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CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Installation and <strong>Service</strong> Supplement for<br />

<strong>ErgoSpiro</strong> Option<br />

Art.-No.: 2.540105 Rev. a *2.540105*


Sales and <strong>Service</strong> Information<br />

The SCHILLER sales and service centre network is world-wide. For the address of<br />

your local distributor, contact your nearest SCHILLER subsidiary. In case of<br />

difficulty, a complete list of all distributors and subsidiaries is provided on our<br />

internet site: www.schiller.ch<br />

Manufactured by:<br />

SCHILLER AG Phone: +41 (0) 41 766 42 42<br />

Altgasse 68 Fax: +41 (0) 41 761 08 80<br />

CH-6341 Baar, Switzerland E-mail: sales@schiller.ch<br />

Web: www.schiller.ch<br />

The CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>ErgoSpiro</strong> system bears the CE-0123 mark (Notified<br />

Body TÜV-SÜD Product <strong>Service</strong> GmbH, Ridlerstr. 65, 80339 Munich, Germany), indicating<br />

its compliance with the essential requirements of the Annex I of the Medical Device Directive<br />

93/42/EE regarding safety, functionality and labelling. The requirements apply to patients,<br />

users and third persons who come into contact with this device within the scope of its intended<br />

use.<br />

Article no.: 2.540105 Rev. a<br />

Issue date: 06.09.17


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Installation and <strong>Service</strong><br />

Contents<br />

1 Notes and Safety Precautions ................. 7<br />

1.1 Intended Use and Indication for Use .................................. 7<br />

1.2 Physicians Responsibility and Safety Precautions .......... 7<br />

1.3 Safety..................................................................................... 7<br />

1.4 Maintenance Precautions .................................................... 8<br />

1.5 Pressurised Gas ................................................................... 8<br />

1.6 Safety Symbols and Pictograms......................................... 9<br />

1.6.1 Symbols used in this Document......................................................... 9<br />

1.6.2 Symbols used on the Device or Packaging...................................... 10<br />

1.7 What‘s in this Book ............................................................ 11<br />

1.7.1 Readership....................................................................................... 11<br />

1.8 Associated Documents...................................................... 11<br />

2 Introduction ............................................ 12<br />

2.1 Equipment Overview .......................................................... 12<br />

2.2 Software Overview ............................................................. 13<br />

2.2.1 Interconnection Overview................................................................. 13<br />

2.3 <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Back Panel.......................................... 14<br />

2.4 PowerCube-Ergo ................................................................ 16<br />

2.4.1 Front Panel....................................................................................... 16<br />

2.4.2 Back Panel....................................................................................... 16<br />

3 Assembly ................................................17<br />

3.1 Tools Required ................................................................... 17<br />

3.2 Procedure............................................................................ 17<br />

4 Installing the LFX Program .................... 26<br />

4.1 Procedure............................................................................ 26<br />

Art.-No.: 2.540105 Rev. a<br />

Page 3


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

5 Calibration and Verification ...................31<br />

5.1 General Notes about Calibration....................................... 31<br />

5.2 Verification and Calibration Intervals ............................... 31<br />

5.3 Zero Point Verification ....................................................... 32<br />

5.3.1 Zero Point ........................................................................................ 32<br />

5.4 Ambient Parameters .......................................................... 32<br />

5.4.1 Procedure ........................................................................................ 32<br />

5.5 Volume Verification/ Calibration ....................................... 33<br />

5.5.1 Procedure ........................................................................................ 33<br />

5.5.2 Tabular Results after Verification..................................................... 34<br />

5.5.3 Volume Calibration Trouble Shooting Table .................................... 35<br />

5.5.4 Gas Calibration ................................................................................ 35<br />

5.5.5 Interval ............................................................................................. 35<br />

5.5.6 Calibration Gas ................................................................................ 35<br />

5.5.7 Procedure ........................................................................................ 36<br />

5.5.8 Calibration Factors........................................................................... 38<br />

5.5.9 Calibration Errors ............................................................................. 39<br />

5.5.10 Gas Calibration Check Table ........................................................... 40<br />

5.6 Volume Correction Factors - BTPS and STPD................. 41<br />

6 Fault Finding ...........................................45<br />

6.1 Initial Checks....................................................................... 45<br />

6.1.1 Data Communication with PowerCube-Ergo ................................... 46<br />

6.1.2 Measurement or Other Errors .......................................................... 46<br />

6.2 General Fault Diagnosis Chart .......................................... 47<br />

6.3 Checks and Adjustments................................................... 52<br />

6.3.1 Checking and Selecting Communication Channels ......................... 52<br />

6.3.2 Checking and Adjusting the Measurement Channels ...................... 52<br />

6.3.3 Adjustments ..................................................................................... 55<br />

7 System Maintenance ..............................57<br />

7.1 <strong>Service</strong> Interval ................................................................... 57<br />

7.2 External Sight Control........................................................ 58<br />

7.3 Functional Checks and Tests ............................................ 58<br />

7.4 Software Maintenance........................................................ 59<br />

7.5 Safety Tests......................................................................... 59<br />

7.6 Cleaning and Disposables ................................................. 59<br />

7.7 Replacing the O2 Cell and Nafion Tube............................ 59<br />

7.7.1 Changing the Nafion Tube............................................................... 59<br />

7.7.2 Changing the Oxygen Module ......................................................... 60<br />

Art.-No.: 2.540105 Rev. a<br />

Page 4


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Installation and <strong>Service</strong><br />

8 Accessories ............................................ 61<br />

8.1 Flow Sensor Pneumotach and Adaptors ......................... 61<br />

8.2 Tubes ................................................................................... 61<br />

8.3 O2 Cell ................................................................................. 62<br />

8.4 Masks, Mask Adaptors and Headgear .............................. 62<br />

8.5 Mouthpiece and Adaptors ................................................. 62<br />

8.6 General ................................................................................ 63<br />

8.7 Patient Cable and Electrodes ............................................ 63<br />

8.8 Calibration Gas and Regulators........................................ 64<br />

8.8.1 Notes when ordering from a Supplier............................................... 64<br />

9 Technical Data ........................................65<br />

9.1 PowerCube-Ergo ................................................................ 65<br />

9.1.1 Standards......................................................................................... 66<br />

9.2 Pressure Reducer............................................................... 66<br />

9.3 ECG Part.............................................................................. 66<br />

9.4 Ambient Conditions ........................................................... 67<br />

9.5 EMC information................................................................. 67<br />

10 Index ........................................................ 69<br />

Art.-No.: 2.540105 Rev. a<br />

Page 5


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Art.-No.: 2.540105 Rev. a<br />

Page 6


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Notes and Safety Precautions 1<br />

Installation and <strong>Service</strong> Intended Use and Indication for Use 1.1<br />

1 Notes and Safety<br />

Precautions<br />

1.1 Intended Use and Indication for Use<br />

<br />

See CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> user guide and CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong> User Guide Supplement.<br />

1.2 Physicians Responsibility and Safety<br />

Precautions<br />

<br />

See CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> user guide and CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong> User Guide Supplement.<br />

1.3 Safety<br />

<br />

The screens are heavy and require a two man lift. Only assemble the CARDIOVIT<br />

<strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>ErgoSpiro</strong> with two people.<br />

<br />

<br />

<br />

This Installation and <strong>Service</strong> Guide is for qualified service personnel only, trained<br />

by SCHILLER.<br />

Ensure your facilities workshop practices are followed and safety warnings and<br />

cautions observed.<br />

Always lock the wheels when the unit is stationary to prevent the unit from rolling<br />

and causing possible injury.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 7


1 Notes and Safety Precautions<br />

1.4 Maintenance Precautions<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

1.4 Maintenance Precautions<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Use only accessories and other parts recommended or supplied by SCHILLER<br />

AG. Use of other than recommended or supplied parts may result in injury, inaccurate<br />

information and/or damage to the unit.<br />

Do not use high temperature sterilisation processes (such as autoclaving). Do not<br />

use e-beam or gamma radiation sterilisation.<br />

Do not use solvent or abrasive cleaners on either the unit or cable assemblies.<br />

To prevent electric shock do not disassemble any unit. No serviceable parts inside.<br />

Refer servicing to qualified personnel only.<br />

Before cleaning and to isolate the mains power supply, switch the unit off and disconnect<br />

from the mains by removing the plug.Ancillary equipment connected to<br />

any analogue and/or digital interface of the medical panel must be certified according<br />

to the respective IEC standards. Ancillary equipment not connected via<br />

an isolation transformer must use the same hospital grade common earth.<br />

Do not, under any circumstances, immerse the unit or cable assemblies in liquid.<br />

The unit is protected by double pole / neutral fusing for continued protection<br />

against the risk of fire. Replace only with the same fuse type and rating<br />

1.5 Pressurised Gas<br />

Measurement Gas Tube<br />

<br />

<br />

<br />

<br />

Only use the original gas, pressure gauge, and tubing provided with the<br />

equipment. If replacement is required only replace with original equipment<br />

supplied or approved by SCHILLER. Failure to do so can result in danger to the<br />

patient and inaccurate measurements.<br />

Regularly check the measurement gas tube, gas valve and pressure gauge for<br />

any signs of damage or modification. If you notice any form of damage or<br />

modification you must notify an authorised SCHILLER distributor or the service<br />

personnel.<br />

The measurement gas tube must not have an Outlet flow greater than 1.2 litres/<br />

min.<br />

Before using the gas ensure that the mixture certificates are available so that the<br />

values of the gas components for calibration can be checked.<br />

Handling of Pressure Gas Cylinders<br />

<br />

<br />

<br />

<br />

<br />

<br />

Improper handling of gas cylinders is a potential danger to human life and<br />

material objects. Pay attention to the warning notices.<br />

Secure the gas cylinders against falling over.<br />

Content and the filling state must be identifiable at all times.<br />

Seals, connections and cables must be free from oil and grease.<br />

The gas bottle must be checked regularly by an official testing centre.<br />

Close the main valve when the gas bottle is not being used.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 8


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Notes and Safety Precautions 1<br />

Installation and <strong>Service</strong> Safety Symbols and Pictograms 1.6<br />

1.6 Safety Symbols and Pictograms<br />

1.6.1 Symbols used in this Document<br />

The safety level is classified according ANSI Z535.4. The following overview shows<br />

the used safety symbols and pictograms used in this manual.<br />

For a direct danger which could lead to severe personal injury or to death.<br />

For a possibly dangerous situation, which could lead to heavy bodily injury or to death.<br />

For a possibly dangerous situation which could lead to personal injury. This symbol is<br />

also used to indicate possible damage to property.<br />

For general safety notes as listed in this chapter.<br />

Used for electrical dangers, warnings and other notes in regarding operation with<br />

electricity.<br />

Note For possibly dangerous situations, which could lead to damages to property or<br />

system failure. Important or helpful user information<br />

Reference to other guidelines<br />

Art.-No.: 2.540105 Rev. a<br />

Page 9


1 Notes and Safety Precautions<br />

1.6 Safety Symbols and Pictograms<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

1.6.2 Symbols used on the Device or Packaging<br />

Type BF equipment, safe for external applications; not defibrillation-proof.<br />

Follow the instructions in the accompanying documentation.<br />

Indoor use only<br />

Keep away from rain (keep dry).<br />

Manufacturer details<br />

The date of manufacture in the yyyy-mm format. The country of origin is indicated to<br />

the right of the date.<br />

Safety control sticker detailing the date of the next planned maintenance.<br />

REF<br />

SN<br />

Reference and serial number of the unit.<br />

UDI<br />

Unique Device Identifier<br />

Disposable item - single use, do not use twice.<br />

This symbol indicates that the waste of electrical and electronic equipment must not<br />

be disposed as unsorted municipal waste but must be collected separately. Please<br />

contact your authorised SCHILLER partner for information concerning the disposal of<br />

your equipment.<br />

Potential equalization<br />

Notified body of the CE certification (TÜV P.S.)<br />

The unit/component can be recycled.<br />

Art.-No.: 2.540105 Rev. a<br />

IP-20<br />

PowerCube classification: Splash-proof safety rating against dust and water<br />

ingression.<br />

Page 10


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Notes and Safety Precautions 1<br />

Installation and <strong>Service</strong> What‘s in this Book 1.7<br />

1.7 What‘s in this Book<br />

This handbook provides general service information for CARDIOVIT <strong>CS</strong>-<strong>200</strong><br />

<strong>Excellence</strong> <strong>ErgoSpiro</strong> units using the PowerCube-Ergo gas analyser and provides the<br />

following information:<br />

• Overview on how to assemble a <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>ErgoSpiro</strong> device.<br />

• Regular maintenance intervals and procedures.<br />

• Basic fault finding.<br />

This book does not provide unit specific service information for the <strong>CS</strong>-<strong>200</strong><br />

<strong>Excellence</strong> (see <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>Service</strong> handbook and <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

Recurrent test).<br />

1.7.1 Readership<br />

This book is aimed at service engineers familiar with standard workshop practices<br />

and that have attended a SCHILLER service course. No detailed knowledge of<br />

<strong>ErgoSpiro</strong> is required.<br />

1.8 Associated Documents<br />

• SCHILLER CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>Service</strong> Handbook (Art. No.2.540053)<br />

• SCHILLER CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Recurrent Test (Art. No. 2.540059)<br />

• SCHILLER CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> User Guide <strong>EN</strong> (DE - Art. No.<br />

2.510774, <strong>EN</strong> - Art. No. 2.510775, FR - Art. No. 2.510776 - other languages are<br />

available)<br />

• SCHILLER CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Supplement for <strong>ErgoSpiro</strong> Option (DE<br />

Art. No. 2.511273, <strong>EN</strong> Art. No. 2.511274, FR Art. No. 2.511275).<br />

Art.-No.: 2.540105 Rev. a<br />

Page 11


2 Introduction<br />

10.1 Equipment Overview<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

2 Introduction<br />

The <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>ErgoSpiro</strong> option is a cardio pulmonary exercise system<br />

providing breath-by-breath measurements of flow, oxygen uptake and carbon dioxide<br />

production. It measures the human response of increasing exercise with emphasis on<br />

the gas exchange, ventilation parameters and heart rate.<br />

The aim of <strong>ErgoSpiro</strong> is to obtain information about the performance of the cardio<br />

pulmonary system. This is carried out through a continuous single breath stroke<br />

analysis to record the volume of the breath gases VO 2 and VCO 2 , and the changes<br />

in these values under stress.<br />

At the same time, the breath minute volumes and breath volumes are ascertained.<br />

The relationship between oxygen absorption and carbon dioxide dissipation allows<br />

the determination of thresholds for diagnosis and prediction.<br />

10.1 Equipment Overview<br />

Dual monitors:<br />

• Left Monitor - ECG and data management<br />

• Right Monitor - spiro and gas analysis<br />

PowerCube-Ergo<br />

Calibration gas holder<br />

Art.-No.: 2.540105 Rev. a<br />

Page 12


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Introduction 2<br />

Installation and <strong>Service</strong> Software Overview 2.1<br />

2.1 Software Overview<br />

The <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> unit processes the ECG signals and is the master control and<br />

patient database. The PowerCube with LFX software provides gas (O2 and CO2)<br />

concentration and volume measurements.<br />

• The two programs are opened when the unit is switched on. The ECG program is<br />

displayed on the left screen and the gas analyser program is displayed on the right<br />

screen.<br />

• The ECG program (is the master program and all ergo control and test settings are<br />

made from this screen, including patient entry, data storage, ECG editing and data<br />

transmission,<br />

• Volume and gas calibration, and standalone Spiro testing, is carried out from the<br />

LFX gas analysis program (right screen).<br />

2.1.1 Interconnection Overview<br />

Patient<br />

<strong>CS</strong>-<strong>200</strong> Back Panel<br />

Electrode<br />

Lead<br />

Mask<br />

Assembly<br />

Cal.<br />

Gas<br />

PowerCu<br />

be Gas<br />

Analyser<br />

RS-232 - Gas/<br />

Volume Data<br />

Patient<br />

Connector<br />

COM 1<br />

DVI1<br />

DVI2<br />

Left<br />

Screen<br />

Right<br />

Screen<br />

Art.-No.: 2.540105 Rev. a<br />

Ergo<br />

Device<br />

Ergo Control<br />

Ergo Connector<br />

(analogue or digital<br />

Page 13


2 Introduction<br />

2.2 <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Back Panel<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

2.2 <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Back Panel<br />

!<br />

0123<br />

AUDIO<br />

DVI 1<br />

COM1<br />

100-240 VAC, 2x3.15A<br />

50/60Hz / 150 VA<br />

RS-232<br />

ECG 2<br />

BP<br />

TREADMILL<br />

ERGOMETER<br />

SIGNAL<br />

IN OUT<br />

ERGO<br />

ECG<br />

ONLY WITH ORIGINAL PATI<strong>EN</strong>T CABLE !<br />

Warning<br />

USB<br />

USB<br />

SS USB<br />

DVI 2<br />

COM2<br />

AC - OUT<br />

max 450VA<br />

NOT FOR CLINICAL USE<br />

CERTIFIED<br />

1 2 3 4 5 6 7 8 9 10 11 12 13 14<br />

15<br />

<br />

All externally connected hardware must be approved by SCHILLER. Connection<br />

of any hardware not approved by SCHILLER is at the owner‘s risk and may<br />

invalidate the guarantee.<br />

(1) USB 2 connectors (x4) - for connection of external USB devices, e.g. memory<br />

stick, USB mouse, printer, barcode reader, etc.<br />

(2) USB SS 3 connectors (x2).<br />

(3) Network Connector RJ-45 Ethernet LAN connector (Local Area Network).<br />

(4) Audio Out - can be used for example, for patient data audio from an external<br />

program<br />

(5) DVI 1 and DVI 2 - Digital visual interface for the dual screens. DVI 1 for the left<br />

screen, DVI 2 for the right screen.<br />

(6) COM 1 and COM 2 - RS-232 connector COM 1 is can be used for the Power-<br />

Cube. COM 2 is spare.<br />

(7) Mains connectors (mains input and output) and fuse box (fuses: 2 x T 3.15 A /<br />

100 - 240 V, 50 / 60 Hz).<br />

(8) Potential equalisation stud. The potential equalisation stud is used to equalise<br />

the ground potential of the unit to that of any nearby mains powered equipment.<br />

Use the hospital or building common ground for all mains powered units.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 14


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Introduction 2<br />

Installation and <strong>Service</strong> <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Back Panel 2.2<br />

(9) ECG 2 data I /O for the connection of an external ECG device / amplifier (not<br />

used)<br />

(10) RS-232 Connectors for a blood pressure device, for example the SCHILLER<br />

BP-<strong>200</strong>plus device<br />

(11) RS-232 Connectors for:<br />

– treadmill (top)<br />

– ergometer (bottom)<br />

(12) Signal In / Out - Data I/O connectors DC IN / DC OUT 0.5 V/cm.<br />

(13) ERGO connector for:<br />

– connection of analogue ergometers<br />

– QRS trigger output<br />

(14) Light Connector. The optional LED strip light is connected here. It<br />

is switched on / off with the front panel light switch (not used)<br />

(15) ECG cable connector (see safety notes below).<br />

<br />

<br />

<br />

Applied part! The patient cable as well as the connector comply with the safety<br />

standard CF , e.g. they are fully floating and isolated, defibrillation protected<br />

and suitable for the intracardiac application.<br />

Do not remove the connector as long the electrodes are applied to the patient.<br />

The unit is only CF rated and defibrillation protected if used with the original<br />

SCHILER patient cable.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 15


2 Introduction<br />

2.3 PowerCube-Ergo<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

2.3 PowerCube-Ergo<br />

2.3.1 Front Panel<br />

Connector for the Nafion tube from<br />

the mask assembly when carrying<br />

out gas calibration (see para.5.5.4,<br />

Gas Calibration, page 35)<br />

Power indicator: lit when the<br />

PowerCube-Ergo is switched on.<br />

2.3.2 Back Panel<br />

Identification and recurrent test and calibration label<br />

Calibration Gas out (no exhaust tube required).<br />

SpO 2<br />

Calibration Gas In (from gas bottle)<br />

Oxygen Cell (with protective cover)<br />

Three (colour coded) tubes to the mask and spiro<br />

sensor assembly.<br />

On / Off switch.<br />

DC power in (from medically approved external<br />

power supply)<br />

RS-232 connector to the Gas analyser<br />

connector on the back panel of the unit.<br />

Temperature Sensor<br />

Incorrect patient tubing can lead to inaccurate measurement. It is important that the<br />

correct tubing is used (Patient tube must be SCHILLER Art. No. 2.100950, and Nafion<br />

tube SCHILLER Art. No. 2.100910). A list of spiro accessories is given at the end of<br />

this book (see para.8, Accessories, page 61)<br />

Art.-No.: 2.540105 Rev. a<br />

Page 16


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Assembly 3<br />

Installation and <strong>Service</strong> Tools Required 3.1<br />

3 Assembly<br />

<br />

The screens are heavy and require a two man lift. Some assembly procedures<br />

require two people. Only assemble the CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong> with two people.<br />

3.1 Tools Required<br />

• Allen Key Spanners (standard set)<br />

• Screwdrivers (standard set)<br />

• Torque Screwdriver<br />

• Socket spanner (standard set)<br />

3.2 Procedure<br />

1. Remove all packaging from the <strong>CS</strong>-<strong>200</strong> trolley assembly and position the trolley<br />

in a safe assembly area. Lock the wheels.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 17


3 Assembly<br />

3.2 Procedure<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

2. Unpack and from the rear secure the gas bottle supporting plate and securing<br />

strap.<br />

Gas Bottle securing strap<br />

Gas Bottle support tray<br />

3. On the back panel loosen the connection panel screws and slide the two panels<br />

to gain access to the cable area.<br />

4. Insert the mains plug in the unit<br />

Mains connector<br />

Cable area<br />

Cable area cover<br />

Art.-No.: 2.540105 Rev. a<br />

Page 18


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Assembly 3<br />

Installation and <strong>Service</strong> Procedure 3.2<br />

5. Connect the support post<br />

– The support post clamps are attached to the back of the unit<br />

Ensure cable<br />

aperture is above<br />

clamp<br />

6. Attach the Monitor arm to the support post<br />

Art.-No.: 2.540105 Rev. a<br />

Use 4 inner screws<br />

Ensure the ‘v’ nick is<br />

towards the bottom<br />

Page 19


3 Assembly<br />

3.2 Procedure<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

7. Unpack the monitors and attach the monitor mounts.<br />

8. Mount the monitors.<br />

9. Position the two double sided padded tape on one monitor and position the two<br />

monitors so that they are aligned. Secure the two monitors together with the tape<br />

and secure each monitor with the holding screw and safety stop screw<br />

Art.-No.: 2.540105 Rev. a<br />

Page 20


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Assembly 3<br />

Installation and <strong>Service</strong> Procedure 3.2<br />

10. Use a piece of string or spare thin cable to thread from the top cable aperture,<br />

through the support arm and out the bottom cable aperture. Unpack the two<br />

monitor power supplies. Position the two power supplies in the cable recess and<br />

attach the string to the two monitor power supply cables. Use the string to draw<br />

the power supply cables through and connector to the monitors.<br />

a. b. c. d.<br />

11. Connect the power supplies to the mains distribution panel.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 21


3 Assembly<br />

3.2 Procedure<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

12. From the top cable apertures, thread the two monitor data cables through the<br />

support post and connect to the monitor and the <strong>CS</strong>-<strong>200</strong> unit. Attach DVI 1 for the<br />

left screen (viewed form the front), and DVI 2 for the right screen.<br />

13. Attach the cable arm holder to the support post with the two securing screws.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 22


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Assembly 3<br />

Installation and <strong>Service</strong> Procedure 3.2<br />

14. Attach the 4 cable /gas securing supports<br />

15. Remove the PowerCube, supporting plate and power supply from the<br />

wrapping.Secure the support clamp to the support post and secure the<br />

PowerCube support plate. The PowerCube plate should be level with the unit.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 23


3 Assembly<br />

3.2 Procedure<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

16. Position the PowerCube on the tray and secure with the two securing screws<br />

17. Connect the RS232 connector on the back panel to RS-232 connector COM 1 on<br />

the <strong>CS</strong>-<strong>200</strong>. Connect the power, the calibration gas tube, and the temperature<br />

sensor (see para.2.3.2, Back Panel, page 16).<br />

18. Tidy all cabling with cable ties.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 24


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Assembly 3<br />

Installation and <strong>Service</strong> Procedure 3.2<br />

19. Position and secure the two wiring covers.<br />

After the unit has been assembled. The following must be made on site:<br />

• Patient cable - connect the patient cable to the back panel (see para.2.2, <strong>CS</strong>-<strong>200</strong><br />

<strong>Excellence</strong> Back Panel, page 14), and secure to the cable arm.<br />

• Gas tubes - connect gas tube assembly to the back panel of the PowerCube (see<br />

para.2.3.2, Back Panel, page 16), and secure to the cable arm.<br />

• Calibrate the unit.<br />

Tube with (blue) identification tab attached to the<br />

sensor outlet nearest the mouthpiece/mask.<br />

Mask attached to the sensor (end<br />

with the small identification hole).<br />

Art.-No.: 2.540105 Rev. a<br />

Page 25


4 Installing the LFX Program<br />

4.1 Procedure<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

4 Installing the LFX<br />

Program<br />

The LFX program will be installed on your system. The following is an overview of the<br />

installation for information:<br />

The LFX program is available from SCHILLER extranet.<br />

4.1 Procedure<br />

1. Copy the LFX installer on the <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> device<br />

2. Double click to run the LFX installer as administrator:<br />

Art.-No.: 2.540105 Rev. a<br />

Page 26


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Installing the LFX Program 4<br />

Installation and <strong>Service</strong> Procedure 4.1<br />

3. Check the following boxes:<br />

– Microsoft .Net framework 4.5.1(this program plays but no active role except as<br />

an installation base)<br />

– Ganshorn .LFX<br />

– Database server > Maria DB<br />

– Do not select SpiroScout USB Driver<br />

4. Click Next and select/define the DB setup:<br />

– DCP Port: Change port to 3307 (because 3306 is used by SDS)<br />

– Define program location<br />

5. Click Next and select/define the following:<br />

Art.-No.: 2.540105 Rev. a<br />

– Create a desktop Icon: For all users<br />

– Check Install Ganshorn background service (optional) Note: The background<br />

service is a kind of buffer to enable faster transfer of reports. When installed,<br />

reports are transferred to the background service and are ready for immediate<br />

use, for example printing activities.<br />

– Check Add domain registration (necessary for interaction with SDS). Note:<br />

Domain registration activates the remote control for LFX. In cooperation with<br />

SDS this service is essential and this box must be checked.<br />

Page 27


4 Installing the LFX Program<br />

4.1 Procedure<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

6. Click Next. Check settings displayed and click Install and the LFX installation<br />

commences:<br />

The .net program is installed, followed by the LFX.<br />

7. Click Next<br />

– Accept the license agreement and click next<br />

– Define the location where the program is to be installed (default C:\Program<br />

Files (x86)\Ganshorn.LFX\)<br />

– Click Install - a progress bar is displayed during installation<br />

Art.-No.: 2.540105 Rev. a<br />

Page 28


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Installing the LFX Program 4<br />

Installation and <strong>Service</strong> Procedure 4.1<br />

8. Click Finish to complete the installation.<br />

9. Open the LFX program (either through the <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> program or on its<br />

own) and enter system settings.<br />

• The settings are entered by clicking the Settings button from the main screen.<br />

• You are prompted to enter a password. The password is:<br />

– sstartlfx<br />

10. Click the Database tab and make/check the following settings:<br />

– Database server: localhost, add: 3307 (localhost: 3307) if not present<br />

– Connect DB and ensure connection established<br />

Art.-No.: 2.540105 Rev. a<br />

Page 29


4 Installing the LFX Program<br />

4.1 Procedure<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

11. Click the Reporting tab<br />

– In the Reporting settings select Default Report for <strong>ErgoSpiro</strong> and select 9 Panel<br />

from LFX (for PDF export to SEMA).<br />

9 Panel<br />

On the LFX installation DVD there are several different Report templates which can<br />

be imported. Click the import and select the directory.<br />

Note: The report templates are also in the installer package > Default Reports, and in<br />

the Folder <strong>Service</strong>\LFX on the device.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 30


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Calibration and Verification 5<br />

Installation and <strong>Service</strong> General Notes about Calibration 5.1<br />

5 Calibration and<br />

Verification<br />

<br />

<br />

<br />

<br />

Calibration of both volume and gas measurement must be carried out before the<br />

first test of the day.<br />

Calibration is required after changing the sensor.<br />

Always use original tubes and sensors.<br />

Always allow a 30 minute system warm-up time before performing calibration.<br />

5.1 General Notes about Calibration<br />

The CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>ErgoSpiro</strong> system is checked and adjusted to<br />

achieve the highest accuracy in the factory. Influences in daily operation including<br />

temperature, air pressure, relative humidity and wear can result in measurement<br />

changes over a period of time. Calibration serves to adapt the measurement<br />

transducers (pressure sensors, flow transducer and gas analysers) to the<br />

environment and the software. Therefore regular system calibration is a prerequisite<br />

for precise measurement results and also serves as a system integrity check.<br />

Different calibration intervals are required for the various components. Some are<br />

automatic and controlled by the system and some must be carried by the user. The<br />

verification / calibration intervals are as follows:<br />

5.2 Verification and Calibration Intervals<br />

Art.-No.: 2.540105 Rev. a<br />

Calibration<br />

Zero point calibration<br />

Volume calibration<br />

Gas Calibration<br />

Ambient Conditions<br />

Interval<br />

Automatic a<br />

• At the beginning of every day<br />

• For any significant change in ambient<br />

conditions and temperature<br />

• Every time the flow sensor pneumotach is<br />

changed b<br />

• It is recommended that gas calibration is<br />

carried out before every test. As a minimum<br />

gas calibration should be carried out at the<br />

beginning of every day and at the beginning<br />

of the afternoon session.<br />

At the beginning of every day and for any<br />

significant change in ambient conditions and<br />

temperature<br />

a. Zero point calibration is automatic and carried out on start up and then every 15<br />

minutes when the program is open.<br />

b. Every flow sensor pneumotach has specific calibration factors and volume calibration<br />

must be performed after changing.<br />

Page 31


5 Calibration and Verification<br />

5.3 Zero Point Verification<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

5.3 Zero Point Verification<br />

5.3.1 Zero Point<br />

Zero point calibration is carried out automatically on switch on and subsequently<br />

every 15 minutes. During zeroing, the zero point for the flow baseline for Spirometry<br />

is checked and set. During zeroing, please observe the following points:<br />

• Do not move the sensor.<br />

• Do not breathe into the sensor.<br />

• Prevent drafts – keep the room’s windows and doors closed – and do not move<br />

any parts of the device.<br />

5.4 Ambient Parameters<br />

Based on the values measured directly by the system, temperature [°C] and ambient<br />

pressure [hPa], as well as the manually set values, rel. humidity [%] and altitude above<br />

sea level [m], the LFX program determines the volume correction factors STPD and<br />

BTPS. When values are entered, this sets the ambient values to this level and works<br />

as an offset for the ambient sensors.<br />

<br />

<br />

<br />

Calibration equipment is subject to verification on a regular basis<br />

For accurate calibration of the ambient parameters the following measurement<br />

instruments are required:<br />

– Thermometer 10 to 40°C ± 1°C<br />

– Barometer 900 to 1055 hPa ± 10 hPa<br />

– Hygrometer 20 to 90 % RH ± 5 % RH<br />

It is important that the ambient parameters are entered accurately and the<br />

reference values are taken from a certified measuring device (delivered with the<br />

device).<br />

Calib.<br />

5.4.1 Procedure<br />

1. From the LFX (right) screen click the Calib button.<br />

2. The calibration settings are displayed in the right of the screen<br />

3. Click on Ambient to enter the ambient calibration screen<br />

4. Enter the values<br />

– The LFX program stores the data as you leave the ambient screen<br />

Volume (l)<br />

Ambient<br />

Art.-No.: 2.540105 Rev. a<br />

Page 32


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Calibration and Verification 5<br />

Installation and <strong>Service</strong> Volume Verification/ Calibration 5.5<br />

5.5 Volume Verification/ Calibration<br />

<br />

Only use the original calibration syringe and silicon adaptor supplied or approved<br />

by SCHILLER. Calibration syringes are subject to verification on a regular basis;<br />

ensure the syringe verification is in date. Failure to do so can result in inaccurate<br />

measurements.<br />

Drift Caused by Zero Point Error or Incorrect Calibration<br />

It is the operator’s duty to ensure after starting the measurement, that no drift<br />

occurs leading to erroneous measurement results. If drift occurs, the operator has<br />

to cancel the measurement and perform a volume calibration before restarting the<br />

measurement.<br />

Volume verification and calibration is carried out with a calibration syringe connected<br />

to the sensor and discharged / charged at a steady rate. The user is informed when<br />

sufficient discharge / charge cycles have been made and a message given as to the<br />

success or otherwise of the verification / calibration.<br />

The volumes measured should meet the accuracy requirement of 3.5% (including<br />

0.5% accuracy of the syringe).<br />

5.5.1 Procedure<br />

1. Disconnect the mask from the sensor (if attached) and using the special adaptor,<br />

attach the sensor to the calibration pump as shown. Ensure that there is a tight fit<br />

with no air gaps between the pump and sensor to minimise the danger of air<br />

leaks.<br />

Tube with (blue)<br />

identification tab<br />

towards the pump<br />

Nafion Tube (to<br />

gas analyser)<br />

Art.-No.: 2.540105 Rev. a<br />

<br />

Adaptor<br />

The pump must be positioned on a firm flat surface.<br />

Calib.<br />

2. From the LFX (right) screen click the Calib button.<br />

3. The calibration settings are displayed in the right of the screen.<br />

Page 33


5 Calibration and Verification<br />

5.5 Volume Verification/ Calibration<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

4. Click on Volume to enter the volume calibration screen.<br />

5. Enter the volume of the calibration syringe.<br />

6. Click the Start button.<br />

– A message is displayed:<br />

Calibrating Offset. Please don’t breathe or create any flow in front of the sensor<br />

7. After a few moments the offset is calibrated and the volume screen is again<br />

displayed. Smoothly pull the piston completely back and forth and with a constant<br />

flow between 0.5 and 12 L/s.<br />

8. After several pumps the program will automatically stop and a success of failure<br />

message is displayed.<br />

9.<br />

Volume Calibration<br />

Start<br />

Stop<br />

Calib.<br />

Offset: -0.399<br />

Gain IN: 1.044<br />

Gain EX: 1.003<br />

History<br />

Date Gain IN Gain EX<br />

04/05/2016 14:59 1.039 1.006<br />

15/04/2016 10:43 1.029 0.994<br />

17/03/2016 08:20 1.041 0.997<br />

2.00<br />

Menu<br />

5.5.2 Tabular Results after Verification<br />

The volume, verification, and measurements are displayed in the tabular results. The<br />

volume at each flow should meet the accuracy requirement of 3.0% (with 0.5%<br />

accuracy of the syringe) 1 . For a 2 litre syringe the measured volumes at each flow<br />

should be within 1.93 and 2.07 litre.<br />

Art.-No.: 2.540105 Rev. a<br />

1. Based on the ATS/ERS guidelines a maximum calibration factor of +/- 3% is allowed<br />

Page 34


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Calibration and Verification 5<br />

Installation and <strong>Service</strong> Volume Verification/ Calibration 5.5<br />

5.5.3 Volume Calibration Trouble Shooting Table<br />

Possible Cause<br />

Remedy<br />

• Water droplets or dampness<br />

in sensor or tubing<br />

<br />

Check the flow sensor; it must be dry. Pay special attention to the two tube<br />

inlets to ensure they are free of water. Ensure that no water droplets are present<br />

in any part of the tube, the flow transducer or mouthpiece. If they have<br />

water, shake the sensor firmly up and down to remove the water from the<br />

tube inlets.<br />

• Incorrect calibration setup Check the connections and direction of connection of the pneumotach.<br />

Check that the correct pump volume is set (usually 2 or 3 litres)<br />

• Air leaks between sensor Ensure there are no air leaks between the sensor and the pump.<br />

and pump<br />

Check correct adaptor is used.<br />

• Gas Analyser too cold Ensure that the warm-up period was observed (minimum 30 minutes).<br />

• Incorrect Operation Ensure that the pump was activated correctly (all the way to end of stroke).<br />

• Fault in tubing or sensor Check the tubing - no kinks or sharp bends, no splits etc.<br />

Check the pneumotach is not defective.<br />

5.5.4 Gas Calibration<br />

<br />

<br />

The calibration gas is pressurised.<br />

Never use grease on any of the valves.<br />

<br />

<br />

<br />

Outlet flow above 1. 2 litres/min may damage the gas analyser (PowerCube-Ergo).<br />

Ensure gas calibration is carried out in a well ventilated room.<br />

Only use the original pressure gauge, and tubing provided with the equipment. If<br />

replacement is required only replace with original equipment supplied or<br />

approved by SCHILLER. Failure to do so can result in danger to the patient and<br />

inaccurate measurements.<br />

5.5.5 Interval<br />

Gas calibration must be carried out at least twice a day, morning and afternoon. To<br />

ensure complete accuracy, it is recommended that gas calibration is carried out<br />

before every <strong>ErgoSpiro</strong> test. It is important that a minimum period of 30 minutes<br />

warm-up time is allowed before calibration. Calibration can also be performed at any<br />

time for verification.<br />

Art.-No.: 2.540105 Rev. a<br />

5.5.6 Calibration Gas<br />

Ensure a minimum pressure of 6 bar in the gas bottle.<br />

The calibration gas can be purchased from SCHILLER or your local supplier. The gas<br />

specification for QA0207 compliance is as follows:<br />

• Oxygen - 15.9% (99.995%)<br />

• Carbon dioxide - 5.0% (99.995%)<br />

• Nitrogen - Remainder<br />

The accuracy of the gas concentrations considered adequate for clinical use<br />

according to QA0207 is ± 2%.<br />

Page 35


5 Calibration and Verification<br />

5.5 Volume Verification/ Calibration<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

5.5.7 Procedure<br />

1. Connect the gas tube from the gas bottle to the Cal Gas In connection on the<br />

back of the gas analyser (if not already connected).<br />

2. Temporarily, disconnect the Nafion tube from the mask and connect to the<br />

calibration connector on the front panel of the gas analyser.<br />

3. On the gas bottle, open the gas valve fully<br />

– the valve open rotation is anti-clockwise - the open close direction is printed on<br />

the valve.<br />

4. From the LFX (right) screen click the Calibrate button and select Calibrate O 2 /<br />

CO 2 to enter the gas calibration screen.<br />

5. The calibration settings are displayed in the right of the screen<br />

6. The initial calibration screen is shown and the message to connect the gas tube<br />

to the test input<br />

b<br />

Please ensure that the gas tube has been connected to the test input.<br />

The pressure valves and gauges shown here on the gas bottle are given as an<br />

example only. The valves and gauges may vary to those shown here. If in doubt<br />

consult your supplier.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 36


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Calibration and Verification 5<br />

Installation and <strong>Service</strong> Volume Verification/ Calibration 5.5<br />

7. Check/ enter the gas percentage of the oxygen and carbon dioxide.<br />

Gas Calibration<br />

Start<br />

Stop<br />

Time (s)<br />

Time (s)<br />

History<br />

Date<br />

Gain<br />

Calibration gas concentration (%): History<br />

Calibration gas concentration (%):<br />

Date<br />

Gain<br />

Calib.<br />

Menu<br />

Enter / check oxygen gas<br />

percentage (written on<br />

the certificate attached to<br />

the gas bottle)<br />

Enter / check CO 2 gas<br />

percentage (written on<br />

the certificate attached<br />

to the gas bottle)<br />

8. Click the Start button.<br />

– A message appears informing that gas calibration has stared<br />

Preparing gas calibration. Please wait . .<br />

– The gas calibration starts and the percentage of the oxygen (left graph), and<br />

carbon dioxide (right graph) is displayed.<br />

– A success message is given when the gas calibration has successfully<br />

completed.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 37


5 Calibration and Verification<br />

5.5 Volume Verification/ Calibration<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

9. On completion, you are prompted to remove the gas tube from the test inlet and<br />

replace on the patient sensor inlet. Replace the safety cover on the test gas inlet.<br />

Please ensure the gas tube has been reconnected to the flow<br />

tube of the patient interface<br />

Gas Calibration<br />

Start<br />

Stop<br />

Time (s)<br />

Time (s)<br />

History<br />

Date<br />

Gain<br />

Calibration gas concentration (%): History<br />

Calibration gas concentration (%):<br />

Date<br />

Gain<br />

Calib.<br />

Menu<br />

5.5.8 Calibration Factors<br />

The LFX gas calibration does not show the actual gain value immediately when the<br />

calibration has completed. Exit and re-enter the calibration screen to see the past<br />

gas-calibration gain values and trend.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 38


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Calibration and Verification 5<br />

Installation and <strong>Service</strong> Volume Verification/ Calibration 5.5<br />

5.5.9 Calibration Errors<br />

If it was not possible calibrate the gas correctly repeat the calibration. If the calibration<br />

still fails, possible cause of error are as follows:<br />

Possible Cause<br />

Remedy<br />

• Gas valve not on Open the gas valve fully.<br />

• Gas bottle empty Check the pressure on the gas bottle (minimum 6 bar).<br />

Replace gas bottle.<br />

• Incorrect Gas concentration<br />

entered<br />

<br />

Check the oxygen and carbon dioxide percentage concentrations (found on<br />

a label on the gas bottle), and ensure that the exact concentration has been<br />

entered in the calibration program.<br />

• Incorrect general setup Check all tubes and ensure correct connection between the gas bottle and<br />

gas analyser.<br />

• Water droplets or dampness<br />

in tubing.<br />

<br />

Check all tubing; it must be dry. Pay special attention to the two tube inlets to<br />

ensure they are free of water. Ensure that no water droplets are present in<br />

any part of the tube, the flow transducer or mouthpiece. If they have water,<br />

firmly up and down to remove the water from the tube inlets.<br />

• Gas leakage Visually check the gas tubes for signs of any damage or leaks.<br />

• Fault in tubing or sensor Check the tubing - no kinks or sharp bends, no splits etc.<br />

Incorrect tubing used (patient tube must be SCHILLER Art. No. 2.100950,<br />

and Nafion tube SCHILLER Art. No. 2.100910).<br />

• Gas Analyser too cold Ensure that the warm-up period was observed (minimum 30 minutes).<br />

• Oxygen Module defective or<br />

exceeded life<br />

<br />

A message is displayed on the calibration screen when the sensor needs replacing.<br />

Replace oxygen sensor.<br />

• Gas bottle life exceeded Check date of filling of the gas bottle and detail on the analysis certificate.<br />

Usually gas life is 24months.<br />

• Hardware malfunction<br />

(PowerCube-Ergo)<br />

<br />

Contact SCHILLER.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 39


5 Calibration and Verification<br />

5.5 Volume Verification/ Calibration<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

5.5.10 Gas Calibration Check Table<br />

Error Cause Remedy<br />

Gas calibration unsuccessful:<br />

• Gas Bottle Empty Check that the gas bottle has sufficient gas<br />

(minimum pressure 10 bar).<br />

• Gas bottle incorrect setup Check that the main stopcock of the gas is<br />

open.<br />

Check the gas supply and ensure that the<br />

correct pressure is supplied to the analyser.<br />

• Incorrect gas concentration set Check the gas bottle label and ensure that<br />

the gas ratio set in the calibration screen is<br />

identical to that of the calibration gas bottle<br />

label. Re calibrate.<br />

• Incorrect general setup Check all tubes and ensure correct connection<br />

between the gas bottle and gas analyser.<br />

• Water droplets or dampness in tubing. Check all tubing; it must be dry. Pay special<br />

attention to the two tube inlets to ensure they<br />

are free of water. Ensure that no water droplets<br />

are present in any part of the tube, the<br />

flow transducer or mouthpiece. If they have<br />

water, firmly up and down to remove the water<br />

from the tube inlets.<br />

• Fault in tubing or sensor Check the tubing - no kinks or sharp bends,<br />

no splits etc.<br />

Incorrect Tubing use. The part numbers for<br />

the tubes are given on the next page.<br />

• Fault in tubing setup The blue-marked patient tube has to be<br />

towards the patient. The hole in the<br />

spiroceptor has to be towards the patient too.<br />

• Cal Gas tubing If you have a PowerCube with Revision


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Calibration and Verification 5<br />

Installation and <strong>Service</strong>Volume Correction Factors - BTPS and STPD 5.6<br />

5.6 Volume Correction Factors - BTPS and STPD<br />

Air inside the lungs (BTPS) has a higher volume than in the ambient (ATPS), because<br />

air expands when warmed. For example, 3 litres of air at room temperature occupies<br />

approximately 3.25 litres at body temperature; this is the reason correction factors<br />

must be used.<br />

The two volume correction factors used for in the SCHILLER Ergo Spiro systems are<br />

BTPS (Body Temperature Pressure Saturated), and STPD (Standard Temperature<br />

Pressure Dry). Both are calculated based on the current ambient conditions. Brief<br />

explanations of the values are as follows:<br />

Body Temperature, Ambient Pressure<br />

Saturated (with water vapour)<br />

(BTPS)<br />

This value compensates for the difference in inhaled and exhaled humidity and<br />

temperature. The unit is set for measuring exhaled volume (100% humidity, Temp<br />

36.8 o ), and so when inhaled volume is measured this factor is applied. The analyser<br />

uses ambient temperature to calculate the BTPS factor. This is sufficient for accurate<br />

FIVC calculation. Or in other words the BTPS volume is the volume that would be<br />

measured at 100% water saturation at an ambient temperature of 37 °C. The formula<br />

used is as follows:<br />

V BTPS = V<br />

P atm (kPa) - P H2O T(kPa) 273 + 37<br />

* *<br />

P atm (kPa) - 6.266<br />

273 + T<br />

Standard Temperature Pressure Dry<br />

(STPD)<br />

The measured gas volume depends on temperature, pressure and humidity. These<br />

values are different at every measuring site. To enable a comparison of the measured<br />

gas volumes, the actual measured values are converted into standardised<br />

environmental conditions by means of the STPD factor. This value compensates for<br />

variations in pressure, temperature and humidity. Oxygen consumption and carbon<br />

dioxide delivery are standardized to standard temperature (0 ºC), barometric pressure<br />

at sea level (101.3 kPa (760mmHg)) and dry gas (0% humidity). The formula used is<br />

as follows:<br />

V STPD = V<br />

P atm (kPa) - P H2O T(kPa) 273<br />

* *<br />

101.3 273 + T<br />

This formula is valid for both inspiration and exhalation where P H2O T(kPa) is<br />

approximately 6.266, and T is 37 o on exhalation, i.e. the BTPS factor is 1.<br />

Legend:<br />

Art.-No.: 2.540105 Rev. a<br />

• P atm = the ambient pressure in kPa<br />

• P H2O T = water saturated pressure in kPa at temperature T. This figure is calculated<br />

from a conversion Table (see Ulmer et al 1983).<br />

– Note that P H2O T at 37 o C = 6.266kPa<br />

• T = the ambient temperature in degrees centigrade<br />

• 273 o (273.15 o Kelvin) is 0 o C<br />

• 37 o (36.8 o C) is body temperature<br />

• 101.3 Pa (1013.15 millibar/1013.15 HPa (circa 760mmHg)) is the average pressure<br />

at sea level<br />

Source: W.T. Ulmer, G. Reichel et. al `Die Lungenfunktion` (`The Lung Function`)<br />

Issue 3, 1983, Georg Thieme Verlag, Stutgart.<br />

Page 41


5 Calibration and Verification<br />

5.6 Volume Correction Factors - BTPS and STPD<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

In the LFX, the calculated Vin and Vex are already BTPS corrected (i.e. ambient<br />

temperature quasi 37 °C) so that V(BTPS) can immediately be converted into<br />

V(STPD) for the calculation of VO2 and VCO2. T = 37°C, P H2OT (kPa) = 6.266.<br />

V STPD = V BTPS<br />

P atm (kPa) - 6.226kPa) 273<br />

* *<br />

101.3 273 + 37<br />

As the temperature is about 37 C° for V(BTPS), the same STPD factor applies to<br />

inspiration and expiration.<br />

Comments concerning formulas<br />

In the past, inspiration and expiration could not be measured using the same sensor.<br />

There used to be one branch for inspiration and another one for expiration. The<br />

sensor would in most cases be situated in the inspiration branch.<br />

The expiratory volume VE would then be calculated based on the inspiratory volume<br />

using the following formula:<br />

VE ATPS = VI ATPS<br />

*<br />

0.7904<br />

1 - F EO2 - F ECO2<br />

Note that ATPS means Ambient Temperature and Pressure Saturated (with water)<br />

and is the measured volume with no correction.<br />

VI BTPS = VI ATPS * BTPS factor<br />

As expiration is calculated based on inspiration, the following formula applies:<br />

VE BTPS = VE ATPS * BTPS factor<br />

The formula stated (Wassermann 1983) is therefore:<br />

VE BTPS = VE ATPS<br />

Pb(mmHg) - P H2O T(mmHg) 273 + 37<br />

* *<br />

Pb - 47mmHg<br />

273 + T<br />

Art.-No.: 2.540105 Rev. a<br />

Page 42


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Calibration and Verification 5<br />

Installation and <strong>Service</strong>Volume Correction Factors - BTPS and STPD 5.6<br />

Dead Spaces<br />

At the end of an expiration, the spiroceptor and the trachea are completely filled with<br />

expired air (approximately 37 °C). For this reason, the inspiratory volume must only<br />

be BTPS corrected when phase volume > dead spaces, as the colder ambient air will<br />

only then reach the alveoles and expand.<br />

On expiration, the air is hardly cooled on its way from the alveoles to the spiroceptor<br />

so that no BTPS correction is necessary.<br />

Relative and Absolute Atmospheric Pressure<br />

• Pabs = actual measured pressure acting on the pressure transducer<br />

• Pdh = pressure difference as a result of altitude change<br />

• Prel = atmospheric pressure indicated by the barometer (which is calibrated at a<br />

specific altitude)<br />

• Phm = absolute average annual atmospheric pressure at a specific altitude (does<br />

not depend on the weather but only on the geographic altitude)<br />

At sea level, average annual Pabs = Prel = 1013 mbar.<br />

At altitudes greater than 0, Pabs is smaller than Prel.<br />

Pabs = Prel – Pdh<br />

Example: If Prel is to remain constant independent of weather and altitude, Pdh 1000<br />

has to be added to Pabs at an altitude of 1000 m to achieve the 1013 mbar of sea<br />

level pressure, as the atmospheric pressure decreases while the altitude increases.<br />

If the weather is the same, Prel is identical at every altitude.<br />

Prel therefore only depends on the weather and not on the altitude.<br />

Pabs depends on the altitude and the weather.<br />

Phm only depends on the altitude and not on the weather.<br />

For the calculation of STPD and BTPS, the absolute atmospheric pressure must be<br />

known.<br />

As the pressure transducer in the PowerCube-Ergo measures the absolute<br />

atmospheric pressure, this pressure must be known for calibration. For this reason,<br />

the relative atmospheric pressure and the geographic altitude must be entered as<br />

environmental conditions, and the LFX calculates the absolute atmospheric pressure<br />

based on these.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 43


5 Calibration and Verification<br />

5.6 Volume Correction Factors - BTPS and STPD<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Conversion from Relative into Absolute Atmospheric Pressure<br />

Source: Physical formula collection Kuchling (yellow): International formula for<br />

altitude:<br />

Note: 1 hPa = 1 mbar<br />

Phm = 1013.25mbar<br />

* (<br />

6.5 x h<br />

1 -<br />

288000m<br />

)5.255<br />

PRel x Phm<br />

Pabs =<br />

1013.25mb =<br />

(<br />

6.5 x h<br />

)5.255<br />

PRel x 1013.25mbar x 1 -<br />

288000m<br />

( = PRel x 1 - 6.5 x h )5.255<br />

1013.25mb<br />

288000m<br />

Effect of Atmospheric Pressure on VO2 and VCO2:<br />

A 100 m difference in altitude results in a difference in atmospheric pressure of about<br />

11 mbar, resulting in an STPD change of 0.01, which means an increase of VO2 by<br />

about 1.25% and of VCO2 by 1.2%.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 44


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Fault Finding 6<br />

Installation and <strong>Service</strong> Initial Checks 6.1<br />

6 Fault Finding<br />

The CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>ErgoSpiro</strong> is designed to be simple to use and<br />

simple to service: the service philosophy is module and board replacement (no details<br />

are given in this book for board repair). The purpose of this chapter is to provide faultfinding<br />

procedures that will quickly and efficiently identify a fault to a specific module.<br />

Fault-finding procedures are designed so that test equipment is kept to a minimum.<br />

An initial fault-finding table is provided detailing general fault indications. Use the<br />

procedures on the following pages to indicate a faulty area or module. In most cases<br />

the fault finding tables should indicate the most likely faulty area. When more than one<br />

module is stated, the first module given is the one most likely to contain the fault.<br />

Other modules stated should be checked in the order given.<br />

If the initial fault-finding table does not indicate the area where the fault exists, recheck<br />

all the settings and parameters that have been entered. If these are correct,<br />

check the software.<br />

<br />

Troubleshooting should only be performed by trained SCHILLER personnel or an<br />

authorised SCHILLER distributor. If a problem is to arise, please contact the <strong>Service</strong><br />

personnel.<br />

6.1 Initial Checks<br />

Before carrying out any functional checks close all running programs and switch off<br />

the system completely. Check the system for mechanical damage including:<br />

Art.-No.: 2.540105 Rev. a<br />

• In the event of any malfunction visually check the mechanical connections and<br />

equipment:<br />

– Connection to the mains power and electrical connections<br />

– Tubing<br />

– Enclosures<br />

– Operator and display elements<br />

– Connection to external system components<br />

• Connection to the main power<br />

– Perform all necessary calibrations and check calibration trend (see para.4,<br />

Installing the LFX Program, page 26).<br />

– Perform a test measurement or check reports for unusual measurement<br />

results.<br />

– Make a note of any error messages - contact SCHILLER service for possible<br />

suggestions.<br />

<br />

Instructions for taking an ergo spiro recording are given in SCHILLER CARDIO-<br />

VIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Supplement for <strong>ErgoSpiro</strong> Option (DE Art. No. 2.511273,<br />

<strong>EN</strong> Art. No. 2.511274, <strong>EN</strong> Art. No. 2.511275).<br />

The fault finding charts on the following pages provide a general check procedure for<br />

the unit and is surmised as follows:<br />

Page 45


6 Fault Finding<br />

6.1 Initial Checks<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

6.1.1 Data Communication with PowerCube-Ergo<br />

Error Message Check / Procedure / Possible Cause Check<br />

No Data Communication<br />

with PowerCube-Ergo<br />

• System has lost communication<br />

port with the sensor, or incorrect<br />

device or port defined<br />

• Power supply<br />

• Program does not start,<br />

PowerCube-Ergo malfunction,<br />

any other errors<br />

• Program does not start,<br />

PowerCube-Ergo malfunction,<br />

any other errors<br />

• Check in system settings that the correct device<br />

and port is defined (see system settings <strong>CS</strong>-<strong>200</strong><br />

<strong>Excellence</strong> user guide and system settings LFX<br />

suer guide).<br />

• In system settings, select the Remove device<br />

option to remove the device. Then Add device<br />

with correct device / port to have a clean<br />

installation.<br />

• Check that the <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> and the<br />

PowerCube-Ergo are connected to the mains and<br />

switched on.<br />

• If power indicator is not lit, remove the system<br />

from the mains supply by removing the mains<br />

plug, and check fuses. Only replace fuse with<br />

the same type and rating as defined (see <strong>CS</strong>-<br />

<strong>200</strong> <strong>Excellence</strong> user guide).<br />

• Carry out calibration/ verification procedures if<br />

possible (see para.4, Installing the LFX Program,<br />

page 26).<br />

• Contact SCHILLER service.<br />

• Carry out calibration/ verification procedures if<br />

possible (see para.4, Installing the LFX Program,<br />

page 26).<br />

• Contact SCHILLER service.<br />

6.1.2 Measurement or Other Errors<br />

Error Message Check / Procedure / Possible Cause Check<br />

Zero point/ baseline<br />

error message<br />

Gas Calibration not<br />

possible / Time Constant<br />

out of range<br />

• Zero point is performed<br />

automatically when the LFX is<br />

switched on and during use<br />

every 15 minutes. If the<br />

deviation is too large an error<br />

message is displayed.<br />

• Incorrect test gas percentage<br />

defined.<br />

• Gas not calibrated<br />

• Ensure a warm-up time of at least 30 minutes.<br />

• Check the sensor is kept still during zeroing.<br />

• Ensure the room is draft free and even<br />

temperature. Close windows.<br />

• Switch off any room air conditioning.<br />

• Ensure no breath affects zeroing - move the patient<br />

/ operator away from the sensor.<br />

• Ensure the correct setup.<br />

• Perform volume verification.<br />

• Ensure correct gas concentration has been<br />

entered (from gas bottle label).<br />

• Perform gas calibration.<br />

All calibration and verification procedures along with calibration trouble shooting are<br />

detailed earlier in this book (see para.4, Installing the LFX Program, page 26).<br />

Art.-No.: 2.540105 Rev. a<br />

Page 46


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Fault Finding 6<br />

Installation and <strong>Service</strong> General Fault Diagnosis Chart 6.2<br />

6.2 General Fault Diagnosis Chart<br />

(Sheet 1)<br />

CONNECT MAINS TO THE<br />

SYSTEM AND SWITCH ON.<br />

ARE THE GRE<strong>EN</strong><br />

MAINS LEDS LIT FOR<br />

ALL UNITS?<br />

YES<br />

NO<br />

• CHECK MAINS POWER SUPPLY TO ALL UNITS.<br />

• <strong>EN</strong>SURE POWERCUBE IS SWITCHED ON.<br />

• CHECK EXTERNAL TRANSFORMER OF POWERCUBE.<br />

• DISCONNECT THE MAINS SUPPLY BY REMOVING THE<br />

MAINS PLUG, AND CHECK FUSE(S).<br />

• INVESTIGATE CAUSE OF ANY FUSE RUPTURE.<br />

• CHECK FOR SHORT CIRCUITS.<br />

ARE BOTH<br />

MONITORS LIT?<br />

NO<br />

• CHECK POWER SUPPLY.<br />

• CHECK THE CONTRAST CONTROLS.<br />

• IF A SINGLE MONITOR IS NOT WORKING CHECK MONITOR ON<br />

ANOTHER EQUIPM<strong>EN</strong>T.<br />

YES<br />

MONITORS<br />

DISPLAY<br />

MEANINGFUL<br />

DATA?<br />

NO<br />

• CHECK CABLE ASSEMBLIES.<br />

• INDICATES A PROBLEM WITH THE <strong>CS</strong>-<strong>200</strong> EXCELL<strong>EN</strong>CE UNIT<br />

- CHANGE THE MOTHER BOARD (SEE <strong>CS</strong>-<strong>200</strong> SERVICE<br />

HANDBOOK).<br />

YES<br />

Art.-No.: 2.540105 Rev. a<br />

A TO SHEET 2<br />

Page 47


6 Fault Finding<br />

6.2 General Fault Diagnosis Chart<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Fault Diagnosis Chart (Sheet 2) - ECG Part<br />

A FROM SHEET 1<br />

<strong>EN</strong>TER THE DATA<br />

ACQUISITION SCRE<strong>EN</strong> (CLICK<br />

THE ERGOSPIRO ICON ON<br />

LEFT-HAND SCRE<strong>EN</strong>)..<br />

ARE STRAIGHT<br />

LINE ECG TRACES<br />

DISPLAYED ON THE<br />

RIGHT-HAND LCD?<br />

NO<br />

• REINSTALL SOFTWARE.<br />

• CHECK/ CHANGE THE ECG BOARD (SEE <strong>CS</strong>-<strong>200</strong><br />

SERVICE HANDBOOK).<br />

YES<br />

PRESS . DOES THE<br />

PRINTER FUNCTION?<br />

NO<br />

• CHECK POWER SUPPLY TO PRINTER. CHECK THAT<br />

IT‘S SWITCHED ON.<br />

• CHECK PROGRAM SETTINGS - SEE USER GUIDE.<br />

• CHECK CABLE ASSEMBLIES.<br />

• CHECK PRINTER DRIVER SOFTWARE.<br />

YES<br />

• IF PRINTOUT IS DIRECTED TO THE THERMAL<br />

PRINTER INSTEAD OF THE INKJET OR LASER,<br />

CHANGE IN SYSTEM SETTINGS - SEE USER GUIDE.<br />

CONNECT A PATI<strong>EN</strong>T<br />

SIMULATOR TO THE ECG<br />

CONNECTOR AND SWITCH<br />

ON.<br />

ARE ECG TRACES<br />

DISPLAYED ON THE<br />

LCD?<br />

YES<br />

NO<br />

• CHECK CONNECTIONS FOR CORRECT COM PORT.<br />

CHECK PORT SETTINGS.<br />

• CHECK/ CHANGE THE ECG BOARD (SEE <strong>CS</strong>-<strong>200</strong><br />

SERVICE HANDBOOK).<br />

Art.-No.: 2.540105 Rev. a<br />

B TO SHEET 3<br />

Page 48


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Fault Finding 6<br />

Installation and <strong>Service</strong> General Fault Diagnosis Chart 6.2<br />

Fault Diagnosis Chart (Sheet 3) - Error determining Baseline<br />

B FROM SHEET 2<br />

IN THE LEFT HAND SCRE<strong>EN</strong><br />

(ECG) CLICK THE<br />

ERGOSPIRO ICON<br />

IS THE GAS<br />

ANALYSER SCRE<strong>EN</strong><br />

SHOWN ON THE<br />

RIGHT-HAND<br />

MONITOR?<br />

YES<br />

NO<br />

• CHECK CONNECTIONS TO THE POWERCUBE.<br />

• <strong>EN</strong>SURE POWERCUBE SWITCHED ON.<br />

• CHECK PORT SETTINGS IN PROGRAM.<br />

• CHECK CORRECT COM PORT ON PC/<strong>CS</strong>-<br />

<strong>200</strong>.(see para.•, COM98io.exe is a<br />

service tool, page 52)<br />

• INDICATED PROBLEM WITH GAS ANALYSER.<br />

CONTACT SCHILLER.<br />

ERROR WHILE<br />

DETERMINING THE<br />

BASELINE<br />

NO<br />

C TO SHEET 4<br />

YES<br />

Art.-No.: 2.540105 Rev. a<br />

PERFORM THE BASELINE<br />

DETERMINATION WITHOUT<br />

FLOW TUBE CONNECTED<br />

OK?<br />

YES<br />

NO<br />

• CHECK FLOW TUBES FOR CLEANLINESS AND<br />

KINKS<br />

• CLEAN OR REPLACE AS NECESSARY<br />

• CHECK FLOW TUBES FOR CLEANLINESS<br />

• CLEAN OR REPLACE AS NECESSARY<br />

• CHECK FLOW CONNECTOR ON THE REAR OF<br />

THE POWERCUBE<br />

• <strong>EN</strong>SURE A WARM-UP TIME OF AT LEAST 30<br />

MINUTES.<br />

• CHECK THE S<strong>EN</strong>SOR IS KEPT STILL DURING<br />

ZEROING.<br />

• <strong>EN</strong>SURE THE ROOM IS DRAFT FREE AND EV<strong>EN</strong><br />

TEMPERATURE. CLOSE WINDOWS.<br />

• SWITCH OFF ANY ROOM AIR CONDITIONING.<br />

• <strong>EN</strong>SURE NO BREATH AFFECTS ZEROING -<br />

MOVE THE PATI<strong>EN</strong>T / OPERATOR AWAY FROM<br />

THE S<strong>EN</strong>SOR.<br />

• <strong>EN</strong>SURE THE CORRECT SETUP.<br />

• PERFORM VOLUME VERIFICATION<br />

• CONTACT SCHILLER SERVICE /REPLACE<br />

POWERCUBE<br />

C<br />

Page 49


6 Fault Finding<br />

6.2 General Fault Diagnosis Chart<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Fault Diagnosis Chart (Sheet 4) - Calibration Error<br />

C FROM SHEET 3<br />

<strong>EN</strong>TER AMBI<strong>EN</strong>T CONDITIONS<br />

CALIBRATE VOLUME (see para.4,<br />

Installing the LFX Program, page<br />

26).<br />

VOLUME<br />

CALIBRATION<br />

SUCCESSFUL?<br />

YES<br />

NO<br />

• CHECK PNEUMOTACH AND TUBING.<br />

• CHECK FLOW TUBES FOR CLEANLINESS<br />

AND KINKS<br />

• CHANGE S<strong>EN</strong>SOR.<br />

• CHANGE TUBING.<br />

• CHANGE POWERCUBE.<br />

CALIBRATE GAS (see para.5.5.4,<br />

Gas Calibration, page 35).<br />

GAS CALIBRATION<br />

SUCCESSFUL?<br />

YES<br />

NO<br />

D TO SHEET 5<br />

• CHECK PNEUMOTACH, GAS BOTTLE TUBING AND<br />

CONNECTIONS.<br />

• CHECK FLOW TUBES FOR CLEANLINESS AND<br />

KINKS<br />

• CHANGE OXYG<strong>EN</strong> CELL. -<br />

• CHECK CO2 MODULE (see para., The oxygen<br />

module is situated on the back of the<br />

analyser and is exchanged as follows:,<br />

page 60).<br />

• CHANGE S<strong>EN</strong>SOR.<br />

• CHANGE TUBING.<br />

• CHANGE POWERCUBE.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 50


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Fault Finding 6<br />

Installation and <strong>Service</strong> General Fault Diagnosis Chart 6.2<br />

Fault Diagnosis Chart (Sheet 5) - General Implausible Data<br />

D<br />

FROM SHEET 4<br />

TAKE A BRIEF ERGO TEST -<br />

SEE ERGOSPIRO<br />

SUPPLEM<strong>EN</strong>T FOR FULL<br />

INSTRUCTIONS.<br />

SPIRO DATA<br />

PLAUSIBLE<br />

YES<br />

NO<br />

• CHECK ALL CONNECTION TUBING<br />

• CHECK CORRECT MASK SIZE FOR THE PATI<strong>EN</strong>T<br />

• CHECK MASK FOR TIGHTNESS<br />

• CHECK ALL TUBING AND CONNECTIONS ARE CORRECT<br />

• CHECK TUBING FOR KINKS<br />

• <strong>EN</strong>SURE CORRECT GAS CONC<strong>EN</strong>TRATION SET DURING GAS CALIBRATION<br />

• <strong>EN</strong>SURE WARM-UP TIME OF 30 HAS BE<strong>EN</strong> OBSERVED<br />

• <strong>EN</strong>TER AMBI<strong>EN</strong>T CONDITIONS AND PERFORM VOLUME AND GAS<br />

CALIBRATION<br />

DOES THE PRINT-<br />

OUT GIVE THE ECG<br />

TRACES AND<br />

PATI<strong>EN</strong>T DATA?<br />

YES<br />

NO<br />

• CHECK SETTINGS<br />

(USER GUIDE) FOR<br />

FORMAT, DATA,<br />

PRINTER, ETC.<br />

• CHECK PRINTER.<br />

• CHECK THAT THE CABLE ASSEMBLY<br />

TO THE STRESS TEST EQUIPM<strong>EN</strong>T IS<br />

CORRECTLY AND FIRMLY<br />

CONNECTED TO THE STRESS<br />

INTERFACE.<br />

• CHECK POWER SUPPLY.<br />

• CHECK PORT SETTINGS IN PROGRAM.<br />

DOES THE EXERCISE<br />

EQUIPM<strong>EN</strong>T<br />

FUNCTION<br />

CORRECTLY?<br />

YES<br />

NO<br />

• <strong>EN</strong>SURE THAT THE STRESS TEST<br />

PARAMETERS ARE CORRECTLY SET<br />

(SEE USER GUIDE).<br />

• CHECK ALL PARAMETER SETTINGS.<br />

CHECK THE TEST SCRE<strong>EN</strong> AND<br />

<strong>EN</strong>SURE THAT PARAMETERS ARE IN<br />

TOLERANCE.<br />

• <strong>EN</strong>SURE THAT THE STRESS TEST<br />

EQUIPM<strong>EN</strong>T IS FUNCTIONING<br />

CORRECTLY.<br />

• SYSTEM<br />

FUNCTIONING<br />

CORRECTLY.<br />

• CONTACT SCHILLER IF FAULT CANNOT<br />

BE FOUND.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 51


6 Fault Finding<br />

6.3 Checks and Adjustments<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

6.3 Checks and Adjustments<br />

Two programs installed on installation are available on the LFX main directory for the<br />

service user:<br />

• COM98io.ini to check the different channels of the PowerCube-Ergo<br />

• COM98io.exe is a service tool<br />

6.3.1 Checking and Selecting Communication Channels<br />

1. Open the com98io.ini file in the LFX-installation directory. Use any program Editor<br />

to open:<br />

2. Check / Enter the correct COM-port:<br />

3. Close the file and store the modifications.<br />

6.3.2 Checking and Adjusting the Measurement Channels<br />

1. Open the com98io.exe file in the LFX-installation directory.<br />

2. Select PowerCube.<br />

With what hardware do you want to work?<br />

Art.-No.: 2.540105 Rev. a<br />

Page 52


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Fault Finding 6<br />

Installation and <strong>Service</strong> Checks and Adjustments 6.3<br />

3. Open the drop-down menu Control and click on Start (F7)<br />

– The control measurement starts<br />

– The window “com98io-info” gives actual numeric measurement values for every<br />

channel<br />

– Use the measurement values for checking or adjustment<br />

Selecting Measurement Channels for Check and Adjustment<br />

1. Click on register card Channels<br />

– A list of all measurement channels is displayed on the screen.<br />

Art.-No.: 2.540105 Rev. a<br />

2. Select the desired channel(s) for graphical display on the screen.<br />

– The scale is adjusted automatically for the number of channels displayed.<br />

– The actual measurement value is displayed as red curve<br />

Page 53


6 Fault Finding<br />

6.3 Checks and Adjustments<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Selecting Channels for Adjustment and Checks<br />

1. Click on register card Switch<br />

– the list of all channels is displayed on the screen<br />

2. Select the desired channel(s) for functioning<br />

– The selected switches activate the hardware (e.g. suction pump, calibration<br />

valve)<br />

– The COM98IO-Info-Window gives simultaneously numeric values of the measurement<br />

channels.<br />

Measuring and Switching Channels of the PowerCube-Ergo<br />

The channels as are as follows:<br />

Measurement Channels<br />

Switch Channels<br />

Channel Signal Channel Signal<br />

0 - 0 Suction<br />

pump<br />

1 - 1 Calibration<br />

valve<br />

2 - 2 -<br />

3 Ambient<br />

3 -<br />

Pressure<br />

4 - 4 -<br />

5 Temperature 5 -<br />

6 - 6 -<br />

7 - 7 -<br />

8 PF 1 (Flow)<br />

9 O2 Analyser<br />

10 CO2<br />

Analyser<br />

Art.-No.: 2.540105 Rev. a<br />

Page 54


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Fault Finding 6<br />

Installation and <strong>Service</strong> Checks and Adjustments 6.3<br />

6.3.3 Adjustments<br />

Adjustments information given here are for information. Adjustment offset is carried<br />

out in the factory and usually will not require further adjustment.<br />

<br />

<br />

Disconnect the PowerCube-Ergo from the mains before starting any repair work.<br />

Some adjustments of the PowerCube-Ergo module can only be carried out by removing<br />

the cover when connected to the mains.<br />

<br />

<br />

Opening the PowerCube-Ergo housing as well as all changes, modifications, extensions,<br />

repairs, maintenance measures, and any other work on SCHILLER<br />

products including meteorological / safety checks may only be performed by<br />

SCHILLER or by an authorized SCHILLER partner.<br />

Only qualified service technicians that have been trained on repair and maintenance<br />

of the PowerCube-Ergo are authorized to perform the procedures.<br />

<br />

<br />

<br />

<br />

The PowerCube-Ergo contains electro-static sensitive electronic components;<br />

observe antistatic precautions for any maintenance procedure:<br />

The unit must be placed on an earthed antistatic mat<br />

<strong>Service</strong> personnel must be earthed and have to wear anti-static clothing/shoes<br />

when handling boards or components and comply with the international standard<br />

IEC 61340-5-1<br />

Always use an antistatic bag when transporting boards or components<br />

Art.-No.: 2.540105 Rev. a<br />

Page 55


6 Fault Finding<br />

6.3 Checks and Adjustments<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

O2-Analyser Offset<br />

1. Connect patient tube correctly to PowerCube as for a gas calibration<br />

2. Ensure correct calibration gas supply<br />

3. With COM98IO switch on the suction pump channel<br />

4. Connect a reference voltage source of 25 mV ± 1 mV in place of the O2 cell<br />

5. Adjust potentiometer R25 on the Analogue Module 1.3<br />

6. Adjust offset until COM98IO show the value of 1.550 Digit for the measurement<br />

channel<br />

The Gain is not adjustable and depends on the age of the Chemical O2 sensor<br />

CO2-Analyser Offset<br />

1. Perform the adjustment after at least 30 minute system warm-up time<br />

2. Connect patient tube correctly to PowerCube as for an Ergospirometry<br />

measurement<br />

3. Adjust potentiometer R26 on the Analogue Module 1.3<br />

4. Adjust offset until COM98IO show the value of 1.048 Digit for the measurement<br />

channel (1.048 digit, allowance ±20 Digit)<br />

CO2-Analyser Gain<br />

It is not necessary to adjust the gain, which is configured on the CO2-PCB - this<br />

procedure is given for information only<br />

1. Check gain with calibration gas (switch 0 & 1 in COM98IO) Gain = ∆ 1000 Digit<br />

(± 50 Digit)<br />

2. With COM98I0 switch the calibration valve-channel on<br />

3. COM98IO should show for gain a difference of 1.000 Digit to the actual offsetvalue<br />

(? 1.000 Digit, allowance ±50 Digit)<br />

4. With COM98I0 switch the calibration valve-channel off<br />

5. If gain is out of range, it is possible that the CO2-Analyser has to be replaced<br />

Sensor Flow PF1 Offset<br />

1. Adjust potentiometer R8 on the Analogue Module 1.3<br />

2. Adjust offset until COM98IO show the value of 2.048 Digit for the measurement<br />

channel (2.048 Digit, allowance ±50 Digit)<br />

Sensor Flow PF1 Gain<br />

1. Supply 6,25 mbar pressure to the blue OR the white flow tubing socket on the rear<br />

of the PowerCube<br />

2. Adjust Potentiometer R23<br />

3. Adjust gain until COM98IO shows a difference of 1.000 Digit to the actual offsetvalue<br />

(? 1.000 Digit, allowance ±20 Digit)<br />

4. Repeat this procedure for the second flow tubing socket<br />

Art.-No.: 2.540105 Rev. a<br />

Page 56


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

System Maintenance 7<br />

Installation and <strong>Service</strong> <strong>Service</strong> Interval 7.1<br />

7 System Maintenance<br />

This section gives the maintenance and disposables for the ergo spiro system and an<br />

overview of the functional and safety checks that must be made. This section does<br />

not give specific tests for individual components of the system; these are provided in<br />

the service handbooks for the <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong>.<br />

7.1 <strong>Service</strong> Interval<br />

All maintenance work must be carried out by a qualified technician authorised by<br />

SCHILLER AG. The following table indicates the maintenance intervals, the<br />

maintenance requirement, and the person authorised to carry out the procedure.<br />

Interval <strong>Service</strong> Responsible<br />

As Required • Change the oxygen module<br />

user<br />

• Change the nafion tube (see para.7.7, Replacing the O2 Cell and<br />

Nafion Tube, page 59)<br />

Every 6 months • Visual inspection of the unit and cables User<br />

Every 12 months • Visual, general, measuring and calibration tests and checks - see <br />

SCHILLER CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>Service</strong> Handbook (Art.<br />

No.2.540053)<br />

Every 12 months a • Electrical safety Tests- see SCHILLER CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<br />

Recurrent Test (Art. No. 2.540059):<br />

– IEC 60601-1, Clause 18 and 19, or<br />

– <strong>EN</strong> 62353:<strong>200</strong>5, or<br />

– Local directives b<br />

By SCHILLER AG authorised<br />

technician<br />

By SCHILLER AG authorised<br />

technician<br />

a. The time interval for the electrical safety tests is a guideline and can vary according to local and country specific directives and<br />

according to unit use. For example when a unit is used intensively, safety checks should be carried out more often. When a unit is<br />

used less intensively, the safety check period can be longer. In addition the safety test must be carried out in the following circumstances:<br />

- If a unit is dropped, receives any large jolt or knock or is subject to severe vibration, etc.<br />

- If a unit has been subject to strong radiation or electrical shock, etc.<br />

- When a unit has been repaired or serviced that requires the case to be opened.<br />

- Additionally, a safety test can be carried out at any time if the unit isolation is suspected of being inadequate.<br />

b. The two directives detailed here are standard specifications for reference. Local and country directives for safety testing of medical<br />

devices must be adhered to and take precedence.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 57


7 System Maintenance<br />

7.2 External Sight Control<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

7.2 External Sight Control<br />

Check the mechanical condition of the device:<br />

• Ensure that the casing of all component parts, the keyboard, the monitors, trolley,<br />

and all supports, stands and cable arms, are clean and serviceable. Ensure there<br />

is no soiling which could hamper the safety of the device.<br />

• Check for cracks, dents, chips or other damage in the casing of all component<br />

parts. Look for signs of the following that could indicate damage and / or internal<br />

component damage:<br />

– fluid damage or ingression<br />

– scuffing on the case<br />

– impact damage<br />

– dents<br />

– etc.<br />

• Check all electrical cable assemblies and all gas tubes. Ensure they are clean and<br />

serviceable. In particular examine all cable assemblies for the following that could<br />

indicate damage:<br />

– Crushing<br />

– Chafing<br />

– Cuts<br />

– Impact damage or signs that the cable has been stretched<br />

– etc.<br />

• Examine all electrical and gas connectors. Check that they are inserted correctly<br />

and are straight and in good condition. Ensure that no connector has been subject<br />

to impact damage; ensure that connectors are not bent.<br />

• Gas mask in good condition. Connectors air-tight.<br />

7.3 Functional Checks and Tests<br />

Required equipment<br />

• Safety Tester IEC/<strong>EN</strong> 60601-1<br />

• Calibrated Simulators and test equipment as defined in the <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

service handbook.<br />

IMPORTANT!<br />

The measurement devices listed above are subject to the instructions according to<br />

ISO 9000 in regards to Test Equipment Control.<br />

Details of Functions and Checks and Tests are given in the <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>Service</strong> Handbook. These tests include the following:<br />

• Mains and battery Indicators (LED)<br />

• Keyboard- visual and function check<br />

• LCD screen check - visual check<br />

• Printer checks<br />

• ECG amplifier and patient cable test<br />

• ECG measurement reference<br />

Art.-No.: 2.540105 Rev. a<br />

Page 58


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

System Maintenance 7<br />

Installation and <strong>Service</strong> Software Maintenance 7.4<br />

7.4 Software Maintenance<br />

Various software programs are installed in the CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong> and include application software, system software /firmware<br />

communication software/firmware and LFX software. See the <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

service handbook for details.<br />

7.5 Safety Tests<br />

The Electrical safety tests is carried out in accordance with SCHILLER CARDIOVIT<br />

<strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Recurrent Test (Art. No. 2.540059)<br />

Documentation<br />

Note the results or have them printed by the tester. Always include one copy of the<br />

results with the repair report. The original remains with the device and is given to the<br />

customer for his files.<br />

7.6 Cleaning and Disposables<br />

Cleaning material, disinfectants, and Disposables for the units are detailed in the<br />

SCHILLER CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> Supplement for <strong>ErgoSpiro</strong> Option<br />

7.7 Replacing the O2 Cell and Nafion Tube<br />

7.7.1 Changing the Nafion Tube<br />

<br />

<br />

Only use original Nafion tube. The manufacturer disclaims responsibility if any<br />

other tubing is used.<br />

The life time of the Nafion tube can also be reduced by pollution or damage during<br />

use. If problems are experienced during the gas calibration it is recommend that<br />

the tube is replaced.<br />

The Nafion tube is previous to moisture and planned replacement is dependant on<br />

use as well as time. It must be replaced at the following intervals:<br />

Av. No. of Meas.<br />

per Day<br />

Change every<br />

10 two months<br />

5 four months<br />


7 System Maintenance<br />

7.7 Replacing the O2 Cell and Nafion Tube<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

7.7.2 Changing the Oxygen Module<br />

The life-span of the oxygen cell is approximately 12 months. When the oxygen cell is<br />

deteriorating it will be displayed on the calibration trend screen (see para.4, Installing<br />

the LFX Program, page 26). However, to avoid any possible problems, we<br />

recommend that the O 2 cell is replaced every 12 months - check the expiry data on<br />

the O 2 cell when exchanging.<br />

<br />

The life of the oxygen cell is limited. Always check the expiry data before<br />

installing.<br />

The oxygen module is situated on the back of the analyser and is exchanged as<br />

follows:<br />

<br />

Switch the unit off and disconnect from the mains supply before carrying out this<br />

procedure<br />

1. Remove the protective rubberised cover.<br />

2. Gently, disconnect the connector on the top of the oxygen module.<br />

3. Unscrew the oxygen module and discard.<br />

4. Remove the new oxygen sensor from its hermetically sealed container and screw<br />

into the gas analyser.<br />

5. Reconnect the data cable to the top of the module.<br />

6. Gently replace the protective cover. Take care when replacing not to place any<br />

strain on the cable or connector<br />

Art.-No.: 2.540105 Rev. a<br />

Page 60


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Accessories 8<br />

Installation and <strong>Service</strong> Flow Sensor Pneumotach and Adaptors 8.1<br />

8 Accessories<br />

<br />

Use only accessories supplied or recommended by SCHILLER. Use accessories<br />

according to your facility’s standards and manufacturer’s recommendations.<br />

Always refer to the manufacturer’s directions for use. To order accessories,<br />

contact your local SCHILLER representative.<br />

8.1 Flow Sensor Pneumotach and Adaptors<br />

Picture Product Description Article number<br />

<strong>ErgoSpiro</strong> flow sensor pneumotach 2.100914<br />

8.2 Tubes<br />

Picture Product Description Article number<br />

Nafion Tube 50 cm (for PowerCube-Ergo with Ser. No. beginning A1<br />

and B1 (identified by red Nafion tube connector on front panel))<br />

2.100910<br />

Patient gas measurement tube 3m (for PowerCube-Ergo with Ser. No.<br />

beginning A1 and B1 (identified by red Nafion tube connector on front<br />

panel)<br />

2.100950<br />

Art.-No.: 2.540105 Rev. a<br />

Calibration gas PVC tube 2.100944<br />

Page 61


8 Accessories<br />

8.3 O2 Cell<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

8.3 O2 Cell<br />

Picture Product Description Article number<br />

O 2 Medical sensor cell - MLF-350 NOTE: Maximum storage of six<br />

months recommended.<br />

2.101138<br />

8.4 Masks, Mask Adaptors and Headgear<br />

Picture Product Description Article number<br />

Ergo-Spirometry mask with seal, blue, 7450 series petite<br />

Ergo-Spirometry mask with seal, blue, 7450 series extra small<br />

Ergo-Spirometry mask with seal, blue, 7450 series small<br />

Ergo-Spirometry mask with seal, blue, 7450 series medium<br />

Ergo-Spirometry mask with seal, blue, 7450 series large<br />

2.100961<br />

2.100962<br />

2.100963<br />

2.100964<br />

2.100965<br />

Mask sizing gauge for Ergo-Spiro mask 7450 series 2.100960<br />

Mask Adaptor 2.100925<br />

Silicone adaptor for sensor for use with mask 2.100901<br />

Hairnet small, for <strong>ErgoSpiro</strong> mask blue, 7450 series<br />

Hairnet medium, for <strong>ErgoSpiro</strong> mask blue, 7450 series<br />

Hairnet large, for <strong>ErgoSpiro</strong> mask blue, 7450 series<br />

2.100966<br />

2.100967<br />

2.100968<br />

8.5 Mouthpiece and Adaptors<br />

Picture Product Description Article number<br />

Silicone mouthpiece - adult<br />

2.100905<br />

Silicone mouthpiece - child<br />

2.100906<br />

Art.-No.: 2.540105 Rev. a<br />

Nose Clip 2.100084<br />

Page 62


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Accessories 8<br />

Installation and <strong>Service</strong> General 8.6<br />

Silicone adaptor for spirometry sensor with gas measurement connector<br />

for use with silicone mouthpiece without mask<br />

2.100904<br />

Adaptor 38 mm for silicone mouthpiece 2.100915<br />

8.6 General<br />

Picture Product Description Article number<br />

Ergo Belt 2.100060<br />

Replacement pouch for ergo belt 2.156039<br />

Thermo-Hygrometer 2.100012<br />

Calibration syringe 2 litres 2.100027<br />

Art.-No.: 2.540105 Rev. a<br />

Adaptor for Calibration pump 4.430181<br />

8.7 Patient Cable and Electrodes<br />

Product Description<br />

Article number<br />

10-lead patient cable, IEC, clip type, 3.5m for <strong>CS</strong>-<strong>200</strong><br />

2.400115<br />

10-lead patient cable, USA, clip type, 3.5m for <strong>CS</strong>-<strong>200</strong><br />

2.400116<br />

10-lead patient cable, IEC, clip type, 3.5m for AT-104<br />

2.400105<br />

10-lead patient cable, USA, clip type, 3.5m for AT-104<br />

2.400104<br />

Sensor stress test electrodes (blue) disposable, set of 25 2.155025<br />

Page 63


8 Accessories<br />

8.8 Calibration Gas and Regulators<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

8.8 Calibration Gas and Regulators<br />

<br />

<br />

The calibration gas is pressurised.<br />

Never use grease on any of the valves<br />

The calibration gas can be purchased directly from SCHILLER or from your<br />

local dealer/supplier.<br />

Product Description<br />

Article number<br />

Pressure regulator for Ergo-Spiro calibration gas bottle 2.100969 2.100970<br />

Calibration gas bottle refillable, 2,00 litre, 150 bar, without reduction<br />

valve, 5% CO 2, 15,9% O 2 , balance N 2 .<br />

2.100969<br />

We recommend that a new bottle is ordered when gas pressure reaches 30 bar.<br />

Gas bottle is delivered with an analysis certificate. For the correct <strong>ErgoSpiro</strong><br />

calibration it is important to check and if necessary to adapt the actual values stated<br />

in the <strong>ErgoSpiro</strong> calibration program according the exact values shown on the<br />

analysis certificate.<br />

8.8.1 Notes when ordering from a Supplier<br />

Calibration Gas<br />

The gas specification for QA0207 compliance is as follows:<br />

• 5% carbon dioxide N4.5 (99.995%)<br />

• 15,9% oxygen N4.5 (99.995%)<br />

• Rest nitrogen N5.0 (99.999%)<br />

Calibration gas is normally delivered in 2 or 10 litre bottles with a filling pressure of<br />

150 bar.<br />

Gas mixtures are available in class 1 and class 2.<br />

• Class 1 guarantees the max. deviation of the gas components of ± 0.5% from the<br />

predicted value.<br />

• Class 2 guarantees the max. deviation of ± 2% from the predicted value.<br />

The accuracy of the gas concentrations considered adequate for clinical use<br />

according to QA0207 is ± 2%. (Factory calibration of the gas analyser is carried out<br />

with certified gas of class 1 tolerance).<br />

Pressure Regulator<br />

• Calibration gas Ergo: Outlet flow 1.2 litres/min, outlet pressure 1.5 bar<br />

• Ensure that the calibration gas connection tube (4 x 2.5 mm) can be connected to<br />

the manometer outlet.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 64


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Technical Data 9<br />

Installation and <strong>Service</strong> PowerCube-Ergo 9.1<br />

9 Technical Data<br />

9.1 PowerCube-Ergo<br />

Unit • PowerCube-Ergo<br />

• FV-processing according to EGKS, i.e. ATS<br />

• Gas correction factor to STPD<br />

Special Functions • Fully Automatic Analyser Calibration<br />

• Automatic zero-point function<br />

• Function Assistant<br />

• Anti-Drift-system to compensate Zero-point drift<br />

Environmental Sensors • Room temperature probe: 0….50°C<br />

• Barometer pressure: 900 to 1100 mbar optically isolated RS 232 interface<br />

Signal transmission • Digital<br />

PC coupling • RS 232 interface<br />

Gas exchange (physiological meas.)<br />

Parameter Ventilation (V’E)<br />

Parameter O 2 uptake (V’O 2 )<br />

Parameter CO 2 uptake (V’CO 2 )<br />

Parameter RER<br />

• Measurement range: 0 to 300 l/m<br />

• Accuracy: < ± 2,0 % or 50 ml/s (the larger value applies)<br />

• Measurement range: 0 to 10 l/m<br />

• Accuracy: < ± 3,0 % or 50 ml/s (the larger value applies)<br />

• Measurement range: 0 to 10 l/m<br />

• Accuracy: < ± 3,0 % or 50 ml/s (the larger value applies)<br />

• Measurement range: 0.6 to 2.0<br />

• Accuracy: < ± 3,0 % or 50 ml/s (the larger value applies)<br />

Flow measurement<br />

Measurement method<br />

Measuring range<br />

Accuracy<br />

Resistance<br />

Resolution<br />

Variable orifice (pneumotach)<br />

0 to + 20 l/s<br />

< ± 2,0 % or 50 ml/s (the larger value applies)<br />


9 Technical Data<br />

9.2 Pressure Reducer<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

O 2 Analyser • Fully digital, high speed cell, based on electrochemical principle<br />

• Measurement range 0 - 35%<br />

• Resolution: 0.1%<br />

• Measurement error:< 0.1% Vol.<br />

CO 2 Analyser • Fully digital, high speed cell, based on Ultra sound density method<br />

• Measurement range: 0 to 17.5% CO 2<br />

• Resolution: 0.1%<br />

• Measurement error < 0.1% Vol<br />

• Response Time:< 100ms (10-90%)<br />

External power supply • Single mains Connection Type Sanoscope I<br />

• VDE Safety class II, insulated<br />

• Primary Current range 230….240 V, 50Hz<br />

• Secondary Current: Sec 1 = +24V, 1.2A DC<br />

• Sec 2 = + 7V, 0.5A DC<br />

• Sec 3 = - 7V, 0.2A DC<br />

• Recording Performance max: 30 VA<br />

Protection Class • IP 44<br />

• Class BF<br />

9.1.1 Standards<br />

Quality management ISO 13485<br />

MDD 93/42/ECC<br />

Electrical safety<br />

Protection<br />

CE Marked<br />

<strong>EN</strong> 60601-1 (Third Edition)<br />

This device is not designed for outdoor use<br />

9.2 Pressure Reducer<br />

Type<br />

Outlet<br />

Outlet Flow<br />

Inlet Pressure<br />

Test gas pressure reducer<br />

Luer lock female<br />

1.2 litres/minute<br />

150 bar<br />

9.3 ECG Part<br />

See <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> user guide.<br />

Art.-No.: 2.540105 Rev. a<br />

Page 66


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Technical Data 9<br />

Installation and <strong>Service</strong> Ambient Conditions 9.4<br />

9.4 Ambient Conditions<br />

Operation<br />

Ambient temperature +15 to +35 °C<br />

Atmospheric pressure<br />

Relative humidity<br />

Max. temperature gradient<br />

Ambient conditions, storage and<br />

transport<br />

700 to 1050 hPa<br />

30 to 80 % (no condensation)<br />

N/A<br />

Ambient temperature -20 to +50 °C<br />

Atmospheric pressure<br />

Relative humidity<br />

600 to 1050 hPa<br />

10 to 90 % (no condensation)<br />

9.5 EMC information<br />

See SCHILLER CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong> <strong>Service</strong> Handbook (Art.<br />

No.2.540053)<br />

Art.-No.: 2.540105 Rev. a<br />

Page 67


9 Technical Data<br />

9.5 EMC information<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Art.-No.: 2.540105 Rev. a<br />

Page 68


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Installation and <strong>Service</strong><br />

Index 10<br />

10 Index<br />

A<br />

Accessories 61<br />

Atmospheric pressure<br />

Relative and absolute 43<br />

B<br />

BTPS 41<br />

C<br />

Calibration and Verification 31<br />

Checks and Adjustments 52<br />

D<br />

Dead space 43<br />

E<br />

External Sight Control 58<br />

F<br />

Fault Diagnosis Chart 47<br />

Fault Finding 45<br />

Functional Checks and Tests 58<br />

G<br />

Gas Calibration 35<br />

H<br />

Headquarters Address 2<br />

L<br />

LFX Program<br />

Installing 26<br />

N<br />

Nafion Tube 59<br />

O<br />

Oxygen Module 60<br />

P<br />

Physicians Responsibility 7<br />

Pressurised Gas 8<br />

S<br />

Safety Symbols and Conventions 9<br />

<strong>Service</strong> Interval 57<br />

STPD 41<br />

Symbols 10<br />

T<br />

Technical Data 65<br />

Trouble Shooting (Gas Calibration) 40<br />

V<br />

Volume Verification 33<br />

Art.-No.: 2.540105 Rev. a<br />

I<br />

Intended Use 7<br />

Page 69


10 Index<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Art.-No.: 2.540105 Rev. a<br />

Page 70


CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Installation and <strong>Service</strong><br />

Index 10<br />

Art.-No.: 2.540105 Rev. a<br />

Page 71


I N<br />

I<br />

T<br />

10 Index<br />

CARDIOVIT <strong>CS</strong>-<strong>200</strong> <strong>Excellence</strong><br />

<strong>ErgoSpiro</strong><br />

Americas<br />

SCHILLER Americas Inc.<br />

Doral, Florida 33172<br />

North America:<br />

Phone +1 786 845 06 20<br />

Fax +1 786 845 06 02<br />

sales@schilleramerica.com<br />

www.schilleramerica.com<br />

Latin America & Caribbean<br />

Phone +1 305 591 11 21<br />

Fax +1 786 845 06 02<br />

sales@schillerla.ch<br />

www.schillerla.ch<br />

France (distribution France)<br />

SCHILLER France S.A.S.<br />

F-77608 Bussy St Georges<br />

Phone +33 1 64 66 50 00<br />

Fax +33 1 64 66 50 10<br />

adv@schillerfrance.fr<br />

www.schiller-france.com<br />

Germany<br />

SCHILLER Medizintechnik GmbH<br />

D-85622 Feldkirchen b. München<br />

Phone +49 89 62 99 81 0<br />

Fax +49 89 609 50 90<br />

info@schillermed.de<br />

www.schillermed.de<br />

Serbia<br />

SCHILLER d.o.o.<br />

11010 Beograd<br />

Phone +381 11 39 79 508<br />

Fax +381 11 39 79 51 8<br />

info@schiller.rs<br />

www.schiller.rs<br />

Slovenia<br />

SCHILLER d.o.o.<br />

2310 Slovenska Bistrica<br />

Phone +386 2 843 00 56<br />

Fax +386 2 843 00 57<br />

info@schiller.si<br />

www.schiller.si<br />

Asia<br />

SCHILLER Asia-Pacific / Malaysia<br />

52<strong>200</strong> Kuala Lumpur, Malaysia<br />

Phone +603 6272 3033<br />

Fax +603 6272 2030<br />

sales@schiller.com.my<br />

www.schiller-asia.com<br />

Hungary<br />

SCHILLER Diamed Ltd.<br />

H-1141 Budapest<br />

Phone +36 1 383 4780 / +36 1 460 9491<br />

Fax +36 1 383 4778<br />

info@schillerhungary.hu<br />

www.schillerhungary.hu<br />

Spain<br />

SCHILLER ESPAÑA, S.A.<br />

ES-28232 Las Rozas/Madrid<br />

Phone +34 91 713 01 76<br />

Fax +34 91 355 79 33<br />

schiller@schiller.es<br />

www.schiller.es<br />

Austria<br />

SCHILLER Handelsgesellschaft m.b.H.<br />

A-4040 Linz<br />

Phone +43 732 70 99<br />

Fax +43 732 757 000<br />

sales@schiller.at<br />

www.schiller.at<br />

India<br />

SCHILLER Healthcare India Pvt. Ltd.<br />

Mumbai – 400 001, India<br />

Phone +91 22 6152 3333 / 2920 9141<br />

Fax +91 22 2920 9142<br />

sales@schillerindia.com<br />

www.schillerindia.com<br />

Switzerland<br />

SCHILLER-Reomed AG<br />

CH-8953 Dietikon<br />

Phone +41 44 744 30 00<br />

Fax +41 44 740 37 10<br />

sales@schiller-reomed.ch<br />

www.schiller-reomed.ch<br />

China<br />

Alfred Schiller (Beijing) Medical Equipment<br />

Co.,Ltd.<br />

100015 Beijing, China<br />

Phone +86 010 5<strong>200</strong>7020<br />

Fax +86 010 5<strong>200</strong>7020-8016<br />

info@schillerchina.com<br />

www.schillermedical.cn<br />

Poland<br />

SCHILLER Poland Sp. z o.o.<br />

PL-02-729 Warszawa<br />

Phone +48 22 843 20 89 / +48 22 647 35 90<br />

Fax +48 22 843 20 89<br />

schiller@schiller.pl<br />

www.schiller.pl<br />

Turkey<br />

SCHILLER TÜRKIYE<br />

Okmeydani-Sisli – Istanbul<br />

Phone +90 212 210 8681 (pbx)<br />

Fax +90 212 210 8684<br />

info@schiller.com.tr<br />

www.schiller-turkiye.com<br />

Croatia<br />

Schiller medicinski instrumenti d.o.o.<br />

10000 Zagreb<br />

Phone +385 1 309 66 59<br />

Fax +385 1 309 66 60<br />

info@schillerzg.hr<br />

www.schiller.hr<br />

France<br />

SCHILLER Médical S.A.S.<br />

F-67162 Wissembourg<br />

Phone +33 3 88 63 36 00<br />

Fax +33 3 88 63 36 49<br />

info@schiller.fr<br />

www.schiller-medical.com<br />

Russia & C.I.S.<br />

AO SCHILLER.RU<br />

125124 Moscow, Russia<br />

Phone +7 (495) 970 11 33<br />

Fax +7 (495) 956 29 10<br />

mail@schiller.ru<br />

www.schiller.ru<br />

www.schiller-cis.com<br />

United Kingdom<br />

SCHILLER UK<br />

Bellshill, ML4 3PR<br />

Phone +44 1698 744 505<br />

Fax +44 1698 744 474<br />

sales@schilleruk.com<br />

www.schilleruk.com<br />

Art.-No.: 2.540105 Rev. a<br />

M A N U<br />

F A C<br />

T U R<br />

E D<br />

A N D<br />

E D<br />

Page 72<br />

I G N<br />

S<br />

E<br />

D<br />

L A N D<br />

E R<br />

S W<br />

Z<br />

Headquarters: SCHILLER AG, Altgasse 68, CH-6341 Baar, Switzerland, Phone +41 41 766 42 42, Fax +41 41 761 08 80, sales@schiller.ch, www.schiller.ch

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