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BiPAP AVAPS and BiPAP S/TService & Technical Reference Manual
PAGE I1118824, VER. 00
© 2014 Koninklijke Philips N.V. All rights reserved
PAGE II 1118824, VER. 00
LIMITED WARRANTYRespironics, Inc. warrants that the system shall be free from defects of workmanship and materials and willperform in accordance with the product specifications for a period of two (2) years from the date of sale byRespironics, Inc. to the dealer. If the product fails to perform in accordance with the product specifications,Respironics, Inc. will repair or replace – at its option – the defective material or part. Respironics, Inc. will paycustomary freight charges from Respironics, Inc. to the dealer location only. This warranty does not coverdamage caused by accident, misuse, abuse, alteration, water ingress, and other defects not related to materialor workmanship. The Respironics, Inc. Service department shall examine any devices returned for service, andRespironics, Inc. reserves the right to charge an evaluation fee for any returned device as to which no problemis found after investigation by Respironics, Inc. Service.
Respironics, Inc. disclaims all liability for economic loss, loss of profits, overhead, or consequential damageswhich may be claimed to arise from any sale or use of this product. Some states do not allow the exclusion orlimitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you.
This warranty is given in lieu of all other express warranties. In addition, any implied warranties – including anywarranty of merchantability or fitness for the particular purpose – are limited to two years. Some states do notallow limitations on how long an implied warranty lasts, so the above limitation may not apply to you. Thiswarranty gives you specific legal rights, and you may also have other rights which vary from state to state.
To exercise your rights under this warranty, contact your local authorized Respironics, Inc. dealer or contactRespironics, Inc. at:
Respironics, Inc.1001 Murry Ridge Lane
Murrysville, Pennsylvania15668-8550
DeutschlandGewerbestrasse 17
82211 Herrsching Germany+49 8152 93060
1118824 VER. 00
CHAPTER 1: INTRODUCTION1.0 PRODUCT OVERVIEW ..................................................................................................... 1-1
1.0.1 BiPAP AVAPS & BiPAP S/T ................................................................................................. 1-1
1.1 “2.XX” AND BIPAP AVAPS AND S/T DESIGN CHANGES .............................................. 1-3
1.2 THEORY OF OPERATION DIAGRAMS................................................................................ 1-5
1.3 PRODUCT OPERATING SOFTWARE UPGRADES ................................................................ 1-7
1.4 SERVICE NOTICE.......................................................................................................... 1-10
1.5 SERVICE TRAINING....................................................................................................... 1-11
1.6 PRODUCT SUPPORT STATEMENT .................................................................................. 1-11
CHAPTER 2: WARNINGS, CAUTIONS, & NOTES2.0 WARNINGS..................................................................................................................... 2-2
2.1 CAUTIONS...................................................................................................................... 2-3
2.2 NOTES........................................................................................................................... 2-3
CHAPTER 3: SPECIFICATIONS & CLASSIFICATIONS3.0 BIPAP AVAPS AND BIPAP S/T SPECIFICATIONS.......................................................... 3-2
3.1 SYSTEM ONE HEATED HUMIDIFIER SPECIFICATIONS........................................................ 3-4
3.2 ELECTROMAGNETIC EMISSIONS ...................................................................................... 3-5
3.3 ELECTROMAGNETIC IMMUNITY ........................................................................................ 3-6
3.4 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE & MOBILE RF COMMUNICA-TIONS AND TH3 DEVICE ............................................................................................... 3-8
CHAPTER 4: SETUP4.0 SUPPLYING POWER TO THE DEVICE................................................................................ 4-1
4.0.1 Supplying AC Power to the Device ..................................................................................... 4-1
4.0.2 Supplying DC Power to the Device ..................................................................................... 4-2
4.1 STARTING THE DEVICE ................................................................................................... 4-3
4.2 NAVIGATING THE DEVICE SCREENS ................................................................................ 4-4
4.3 USER AND PROVIDER MODES......................................................................................... 4-4
4.3.1 User Mode.............................................................................................................................. 4-5
4.3.2 Provider Mode ....................................................................................................................... 4-6
4.3.3 Measured Parameters......................................................................................................... 4-10
1118824, VER. 00
CHAPTER 5: TROUBLESHOOTING AND ERROR CODES5.0 INTRODUCTION................................................................................................................5-1
5.1 READING THE DEVICE’S ERROR LOG...............................................................................5-1
5.2 CLEARING THE DEVICE’S ERROR LOG .............................................................................5-2
5.3 ERROR CODES ...............................................................................................................5-3
5.4 BENCH CHECKOUT .......................................................................................................5-11
CHAPTER 6: NIV DEVICE REPAIR & REPLACE6.0 REPLACEMENT PART (RP) KITS FOR PR SYSTEM ONE NIV DEVICES ..............................6-3
6.1 REPLACEMENT INSTRUCTIONS.........................................................................................6-5
6.1.1 Replacing the SD Card Slot Cover ...................................................................................... 6-5
6.1.2 Replacing the User Interface (UI) Knob .............................................................................. 6-6
6.1.3 Replacing the Right Side Cover .......................................................................................... 6-7
6.1.4 Replacing the Top Cover ..................................................................................................... 6-8
6.1.5 Replacing the UI Panel ......................................................................................................... 6-9
6.1.6 Replacing the Keypad ........................................................................................................ 6-10
6.1.7 Replacing the End Panel.................................................................................................... 6-11
6.1.8 Replacing the Main PCA .................................................................................................... 6-12
6.1.9 Replacing the Blower Cap ................................................................................................. 6-14
6.1.10 Replacing the Blower Assembly and/or the Blower Outlet Bellows............................ 6-16
6.1.11 Replacing the Flow Manifold ........................................................................................... 6-18
6.1.12 Replacing the Right Panel Assembly ............................................................................. 6-19
6.1.13 Replacing the Humidifier Cable....................................................................................... 6-20
6.1.14 Replacing the Blower Housing........................................................................................ 6-21
6.1.15 Replacing the Alarm Assembly and/or Alarm Holder ................................................... 6-22
6.1.16 Replacing the Sound Abatement Foam.......................................................................... 6-24
6.1.17 Replacing the Air Inlet Seal ............................................................................................. 6-25
6.1.18 Replacing the Bottom Enclosure .................................................................................... 6-26
6.2 CLEANING THE DEVICE .................................................................................................6-27
6.3 CLEANING AND REPLACING THE FILTERS.......................................................................6-27
6.4 CLEANING THE PATIENT TUBING ...................................................................................6-28
6.5 CLEANING THE HUMIDIFIER TANK ..................................................................................6-28
6.6 SYSTEM RUN-IN............................................................................................................6-29
CHAPTER 7: HUMIDIFIER REPAIR AND REPLACEMENT7.0 HUMIDIFIER REPLACEMENT PART (RP) KITS ...................................................................7-1
1118824 VER. 00
7.1 BENCH CHECKOUT......................................................................................................... 7-1
7.2 REPLACEMENT INSTRUCTIONS ........................................................................................ 7-2
7.2.1 Replacing the Water Chamber Assembly........................................................................... 7-3
7.2.2 Replacing the Tank Top Seal ............................................................................................... 7-4
7.2.3 Replacing the Dry Box Seal ................................................................................................. 7-5
7.2.4 Replacing the Dry Box Assembly/Humidifier Inlet Seal .................................................... 7-7
7.2.5 Replacing the Flip Lid Assembly......................................................................................... 7-9
7.2.6 Replacing the Humidifier Top Housing............................................................................. 7-11
7.2.7 Replacing the Humidifier Outside Cover .......................................................................... 7-12
7.2.8 Replacing the Humidifier Bottom Housing....................................................................... 7-13
7.2.9 Replacing the Heater Plate Assembly............................................................................... 7-15
7.2.10 Replacing the Slider Docking Latch................................................................................7-18
CHAPTER 8: TESTING8.0 SECTION OVERVIEW....................................................................................................... 8-1
8.1 REQUIRED EQUIPMENT................................................................................................... 8-1
8.2 SYSTEM VERIFICATION ................................................................................................... 8-1
8.3 MANUAL SOFTWARE TESTING ........................................................................................ 8-4
8.4 HEATER PLATE TEST ................................................................................................... 8-13
8.5 READING/VERIFYING THE DEVICE’S SERIAL NUMBER AND MODEL NUMBER ................... 8-14
CHAPTER 9: SCHEMATICS9.0 PROPRIETARY STATEMENT............................................................................................. 9-1
1118824, VER. 00
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PAGE 1-11118824, VER. 00
CHAPTER 1: INTRODUCTION
1.0 PRODUCT OVERVIEW
The BiPAP AVAPS and BiPAP S/T devices are intended to provide noninvasive ventilatory (NIV) support totreat adult patients weighing over 30 kg (66 lbs) and pediatric patients 7 years or older and weighing over 18 kg(40 lbs) with Obstructive Sleep Apnea (OSA) and Respiratory Insufficiency. These devices may be used in thehospital or home.
1.0.1 BIPAP AVAPS & BIPAP S/T
The BiPAP AVAPS responds reliably to patient flow rates that indicate movement to inhalation or exhalation,even in the presence of most normal leaks in the patient circuit. Automatic adjustment of this trigger thresholdin the presence of leaks makes the system ideal for mask-applied ventilation assistance. The patientcontrollable Rise Time and Bi-Flex features may enhance patient-ventilator AVAPS and patient comfort.
The BiPAP AVAPS operates in the following modes: Continuous Positive Airway Pressure (CPAP),Spontaneous (S), Spontaneous/Timed (S/T), Timed (T), and Pressure Control (PC). In the Continuous PositiveAirway Pressure (CPAP) mode, the BiPAP AVAPS delivers continuous pressure support ventilation at onepressure level. The BiPAP S/T operates in CPAP, S and S/T modes.
In the Spontaneous (S) mode, bi-level pressure support is delivered. The device triggers to Inspiratory PositiveAirway Pressure (IPAP) in response to spontaneous inspiratory effort and cycles to Expiratory Positive AirwayPressure (EPAP) during exhalation. The level of pressure support delivered is determined by the differencebetween the IPAP and EPAP settings.
The Spontaneous/Timed (S/T) mode is similar to the S mode, except that it also can deliver a machine-triggered breath if the patient does not spontaneously breathe within a set time. The S/T mode ensures thatpatients receive a minimum number of breaths per minute based on the Rate setting. If the patient fails toinitiate an inspiration within the interval determined by the Rate control, the unit triggers a timed (or machine-triggered) breath resulting in a pressure-control (pressure-limited, time-cycled) breath at the set IPAP level.The rate of timed breaths is adjustable. The duration of each timed breath is controlled by an Inspiratory Timecontrol.
The Timed mode provides mandatory pressure assist. All breaths are machine triggered and machine cycled.The patient breathing has no affect on this machine. The triggering is determined by the Breath Rate control.The cycle time is determined by the Inspiratory Control.
The PC mode is equivalent to the S/T mode except that all breaths are machine cycled and, therefore, have afixed inspiratory time. This mode is a pressure limited, machine or patient triggered, time cycled mode. Thepatient may initiate a breath, but all breaths are pressure limited (IPAP) and time-cycled. The cycle time isdetermined by the Inspiratory Time control setting.
AVAPS is available in the S, S/T, Timed, and PC modes. AVAPS provides dynamic IPAP control. The IPAPpressure is dynamically controlled so that exhaled tidal volumes approach the Vte control value. AVAPSprovides gradual pressure changes to compensate for the tidal volume error observed over several precedingbreaths.
CAUTION
U.S. federal law restricts this device to sale by or onthe order of a physician.
PAGE 1-2 1118824, VER. 00
NOTE
The BiPAP AVAPS and S/T have experienced significant design changes. Philips Respironics beganmanufacturing a “2.XX” and “3.XX” version of the devices. These versions are manufactured withhardware components that are not compatible with the previously-designed version. “2.XX/3.XX”refers to the firmware version of the device. Devices that are not marked “2.XX/3.XX” require the use of thepreviously-designed components (refer to the Repair and Replacement section of this manual for furtherclarification.) To differentiate these devices from the previously-designed version, note the “2.XX” or “3.XX”annotation on the serial number label located on the bottom of the device, as follows:
If the “2.XX” annotation is present on the device’s serial number label, then the following components aredifferent from the previously-designed version of the device and are not backwards compatible.
• PCA,
• Blower,
• Blower Cap,
• Air Inlet Seal,
• Sound Abatement Foam, and
• Top Cover.
If the “3.XX” annotation is present on the device’s serial number label, then the components listed in theRP Kit Listing section 6.0 of Repair and Replace Chapter showing (3.XX) follow the “3.XX” format. Thesecomponents are not backwards compatible.
RP kits for both the previous design and the “2.XX/3.XX” version of the device will be available as long asparts are available from Philips Respironics suppliers.
PAGE 1-31118824, VER. 00
1.1 “2.XX” AND BIPAP AVAPS AND S/T DESIGN CHANGES
This section provides images of the physical differences between the components that were used in BiPAPAVAPS and BiPAP S/T devices that were originally manufactured and the devices that are marked with “2.XX”on the serial number/model number label of the device. Also note that the components used in the “2.XX”variation of the BiPAP AVAPS and BiPAP S/T devices are also used in the BiPAP autoSV Advanced.
“2.XX” BiPAP AVAPS and S/T Devices Components Original BiPAP AVAPS and S/T Device Components
“2.XX” device Blower bottom portion is blue
Original design Blower is all black
“2.XX” device Blower Cap has two
protruding grooves
Protruding grooves not present on original design
PAGE 1-4 1118824, VER. 00
PAGE 1-51118824, VER. 00
1.2 THEORY OF OPERATION DIAGRAMS
FIGURE 1-1: VENTILATOR EXTERNAL INTERFACES
PAGE 1-6 1118824, VER. 00
FIGURE 1-2: SYSTEM BLOCK DIAGRAM
PAGE 1-71118824, VER. 00
1.3 PRODUCT OPERATING SOFTWARE UPGRADES
Most Respironics products can be upgraded with the latest available software via an Internet connection. Toconnect the device to a PC with an internet connection, refer to the following illustration.
FIGURE 1-3: LINK MODULE
You must be a registered user to download software. If you are not a registered user, go to http://my.respironics.com and complete the on-line registration process.
Once you have access to download the software, perform the following:
1. Log into http://my.respironics.com.
NOTE
The Link Module and DB9F-DB9M cable are available in RP kit #1074113.
NOTE
Respironics service software is now available at http://my.respironics.com. In the eventthat you are unable to access this site, log onto http://servicesoftware.respironics.comto download Respironics service software.
Connect a DB9F-DB9M Cable between here and
COM1 of the PC.
2 31 4
Link Module
PAGE 1-8 1118824, VER. 00
2. Click on the Service Software and Documentation Software link.
FIGURE 1-4: DOWNLOADING OPERATING SOFTWARE
Login Here
http://my.respironics.com
Service Software and Documentation Link
PAGE 1-91118824, VER. 00
3. Select “Product Operating Updates” from the drop-down menu.
FIGURE 1-5: SERVICE SOFTWARE MENU
PAGE 1-10 1118824, VER. 00
4. Click on the “Download” button adjacent to the software you wish to download.
FIGURE 1-6: DOWNLOAD SOFTWARE
5. The installation wizard will guide you through the upgrade process. Follow the on-screen prompts to complete the upgrade process.
1.4 SERVICE NOTICE
The device is designed so that trained Service Technicians can perform repair and testing procedures. Onlytrained and qualified personnel should repair these products.
NOTE
• Respironics recommends that you use the Service Center Tools software to Clearthe device’s error log. Refer to the “Testing” section of this Service Manual foradditional information.
• Remember to periodically log onto http://my.respironics.com and check forsoftware upgrades.
PAGE 1-111118824, VER. 00
1.5 SERVICE TRAINING
Respironics offers service training for the device. Training includes complete disassembly of the device,troubleshooting sub-assemblies and components, and necessary safety testing. For more information, contactthe Service Marketing department at:
E-mail: [email protected]: (724) 755-8225
Fax: (724) 755-8230Or your Philips Respironics regional service location
1.6 PRODUCT SUPPORT STATEMENT
For product support, please contact Respironics Customer Satisfaction.
U.S.A. and CanadaPhone:1-800-345-6443Fax: 1-800-886-0245
InternationalPhone: 1-724-387-4000
Fax: 1-724-387-5012
PAGE 1-12 1118824, VER. 00
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PAGE 2-11118824, VER. 00
CHAPTER 2: WARNINGS, CAUTIONS, & NOTES
Warnings, cautions, and notes are used throughout this manual to identify possible safety hazards, conditionsthat may result in equipment or property damage, and important information that must be considered whenperforming service and testing procedures on the Philips Respironics NIV devices. Please read this sectioncarefully before servicing the device.
WARNING
Warnings indicate the possibility of injury to people.
CAUTION
Cautions indicate the possibility of damage to equipment.
NOTE
Notes are used to emphasize a characteristic orimportant consideration.
PAGE 2-2 1118824, VER. 00
2.0 WARNINGS
WARNINGS
• To avoid electrical shock, disconnect the electrical supply before servicing this device.
• Do not service this device in the presence of flammable mixtures, gases, anesthetics,or liquids.
• Electronic components used in this device are subject to damage from static electricity.Repairs made to this device must be performed only in an antistatic, ElectrostaticDischarge (ESD) protected environment.
• To assure the safety of the service technician and the specified performance of thedevice, Respironics recommends that only technicians having prior training orexperience servicing NIV devices perform any repairs or adjustments to the device.
• Do not immerse this device in water, solvents, or cleaning solutions.
• This device is not intended for life support.
• Do not use extension cords with this device.
• Do not service the device near a source of toxic or harmful vapors.
• Do not service this device if the room temperature is warmer than 35° C (95° F). If thedevice is used at room temperatures warmer than 35° C (95° F), the temperature ofthe airflow may exceed 41° C (106° F). This could cause irritation or injury to thepatient’s airway.
• Repairs and adjustments must be performed by authorized service personnel only.Unauthorized service could cause injury, invalidate the warranty, or result in costlydamage.
• Inspect electrical cords and cables for damage or signs of wear. Replace if damaged.
• Using or servicing this device at an incorrect altitude setting could result in airflowpressures higher or lower than the prescribed setting. Always verify the altitude settingwhen traveling or relocating, and adjust the system accordingly.
• Pins of connectors identified with the ESD warning symbol should not be touched.Connections should not be made to these connectors unless ESD precautionaryprocedures are used. Precautionary procedures include methods to prevent build-upof electrostatic discharge (e.g., air conditioning, humidification, conductive floorcoverings, non-synthetic clothing), discharging one’s body to the frame of theequipment or system or to earth or a large metal object, and bonding oneself by meansof a wrist strap to the equipment or system or to earth.
PAGE 2-31118824, VER. 00
2.1 CAUTIONS
2.2 NOTES
CAUTIONS
• Perform the Performance Verification at regular intervals.Refer to the Testing section of this manual for additionalinformation.
• The device may only be operated at temperatures between5° C (41° F) and 35° C (95° F).
• Do not place liquids on or near the device.
• If this device has been exposed to either very hot or very coldtemperatures, allow it to adjust to room temperature beforeusing or servicing it.
• A properly installed, undamaged reusable foam inlet filter isrequired for proper operation.
NOTE
Refer to the device’s User Manual for additionalWarnings, Cautions, Notes, and Operating Instructions.
PAGE 2-4 1118824, VER. 00
This page intentionally blank.
PAGE 3-11118824, VER. 00
CHAPTER 3: SPECIFICATIONS & CLASSIFICATIONS
This chapter includes specifications and EMC compliance for the Philips Respironics NIV devices.
NOTE
1 hPa = 1 cm H2O
PAGE 3-2 1118824, VER. 00
3.0 BIPAP AVAPS AND BIPAP S/T SPECIFICATIONS
PAGE 3-31118824, VER. 00
PAGE 3-4 1118824, VER. 00
3.1 SYSTEM ONE HEATED HUMIDIFIER SPECIFICATIONS
Environmental
Operating Temperature: 5° to 35° C (41° to 95° F)
Storage Temperature: -20° to 60° C (-4° F to 140° F)
Relative Humidity (operating & storage): 15 to 95% (non-condensing)
Atmospheric Pressure: 77 to 101 kPa (0 - 2286 m / 0 - 7500 ft)
Physical
Dimensions: 18 x 14 x 10 cm (7” L x 5.5” W x 4” H)
Weight: Approximately 0.89 kg (1.95 lbs.)
Water Capacity
325 ml (11 oz.) at recommended water level
Standards Compliance - This device is designed to conform to the following standards:
IEC 60601-1 General Requirements for Safety of Medical Electrical Equipment
EN ISO 8185:2007 General Requirements for Humidification Systems
Electrical (When the System One Heated Humidifier is used with the device)
AC Power Consumption: 100 – 240 VAC, 50/60 Hz, 2.1 A
DC Power Consumption: 12 VDC, 5.0 A
Type of Protection Against Electric Shock: Class II Equipment
Degree of Protection Against Electric Shock: Type BF Applied Part
Degree of Protection against Ingress of Water: Drip Proof, IPX1
Mode of Operation: Continuous
Electromagnetic Compatibility: The device meets the requirements of EN 60601-1-2, 2nd edition.
Heater Plate
Max Temperature: 70° C (158° F)
Pressure Drop with Humidifier
Max.: 0.3 cm H2O at 60 LPM flow
Humidity
Humidity min Output: 10 mg H2O/L - Measured @ max flow, 35° C, 15% RH.
PAGE 3-51118824, VER. 00
3.2 ELECTROMAGNETIC EMISSIONS
This device is intended for use in the electromagnetic environment specified below. Use, service, and testing ofthe device should be performed in such an environment.
GUIDANCE & MANUFACTURER’S DECLARATION - ELECTROMAGNETIC EMISSIONS
EMISSIONS TEST COMPLIANCEELECTROMAGNETIC ENVIRONMENT
GUIDANCE
RF emissionsCISPR 11
Group 1 The device uses RF energy only for its internalfunction. Therefore, its RF emissions are very lowand are not likely to cause any interference innearby electronic equipment.
RF emissionsCISPR 11
Class B The device is suitable for use in all establishments,including domestic establishments and thosedirectly connected to the public low voltage powersupply network.Harmonic emissions
IEC 61000-3-2Class A
Voltage fluctuations/flicker emissions IEC 61000-3-3
Complies
PAGE 3-6 1118824, VER. 00
3.3 ELECTROMAGNETIC IMMUNITY
This device is intended for use in the electromagnetic environment specified below. Use, service, and testing ofthe device should be performed in such an environment.
GUIDANCE & MANUFACTURER’S DECLARATION - ELECTROMAGNETIC IMMUNITY
IMMUNITY TESTIEC 60601 TEST
LEVELCOMPLIANCE
EMC ENVIRONMENT GUIDANCE
ElectrostaticDischarge (ESD)
IEC 61000-4-2
±6 kV contact±8 kV air
±6 kV contact±8 kV air
Floors should be wood,concrete, or ceramic tile. Iffloors are covered withsynthetic material, therelative humidity should beat least 30%.
Electrical fast Transient/burst
IEC 61000-4-4
±2 kV for power supply lines±1 kV for I/O lines
±2 kV for supply mains
±1 kV for I/O lines
Mains power quality should be that of a typical home or hospital environment.
Surge
IEC 61000-4-5
±1 kV Differential Mode±2 kV Common Mode
±1 kV differential mode±2 kV common mode
Mains power quality should be that of a typical home or hospital environment.
Voltage dips, short interruptions, and voltage variations on power supply input lines
IEC 61000-4-11
<5% UT (>95% dip in UT) for 0.5 cycle 40% UT (60% dip in UT) for 5 cycles70% UT (30% dip in UT) for 25 cycles<5% UT (>95% dip in UT) for 5 sec
<5% UT
(>95% dip in UT) for 0.5 cycle 40% UT
(60% dip in UT) for 5 cycles70% UT (30% dip in UT) for 25 cycles<5% UT (>95% dip in UT) for 5 sec
Mains power quality should be that of a typical home or hospital environment. If the user of the device requires continued operation during power mains interruptions, it is recommended that the device be powered from an uninterruptible power supply or a battery.
Power frequency (50/60 Hz) magnetic field IEC 61000-4-8
3 A/m 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical hospital or home environment.
NOTE: UT is the AC mains voltage prior to application of the test level.
PAGE 3-71118824, VER. 00
GUIDANCE & MANUFACTURER’S DECLARATION - ELECTROMAGNETIC IMMUNITY
IMMUNITY TESTIEC 60601 TEST LEVEL
COMPLIANCE EMC ENVIRONMENT GUIDANCE
Conducted RF IEC 61000-4-6
Radiated RFIEC 61000-4-3
3Vrms150 kHz to 80 MHz
3 V/m80 MHz to 2.5 GHz
3 Vrms
3 V/m
Portable and mobile RF communicationsequipment should be used no closer to any part ofthe device, including cables, than therecommended separation distance calculated fromthe equation applicable to the frequency of thetransmitter. Recommended separation distance:
P = maximum output power rating of thetransmitter in watts (W) according to thetransmitter manufacturer and d = therecommended separation distance in meters (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey,a
should be less than the compliance level in each
frequency range.b
Interference may occur in the vicinity of equipmentmarked with the following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection fromstructures, objects, and people.a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateurradio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagneticenvironment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in thelocation in which the device is used exceeds the applicable RF compliance level above, the device should be observed to verify normaloperation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the device.b Over the frequency range 150 kHz to 80 MHz, the field strengths should be less than 3 V/m.
d 1.2 P=
d 1.2 P=
d 2.3 P=
PAGE 3-8 1118824, VER. 00
3.4 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE & MOBILE RF COMMUNICATIONS AND TH3 DEVICE
This device is intended for use in an electromagnetic environment in which radiated RF disturbances arecontrolled. Electromagnetic interference may be prevented by maintaining a minimum distance betweenportable and mobile RF communications equipment (transmitters) and this device as recommended in thetable below, according to the maximum output power of the communications equipment.
RATED MAXIMUM POWER OUTPUT OF TRANSMITTER (W)
SEPARATION DISTANCE ACCORDING TO FREQUENCY OF TRANSMITTER
(m)
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5GHz
0.01 0.12 0.12 0.23
0.1 0.38 0.38 0.73
1 1.2 1.2 2.3
10 3.8 3.8 7.3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended separationdistance d in meters (m) can be estimated using the equation applicable to the frequency of thetransmitter, where P is the maximum output power rating of the transmitter in watts (W) accordingto the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affectedby absorption and reflection from structures, objects, and people.
d 1.2 P= d 1.2 P= d 2.3 P=
PAGE 4-11118824, VER. 00
CHAPTER 4: SETUP
This chapter provides an overview of the system setup including introductory information on the User andProvider modes and menus.
4.0 SUPPLYING POWER TO THE DEVICE
4.0.1 SUPPLYING AC POWER TO THE DEVICE
Complete the following steps to operate the device using AC power.
1. Plug the socket end of the AC power cord (included) into the power supply (also included).
2. Plug the pronged end of the AC power cord into an electrical outlet that is not controlled by a wall switch.
3. Plug the power supply cord’s connector into the power inlet on the back of the device.
4. Ensure that all connections are secure.
WARNING
• Inspect the power cord often for any signs of damage.Replace a damaged power cord immediately.
• Do not use extension cords with this device.
• Be sure to route the power cord to the outlet in a way thatwill prevent the cord from being tripped over or interferedwith by chairs or other furniture.
• This device is activated when the power cord is connected.
CAUTION
If the device has been exposed to either very hot or very coldtemperatures, allow it to adjust to room temperature(approximately two hours) before beginning setup.
NOTE
• Please refer to the User Manual for additional information.
• If you are servicing the device with a System One Heated Humidifier,refer to the instructions included with the humidifier for details on howto supply power to the device and humidifier.
NOTE
To remove AC power, disconnect the powersupply cord from the electrical outlet.
PAGE 4-2 1118824, VER. 00
4.0.2 SUPPLYING DC POWER TO THE DEVICE
The Respironics DC Power Cord can be used to operate this device in a stationary recreational vehicle, boat,or motor home. The Respironics DC Battery Adapter Cable, when used with the DC Power Cord, enables thedevice to be operated from a 12 VDC free-standing battery.
Refer to the instructions supplied with the DC Power Cord and adapter cable for information on how to operatethe device using DC power.
CAUTION
• When DC power is obtained from a vehicle battery, thedevice should not be used while the vehicle’s engine isrunning. Damage to the vehicle or the device may occur.
• Only use a Respironics DC Power Cord and Battery AdapterCable. Use of any other system may cause damage to thedevice or vehicle.
PAGE 4-31118824, VER. 00
4.1 STARTING THE DEVICE
FIGURE 4-1: DEVICE CHARACTERISTICS
Display Screen Shows therapy settings, patient data, and error messages. The opening screen isshown temporarily when the unit is first plugged in before changing to the main menu.
Humidifier Icon This LED lights up when the optional System One Heated Humidifier is attached. Thehumidifier number settings are only visible when the System One Heated humidifier isattached and therapy is active. Please refer to the System One Heated humidifier usermanual for more information.
UI Knob Turn the UI Knob to toggle between options on the screen. Press the UI Knob tochoose an option.
Ramp Button When the airflow is on, this button allows you to activate or restart the ramp function.This LED lights up when therapy is active or during specific alerts.
Alarm Silence/Indicator Button
Silences the audible portion of the alarm for a period of time and indicates an alarmcondition.
Air Outlet Port
Side Cover
Power Inlet
Filter Area
SD Card Cover/Slot
UI Knob
LCD Screen
Ramp ButtonAlarm Silence/Indicator Button
Humidifier Icon and Number Settings
PAGE 4-4 1118824, VER. 00
1. Plug the device into an AC power source. The RAMP button lights up and the opening screen momentarily appears.
2. The next screen to appear is the Home screen, shown below.
FIGURE 4-2: HOME SCREEN
3. Turn the UI Knob to toggle between the four options. Highlight “Therapy” or the Therapy icon. Press the UI Knob to turn on the airflow and begin therapy.
4. Press the UI Knob again to turn off therapy and return to the Home screen.
4.2 NAVIGATING THE DEVICE SCREENS
In either User Mode or Provider Mode, turn the UI Knob to toggle between options and settings on the screen.Press the UI Knob to choose an option or setting that is highlighted. If you choose “Back” on any screen, it willtake you back to the previous screen.
4.3 USER AND PROVIDER MODES
The devices are equipped with the following control modes:
• User Mode - The parameters that can be modified by the patient are limited.
• Provider Mode - used by homecare Professionals to set the device’s parameters for the patient’s needs.
NOTE
• The screens shown throughout this manual are examplesonly. Actual screens may vary slightly.
• Your device will either display in text mode (English only) oricon mode.
Therapy
Info
Comfort
Setup
Text View Icon View - Blower Off Icon Mode - Blower On
PAGE 4-51118824, VER. 00
4.3.1 USER MODE
From the Home screen, highlight the “Comfort” option and press the UI Knob. The following Setup screen willappear:
FIGURE 4-3: COMFORT OPTIONS SCREEN
From the Home screen, highlight the “Setup” option and press the UI Knob. The following Setup screen willappear:
FIGURE 4-4: USER SETUP SCREENS
NOTE
Bi-Flex Setting Flex pressure relief - This setting can be enabled or disabled in Provider Mode.
Ramp Start Ramp Start Pressure - This setting can be enabled or disabled in Provider Mode.
Rise Time Rise Time Setting - This setting can be enabled or disabled in Provider Mode.
Backlight Enable or disable the button LED backlight on the device.
hPa/cmH2O Select either hPa or cm H2O as the default unit of measure on the device.
Humidifier View and adjust the humidifier setting. This setting displays when a humidifier is attached.
Setup=
Com
fort
Back Bi-Flex 2 Ramp start 4
Rise time 3
FLEX 2
4 3
Icon View Text ViewSe
tup
Back
Back light on
hPa/cmH2O cmH2O
Humidier 3
cmH2O
3
Icon View Text View
PAGE 4-6 1118824, VER. 00
From the Home screen, highlight the “Info” option and press the UI Knob. The following Setup screen willappear:
FIGURE 4-5: USER INFO SCREENS
4.3.2 PROVIDER MODE
When in Provider Mode, full access to all parameters is granted. To access Provider Mode, refer to Figure 4-6.
FIGURE 4-6: ACCESSING PROVIDER MODE
Blower Hours Displays the total number of hours that the Blower has been on.
Machine Hours Displays the total number of hours that the Blower has been on.
NOTE
• The screen will only show four (4) lines at a time. As you rotate the UI Knob to toggle overdifferent options the screen will slide up and down accordingly.
• For additional information on User Mode, refer to the device’s User Manual.
Info
Back
Blower Hours 890.1
Machine Hours 902.0
890.1
902.0
Icon View Text View
Therap y
Info
Fle x
Setu p
To access Provider Mode, 1. With power applied to the device, use the Control Wheel and toggle to “Setup”.
2. Press down and hold the Control Wheel and Ramp Button for at least five seconds.
PAGE 4-71118824, VER. 00
TO NAVIGATE THE PROVIDER MODE SCREENS:
Turn the UI Knob to toggle between options and settings on the screen. Press the UI Knob to choose an optionor setting that is highlighted. Choose “Back” to return to the previous screen.
FIGURE 4-7: BIPAP AVAPS PROVIDER MENU
NOTE
Provider mode will time out after one minute of inactivity. Thedevice will automatically return to the Home Screen in the UserMode.
PAGE 4-8 1118824, VER. 00
FIGURE 4-8: BIPAP S/T PROVIDER MENU
Mode CPAP, S, S/T, T, or PC. The default setting is S/T. PC mode is only available on the BiPAPAVAPS device.
Flex Control ““no” Allows the user to adjust the Bi-Flex setting if in “S” mode. “Yes” locks the Bi-Flexsetting so users cannot adjust it by selecting “yes”.
Bi-Flex(FLEX)
The setting of Off, 1, 2, or 3 is the level of air pressure relief that the patient feels whenexhaling during therapy. The default setting is Off.
CPAP CPAP pressure setting from 4-20 in 1.0 increments. The default setting is 10.
AVAPS Enable or disable AVAPS when in S, S/T, T, or PC mode by selecting “yes” or “no”. Thedefault setting is “no”. This setting is available only on the BiPAP AVAPS device.
PAGE 4-91118824, VER. 00
Vte If AVAPS is enabled, the target tidal volume can be set from 200-1500 ml in 10 mlincrements. The default setting is 200. This setting is available only on the BiPAP AVAPSdevice.
IPAP Max If AVAPS is enabled, the IPAP Max can be set from 4-25 in 1.0 increments. The defaultsetting is 12. This setting is available only on the BiPAP AVAPS device.
IPAP Min If AVAPS is enabled, IPAP Min setting from 4-25 in 1.0 increments. The default setting is12. This setting is available only on the BiPAP AVAPS device.
IPAP When AVAPS is not enabled, IPAP can be set to 4-25 in 1.0 increments. The defaultsetting is 12.
EPAP In any mode except CPAP, EPAP can be set from 4-IPAP in 1.0 increments. The defaultsetting is 4.
BPM In S/T or PC mode, Breaths Per Minute setting is from 0-30 in 1.0 BPM increments. In Tmode, the minimum BPM setting is 4. The default is 10.
Ti In S/T, T, or PC mode, the Inspiratory Time can be set from 0.5 to 3 seconds in 0.1increments. The default setting is 1.0.
Rise TimeControl
If set to “Yes,” users can not adjust the Rise Time. If set to “no,” users can adjust the RiseTime.
Rise Time Rise time is the time it takes for the device to change from EPAP to IPAP. The defaultsetting is 1.
Ramp Time Ramp Time can be set from 0 (off) - 45 minutes in 5-minute increments. The default settingis 0.
Ramp StartPressure
Ramp Start Pressure can be set from 4 to the CPAP or EPAP setting (depending on yourtherapy mode) in increments of 1. The default is 4.
Apnea The Apnea alarm detects the cessation of spontaneous breathing. Enable or disable theApnea alarm by choosing 0 (off), 10, 20, or 30 seconds. The alarm will sound when thetime between patient-triggered breaths is greater or equal to the specified apnea alarmsetting. The default is 0.
PatientDisconnect
Enable or disable the Patient Disconnect alarm by choosing 0, 15, or 60 seconds. Thealarm will sound when a large, continuous air leak is detected in the circuit for more thanthe specified alarm setting. The default is 0.
MinVent Enable or disable the Low Minute Ventilation alarm by choosing 0 (off) to 99 lpm in 1.0increments. The alarm will sound when the calculated minute ventilation is less than orequal to the specified setting. The default is 0 (off).
Low Vte When AVAPS is enabled, enable or disable the Low Tidal Volume alarm by choosing 0(off) or 1 (on). If enabled, the alarm will sound when the measured patient pressure hasreached the IPAP max setting and the estimated exhaled tidal volume is less than or equalto 90% of the target tidal volume. The default is 0 (off). BiPAP AVAPS device only.
Backlight Enable or disable the button backlights with this setting.
Language Select the language to display on-screen, or select “Icon” to display icons on-screen.
hPa/cmH2O Select the units of pressure that are displayed on-screen, “hPa” or “cmH2O”.
PAGE 4-10 1118824, VER. 00
4.3.3 MEASURED PARAMETERS
The following table describes each measured parameter. The measured parameters that display on theMonitor Pressure screen only appear one at a time. The Setup Parameter Display setting on the Setup screenallows you to choose which measured parameters you want displayed. The parameters below appear on boththe Monitor Pressure and the Monitor Parameters screens.
SetupParameterDisplay
Select which measured parameters will display on the Monitor Pressure screen. Choosefrom Leak, RR (Respiratory Rate), Min vent, or Vte.
Humidifier If the humidifier is attached to the device, you can select from 0 (off) to 5 in increments of 1to enable or disable the humidifier setting. The default is 0 (off). This setting only displays ifa humidifier is attached to the device.
ResetBlowerHours
Select “yes” to reset the blower hours (e.g., to track device usage between patients).
ProviderMode
Enable or disable provider mode. Selecting “on” will put the device in provider mode (andthe device will not automatically return to patient mode when the screen times out or youselect the Back option). Selecting “no” keeps the device in patient mode.
Pressure Displays the current patient pressure.
Leak The estimated leak is the average leak value for the last 6 breaths. Thedisplay is updated at the end of each breath.
Respiratory Rate (RR) This is the average of the previous 6 breaths. If the mode supportsmachine-triggered breaths, this display will be the total breathing rate(spontaneous breaths + machine breaths). The display is updated at theend of each breath.
Minute Ventilation (MinVent) The estimated Exhaled Minute Ventilation is based on the average of thelast 6 breaths. The display is updated at the end of each breath.
Exhaled Tidal Volume (Vte) The estimated Exhaled Tidal Volume is obtained by the integration ofpatient flow. The display is updated at the end of each breath.
PAGE 5-11118824, VER. 00
CHAPTER 5: TROUBLESHOOTING AND ERROR CODES
5.0 INTRODUCTION
This section provides instructions for viewing and clearing the devices’ error log, a description of the errorcodes and bench checkout procedure.
5.1 READING THE DEVICE’S ERROR LOG
Error codes can be viewed on a PC using Service Center Tools or on the device’s display. Refer to Chapter 1of this Service Manual for additional information on obtaining the Service Center Tools software andconnecting the device to a PC.
To read the device’s error log, perform the following:
1. Connect the device to a PC. Refer to Chapter 1 for information on connecting the device to a PC.
2. Apply power to the device.
3. Open Service Center Tools from the Windows Start menu.
FIGURE 5-1: START MENU
PAGE 5-2 1118824, VER. 00
4. Select Read Error Log from the drop-down menu.
FIGURE 5-2: SERVICE CENTER TOOLS
5. The device’s stored error codes will be displayed on the PC monitor.
5.2 CLEARING THE DEVICE’S ERROR LOG
To clear the device’s error log, perform the following:
1. Connect the device to a PC. Refer to Chapter 1 for information on connecting the device to a PC.
2. Apply power to the device.
3. Open Service Center Tools from the Windows Start menu.
4. Select Clear Error Codes from the drop-down menu.
PAGE 5-31118824, VER. 00
FIGURE 5-3: START MENU
5. Verify that a “Error Log Cleared” confirmation window appears.
5.3 ERROR CODES
The four Error Types are described as follows:
ERROR TYPE DESCRIPTION
Vent Inop The error information is recorded in NVRAM and the unit is placed into Safe State. Theonly functionality available to the user is serial communication, turning off the audiblealarm via a key press and removing power.
Reboot The error information is recorded in NVRAM and the unit is Rebooted.
High Priority These alarms require immediate operator response. The alarm signal consists of a redLED and a high priority sound. The display has the message ALARM at the top of thescreen.
Medium Priority These alarms require prompt operator response. The alarm signal consists of a yellowLED and a medium priority sound. The display has the message ALARM at the top ofthe screen.
Low Priority These alarms require operator awareness. The alarm signal consists of a yellow LEDand a low priority sound. The display has the message ALARM at the top of the screen.
Log Only The error information is recorded in NVRAM and the unit continues to operate withoutnoticeable alteration.
PAGE 5-4 1118824, VER. 00
The following tables list the error codes for the Philips Respironics NIV devices.
CODE DESCRIPTION TYPE ACTION
E-0 No Error - you should only see this code in theerror log when the log entry is empty - never inthe middle of an otherwise full log.
N/A None
E-1 Software entered state that causes Device In-operative
Stop Replace the Therapy PCA
E-2 Failed the destructive power on self test of in-ternal RAM
Reboot Replace the Therapy PCA
E-3 Reserved for future use. Log Only None
E-4 Reserved for future use. Log Only None
E-5 Reserved for future use. Log Only None
E-6 Software Failure Log Only Replace the Therapy PCA
E-7 Failed the power on self test of the watchdogtimer
Reboot Replace the Therapy PCA
E-8 Failed the power on self test of the watchdogtimer.
Reboot Replace the Therapy PCA
E-9 One of the tasks in the background thread ispreventing the remaining tasks from executing.
Reboot Replace the Therapy PCA
E-10 During RASP operation response exceededtime limit
Log Only Replace the Therapy PCA
E-11 During Power-On tests, an error occurred whiletesting the watchdog timer.
Reboot Replace the Therapy PCA
E-12 Reserved for future use Log Only None
E-13 Reserved for future use Log Only None
E-14 Processor not able to establish communicationwith the Flow Sensor
Vent Inop Replace the Therapy PCA
E-15 Reserved for future use Log Only None
E-16 Reserved for future use Log Only None
E-17 Reserved for future use Log Only None
E-18 Reserved for future use Log Only None
E-19 During spinup of the Blower, the drive detectedthat the rotor was not spinning or wires werebroken.
Reboot In the following order:
• Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
E-20 Processor is unable to communicate withPressure Sensor
Vent Inop Replace Therapy PCA
E-21 Processor not able to establish communicationwith the Flow Sensor
Reboot Clear error log and retest. If re-peats, replace Therapy PCA
PAGE 5-51118824, VER. 00
E-22 Humidifier plate is not making heat Log Only In the following order:
• Replace Heater Plate
• Orientation/Replace Base Humidifier Cable
• Replace Therapy PCA
E-23 Humidifier plate temperature is at maximum(183 degrees F)
Log Only • Replace Heater Plate
• Replace Therapy PCA
E-24 Flow offset error for 5 minutes consecutively. Vent Inop Replace Therapy PCA
E-25 Pressure Offset error (offset exceeded +/- 3cmH2O range for 5 minutes consecutively)
Vent Inop Replace Therapy PCA
E-26 Flow Sensor Table is corrupt Vent Inop Replace Therapy PCA
E-27 During acquisition of the 12C bus to communi-cate with the EEPROM, there was a failure
Vent Inop Replace Therapy PCA
E-28 Program execution error. Reboot Replace Therapy PCA
E-29 Processor is unable to communicate with Am-bient Sensor
Log Only Replace Therapy PCA
E-30 Program execution error Log Only Replace Therapy PCA
E-31 Program execution error Log Only Replace Therapy PCA
E-32 V bus has risen above 17.3 VDC for 25 ms. Vent Inop Replace Therapy PCA
E-33 Blower cannot be controlled: Not spinning, bro-ken wires, broken Blower drive, wrong Blowercalibration
Reboot In the following order:
• Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
E-34 Blower cannot be controlled (speed detectedas too high): Blower Control, broken wires, bro-ken Blower drive, wrong Blower calibration.
Reboot In the following order:
• Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
E-35 Blower cannot be controlled (speed detectedas negative)
Reboot In the following order:
• Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
CODE DESCRIPTION TYPE ACTION
PAGE 5-6 1118824, VER. 00
E-36 Blower thermistor is open circuit. Could be abroken wire or bad or missing connector.
Log Only In the following order:
• Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
E-37 Blower thermistor is shorted. Could be causedby the Blower being very high temperature.
Log Only In the following order:
• Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
E-38 Measurement of Blower parameters could notbe found within 18s. Could be defective Blowerdrive, broken wires.
Vent Inop In the following order:
• Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
E-39 Ramp Key is stuck on Log Only Check the operation/alignmentof the Ramp button. If OK, re-place Therapy PCA
E-40 Knob Stuck in the pressed position Log Only In the following order:
• Reposition or replace the UI knob/top enclosure neces-sary
• Replace Therapy PCA
E-41 Humidifier’s thermistor may be shorted. Log Only In the following order:
• Replace Heater Plate
• Replace Therapy PCA
E-42 Reserved for future use Log Only None
E-43 Program execution error. Reboot Replace Therapy PCA
E-44 During communication with the EEPROM, thetransfer was never completed
Reboot Replace Therapy PCA
E-45 During rotation of the rotary encoder, the en-coder signal B is changing but encoder signalA is not
Log Only Replace Therapy PCA
E-46 During rotation of the rotary encoder, the en-coder signal A is changing but encoder signalB is not
Log Only Replace Therapy PCA
E-47 The number of bytes transferred was incorrectduring NVRAM operation
Reboot Replace Therapy PCA
CODE DESCRIPTION TYPE ACTION
PAGE 5-71118824, VER. 00
E-48 The blower S/W 16 kHz periodic loop has ex-ceeded 62.4 µs.
Reboot Replace Therapy PCA
E-49 Indicates that the sensor PCA battery may bedead. Could also indicate that the RTC hasnever been set.
Log Only Replace Therapy PCA
E-50 The RTC has not incremented within one min-ute - should increment every second.
Log Only Replace Therapy PCA
E-51 Blower Calibration storage unit in NVRAM con-tains all zeros
Reboot Replace Therapy PCA
E-52 Reserved for future use. Log Only None
E-53 The present therapy software does not supportthis hardware version.
Vent Inop Replace Therapy PCA
E-54 Program Execution Error Reboot Replace Therapy PCA
E-55 Process Phase Lock Loop (PLL) is not locked Reboot Replace Therapy PCA
E-56 The flow sensor tubing may be occluded withwater resulting in a constant near zero output.Error is persistent through power cycles.
Vent Inop Replace Therapy PCA
E-57 Reserved for future use. Log Only None
E-58 One of the tasks in the background thread hassomehow gotten stuck preventing the remain-ing tasks from executing.
Reboot Replace Therapy PCA
E-59 Reserved for future use Log Only None
E-60 Program Error - Exception stack end locationmemory overrun.
Reboot Replace Therapy PCA
E-61 Exception stack has written into reserve. Log Only None
E-62 Program Error - Exception stack starting loca-tion memory overrun.
Reboot Replace Therapy PCA
E-63 Program Error - FIQ stack end location memo-ry overrun.
Reboot Replace Therapy PCA
E-64 FIQ stack has written into reserve. Log Only None
E-65 Program Error - FIQ stack starting locationmemory overrun.
Reboot Replace Therapy PCA
E-66 Program Error - IRQ stack end location memo-ry overrun.
Reboot Replace Therapy PCA
E-67 IRQ stack has written into reserve Log Only None
E-68 Program Error - IRQ stack starting locationmemory overrun.
Reboot Replace Therapy PCA
E-69 Program Error - Service Stack end locationmemory overrun.
Reboot Replace Therapy PCA
E-70 Service Stack has written into reserve Log Only None
E-71 Program Error - Service stack starting locationmemory overrun.
Reboot Replace Therapy PCA
CODE DESCRIPTION TYPE ACTION
PAGE 5-8 1118824, VER. 00
E-72 Program Error - Data written to an illegal ad-dress.
Reboot Replace Therapy PCA
E-73 Program Error - Jump to an illegal address. Reboot Replace Therapy PCA
E-74 Program Error - Illegal instruction detected. Reboot Replace Therapy PCA
E-75 During the computation of VqSquared, it wasdetermined that the value would be negative,generating this error.
Reboot • Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
E-76 Reserved for future use. Log Only None
E-77 Reserved for future use. Log Only None
E-78 Reserved for future use. Log Only None
E-79 During spinup of the motor the drive detectedthat the rotor was not spinning or wires werebroken.
Reboot • Reseat Blower Con-nectors
• Replace Blower Assy
• Replace Therapy PCA
E-80 Parameter settings corrupted. Vent Inop Replace Therapy PCA
E-81 Parameter settings corrupted. Vent Inop Replace Therapy PCA
E-82 Program execution error or defective EE-PROM.
Reboot Replace Therapy PCA
E-83 Defective EEPROM. Vent Inop Replace Therapy PCA
E-84 Defective EEPROM. Vent Inop Replace Therapy PCA
E-85 Reserved for future use Log Only None
E-86 Program execution error Reboot Replace Therapy PCA
E-87 Program execution error Log Only Replace Therapy PCA
E-88 3 reboots within 24 hours. Vent Inop Replace Therapy PCA
E-89 Reserved for future use Log Only None
E-90 Software rebooted since it wa initiated by theuser.
Reboot None
E-91 Spontaneous breathing has not been detectedwithin the alarm time.
High Alarm None
E-92 High flow condition has been detected. High Alarm None
E-93 The measured Minute Ventilation is less thanor equal to the alarm setting.
High Alarm None
E-94 High pressure condition. High Alarm Replace Therapy PCA
E-95 Excessive high pressure condition. Vent Inop Replace Therapy PCA
E-96 Low pressure condition High Alarm Replace Therapy PCA
E-97 Reserved for engineering Log Only None
E-98 Silence Key is stuck on. Log Only • Check the silence button op-eration.• Replace THerapy PCA.
CODE DESCRIPTION TYPE ACTION
PAGE 5-91118824, VER. 00
E-99 Input voltage is low. Medium Alarm None
E-100 Processor is unable to communicate with Baro-metric Sensor.
Log Only Replace Therapy PCA
E-101 Indicates that the prescription on the SD cardhas been accepted.
Info Alarm None
E-102 Indicates that the prescription on the SD cardhas been rejected.
Info Alarm None
E-103 Program Execution Error. Vent Inop Replace Therapy PCA
E-104 Reserved for future use Log Only None
E-105 Indicates that the SD card has become corrupt-ed
Low Alarm Install a new SD Card
E-106 Indicates that the SD card is full of data. Low Alarm Install a new SD Card
E-107 Indicates that the SD card has been removed. Info Alarm None
E-108 Indicates that the SD card has been inserted Info Alarm None
E-109 Indicates that a SD card error occurred Low Alarm Reinsert SD card
E-110 The desired tidal volume cannot be deliveredwithin the limits of the IPAP Min and Max set-tings.
High Alarm None
E-111 Reserved for future use Log Only None
E-112 Unable to open BiPAP .S on the SD card. Info Alarm Install a new SD Card
E-113 Unable to read BiPAP .S on the SD card. Info Alarm Install a new SD Card
E-114 The used tried to upgrade to an older version ofa software.
Info Alarm Install a new SD Card
E-115 The user tried to upgrade to version of softwarethat is anot intended for this device.
Info Alarm Install a new SD Card
E-116 BiPAP .S file on the card is corrupt. Info Alarm Install a new SD Card
E-117 Program execution error Log Only Replace Therapy PCA
E-118 Therapy queue is full. Program execution error. Log Only Replace Therapy PCA
E-119 Pulse oximeter is reading high quality data. Info Alarm None
E-120 Pulse oximeter is reading poor quality data. Info Alarm None
E-121 Ventilator has collected enough pulse oximetrydata.
Info Alarm None
E-122 No SD card present to store the collected pulseoximetry data.
Low Alarm Insert SD Card
E-123 Reserved for future use. Log Only None
E-124 Pulse Oximetry queue is full. Program execu-tion error.
Log Only Replace Therapy PCA
E-125 Reserved for future use. Log Only Insert Card
E-126 Program Error. Reboot Replace Therapy PCA
E-127 A Thread Stack has written into reserve Log Only None
E-128 A queue has written into reserve Log Only None
CODE DESCRIPTION TYPE ACTION
PAGE 5-10 1118824, VER. 00
E-129 Program execution error Reboot Replace Therapy PCA
E-130 Indicates that the SD card has become corrupt-ed
Low Alarm None
E-131 Indicates that the SD card has become corrupt-ed
Low Alarm None
E-132 Indicates that a SD card error occurred Low Alarm None
E-133 Indicates that a SD card error occurred Low Alarm None
E-134 Reserved for engineering use Log Only None
E-135 Indicates that a SD card error occurred Log Only None
E-136 Indicates that a SW upgrade was started Log Only None
E-137 Reserved for future use Log Only None
E-138 Reserved for future use Log Only None
E-139 Indicates that the SD card has become corrupt-ed
Low Alarm None
E-140 Indicates that 60W power supply was used withheated tube humidifier
Log Only None
E-141 Program execution error Reboot Replace Therapy PCA
E-142 Heated tube temperature is at maximum (41deg C). Could be shorted thermistor.
Log Only Replace Therapy PCA
E-143 Reserved for future use Log Only None
E-144 Indicates that the SD card has become corrupt-ed
Low Alarm None
E-145 Indicates that the SD card has become corrupt-ed
Low Alarm None
E-146 Reserved for future use Log Only None
E-147 Unable to create a file in the EEPROM Log Only None
E-148 Indicates that the device has started copyinglogs to SD card
Info Alarm None
E-149 Indicates that the device has finished copyinglogs to SD card
Info Alarm None
E-150 Indicates that the device has started copyinglogs from EEPROM
Log Only None
E-151 Indicates that SD card was prematurely re-moved during copying of logs
Log Only None
E-152 Indicates that pressure sensor may be unreli-able
Vent Inop Replace Therapy PCA
E-153 Reserved for future use Log Only None
E-154 Indicates that the clearing of patient data failed Info Alarm None
E-155 Indicates that the clearing of patient data is inprogress
Info Alarm None
E-156 Indicates that the clearing of patient data wassuccessful
Info Alarm None
CODE DESCRIPTION TYPE ACTION
PAGE 5-111118824, VER. 00
5.4 BENCH CHECKOUT
1. Visually inspect the outside of the device for physical damage and broken or missing parts.
2. Apply power to the device and verify the buttons are properly backlit and the LCD is working.
3. Turn on the device and verify proper operation of the unit. Listen to the device for noisy operation or loose components.
4. Run the device for at least eighteen minutes.
5. Perform repairs to the device as necessary.
E-157 Invalid access to the EEPROM Log Only None
E-158 Unable to enqueue messages to the Log Man-ager
Log Only None
E-159 Indicates that device could not copy logs to SDcard due to an error
Low Alarm None
E-160 Indicates that the SD card has become corrupt-ed
Low Alarm None
E-161 Indicates that the serial number is not valid forlogging purposes
Log Only None
E-255 Program execution error Reboot Replace Therapy PCA
NOTE
BiPAP autoSV Advanced Errors not listed are Rebooterror types and require PCA replacement.
CODE DESCRIPTION TYPE ACTION
PAGE 5-12 1118824, VER. 00
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PAGE 6-11118824, VER. 00
CHAPTER 6: NIV DEVICE REPAIR & REPLACE
This Chapter illustrates the names and locations of the replaceable components in the Philips RespironicsBiPAP AVAPS and BiPAP S/T devices. If repair or replacement procedures are performed, the device must berun-in for a minimum of eighteen (18) minutes, and tested to verify its proper operation. Refer to Chapter 8 forTesting Procedures.
WARNING
To prevent electrical shock, disconnect the electrical supply beforeattempting to make any repairs to these devices.
CAUTION
Components used in this device are subject to damage from static electricity. Repairs made to this devicemust be performed only in an antistatic, Electro-Static Discharge (ESD) protected environment.
PAGE 6-2 1118824, VER. 00
NOTE
The BiPAP AVAPS and S/T have experienced significant design changes. Philips Respironics beganmanufacturing a “2.XX” and “3.XX” version of the devices. These versions are manufactured withhardware components that are not compatible with the previously-designed version. “2.XX/3.XX”refers to the firmware version of the device. Devices that are not marked “2.XX/3.XX” require the use of thepreviously-designed components (refer to the Repair and Replacement section of this manual for furtherclarification.) To differentiate these devices from the previously-designed version, note the “2.XX” or “3.XX”annotation on the serial number label located on the bottom of the device, as follows:
If the “2.XX” annotation is present on the device’s serial number label, then the following components aredifferent from the previously-designed version of the device and are not backwards compatible.
• PCA,
• Blower,
• Blower Cap,
• Air Inlet Seal,
• Sound Abatement Foam, and
• Top Cover.
If the “3.XX” annotation is present on the device’s serial number label, then the components listed in theRP Kit Listing section 6.0 of Repair and Replace Chapter showing (3.XX) follow the “3.XX” format. Thesecomponents are not backwards compatible.
RP kits for both the previous design and the “2.XX/3.XX” version of the device will be available as long asparts are available from Philips Respironics suppliers.
PAGE 6-31118824, VER. 00
6.0 REPLACEMENT PART (RP) KITS FOR PR SYSTEM ONE NIV DEVICES
BiPAP AVAPS BiPAP S/T
1/4” Test Adapter (for run-in) 332353 332353
Air Inlet Seal 1064732 1064732
Alarm Assembly 1071730 1071730
Alarm Holder 1071728 1071728
Alarm/Ramp Button (Keypad) 1071732 1071732
Blower Assembly 1064734 1064734
Blower Assembly 3.XX 1118688 1118688
Blower Cap 1064735 1064735
Blower Housing 1064736 1064736
Blower Outlet Bellows 1064747 1064747
Bottom Enclosure 1071731 1071731
ST/AVAPS Bottom Enclosure 3.XX 1118695 1118695
Flow Manifold 1064751 1064751
Humidifier Base Cable 1064733 1064733
Link Module 1074113 1074113
Main PCA (non-Heated Tube) 1068961 1068963
S/T PCA,US / IN / BR / FR 3.XX 1117459
S/T PCA, INTL 25 3.XX 1117460
S/T PCA, China 3.XX 1117461
AVAPS PCA, US/ IN/ BR/ FR 3.XX 1117462
AVAPS PCA, INTL 25 1117463
AVAPS PCA, China 1117464
O2 Enrichment Attachment(for testing)
312710 312710
Outside Cover 1064808 1064808
Power Supply 1058190 1058190
Right Panel Assembly 1064750 1064750
SD Card Slot Cover 1064765 1064765
Top Enclosure 1071733 1071727
Top Enclosure 3.XX 1109987 1109987
PAGE 6-4 1118824, VER. 00
BiPAP AVAPS BiPAP S/T
Sound Abatement Foam 1064766 1064766
UI Knob 1064787 1064787
AVAPS UI Panel 3.XX 1118689
S/T UI Panel 3.XX 1118690
AVAPS INTL UI Panel 3.XX 1118691
S/T Device Label-China 3.XX 1118692
AVAPS Device Lbl-China 3.XX 1118693
Warning Label1071729
(Dom. U.S.)1071596 (Int’l)
1071729 (Dom. U.S.)
1071596 (Int’l)
S/T, AVAPS Warning Label-CN, 3.XX
1118694 1118694
PR REMstar/BiPAP Air Inlet Seal 2.XX
1080757 1080757
PR REMstar/BiPAP Blower Kit 2.XX
1080758 1080758
PR REMstar/BiPAP Blower Cap 2.XX
1080759 1080759
PR REMstar/BiPAP Sound Abatement Foam 2.XX
1080760 1080760
BiPAP AVAPS C Series Top Enclosure 2.XX
1082723
BiPAP S/T C Series Top Enclosure 2.XX
1082722
PAGE 6-51118824, VER. 00
6.1 REPLACEMENT INSTRUCTIONS
6.1.1 REPLACING THE SD CARD SLOT COVER
FIGURE 6-1: SD CARD SLOT COVER LOCATION
TO REMOVE THE SD CARD SLOT COVER:
• Refer to Figure 6-2.
FIGURE 6-2: SD CARD SLOT COVER REMOVAL
TO INSTALL THE SD CARD SLOT COVER:
• Snap the SD Card Slot Cover into place on the back of the device.
Included in Kit Tools Required
• SD Card Slot Cover Small flat blade screwdriver
SD Card Slot
Power Inlet
Filter Area
Air Outlet Port
PAGE 6-6 1118824, VER. 00
6.1.2 REPLACING THE USER INTERFACE (UI) KNOB
FIGURE 6-3: UI KNOB LOCATION
To remove the UI Knob:
• Pull the UI Knob straight up from the UI stem. A small flat blade screwdriver may be used to care-fully pry the UI Knob from the device.
To Install the UI Knob:
1. Verify that the “D” clip is installed in UI Knob.
2. Align the flat side of “D” clip with the flat side of the UI stem.
3. Press the UI Knob onto the UI stem.
4. Rotate the UI knob and verify that it is secure and rotates freely.
FIGURE 6-4: “D” CLIP IN UI KNOB
Included in Kit Tools Required
• UI Knob Small flat blade screwdriver
NOTE
A “D” clip is installed in the UI Knob.
UI Knob
Keypad
“D” clip installed
PAGE 6-71118824, VER. 00
6.1.3 REPLACING THE RIGHT SIDE COVER
FIGURE 6-5: RIGHT SIDE COVER
TO REMOVE THE RIGHT SIDE COVER
1. Push the locking tab on the end of the Right Side Cover towards the device’s Outlet Port.
2. Lift the Cover away from the device.
FIGURE 6-6: RIGHT SIDE COVER LOCKING TAB
TO REMOVE THE RIGHT SIDE COVER
1. Insert the Right Side Cover, support tabs at the front of the device first, into it’s mounting location.
2. Press the Right Side cover fully into place. Verify that the locking tab snaps and secures the cover.
Included in Kit Tools Required
Right Side Cover None
NOTE
The Right Side Cover is used when there is noHumidifier present.
PAGE 6-8 1118824, VER. 00
6.1.4 REPLACING THE TOP COVER
FIGURE 6-7: TOP COVER (BIPAP AVAPS SHOWN)
TO REMOVE THE TOP COVER
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Place the device on a protected work surface and carefully turn it over to expose its bottom.
3. Using a Torx T15 screwdriver, remove the two #6 x 1-3/4” screws that secure the Top Cover to the Bottom Enclosure. Refer to Figure 6-8.
4. While securely holding the device together, carefully return it to its upright position.
5. Lift the Top Cover away from the Bottom Enclosure. The SD Card Slot Cover is loosely installed in the Top Cover.
6. The Keypad has a tendency to remain in the Top Cover. If necessary, remove the Keypad from the Top Cover and maintain it for installation in the replacement Top Cover.
Included in Kit Tools Required
Top Cover T15 Torx screwdriver
PAGE 6-91118824, VER. 00
FIGURE 6-8: SCREW LOCATION
To install the Top Cover:
1. Place the Top Cover onto the Bottom Enclosure.
2. Hold the device together and turn it over to expose its bottom.
3. Secure the Top Cover to the Bottom Enclosure using the two #6 X 1-3/4” screws. Torque screws to 10 in-lbs.
4. Assemble the remainder of the device as instructed in previous sections.
6.1.5 REPLACING THE UI PANEL
TO REMOVE THE USER INTERFACE PANEL
1. Remove the UI Knob. Refer to the Replacing the UI Knob section.
2. Gently peel back the User Interface Panel from the Top Cover
3. Remove any residual adhesive from the Top Cover.
TO INSTALL THE USER INTERFACE PANEL
1. Remove the protective backing from the new User Interface Panel
2. Install the User Interface Panel to the Top Cover ensuring the Panel fits within the recessed area.
NOTE
The SD Card Slot Cover is loosely installed in the TopCover. Use care when removing the Top Cover so asnot to lose the SD Card Slot Cover.
Torque screws to 10 in-lbs during installation.
PAGE 6-10 1118824, VER. 00
6.1.6 REPLACING THE KEYPAD
FIGURE 6-9: KEYPAD
To remove the Keypad:
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Keypad from the Top Cover.
To install the Keypad:
1. Place the Keypad in the Top Cover.
2. Assemble the remainder of the device as instructed in previous sections.
Included in Kit Tools Required
Keypad T15 Torx screwdriver
UI Knob
Keypad
PAGE 6-111118824, VER. 00
6.1.7 REPLACING THE END PANEL
FIGURE 6-10: OUTSIDE COVER
To remove the Outside Cover:
1. Remove the UI Knob. Refer to 6.1.2.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Slide the Outside Cover out of the Bottom Enclosure.
To Install the Outside Cover:
1. Slide the Outside Cover into the Bottom Enclosure.
2. Assemble the remainder of the device as instructed in previous sections.
Included in Kit Tools Required
End Panel T15 Torx screwdriver
PAGE 6-12 1118824, VER. 00
6.1.8 REPLACING THE MAIN PCA
FIGURE 6-11: MAIN PCA
To remove the Main PCA:
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Disconnect the wiring harnesses from the Main PCA. The wiring harnesses are indicated by red arrows in Figure 6-11.
4. Squeeze the standoffs, indicated by blue arrows in Figure 6-11, to release the Main PCA from its mounting location in the Bottom Enclosure.
5. Lift the PCA out of the Bottom Enclosure.
Included in Kit Tools Required
Main PCA T15 Torx screwdriver
PAGE 6-131118824, VER. 00
To Install the Main PCA:
1. Place the PCA in the Bottom Enclosure. Be sure that the Flow and Pressure (if applicable) Sen-sors properly align with the Flow Manifold.
FIGURE 6-12: FLOW MANIFOLD
2. Connect the wiring harnesses to the PCA.
3. Install the #4 x 1/2” screw.
4. Assemble the remainder of the device as instructed in previous sections.
CAUTION
The PCA’s Flow and Pressure Sensors must be in proper alignment withthe Flow Manifold. Otherwise, the device will not operate properly.
NOTE
Verify that the standoffs secure the PCA.
The PCA’s Flow and Pressure Sensors align here.
PAGE 6-14 1118824, VER. 00
6.1.9 REPLACING THE BLOWER CAP
FIGURE 6-13: BLOWER CAP
To remove the Blower Cap:
1. Remove the UI Knob. Refer to section 6.1.2.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
Included in Kit Tools Required
• Blower Cap
• #4 x 1/2” screw (x7)
• T8 Torx screwdriver
• T15 Torx screwdriver
Torque screws to 7 in-lbs during installation.
PAGE 6-151118824, VER. 00
4. Using a T8 Torx screwdriver, remove the seven #4 x 1/2” screws that secure the Blower Cap to the Bottom Enclosure. The screws are indicated by the white arrows in Figure 6-13.
5. Push the grommet and the Blower wiring harness through its mounting hole in the Blower Cap.
6. Remove the Blower Cap from the Bottom Enclosure.
To install the Blower Cap:
1. Insert the Blower wiring harness and grommet through its mounting hole in the Blower Cap. Verify that the grommet seats properly in the hole.
2. Align the Blower Cap with the Blower Housing in the Bottom Enclosure.
3. Secure the Blower Cap to the Blower Housing using the seven #4 x 1/2” screws.
4. Assemble the remainder of the device as instructed in previous sections.
PAGE 6-16 1118824, VER. 00
6.1.10 REPLACING THE BLOWER ASSEMBLY AND/OR THE BLOWER OUTLET BELLOWS
FIGURE 6-14: BLOWER ASSEMBLY AND BLOWER OUTLET BELLOWS
TO REMOVE THE BLOWER ASSEMBLY/OUTLET BELLOWS:
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Remove the Blower Cap.Refer to Replacing the Blower Cap
5. Lift the Blower Assembly out of the Blower Housing. Remove the Blower Outlet Bellows from the Blower Assembly.
To install the Blower Assembly/Outlet Bellows:
1. Place the Outlet Bellows onto the Blower Assembly.
Included in Kit Tools Required
• Blower Assembly
• Blower Outlet Bellows
• T8 Torx screwdriver
• T15 Torx screwdriver
Blower and Blower Outlet Bellows
Removed from Device
PAGE 6-171118824, VER. 00
2. Align the stands located on the bottom of the Blower Assembly with the holes in the Blower Hous-ing.
FIGURE 6-15: BLOWER INSTALLATION
3. Gently push the Blower Assembly into the Blower Housing.
4. Properly seat the Blower Outlet Bellows in the Blower Housing.
5. Assemble the remainder of the device as instructed in previous sections.
PAGE 6-18 1118824, VER. 00
6.1.11 REPLACING THE FLOW MANIFOLD
FIGURE 6-16: FLOW MANIFOLD
To remove the Flow Manifold:
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Lift the Flow Manifold off of the Right Side Assembly.
To install the Flow Manifold:
1. Place the Flow Manifold onto the Right Side Assembly as shown in Figure 6-16.
2. Assemble the remainder of the device as instructed in previous sections.
Included in Kit Tools Required
• Flow Manifold • T15 Torx screwdriver
NOTE
The other type is for devices that have a Pressure Sensor.
Flow Manifold
PAGE 6-191118824, VER. 00
6.1.12 REPLACING THE RIGHT PANEL ASSEMBLY
FIGURE 6-17: RIGHT PANEL ASSEMBLY
To remove the Right Panel Assembly:
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Remove the Blower Cap. Refer to Replacing the Blower Cap.
5. Remove the Flow Manifold. Refer to Replacing the Flow Manifold.
6. Lift the Right Panel Assembly out of the Bottom Enclosure.
To install the Right Panel Assembly:
1. Slide the Right Panel Assembly into the Bottom Enclosure.
2. Place the Flow Manifold onto the Right Panel Assembly as shown in Figure 6-17.
3. Assemble the remainder of the device as instructed in previous sections.
Included in Kit Tools Required
• Right Side Assembly • T8 Torx screwdriver
• T15 Torx screwdriver
PAGE 6-20 1118824, VER. 00
6.1.13 REPLACING THE HUMIDIFIER CABLE
FIGURE 6-18: HUMIDIFIER CABLE
To remove the Humidifier Cable:
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Remove the Blower Cap. Refer to Replacing the Blower Cap.
5. Remove the Right Panel Assembly. Refer to Replacing the Right Panel Assembly.
To install the Humidifier Cable:
1. Place the Humidifier Cable into the Bottom Enclosure. Be sure the Humidifier Cable is properly seated in its mounting location.
2. Assemble the remainder of the device as instructed in previous sections.
Included in Kit Tools Required
• Humidifier Cable • T8 Torx screwdriver
• T15 Torx screwdriver
Verify that key is facing upwards
during installation.
PAGE 6-211118824, VER. 00
6.1.14 REPLACING THE BLOWER HOUSING
FIGURE 6-19: BLOWER HOUSING
To remove the Blower Housing:
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Remove the Blower Cap. Refer to Replacing the Blower Cap.
5. Remove the Blower Assembly. Refer to Replacing the Blower Assembly and/or the Blower Outlet Bellows.
6. Remove the Right Panel Assembly. Refer to Replacing the Right Panel Assembly.
7. Remove the Humidifier Cable. Refer to Replacing the Humidifier Cable.
8. Release the four latches that secure the Blower Housing inside the Bottom Enclosure.
9. Lift the Blower Housing out of the Bottom Enclosure.
To install the Blower Housing:
1. Place the Humidifier Cable into the Bottom Enclosure. Be sure the Humidifier Cable is properly seated in its mounting location.
2. Press the Blower Housing into its mounting location in the Bottom Enclosure. Be sure that all four locking tabs secure the Housing.
3. Assemble the remainder of the device as instructed in previous sections.
Included in Kit Tools Required
Blower Housing • T8 Torx screwdriver
• T15 Torx screwdriver
PAGE 6-22 1118824, VER. 00
6.1.15 REPLACING THE ALARM ASSEMBLY AND/OR ALARM HOLDER
FIGURE 6-20: ALARM ASSEMBLY AND ALARM HOLDER
To remove the Alarm Assembly and Alarm Holder:
1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Remove the Blower Cap. Refer to Replacing the Blower Cap.
5. Remove the Blower Assembly. Refer to Replacing the Blower Assembly and/or the Blower Outlet Bellows.
6. Remove the Right Panel Assembly. Refer to Replacing the Right Panel Assembly.
7. Remove the Humidifier Cable. Refer to Replacing the Humidifier Cable.
8. Remove the Blower Housing. Refer to Replacing the Blower Housing.
9. Lift the Alarm Assembly and Housing out of the Bottom Enclosure.
10. Remove the Alarm Assembly from the Alarm Holder.
To install the Alarm Assembly and Alarm Holder:
1. Place the Alarm Assembly into the Alarm Holder as shown in Figure 6-20.
2. Route the Alarm Assembly Wires through the loop in the Alarm Holder as shown in Figure 6-20.
3. Place the Alarm Assembly and Alarm Holder into the Bottom Enclosure as shown in Figure 6-20.
Included in Kit Tools Required
• Alarm Assembly • T8 Torx screwdriver
• T15 Torx screwdriver
Included in Kit Tools Required
• Alarm Holder • T8 Torx screwdriver
• T15 Torx screwdriver
PAGE 6-231118824, VER. 00
4. Assemble the remainder of the device as instructed in previous sections.
PAGE 6-24 1118824, VER. 00
6.1.16 REPLACING THE SOUND ABATEMENT FOAM
FIGURE 6-21: SOUND ABATEMENT FOAM
TO REMOVE THE SOUND ABATEMENT FOAM:1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Remove the Blower Cap. Refer to Replacing the Blower Cap.
5. Remove the Blower Assembly. Refer to Replacing the Blower Assembly and/or the Blower Outlet Bellows.
6. Remove the Right Panel Assembly. Refer to Replacing the Right Panel Assembly.
7. Remove the Humidifier Cable. Refer to Replacing the Humidifier Cable.
8. Remove the Blower Housing. Refer to Replacing the Blower Housing.
9. Lift the Foam out of the Bottom Enclosure.
TO INSTALL THE SOUND ABATEMENT FOAM:
1. Place the Foam in the Bottom Enclosure as shown in Figure 6-21.
2. Assemble the remainder of the device as instructed in previous sections.
Included in Kit Tools Required
• Sound Abatement Foam • T8 Torx screwdriver
• T15 Torx screwdriver
PAGE 6-251118824, VER. 00
6.1.17 REPLACING THE AIR INLET SEAL
FIGURE 6-22: AIR INLET SEAL
TO REMOVE THE AIR INLET SEAL:1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Remove the Blower Cap. Refer to Replacing the Blower Cap.
5. Remove the Blower Assembly. Refer to Replacing the Blower Assembly and/or the Blower Outlet Bellows.
6. Remove the Right Panel Assembly. Refer to Replacing the Right Panel Assembly.
7. Remove the Humidifier Cable. Refer to Replacing the Humidifier Cable.
8. Remove the Blower Housing. Refer to Replacing the Blower Housing.
TO INSTALL THE AIR INLET SEAL:
1. Install the Air Inlet Seal in the Bottom Enclosure. Verify that it is flush with the Bottom Enclosure and fully seated on the two prongs as shown in Figure 6-22.
2. Assemble the remainder of the device as instructed in previous sections.
Included in Kit Tools Required
Air Inlet Seal • T8 Torx screwdriver
• T15 Torx screwdriver
PAGE 6-26 1118824, VER. 00
6.1.18 REPLACING THE BOTTOM ENCLOSURE
FIGURE 6-23: BOTTOM ENCLOSURE
TO REPLACE THE BOTTOM ENCLOSURE:1. Remove the UI Knob. Refer to Replacing the User Interface (UI) Knob.
2. Remove the Top Cover. Refer to Replacing the Top Cover.
3. Remove the Main PCA. Refer to Replacing the Main PCA.
4. Remove the Blower Cap. Refer to Replacing the Blower Cap.
5. Remove the Blower Assembly. Refer to Replacing the Blower Assembly and/or the Blower Outlet Bellows.
6. Remove the Right Panel Assembly. Refer to Replacing the Right Panel Assembly.
7. Remove the Humidifier Cable. Refer to Replacing the Humidifier Cable.
8. Remove the Blower Housing. Refer to Replacing the Blower Housing.
9. Remove the Sound Abatement Foam. Refer to Replacing the Sound Abatement Foam.
10. Remove the Air inlet Seal. Refer to Replacing the Air Inlet Seal.
11. Install all the components into the new Bottom Enclosure and assemble the device as instructed in previous sections.
Included in Kit Tools Required
• Bottom Enclosure • T8 Torx screwdriver
• T15 Torx screwdriver
PAGE 6-271118824, VER. 00
6.2 CLEANING THE DEVICE
1. Unplug the device, and wipe the outside of it with a cloth slightly dampened with water and a mild detergent. Let the device dry completely before plugging in the power cord.
2. Inspect the device and all circuit parts for damage after cleaning. Replace any damaged parts.
6.3 CLEANING AND REPLACING THE FILTERS
Under normal usage, you should clean the gray foam filter at least once every two weeks and replace it with anew one every six months. The white ultra-fine filter is disposable and should be replaced after 30 nights of useor sooner if it appears dirty. DO NOT clean the ultra-fine filter.
1. Disconnect the device from the power source.
2. Remove the filter(s) from the enclosure by gently squeezing the filter in the center and pulling it away from the device.
3. Examine the filter(s) for cleanliness and integrity.
4. Wash the gray foam filter in warm water with a mild detergent. Rinse thoroughly to remove all detergent residue. Allow the filter to air dry completely before reinstalling it. If the foam filter is torn, replace it. Only Respironics-supplied filters should be used as replacement filters.
5. If the white ultra-fine filter is dirty or torn, replace it.
6. Reinstall the filters, inserting the white ultra-fine filter first if applicable.
WARNING
To avoid electrical shock, always unplug the powercord from the wall outlet before cleaning the device.
CAUTION
Do not immerse the device in liquid or allow any liquidto enter the enclosure, inlet filter, or any opening.
CAUTION
Operating the device with a dirty filter may keep the systemfrom working properly and may damage the device.
CAUTION
Dirty inlet filters may cause high operating temperatures that may affect deviceperformance. Regularly examine the inlet filters as needed for integrity and cleanliness.
CAUTION
Never install a wet filter into the device. You mustensure sufficient drying time for the cleaned filter.
PAGE 6-28 1118824, VER. 00
6.4 CLEANING THE PATIENT TUBING
Disconnect the flexible tubing from the device. Gently wash the tubing in a solution of warm water and a milddetergent. Rinse thoroughly and allow the tubing to air dry. The patient tubing should be cleaned daily.
6.5 CLEANING THE HUMIDIFIER TANK
1. Turn the therapy device off and allow approximately 15 minutes for the heater plate and water to cool.
2. Disconnect the Patient Tubing from the device.
3. Remove the Humidifier Tank Assembly. Empty any remaining water.
4. Separate the Humidifier Tank Lid from the Humidifier Tank Base. Refer to Figure 6-24.
FIGURE 6-24: SEPARATING THE HUMIDIFIER TANK LID FROM THE TANK BASE
5. Wash the Humidifier Tank Lid and Tank Base by hand in a solution of warm water and mild dish-washing soap.
6. Inspect all parts for damage prior to reassembly.
7. Reassemble the Humidifier Tank.
8. Fill the Humidifier Tank to the fill line. Inspect the Humidifier Tank for any leaks or damage. Replace the entire Humidifier Tank Assembly if damaged.
NOTE
Hand washing The Humidifier Tank can be performed daily.
WARNING
• Empty and clean the Humidifier Tank daily to prevent mold and bacteria growth.
• Allow the water in the Humidifier Tank to cool to room temperature beforeremoving the chamber from the humidifier.
Middle Seal
Hinge s
Tab
Water ChamberBase
Water ChamberLid
Hinge s
PAGE 6-291118824, VER. 00
6.6 SYSTEM RUN-IN1. Connect the 0.25” Test Orifice to the Outlet Coupler of the device.
2. Enter the Provider Setup Mode and set the device’s output pressure to its maximum setting.
3. Turn on the device’s Blower and allow it to run-in for a minimum of eighteen (18) minutes.
PAGE 6-30 1118824, VER. 00
This page intentionally blank.
PAGE 7-11118824, VER. 00
CHAPTER 7: HUMIDIFIER REPAIR AND REPLACEMENT
This section illustrates the names and locations of the replaceable components in the System One Humidifier.
7.0 HUMIDIFIER REPLACEMENT PART (RP) KITS
7.1 BENCH CHECKOUT
Prior to performing repair and replacement procedures on the device:
1. Visually inspect the outside of the device for physical damage and broken or missing parts.
2. Connect the Humidifier to the NIV device and verify that the Heater Plate works (i.e., does it get warm?)
3. Perform repairs to the device as necessary.
WARNING
To prevent electrical shock, disconnect the Humidifier from theNIV device before attempting to make any repairs.
CAUTION
Components used in this device are subject to damage from static electricity.Repairs made to this device must be performed only in an antistatic, Electro-Static Discharge (ESD) protected environment.
RP KIT NAME PART NO. RP KIT NAME PART NO.
Dry Box Assembly 1064803 Inlet Seal (included w/Dry Box Seal) 1064804
Dry Box Seal (included w/Inlet Seal) 1064804 Outside Cover 1064808
Flip Lid Assembly 1064805 Slider Docking Latch 1064797
Heater Plate 1064806 Top Seal 1064798
Heater Plate Spring 1064807 Torx Screwdriver Kit 1040889
Humidifier Bottom Housing 1064799 Water Chamber (Dom. U.S.) 1063785
Humidifier Lower Base 1064800 Water Chamber (Int’l) 1066737
Humidifier Top Housing 1064801 Humidifier Tank Top Seal 1064798
PAGE 7-2 1118824, VER. 00
7.2 REPLACEMENT INSTRUCTIONS
Refer to the flow chart provided below to help you to determine which components must be removed whenperforming repairs.
PAGE 7-31118824, VER. 00
7.2.1 REPLACING THE WATER CHAMBER ASSEMBLY
FIGURE 7-1: WATER CHAMBER ASSEMBLY
To remove the Water Chamber Assembly:
1. Gently squeeze the latch on the Flip Lid Assembly to release it and lift the Flip Lid Assembly.
2. Pull the Humidifier Tank Assembly out of the Humidifier.
To Install the Humidifier Tank Assembly:
1. With the Flip Lid Assembly in the up position, push the Tank Assembly into the Humidifier.
2. Be sure the Tank assembly is fully seated with the Dry Box Seal.
3. Close the Flip Lid Assembly.
Included in Kit Tools Required
• Tank Assembly None
PAGE 7-4 1118824, VER. 00
7.2.2 REPLACING THE TANK TOP SEAL
FIGURE 7-2: TANK TOP SEAL
TO REMOVE THE TANK TOP SEAL:
1. Remove the Humidifier Tank Assembly. Refer to Replacing the Water Chamber Assembly.
2. Remove the Tank Top Seal from the Flip Lid Assembly.
TO INSTALL THE TANK TOP SEAL:1. Lift the Flip Lid Assembly.
2. Press the Tank Top Seal onto the Patient Outlet Swivel Clip.
Included in Kit Tools Required
• Tank Top Seal None
PAGE 7-51118824, VER. 00
7.2.3 REPLACING THE DRY BOX SEAL
FIGURE 7-3: DRY BOX SEAL
TO REMOVE THE DRY BOX SEAL:1. Remove the Humidifier Tank Assembly. Refer to Replacing the Water Chamber Assembly.
2. Remove the Dry Box Seal.
Included in Kit Tools Required
• Dry Box Seal
• Inlet Seal
None
PAGE 7-6 1118824, VER. 00
FIGURE 7-4: DRY BOX SEAL REMOVAL
TO INSTALL THE DRY BOX SEAL:
1. Insert the narrow side of the Dry Box Seal into the Dry Box Assembly.
2. Verify that the Dry Box Seal is fully Seated in the Dry Box Assembly.
FIGURE 7-5: DRY BOX SEAL INSTALLATION
It is not necessary to remove the Flip Lid
Assembly.
Narrow Side of the Seal
PAGE 7-71118824, VER. 00
7.2.4 REPLACING THE DRY BOX ASSEMBLY/HUMIDIFIER INLET SEAL
FIGURE 7-6: BLOWER CAP
TO REMOVE THE DRY BOX ASSEMBLY/HUMIDIFIER INLET SEAL:
1. Remove the Humidifier Tank Assembly. Refer to .
2. Insert a flat blade screwdriver into the hole located on the back of the Humidifier and lightly press inward to release the Dry Box Assembly. Refer to Figure 7-7.
3. Remove the Dry Box Assembly with Inlet Seal.
Included in Kit Tools Required
• Dry Box Assembly
• Inlet Seal
• Dry Box Seal
Flathead Screwdriver
CAUTION
Do not press firmly on the screwdriver as damage tothe Humidifier may occur.
Dry Box Assembly
Inlet Seal
PAGE 7-8 1118824, VER. 00
4. Remove the Inlet Seal from the Dry Box Assembly.
FIGURE 7-7: DRY BOX SEAL REMOVAL
TO INSTALL THE DRY BOX ASSEMBLY/HUMIDIFIER INLET SEAL:
1. Install The Inlet Seal onto the Dry Box Assembly if necessary.
2. Slide the Dry Box Assembly with Inlet Seal into its mounting location in the Humidifier Bottom Housing. Verify that the Dry Box Assembly with Inlet Seal are secured and do not fall out of the Housing.
Do not press firmly on the screwdriver handle. Very light
pressure is needed to release the Dry Box Assembly.
PAGE 7-91118824, VER. 00
7.2.5 REPLACING THE FLIP LID ASSEMBLY
FIGURE 7-8: FLIP LID ASSEMBLY
TO REMOVE THE FLIP LID ASSEMBLY :1. Remove the Humidifier Tank Assembly. Refer to Replacing the Water Chamber Assembly.
2. Using a screwdriver or similar probing tool, push in on the latches that secure the Flip Lid Assem-bly to the Humidifier Top Housing. Refer to Figure 7-9.
FIGURE 7-9: FLIP LID ASSEMBLY REMOVAL
Included in Kit Tools Required
• Flip Lid Assembly
• Tank Top Seal
None
PAGE 7-10 1118824, VER. 00
Continue to bend the Flip Lid Assembly completely backwards until it is completely removed.
For Heated Tube devices, remove the wire harness from the base.
PAGE 7-111118824, VER. 00
7.2.6 REPLACING THE HUMIDIFIER TOP HOUSING
FIGURE 7-10: HUMIDIFIER TOP HOUSING
TO REMOVE THE HUMIDIFIER TOP HOUSING:
1. Remove the Humidifier Tank Assembly. Refer to Replacing the Water Chamber Assembly.
2. Using a T8 Torx screwdriver, remove the four #4 x 1/2” screws that secure the Top Housing to the Humidifier Bottom Housing.
3. Lift the Top Housing off of the Bottom Housing.
TO INSTALL THE HUMIDIFIER TOP HOUSING:
1. Place the Top Housing onto the Bottom Housing.
2. Secure the Top Housing to the Bottom Housing using the four #4 x 1/2” screws.
Included in Kit Tools Required
• Top Housing
• #4 X 1/2” screw (x4)
T8 Torx Screwdriver
PAGE 7-12 1118824, VER. 00
7.2.7 REPLACING THE HUMIDIFIER OUTSIDE COVER
FIGURE 7-11: OUTSIDE COVER
TO REMOVE THE HUMIDIFIER TOP HOUSING:
1. Remove the Humidifier Tank Assembly. Refer to Replacing the Water Chamber Assembly.
2. Remove the Flip Lid Assembly. Refer to Replacing the Flip Lid Assembly.
3. Remove the Top Housing. Refer to Replacing the Humidifier Top Housing.
4. Slide the Outside Cover out of the Bottom Housing.
TO INSTALL THE OUTSIDE COVER:
• Slide the Outside Cover into the Bottom Housing.
Included in Kit Tools Required
• Outside Cover T8 Torx Screwdriver
PAGE 7-131118824, VER. 00
7.2.8 REPLACING THE HUMIDIFIER BOTTOM HOUSING
FIGURE 7-12: HUMIDIFIER BOTTOM HOUSING
TO REMOVE THE HUMIDIFIER BOTTOM HOUSING:1. Remove the Humidifier Tank Assembly. Refer to Replacing the Water Chamber Assembly.
2. Remove the Flip Lid Assembly. Refer to Replacing the Flip Lid Assembly.
3. Remove the Dry Box Assembly with Inlet Seal. Refer to Replacing the Dry Box Assembly/Humidi-fier Inlet Seal.
4. Remove the Top Housing. Refer to Replacing the Humidifier Top Housing.
5. Remove the Outside Cover. Refer to Replacing the Humidifier Outside Cover.
6. Remove the Left Side Panel.
7. Using a T15 Torx screwdriver, remove the four #6 x 1/4” screws that secure the Bottom Housing to the Lower Base Assembly.
TO INSTALL THE HUMIDIFIER BOTTOM HOUSING:
Included in Kit Tools Required
• Bottom Housing (with Left Side Panel)
• #6 X 1/4” screw (x4)
• T8 Torx Screwdriver
• T15 Torx Screwdriver
Torque screws to 5 in.-lbs. (x4)
PAGE 7-14 1118824, VER. 00
1. Place the Bottom Housing onto the Lower Base Assembly.
2. Verify that the Heater Plate Wiring Harness is properly routed in the Lower Base Assembly and not at risk of being pinched or damaged.
3. Using the four #6 x 1/4” screws, secure the Bottom Housing to the Lower Base Assembly. Torque the screws to 5 in.-lbs.
CAUTION
Route the Heater Plate wiring harness so as not to causedamage during installation of the Humidifier Bottom Housing.
PAGE 7-151118824, VER. 00
7.2.9 REPLACING THE HEATER PLATE ASSEMBLY
FIGURE 7-13: HEATER PLATE ASSEMBLY
To remove the Heater Plate Assembly:
1. Remove the Humidifier Tank Assembly. Refer to Replacing the Water Chamber Assembly.
2. Remove the Flip Lid Assembly. Refer to Replacing the Flip Lid Assembly.
3. Remove the Dry Box Assembly with Inlet Seal. Refer to Replacing the Dry Box Assembly/Humidi-fier Inlet Seal.
4. Remove the Top Housing. Refer to Replacing the Humidifier Top Housing.
5. Remove the Outside Cover. Refer to Replacing the Humidifier Outside Cover.
6. Remove the Humidifier Bottom Housing. Refer to Replacing the Humidifier Bottom Housing.
7. Remove the Heater Plate Assembly.
To install the Heater Plate Assembly:
Included in Kit Tools Required
• Bottom Housing (with Left Side Panel)
• #6 X 1/4” screw (x4)
• T8 Torx Screwdriver
• T15 Torx Screwdriver
PAGE 7-16 1118824, VER. 00
1. Place the Heater Plate Assembly into the Humidifier Lower Base as shown in Figure 7-14. Be sure that the Heater Plate Spring is properly seated under the Heater Plate.
FIGURE 7-14: HEATER PLATE INSTALLATION
2. Secure the Bottom Housing to the Lower Base using the four #6 x 1/4” screws and assemble the remainder of the device as necessary.
The Heater Plate Assembly is secured by two small tabs.
PAGE 7-171118824, VER. 00
FIGURE 7-15 HEATER PLATE ASSY HEATED TUBE
PAGE 7-18 1118824, VER. 00
7.2.10 REPLACING THE SLIDER DOCKING LATCH
FIGURE 7-16: HEATER PLATE ASSEMBLY
To remove the Heater Plate Assembly:
1. Remove the Humidifier Tank Assembly. Refer to Replacing the Water Chamber Assembly.
2. Remove the Flip Lid Assembly. Refer to Replacing the Flip Lid Assembly.
3. Remove the Dry Box Assembly with Inlet Seal. Refer to Replacing the Dry Box Assembly/Humidi-fier Inlet Seal.
4. Remove the Top Housing. Refer to Replacing the Humidifier Top Housing.
5. Remove the Outside Cover. Refer to Replacing the Humidifier Outside Cover.
6. Remove the Humidifier Bottom Housing. Refer to Replacing the Humidifier Bottom Housing.
7. Remove the Heater Plate Assembly.
To install the Heater Plate Assembly:
Included in Kit Tools Required
• Bottom Housing (with Left Side Panel)
• #6 X 1/4” screw (x4)
• T8 Torx Screwdriver
• T15 Torx Screwdriver
PAGE 7-191118824, VER. 00
1. Place the Heater Plate Assembly into the Humidifier Lower Base as shown in Figure 7-14. Be sure that the Heater Plate Spring is properly seated under the Heater Plate.
FIGURE 7-17: HEATER PLATE INSTALLATION
2. Secure the Bottom Housing to the Lower Base using the four #6 x 1/4” screws and assemble the remainder of the device as necessary.
The Heater Plate Assembly is secured by two small tabs.
PAGE 7-20 1118824, VER. 00
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PAGE 8-11118824, VER. 00
CHAPTER 8: TESTING
8.0 SECTION OVERVIEW
This section provides run-in, performance verification, and manual software testing procedures for the NIVdevices. Calibration is necessary when a repair has been made to the device. However, these procedures maybe used in conjunction with the performance verification to determine that the device is functioning properly.Verification shall be performed at periodic intervals commensurate with hospital or Home Care Providerguidelines for preventive maintenance, between rentals, after the device has been repaired, or during normalpatient usage.
Calibration and testing requires the use of Respironics Utility Software. Before proceeding, log on to http://my.respironics.com and download the Utility Software onto your PC.
8.1 REQUIRED EQUIPMENT
• Link Module (RI p/n 1074113) with DB9F-DB9M Cable
• Respironics Utility Tools Software (download from: http://my.respironics.com)
• Digital Manometer (RI p/n 302227, or equivalent) with Pressure Tubing
• Windows®-compatible personal computer (PC) running Windows XP or 7 version software
• Printer
• Flow meter (range: +180 to -180 lpm, 3% accuracy, 1 lpm resolution)
• Flow control valve (RI p/n 1037985)
• O2 Enrichment Attachment (312710)
• Negative flow source (any CPAP capable of delivering 20 cm H2O)
• Smooth-Bor Patient Tubing (RI p/n 301016)
• System One Heated Humidifier
• Whisper Swivel® II (RI p/n 332113)
• End Cap (not available from Respironics), or similar device
• Any commercially available Barometer that displays atmospheric pressure in inches of mercury (Hg)
8.2 SYSTEM VERIFICATION
Perform the following:
1. Record the Serial Number and Model Number of the device on the data sheet.
2. Connect the device to a System One Humidifier. Ensure that gray foam filter is installed in the device.
NOTE
• Make photocopies of the Test Data Sheet located on page 15.
• When testing is complete, and before patient use, adjust the device to theappropriate patient settings.
PAGE 8-2 1118824, VER. 00
3. Connect the device to the proper line voltage (depending on the model of the device; Domestic U.S. or International) and record the line voltage used for testing.
4. Record the blower hours of the device on the test data sheet.
5. Connect the patient tubing to the Humidifier’s outlet port. Refer to Figure 8-1.
6. Connect the Whisper Swivel II to the end of the patient tubing. Refer to Figure 8-1.
7. Place the O2 Enrichment Attachment on the end of the Whisper Swivel. Refer to Figure 8-1.
8. Place the end cap on the end of the O2 Enrichment Attachment. Refer to Figure 8-1.
9. Connect a Digital Manometer to the pressure pick-off on the O2 Enrichment Attachment.
10. Enter the device’s Provider Menu. Refer to Chapter 4 (Setup) if necessary.
FIGURE 8-1: PRESSURE VERIFICATION SETUP
11. Set the device to CPAP Mode and the pressure value to four (4) cm H2O.
12. Exit the therapy menu and turn on the device’s airflow.
13. Record the manometer reading on the test data sheet.
14. Enter the device’s Provider Menu and set the CPAP pressure value to 20 cm H2O.
15. Set the device to the S mode and set the IPAP pressure to ten (10) cm H2O and EPAP pressure to 5 cm H2O.
16. Remove the end cap.
17. Occlude then open the outlet repeatedly and verify that the device switches between IPAP and EPAP mode on the display screen. Record results on the test data sheet.
End Cap
O2 Enrichment Attachment
Whisper Swivel II
PAGE 8-31118824, VER. 00
18. Set the device to the S/T mode and set the IPAP pressure to ten (10) cm H2O, the EPAP pressure to five (5) cm H2O, BPM to 10, and Ti to 2.0.
19. Verify that the device switches between IPAP and EPAP mode on the display screen and record the results on the test data sheet.
20. While still in the provider menu, activate the ramp mode.
21. Once the device has achieved the set IPAP and EPAP pressure, press the ramp button.
22. Enter the device’s Provider Menu and set the output pressure to ten (10) cm H2O.
23. Set the Ramp Time to 5 and the Ramp Start to four (4) cm H2O.
24. Turn on the device’s air flow then press the ramp button.
25. Observe the display on the manometer until the pressure increases at least one (1) cm H2O. Record the results on the data sheet.
ALARM VERIFICATION
Maintain the testing configuration as used at the end of system verification.
• Patient Disconnect Alarm Test
a. Set the device to S mode.
b. Set the Apnea Alarm setting to 0 (Off).
c. Set the Patient Disconnect Alarm setting to 15 sec.
d. Exit Provider Mode and remove the test orifice.
e. Verify that the Patient Disconnect Alarm occurs in approximately 15 seconds.
f. Press the Alarm Silence button to silence the alarm, and wait for one minute until the alarm sounds again.
g. Press the UI Knob button to clear the alarm.
h. Replace the test orifice.
i. Simulate a breathing pattern by occluding and opening the outlet port to correct the alarm con-dition.
j. Set the Patient Disconnect Alarm setting to 0 (Off).
• Apnea Alarm Test
a. Set the Apnea Alarm setting to 10 sec.
b. Simulate breathing by alternately occluding and opening the outlet port.
c. Occlude the outlet port and verify that the Apnea alarm occurs in approximately 10 seconds.
d. Press the UI Knob to clear the alarm.
e. Set the Apnea Alarm setting to 0 (Off).
• Minute Ventilation Alarm Test
a. Simulate six breaths by alternately occluding and opening the outlet port for 2 seconds each.
b. Set the Minute Ventilation Alarm setting to 10.0 LPM.
c. Simulate one or two breaths by occluding and opening the outlet port.
NOTE
The red high priority alarm indicator light flashes when the alarm condition has subsided, or ifthe alarm has been silenced. The light will continue to flash until the alarm has been cleared.
PAGE 8-4 1118824, VER. 00
d. Verify that the Minute Ventilation alarm occurs.
e. Press the UI Knob to clear the alarm.
f. Set the Minute Ventilation Alarm setting to Off.
• Loss of Input Power Alarm Test
a. While the device is still operating, disconnect the power cord from the device.
b. Verify that a Loss of Input Power alarm sounds.
c. Reconnect power to stop the alarm.
8.3 MANUAL SOFTWARE TESTING
This procedure must be performed after:
• The device has been repaired and
• The Real-time Clock has been calibrated.
NOTE
When testing is complete, and before patient use, adjust the device to theappropriate patient settings.
Item # Description Item # Description
1 Link Module 6 18” patient Tubing (x3)
2 DB9F-DB9M Cable 7 Any CPAP Device (for Neg. Flow)
3 Whisper Swivel II (Not used in Manual Testing) 8 Flow Valve
4 O2 Enrichment Attachment w/End Cap 9 Flow Meter
5 Digital Manometer Personal Computer (not shown)
2
3
4
7
1
8
9
5
6
PAGE 8-51118824, VER. 00
DOWNLOADING SOFTWARE
You must be a registered user to download Respironics Service Software. If you are not a registered user, goto http://my.respironics.com and complete the on-line registration process. For testing the NIV Devices, youmust download both the Service Center Tools Suite (version 3.0, at the time of publication of this manual) andthe appropriate manual test software.
Once you have access to download the software, perform the following:
1. Log into http://my.respironics.com.
2. Click on the Service Software and Documentation link.
FIGURE 8-2: DOWNLOADING OPERATING SOFTWARE
NOTE
• This procedures requires the use of the Respironics Service Center Tools Suite, and Service CenterManual Test software. The software can be obtained from http://my.respironics.com.
• You must be a registered user to download Respironics Service Software. If you are not a registereduser, go to http://my.respironics.com and complete the on-line registration process.
NOTE
In the event that you are unable to access http://my.respironics.com, log onto http://servicesoftware.respironics.com to download Respironics service software.
Login Here
http://my.respironics.com
Service Software and Documentation Link
PAGE 8-6 1118824, VER. 00
3. Click on “Utility Tools”.
FIGURE 8-3: SERVICE SOFTWARE MENU
4. Click on the “Download” button adjacent to the software you wish to download.
FIGURE 8-4: DOWNLOAD SOFTWARE
Click Here
PAGE 8-71118824, VER. 00
5. The installation wizard will guide you through the upgrade process. Follow the on-screen prompts to complete the upgrade process.
FIGURE 8-5: SECURITY
9. Click on Run to install the software onto your PC, or click on Save to download the software and save it to a specific location on your PC. Click Save if you wish to copy the software to a CD ROM and install it on other PCs.
FIGURE 8-6: RUN OR SAVE?
NOTE
• Respironics recommends that you use the Service Center Tools Suite software toClear the device’s error log.
• Remember to periodically log onto http://my.respironics.com and check forsoftware upgrades.
NOTE
Clicking on “Run” installs the software onto your PC. The programwill be accessible from the Start menu in your Windows Task bar.
If this Appears, Right-click Here and Select “Download File...”
PAGE 8-8 1118824, VER. 00
REAL-TIME CLOCK CALIBRATION
The devices record and track, in real-time, several different parameters (e.g. patient pressures, apnea events,when and how the device is used, error codes, etc.) You must calibrate the device’s Real-time Clock (RTC)prior to performing any testing, otherwise the device will fail.
TO CALIBRATE THE DEVICE’S RTC:
1. Ensure AC power is connected to the device.
2. Connect the device to com port 1 (COM1) of your computer via the Link Module and DB9F-DB9M Cable. Refer to Section 1.3 for information on connecting the device to a PC.
3. Open Service Center Tools from the Start menu.
FIGURE 8-7: START MENU
PAGE 8-91118824, VER. 00
4. When you open the Service Center Tools Suite software, select “Real Time Clock Calibration” from the drop-down menu, then click on the “Execute Tool” button.
FIGURE 8-8: EXECUTE “REAL TIME CLOCK CALIBRATION” TOOL
5. Once the Real-Time Clock Calibration tool has been launched, click on “Set RT Clock” button to calibrate the Real-time Clock. A dialog box appears once the RTC has been successfully cali-brated.
FIGURE 8-9: RTC CALIBRATION
PAGE 8-10 1118824, VER. 00
PERFORMING TESTING USING THE SERVICE CENTER MANUAL TEST SOFTWARE
The Final Manual Test must be performed after repairs have been made to the device, the RTC has beencalibrated, and the device has been run in for two hours.
1. Before starting the test, perform the following (refer to Figure 8-10):
• Connect the device to com port 1 (COM1) of your computer via the Link Module and DB9F-DB9M Cable (if not already connected). Refer to Section 1.3 for information on connecting the device to a PC.
• Connect the O2 Enrichment Attachment (occluded) to the Outlet Port of the Device.
• Attach the Pressure Tubing to the O2 Enrichment Attachment and the manometer.
FIGURE 8-10: MANUAL CALIBRATION INITIAL SETUP
2. Turn on the manometer and verify that it is functioning properly.
3. Launch the Service Center Manual Test from the Windows Start menu. Refer to Figure 8-11.
NOTE
You must clear the device’s error log before and after testing is performed.
Device Connected to Computer via Link Module and DBPF-DB9M Cable
PAGE 8-111118824, VER. 00
FIGURE 8-11: START MENU
4. Follow the on-screen prompts to continue with the test. When prompted, connect the Flow Control Valve and Flow Meter to the device, as shown in Figure 8-12.
FIGURE 8-12: FLOW METER AND FLOW VALVE
NOTE
At the beginning of the test, a prompt to conduct a Humidifier testappears. Respironics suggests conducting the Humidifier test if thedevice is expected to be used with a Humidifier.
To PC
Flow Meter
Valve
PAGE 8-12 1118824, VER. 00
5. Continue following the on-screen prompts.
FIGURE 8-13: INCREASE/DECREASE FLOW
6. When prompted, connect any CPAP device capable of delivering 20 cm H2O to the Flow Meter using 18” patient tubing. The program will now calibrate negative flow.
FIGURE 8-14: APPLY NEGATIVE FLOW SOURCE
NOTE
Be sure the CPAP device being used for negative flow is set to20 cm H2O and turned on.
Click Here
PAGE 8-131118824, VER. 00
FIGURE 8-15: SYSTEM CALIBRATION WITH NEGATIVE FLOW SOURCE
Once testing is complete, a test data sheet will appear. Click on the “Print” button to print the test results andfile the test data sheet accordingly.
8.4 HEATER PLATE TEST
Perform the following:
1. Connect the Patient Tubing with Whisper Swivel II and Test Orifice with End Cap to the Humidi-fier’s Outlet Port.
2. Remove the Humidifier Tank from the device’s Heater Plate (if necessary).
FIGURE 8-16: HUMIDIFIER ICON
IMPORTANT NOTE
During the negative flow portion of testing, the flow meter may display a positive value.However, you must enter a negative sign (-) when prompted by the software.
To PC
Humidifier Icon is Displayed Here if
Setting is not “0” (Off)
PAGE 8-14 1118824, VER. 00
3. Turn the Blower “On”.
4. Turn the UI Knob to any setting other than “0” and verify the following:
• The Humidifier Icon is displayed, and
• The Heater Plate gets warm.
5. Record the result on the test data sheet on page 15.
8.5 READING/VERIFYING THE DEVICE’S SERIAL NUMBER AND MODEL NUMBER
To read or verify the serial number and model number of the device, perform the following:
1. Connect the device to a PC. Refer to Chapter 1 for information on connecting the device to a PC.
2. Apply power to the device.
3. Open the Service Center Tools Suite from the Windows Start Menu.
4. Select Read Serial Number & Model Number from the drop-down menu.
5. Click on the Execute Tool button.
6. The serial number and model number of the device will be displayed.
NOTE
The Read Serial Number & Model Number tool can be used only on the NIVdevices, not the System One Heated Humidifier.
PAGE 8-151118824, VER. 00
SYSTEM VERIFICATION DATA SHEET
Notification # (if applicable):
Model #/Serial #: /
Model Name:
Line Voltage:
Blower Hours
Pressure Verification Result (Circle one)
@ 4 cmH20 + 1 cmH20 PASS / FAIL
@ 20 cmH20 + 2 cmH20 PASS / FAIL
System Verification
Type Result (Circle one)
Trigger Performance PASS / FAIL
Ramp Performance PASS / FAIL
S Mode Trigger Performance PASS / FAIL
Alarm Verification
Alarm Type Result (Circle one)
Patient Disconnect PASS / FAIL
Apnea PASS / FAIL
Minute Ventilation PASS / FAIL
Loss of Input Power PASS / FAIL
Humidifier Test
Heater Plate warms when Heat setting is set to 1, 2, 3, 4, or 5 PASS / FAIL (circle one)
NOTE
If the device does not pass all tests, perform repairs as necessary and retest the device.
Tested By (Print / Sign): / Date: / /
PAGE 8-16 1118824, VER. 00
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PAGE 9-11118824, VER. 00
CHAPTER 9: SCHEMATICS
9.0 PROPRIETARY STATEMENT
Schematics are supplied in direct support of the sale and purchase of this product.
The Schematics are proprietary and confidential. Do not copy the schematics or disclose them to third partiesbeyond the purpose for which they are intended.
The schematics are intended to satisfy administrative requirements only. They are not intended to be used forcomponent level testing and repair. Any changes of components could effect the reliability of the device,prohibit lot tracking of electronic components, and void warranties. Repairs and testing are supported only atthe complete board level.
The schematics are of the revision level in effect at the time this manual was last revised. New revisions may ormay not be distributed in the future.
PAGE 9-2 1118824, VER. 00
PAGE 9-31118824, VER. 00
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PAGE 9-4 1118824, VER. 00
AP
PR
BY
:
DR
N B
Y:
CH
K B
Y:
PR
OC
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S:
PR
OD
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15-I/
SN
PAGE 9-51118824, VER. 00
RE
VC
/N
AP
PR
BY
:
DR
N B
Y:
CH
K B
Y:
PR
OC
ES
S:
PR
OD
UC
T LI
NE
:
SIZ
E
SC
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TITL
E:
DR
AW
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NO
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1:1
SH
EE
TO
F4
5E
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SE
DM
SE
DM
SE
DM
S
D.R
ON
EY
5.14
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9
SC
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GN
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1
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1
23
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SS
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ER
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33.2
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33.2
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ER
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T_S
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CH
RA
MP
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ITC
H
HU
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IFIE
R_S
ET_
LED
0
R46
833
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HU
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IFIE
R_S
ET_
LED
3
R46
533
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RA
MP
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D
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633
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ER
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BU
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LOW
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BU
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H
UA
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RX
D
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ED
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T
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633
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RT_
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D
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IFIE
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TER
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ER
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T_A
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ER
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IFIE
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ET_
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UM
IDIF
IER
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T_LE
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R46
933
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33.2
HU
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IFIE
R_S
ET_
LED
4
R46
433
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434
33.2
R20
933
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211
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SS
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SI
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RT
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733
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633
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4V
SS
1C
S2
SO
5S
I
7H
OLD
8V
DD
3W
P6
SC
K
U15
*
1
2 3
NTR
4502
Q11
8VSSQ
56VSSQ
105VSSQ
103X2_CPU
41X2_RTC
16VSS
113VSS
17 VDD
112 VDD
23 VDDQ
73 VDDQ
120 VDDQ
40VSSQ
87VSSQ
72VSSQ
24VSSQ
121VSSQ
42X1_RTC
82VSS
48VSS81 VDD
49 VDD
57 VDDQ
43 VDDQ
39 VBATT
89R
ES
ET_
IN
75E
MI_
RD
13P
7.3
80P
5.7
70P
5.4
95U
SB
DN
126
P4.
5
1P
4.2
122
AV
DD
109
P1.
4
99P
1.1
118
P7.
6
93P
6.7
68P
3.7
59P
3.1
114
P1.
6
33P
2.2
62P
9.6
51P
9.3
46P
9.0
65P
3.5
27P
5.3
84P
6.5
19P
6.2
90P
0.7
78P
0.4
69P
0.1
115
JTD
I
22E
MI_
WR
H74
EM
I_A
LE
7P
7.2
79P
5.6
77P
5.5
60P
3.2
61P
3.3
18P
5.1
128
P4.
312
7P
4.4
4A
VS
S
101
P1.
2
119
P7.
7
106
P1.
3
14P
7.4
12P
5.0
55P
3.0
15P
7.5
35P
2.3
110
P1.
5
10P
2.0
11P
2.1
104X1_CPU
52P
9.4
58P
9.5
44P
8.7
32P
8.3
30P
8.2
28P
8.1
34P
8.4
36P
8.5
63P
3.4
66P
3.6
53P
2.6
45P
2.5
92P
6.6
20P
6.3
29P
6.0
31P
6.1
83P
6.4
85P
0.5
88P
0.6
67P
0.0
94M
II_M
DIO
6P
7.1
5P
7.0
125
P4.
6
3P
4.0
124
P4.
7
2P
4.1
123
AV
RE
F
96U
SB
DP
37P
2.4
64P
9.7
47P
9.1
50P
9.2
38P
8.6
26P
8.0
98P
1.0
71P
0.2
116
P1.
7
76P
0.3
9 VDDQ
102 VDDQ
86 VDDQ
21E
MI_
BW
R_W
RL
100
RE
SE
T_O
UT
54U
SB
CLK
_P2.
7
108
JTC
K
25P
HY
CLK
_P5.
2
97JR
TCK
107
JTR
ST
91TA
MP
ER
_IN
117
JTD
O11
1JT
MS
STR
911F
AW
44X
6U
9
HD
W_C
ON
FIG
_2
DIS
PLA
Y_C
S#
DIS
PLA
Y_R
ST#
SS
P1_
SC
LK
HE
AR
TBE
AT_
YH
EA
RTB
EA
T_R
HU
MID
IFIE
R_O
N_I
ND
ICA
TOR
HD
W_C
ON
FIG
_1
PAGE 9-6 1118824, VER. 00
AP
PR
BY
:
DR
N B
Y:
CH
K B
Y:
PR
OC
ES
S:
PR
OD
UC
T LI
NE
:
SIZ
E
SC
ALED
TITL
E:
DR
AW
ING
NO
.
1:1
SH
EE
TO
F5
5E
DM
SE
DM
SE
DM
SE
DM
S
D.R
ON
EY
5.14
.200
9
SC
HE
MA
TIC
YO
DA
PA
RT
NO
.
RE
V.
106
1413
S10
6141
311
+V
MO
TOR
_EN
GN
D
C15
6 *
R222
10.0K
R221
4.53K
+V
GN
D
R214
80.6K
GN
D
C163
.1uF
+3.3
VGN
D
R148
61.9K
RE
SE
T
.1uF
C115
82pF
C123
R167
20.0K
GN
D
R40
20.0K
2700
pf
C12
4
C11
2.1
uF50
V
PW
RG
ND
R166
20.0K
R46
*
R15
2
10
GN
D
PW
RG
ND
2 1
SMCJ16CA
CR23
GN
D
AG
ND
R156
5.1
AG
ND
VR
EF
GN
D
TP1
GN
DG
ND
10pF
C14
9
10pF
C14
8
10pF
C16
0
GN
DGN
D10uF
C415
AG
ND
AG
ND
GN
D
AG
ND
AG
ND
GN
DAG
ND
GN
D
PW
RG
ND
AG
ND
10uF
C420
GN
D
R460
3.24M
.1uF
C423
R213
4.53K
R4710
*R45
+3.3
V
GN
D
C15
8
*
10pF C139
+3.3
V_A
NA
GN
D
+V
R72
1.00K
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810
uF
1
3
2
FDD
4243
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GN
D
R168
3.32K
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6
*
50V
.1uF
C15
1
C11
4
3300
pF
AG
ND
R150
0.050
220pF
C119 GN
D
GN
D
.1uF
C142
10uF
C120
10uF
C417
1uF
C418
GN
D
CR
35
MB
RX
140
GN
D
R461
1.02M
GN
D
R210
10.0K
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2.67K
10uF
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10uF
C128
.47uF
C125
C12
91u
F
GN
D
PW
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ND
R21
2
1.00
K
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US
PW
RG
ND
PW
RG
ND
R44
*
C15
7
*
PW
RG
ND
R157
7.87K
R153
1M35
V10
uFC
170
PW
RG
ND
1/4W
R16
0
0 O
HM
Del
taIp
p =
Vin
- V
out -
(Rl@
dc+
rDS
(on)
*Iou
t
Ioc
= V
Ilim
/RIli
m =
0.1
V/.0
5hm
= 2
A
R15
8
10.0
K
GN
D
GN
D
+V_B
US
35V
10uF
C11
3
R147
.0101W
PW
RG
ND
R22
0
ZER
O
VR
EF
C145
*
.33uF
C147
PW
RG
ND
390
OH
MS
@ 1
00 M
HZ
E15G
ND
+3.3
V
SY
STE
M_B
US
_CU
RR
EN
T
GN
D
C18
2
1000
pF
C17
9
1000
pF
C17
5
1000
pF
AG
ND
R15
9
10
+VC
OR
E
390
OH
MS
@ 1
00 M
HZ
E14
PW
RG
ND
PW
RG
ND
R45
7
1.21
K
.1uF
C416
R45
9
100
1/4W
C18
3
1000
pF
C17
7
1000
pF
GN
DG
ND
+C
419
5.5V
1.5F
THE
RA
PY
BO
AR
D
PO
WE
R S
UP
PLY
22PF
C422
10uF
C424
C16
9 *
CR1
MMSZ4678T1
10uF 35
VC16
2
+V_B
US
C15
9 *
4A
DJ
2V
OU
T
1V
IN7
VO
UT
6V
OU
T3
VO
UT
5N
C8
NC
U7
*
3S
H2
SL
1C
J8
220pF
C116
3300pF
C122
+V_B
US
C13
722
0pF
R20
1
20.0
K
R19
8
20.0
K
435
Q17
:AM
MD
T390
4
Fsw
=1/(R
rc x
Crc
x 0
.105
) = 3
60.7
5KH
z
4
3
86
2
7
1
Q16
FDFS
2P75
3Z
R15
1
1.00
K
10
R149
+V_B
US
R200
*
26 1
MM
DT3
904
Q17
:B
1R
EF
2GN
D54
6
3 V+
U11
INA
213
R21
9
ZER
O
C11
11u
F
1
3
2
FDD
4243
Q15
GN
D
C11
710
0uF
6.3V
.1uF
C69
C11
0.1
uF
C18
1
1000
pF
C17
8
1000
pF
+10
V
C13
310
uF
VR
EF
+V_B
US
4A
DJ
2V
OU
T
1V
IN7
VO
UT
6V
OU
T3
VO
UT
5N
C8
NC
U16
TL31
7CP
W
R45
8
100
1/4W
R456
3.24K
C18
0
1000
pF
C17
6
1000
pF
L2
10uH
.1uF
C421
GN
DG
ND
+5V
_BO
OS
T
CR20
BZX84B16LT1
Q21MMBT3906LT1
3GN
D
1V
IN2
VO
UT
U14
RE
F303
0
.1uF
C12
6
R21
5
100K
Vov
ersh
oot =
(.02
5V +
Vou
t^2)
^0.5
= 3
.308
79V
Vov
ersh
oot^
2 - V
out^
2 =
L *
Iout
^2 /
C =
.025
V
Tss
= R
c *
Css
* ln
(Vss
t / (V
sst -
1.4
V))
= 1
x 1
0^6
* .1
x 1
0^-6
* ln
(8/6
.6) =
19m
SIrm
s =
Dut
yCyc
le *
(Iou
t^2
+ (D
elta
Ipp^
2/12
))^0
.5
Vin
/ R
rc =
18V
/120
K =
150
uA <
= 75
0uA
(con
ditio
n sa
tisfie
d)
R15
4
261
OU
TO
UT
GN
DIN
U13
LM11
17M
PX
-1.8
L1
10uH
12V
DC
INP
UT
FRO
MA
C P
OW
ER
SU
PP
LY
5 67
U6:
B
(4=G
ND
,8=+
V)
LM39
3DG
KR
3 21
U6:
A LM39
3DG
KR
(4=G
ND
,8=+
V)
TIE
GR
OU
ND
S T
OG
ETH
ER
HE
RE
(L*
I^2
) / 2
< {C
* (V
over
shoo
t^2
- Vou
t^2)
}/ 2
Vou
t = 0
.696
(1 +
Rto
p/R
botto
m) =
0.6
96 *
(1 +
10.
0K/2
.67K
) = R
ough
ly 3
.3V
1R
C2
SS
3C
OM
P4
FB5
GN
D
6G
DR
V
7IS
NS
8V
DD
U12
TPS
4020
0D
CR
28
1N41
48X
PW
RG
ND
7AF1
7GND
5FB
6V
OU
T
2G
ND
3V
IN
1S
W
4S
HD
NU19
LTC
3526
L
Respironics Inc.1001 Murry Ridge LaneMurrysville, PA 15668 USA
Respironics DeutschlandGewerbestrasse 1782211 Herrsching, Germany 1118824, VER. 00
SJW 09/22/2014