Addendum

This addendum contains additional information for the Agilent M1165/66/67/75/76/77A

Component Monitoring System Service Guide (M1046-9303L). Each section of this
addendum contains instructions on where the information should be placed in your
Service Guide.

s1
M1046-9313L
Printed in Germany, September 2001
Edition 1
L.00.00

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=========================================================================
Please insert this page into the Troubleshooting NBP Problems section after page 4-14 of
your service manual.
=========================================================================

Using the Calibration Mode

This task window is displayed after pressing the Cal Frontend softkey in the NBP
manometer task window.

The keys Start , Stop , and Save Values are displayed at the bottom of the
Calibration Mode Task Window. The Start key is used to close the valves, the Stop
key opens the valves and the Save Values key is used to store the calibration factor.

Step 1 Press Start .

Step 2 Pressurize the gauge as precisely as possible to 220 or 280 mmHg. One of these val-
ues (depending on the module) is shown in the NBP manometer task window.

Step 3 Now press one of the following keys:

Save Values : to store the calibration factor.
or Stop : to abandon the calibration procedure.
=========================================================================
Please insert the following 2 pages into the Troubleshooting NBP Problems section after
page 4-14 of your service manual.
=========================================================================

Selecting NBP Measurement Characteristic

WARNING Consult technical support before changing the NBP measurement characteristic
in adult or pediatric mode. Changing the NBP measurement characteristic will
significantly change the NBP readings, especially in the elevated pressure range.

WARNING The NBP measurement characteristic has to be set and stored individually for
each configuration set. The same setting must be selected for all configuration
sets.

NOTE This setting changes the NBP measurement characteristic in adult and pediatric mode. It
has no influence on the NBP measurement characteristic in neonatal mode. In neonatal
mode the intraarterial method is always used as a reference standard to validate overall
accuracy.

1.Go into service mode

2. Enter the NBP Task Window and press the ‘Change Refernce” key
3. Select desired NBP measurement characteristic (1, 2, or 3) according to the table below
4. Press "Confirm" to store new setting
5.Go into Config mode and select next Config Set
6.Repeat Steps 1 to 5 for all Config Sets
Selection Description
1 NBP measurement
characteristic of CMS/V24/
V26 Rel. B.0 and earlier.
Recommended only in
mixed installations with
Rel. B.0 or earlier.
2 NBP measurement
characteristic of M3/M4 Rel.
B and earlier (higher
diastolic values than 1).
Recommended if customer
prefers calibration against
manual auscultatory
reference method.
3 NBP measurement
(Factory characteristic of CMS/V24/
Default) V26 Rel. C.0 and later
(values closer to intra-
arterial measurement, higher
readings especially in the
elevated pressure range)
The setting of NBP measurement characteristic is stored in the monitor and can be cloned
with the cloning tool.
Reference Standard for Validation
Intraarterial according to AAMI-SP10-1987.
The blood pressure measurements determined with this
device and measuremnet characteristic set to “1” comply
with the American National Standard for Electronic or
Automated Sphygmomanometers (ANSI/AAMI SP-10-
1987)
Auscultatory according to AAMI-SP10-1992. The blood
pressure measurements determinded with this device and
measurement characteristic set to “2” comply with the
American National Standard for Electronic or Automated
Sphygmomanometers (ANSI/AAMI SP-10-1992) in relation
to mean error and standard deviation, when compared to
auscultatory measurements in a representative patient
population. For the auscultatory reference the 5th
Korotkoff sound was used to determine the diastolic
pressure.
Intararterial according to AAMI-SP10-1992.
The blood pressure measurements determined with this
device and measurement characteristic set to “3” comply
with the American National Standard for Electronic or
Automated Sphygmomanometers (ANSI/AAMI SP10-
1992) in relation to mean error and standard deviation,
when compared to intraarterial measurements in a
representative patient population.
=========================================================================
Please replace pages 4-47 and 4-48 of your service manual with the following three pages of
this addendum.
=========================================================================
RESULTS DSC is functioning correctly and the test is passed with the following
results displayed:

Module: Test passed

BIS Engine: Test passed
DSC: Test passed

The small table located right of the “DSC Test passed / failed” entry lists
more detailed results of the DSC Self-Test.

Additional information available in the Service Mode Task Window

The Service Mode Task Window provides additional information, which is explained in
the following section. To enter the window, change to Service Mode and press
Module Setup followed by BIS . Please wait at least 10 seconds until all results
are valid.
If the connected sensor has a malfunction (indicated by “Test failed” in the Sensor section
of the Service Mode Task Window), in some cases it is necessary that you disconnect the
sensor and un- and replug the module before continuing.

Note: the screen shown above is only an example and does not show real data.

For an explanation of the individual entries see next page.

Module DSC
FW Rev Installed Firmware Revision of the BIS ID Type of DSC used.
module. Supported types:
9 (DSC-3) & 10 (DSC-XP)
S/Na Serial Number of the BIS module used. FW Rev Installed Firmware Revision of the DSC.
b
Test passed / Result of the automatic BIS Self-Test . Test passed / failed Result of the automatic BIS Self-Testb as
failed well as the manually started DSC Self-
Test, described on page 4-46
Gain Detailed results of the DSC Self-Test.
High Pass blocked
BIS Engine
High Pass normal
Noise
S/N Serial Number of the BIS Engine used. PIC
SW Rev Installed Software Revision of the BIS ID With Sensor connected, the ID identifies
Engine. the class of Sensors used.
Supported classes: 7
Prot Rev Protocol Revision of the BIS Engine
used. Required for compatibility check Sensor
between BIS Engine and BIS module.
FW Rev Installed Firmware Revision of the BIS S/N Serial Number of the BIS Sensor used.
Engine.
HW Rev Hardware Revision of the BIS Engine Code Production related information.
used.
Test passed / Result of the automatic BIS Self-Testb. Type Type of Sensor used.
failed Supported types:
1 (Adult Patient Sensor Plus)
2 (Adult Patient Sensor XP)
3 (Pediatric Patient Sensor)
8 (Sensor Simulator - 1 channel)
9 (Sensor Simulator - 2 channel)
Diag data Information for internal use only. Test passed / failed Result of the automatic BIS Self-Testb.
a. If no number is shown behind S/N, please refer to the rear side of the BIS module.
b. Initiated by entering the Service Mode, switching Power On/Off or un-, replugging the BIS module.
 Compatibility Matrix
The following table indicates the revisions of the BIS Module and BIS Engine that are
allowed to be used with the various DSC, PIC and Sensor types. Only the fields marked
with a l indicate a valid combination. Due to the low update frequency of this manual it is
likely that a more recent version of this matrix has already been issued via a Service Note.
Always refer to the latest version.

Module FW Rev BIS Engine SW Rev

A.01.xx 1.xx 2.xx

DSC-3 ID 9 l l l
DSC-XP ID 10 l -- l
PIC ID 7 l l l
Sensor type:

Plus 1 l l l
XP 2 l l l
Pediatric 3 l l l
Simulator (1 Channel) 8 l l l
Simulator (2 Channel) 9 l l l
=========================================================================
Please insert this page into the Upgrade Tools and Miscellaneous Parts section after page
6-23 of your service manual.
=========================================================================

Overview of C.0./C.1 Software Release

Exchange New
Description
Part Number Part Number
M1130-80LLR M1130-12LLR CPC PROGRAMMING CARD (AGILENT INTERNAL USE ONLY)
ONLY FOR CMS RELEASE UP TO REL. C.0 AND GREATER
M1130-81LLR M1130-13LLR CPC PROGRAMMING CARD (FOR BIOMED USE)
ONLY FOR CMS RELEASE C.0 AND GREATER
LL: Language
20 = POLISH
18 = CZECH
17 = RUSSIAN
15 = GREEK
14 = PORTUGUESE
13 = SIMPLIFIED CHINESE (PRC)
12 = TRADITIONAL CHINESE (TAIWAN)
11 = DANISH
10 = JAPANESE, KANJI
09 = FINNISH
08 = SWEDISH
07 = NORWEGIAN
06 = ITALIAN
05 = SPANISH
04 = DUTCH
03 = GERMAN
02 = FRENCH (International)
01 = ENGLISH
R: Release Service Notes
A = Rel. C.0 (rel. 10.0) M1046A-071, M1046B-014
B = Rel. C.0 (rel. 17.36) M1046A-072, M1046B-15
C = Rel. C.0 (rel. 17.37) M1046A-073/5, M1046B-016/18
D = Rel. C.0 (rel. 17.52) M1046A-079, M1046B-022, M1046A-076A,
M1046B-19A, M1020A-013, M1001A-005,
M1002-008, M1001B-002, M1002B-005,
M1012A-004A, M1046A-071
E = Rel. C.1 (rel. 17.60)