics arepresented in a logical sequence of fault finding algorithms and procedures. Illustrationsare provided to support the text where needed.

Chapter 4 — Module Removal and Replacement

This chapter gives an overview of the physical construction of the AT-1 / AT-1 smartprintwith the main physical attributes of the unit briefly described. The physical descriptionis supported by illustrations showing the internal location of all modules. Removal andreplacement instructions for all removable modules are also provided in this chapter.Each procedure is autonomous with details of tools, jumper settings, adjustments andsettings or special requirements that are required before and after replacement.Functional checks that must be carried out after replacing a module are also provided.

Chapter 5 — Adjustments

This chapter provides all adjustments and settings. Also detailed in this chapter arebasic functional test procedures that can be performed to check the functioning ofthe unit.

Chapter 6 — Spare Parts

This chapter provides the part numbers and reordering information for all replaceablemodules. Also included in this chapter are details of any special test equipment orspecial tools required for adjustment or fault finding procedures.

8

What’s in this book

Chapter 7 — Technical Data

The full technical specification of the AT-1 / AT-1 smartprint is given in this chapter.

Index

Circuit Diagrams & Board Layouts

The circuit diagrams and component layouts are provided for all boards. These detailsare provided for information only.

General Symbols

9

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Contents

Associated Documents 2

Where to Obtain Service 3

Warranty 4

Safety Notices 5

What is in this book 7

CHAPTER 1 OPERATING ELEMENTS 11

Introduction 12

Location & Power 13

The Keyboard 14

AT-1/AT-1smartprint Short Form Operating Instructions 15

Manual ECG Recording (internal printer only) 15

System Configuration 15

Automatic ECG Recordingwith external printer connected and switched on: 15

with external printer NOT connected or switched off: 15

Modes of Operation 16

Automatic Mode 16Manual Mode 16

Automatic Mode 17

a. without external printer connected or printer switched off 17

b. with external printer 18

Settings 20

Default Settings 22Language 23

Filters 24Baseline Filter 24

Mains Filter 24Myogram Filter 25

Defining Lead Sequence & Printout 26Acoustic QRS Indication 27

Time / Date 27

Automatic Mode (ECG) Settings, Internal Printer 28Average Cycles 28Measurements and Markings (M and C versions only) 29

Interpretation (C version only) 29

Automatic Mode (ECG) Settings, External Printer 30Average Cycles 30

Measurements and Markings (M and C versions only) 31Interpretation (C version only) 31

10

Automatic Mode (ECG) Settings 32

Interpretation Settings (C version only) 32Selecting Rhythm Leads 33

Service Printout 34

Installing Software Options 35

Care & Maintenance 36

Replacing the Recording Paper in the Internal Printer 37

Thermal Paper Handling 38

CHAPTER 2 FUNCTIONAL OVERVIEW 39

Main Board MK 11-10 42

CHAPTER 3 FAULT DIAGNOSIS 45

Fault Diagnosis Chart 46

General Functional Check Procedures 48

Internal Printer Check 49

CHAPTER 4 MODULE REMOVAL AND REPLACEMENT 51

Warnings and Cautions 54

Physical Overview 55

Opening the Case 56

Top Housing Replacement 57

Physical Overview 58

ECG Interface Board MK 11-2 59

Printer Tray Assembly and Thermal Printer 60

Thermal Printer Removal 61

Control and Power Supply Board MK 11-10 62

Battery Pack 64

Keyboard 66

CHAPTER 5 ADJUSTMENTS 67

Introduction 68

Warnings, Cautions and Conditions 69

Test Equipment 70

Battery Charge Voltage 71

ECG Amplifier Reference Voltage 72

CHAPTER 6 SPARE PARTS 75

Ordering Information 76

Spare Parts 77

CHAPTER 7 TECHNICAL DATA 79

Technical Data 80

Index 83

11

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Chapter 1Operating Elements

12

Introduction

The AT-1 / AT-1 smartprint is a 3-channel ECG recorder with all (12) ECG signalssimultaneously processed to provide instant ECG recordings. Three automatic recordingmodes — two for the internal printer and one for the external printer — can be individuallypreset to enable one button ECG recording of preferred print formats.

Individual lamps are provided to give power, paper error, filter, lead group and lead offindications. In addition, any detected disturbance (i.e. loose electrode or end of paper),gives an audible alarm and the corresponding indicator lamp flashes.

The AT-1 / AT-1 smartprint includes the following features:

• Low weight and compact dimensions

• Printout from integrated quality thermal printer — OR — from external A4 inkjetprinter

• Built-in rechargeable battery for mains-independent use — 2 hrs normal use on onebattery charge

• Simple one key operation for main functions

• Automatic or manual recording modes

• Selectable printing formats — external and internal printer

• Interpretation program option (including measurements) for children and adults

• Choice of 10 languages (AT-1) and 9 languages (AT-1 smartprint) for printing.

13

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Location & Power

Location

Do not keep or operate the device in a wet, moist, or dusty environment. Also avoidexposure to direct sunlight or heat from other sources. Do not allow the unit to comeinto contact with acidic vapours or liquids, as such contact may cause irreparabledamage. The unit should not be placed near X-ray or diathermy units, large transformersor motors. The unit must be placed on a flat surface and must not be operated in areaswhere there is any danger of explosion.

Power Supply

The mains connection is on the rear of the unit. The mains indicator lamp on the keyboardis always lit when the unit is connected to the mains supply. The unit can either beoperated from the mains supply or from the built-in rechargeable battery. The powersource is indicated by the respective indicator lamp. When battery capacity is limited,the battery symbol flashes on and off.

To recharge the battery, connect the device to the mains supply by means of thesupplied power cable. A totally discharged battery needs less than 15 hours to be fullyrecharged (60% in less than 3 hours, 90% in less than 7 hours). A fully charged batterygives approximately 2 hours of normal use. The unit can remain connected to the mainssupply without any danger of damage to either the battery or the unit.

Switching On and Off

The AT-1 / AT-1 smartprint is switched on with the green ON key

and off by means of the red OFF key

The unit is automatically switched off after 5 minutes (30 seconds if battery capacity islimited) if no key is pressed and the patient cable is not connected.

Potential Equalisation

If the A T-1 / AT-1 smartprint is used in conjunction with other patient connected equipment,we recommend that the potential equalisation stud on the rear of the unit is connectedto the building common ground with the yellow/green ground cable (Part-no. 2.310005).When working from an emergency vehicle, the vehicle common ground can be used.

WARNING !

THE UNIT MUST BE GROUNDED WHEN THE EXTERNAL PRINTER IS CONNECTED.

14

The Keyboard

15

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

AT-1/AT-1smartprint Short Form Operating Instructions

Automatic ECG Recordingwith external printer connected and switched on:Prepare skin, hook up patient.

Switch unit on, press ON

Press AUTO to record and print externally

with external printer NOT connected or switchedof f :

To record and print on internal printer:

For AUTO Format 1 press

For Auto Format 2 press and then

Press COPY for additional copies.

Manual ECG Recording (internal printer only)

Prepare skin, hook up patient.

Switch unit on, press ON

Press MAN START

Change lead group with

Press STOP to stop the printout.

Electrode hook-up check

Press for print-out of

electrode dc offsets.

Best results are obtained when the electrode voltagereadings (right column) are between +50mV and — 50mV.

Filter On/Off

Press to switch the (Myogram) filter On / Off.

System Configuration

Press to print system

settings.

16

Modes of Operation

Automatic Mode

a. without external printer connected or printer switched off

Automatic Mode provides a printout giving 10 seconds of ECG recording of all 12 leadswith a choice of 2 different formats (only for S version).

The following can be programmed freely for each of the 2 formats before recording:

• Lead Format

• Chart Speed

• With the optional interpretation program installed it is also possible to select themeasurement table, average cycles with optional markings and interpretationstatements for the printout.

For further information see paragraph ̀ Automatic Mode (ECG) Settings` on page 28.

b. with external printer connected and switched on

Only one Automatic Mode format possible. Other details as above.

For further information see paragraph ̀ Automatic Mode (ECG) Settings` on page 30.

Manual Mode

Manual Mode provides a real time print-out of 3 selected leads and is only possible onthe internal thermal printer.

The following can be freely selected before or during recording:

• Lead Group

• Chart Speed

• Sensitivity

• Myogram Filter

For further information see paragraph ̀ Manual Mode` on page 19.

17

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Automatic Mode

a. without external printer connected or printer switched off

In automatic mode, a full 12-lead ECG is printed in one of two predefined formatswith selectable sensitivity. These formats (see Settings) are selected by the user to suithis specific needs and requirements.

When the AUTO GAIN key is pressed before recording in automatic mode, theunit detects very large waveform amplitudes and sets the sensitivity for the extremityand/or precordial leads accordingly to reduce the overlapping of traces.

To start the automatic ECG recording in Format 1, press the AUTO STARTkey:

To start the automatic recording in Format 2, press the ALT key followed bythe AUTO START key:

+

Depending upon which option is included, the printout gives the following:

• ECG recording of all leads in either Standard or Cabrera format according toselection

• Sensitivity

• Heart Rate

• Speed

• Filter Settings

• Interpretation statements (with option C)

• Average Cycles (with options M, C)

• Intervals (with options M, C)

• Axes (with options M, C)

• Detailed Measurement Table (with options M, C)

To obtain an extra printout of the ECG recording in Format 1, simply press the COPY key:

To obtain an extra printout of the second format, press the ALT key followed by the

COPY key: —

Note: The Auto mode settings for the two formats are detailed in the paragraphentitled ‘ Automatic Mode (ECG) Settings` later in this chapter.

18

Automatic Mode

b. with external printer

With the external printer connected and switched on, only one Auto Mode format(selectable) is available.

To start the automatic ECG recording in Automatic Mode, press the AUTOSTART key:

For further information see paragraph ̀ Automatic Mode (ECG) Settings` on page 30.

19

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Manual Mode

Manual mode provides a real-time ECG printout of 3 selected leads with full controlof parameter selection. This is only possible on the internal thermal printer.

To start the manual recording of a real-time ECG, press the MAN STARTPrintout key

To stop the manual recording (printout) press the STOP key

The printout provides you with the following:

• Three (selected) leads with lead identification.

• On the lower edge, the chart speed and filter settings (if on).

• At the top, the heart rate as current average of 4 beats, trace sensitivity.

The following can be freely chosen during or before the recording:

Lead Group by means of the LEAD FORWARD

and LEAD BACKWARD key

The following lead groups are selectable:

• I, II, III aVR, aVL, aVF

(Cabrera: aVL, I, -aVR / II, aVF, III)

• V1, V2, V3 / V4, V5, V6

Chart Speed Select speed 5, 25 or 50 mm/s by means of the SPEED keys:

Sensit ivity Select 5, 10 or 20 mm/mV by means of the SENSITIVITY keys:

Myogram Filter Switch the filter ON or OFF with the FILTER key:

25 Hz or 35 Hz is displayed on the bottom line of the printoutwhen the filter is switched on.

Recentering To re-centre the ECG traces, press the 1mV key

20

Settings

Each parameter is set by means of a code. This code comprises a combination of keysstarting with the ALT key followed by two or three numbers. The setting is confirmed withthe STOP key. As soon as the ALT key is pressed, the keyboard is dedicated to theprogramming function.

Note: The Alternative (ALT) function is only active for 4 seconds. If a programmingkey is not pressed within 4 seconds, the unit reverts to standard mode. TheALT key must again be pressed to activate the programming mode

The setting is remembered and the keyboard released for other functions when theSTOP key is pressed. Once a setting has been confirmed, it is stored in the memoryeven when the unit is switched off.

Example

If you want to set the language on your ECG unit to English, the key sequence given inthe table (see page 23), is

ALT — 0 — 2 — 2 — STOP.

On the following pages the programmable parameters and the programming sequencesare described in detail.

21

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Settings (cont.)

The defined formats and settings for your unit can be checked as follows:

ALT — 0 — 1 — any number

A printout of the defined settings will be produced and gives the following information,depending on the installed software.

Unit designation Software version, Software option installed (C =Interpretation) and interpretation version

Serial number Serial number of the unit

Leads Standard (S) or Cabrera (C)ECG Format Long (ooo), Short (o) or Suppressed (-)

M ECG Average cycles as defined in auto ECG recording setup(e.g. 4 * 3 (25 mm/s) + 2)

Measurements Enabled (+) or Suppressed (-)

Marks Enabled (+) or Suppressed (-)Interpretation Enabled (+) or Suppressed (-)

Selected Rhythm leads Leads selected for R1 and R2Automatic Centering Enabled (+) or Suppressed (-)

Paper type Z-foldedPrintout of signals Sequential or Simultaneous

Baseline Filter 0.05, 0.15 or 0.30 HzMains Filter 50, 60 Hz or OFF (-)

Myogram Filter 25 or 35 Hz, ON (+) or OFF (-)Interpretation settings: N/A:+/- ‘normal/abnormal’ is written (+) or

suppressed (-)

U:+/- ‘unconfirmed report’ is written (+) orsuppressed (-)

A30:+/- patient age is assumed to be < 30 (-)or >30 (+)

S: +/- low (-) or high (+) sensitivity

22

Settings (cont.)

Default Settings

To reset the unit to the basic default settings, proceed as follows:

ALT — 0 — 6 — 6

SETTINGS S = STANDARD M = MEASUREMENTS C = WITHINTERPRETATION

LANGUAGE AS SET AS SET AS SET

LEADS STANDARD (S) STANDARD (S) STANDARD (S)

AUTO FORMAT 1

ECG: 25MM/S, SHORT (O)ECG : 25MM/S, SHORT (O) ECG : 25MM/S, SHORT (O)

M ECG :6*2 (50MM/S + 1) M ECG: 6*2 (50MM/S + 1)

PATIENT DATA FORMENABLED +

MEASUREMENTS:SUPRESSED (-)

MEASUREMENTS:SUPRESSED (-)

MARKS: ENABLED (+) MARKS: ENABLED (+)

INTERPRETATION:ENABLED (+)

AUTO FORMAT 2

ECG: 25MM/S, LONG (OOO)

ECG : 25MM/S, LONG(OOO)

ECG : 25MM/S, LONG(OOO)

M ECG: — M ECG: NONE

PATIENT DATA FORMENABLED +

MEASUREMENTS:SUPRESSED (-)

MEASUREMENTS:SUPRESSED (-)

MARKS: ENABLED (+) MARKS: ENABLED (+)

INTERPRETATION:DISABLED (-)

RHYTHM LEADS V1, II V1, II

AUTOM.CENTERING ENABLED (+) ENABLED (+) ENABLED (+)

PAPER Z — FOLD Z — FOLD Z — FOLD

PRINTOUT OFSIGNALS SEQUENTIAL SEQUENTIAL SEQUENTIAL

BASELINE FILTERSETTING 0.05HZ 0.05HZ 0.05HZ

MAINS FILTERSETTINGS 50HZ (60HZ) 50HZ (60HZ) 50HZ (60HZ)

MYOGRAMFILTER SETTING 35HZ, OFF (-) 35HZ, OFF (-) 35HZ, OFF (-)

INTERPRETATIONSETTINGS

N/A: SUPRESSED (-)

U: ENABLED (+)

A30: UNDER THIRTY (-)

S: LOW (-)

EXTERNALPRINTER

ECG: 25MM/S, SHORT (O)ECG : 25MM/S, SHORT (O) ECG : 25MM/S, SHORT (O)

M ECG: 6*2 (50MM/S) + 2 M ECG: 6*2 (50MM/S) + 2

PATIENT DATA FORMENABLED +

MEASUREMENTS:SUPRESSED (-)

MEASUREMENTS:SUPRESSED (-)

MARKS: ENABLED (+) MARKS: ENABLED (+)

INTERPRETATION:ENABLED (+)

23

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Settings (cont.)

Language

The language is selected as follows:

Language Selection AT-1

Entry Key Sequence Language Confirm

ALT 0 2

1 German

PressSTOP key

2 English

3 French

4 Swedish

5 American

6 Italian

7 Spanish

8 Portugese

9 Dutch

0 Russian

Language Selection AT-1 smartprint

Entry Key Sequence Language Confirm

ALT 0 2

1 German

PressSTOP key

2 English

3 French

4 Swedish

5 American

6 Italian

7 Spanish

8 Portugese

9 Dutch

Confirm the selection by pressing

Notes: The difference between English and American is the mains filter setting -English = 50Hz; American = 60Hz and the physical units.

24

Settings (cont.)

Filters

There are three different filters which can be set individually as follows:

• Baseline filter

• Mains filter

• Myogram filter

Baseline Filter

The digital Baseline filter suppresses excessive baseline drifts. The setting options areas follows:

Baseline Filter

Entry Key Sequence Filter Setting Confirm

ALT 5

0 0.05 Hz (default)Press STOP

key1 0.15 Hz

3 0.30 Hz

Confirm the selection by pressing

Note: The set value is the lower limit of the frequency range and is normally set to0.05 Hz. The settings 0.15 and 0.30 Hz should only be used when absolutelynecessary, as the possibility exists that they could affect the original ECGsignal, especially the ST segments.

Mains Filter

The Mains filter is an adaptive digital interference filter designed to suppress ACinterference without attenuating or distorting the ECG.

Set the mains filter in accordance with the frequency of your local mains supply asfollows:

Mains Filter

Entry KeySequence Filter Setting Confirm

ALT 8

5 Mains Filter 50 Hz

Press STOPkey6 Mains Filter 60 Hz

9 Mains Filter Off

25

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Settings (cont.)

Myogram Filter

The Myogram filter suppresses disturbances caused by strong muscle tremor. The setvalue will be the new upper limit of the frequency range as soon as the FILTER key ispressed on or programmed as default when the unit is switched on. When the Myogramfilter is on, the value, i.e. 35 Hz is displayed on the bottom line of the printout.

Myogram Filter

Entry Key Sequence Setting Confirm

ALT 8

2 Myogram Filter 25 Hz

Press STOPkey

3 Myogram Filter 35 Hz

1 Myogram Filter active when the unit is firstswitched on (marked on printout with +)

8 Myogram Filter off when the unit is firstswitched on (marked on printout with -)

Confirm the selection by pressing the STOP key

The myogram filter is switched on and off manually with the FILTER KEY

Note: An ECG recorded in auto mode is stored unfiltered. It is therefore possible toprint the stored ECG either with or without passing the myogram filter. FilterON is indicated in the bottom information line of the printout. When the FILTERkey is pressed again, the filter is switched off and the `35 Hz` indication onthe bottom information line of the printout is removed. The cutoff frequencyof the myogram filter is set to either 25 or 35 Hz.

26

Settings (cont.)

Defining Lead Sequence & Printout

The required settings can be selected as follows:

Sequences, Print & Auto-centering

Entry Key Sequence Definition Confirm

ALT 7

1 Standard Lead Sequence

Press STOPkey

2 Cabrera Lead Sequence

3 Simultaneous Print

4 Sequential Print

5 Auto-centering ON

6 Auto-centering OFF

7 Z-fold paper

Confirm the selection by pressing the STOP key

The selectable printout forms are:

Simultaneous All ECG leads are printed in the same time segment (inautomatic mode only).

Sequential Each group is a contiguous time segment of approximately2.5 or 5 seconds (in automatic mode only).

Auto-Centering ON All ECG traces are centred dynamically for optimal use ofpaper width.

Auto-Centering OFF ECG traces are set to a fixed baseline position and maypossibly overlap.

The Standard and Cabrera lead groups available for the AT-1 / AT-1smartprint are:

Lead Groups

Standard Cabrera

I aVR V1 V4 aVL II V1 V4

II aVL V2 V5 I aVF V2 V5

III aVF V3 V6 -aVR III V3 V6

27

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Settings (cont.)

Acoustic QRS Indication

The acoustic QRS beep can be switched on or off at any time by pressing the QRS BEEPkey.

Time / Date (AT-1 smartprint only)

The required settings can be selected as follows:

Setting the Time and Date

Key Sequence Enter Data Confirmation

Time ALT 0 5 1 HHMMSS beep

Date ALT 0 5 2 DDMMYY beep

Seasonal Time Variation

Time change Key Sequence

Wintertime toSummertime (+1Hr) ALT 0 5 4

Summertime toWintertime (-1Hr) ALT 0 5 5

Note: If the battery has been disconnected for more than half an hour, the clockoscillator must be restarted before setting the time. To do this the followingkey sequence must be pressed:

ALT — 0 — 5 — 9

This will start the oscillator and the time can be set.

Note: The time and date only appear on the AUTO printout from the external printer.

28

Automatic Mode (ECG) Settings, Internal Printer

Two separate Auto formats can be defined for the internal printer in the AT-1 /AT-1smartprint. When defining auto format 1 the key sequence

ALT — 1

precedes the setting. When defining auto format 2 the key sequence

ALT — 2

precedes the setting.

The automatic mode formats are detailed on the following pages. The ECG format is setas follows:

ECG Format Internal Printer

Entry Key Sequence Printout Confirm

ALT 1 or 2 1

5 No leads printed

Press STOP key

6 Leads are printed in short form (3 sheets)

7 Leads are printed in long form (6 sheets)

8 Chart Speed 25mm/s

9 Chart Speed 50mm/s

Average Cycles

The Average cycles are defined as follows:

Note: Lead selection for the rhythm lead(s) is defined on page 33.

Average Cycles (interpretation option only) Internal printer

Entry Key Sequence Printout Confirm

ALT 1 or 2 2

5 No average lead cycles are printed

Press STOPkey

64 x 3 (25 mm/s). The average

complexes are printed in 4 groups ofthree leads at a chart speed of 25mm/s

74 x 3 (50 mm/s). The average

complexes are printed in 4 groups ofthree leads at a chart speed of 50mm/s

8

6 x 2 (50 mm/s) + 1 rhythm lead(25mm/s). The average complexes areprinted in 6 groups of two leads at a

chart speed of 50mm/s

9

12 x 1 (25 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted out for all 12 leads at a chart

speed of 50mm/s

29

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Automatic Mode (ECG) Settings, Internal Printer (cont.)

Measurements and Markings (M and C versions only)

To define the measurements and markings proceed as follows:

Measurements (M and C Options Only) Internal printer

Entry Key Sequence Printout Confirm

ALT 1 or 2 3

5

Detailed table of measurement resultsomitted — however, the values of electrical

axes, intervals, and heart rate are notsuppressed.

Press STOPkey

6 Detailed table of measurement results isprinted

7 Referenece markings are omitted

8Reference markings (beginning and end of

P wave and QRS, and end of T wave)are added to the ECG average cycles

Interpretation (C version only)

To print or suppress interpretation statements on the printout proceed as follows:

Interpretation (Interpretation Option Only) Internal printer

Entry Key Sequence Printout Confirm

ALT 1 or 2 45 Interpretation is omitted

Press STOPkey

6 Interpretation is printed

Confirm the selection by pressing the STOP key

Full details of the interpretation option are given in the SCHILLER ECG Measurement andInterpretation booklet (art. No. 2.510 179).

30

Automatic Mode (ECG) Settings, External Printer

One Auto format can be defined for the external printer in the AT-1smartprint. Whendefining the auto format the key sequence

ALT — 9

precedes the setting.

The automatic mode format is detailed on the following pages. The ECG format is set asfollows:

ECG Format External printer

Entry Key Sequence Printout Confirm

ALT 9 1

1 1 page A4 with 12 leads at 25mm/s (1×12)

Press STOP key

2 One page with the first 8 leads printed for 5s and the last 4leads printed for 10s

5 No leads printed

6 1 page A4 with 12 leads printed in short form (2×6)

7 2 pages A4 each with 6 leads printed in long form (6 + 6)

8 Chart Speed 25mm/s

9 Chart Speed 50mm/s

0 1 page A4 with 4 groups of 3 leads (4×3) at 25mm/s+ 1 rhythm (25mm/s)

Average Cycles

The Average cycles are defined as follows:

Note: Lead selection for the rhythm lead(s) is defined on page 33

Average Cycles (interpretation option only) External printer

Entry Key Sequence Printout Confirm

ALT 9 2

5 No average lead cycles are printed

Press STOPkey

6

4 x 3 (25 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 4 groups of three leads at a

chart speed of 25mm/s

7

4 x 3 (50 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 4 groups of three leads at a

chart speed of 50mm/s

8

6 x 2 (50 mm/s) + 2 rhythm leads(25mm/s). The average complexes areprinted in 6 groups of two leads at a

chart speed of 50mm/s

9 12 x 1 lead (25mm/s) + 2 rhythm leads(25mm/s)

31

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Automatic Mode (ECG) Settings, External Printer(cont.)

Measurements and Markings (M and C versions only)

To define the measurements and markings proceed as follows:

Measurements (M and C Options Only) External printer

Entry Key Sequence Printout Confirm

ALT 9 3

5

Detailed table of measurement resultsomitted — however, the values of electrical

axes, intervals, and heart rate are notsuppressed.

Press STOPkey

6 Detailed table of measurement results isprinted

7 Reference markings are omitted

8Reference markings (beginning and end of

P wave and QRS, and end of T wave)are added to the ECG average cycles

Interpretation (C version only)

To print or suppress interpretation statements on the printout proceed as follows:

Interpretation (Interpretation Option Only) External printer

Entry Key Sequence Printout Confirm

ALT 9 45 Interpretation is omitted

Press STOPkey

6 Interpretation is printed

Confirm the selection by pressing the STOP key

Full details of the interpretation option are given in the SCHILLER ECG Measurementand Interpretation booklet (art. No. 2.510 179).

32

Automatic Mode (ECG) Settings

Interpretation Settings (C version only)

The interpretation settings enable the user to determine whether or not certain commentswill be added to the interpretation statements on the ECG printout. Furthermore, thepatient’s age can be defined (<30 or >30) and if low or high sensitivity should beapplied. Low sensitivity will suppress certain non-specific and less important ECG diagnosis;this may be advisable when carrying out ECGs for screening.

Interpretation Settings

Entry KeySequence Setting Confirm

ALT 6

1 «Normal» / «Abnormal» is notprinted

Press STOPkey

2 «Normal» / «Abnormal» is printed

3 «Unconfirmed report» is not printed

4 «Unconfirmed report» is printed

5 Patient age assumed to be < 30

6 Patient age assumed to be > 30

7 Low sensitivity

8 High sensitivity

33

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Automatic Mode (ECG) Settings (cont.)

Selecting Rhythm Leads

The rhythm leads are printed out as defined. Two separate rhythm leads can be selected.The following formats can be set:

Rhythm Leads (interpretation option only)

Entry KeySequence

Setup Format

ALT3 Define rhythm lead one

4 Define rhythm lead two

The 2 rhythm leads are defined as follows:

Extremity Leads

Entry Key Sequence Lead Confirm

ALT 3 or 4 8

1 I

PressSTOP key

2 II

3 III

4 aVR

5 aVL

6 aVF

Precordial Leads

Entry Key Sequence Lead Confirm

ALT 3 or 4 9

1 V1

PressSTOP key

2 V2

3 V3

4 V4

5 V5

6 V6

Confirm the selection by pressing the STOP key

34

Service PrintoutThe service printout provides information about the patient cable and electrodes andgives the values of certain reference voltages and important internal offset values.These values are for information only. To obtain the service printout press

ALT — 0 — 3 — 3

ECG Reference Voltage This provides measurements and setting facilities for thereference voltage used for accurate measurement of ECGsignals

• Uref + This gives the value of the reference voltage used in themultiplexer circuit on the ECG Amplifier. The value of thereference voltage is 2000 mV ±20 mV.

• Uref — This is a negative reference voltage used on the ECG Amplifierboard. The value of this voltage should be -2000 mV ±20 mV.

• Udif This is the sum of the two reference values above (Uref+andUref-). This value must be 4000 mV ± 20 mV.

• Uoff This is the value of the offset voltage on the multiplexer circuit.This value should be between +150mV and — 150mV.

• Calib This value is the Udif value divided by 4. The nominal value is1000 ±5 mV.

Electrode dc offset This gives the voltage drop in the patient cable and canindicate any faults in the patient cable or patient electrode.The value given is the dc voltage between the left leg electrodeand all other electrodes. The measurements obtained willindicate any cable short circuits or open circuits. The measuredvoltage value will depend on where the electrodes areconnected. The voltage readings that can be expected areas follows:• With patient connected: ± 100mV• With patient simulator connected: ± 20 mV. This will

depend on the patient simulator used and must be takenas a flexible measurement.

• With all electrodes shorted together: ± 20 mV• No patient cable connected: -350 to -450mV

TPH TEMP This is the measured ambient temperature that the processoruses to correct print quality.This reading should be ambient temperature ± 5o.

EPROM This is the checksum for the EPROM. Its value varies from onesoftware version to another.

35

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Installing Software Options

To upgrade the AT-1 / AT-1 smartprint, for example from standard to M version, type thefollowing:

ALT — 0 — 4 — followed by the upgrade code (obtainable from SCHILLER).

Acceptance of the code is indicated by a series of beeps.

CAUTION

MORE THAN 10 UNSUCCESSFUL ATTEMPTS TO ENTER THE CODE BLOCKS THE UNIT.

36

Care & Maintenance

12 Monthly Check

The unit should undergo a technical safety check every 12 months. This safety checkshould include the following:

• Visual inspection of the unit and cables.

• Electrical safety tests according to IEC 601-1 Clause 19.

• Functional tests according to Chapter 3.

The test results must be documented.

Cleaning the Casing

CAUTION

SWITCH THE UNIT OFF BEFORE CLEANING AND DISCONNECT THE MAINS ANDTHE EXTERNAL PRINTER (IF PRESENT). DO NOT, UNDER ANY CIRCUMSTANCES,IMMERSE THE APPARATUS INTO A CLEANING LIQUID OR STERILIZE WITH HOTWATER, STEAM, OR AIR.

The casing of the AT-1 / AT-1smartprint can be cleaned with a soft damp cloth on thesurface only. Where necessary a domestic non-caustic cleaner can be used for greaseand finger marks.

Patient Cable

CAUTION

ALIGN THE LEADS IN SUCH A WAY AS TO PREVENT ANYONE STUMBLING OVER THEM ORANY DAMAGE CAUSED BY THE WHEELS OF INSTRUMENT TROLLEYS. THE SAME CAUTION APPLIESTO THE STORAGE OF THE LEADS.

The patient cable should not be exposed to excessive mechanical stress. Wheneverdisconnecting the leads, hold the plugs and not the cables.

The cable can be wiped with soapy water. Sterilization, if required, should be done withgas only and not with steam. To disinfect, wipe the cable with hospital standarddisinfectant.

Cleaning the Thermal Printhead of the internal printer

If the printer is used a lot, a residue of printers ink (from the grid on the paper) can buildup on the printhead. This can cause the print quality to deteriorate. We recommendtherefore that every month the printhead is cleaned with alcohol as follows:

Remove the paper tray. The thermal printhead is found under the paper tray releasecatch. With a tissue dampened in alcohol, gently rub the printhead to remove the inkresidue. If the printhead is badly soiled, the colour of the paper grid ink (i.e. red orgreen) will show on the tissue.

37

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Replacing the Recording Paper in the Internal

Printer

The recording paper must be replaced as soon as the end of the paper is indicated bya red stripe on the lower edge. After the indication first appears, there are about 8pages left. However, we recommend that the paper be replaced immediately. If nopaper is left, the printing process is interrupted and the paper warning lamp starts toblink. To replace the paper proceed as follows:

• Press the latch for the paper tray to release the lid with the rubber roller.

• Remove any remaining paper from the paper tray.

• Place a new paper pack into the paper tray with the printed (grid) side facingupwards.

• Close the lid and press firmly until release catches. Press the STOP keyto transport the paper to the start position.

SCHILLER can only guarantee perfect printouts when SCHILLER original chart paper orchart paper of the same quality is used.

38

Thermal Paper Handling

The thermal paper used in the AT-1 / AT-1smartprint requires slightly different handling tonormal paper as it can react with chemicals and to heat. However, when the followingpoints are remembered, the paper will give reliable results:

The following points apply to both storage and when archiving the results.

1. Before use, keep the paper in its original cardboard cover. Do not remove thecardboard cover until the paper is to be used.

2. Store in a cool, dark and dry area.

3. Do not store near chemicals e.g. sterilisation liquids.

4. In particular do not store in a plastic cover.

5. Certain glues can react with the paper — do not attach the printout onto amounting sheet with glue.

39

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Chapter 2Functional Overview

40

PR

INT

ER

AS

SE

MB

LY

Pape

r mar

kde

tect

or

The

rmal

pri

nthe

ad

Prin

ter

mot

or

TO

P C

ASI

NG

Bat

t. L

ED

,L

ead

LE

Ds,

Filte

r, E

lec-

trod

e lo

ose

Key

boar

d

Prin

t hea

dco

ntro

ller

Step

per

mot

orco

ntro

ller

LE

D D

ecod

er /

Key

boar

din

terf

ace

Sys

tem

Soft

war

eE

PR

OM

CPU

/de

code

r /T

imer

DC

— D

Cco

nver

ter

refe

renc

evo

ltage

Pow

er ra

ilst

abili

satio

n

Sign

al m

ulti-

plex

er (

PWM

)

AC

— D

Cco

nver

ter

Inpu

t am

plif

ier

and

filte

r

DC

— A

Cco

nver

ter

400

kHz

+5V

i+2

Vi

+5V

i

-5V

i

-10V

i

+5.2

Vi

PAT

IEN

T I

SOL

AT

ION

(4k

Vrm

s)

Volta

gere

gula

tor

Switc

hing

volta

ge re

g.

+5V

ref

+5.2

V

+24V

Ove

rvol

tage

prot

ecti

on

Und

ervo

ltage

prot

ecti

on

Vol

tage

sens

e &

conv

ersi

onM

ON

Mot

or r

unni

ngB

LO

W10

.3V

MO

N

+US

ON

/ O

FFco

ntro

lB

atte

ry c

harg

er &

volta

ge re

gula

tor

Rec

tific

atio

n

Vol

tage

sens

ing

circ

uit

+US

+US

+5.2

V

+24V

12V

Bat

tery

Mai

nsL

ED +

U

MA

IN B

OA

RD

MK

11-

10

TP

12 &

TP

13P3

(pa

rt)

P3 (

part

)

P3 P6P4P1

P1

+B

att

MU

X

CT

RL

SI3

SI1

SI2

ON

fro

m k

eybo

ard

OFF

fro

m C

PU

Volta

gere

gula

tor

Ext

erna

l pri

nter

cont

rolle

r

Ext

erna

l Ink

jet

prin

ter

P2

P5

EC

G I

NT

ER

FA

CE

MK

11-

2

Patie

ntco

nnec

tor

Mai

nsco

nnec

-to

r

41

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Introduction

This chapter provides a functional overview of the AT-1 / AT-1smartprint electronics. Theaim of this overview is to enable the service engineer to identify processing paths inorder to help identify possible faulty modules. A functional block diagram supports thetext.

42

Main Board MK 11-10

Power Supply

The mains supply is full wave rectified to produce an unregulated dc supply ofapproximately 35 V (+U). This voltage is used by a switched voltage generator to produce+UD (13.5V). +UD charges the battery when mains is connected. When mains is notconnected, +UD is the battery voltage.

An ON/OFF control logic switches +UD to three voltage regulators. The unit is switchedon directly from the keyboard and then held on from the CPU. Detection of overvoltageon either the 5.2 V or 24 V supplies directly switches the unit off. Similarly when anundervoltage is detected on +US (indicating overcurrent) the unit is directly switchedoff.

The mains LED is lit directly when mains is connected. The same circuit also monitors theswitched dc supply (+US) and activates signal +BATT when the unit is switched on andmains is not connected (i.e. the unit is running on battery power).

A Battery low signal (BLOW) is set to logic 0 when battery voltage (+US) falls to 11.3 V. Acircuit compensates for voltage drop when the printer stepper motor is active and theBLOW signal is active only at 10.3 V.

Note : The battery voltage is also monitored directly by the CPU which switches theunit off when the voltage falls below approximately 9.4 V.

CPU and processing circuits

Overall control and coordination of the AT-1 / AT-1smartprint is performed by a Motorola68332 Microcontroller, which performs all timing and control functions.

Memory

• An EPROM with 128 kByte memory contains the unit software.

• A static RAM memory stores the ECG data and comprises two 256 kByte RAMchips.

• A serial EEPROM (U48) stores the unit base settings.

Thermal Printhead Controller

The thermal printhead is controlled by a printhead controller and a CPU timer circuit.The printhead controller serialises the data for the printhead and the timer circuit controlshow long current is applied to the head, and thus the intensity of the printout.

Printer Timing

Strobe generation is controlled by the CPU when one complete pixel line of data isready to be written. Pulse length of STRB1 and STRB2 (each of which controls half of thepixel array) depends on the TPH temperature and therefore on the pulse width of theTPHT signal.

Note: TPH temperature reading is described on page 34.

43

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Main Board MK 11-10 (cont.)

Paper Mark

The pulsed paper mark signal from the printer is fed to a comparator. A detected papermark supresses any (logic 0) pulses of PMARK at the output of comparator U38.

Power On Reset

The Power on reset circuit controls the master reset of the CPU. This circuit has twofunctions as follows:

• To provide a delay on initial switch-on to ensure that the power supply is fullystabilized and give the 200ms reset time required by the 68332 processor.

• To disable the unit if the +5V rail drops below +4.75V.

Stepper Motor Controller

The printer stepper motor controller sets the speed of the printer motor with a clockfrequency dictated by the master CPU.

The purpose of the stepper motor controller circuit is to ensure that the motor speedrequested by the microprocessor is achieved and maintained.

ECG Isolated Power Supplies

DC/DC converter circuits produce all the isolated power voltages required by the ECGAmplifier circuit.

The -2.0Vi and the 2Vi isolated reference voltages are generated from the -5Vi supply.

Note: When taking measurements always ensure that the isolated ground is usedfor reference.

ECG Signal

The incoming ECG signals RA, LA, and C1 to C6 are low-pass filtered (approximately10kHz) and applied to non-inverting operational amplifiers giving a gain of 11. Thesignals are further low pass filtered (approximately 400Hz) and amplified by 23 beforebeing applied to the multiplexer.

The multiplexer sampling rate is 1000Hz.

Noise Damping

The right leg electrode to the patient is the signal ground reference signal. To assist incancelling some patient noise and thus reducing incoming signal distortion, the incomingsignal from the patient left leg electrode is phase shifted 180o. This phase shifted signalis then used by the signal ground reference to cancel (or reduce) patient inducednoise.

44

45

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Chapter 3Fault Diagnosis

46

Fault Diagnosis Chart

47

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Introduction

The AT-1 / AT-1smartprint is designed for easy use and service: the service philosophy ofthe AT-1 / AT-1smartprint is module replacement and not board repair. The purpose ofthis chapter is to provide fault-finding procedures that will quickly and efficiently identifya fault to a specific module. Fault-finding procedures are designed so that test equipmentis kept to a minimum.

An initial fault diagnosis chart is provided detailing general fault indications. Use theprocedures on the following pages to indicate a faulty area or module. In most casesthe fault diagnosis chart should indicate the most likely faulty area. When more thanone module is stated, the first module given is the one most likely to contain the fault.Other modules given should be checked in the order given. When a module has beenreplaced, specific test parameters and setting-up of the module may be applicable.The removal and replacement instructions for all replaceable modules, along with anysetup or check procedures required, are given in Chapters 4 and 5.

If the initial fault diagnosis chart does not indicate the area where the fault exists, re-check all the settings and parameters that have been entered.

48

General Functional Check Procedure

The procedure detailed here is a general confidence check of the unit after an internalmodule or board has been replaced. It is not a full functional test (which can only becarried out with dedicated equipment in the factory) but is intended to provide ageneral confidence check in all the major AT-1 / AT-1smartprint functional areas. Theinstructions given here are guides to the basic functions. If more operating informationis required (general settings, comprehensive menu guides etc.) please refer to Chapter1 in this publication or the relevant User Manual.

To carry out the general AT-1 / AT-1smartprint functional check procedure, proceed asfollows:

1. Connect mains power to the unit and ensure that the green mains LED lights.

2. Switch the unit on by pressing the key on the keyboard. Ensure that the LED

lights flash for about a second.

3. Carry out the printer check detailed on the next page.

4. Connect an ECG simulator to the ECG connector on the side panel and switch on.

5. Press the key and ensure that three leads are printed and are of good

quality.

6. Press the key and wait approximately 10 seconds for the printout to

commence. Ensure that the printout is accurate and of good quality.

7. Switch the unit off and leave connected to the mains supply for 10 hours or

more to charge the battery.

8. Disconnect the mains and switch the unit on. Ensure that the Battery LED is lit. Runthe unit on battery power for approximately one hour. Ensure that the battery LEDflashes when the battery has limited capacity (not before 4 hours).

49

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Internal Printer Check

To check the printer and to ensure that every pixel is operational, a built-in printer testis provided. To carry out the printer check press:

ALT — MAN START

A test printout is given. Four test patterns are available — toggle between the test patterns

with the lead arrow keys up or down.

Carefully examine the printout and ensure that all the lines are even and uninterrupted.Any faulty printhead pixels will be seen as a horizontal white line. Examine the printoutfor evenness of print.

If a faulty pixel is detected, the printer must be replaced. If the printout is uneven (forexample darker at the top than at the bottom), it indicates that the printer alignment isnot correct. If the printout is too faint or too dark, check the TPH temperature in theservice printout given in Chapter 5. Also check the paper; old paper, paper that hasbeen exposed to light for a long period, or poor quality paper can all adversely effectthe print quality.

NOTE: THE ‘SHELF LIFE‘ OF THE PRINTER PAPER IS NOT INDEFINITE. OLD PAPER, PAPER THATHAS NOT BEEN STORED IN A COOL DAMP-FREE ENVIRONMENT, OR PAPER THATHAS BEEN EXPOSED TO EXCESSIVE HEAT CAN ADVERSELY EFFECT THE QUALITY OFTHE PRINT

Printhead Alignment and Printhead Tension

The printhead tension (the pressure that the printhead exerts on the printer paper) isachieved with two springs exerting pressure on the printhead: the printhead tensioncannot be adjusted. Similarly, printhead alignment is fixed and cannot be adjusted. Ifthe printhead tension or printhead alignment is not correct, change the paper tray andprinter assembly.

Possible Printer ProblemInternal Thermoprinter

Corrective Action

Paper jams or does not stop atcorrect position.

Clean paper mark detector with a 70% alcoholsolution. (See page 60.) Allow to drycompletely.Ensure that good quality, fresh paper is installed.Change the Printer Motor, see page 60-61.

Printout uneven; Fading at top orbottom.

Check evenness of spring pressure of the printerto roller by pulling a sheet of paper through.Check roller for wear and symmetry.Clean printhead (pixel array) with alcohol.Ensure that good quality, fresh paper is installed.

Faulty pixel. Clean printhead (pixel array) with alcohol.Replace printer.

Printout too faint or too dark;General quality poor.

Clean printhead (pixel array) with alcohol.Ensure that good quality fresh paper is installed.

50

Printer Check

External Printer Problems

Possible Printer ProblemExternal Inkjet printer

Corrective Action

No printout Check that the USB and the Centronics interfaceon the external printer are not simultaneouslyengaged.

Poor quality printout. Make sure that the printer and the AT-1smartprint are properly grounded via thepotential equalisation stud.

No printout No format has been selected in Settings. Selecta proper format.

51

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Chapter 4Module Removal and

Replacement

52

Remove topassembly

Paper trayassemblyand motor

ECGinterface

MK 11-2

Mains trans-former andconnector

Batterypack

Thermalprinter

Remove topassembly

Keyboard

In Base Assemblyaccess to :

In Top Assemblyaccess to :

Control andpower supply

board MK 11-10

53

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Introduction

This chapter provides an overview of the procedures to remove and replace the modulesthat are spared at service level. The instructions given in this chapter are autonomous,with each module containing the following:

• The prerequisites that must be fulfilled before removing the module

• Tools and equipment that are required to remove and replace the module and tocarry out the functional checks and adjustments

• Removal procedures

• Replacement procedures

• Checks and tests that must be carried out after replacement.

Any adjustments, special checks or functional procedures that are required during aprocedure are detailed in the relevant step.

In-text diagrams support the text where required and provide location details ofconnectors, test points and adjustment potentiometers.

Specific warnings and cautions are given where applicable. Warnings indicate potentialdanger that could cause personal injury. Cautions indicate areas that could causedamage to the equipment.

If a key operation or menu selection is required, the key sequence required is given inbold letters. The character (or character string) given is the actual character that isprinted on the key. When a key sequence is provided it must be followed in the ordergiven.

54

Warnings and Cautions

WARNINGS

BEFORE COMMENCING ANY REMOVAL OR REPLACEMENT PROCEDURES ENSURE THAT THEMAINS POWER SUPPLY IS SWITCHED OFF AND THAT THE MAINS CABLE IS REMOVED.

CERTAIN CHECKS AND ADJUSTMENTS CAN ONLY BE CARRIED OUT WITH THE TOP ASSEMBLYREMOVED AND WITH MAINS CONNECTED. WHEN CARRYING OUT THESE PROCEDURESBEWARE THAT POTENTIALLY LETHAL VOLTAGES ARE PRESENT.

CAUTIONS

THE AT-1 / AT-1SMARTPRINT CONTAINS STATIC SENSITIVE CMOS COMPONENTS, OBSERVEANTISTATIC PRECAUTIONS.

WHEN CARRYING OUT ANY MAINTENANCE PROCEDURES ALWAYS PLACE THE UNIT ON ANEARTHED ANTISTATIC MAT.

PERSONNEL MUST BE EARTHED WHEN HANDLING ANY BOARDS OR COMPONENTS

ALWAYS USE AN ANTISTATIC BAG WHEN TRANSPORTING BOARDS OR COMPONENTS

THE UNIT IS SUSCEPTIBLE TO ABRASION DAMAGE. TO PREVENT SCRATCHING, ALWAYS PLACETHE UNIT ON A SOFT, NON-ABRASIVE CLOTH WHEN CARRYING OUT MAINTENANCEPROCEDURES.

TAKE CARE NOT TO PLACE ANY STRAIN ON THE CONNECTING RIBBON CABLE WHENREMOVING THE TOP HOUSING. ENSURE THAT THE CABLE ASSEMBLY IS NOT CRIMPED ORTWISTED AND THAT THE TOP HOUSING IS NOT PLACED ON THE CABLE ASSEMBLY.

CARE MUST BE TAKEN WHEN REMOVING AND REPLACING CONNECTORS. NEVER USE FORCE.NEVER STRAIN THE CABLE ASSEMBLIES.

THE PROCEDURAL STEPS GIVEN FOR EACH MODULE MUST BE FOLLOWED IN THE ORDERGIVEN.

55

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Physical Overview

The AT-1 / AT-1smartprint unit is enclosed in a two part, medical standard, mouldedplastic case.

The top housing contains the keyboard with the base assembly containing all theelectronics of the unit, the thermal printer, the paper tray, the battery and mainstransformer.

The electronics of the unit are contained on two printed circuit boards (control andpower supply board MK 11-10 and the ECG interface board MK 11-2). The ECG interfaceboard also supports the patient connector. The PCBs are secured on spacers mouldedin the base section.

The battery is secured in position with double sided tape and the mains transformer issecured on spacers.

The thermal printer is mounted on a printer / paper tray assembly which is secured in thebase assembly.

Because of the plastic construction of the case, threaded metal inserts are usedthroughout for all screw fixings.

Test Equipment, Tools, and Accessories

The following list details the tools, test equipment and accessories required to carry outall functional tests, calibration procedures and adjustments that can be carried out onthe AT-1 / AT-1smartprint. The test equipment given here is general. If specificrecommendation for test equipment is required, please contact the SCHILLER servicedepartment.

• Selection of posi-drive and flat-bladed screwdrivers

• Cleaning agent such as Trichlorethylene

• Double-sided tape

• ECG Patient Simulator

• SCHILLER 10 lead patient cable Number 2.400070 (2.400071 for USA)

• Spring compressor, if available, or a pair of pliers

56

Opening the Case

Prerequisites

• The unit must be placed on an antistatic mat and antistatic precautions observedwhen any maintenance is carried out on the AT-1 / AT-1smartprint. The roomtemperature should be between 18 and 28 °C.

• THE WARNINGS AND CAUTIONS AT THE BEGINNING OF THE CHAPTER MUST BEOBSERVED.

Tools

• Posi-drive screwdriver

Test Equipment

The following test equipment is required to carry out the functional test after unit assembly

• SCHILLER Patient Cable

• Patient Simulator e.g. phantom 320.

Top Housing Removal

The Top Housing is mounted on the Base Assembly and is secured to the Base Assemblywith six screws; access to the screws is gained from the underside of the unit. To removethe Top Housing, proceed as follows

WARNING

ENSURE THAT THE MAINS CABLE IS REMOVED !

1. Turn the unit upside-down and reston a soft antistatic cloth.

2. Unscrew and remove the sixcountersunk retaining screws andwashers situated in the extremecorners and edges of the unit.

3. Grasping the top housing and baseassembly to ensure that theycannot part, carefully return theunit to the standing position.

4. Release the catch and open thepaper tray lid with the printer roller.

5. Gently lift the Top Housing and turnit slightly counter-clockwise so itcan be lifted away from the papertray lid.

6. Disconnect the cable assembly between the control and power supply board MK11-10 and the keyboard.

7. Gently lift the Top Housing away from the Base Assembly and place it on a softcloth.

57

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Top Housing Replacement

To replace the Top Housing proceed as follows:

1. Check that all boards and components are firmly secured. Check for loosescrews. Ensure that no screws or foreign bodies are loose in the bottom of thecase.

2. Inspect all the internal cable assemblies and ensure that they are in goodcondition and that no visible damage can be seen. Ensure that no cableassemblies are strained, crushed or caught.

3. Ensure that all connectors are firmly home.

4. Position the Top Housing in front of the Base Assembly and, without straining theribbon cable, plug in the interconnecting cable from the keyboard to the mainboard MK 11-10. See picture next page.

Note: It may be necessary to tilt the Top Housing for the cable assemblies toreach.

5. Turn the Top Housing slightly counter-clockwise and lift it over the paper tray lid.

6. Carefully position the Top Housing on the Base Assembly and close the paper traylid.

7. Grasping the Top Housing and the Base Assembly to ensure that they cannot part,carefully turn the unit upside-down and replace the six securing screws andwashers in the extreme corners and edges of the unit. Return the unit to theupright position.

8. Carry out the functional check procedure detailed in Chapter 3.

58

Physical Overview Keyboard connector Printer motor

Patient connector

View of the unit with the ECG interface board lifted upp.

59

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

ECG Interface Board MK 11-2

The ECG Interface is mounted above the Control and Power Supply board MK-11-10and is secured to six spacers.

Prerequisites

• The Warnings and Cautions at the beginning of the Chapter must be observed.

• The top housing must be removed as detailed on page 56. All external cableassemblies must be disconnected.

Tools

• Posi-drive screwdriver

Part Numbers

The part number for the ECG Interface Board is given in Chapter 6.

Board Removal

CAUTION

THE ECG INTERFACE CONTAINS STATIC SENSITIVE CMOS COMPONENTS. OBSERVE ANTISTATICPRECAUTIONS.

To remove the ECG interface proceed as follows:

1. Unscrew the six screws securing the board to the spacers.

2. Gently raise the board to gain access to the cable assembly to the Control BoardMK 11-10 and remove the connector. Remove the board.

Board Replacement

1. Connect the cable assembly to the Control Board MK 11-10. Place the ECGamplifier board component-side down over the six spacers so that the patientcable connector is positioned in the cutout on the side panel.

2. Secure the board to the six spacer supports with the retaining screws.

3. Replace the Top Housing as explained on page 57

Checks and Tests after Replacement

To prove the integrity of the replaced board carry out the following functional checkprocedure:

Switch on the unit and connect a SCHILLER patient cable to the ECG connector. Connecta suitable patient simulator to the ECG connector and press MAN START. Ensure that allthe leads are printed.

60

Printer Tray Assembly and Thermal Printer

Prerequisites• The Warnings and Cautions at the beginning of the Chapter must be observed.• The top housing must be removed as detailed previously. All external cable

assemblies must be disconnected.

Tools

• Posi-drive screwdriver

• Spring compressor or pliers

Part NumbersThe part numbers for the Thermal Printer Assembly, the printhead and the motor aregiven in Chapter 6.

E = Paper mark detector F = Printer motor

CAUTION

THE THERMAL PRINTER CONTAINS STATIC SENSITIVE COMPONENTS. OBSERVE ANTISTATICPRECAUTIONS.

Printer / Paper Tray Assembly Removal1. Remove the following connectors from the Control and Power Supply Board MK

11-10:

• data connector to the thermal printer (A)• paper mark connector (B)• printer motor connector (C)• earth connector to the printhead (D)

2. Unscrew the four retaining screws and remove the complete paper tray / printerassembly.

Printer/Paper Tray Assembly Replacement1. Position and secure the assembly in the base with the four retaining screws.2. Reconnect the following connectors to the Control and Power Supply Board MK 11-10:

• data connector to the thermal printer (A)• paper mark connector (B)• printer motor connector (C)• earth connector (D)

3. Replace the Top Housing, see page 57.

A

B

C

D

E

F

Retainingscrews

61

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Thermal Printer Removal

1. Remove the top housing and the printer tray assembly as outlined above.

2. Turn the printer / paper tray assembly upside-down and unscrew the two printerretaining screws.

3. Gently remove the printhead taking care to retain the two tensioning screws.

Thermal Printer Replacement.

To replace the thermal printer proceed as follows:

1. Position the printer in the printer / paper tray assembly so that the printer mountingplate lips slot into the dedicated cutouts in the assembly; secure with the tworetaining screws. Ensure that the cable assemblies from the printer to the interfacePCB are not caught and are not strained.

2. Using a spring compressor or a pair of pliers, insert the two tensioning springs sothat the springs are positioned over the outer two moulded spring supports and inthe indent (hole) in the printer mounting plate

3. Replace the printer / paper tray assembly as described on page 60.

4. Replace the top housing as described on page 57.

Checks, Tests and Adjustments after Printer Replacement

Check the print quality as described in Chapter 3.

Printer Motor Removal and Replacement

1. Remove the top housing and the printer / paper tray assembly asoutlined above.

2. Turn the printer / paper tray assembly on the side to get access tothe printer motor.

3. Unscrew and remove the two fixing screws, and carefully lift themotor out of the assembly.

4. Replace the motor, carefully put it in place and fasten the tworetaining screws.

5. Replace the printer / paper tray assembly and the top housing as explainedabove.

62

Control and Power Supply Board MK 11-10

The Control and Power Supply Board MK 11-10 is secured to the base assembly andlocated under the ECG Interface Board MK 11-2.

Prerequisites

• The Warnings and Cautions at the beginning of the chapter must be observed.

• The top housing must be removed and all external cable assembliesdisconnected.

• The ECG Interface Board must be removed.• The printer / paper tray assembly must be removed.

Tools and Equipment

Posi-drive screwdriver

Parts

Control and Power Supply board MK 11-10. Part number as detailed in Chapter 6.

Board Removal

WARNING

ENSURE THAT THE MAINS CABLE IS DISCONNECTED BEFORE COMMENCING

To remove the Control and Power Supply Board MK 11-10 proceed as follows:1. Disconnect the following connectors:

• live and neutral bayonet connectors to the mains connector• battery connectors

2. Unscrew the 12 fixing screws (four on the mains transformer) and lift out the board.

red (live)

black (neutral)

63

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Control and Power Supply board MK 11-10

Board Replacement

To replace the Control and Power Supply Board MK 11-10 proceed as follows:

1. Position the board and secure at the 12 fixing points (four on the mainstransformer)

2. Connect the following:

• live and neutral bayonet connectors to the mains connector

• live and neutral bayonet connectors to the battery

3. Replace the printer / paper tray assembly and connect all cables.

4. Replace the ECG interface board (see page 59).

5. Replace the top housing and reassemble the unit as described on page 57.

blue

brown green

earthyellow/green

64

Battery Pack

The battery pack is held in position with double-sided tape.

Prerequisites

• The Warnings and Cautions at the beginning of the Chapter must be observed.

• The top housing must be removed and all external cable assembliesdisconnected.

Tools and Equipment

Double-sided tape

Parts

The part numbers of all replaceable items are given in Chapter 6.

Battery Pack Removal

WARNING

THE MAINS SUPPLY MUST BE DISCONNECTED DURING THIS PROCEDURE

To remove the Battery Pack proceed as follows:1. Ensure that the unit is switched off and that the mains is disconnected.

2. Disconnect the two bayonet connectors and remove the Battery Pack by gentlypulling away from the base.

Battery Pack Replacement

1. Stick a piece of double-sided tape to the bottom of the battery pack.

2. Position the battery pack with the connectors towards the inside of the unit asshown above.

3. Press firmly on the battery, so the double-sided tape sticks to the base assembly.

4. Connect the bayonet connectors for the red and black lead as shown above.

5. Replace the top housing and reassemble the unit as described on page 57.

red (live)black (neutral)

65

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Battery Pack

Settings After Battery Replacement (AT-1 smartprint only)

Program all static settings which will have been lost when the battery was disconnectedincluding date and time.

Set Date

ALT — 0 — 5 — 2 — D — D — M — M — Y — Y

An acoustic signal confirms the changed setting.

Set Time

ALT — 0 — 5 — 1 — H — H — M — M — S — S

An acoustic signal confirms the changed setting.

Note: If the battery has been disconnected for more than half an hour, the clockoscillator must be restarted before setting the time. To do this the followingkey sequence must be pressed:

ALT — 0 — 5 — 9

This will start the oscillator and the time can be set.

Note: The time and date only appear on the AUTO printout from the external printer.

66

Keyboard

The keyboard comes as a complete assembly with the top housing. The part number forthe keyboard complete with top housing is given in Chapter 6.

67

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Chapter 5Adjustments

68

Introduction

This chapter provides the procedures necessary to check and adjust all service settings.Every procedure is self-contained and details the tools required to carry out adjustments,and the test equipment necessary. Any adjustments, special checks or functional teststhat are required on the module, or on associated modules or software, are also detailed.

In-text illustrations support the text where required and provide location details ofconnectors, test points and adjustment potentiometers.

Specific warnings and cautions are given in the text where applicable.

The part numbers for all replaceable modules are given in Chapter 6.

The AT-1 / AT-1smartprint has the following adjustments:

• Battery Charge Voltage (VR4 on the control and power supply board MK 11-10)

• ECG Amplifier reference voltage and ramp slope (VR2 and VR3 on the ECGinterface board MK 11-2)

We recommend that the reference voltages are checked every year.

69

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Warnings, Cautions and Conditions

WARNING

MAINS POWER IS POTENTIALLY LETHAL — DISCONNECT THE MAINS BEFORE DISASSEMBLINGTHE UNIT. ADDITIONALLY ENSURE THAT THE MAINS IS DISCONNECTED BEFORE CARRYING OUTANY MAINTENANCE, CALIBRATION, CHECKS OR ADJUSTMENTS.

CAUTIONS

THE AT-1 / AT-1 SMARTPRINT CONTAINS STATIC SENSITIVE CMOS COMPONENTS; OBSERVEANTISTATIC PRECAUTIONS. WHEN CARRYING OUT ANY MAINTENANCE PROCEDURES ALWAYSPLACE THE UNIT ON AN EARTHED ANTISTATIC MAT. PERSONNEL MUST BE EARTHED WHENHANDLING ANY BOARDS OR COMPONENTS. ALWAYS USE AN ANTISTATIC BAG WHENTRANSPORTING BOARDS OR COMPONENTS

CARE MUST BE TAKEN WHEN REMOVING AND REPLACING CONNECTORS. NEVER USE FORCE.NEVER STRAIN THE CABLE ASSEMBLIES.

THE PROCEDURAL STEPS GIVEN FOR EACH MODULE MUST BE FOLLOWED IN THE ORDERGIVEN.

THE OUTER SURFACES OF THE AT-1 / AT-1 SMARTPRINT ARE SUSCEPTIBLE TO ABRASIONDAMAGE. TO PREVENT SCRATCHING, ALWAYS PLACE ON A SOFT, NON-ABRASIVE CLOTH.

Conditions

The unit must be placed on an antistatic mat and antistatic precautions observed whenany maintenance is carried out on the AT-1 / AT-1smartprint.

The room temperature should be between 18 and 28 °C.

Note: When a key operation or menu selection is required in the following procedures,the key sequence required is given in bold letters. The character, or characterstring, given is the actual character, or character string, printed on the key.

70

Test Equipment

The following proprietary and dedicated test equipment is required to fault find andcarry out all board checks and adjustments on the AT-1 / AT-1smartprint.

The list of proprietary equipment is not comprehensive. Recommendations of suitableproprietary test equipment can be obtained from the SCHILLER Service Department.

Proprietary Test Equipment/Tools

• Digital Multimeter

• Standard tool kit with a selection of flat-bladed and posi-drive screwdrivers, pliersand general tools

• Resistor 2.7 kOhms, 250 mW

71

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Battery Charge Voltage

Precautions and Requirements

The unit must be placed on an antistatic mat and antistatic precautions observed whenany maintenance is carried out on the AT-1 / AT-1 smartprint. The room temperatureshould be between 18 and 28 °C.

Tools and Equipment

• Digital Multimeter

• Small flat bladed screwdriver

• Resistor 2.7 kOhms, 250 mW

Procedure

The battery charge voltage is nominally 13.5 V (with a nominal maximum current ofapproximately 5 mA). Adjust and check as follows:

• DISCONNECT THE MAINS SUPPLY !

• Disassemble the unit as detailed in Chapter 4 and remove the ECG interfaceboard MK 11-2.

• Remove the two battery connectors and connect a 2.7 kOhm 250 mW resistoracross the two connectors (TP12 and TP13) to simulate a discharged battery.Connect the digital multimeter across the resistor.

• Connect the mains supply.

WARNING

EXERCISE CARE — BEWARE THAT POTENTIALLY LETHAL VOLTAGES ARE PRESENT.

• Adjust VR4 to obtain a charging voltage of 13.5 V.

• Disconnect the mains supply and reassemble the unit as detailed in Chapter 4.

TP 12 TP 13

Battery Charge Voltage VR4

72

ECG Amplifier Reference Voltage

The +/- 2 V voltage rails generated on the ECG interface board are used as a referenceby the measurement and the PWM (Pulse Width Modulation) circuits.

NOTE: The ECG board reference voltage is given on the service printout and canbe checked without disassembling the unit. Full details of the serviceprintout are given on page 34.

IMPORTANT

THE +/- 2 V REFERENCE VOLTAGES AND THE PWM RAMP MUST BOTH BE ADJUSTED AT THESAME TIME.

Tools, Equipment and Material

• Digital multimeter

• Small flat bladed screwdriver

Procedure

• DISCONNECT THE MAINS SUPPLY !!

• Disassemble the unit as detailed in Chapter 4.

• Remove the screws securing the ECG interface board MK 11-2, remove theconnecting cable to the control and power supply board, and gently lift up theECG interface board.

• Use a pair of flat-bladed pliers to tweak the metal tabs of the ECG shield, whichare protruding through the board, and turn them in such a way that the ECG shieldcan be removed. Remove the ECG shield.

• Carefully place the ECG interface board by the side of the unit with thecomponent side up. Reconnect it to the control and power supply board.

• Reconnect the keyboard to the control and power supply board and place thetop housing on its side in front of the base assembly as shown below.

73

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

ECG Amplifier Reference Voltage

• Switch the unit on and measure the voltage difference between the +2 Vreference and the -2 V reference on pins 1 and 7 of operational amplifier U100.Adjust the trimmer VR2 to achieve a voltage difference of 4000 mV +/- 2 mV.

• Obtain a service printout by pressing

ALT — 0 — 3 — any key

• Ensure that the Uref+ and the Uref- measurements are both 2000 mV +/- 20 mV.Ensure the the Udiff reading is 4000 mV. Adjust VR3 to achieve a Udiff reading of4000 mV +/- 20 mV.

• Reassemble the unit as detailed in Chapter 4. Recheck the voltage by againobtaining a service printout.

VR2 VR3

Oper. amp. U100Pin 1 low/left

74

75

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Chapter 6Spare Parts

76

Ordering Information

Your local representative stocks all the disposables and accessories available for theAT-1 / AT-1smartprint. In case of difficulty or to obtain the address of your local dealer,please contact the head office. Our staff will be pleased to help process your order orto provide any details for all SCHILLER products.

The address for advice is:

SCHILLER AGSales Department (Order Processing)Altgasse 68CH-6341 BaarSwitzerland

Phone Number: + (41) 41 766 42 42

Fax Number: + (41) 41 761 08 80

When ordering, state that the order is for an AT-1 / AT-1smartprint unit and provide thefollowing:

• Part Description

• Part Number

• Your Address

Service Department

If you need help from our service engineers, please contact the following number:

Fax Number: + (41) 41 761 03 34

If you contact us by fax, be sure to provide the following information:

• Serial Number for your AT-1 / AT-1smartprint

• Software version for system, printer

• Accessories used, model and cable number

77

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Spare Parts

DESCRIPTION PART NUMBER

AT-1 Control and power supply board MK 11-1 3.2420AT-1 smartprint Control and power supply board MK 11-10 3.2426

ECG amplifier board MK 11-2 3.2421Paper mark sensor board MK 11-51 3.2423

AT-1 software (programmed EPROM) 4.999940

AT-1 Bottom assembly complete 3.910960

AT-1 smartprint Bottom assembly complete 3.910940Top housing with keyboard complete (German) 3.910961

Top housing with keyboard complete (English) 3.910962Top housing with keyboard complete (French) 3.910963Top housing with keyboard complete (Spanish) 3.910964

Top housing with keyboard complete (Portoguese)) 3.910965

Printer / Paper tray assembly complete 3.910966Paper tray lid 3.910967

Ground shield 4.416028

Transformer shield 4.416027ECG isolation shield 4.435198

Mains socket complete 4.270009

Mains fuse holder 4.210049Mains fuse — 200 mA/T 4.210010

Mains transformer 4.320066

12 V lead acid battery 4.350024

Printer motor complete 4.330019

Thermal printhead 4.140115Thermal printhead cable 4.520378

Printer roller 4.410181

Potential equalisation stud 4.260377

78

79

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Chapter 7Technical Data

80

Technical Data

Technical data subject to change without notice.Dimensions: 290 x 210 x 69 mm

Weight: 2.9 kgMains Supply: 100 to 115 / 220 to 240 VAC, 50/60 Hz

Battery: Built-in 12 V lead-acid battery (rechargeable)Battery Capacity: 2 hours normal use

Power Consumption: Recording: 28 VA maxLeads: Standard / Cabrera

Paper Speed: 5 / 25 / 50 mm/s (direct)Sensit ivity: 5 /10 / 20 mm/mV, either automatically adjusted or

manually selected

Chart Paper: Thermoreactive — Z-folded, 90 mm wide, perforation 90mm

Printing Process: High-resolution thermal printhead, 8 dots per mm

Recording Tracks: 3 channels, positioned at optimal width on 80 mm,automatic baseline adjustment

Automatic Lead Programs: 3 channel representation of 12 simultaneously acquiredstandard leads

Data Record: Listing of ECG recording dataVersion C: ECG measurement results (intervals,amplitudes, electrical axes), Sokolow Index, averagecomplexes with optional measurement referencemarkings, and interpretation.

ECG Storage: Circular input memory for 10 s, 12-lead ECG.

Frequency Rangeof Digital Recorder: 0 to 150 Hz (IEC)

0 to 150 Hz (AHA)

ECG Amplifier: Simultaneous, synchronous registration of all 9 activeelectrode signals (= 12 standard leads)Sampling frequency: 1000 Hz

Digital resolution: 5 µVDynamic range: ± 10 mVAC

Max. electrode potential: ±300 mVDCTime constant: >3.2 s

Frequency response: 0.05 to 150 Hz (-3 dB)Input impedance: > 10 MOhms

81

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

Technical Data (cont.)Myogram Filter (muscle tremor filter): 25 Hz or 35 Hz, programmable (not active on

averaged waveform). The stored ECGs can be printedwith or without filter.

Line Frequency Filter: Distortion-free suppression of superimposed 50 or 60 Hzsinusoidal interferences.

Patient Input: Fully floating and isolated, defibrillation protected.Patient Leakage Current: < 5 µA

Safety Standard: CF according to IEC 60601-1 and IEC 60601-2-25Safety Class: I according to IEC 60601-1 (with internal power supply)

Environmental Conditions: Temperature, Operating: 10O to 40OCTemperature, Storage: -10O to 50O C

Relative humidity: 25 to 95%(non condensing)

Atmospheric pressure: 700 to 1060 hPa

Control Panel: Rubber keys

AT-1 smartprint only :External Printer : 12 channel high resolution print-out, standard

Centronics connecting cable

Available Configurations

The AT-1 / AT-1smartprint is available in three versions:Standard Version: Unit with ECG recording and printout capabilities.

Version M: Unit with additional ECG measurement program.Version C: Unit with additional ECG Interpretation program

(including measurements).

82

83

SCHILLER AT-1 / AT-1smartprint ECG UnitSERVICE HANDBOOK Issue b June 2001

Art.No. 2.540022

IndexA

Article Numbers 77Automatic Mode 17, 18

B

Battery Pack 64, 65Board Removal

MK 11-10 62Board Replacement

MK 11-10 63

C

Calib 34Check Procedures 48Configurations 81Customer Services

Sales Department 76Service Department 76

D

Default Settings 22

E

ECG Isolated Power Supplies 43ECG Signal 43Electrode DC Offset 34

F

Fault Diagnosis Chart 46Filter 24Functional Overview 41

G

General Check Procedures 48

K

Keyboard 14, 66

M

Manual Mode 19Memory 42Motor Speed 43

N

Noise Damping 43

84

O

Opening the Case 56Ordering Information 76

P

Paper Handling 37Paper Mark 43Paper Tray 60Patient Cable Resistance 34Physical Overview 55Power On Reset 43Power supply 13Printer check 49, 50Printer Removal & Replacement 59Printer Timing 42Printhead 36Printhead Alignment and Printhead Tension 49Program Memory 42Proprietary Test Equipment/tools 70

R

Removal and replacement 61

S

Safety Notices 5Serial EEPROM 42Service and Sales 3Settings 20Spare Parts 77Stepper Motor Controller 43

T

Technical Data 80Test Equipment 70Thermal Printhead Controller 42Tools 55Top Housing Removal 56Top Housing Replacement 57

U

Udif 34Uoff 34Uref + 34Uref — 34

• About
• Blog
• Projects
• Help
• Donate

  Donate icon
  An illustration of a heart shape

• Contact
• Jobs
• Volunteer
• People

• Dräger

  Oxylog 3000

  TitleInstructions for UseOxylog 3000Emergency and Transport VentilatorSoftware 1.nWARNINGFor a full understanding of the performance characteristics of this device, the user should carefully read this manual before use of the device. …

  Oxylog 3000 Medical Equipment, 138

• LeMaitre

  Omniflow II

  Omniow® II Vascular ProsthesisOmniow® II Biosynthetic Vascular ProsthesisInstructions for Use — EnglishOmniow® II Biosynthetische GefäßprotheseGebrauchsanleitung – DeutschOmniow® II Prothèse vasculaire biosynthètiqueMode d’emploi — FrançaisOmniow® II Protesi vascolare biosinteticaIstruzioni …

  Omniflow II Medical Equipment, 81

• Getinge

  Arjohuntleigh AtmosAir

  Instrukcja Obsługi • Návod k použití • Používateľská príručkaFelhasználói kézikönyv • Uporabniški priročnik • Korisnički priručnikРуководство пользователя • Manualul utilizatoruluiAtmosAir with SAT 4000 SeriesAtmosAir with SA …

  Arjohuntleigh AtmosAir Medical Equipment, 220

• Stryker

  GOBED FL17E

  TECHNICAL ASSISTANCE AND PARTS 1 800 428-5025 (Service in English in Canada) 1 800 327-0770 (In United States) E-mail (Canada): [email protected] Manufactured by Stryker Bertec Medical Inc 72-0173 R1.2 September 2003 F15-44-E-A Printed in Canada MAINTENANCE MANUAL The GOBED ELECTRIC ACUT …

  GOBED FL17E Medical Equipment, 57