Service_Manual_2.540105a_EN_CS-200 Excellence ErgoSpiro
Transform your PDFs into Flipbooks and boost your revenue!
Leverage SEO-optimized Flipbooks, powerful backlinks, and multimedia content to professionally showcase your products and significantly increase your reach.
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