ESCORT Prism™

Patient Monitor
Service Manual

Model
20401
20403
© 2002 Medical Data Electronics Inc.

Part Number: E9040-62 Rev D

March 2002
ESCORT Prism™
Patient Monitor
Service Manual

Model 20401
Model 20403

Medical Data Electronics — 12723 Wentworth Street — Arleta, California 91331-4330

(818) 768-6411 — FAX (818) 768-0759

Medical Data Electronics — Rembrandtlaan 1B, 3723 BG — Bilthoven, The Netherlands

Tel: +31 (0) 30 2289711 Fax: +31 (0) 30 2286244
ii

TRADEMARKS AND ACKNOWLEDGMENTS

ESCORT®, ESCORT-LINK®, and the MDE logo are registered trademarks of MDE.
AutoNetTM, ESCORT VisionTM, ESCORT GuardianTM, and ESCORT PrismTM are
trademarks of MDE.
LNOP® and MASIMO® are registered trademarks of Masimo Corp.
C-Lock® and NELLCOR® are registered trademarks of Nellcor, Inc.
SureTemp® is a registered trademark of Welch AllynTM Inc.

PATENT INFORMATION
MDE US Patents: 4,757,520; 4,922,918
Nellcor US Patents: 4,621,643; 4,830,014; 4,700,708; 4,770,179; 4,869,254; 4,685,464;
4,802,486
Masimo US Patents: 5,482,036; 5,490,505; 5,632,272; 5,685,299; 5,758,644; 5,769,785;
6,002,952; 6,036,642; 6,067,462; 6,206,830; 6,157,850; 6,002,962

CERTIFICATIONS
The PRISM has received the following certifications:

CSA601.1, IEC 601-1-2, UL2601-1, CE/MDD, FCC Part 90.217 (UHF), FCC Part 15
(Spread Spectrum), ETS 300328
iii

WARRANTY
The PRISM monitor is warranted against defects in materials and workmanship for a
period of twelve (12) months from the date of shipment to the original purchaser.
Batteries, cables, cuffs, and sensors are warranted ninety (90) days from date of shipment.
Warranty is valid only to the original buyer. Defective equipment should be returned
freight prepaid to Medical Data Electronics. Equipment returned with defective parts and
assemblies will be either repaired or replaced. This warranty is not applicable if repair has
been attempted, if the instrument has been damaged due to operation outside the
environmental and power specifications for the product, or due to improper handling or
use.
If any fault develops, notify MDE Technical Support giving full details of the difficulty,
and include the model and serial number of the device. Upon receipt of the shipping
instructions, forward the device prepaid and repairs will be made at the factory.
The foregoing warranty is in lieu of all other warranties expressed or implied, including
but not limited to any implied warranty or merchantability, fitness or adequacy for any
particular purpose or use. Medical Data Electronics shall not be liable for any incidental
or consequential damages.

NOTICE

MEDICAL DATA ELECTRONICS MAKES NO WARRANTY OF ANY KIND

WITH REGARD TO THIS MATERIAL, INCLUDING, BUT NOT LIMITED TO,
THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR
A PARTICULAR PURPOSE.

Medical Data Electronics shall not be liable for errors contained herein or for incidental
or consequential damages in connection with the furnishing, performance, or use of this
material.

This document contains proprietary information, which is protected by copyright. All

rights reserved. No part of this document may be photocopied, reproduced, or translated
to another language without the prior written consent of Medical Data Electronics.

The information in this document is subject to change without notice.

iv

TECHNICAL SERVICE

If you experience any problems with this product or would like more information about
related equipment, please call one of the telephone numbers listed below. You can also
send an email to the email address listed below. Medical Data Electronics is dedicated to
providing accurate and timely responses to all of our customer's requests.

Technical Service (818) 768-6411

MDE FAX Line (818) 768-2899
Email [email protected]

Written requests for information should be addressed to:

Medical Data Electronics

12723 Wentworth Street
Arleta, CA 91331-4330
v

TABLE OF CONTENTS

CHAPTER 1: INTRODUCTION
GENERAL DESCRIPTION ................................................................................................................................ 1-1
SAFETY CONSIDERATIONS ............................................................................................................................ 1-2
Warnings.................................................................................................................................................. 1-2
Symbols.................................................................................................................................................... 1-3
CHAPTER 2: CONTROLS AND INDICATORS
FRONT PANEL ............................................................................................................................................... 2-1
Fixed Function Keys (USA and International) ........................................................................................ 2-2
Parameter Softkeys .................................................................................................................................. 2-4
Indicators................................................................................................................................................. 2-5
DISPLAY SCREEN .......................................................................................................................................... 2-6
ECG Lead in Use..................................................................................................................................... 2-7
Softkey Labels for Parameters Displayed in the Waveform Display Zone (WDZ) .................................. 2-7
Alarm Status for Parameters in the Waveform Display Zone.................................................................. 2-7
Alarm Status for Parameters in the NODZ.............................................................................................. 2-7
Numeric-Only Display Zone (NODZ) ...................................................................................................... 2-8
Message Area for Parameters in the NODZ............................................................................................ 2-8
System Message Area .............................................................................................................................. 2-8
Message Area for Parameters in the WDZ .............................................................................................. 2-8
Waveform Display Zone with Associated Numerics ................................................................................ 2-8
Current Monitoring Mode (Patient Type selected).................................................................................. 2-8
SIDE PANEL .................................................................................................................................................. 2-9
Multiparameter Module........................................................................................................................... 2-9
Dual Channel Recorder (Option) ............................................................................................................ 2-9
Serial Interface (ISP Port)....................................................................................................................... 2-9
REAR PANEL............................................................................................................................................... 2-10
External DC Input (12 - 28V) Connector .............................................................................................. 2-11
Equipotential Connector........................................................................................................................ 2-11
Batteries................................................................................................................................................. 2-11
Defibrillator/Pacer Interface................................................................................................................. 2-11
Fuse Holder/Voltage Selector and Fuse Replacement .......................................................................... 2-11
AC Power Cord Input Connector and Optional Power Cord Mounting Bracket.................................. 2-12
Auxiliary Output Connector .................................................................................................................. 2-13
Add-On Module Interface...................................................................................................................... 2-13
CHAPTER 3: POWER SOURCES
POWER MODULE .......................................................................................................................................... 3-1
AC Power................................................................................................................................................. 3-1
Battery Power .......................................................................................................................................... 3-2
External DC Power.................................................................................................................................. 3-3
Turning on the Monitor ........................................................................................................................... 3-4
vi

CHAPTER 4: POWER SUPPLY BOARD

OVERVIEW.................................................................................................................................................... 4-1
Power Supply Board................................................................................................................................ 4-1
Battery Charging ..................................................................................................................................... 4-1
Battery Level............................................................................................................................................ 4-2
Fan Control ............................................................................................................................................. 4-2
Shutdown Circuitry.................................................................................................................................. 4-2
CHAPTER 5: CPU BOARD & VIDEO CONFIGURATIONS
OVERVIEW.................................................................................................................................................... 5-1
Display..................................................................................................................................................... 5-1
Bezel/Membrane ...................................................................................................................................... 5-1
High Level Outputs (OPT61)................................................................................................................. 5-10
VIDEO CONFIGURATIONS ............................................................................................................................ 5-13
EL Video Controller (Model 20401 with CPU Board 403023) ............................................................. 5-13
LCD Video Controller (Model 20403 with CPU Board 403023) .......................................................... 5-13
LCD Interface Board (Model 20403 with CPU Board 403023)............................................................ 5-14
EL Interface Board (Model 20401 with CPU Board 403023)............................................................... 5-14
Power Inverter Board (Model 20403) ................................................................................................... 5-14
CHAPTER 6: MULTIPARAMETER MODULE
OVERVIEW.................................................................................................................................................... 6-1
CONNECTOR PLATE ASSEMBLY .................................................................................................................... 6-2
MPM CONNECTOR BOARD ............................................................................................................................ 6-3
ISO POWER SUPPLY BOARD .......................................................................................................................... 6-5
ECG/SPO2/RESP BOARDS ............................................................................................................................. 6-9
NIBP/BP/TEMP BOARD ............................................................................................................................... 6-14
SURETEMP BOARD ..................................................................................................................................... 6-18
CO2 & CO2 PROCESSOR BOARDS ............................................................................................................. 6-22
CARDIAC OUTPUT BOARD .......................................................................................................................... 6-24
CHAPTER 7: NON-PARAMETER OPTIONS
RECORDER (OPTION 20002) ......................................................................................................................... 7-1
VGA OUTPUT (OPT53) ............................................................................................................................... 7-3
CHAPTER 8: MECHANICAL
OVERVIEW.................................................................................................................................................... 8-1
TOOLS REQUIRED ......................................................................................................................................... 8-1
DISASSEMBLY............................................................................................................................................... 8-2
Main Housing (Skin Assembly) Removal................................................................................................. 8-2
Power Supply Removal............................................................................................................................ 8-2
Bezel Removal.......................................................................................................................................... 8-2
Inverter Board Removal .......................................................................................................................... 8-2
Interface Board Removal......................................................................................................................... 8-3
Video Controller Board Remaval ............................................................................................................ 8-3
CPU Removal .......................................................................................................................................... 8-3
vii

CHAPTER 9: PERFORMANCE CHECK

OVERVIEW.................................................................................................................................................... 9-1
SAFETY TESTS .............................................................................................................................................. 9-2
Chassis Ground Test................................................................................................................................ 9-2
Current Leakage Test .............................................................................................................................. 9-2
MAINFRAME CHECK ..................................................................................................................................... 9-3
Keypad Function Check........................................................................................................................... 9-3
Mainframe Software ................................................................................................................................ 9-3
Date and Time Check .............................................................................................................................. 9-3
Line Frequency Check ............................................................................................................................. 9-4
VGA Output Check (If Applicable) .......................................................................................................... 9-4
System AC Current Check........................................................................................................................ 9-4
External DC Operation(If Applicable) ................................................................................................... 9-4
Battery Operation Test ............................................................................................................................ 9-5
ECG TESTS .................................................................................................................................................. 9-5
Lead Fail Test.......................................................................................................................................... 9-5
ECG Lead Position Check ....................................................................................................................... 9-5
ECG Alarm Function Check.................................................................................................................... 9-6
Pacer Flag and Artifact Check ................................................................................................................ 9-6
Verify No ECG Count in Asystole Mode.................................................................................................. 9-6
ECG Calibration Check........................................................................................................................... 9-7
RESPIRATION TESTS ..................................................................................................................................... 9-7
Apnea Alarm Check ................................................................................................................................. 9-7
High/Low Alarm Function Check ............................................................................................................ 9-8
SPO2 TESTS ................................................................................................................................................. 9-8
Finger Sensor Check (Nellcor & Masimo) .............................................................................................. 9-8
High/Low Alarm Function Check ............................................................................................................ 9-8
NIBP TESTS ................................................................................................................................................. 9-9
Inflation Time and Maximum Pressure Check......................................................................................... 9-9
Overpressure Detection Check ................................................................................................................ 9-9
Leak Test Procedure .............................................................................................................................. 9-10
Calibration Check Procedure................................................................................................................ 9-10
TEMPERATURE TESTS................................................................................................................................. 9-11
YSI Temperature Check ......................................................................................................................... 9-11
High/Low Alarm Function Check .......................................................................................................... 9-11
IBP TESTS .................................................................................................................................................. 9-12
ZERO Check .......................................................................................................................................... 9-12
Waveform Check.................................................................................................................................... 9-12
High/Low Alarm Function Check .......................................................................................................... 9-12
END TIDAL CO2 TESTS .............................................................................................................................. 9-13
Test Setup............................................................................................................................................... 9-13
CO2 Power-Up Sequence Check ........................................................................................................... 9-13
Verify CO2 Operation ........................................................................................................................... 9-13
Verify Apnea Operation......................................................................................................................... 9-13
Check Barometric Pressure Calibration ............................................................................................... 9-13
High/Low Alarm Function Check .......................................................................................................... 9-13
Cycle Test .............................................................................................................................................. 9-13
Unplug the Sensor ................................................................................................................................. 9-14
viii

CARDIAC OUTPUT (CO) TESTS ................................................................................................................... 9-14

Blood Temperature (Tb) Tolerance Check ............................................................................................ 9-14
Flow Through (Ti) Tolerance Check ..................................................................................................... 9-15
Bath Tolerance Check ........................................................................................................................... 9-15
PERFORMANCE CHECKLIST .............................................................................................................. 9-16
CHAPTER 10: CARE AND CLEANING
GUIDELINES FOR CLEANING THE MONITOR ................................................................................................ 10-1
REPACKING AND SHIPPING THE MONITOR................................................................................................... 10-2
CHAPTER 11: PRISM ADD-ON MODULES
INTRODUCTION ........................................................................................................................................... 11-1
TRANSCEIVER MODULE.............................................................................................................................. 11-2
Attaching the Transceiver Module to the PRISM Monitor .................................................................... 11-2
Setting Up Transceiver Communications .............................................................................................. 11-2
Removing the Transceiver Module ........................................................................................................ 11-5
TELEMETRY MODULE................................................................................................................................. 11-5
Attaching the Telemetry Module to the PRISM Monitor ....................................................................... 11-5
Setting Up Telemetry Communications ................................................................................................. 11-6
CIS COMMUNICATION MODULE ............................................................................................................... 11-10
Attaching the CIS Communication Module to the PRISM Monitor..................................................... 11-10
Setting Up CIS Communication Module Operation ............................................................................ 11-10
CHAPTER 12: SYSTEM DEFAULTS & MESSAGES
DEFAULT SETTINGS .................................................................................................................................... 12-1
CHANGING THE PARAMETER AND SYSTEM DEFAULTS................................................................................ 12-9
SYSTEM AND PARAMETER MESSAGES ...................................................................................................... 12-10
System Messages.................................................................................................................................. 12-10
Battery Messages ................................................................................................................................. 12-11
Parameter Messages............................................................................................................................ 12-12
CHAPTER 13: TROUBLESHOOTING
OVERVIEW.................................................................................................................................................. 13-1
GENERAL SOLUTIONS ................................................................................................................................. 13-1
ECG SOLUTIONS ........................................................................................................................................ 13-2
RESPIRATION SOLUTIONS ........................................................................................................................... 13-2
SPO2 SOLUTIONS WITH NELLCOR............................................................................................................... 13-3
SPO2 SOLUTIONS WITH MASIMO ................................................................................................................ 13-3
SURETEMP SOLUTIONS ............................................................................................................................... 13-4
INVASIVE BLOOD PRESSURE SOLUTIONS .................................................................................................... 13-5
NONINVASIVE BLOOD PRESSURE SOLUTIONS ............................................................................................. 13-5
MAINSTREAM ETCO2 SOLUTIONS ............................................................................................................. 13-6
SIDESTREAM ETCO2 SOLUTIONS ............................................................................................................... 13-6
RECORDER SOLUTIONS ............................................................................................................................... 13-7
BATTERY SOLUTIONS ................................................................................................................................. 13-7
DIFIBRILLATOR/PACER SOLUTIONS............................................................................................................. 13-8
APPENDIX A: SPECIFICATIONS

APPENDIX B: SUPPLIES, ACCESSORIES, & OPTIONS

APPENDIX C: SCHEMATICS
ix

LIST OF FIGURES
FIGURE 2-1. PRISM FRONT PANEL DETAIL ................................................................................................ 2-1
FIGURE 2-2. PRISM DISPLAY SCREEN ........................................................................................................ 2-6
FIGURE 2-3. PRISM RIGHT SIDE PANEL...................................................................................................... 2-9
FIGURE 2-4. PRISM REAR PANEL ............................................................................................................. 2-10
FIGURE 2-5. AC POWER CORD BRACKET INSTALLATION .......................................................................... 2-12

FIGURE 4-1. PRISM POWER SUPPLY BLOCK DIAGRAM .............................................................................. 4-3

FIGURE 4-2. PRISM POWER SUPPLY BOARD .............................................................................................. 4-4
FIGURE 4-3. CONNECTOR IDENTIFICATION OF PRISM POWER SUPPLY BOARD ............................................. 4-5
FIGURE 4-4. POWER TEST POINTS ............................................................................................................... 4-6
FIGURE 4-5. MEMBRANE “ON” BYPASS...................................................................................................... 4-7

FIGURE 5-1. DIAGRAM OF PRISM CPU BOARD ASSEMBLY # 403023.......................................................... 5-2

FIGURE 5-2. CONNECTOR IDENTIFICATION FOR PRISM CPU BOARD ASSEMBLY # 403023 ......................... 5-3
FIGURE 5-3. SYSTEM INTERCONNECT FOR PRISM CPU BOARD ASSEMBLY # 403023.................................. 5-4
FIGURE 5-4. DIAGRAM OF PRISM CPU BOARD ASSEMBLY # 403950.......................................................... 5-5
FIGURE 5-5. CONNECTOR IDENTIFICATION FOR PRISM CPU BOARD ASSEMBLY # 403950 ......................... 5-6
FIGURE 5-6. SYSTEM INTERCONNECT FOR PRISM CPU BOARD ASSEMBLY # 403023................................. 5-7
FIGURE 5-7. POWER MODULE WIRING DIAGRAM ........................................................................................ 5-8
FIGURE 5-8. PRISM MEMBRANE SCHEMATIC............................................................................................. 5-9

FIGURE 6-1. MULTIPARAMETER MODULE (MPM)....................................................................................... 6-1

FIGURE 6-2. MPM CONNECTOR PLATE ASSEMBLY ..................................................................................... 6-2
FIGURE 6-3. MPM HOUSING ASSEMBLY ..................................................................................................... 6-3
FIGURE 6-4. MPM CONNECTOR BOARD LAYOUT ....................................................................................... 6-4
FIGURE 6-5. ISOLATION POWER SUPPLY BOARD & CONNECTIONS .............................................................. 6-6
FIGURE 6-6. ISOLATION POWER SUPPLY BOARD CIRCUIT SIDE ................................................................... 6-7
FIGURE 6-7. ISO POWER SUPPLY BOARD TEST POINTS............................................................................... 6-8
FIGURE 6-8. ECG/RESP MAIN BOARD LAYOUT—NELLCOR...................................................................... 6-10
FIGURE 6-9. NELLCOR MP204 AND NELLCOR MP405 SPO2 BOARD LAYOUTS ........................................ 6-11
FIGURE 6-10. NELLCOR MP405 SPO2 CABLE ROUTING ........................................................................... 6-12
FIGURE 6-11. ECG/RESP MAIN BOARD LAYOUT—MASIMO ..................................................................... 6-13
FIGURE 6-12. MASIMO SPO2 BOARD LAYOUT .......................................................................................... 6-14
FIGURE 6-13. NIBP/BP/TEMP BOARD LAYOUT .......................................................................................... 6-15
FIGURE 6-14. NIBP PNEUMATICS ............................................................................................................... 6-16
FIGURE 6-15. NIBP/BP/TEMP BOARD WITH NIBP PNEUMATICS (EXPLODED VIEW) ................................... 6-17
FIGURE 6-16. SURETEMP PCBA (675 OEM) ............................................................................................ 6-18
FIGURE 6-17. SURETEMP BOARD & MOUNTING SUPPORT EXPLODED VIEW (675 OEM).......................... 6-19
FIGURE 6-18. SURETEMP BOARD & MOUNTING SUPPORT ASSEMBLY (675 OEM)................................... 6-19
FIGURE 6-19. SURETEMP PCBA (678 OEM) ............................................................................................ 6-20
FIGURE 6-20. SURETEMP BOARD & MOUNTING SUPPORT EXPLODED VIEW (678 OEM).......................... 6-20
FIGURE 6-21. SURETEMP BOARD & MOUNTING SUPPORT ASSEMBLY (678 OEM)................................... 6-21
FIGURE 6-22. SURETEMP CABLE ROUTING (678 OEM) ............................................................................ 6-21
FIGURE 6-23. CO2 BOARD LAYOUT .......................................................................................................... 6-23
FIGURE 6-24. CO2 PROCESSOR BOARD LAYOUT ...................................................................................... 6-24
FIGURE 6-25. CARDIAC OUTPUT BOARD LAYOUT ..................................................................................... 6-25

FIGURE 7-1. THERMAL RECORDER OPTION ................................................................................................. 7-1

FIGURE 7-2. NON-RECORDER ASSEMBLY.................................................................................................... 7-2
FIGURE 7-3. PRISM WITH VGA OPTION ..................................................................................................... 7-3
x

FIGURE 8-1. PRISM CHASSIS ASSEMBLY #1............................................................................................... 8-4

FIGURE 8-2. PRISM CHASSIS ASSEMBLY #2............................................................................................... 8-5
FIGURE 8-3. PRISM CHASSIS ASSEMBLY #3............................................................................................... 8-6
FIGURE 8-4. PRISM EL DISPLAY ASSEMBLY (CPU BOARD 403023 ONLY)............................................. 8-7
FIGURE 8-5. PRISM COLOR DISPLAY ASSEMBLY (CPU BOARD 403023 ONLY)....................................... 8-8
FIGURE 8-6. PRISM COLOR DISPLAY ASSEMBLY (NEC DISPLAY & CPU BOARD 403950) ....................... 8-9
FIGURE 8-7. PRISM COLOR DISPLAY ASSEMBLY (SHARP DISPLAY & CPU BOARD 403950)................... 8-10
FIGURE 8-8. PRISM REAR PANEL ASSEMBLY ........................................................................................... 8-11

FIGURE 11-1. PRISM ADD-ON MODULES ................................................................................................. 11-1

xi

LIST OF TABLES

TABLE 3-1. BATTERY POWER LEVELS ......................................................................................................... 3-3

TABLE 4-1. BATTERY CONDITIONS.............................................................................................................. 4-2

TABLE 4-2. POWER SUPPLY BOARD ADJUSTMENT ...................................................................................... 4-4

TABLE 5-1. AUXILIARY OUTPUT CONNECTOR—PIN DESIGNATIONS ......................................................... 5-11

TABLE 5-2. PARAMETER SCALING FACTORS, DC OFFSETS, AND COUPLING ............................................. 5-11
TABLE 5-3. PROGRAMMABLE OUTPUTS .................................................................................................... 5-12

TABLE 9-1. CO CONNECTOR PIN DESIGNATIONS ...................................................................................... 9-14

TABLE 9-2. CARDIAC OUTPUT CALIBRATION VALUES FOR BLOOD TEMPERATURES ................................. 9-14
TABLE 9-3. CARDIAC OUTPUT CALIBRATION VALUES FOR FLOW THROUGH TEMPERATURES .................. 9-15
TABLE 9-4. CARDIAC OUTPUT CALIBRATION VALUES FOR BATH TEMPERATURES ................................... 9-15

TABLE 12-1. SYSTEM SETUP DEFAULT RECORD ....................................................................................... 12-2

TABLE 12-2. RECORDER DEFAULT RECORD .............................................................................................. 12-2
TABLE 12-3. VITAL SIGNS CHART DEFAULT RECORD ............................................................................... 12-3
TABLE 12-4. ECG SETUP DEFAULT RECORD............................................................................................. 12-3
TABLE 12-5. RESPIRATION SETUP DEFAULT RECORD................................................................................ 12-4
TABLE 12-6. SPO2 SETUP DEFAULT RECORD ........................................................................................... 12-4
TABLE 12-7. BP1 SETUP DEFAULT RECORD ............................................................................................. 12-5
TABLE 12-8. BP2 SETUP DEFAULT RECORD ............................................................................................. 12-5
TABLE 12-9. BP3 SETUP DEFAULT RECORD ............................................................................................. 12-6
TABLE 12-10. NIBP SETUP DEFAULT RECORD ......................................................................................... 12-7
TABLE 12-11. CO2 SETUP DEFAULT RECORD ........................................................................................... 12-7
TABLE 12-12. CO SETUP DEFAULT RECORD ............................................................................................. 12-8
TABLE 12-13. TEMP1 SETUP DEFAULT RECORD ....................................................................................... 12-8
TABLE 12-14. TEMP2 SETUP DEFAULT RECORD ....................................................................................... 12-8
TABLE 12-15. SYSTEM MESSAGES .......................................................................................................... 12-11
TABLE 12-16. BATTERY MESSAGES ........................................................................................................ 12-11
TABLE 12-17. ECG/RESPIRATION MESSAGES ......................................................................................... 12-12
TABLE 12-18. SPO2 MESSAGES .............................................................................................................. 12-12
TABLE 12-19. INVASIVE BLOOD PRESSURE (BP1/BP2/BP3) MESSAGES ................................................ 12-13
TABLE 12-20. NONINVASIVE BLOOD PRESSURE (NIBP) MESSAGES ....................................................... 12-13
TABLE 12-21. ETCO2 MESSAGES........................................................................................................... 12-14
TABLE 12-22. SURETEMP MESSAGES ...................................................................................................... 12-14
TABLE 12-23. CARDIAC OUTPUT (CO) MESSAGES.................................................................................. 12-15
xii
Chapter 1
Introduction

General Description
The PRISM is a patient monitor capable of keeping track of several parameters
simultaneously, including dual vector ECG, Respiration, SpO2, Noninvasive
Blood Pressure, one to three Invasive Blood Pressures, 2 Temperatures,
Mainstream/Sidestream ETCO2 and Cardiac Output. The PRISM features many
modular components that are interchangeable with other ESCORT II 100 and 300
Series modular monitors.
The PRISM monitor is factory equipped with a color Liquid Crystal Display
(LCD) screen, or an electroluminescent (EL) display screen that is capable of
displaying as many as five waveform traces simultaneously. Both of these display
types accurately reproduce physiological waveform abnormalities, providing the
detail needed to make clinical decisions.
The PRISM monitor may be operated with AC, battery, or external DC power.
Battery operation is provided by two modular batteries, with operating time
ranging from 1.25 to 2.25 hours, depending upon configuration.
The PRISM can monitor adult, pediatric, and neonatal patients. The appropriate
monitoring mode for each patient, ADULT, PED, or NEO, is selectable. Changing
from one mode to another automatically changes all appropriate algorithms, alarm
limits, and any applicable parameter defaults.
The PRISM monitor minimizes the number of function keys you see at any one
time. Some keys, fixed function keys, are labeled on the front panel and always
retain the same function. Other keys, softkeys, are not labeled and vary in function
according to the labels displayed adjacent to them on the monitor’s screen. There
are eleven softkeys, seven located at the bottom of the front panel, and four
located on the right side of the front panel. For more information on the monitor
keys and their functions, see Chapter 2, “Controls & Indicators”.
Factory defaults have been established and installed for all system and
physiological monitoring issues (i.e., alarm settings, default ECG lead, etc.).
These values may be easily reconfigured to meet your specific needs.
This service manual provides readily available documentation to troubleshoot,
repair, and maintain the PRISM monitor. It outlines functional block diagrams,
board layouts, and schematic diagrams. Also included are performance check and
preventive maintenance sections in Chapter 9 to keep your PRISM monitor(s)
working efficiently and reliably for many years to come.
1-2

Safety Considerations
Read the following sections before using or servicing the PRISM monitor. These
warnings and symbols are presented to both increase patient safety and prevent
damage to the monitor.

Warnings
Read this service manual in its entirety prior to attempting any service or
repair.

ONLY qualified technicians possessing specific experience and expertise in

the servicing of biomedical equipment should attempt servicing the PRISM
monitor.
HIGH VOLTAGES are present within the PRISM monitor. Use caution
when servicing.

Always use an ESD (Electro-Static Discharge) grounding wrist or ankle

strap that is properly grounded. Always perform service in an ESD safe
environment.
The PRISM is intended only as an adjunct in patient assessment. It cannot
replace skilled nursing care and proper surveillance. Keep high-risk patients
under close surveillance.
Carefully read the operator’s manual, all directions for use of monitor
accessories, and all precautionary information before attempting clinical use
of the PRISM.
When operating the PRISM from an AC power source, the wall receptacle
must be a three-wire, grounded, hospital grade outlet. Use only PRISM’s
original hospital grade AC power plug and cord, or an equivalent hospital
grade plug and cord. If in doubt about the integrity of the grounding of the
main supply connection, the unit must be operated by battery power.
DO NOT plug unit into multiple outlet power strip to avoid summation of
leakage currents.

Explosion hazard. Do not use the PRISM in the presence of flammable

anesthetics.

In the event of an adverse patient condition, the audio alarm will not sound
if it has been temporarily silenced or disabled.

For pacemaker patients, the HR may continue to count the pacemaker

artifact during cardiac arrest or other arrhythmias. Keep pacemaker
patients under close surveillance.

Do not under any circumstance use replacement parts and connect

devices that are not approved by Medical Data Electronics.
1-3

Do not use in ambient temperatures above 40° C or below 5° C. Storage and

transport specifications are: Temperature = -10° C to 40° C, Humidity = 0%
to 90%, Pressure = 500 to 1060hpa.
For protection against fire, replace fuses only with those of the same type
and rating.

The alarms for some parameters are factory set to default to the OFF
setting. This may not be consistent with the policies of your institution or the
type of patients being monitored by the PRISM monitors.

Symbols
The following cautionary symbols appear on the PRISM monitor. Familiarize
yourself with these symbols and their meaning before using the monitor.

Type CF Defibrillation Protected Equipment: Isolated patient connections

comply with the allowable leakage current limits for direct cardiac application
and are protected against the effects of defibrillation.
Type CF Applied Part: Isolated Patient connections comply with the
allowable leakage current limits for direct cardiac application.

Attention: Consult accompanying documents.

Replace Fuses as Marked: For protection against fire, replace only with fuses
of the same type and rating.

Caution: Electric shock hazard. Do not remove cover. Refer servicing to

qualified service personnel.

Alternating Current: 100-240V @ 50/60 Hz.

Equipotential Connection: When external DC power is used, the

equipotential connection must be used as a protective ground terminal.

Fuse: Voltage and current ratings appear adjacent to symbol.

The CE symbol indicates that the device conforms to the Medical Device
Directive.
1-4
Chapter 2
Controls and Indicators

Front Panel
A summary of the PRISM front panel keys and indicators is provided in the figure
below and on the following pages. Fixed functions keys, softkeys, and indicators
are each discussed individually.

Figure 2-1. PRISM Front Panel Detail

1. Monitor On/Standby Keys

2. Battery Charging Indicator
3. AC Power Indicator
2-2

4. Alarm Indicator Lights

When flashing, one or more parameters are alarming

When lit, one or more alarms are suspended, OR all

alarms are turned off
5. Alarm Suspend Key (180 seconds)
6. Alarm Setup Key
7. Softkeys for Parameters in Waveform Display Zone
8. Freeze/Unfreeze All Waveform Traces
9. NIBP Start/Stop Key
10. Patient Type Selection Key (Adult, Ped, Neo)
11. Start/Stop Manual Recordings
12. Display System Setup Menu
13. Return to Home Page
14. Seven Parameter/System Softkeys

Fixed Function Keys (USA and International)

The PRISM includes the following nine (9) fixed functions keys: ON/STBY,
ALARM SUSPEND, ALARM SETUP, FREEZE, NIBP START/STOP,
PATIENT TYPE, SYSTEM SETUP, PAGE HOME, and RECORD. Each of
these keys, as the name implies (or symbol for International), is fixed and
performs its intended function regardless of the monitoring scenario. A brief
description of each is provided below.

ON/STBY
Turns the display on and initializes the PRISM when ON is pressed. When the
PRISM is turned on, you will hear two beeps. The PRISM is returned to standby
status by pressing STBY. When in STBY, the batteries continue to be charged if
the PRISM is connected to AC power, but no monitoring or storing of data
occurs.
2-3

ALARM SUSPEND
Temporarily suspends alarm tones. The factory defaults for alarm suspend
intervals are 180 seconds in adult mode, 90 seconds in pediatric mode, and 60
seconds in neonatal mode. If an alarm limit is violated, pressing ALARM
SUSPEND will silence the alarm tone. Pressing the key again before the suspend
time period has elapsed will reactivate the audible alarm tones if the alarm
condition still exists. While alarms are suspended, the following message will
appear on the PRISM screen:
ALARM SUSPEND XXX
The XXX will be replaced with the number of seconds remaining until the alarm
suspend condition is removed.

ALARM SETUP
Displays the alarm status for all vital sign parameters. Alarm ON/OFF status,
alarm priority level, high and low limits, and recording type for each active
parameter are displayed.

A bell… … next to the listed parameter indicates that one or more alarms for
that parameter is ON. An X is displayed when all alarms for the associated
parameter are OFF.

FREEZE
Freezes all displayed waveforms for evaluation purposes. Pressing FREEZE again
releases waveforms.

NOTE: Waveforms cannot be frozen during recording. Initiating a

recording will also release the frozen waveforms.

NIBP START/STOP
Pressing the NIBP START/STOP key immediately initiates an inflation and
measurement. You can also press the NIBP softkey to access the setup keys for
setting automatic measurement intervals.
2-4

PATIENT TYPE
The PATIENT TYPE key is used to select or display the current patient type.
The selections are ADULT, PED, and NEO.

SYSTEM SETUP
SYSTEM SETUP is used to change the monitoring conditions that your PRISM
monitor is currently set up for.

PAGE HOME
Returns the PRISM display to the HOME PAGE screen (i.e., the screen normally
displayed during patient monitoring).

RECORD
Initiates a 16-second recording of any one or two parameter waveforms. To stop a
recording in process, press RECORD prior to completion of a manual or alarm
recording. To specify the parameters to be recorded, press the softkey(s) of the
desired parameter(s) within two seconds after pressing the RECORD key. If no
parameters are selected after pressing record, a 16-second strip of ECG waveform
will be recorded.

NOTE: Active waveforms (i.e., parameters currently being monitored)

do not need to be displayed in order to acquire a recorded waveform.

Parameter Softkeys
The PRISM monitor is equipped with eleven (11) softkeys. Softkey operation
changes depending upon the monitoring mode, parameter, or configuration
options being accessed. Four parameter softkeys are located to the right of the
display screen. Seven parameter/system softkeys are located below the display
screen.
2-5

WAVEFORM SOFTKEYS
These four softkeys, located on the right side of the front panel, provide access to
the function keys of the parameters displayed in the waveform display zone. ECG
is always assigned to the top waveform trace, and as many as three additional
parameters, when available (i.e., installed), can be assigned to trace 2, 3, 4, or 5
depending upon options.

SYSTEM SOFTKEYS
The function of these seven softkeys, located directly below the display screen,
depends on the label or function key displayed directly above the softkey. In the
HOME PAGE state, parameter labels and associated numeric values may be
displayed directly above one or more of the softkeys. To access the function keys
for any of these parameters, press the softkey under the parameter label and a page
of function keys that relates specifically to that parameter will be displayed.

Indicators
The PRISM includes up to four indicators, which illuminate to notify the operator
of a specific activity or situation. These indicators notify the operator of AC
power, battery charging, and alarm status.

AC ON INDICATOR
The green AC ON LED (Light Emitting Diode) illuminates when the PRISM is
connected to AC power.

BATTERY CHARGING INDICATOR

The yellow CHARGING LED illuminates when the PRISM’s batteries are
charging. The CHARGING LED will not be illuminated when the batteries are
fully charged, or when the monitor is not connected to AC power.
2-6

ALARM INDICATORS

When flashing, one or more parameters are alarming.

When lit, one or more alarms are suspended, OR all alarms are
turned off.

Display Screen
The following is a brief description of the information and format presented on
the PRISM display screen.

Figure 2-2. PRISM Display Screen

1. ECG Lead in Use
2. Softkey Labels for Parameters Displayed in the Waveform
Display Zone (WDZ)
3. Alarm Status for Parameters in the Waveform Display Zone
2-7

4. Alarm Status for Parameters in the Numeric Only Display Zone

5. Numeric-Only Display Zone
6. Message Area for Parameters in the Numeric Only Display Zone
7. System Message Area
8. Message Area for Parameters in the Waveform Display Zone
9. Waveform Display Zone with Associated Numerics
10. Current Monitoring Mode (Patient Type selected)

ECG Lead in Use

Indicates the ECG lead displayed in the top trace of the WDZ. Choices include
lead I, II, III, or V LD (and depending on hardware and software, choices may
include aVF, aVL, or aVR) (for “chest lead” in a 5-lead configuration). If heart
rate is being derived from SpO2 or Invasive Blood Pressure, PULSE is displayed.

Softkey Labels for Parameters Displayed in the Waveform Display

Zone (WDZ)
The labels displayed adjacent to the parameter softkeys specify the parameters
displayed in the WDZ.

Alarm Status for Parameters in the Waveform Display Zone

Each bell displayed in the WDZ indicates the alarm ON/OFF status for the
parameter adjacent to it.

If a solid bell is displayed, one or more alarm for the associated parameter
is ON.

If the bell is displayed with an X through it, the alarms for the associated
parameter are OFF.

Alarm Status for Parameters in the NODZ

Each bell displayed in the Numeric-Only Display Zone indicates the alarm
ON/OFF status for the parameter listed below it.

If a solid bell is displayed, one or more alarm for the associated parameter
is ON.

If the bell is displayed with an X through it, the alarms for the associated
parameter are OFF.
2-8

Numeric-Only Display Zone (NODZ)

The parameter labels displayed above the softkeys at the bottom of the front panel
specify the parameters associated with each softkey. The numeric data associated
with the parameters are displayed above the parameter labels in the Numeric-Only
Display Zone.

NOTE: In the HOME PAGE state, the parameter labels and numeric
data are displayed directly above the softkeys. When a parameter or
system setup page is displayed above the softkeys, the Numeric-Only
parameter labels and associated data are displayed slightly above the
setup page.

Message Area for Parameters in the NODZ

Messages concerning parameters in the NODZ will be displayed in a reverse-
video box on the left side of the screen, just above the NODZ. Message display is
temporarily obscured when a parameter or system setup page is displayed. In the
HOME PAGE state, the message continues to be displayed as long as the
message condition exists.

System Message Area

A message that is not specific to a single parameter, such as “ALARMS
SUSPENDED 180”, is displayed in a reverse-video box, just below the WDZ.
Message display is temporarily obscured when a parameter or system setup page
is displayed. In the HOME PAGE state, the message continues to be displayed as
long as the message condition exists.

Message Area for Parameters in the WDZ

Messages concerning parameters displayed in the WDZ will be displayed in a
video box below the numeric data for the corresponding waveform parameters.
The message is displayed as long as the message condition exists.

Waveform Display Zone with Associated Numerics

The Waveform Display Zone displays waveform traces and associated numeric
data for as many as four different parameters. The top waveform trace is reserved
for the ECG waveform; however, you can assign different parameters to the other
three waveform traces.

Current Monitoring Mode (Patient Type selected)

The current monitoring mode is displayed at the top of the screen — ADULT,
PED, or NEO. The monitoring mode can be changed through the system function
key ADULT/PED/NEO.
2-9

Side Panel
Figure 2-3 displays the right side of the PRISM monitor. The Multiparameter
Module, the ISP Port, and the Multichannel Recorder Module may each be
accessed from this side of the monitor.

Dual Channel
Recorder Module

ISP Port
(Inside MPM well)

LCD Models with

CPU Assembly
403950 Only

Multiparameter
Module

Figure 2-3. PRISM Right Side Panel

Multiparameter Module
The module in Figure 2-3 is configured for several parameters; your
Multiparameter Module may be configured for fewer parameters. This module
may be interchanged with any PRISM monitor.

Dual Channel Recorder Module (Option)

The Recorder module provides manual and alarm recordings of any one or two
waveforms simultaneously.

Serial Interface (ISP Port)

This port is located inside the MPM well and is used to upload and download
software data from external sources. Only Prism LCD models 20403 with CPU
Board assembly 403950 has ISP capability. Refer to Chapter 8 (Mechanical) for
illustrations showing the location of the ISP Port.
2-10

Rear Panel
Figure 2-4 presents the PRISM rear panel. Brief descriptions are provided for the
areas indicated.

Figure 2-4. PRISM Rear Panel

2-11

1. External DC Input Connector (optional)

2. Equipotential Connector (optional)
3. Batteries
4. Defibrillator/ Pacer Interface
5. Fuse Holder/Voltage Selector
6. AC Power Cord Input Connector
7. Auxiliary Output Connector
8. Add-On Module Interface (J1 Connector)
9. Recorder Release Lever
10. Model and Serial Number Label

External DC Input (12 - 28V) Connector

Allows an external DC power source to be connected for extended use during
transport where AC power is not available. Batteries are not charged with external
DC power.

Equipotential Connector
Provides grounding for the monitor when the monitor is used with other medical
equipment. It must be used as a protective ground terminal when the monitor is
operated with external DC power.

Batteries
These two slots contain modular batteries which provide power in transport
situations or when AC power is not available.

Defibrillator/Pacer Interface
Provides connection and communication between the PRISM monitor and the
ESCORT Defibrillator/Pacer.

Fuse Holder/Voltage Selector and Fuse Replacement

The fuse holder contains the fuses and the voltage selector for the monitor. Open
the door of this holder to replace fuses or to configure the voltage selection block
— 115 VAC or 230 VAC. The present voltage setting can be read through the
small rectangular window on the door of the holder. It is recommended that
qualified technical service personnel replace fuses or change the voltage selection
when necessary.
2-12

WARNING: For protection against fire, replace the fuses only with
those of the same type and rating.

The PRISM requires two identical slow blow 0.5A fuses for 115 VAC operation,
or two slow blow 0.25A fuses for 220 VAC operation. Ensure that the AC power
cord has been disconnected before replacing fuses. Carefully open the door of the
fuse holder with a short 1/8" flat screwdriver. Replace the blown or defective fuse
with one of the same type and rating. Noting orientation, gently slide the fuse
holder back until it locks snugly into its original place. After the fuse replacement,
connect the AC power cord to the PRISM. The unit is now ready for operation.

AC Power Cord Input Connector and Optional Power Cord Mounting

Bracket
Allows connection of the AC power cord to the monitor. In addition, the AC
power cord must be plugged into an AC source before the monitor can operate on
AC power and before the batteries can be charged.
For permanent connection, the MDE power cord bracket should be installed. See
Figure 2-5 for instructions on installing the power cord mounting bracket.

Figure 2-5. AC Power Cord Bracket Installation

2-13

Auxiliary Output Connector

Provides analog waveform or alarm relay closure interface signals from the
PRISM to other clinical instruments.

WARNING: When connecting the PRISM to any other instrument,

verify proper operation before clinical use. Refer to the other
instrument’s operation manual for complete instructions.

Add-On Module Interface

If a transceiver module is connected here, wireless communications between the
monitor and an MDE Central Station can be established.
If a telemetry receiver module is connected, communication between the monitor
and an ambulatory transmitter can be established.
If a CIS module is connected, communication to a hospital information system
computer can be established, or RS232 communications can be established.
2-14
Chapter 3
Power Sources

Power Module
WARNING: Always locate the PRISM and its power cord away from
any electrosurgery equipment and its power cord and cables.

There are three options for providing power to the PRISM monitor: AC, Battery,
and External DC power. These options and their requirements are described
below.

AC Power
WARNING: When operating the PRISM from an AC power source,
the wall receptacle must be a three-wire, grounded, hospital grade
outlet. Use only PRISM’s original hospital grade AC power plug and
cord, or an equivalent hospital grade plug and cord. If in doubt about
the integrity of the grounding of the main supply connection, the unit
must be operated by battery power.

If the PRISM monitor is operated by AC power alone, make sure the following
requirements are met:
1. The fuses and voltage selected in the fuse holder on the rear panel must be
appropriate for the line power to which the monitor is connected — 115 VAC
or 230 VAC (the present voltage setting can be read through the small
rectangular window on the fuse holder door).
2. The PRISM monitor power cord is connected to both the monitor and AC
power source.

NOTE: For permanent connection, the MDE power cord bracket

should be installed.

If the preceding requirements are met, the AC ON LED should be illuminated. If

the preceding requirements are met and the LED is not illuminated, qualified
service personnel should inspect the monitor and connection.
3-2

Battery Power
Power to the PRISM monitor may be supplied by utilizing a modular battery or
batteries. The battery or batteries transform the PRISM into a fully functional,
portable monitor available for use in various transport situations.
The batteries utilized in the PRISM monitor are 12 VDC sealed lead-acid type
rated at 2.0 AH. Fully charged batteries should measure approximately 13.0 to
13.5 Volts DC with an open load.
The PRISM will indicate battery status on screen as BATTERY HI, MID, LOW
or VERY LOW. Battery status may be viewed from the TEST page when SW
STAT INFO is selected and the monitor is running on battery power.
Battery charging circuitry is located on the Power Supply Board. See Chapter 4,
“Power Supply Board” for details.

NOTE: Never discharge the batteries completely. To ensure long

battery life, always recharge batteries immediately after use. An
optional battery charger (MDE Part Number: E2700-12) is
recommended. Batteries should be replaced every two (2) years
regardless of test results. Used batteries should be recycled or disposed
of properly in accordance with local regulations.

NOTE: Refer to the operator’s manual for instructions on removing

and replacing the modular batteries.

The PRISM accommodates up to two (2) rechargeable sealed lead-acid batteries

(MDE Part Number E2700-37M).
The following guidelines apply when operating the PRISM with battery power:

• Operating time with two fully charged batteries is 1.25 to 2.25 hours,
depending upon monitor configuration.
• Use of the monitor’s recorder will shorten operating time 5 minutes for every
minute the recorder runs.
• The batteries will automatically recharge if the monitor’s AC power cord is
connected to AC power source. The front panel AC ON LED will illuminate
when the monitor is connected to AC power source. The front panel
CHARGING LED will illuminate when the batteries are charging and will be
OFF when the batteries are about 90% charged.

NOTE: Neither the AC ON nor the CHARGING LED will be

illuminated when the monitor operates on battery power alone.
3-3

• PRISM charges fully depleted batteries to a 90% charge in approximately 5

hours when the monitor is connected to an AC power source and is in STBY
mode.
• Batteries can be externally charged with PRISM’s optional external Multiple
Battery Charger (E2700-12). The Multiple Battery Charger can fully charge as
many as three fully depleted batteries within three hours.
• When you turn the monitor ON and it is powered by batteries alone, the
PRISM displays one of the battery level messages listed in Table 3-1. The
message will be displayed for thirty (30) seconds on the system message line.

NOTE: Battery cycle life (operating time) is dependent on battery

usage and maintenance. To maximize battery cycle life, do the
following:

1. Operate the PRISM monitor with AC power whenever possible.

2. Always charge the batteries when the PRISM is not being used.
3. Immediately charge the batteries if the level reads LOW or VERY LOW.
4. Replace batteries after two years of use.
Table 3-1. Battery Power Levels

MESSAGE BATTERY LEVEL

MONITOR BAT HI > 60% Charge

MONITOR BAT MID 20-60% Charge
MONITOR BAT LOW < 20% Charge
BATTERY VERY LOW
Approximately 10 minutes of battery life remains
(Intermittent Alarm Tone Sounds)

External DC Power
An auxiliary connector (center pin positive) labeled DC IN 12-28V, 30VA is
located on the rear panel of the PRISM. This allows connection to an external DC
power source when AC power is not available. The external DC power source will
not charge the internal batteries, however the batteries will maintain their charge
while the monitor is being operated in this mode.

WARNING: When using an external DC power source, the

equipotential connector must be used as a protective ground terminal.
3-4

Turning on the Monitor

Perform the following steps to turn on the monitor:
1. Make sure you have chosen your power source (AC, Battery, or External DC),
and have followed the guidelines and requirements in the appropriate section.
2. Press the ON key on the PRISM’s front panel. You should see the PRISM
display screen and hear two beeps.

NOTE: The first time the monitor is turned ON, after delivery from
the factory, or whenever ALL default settings are set back to factory, a
message will be displayed on the monitor screen indicating that all
defaults are set to factory. To remove the display of the message, press
the ALARM SETUP key.
Chapter 4
Power Supply Board

Overview
Power Supply Board
The Power Supply Board provides the flexibility to operate the unit via three
inputs: AC (alternating current), external DC, or battery. The Power Supply Board
will charge batteries with AC supply only. Voltages created by the Power Supply
Board are used throughout the PRISM. Fan control, battery level-detect, and low
voltage shutdown circuitry are also contained on the Power Supply Board.

Inputs
The Power Supply Board utilizes any one of three inputs. These inputs are 18-
22VAC from the AC supply at J7, external DC source (12 – 28VDC, 30VA) at J6,
and battery input (10-13VDC) at J8. When the power supply is input by the AC
supply, the AC ON led will be illuminated on the front panel. Input from the CPU
board is PS_SYNC. This is a 250 kHz signal for noise reduction throughout the
PRISM. Inputs from the front panel membrane ON/STBY key will enable the
control relay to turn the system ON or OFF.

Voltage Creation
Voltage creation starts when the operator touches the “ON” key on the front
panel. This latches the control relay on the power supply and powers the input of
the pulse width modulator (PWM). The PWM will enable the power mosfets into
switching V+ through the primary of the transformer. Output voltages are then
filtered and rectified before being transferred to the CPU board.

Battery Charging
All battery charge functions are controlled on the Power Supply Board. The
batteries are charged from the input AC source. The battery charging is controlled
by a programmable microcontroller. Maximum charge current is 400
milliamperes. When the unit is charging above 50 mA, the battery charging LED
will be illuminated on the front panel. A floating charge current of 50 mA occurs
when the battery is approximately 90% charged. Charge times will be
approximately 5 hours to 90% charge when in Standby mode.
4-2

Battery Level
The microcontroller on board the power supply detects and reports the battery
level to the CPU board. The signals to the CPU board are BAT_CON0 and
BAT_CON1. Refer to Table 4-1 for battery voltage indicator levels. The battery
level will be displayed for 30 seconds when initially operating on battery power.
After 30 seconds, the battery level status can be viewed on the TEST / STAT
INFO SW page (Find and press the TEST softkey, then press the STAT INFO
SW softkey).
Table 4-1. Battery Conditions

BAT_CON0 BAT_CON1 Battery Condition

1 1 High
0 1 Mid
1 0 Low
0 0 Very Low

Fan Control
The PRISM controls the internal temperature with a temperature sensor and fan.
When the internal temperature reaches 115° F, the temperature switch closes and
enables the fan to rotate. The fan control circuitry resides on the Power Supply
Board. The fan is located on the rear panel.

Shutdown Circuitry
There are two methods of shutting down the PRISM. The first method is when the
operator presses the STBY key on the front panel. When this is performed, the
control relay enables a ground reference to the PWM’s soft start input. This will
cease the voltage creation and turn off the power supply. The second method is
low voltage shutdown. When the VBATT signal drops below approximately
8.3VDC, a comparitor circuit will pull the soft start input to the PWM low, and
force the power supply off.
4-3

Figure 4-1. PRISM Power Supply Block Diagram

4-4

VR1

Figure 4-2. PRISM Power Supply Board

Table 4-2. Power Supply Board Adjustment

Adjustments
VR1 Model 20300 contrast adjustment
4-5

Figure 4-3. Connector Identification of PRISM Power Supply Board

4-6

Figure 4-4. Power Test Points

4-7

Figure 4-5. Membrane “ON” Bypass

4-8
Chapter 5
CPU Board & Video Configurations

Overview
The CPU board controls many functions including video display, alarm
processing, tone generation, recorder interface, I/O connections, clock functions,
reset control, and keypad calculations. The Central Processing Unit (CPU) used is
a type Z8S180. Configuration is retained in RAM for the Z8S180 CPU via a
backup battery. If the backup battery fails, all power up settings will be set to
factory defaults. The main processor communicates to the parameter processors
via serial bus communications (DBUS). Add on modules also communicate
through the DBUS to the main processor. Communications for each parameter
and add on module can be verified on the TEST page. The software version of the
main CPU and parameters are listed on the TEST page.

Display
The PRISM uses either a multi-color LCD or monochrome EL 10.4 inch display.
A power inverter board is used on the LCD models to illuminate the backlight.
Each display connects to the appropriate interface board (see NOTE below)
located in the bezel assembly.

NOTE: All EL display models use an interface board, a video controller

board, and CPU board P/N 403023. LCD display models prior to June
2001 also use an interface board, a video controller board, and CPU
board P/N 403023. LCD display models after June 2001 use CPU board
P/N 403950 without an interface and video controller board. This
chapter discusses LCD displays with both earlier and later CPU
configurations.

Bezel/Membrane
All membrane calculations are handled on the CPU board. The PRISM uses a 4 x
5 matrix to determine which key was pressed. Please refer to Figure 5-4 when
trouble shooting the membrane.
The membrane connects to the interface board on all EL displays and older LCD
displays using CPU board P/N 403023. The membranes on newer LCD display
type monitors connect directly to J20 on the CPU board (CPU board P/N 403950).
5-2

Figure 5-1. Diagram of PRISM CPU Board Assembly # 403023

5-3

Figure 5-2. Connector Identification for PRISM CPU Board Assembly # 403023
5-4

Figure 5-3. System Interconnect for CPU Board Assembly # 403023

5-5

Figure 5-4. Diagram of PRISM CPU Board Assembly # 403950

5-6

Figure 5-5. Connector Identification for PRISM CPU Board Assembly # 403950
5-7

Figure 5-6. System Interconnect for CPU Board Assembly # 403950

5-8

Figure 5-7. Power Module Wiring Diagram

5-9

PRISM
MEMBRANE
SCHEMATIC

X - TABLE

6 7 8 9

13 SK7 FREEZE
ALARM SYSTEM
SUSPEND SETUP

14 WF1 WF2 WF4 WF3

Y - TABLE
15 SK2 SK3
ALARM
SETUP

16 PATIENT SK1 RECORD

NIBP
TYPE START/
STOP

17 PAGE SK4 SK5 SK6

HOME

MATRIX

AC BATT
ON CHG
ALARM +5V GND ON STBY

10 11 12 1 4 2 3 5

YELLOW RED GREEN YELLOW

SCHEMATIC

Figure 5-8. PRISM Membrane Schematic

5-10

High Level Outputs

The PRISM allows programming and control of three output ports (PORT1,
PORT2, and PORT3). These signals originate from the CPU board connector, P1,
and are routed to the rear panel connector, P3. See Table 5-1 for pin designations.
Each port may deliver any of three signal outputs. The signal can be a waveform
output, an alarm-triggered output, or a record-triggered output. The signals can be
sent to Nurse Call Panels, Remote Slave monitors, or various recording devices.
Interfacing with many of these devices may require the use of the High Level
Interface Module (HLIM), P/N E2900-33. Contact MDE Technical Support for
ordering information.
The PRISM may also be connected to an external defibrillator. When [RING], the
external QRS sync signal, goes high, it turns on Q1, which will pull the
defibrillator flag signal, [DFIBFLG2], low. The [QRSOUT] signal, if present, can
be monitored at P3-11. The analog ground is on P3-15, while the digital ground is
on P3-14. The [SLEEVE] voltage level is tied to analog ground through R9. The
[TIP], which is the ECG high level output signal, is connected to [HI_LEVEL]
through R8.
Each port can be defined by accessing the CONFIG page using the PRISM’s
softkeys. Scaling factors, DC offsets, and coupling for each of the parameters are
listed in Table 5-2. In addition, Table 5-3 outlines the types of signal outputs for
which each port can be programmed.

NOTE: The outputs will be clipped if the displayed waveform is

clipped.

Nurse Call System and Alarm Panel

The PRISM monitor provides a single-pole/double-throw relay that can be used to
interface to a nurse call system or alarm panel. When the monitor is not in alarm,
the relay pole, ALARM_NO (Normally Open) will be in the open position and
ALARM_NC (Normally Closed) will be in the closed position.
If an alarm is activated, the relay contacts toggle at different rates. For high limit
alarms, it is on for 300 milliseconds and off for 300 milliseconds. For low limit
alarms, it is on for 600 milliseconds and off for 600 milliseconds. By applying a
voltage to either ALARM_NC or ALARM_NO, an alarm panel or nurse call
system can be connected to ALARM_O. The maximum voltage that can be
applied to ALARM_NC or ALARM_NO is 12 VDC, and the maximum current
should be limited to 0.5A.
5-11

Table 5-1. Auxiliary Output Connector—Pin Designations

AUX. OUTPUT AUX. OUTPUT

SIGNAL NAME SIGNAL NAME
CONNECTOR CONNECTOR
ALRM_0 1 RING 8
PORT1 2 +5V 9 (limited to .5A)
ALRM_NC 3 TIP/HI_LEVEL 10
PORT2 4 QRSOUT 11
ALRM_NO 5 DIGITAL GND 14
PORT3 6 ANALOG GND 15

Table 5-2. Parameter Scaling Factors, DC Offsets, and Coupling

PARAMETER SCALE DC OFFSET COUPLING

ECG 1V = 1mV 2.5V DC
BP (PULSE) 1V = 100 mmHg 1.6V DC
BP (SCALE) 1V = 100 mmHg 0V DC
RESP 1V = 1 ohm 2.5V DC
SPO2 4V = 100% 0V DC
CO2 1V = 10.1 mmHg 0.2V DC
TEMP 1V = 10° C 0V DC
HR 1V = 51 BPM 0V DC
5-12

Table 5-3. Programmable Outputs

OUTPUT PARAMETER DEFINITION

WF1 AUTO Any trace displayed in waveform area 1 is output.
WF2 AUTO Any trace displayed in waveform area 2 is output.
WF3 AUTO Any trace displayed in waveform area 3 is output.
WF4 AUTO Any trace displayed in waveform area 4 is output.
WF ECG The ECG waveform is output.
BP1 The BP1 waveform is output.
BP2 The BP2 waveform is output.
BP3 The BP3 waveform is output.
CO2 The CO2 waveform is output.
PLETH The SPO2 pleth waveform is output.
RESP The Respiration waveform is output.
HR The heart rate numeric is output.
SPO2 The SPO2 percentage numeric is output.
T1 The TEMP1 Temperature numeric is output.
T2 The TEMP2 Temperature numeric is output.
ALARM ANY Enables on any alarm.
FLASH Enables alternating ON/OFF (flashing) on any alarm.
ECG Enables on any ECG alarm.
BP1 Enables on any BP1 alarm.
BP2 Enables on any BP2 alarm.
BP3 Enables on any BP3 alarm.
CO2 Enables on any CO2 alarm.
NIBP Enables on any NIBP alarm.
SPO2 Enables on any SPO2 alarm.
RESP Enables on any Respiration alarm.
T1 Enables on any TEMP1 Temperature alarm.
T2 Enables on any TEMP2 Temperature alarm.
KEY REC Enables when the RECORD key is pressed.
5-13

Video Configurations
The Prism can display information formatted for an El display (model 20401) or
an LCD display (model 20403). Display formatting is performed on the video
controller board for all 20401 models, and older 20403 models equipped with the
403023 CPU board. Display formatting on 20403 models equipped with CPU
board 403950, is performed on the CPU board.
On models equipped with CPU board 403023, there are four (4) boards for the
two models; two (2) boards per model. All four boards format the unit’s display
information. Two of the four boards format VGA outputs for each model. Each
model has it’s own interface board for routing signals to and from the display and
membrane to the video controller and CPU board. The video controller board
resides on top of the CPU board and also connects to the corresponding interface
board.
On 20403 models equipped with CPU board 403950, these functions are
performed on the CPU board.

EL Video Controller (Model 20401 with CPU Board 403023)

This controller has two microprocessors for EL, VGA control, and EL timing.
Membrane signals are routed through this board from the interface board to the
CPU board. Display signals are buffered on this board to protect the input signals.
The power control circuit enables the display buffers. Two (2) or three (3)
connectors are located on this board depending on whether the VGA option is
installed. Connector P4 attaches to the interface board located in the front housing
assembly. Connector P1 attaches to the CPU board. Connector P3 (VGA Option)
attaches to the VGA cable connecting the 15 pin D-connector located at the rear
of the bezel assembly.

LCD Video Controller (Model 20403 with CPU Board 403023)

This controller has one microprocessor for LCD and VGA control. Membrane
signals are routed through this board from the interface board to the CPU board. A
power control circuit buffers the input voltage and will enable the display buffers.
Two (2) or three (3) connectors are located on this board depending on whether
the VGA option is installed. Connector P4 attaches to the interface board located
in the front housing assembly. Connector P1 attaches to the CPU board.
Connector P3 (VGA Option) attaches to the VGA cable connecting the 15 pin D-
connector located at the rear of the bezel assembly.
5-14

LCD Interface Board (Model 20403 with CPU Board 403023)

The LCD interface board has four primary functions. These are to buffer and filter
the display signals. Secondly, it routes the membrane signals. Thirdly, it sends
voltages to the power inverter board. The fourth function is to set the view angle
to six o’clock. There are four (4) connectors located on this board. J2 connects to
the membrane. J1 connects to the video cable attaching to the display. J4 attaches
to the video controller board. J3 connects to the power inverter cable attaching to
the power inverter.

EL Interface Board (Model 20401 with CPU Board 403023)

The El interface board has three primary functions. These are to buffer and filter
the display signals. Secondly, it routes the membrane signals. And thirdly, it sends
power to the display. There are three (3) connectors located on this board. J2
connects to the membrane. J1 connects to the video cable attaching to the display.
J3 attaches to the video controller board.

Power Inverter Board (Model 20403)

There are three types of power inverters. Two are for the Sharp display and the
other is for the NEC display. The display manufacturer is printed at the back of
the display. Please contact MDE Technical Support for the correct power inverter.
The power inverter drives the back illumination for the display. Input voltage to
the power inverter is from the interface board on models equipped with CPU
board 403023, and directly from the CPU board on models equipped with CPU
board 403950. Two output connectors attach directly to the display for
illuminating the top and bottom half of the display.

WARNING: The Inverter output is 1500 VRMS.

Chapter 6
Multiparameter Module

Overview
The PRISM Model 20001 Multiparameter Module (MPM) houses all installed
parameter boards, and provides easy accessibility to each. A fully loaded MPM
can accommodate ECG, Respiration, SPO2, three (3) Invasive Blood Pressures,
Noninvasive Blood Pressure, Temperature, Mainstream/Sidestream ETCO2, and
Cardiac Output.
The MPM is easily removed by grasping the two tabs on either side of the MPM
and squeezing inward while pulling the MPM straight out of the PRISM monitor.
The parameter boards are then accessible by removing the four Phillips screws
securing the MPM cover plate and removing the cover plate.

Figure 6-1. Multiparameter Module (MPM)

6-2

Connector Plate Assembly

The Connector Plate Assembly includes the MPM Connector Board, connectors
to support all purchased parameter options, and the connector plate itself. The
MPM Connector Plate may also be configured for use with Hewlett-Packard
Merlin type connectors (ECG and IBP only).

Figure 6-2. MPM Connector Plate Assembly

6-3

Figure 6-3. MPM Housing Assembly

MPM Connector Board

The MPM Connector Board acts as an interface between patient cable connections
and the PRISM monitor. All signals are routed from the various input connectors
to the cardedge connector P1 which, connects to the MPM ISO Power Supply.
ECG inputs are protected by surge arrestors against possible external potentials of
up to 80 VAC. DS1 connects between each surge arrestor and the isolation barrier,
providing a discharge path. DS1 is also used to complete protection to the IBP and
Temperature inputs. Diodes provide protection against an external potential of 24
VAC for IBP Channel 1, Channel 2, and Temperature inputs. Inductors are use
throughout the board to suppress EMI.
6-4

Figure 6-4. MPM Connector Board Layout

6-5

ISO Power Supply Board

The ISO Power Supply Board performs three (3) major functions. These functions
are: (1) Isolates control signals for serial communications with the bedside. (2)
Creates isolated operational voltages. (3) Routes patient signals from the
connector plate assembly to the individual parameter locations. The potentiometer
VR1 on the ISO Power Supply reduces EMI between the isolated and non-isolated
grounds.
All control signals are isolated through opto-isolators. These provide an isolation
boundary of 7.5kVDC. The signals isolated are CPU RX, CPU TX, TIMETICK,
and RESET. These signals are routed to all of the parameter connectors.
Isolated operational voltages are created from the input voltages of V+ and +15V.
V+ is switched through the isolating transformer to create +15VISO, -15VISO,
and +5VISO. The pulse width modulator is synced with the PS SYNC (250 kHz)
signal from the main CPU. The +5VISO signal is fed back to the pulse width
modulator to vary the duty cycle to maintain constant voltages.
6-6

Figure 6-5. Isolation Power Supply Board & Connections

6-7

Figure 6-6. Isolation Power Supply Board Circuit Side

6-8

Figure 6-7. ISO Power Supply Board Test Points

6-9

ECG/SpO2/RESP Boards
The PRISM provides monitoring capability of ECG, Respiration, and SpO2 while
inhabiting a single slot inside the MPM. The board will include ECG as a
minimum, with optional Respiration and SpO2 when purchased.

ECG signals are developed on the ECG/SpO2/Resp main board. The signals are
then converted to digital format. The digital information is then sent to the
PRISM’s main CPU Board.
Respiration is also available on the ECG/SpO2/Resp main board with the addition
of the necessary respiration components and applicable software.
Pulse Oximetry (SpO2) monitoring is available with the Nellcor or Masimo SpO2
module. This board connects directly to the main ECG/SpO2/Resp board via the
onboard connectors.
ECG circuitry performs many functions. These include Lead Select, Common
Mode Rejection, Pacer Pulse Detect, Lead Fail, Filtering, and Amplification. Most
of these functions can be controlled via the operator in the ECG SETUP menu.
Respiration circuitry resides on the ECG board. The respiration signal is derived
from the impedance pneumography technique. Respiration uses the LA and RA
leads from the ECG cable for signal processing. If ETCO2 is in use, the respiration
will switch to the CO2 information for respiration processing. Respiration is
optional and can be configured into the unit.
All SPO2 functions are processed on the Nellcor or Masimo modules. Once
processed by these modules, information is transmitted via serial communications
to the ECG board. SPO2 is optional and can be configured into the unit.
6-10

Figure 6-8. ECG/Resp Main Board Layout—Nellcor

6-11

Figure 6-9. Nellcor MP204 (Top) and Nellcor MP405 (Bottom) SpO2 Board Layouts
6-12

Figure 6-10. Nellcor MP405 SpO2 Cable Routing

6-13

Figure 6-11. ECG/Resp Main Board Layout—Masimo

6-14

Figure 6-12. Masimo SpO2 Board Layout

NIBP/BP/TEMP Board
The NIBP/BP/TEMP Board provides monitoring capability of up to three
parameters in eleven different configurations. Available parameters include
monitoring of one, two, or three Invasive Blood Pressures (IBP), Temperature
(TEMP), and Noninvasive Blood Pressure (NIBP).
Invasive Blood Pressure monitoring is compatible with all 5 µV/V/mmHg type
external pressure transducers. Temperature monitoring utilizes YSI-400 and
YSI-700 autosensing circuitry, and is compatible with either type of probe, and
also provides predictive temp. Noninvasive Blood Pressure monitoring is
accomplished using a traditional dual-lumen hose and cuff.
The NIBP/BP/TEMP Board is comprised of five main sections IBP, TEMP,
NIBP, NIBP Pneumatics, and Digital Processing.
6-15

Figure 6-13. NIBP/BP/TEMP Board Layout

6-16

Figure 6-14. NIBP Pneumatics

6-17

Figure 6-15. NIBP/BP/TEMP Board with NIBP Pneumatics (Exploded View)

6-18

SureTemp Board
SureTemp is achieved through a proprietary algorithm which calculates (predicts)
a temperature reading before reaching a thermal steady state. There are two modes
for the SureTemp parameter; normal (predictive) and monitor modes.
Temperatures may be taken in the oral, rectal, and axillary locations. The time it
takes to predict an Oral temperature is 4 seconds. Rectal temperatures take about
15 seconds for a final reading. Oral temperatures are taken utilizing a patient’s
sublingual pocket.

Figure 6-16. SureTemp PCBA (675 OEM)

6-19

Figure 6-17. SureTemp Board & Mounting Support Exploded View (675 OEM)

Figure 6-18. SureTemp Board & Mounting Support Assembly (675 OEM)
6-20

Figure 6-19. SureTemp PCBA (678 OEM)

Figure 6-20. SureTemp Board & Mounting Support Exploded View (678 OEM)
6-21

Figure 6-21. SureTemp Board & Mounting Support Assembly (678 OEM)

Figure 6-22. SureTemp Cable Routing (678 OEM)

6-22

CO2 & CO2 Processor Boards

The PRISM CO2 system is comprised of three major components, as listed below.

• Optical Bench (CO2 Sensor)

• CO2 Main Board

• CO2 Processor Board

The Optical Bench, or CO2 sensor, is the interface between the patient and the
PRISM bedside monitor, and is placed in the patient airway. The CO2 Board
processes the ETCO2 information received from the Optical Bench while also
providing sensor heat-up and control. The CO2 Processor Board is the digital
interface between the CO2 board and the PRISM’s main CPU board.

If the PRISM is equipped with both the CO2 and Cardiac Output option, then the
entire CO2 Processor capability is embedded in the Cardiac Output Board with
minor modifications.

WARNING: Great care must be exercised in handling the CO2 sensor.

There are no serviceable parts inside the sensor. If the sensor
malfunctions, contact MDE Technical Support.

WARNING: DO NOT immerse, gas sterilize, or autoclave the CO2

sensor. Doing so will cause damage to the sensor, which is NOT
COVERED by the product warranty.
6-23

Figure 6-23. CO2 Board Layout

6-24

Figure 6-24. CO2 Processor Board Layout

Cardiac Output Board

The PRISM Cardiac Output system consists of a bifurcated Cardiac Output (CO)
cable and the Cardiac Output board. The bifurcated CO cable is comprised of two
individual cables — one with a blue connector which connects to the thermistor
on the catheter to take blood temperatures, the other with a four-pin female plug
which connects to an open bath temperature probe or an injectate flow through
probe. The Cardiac Output board includes sensitive amplifiers, an analog-to-
digital converter, digital signal processing, and voltage regulators.
The process of performing Cardiac Output measurements starts with a certain
amount of injectate with a known temperature. The injectate is diluted with an
unknown amount of blood inside the right ventricle of the heart. Temperatures are
continuously monitored. Cardiac output, right ejection fraction (REF), stroke
volume (SV), end systolic volume (ESV) and end diastolic volume (EDV) are
calculated using algorithms stored inside the EPROM. The EPROM stores the
calibration coefficients for each channel. Each board has a different set of
coefficients. The resistance changes on the probes are converted to voltage values
with the analog amplifiers in each one of the three channels. The amplified signals
are digitized by an analog-to-digital converter. The software will take these
voltage values and process them through algorithms to calculate the temperature
values first, and then the CO and REF values.
6-25

Figure 6-25. Cardiac Output Board Layout

6-26
Chapter 7
Non-Parameter Options

Recorder (Option 20002)

PRISM monitors may be equipped with an optional thermal recorder, see Figure
7-1. All alphanumeric and waveform data displayed on the monitor’s screen may
be sent to the recorder for printing.
If the recorder option is not included, a non-recorder configuration is installed to
fill the recorder cavity in the PRISM monitor. The non-recorder configuration is
shown in Figure 7-2.
PRISM monitors that do not include the Thermal Recorder option may be easily
upgraded by replacing the non-recorder configuration with a Thermal Recorder.

Figure 7-1. Thermal Recorder Option

7-2

Figure 7-2. Non-Recorder Assembly

NOTE: Refer to the operator’s manual for instructions on removing

and replacing the Recorder Module, and for instructions on changing
the recorder paper.
7-3

VGA Output (OPT53)

The optional VGA OUTPUT port allows for an external VGA
monitor to be connected. The same information that is displayed on
the PRISM monitor will display on the external VGA monitor.

Figure 7-3. PRISM with VGA Option

7-4
Chapter 8
Mechanical

Overview
This chapter provides the information necessary to disassemble the PRISM
monitor.

WARNING: High voltages may be present! REMOVE ALL POWER

FROM THE AC MAINS, EXTERNAL DC SUPPLIES, AND
REMOVE BATTERIES. FAILURE TO DO SO MAY CAUSE
SERIOUS INJURY. Use caution when handling electrical parts and
assemblies as injury could occur. Technicians should wear a
grounding wrist or ankle strap to increase personal safety and to avoid
possible damage to the monitor. Read all disassembly instructions
prior to performing any removal of parts.

Tools Required
— 7/64 inch Hex Ball Driver
— Phillips Screwdriver(s)
— 1/4 inch Hex Driver
— Needlenose Pliers – small
— Flat Bladed Screwdriver(s)
8-2

Disassembly
Main Housing (Skin Assembly) Removal
1. Remove 5 rear screws.
2. Remove any side screws next to the MPM housing.
3. Remove or loosen 2 screws securing the recorder release tab.
4. Slide the main housing (skin assembly) backward.

Power Supply Removal

1. Remove the main housing (skin assembly).
2. Remove 2 side screws securing the power supply to the middle bulkhead.
3. Remove the rear top screw securing the power supply
4. Disconnect the AC, speaker, fan, battery and Ext. DC connectors from the
power supply.
5. Remove the power supply.

Bezel Removal
1. Remove the three bottom screws for the bezel.
2. Carefully lift off the bezel and membrane assembly (the membrane cable will
be attached to the interface board).
3. Remove the four screws behind the EMI tape on the display.
4. Disconnect the two connectors from the inverter board.
5. Disconnect the display cable.
6. Remove the display.
7. Disconnect the membrane cable from the interface board (CPU 403023) or
interface cable (CPU 403905).

Inverter Board Removal

1. Remove the bezel as described earlier in “Bezel Removal”.
2. Disconnect the inverter connector.
3. Remove the two screws securing the inverter bracket.
4. Remove the inverter board with bracket.
5. Remove the two screws securing the inverter.
8-3

6. Remove the inverter board from the bracket.

7. Remove the cable from the board.

Interface Board Removal

1. Remove the bezel as described earlier in “Bezel Removal”.
2. Disconnect the cable for the inverter.
3. Remove the four screws securing the interface board.
4. Carefully remove the interface board, which is attached to the video controller
board.

Video Controller Board Removal

1. Remove the interface board as described earlier in “Interface Board
Removal”.
2. Remove the main housing (skin assembly) as described earlier in “Main
Housing (Skin Assembly) Removal”.
3. Remove the five screws securing the video controller board.
4. Carefully remove the board from the CPU board.
5. Disconnect the video cable if necessary.

CPU Removal
1. Remove the video controller board as described earlier in “Video Controller
Board Removal” (units with video controller boards only).
2. Remove the power supply board as described earlier in “Power Supply
Removal”.
3. Remove the five screws securing the CPU board.
4. Remove all cable connectors.
5. Carefully remove the board.
8-4

Figure 8-1. PRISM Chassis Assembly #1

8-5

Figure 8-2. PRISM Chassis Assembly #2

8-6

Figure 8-3. PRISM Chassis Assembly #3

8-7

Figure 8-4. PRISM EL Display Assembly (CPU Board 403023 ONLY)

8-8

Figure 8-5. PRISM Color Display Assembly (CPU Board 403023 ONLY)
8-9

Figure 8-6. PRISM Color Display Assembly (NEC Display & CPU Board 403950)
8-10

Figure 8-7. PRISM Color Display Assembly (Sharp Display & CPU Board 403950)
8-11

Figure 8-8. PRISM Rear Panel Assembly

8-12
Chapter 9
Performance Check

Overview
MDE recommends a yearly performance check to verify all functions on the
PRISM monitor. Perform only the tests necessary for the options and parameters
installed in your monitor. A checklist is included at the back of this section which
may be photocopied and completed each time the performance check is done. At
the conclusion of the performance check, turn power OFF and back ON again.
Verify that all default settings return.
The following equipment (or equivalent) is necessary to do the performance tests.
Refer to the manufacturer’s operating procedures for detailed information. All test
equipment used should be in good working condition and calibrated, if necessary.
• MDE Datasim 6000, 6100 Patient Simulator or similar
• Resistive 3-lead and 5-lead ECG cables and leads
• Two (2)blood pressure cables
• IEC-601 Continuity Tester
• Variac/current box 110VAC
• Variac/current box 220VAC
• DC power supply with 3.5 mm connector, 20VDC/3A
• NELLCOR finger probe and cable
• MASIMO finger probe and cable
• NIBP cuff and hose
• Fogg Temperature Simulator TP400/700
• Fogg BP Simulator BP-600
• Stopwatch
• Digital Manometer (EDI or equivalent)
• Biotek 505 Electrical Safety Tester or similar with printer and interface cable
• Barometer
• DMM, 3 1/2 digit or better
• VGA monitor
• Module Extender Cable (MDE p/n 402000)
• MPM Extender Cable (MDE p/n 401999)
Begin with a thorough visual inspection of the unit. Inspect the power cord for
cracks or exposed conductors. Replace power cord, if defective.
9-2

Safety Tests
WARNING: Disconnect the AC power cord, remove all batteries (if
installed), and disconnect all cables connected to the PRISM before
performing the safety test.

Chassis Ground Test

1. Connect the AC plug of the IEC-601 Continuity Tester to the AC input of the
PRISM monitor.
2. Touch test probe to ground post (if present), or to any non-anodized post or
screw on back of monitor.
3. Activate the tester and verify that the green PASS LED is illuminated.

Current Leakage Test

1. Power-up the Biotek 505 instrument and the printer.
2. Connect the printer to the Biotek and verify it is ON-LINE.
3. Connect the power cable of the Biotek to the monitor.
4. Connect the RED test lead jack to the ground post (if present), or to any
non-anodized post or screw on back of monitor.
5. Connect the ECG leads from the Biotek to the monitor.
6. Press the PROGRAM key on the Biotek until the display indicates Pro2.
7. Verify the following LEDs are lit to indicate corresponding tests are enabled:
“ohm”, “µA” “V” “ECG Leak”, “Rev Pol”, Open Gnd”, “Print”, and
“Program” LED blinking.
8. Turn ON the monitor.
9. Toggle the ON/STBY key while testing.
10. At the end of the test check the printout. Verify the Ground Wire Resistance
does not exceed 0.1 ohm, current consumption is between 0.1 and 0.6A,
“Chassis Leakage” current is less than 100µA, and the “Patient Lead Leakage”
current in the “isolation mode” is less than 20µA at 120VAC, and 50 µA at
230VAC.
9-3

Mainframe Check
Keypad Function Check
1. Verify all membrane keys respond when pressed.
2. Violate an Alarm limit to cause Alarm to activate and verify the “ALARM”
LED lights.
3. Press the “Alarm Suspend” key and verify the “Alarm Suspend” LED lights.

Mainframe Software
1. Press the PAGE HOME function key.
2. Press the SYSTEM SETUP function key.
3. Press the MORE softkey twice.
4. Press the TEST softkey to display the parameter communication status codes
on the screen.
Each parameter listed is followed by a communications code and its software
version. Communication status codes are as follows:

OK - No faults detected; normal operating state

I- Parameter is INHIBITED by user configuration in monitor

(parameter selection; i.e., RESP vs. RESPCO2, indicating that
only one source of respiration may be active at a given time, e.g.,
Respiration via impedance pneumography vs. Respiration via
ETCO2)

D - Parameter is DISABLED by user configuration in monitor

(PRAM AVAIL field in power-up defaults)

V- Version (protocol revision) mismatch between parameter and

monitor; contact MDE Technical Support

#- Any numeric codes displayed for COMM status should be

relayed to MDE Technical Support for further direction

Date and Time Check

1. Press the PAGE HOME function key.
2. Press the SYSTEM SETUP function key.
3. Press the MORE softkey twice.
9-4

4. Press the TEST softkey.

5. Press the STAT INFO softkey to highlight SW.

6. Check the monitor for correct date and time.

7. Make changes as necessary. Refer to the operator’s manual to change the date
and time.

Line Frequency Check

1. While the monitor is set to the STAT INFO SW page, verify that the AC line
frequency is 60 ± 0.05 Hz. For 50 Hz systems, verify that the AC line
frequency is 50 ± 0.05 Hz.

VGA Output Check (If Applicable)

1. Connect a VGA monitor to the 15 pin D-sub connector of the monitor.
2. Verify the PRISM monitor display. Verify the VGA monitor text and graphics
displayed are normal.

System AC Current Check

1. Remove the batteries from the monitor.
2. Plug the power cord of the monitor into a variac.
3. Set the variac at 115 VAC. Ensure that the current meter reads less than 500
mA.
4. Reinstall the batteries of the monitor when complete.

External DC Operation (If applicable)

1. Remove the AC power source from the monitor.
2. Remove the batteries, if present.
3. Set an external DC power supply (rated at a minimum of 45 VA) to 20 ± 8
VDC.
4. Connect the DC output to the external DC connector at the back of the
monitor using the 3.5 mm connector (center pin positive). Verify that the
monitor operates normally.
9-5

Battery Operation Test

NOTE: Never discharge the batteries completely. To ensure long
battery life, always recharge batteries immediately after use. Batteries
should be replaced every two (2) years regardless of test results. Used
batteries should be recycled or disposed of properly.

NOTE: Battery test should be performed on recently charged

batteries.

1. Remove the AC power cord from the monitor and verify the monitor remains
on with normal operation.
2. Ensure that both the AC ON and BATTERY CHARGING LEDs are off.
3. Reconnect the AC power cord to the monitor.
4. Verify the AC ON LED is on with AC power

ECG Tests
NOTE: When using a patient simulator, the tolerance factor of the
simulator must be considered in determining if the monitor is within
tolerance.

Lead Fail Test

1. Connect a 5-lead ECG cable to a calibrated patient simulator.
2. Connect the ECG cable to the ECG connector of the monitor.
3. Ensure that the monitor is set to 5-lead mode.
4. Verify the CHK LEADS message appears below the ECG trace within 10
seconds when any patient lead is disconnected (LL, LA, RA, RL, and C).
5. Verify the CHK LEADS message appears below the RESP trace (if
applicable) when LA or RA lead is disconnected.
6. Verify that when any patient lead is disconnected and reconnected, the
baseline returns to normal within two (2) seconds.

ECG Lead Position Check

1. Connect a 5-lead ECG cable to a calibrated patient simulator.
2. Connect the ECG cable to the ECG connector of the monitor.
3. Press the PAGE HOME function key.
4. Press the softkey adjacent to the ECG label.
9-6

5. Press the LEAD SEL softkey.

6. Press the LEAD softkey to highlight the 5 mode.
7. Press the MORE softkey twice.
8. Press the MM/S softkey to set the sweep speed to 25 mm/sec.
9. Verify that an acceptable ECG waveform is displayed in all lead positions.

ECG Alarm Function Check

1. Press the PAGE HOME function key.
2. Press the softkey adjacent to the ECG label.
3. Turn on ECG alarms using the ALARM ON/OFF softkey.
4. Set the ECG output of the patient simulator higher than the high alarm limit.
5. Verify that the alarm tone sounds.
6. Set the patient simulator ECG output lower than the low alarm limit.
7. Verify that the alarm tone sounds.
8. If the monitor is equipped with a recorder, observe alarm recording when the
alarm record is enabled.
9. Verify that the red ALARM LED is flashing.

Pacer Flag and Artifact Check

1. Set simulator to output a paced waveform.
2. Press the PAGE HOME function key.
3. Press the softkey adjacent to the ECG label.

4. Set the PACE ON/OFF softkey to ON.

5. Verify that the pace spikes are replaced with uniform pacer flags and that the
heart rate indicated on the monitor returns to the simulator rate.

Verify No ECG Count in Asystole Mode

1. Set simulator to ASYSTOLE Mode.
2. Verify the ECG count goes to 00.
3. Verify the monitor is in 5-lead mode, select lead I.
4. Set ECG trace size to maximum.
5. Verify ECG count remains at 00 for at least 10 seconds.
9-7

6. Set ECG to standard trace size.

7. Return monitor to lead II.
8. Set simulator to NSR.
9. Check QRS TONE: Press TONE softkey and listen for beep corresponding
to each R-wave.

ECG Calibration Check

NOTE: Disconnect all parameter cables (except the ECG cable)
during this test. Ensure that ECG is set to monitor Lead II.

Units with Recorders

1. Connect an ECG 1mV calibrated signal to the monitor’s ECG input connector.
2. Set the monitor for a single trace mode in the RECORDER SETUP menu.
3. Turn OFF the Recorder Delay in the RECORDER SETUP menu.
4. Press the RECORD key.
5. Press the softkey adjacent to the ECG label.
6. Press the SIZE softkey.
7. Press the CAL softkey.
8. Verify that the R-wave amplitude is 1mV peak-to-peak from the isoelectric
line to the R-wave peak ± 0.1 mV.
9. Verify the Cal pulse is 1mV peak-to-peak.

Units without Recorders

1. Perform Steps 1 and 2, and 5-7 as described above.

2. Ensure that the calibration pulse generated on the screen and the ECG
amplitude are within 15% measuring the peak-to-peak from the isoelectric line
to the R-wave peak.

Respiration Tests
Apnea Alarm Check
1. Set the simulator to produce an apnea greater than 10 seconds.
2. While in the RESPIRATION SETUP menu of the monitor, set alarms ON.
3. Set the APNEA DELAY to 10 seconds.
9-8

4. Ensure that the alarm sounds after the delay indicated.

5. Verify that the front panel ALARM LED flashes while the alarm is in
progress.
6. Return the simulator respiration rate to 15 or 20 BPM.

High/Low Alarm Function Check

1. Turn on RESP alarms using the ALARM ON/OFF softkey.
2. Set the RESP output of the patient simulator higher than the high alarm limit.
3. Ensure that the alarm tone sounds while the front panel ALARM LED is
flashing.
4. Set the patient simulator RESP output lower than the low alarm limit.
5. Ensure that the alarm tone sounds while the front panel ALARM LED is
flashing.

SpO2 Tests

Finger Sensor Check (Nellcor & Masimo)

1. Connect the appropriate Finger Sensor.
2. Verify SEARCH message.
3. Insert an index finger into the sensor. Place LED over fingernail.
4. Verify that the SpO2 waveform and saturation reading appear on the screen
after a few seconds.
5. Disconnect Finger Sensor.
6. Verify NO SENSOR message flashes on the screen.

High/Low Alarm Function Check

1. With the finger sensor connected to the monitor, insert an index finger into the
sensor.
2. Turn on SpO2 alarms by using the ALARM ON/OFF softkey.

3. Set the alarm limits outside of values.

4. Verify that the alarm tone sounds while the front panel ALARM LED is
flashing.
5. Set the SpO2 alarms to OFF by using the ALARM ON/OFF softkey.
9-9

NIBP Tests
Inflation Time and Maximum Pressure Check
1. Connect a digital manometer to the bottom NIBP fitting.
2. Press the PAGE HOME function key.
3. Press the SYSTEM SETUP function key.
4. Press the MORE softkey twice.
5. Press the TEST softkey.
6. Cycle the NIBP TEST softkey until ADJ mode is highlighted.
7. Press PAGE HOME, followed by pressing the softkey adjacent to the NIBP
label.
8. Simultaneously, start a stopwatch and press the START softkey.
9. Stop the watch when the manometer reads 200mmHg. The time must be equal
to or less than 15 seconds.
10. Once the pump shuts off, note the reading on the manometer. The pressure
shall be between 270 and 330.

Overpressure Detection Check

1. Verify that the monitor is configured in ADULT mode in the SYSTEM
SETUP menu.
2. Connect the manometer using a ‘Y’ adapter and reservoir bottle to both
bulkhead connectors on the monitor.
3. Press PAGE HOME, followed by pressing the softkey adjacent to the NIBP
label.
4. Wait until the pump stops and then continue to pump the system using the
manometer’s inflation bulb.
5. Verify that the overpressure switch activates and vents the system between
255 and 280 mmHg.
6. Press the STOP softkey, and bleed off any additional air from the system.
7. Configure the monitor to NEO mode in the SYSTEM SETUP menu and
return to the NIBP menu.
8. Press the START softkey.
9. Wait until the pump stops and then continue to pump the system using the
manometer’s inflation bulb.
9-10

10. Ensure that the overpressure switch activates and vents the system between
155 and 170 mmHg.
11. Press the STOP softkey, and bleed off any additional air from the system.
12. Switch monitor back to ADULT mode.

Leak Test Procedure

If a leak is suspected, take the following steps:
1. Attach an adult hose and cuff to monitor. Wrap cuff around a mandrel.
2. Press the PAGE HOME function key.
3. Press the SYSTEM SETUP function key.
4. Press the MORE softkey twice.
5. Press the TEST softkey.
6. Press the NIBP TEST softkey once to highlight LEAK.
7. Press the PAGE HOME key.
8. Press the NIBP softkey to display the first NIBP SETUP menu.
9. Press the START softkey. The following message is displayed:
LEAK TEST
10. The PRISM will then automatically check for a leak. If no leak is detected, a
NO LEAK message is displayed. If a leak is detected, a LEAK message is
displayed, and should be repaired by qualified service personnel.

Calibration Check Procedure

Calibration of the monitor should be checked at least once a year, or when there is
doubt about the validity of the pressure readings. The test procedure is designed to
confirm the accuracy of the monitor as well as to diagnose pneumatic leaks.
To perform a calibration check, follow these steps:
1. Connect a manometer, reservoir, and pump bulb to the top NIBP fitting.
2. Press the PAGE HOME function key.
3. Press the SYSTEM SETUP function key.
4. Press the MORE softkey twice.
5. Press the TEST softkey.
6. Press the NIBP TEST softkey three times, until ADJ is highlighted.
9-11

7. Press the PAGE HOME key.

8. Verify CUFF = 00 on the screen.
9. Pump the system using the manometer’s inflation bulb until 240 mmHg is
shown on the manometer.
10. Verify the unit is displaying 240 mmHg ± 2 mmHg (If not within limits,
Adjust VR1 on the NIBP board until the pressure is within specified limits).

Temperature Tests
YSI Temperature Check
1. Press the PAGE HOME function key.
2. Press the softkey below the TMP 1 label.

NOTE: If your PRISM is equipped with SureTemp, it will occupy the

TMP1 position. There are no user performance tests for SureTemp.

3. Check for no temperature indication (dashed lines on the screen).

4. Connect the temperature simulator to the TEMP 1 input of the monitor.
5. Set the simulator to 25° C.
6. Check that the temperature on monitor reads within 0.2° for both YSI 400 and
YSI 700 type probes.
7. Repeat the above for 37° C and 40° C.
8. Repeat the above steps for TMP 2 (if applicable).

High/Low Alarm Function Check

1. Turn on the TMP 1 alarms by using the ALARM ON/OFF softkey.
2. Set the temperature simulator output higher than the high alarm limit.
3. Ensure that the alarm tone sounds while the front panel ALARM LED is
flashing.
4. Set the temperature simulator output lower than the low alarm limit.
5. Ensure that the alarm tone sounds while the front panel ALARM LED is
flashing.
6. Repeat the above steps for TMP 2 (if applicable).
9-12

IBP Tests
ZERO Check
1. Configure an available trace for BP1.
2. Press the PAGE HOME function key.
3. Press the softkey adjacent to the BP1 label.
4. Plug the waveform simulator into the monitor’s BP1 connector.
5. Ensure that a flashing ZERO BP1 message appears.
6. Set the simulator to zero pressure.
7. Press the ZERO BP1 softkey.
8. Ensure that the flashing ZERO BP1 message disappears.
9. Repeat the above procedures for BP2 and BP3 if installed.

Waveform Check
1. Set the simulator to output dynamic pressure (e.g., 120/80).
2. Verify that a standard invasive blood pressure waveform is present.
3. Repeat the above procedures for BP2 and BP3 if installed.

High/Low Alarm Function Check

1. Turn on BP1 alarms by using the ALARM ON/OFF softkey.
2. Set the patient simulator BP1 output higher than the high alarm limit.
3. Verify that the alarm tone sounds while the front panel ALARM LED is
flashing.
4. Set the patient simulator BP1 output lower than the low alarm limit.
5. Verify that the alarm tone sounds while the front panel ALARM LED is
flashing.
6. Repeat all IBP tests for BP2 and BP3 (if installed).
9-13

End Tidal CO2 Tests

Test Setup
1. Plug in the ECG cable, enable RESP and CO2 on traces 2 and 3 respectively.
2. Press the CO2 Softkey and verify “NO SENSOR” message appears on CO2
trace.
3. Verify RESP (ECG RESP) rate is equal to DataSim rate.

CO2 Power-Up Sequence Check

1. Plug in the CO2 sensor.
2. The “WARM UP” message should be present. When the sensor completes
the “WARM UP” process, the message is removed from display.

Verify CO2 Operation

1. Breathe into sensor.
2. A squared pulse should be seen on the CO2 trace. The RESP (CO2 RESP)
count should equal your breath rate, and the CO2 value should be between 35
and 60mm.

Verify Apnea Operation

1. Enable CO2 alarm and stop breathing into the sensor.
2. The APNEA alarm should sound after the APNEA delay time preset under
RESP.

Check Barometric Pressure Calibration

1. Check that barometric pressure displayed on the SW STAT page is no more
than ±7mmHg from the actual pressure.

High/Low Alarm Function Check

1. Turn on CO2 alarm softkey
2. Set alarm limits outside of displayed values.
3. Confirm alarm sounds and the front panel “ALARM” LED is flashing.

Cycle Test
1. Turn off the CO2 with the softkey and verify the RESP (ECG RESP) count
returns to the DataSim rate.
2. Turn on the CO2 parameter with the softkey.
9-14

Unplug the Sensor

1. Unplug the CO2 sensor and verify the “NO SENSOR” message appears.

Cardiac Output (CO) Tests

NOTE: To perform the following Cardiac Output tests, precision
resistance (1%) must be applied to the reference designation pins on
the PRISM’s CO connector, as indicated for each test.

Table 9-1. CO Connector Pin Designations

PIN DESIGNATION SIGNAL

1 BAB
2 THB
3 BAC
7 THD
8 THA
10 BAA
14 FL
4,5,6,11,12,13,15,16,&17 SHLD_CO

Blood Temperature (Tb) Tolerance Check

1. Configure Trace 3 for CO.
2. Press the PAGE HOME function key.
3. Press the softkey adjacent to the CO label.
4. Using Table 9-2 as a guide, set the resistance values across THA and THB and
across THB and THD, as indicated.
5. Observe that for each setup, the blood temperature (Tb) displayed on the
PRISM’s screen is within tolerance.

Table 9-2. Cardiac Output Calibration Values for Blood Temperatures

RESISTANCE ACROSS RESISTANCE ACROSS

BLOOD TEMPERATURE
THA-THB THB-THD

9.76 kohms 30.484 kohms 17.0 ± 0.1° C

9.76 kohms 14.000 kohms 37.0 ± 0.1° C
9.76 kohms 11.304 kohms 43.0 ± 0.1° C
9-15

Flow Through (Ti) Tolerance Check

1. Configure Trace 3 for CO.
2. Press the PAGE HOME function key.
3. Press the softkey adjacent to the CO label.
4. Using Table 9-3 as a guide, set the resistance values across BAB and FL, as
indicated (see Table 9-1 for correct pin designation).
5. Observe that for each setup, the flow through temperature (Ti) displayed on
the PRISM’s screen is within tolerance.

Table 9-3. Cardiac Output Calibration Values for Flow Through Temperatures

RESISTANCE ACROSS BAB-FL FLOW THROUGH TEMPERATURE

84.510 kohms 5.0 ± 0.1° C

78.850 kohms 10.0 ± 0.1° C
62.760 kohms 25.0 ± 0.1° C

Bath Tolerance Check (Ti)

1. Configure Trace 3 for CO.
2. Press the PAGE HOME function key.
3. Press the softkey adjacent to the CO label.
4. Using Table 9-4 as a guide, set the resistance values across BAA and BAC
and across BAB and BAC, as indicated (see Table 9-1 for correct pin
designation).
5. Observe that for each setup, the bath temperature (Ti) displayed on the
PRISM’s screen is within tolerance.

Table 9-4. Cardiac Output Calibration Values for Bath Temperatures

RESISTANCE ACROSS RESISTANCE ACROSS

BATH TEMPERATURE
BAA-BAC BAB-BAC

94.980 kohms 19.500 kohms 0.0 ± 0.1° C

58.750 kohms 11.940 kohms 10.0 ± 0.1° C
30.000 kohms 6.000 kohms 25.5 ± 0.1° C
9-16

PERFORMANCE CHECKLIST

MODEL: __________________________ TECHNICIAN: ____________________

SERIAL NUMBER: _________________ DATE: ____________________________

SAFETY TESTS
Chassis Ground Test ................................................................................OK__________________
Current Leakage Test ..............................................................................OK__________________

MAINFRAME CHECK
Keypad Function Check...........................................................................OK__________________
Mainframe Software ................................................................................OK__________________
Date and Time Check...............................................................................OK__________________
Line Frequency Check ............................................................................OK__________________
VGA Output Check (If Applicable).........................................................OK__________________
System AC Current Check.......................................................................OK__________________
External DC Operation ............................................................................OK__________________
Battery Operation Test .............................................................................OK__________________

ECG TESTS
Lead Fail Tests .........................................................................................OK__________________
ECG Lead Position Check .......................................................................OK__________________
ECG Alarm Function Check....................................................................OK__________________
Pacer Flag and Artifact Check .................................................................OK__________________
Verify No ECG Count in Asystole Mode ................................................OK__________________
ECG Calibration Check ...........................................................................OK__________________

RESPIRATION TESTS
Apnea Alarm Check.................................................................................OK__________________
High/Low Alarm Function Check ...........................................................OK__________________

SpO2 TESTS
Finger Sensor Check (Nellcor & Masimo) ..............................................OK__________________
High/Low Alarm Function Check ...........................................................OK__________________

NIBP TESTS
Inflation Time and Maximum Pressure Check ........................................OK__________________
Overpressure Detection Check.................................................................OK__________________
Leak Test Procedure.................................................................................OK__________________
Calibration Check Procedure ...................................................................OK__________________
9-17

TEMPERATURE TESTS
YSI Temperature Check...........................................................................OK__________________
High/Low Alarm Function Check ...........................................................OK__________________

IBP TESTS
ZERO Check............................................................................................OK__________________
Waveform Check .....................................................................................OK__________________
High/Low Alarm Function Check............................................................OK__________________

END TIDAL CO2 TESTS

Test Setup.................................................................................................OK__________________
CO2 Power-Up Sequence Check ..............................................................OK__________________
Verify CO2 Operation ..............................................................................OK__________________
Verify Apnea Operation...........................................................................OK__________________
Check Barometric Pressure Calibration...................................................OK__________________
High/Low Alarm Function Check............................................................OK__________________
Cycle Test ................................................................................................OK__________________
Unplug the Sensor....................................................................................OK__________________

CARDIAC OUTPUT TESTS

Blood Temperature (Tb) Tolerance Check ..............................................OK__________________
Flow Through (Ti) Tolerance Check .......................................................OK__________________
Bath Tolerance Check (Ti).......................................................................OK__________________
9-18
Chapter 10
Care and Cleaning

Guidelines for Cleaning the Monitor

WARNING: To avoid electric shock, unplug the AC power cord
before cleaning.

CAUTION: Do not immerse the instrument, its switches, cables,

connectors or accessories in liquids. Do not use caustic or abrasive
cleaners that will damage the housing.

Use the following guidelines and considerations when cleaning the PRISM
monitor:
• Clean the monitor, cuffs, and hoses as required per hospital procedures. Only
use a lint free, nonabrasive cloth that has been slightly dampened with mild
detergent.
• Avoid harsh cleaning solutions that may harm plastic surfaces.
• Do not immerse monitor, cuffs, or hoses in liquids.
• Do not clean with isopropyl alcohol or other solvents that may harm plastics.
• Do not spray or pour liquids directly onto the monitor or its accessories.
• Do not allow any liquid to come into contact with the power connector, fuse
holder, or switches.
• Do not allow any liquids to penetrate connectors or the monitor chassis.
10-2

Repacking and Shipping the Monitor

Use the following guidelines if you need to ship the PRISM monitor for repair or
relocation.

CAUTION: Failure to follow the guidelines below may result in

damage or loss. Equipment damaged due to improper packaging is
not covered in the monitor’s warranty, nor is the loss of equipment
due to improper or inadequate shipping procedures.

• The equipment must be packed carefully, ideally using the original shipping
carton with foam packing material.
• If the original carton is not available, use a similar carton. Place the
equipment in a plastic bag or air bubble cushioning material. Fill the bottom
of the carton with approximately five (5) centimeters of polystyrene packing
material. Place the equipment on the layer of packing material, and then fill
all the remaining space in the carton with packing material.
• Seal the carton adequately.
• If shipping to Medical Data Electronics for repair, a Return Material
Authorization number (RMA#) must be obtained. To obtain an RMA
number, call MDE Technical Support at one of the telephone numbers listed at
the front of this manual. It is necessary to have the model and serial number of
the equipment at hand along with a detailed description of the reason(s) why it
needs to be returned to the factory.
Chapter 11
PRISM Add-on Modules

Introduction
There are three add-on modules that can be shared by all PRISM monitors.
• The Transceiver Module – provides two-way wireless communication to the
ESCORT-Link or ESCORT Vision Central Station, and serves as a repeater
for the wireless network.
• The Telemetry Receiver Module – allows for bedside monitoring of
telemetry patients.
• The CIS Communication Module – provides serial and Ethernet TCP/IP
interface to HIS/CIS systems for automated charting.

Figure 11-1. PRISM Add-on Modules

11-2

Transceiver Module
WARNING: The monitor power should be OFF and the power cord
should be disconnected from its AC source when you attach or
remove a Transceiver Module. Do not open the module. Refer all
servicing to qualified technical personnel.

Attaching the Transceiver Module to the PRISM Monitor

1. Turn the monitor power OFF by pressing the STBY key and disconnect from
AC power source. Proceed with the following steps after the monitor power
has been turned off for approximately twenty (20) seconds.
2. Plug the transceiver into the J1 connector on the back of the monitor, making
sure to line up the three screws on the transceiver with the three screw holes
on the back of the monitor. Refer to the “Rear Panel” section of Chapter 2 for
the location of this connector.
3. Use a flat head screwdriver or 3/16"-hex nut driver to turn each of the three
screws until the transceiver is attached snugly to the back of the monitor.
4. Ensure that the transceiver antenna is screwed into place on the top of the
transceiver.
5. Connect the PRISM monitor to an AC power source.
6. Turn the monitor power on by pressing the ON key.
7. The green LED on the transceiver indicates the transceiver’s communication
status.
• ON - If the LED is ON (except for a momentary flicker approximately
every 20 seconds), the transceiver has established a communication link.
• OFF - If the LED is OFF, there is currently no communication to or from
the transceiver.
• Flashing - If the LED is flashing, the transceiver is attempting to
communicate information, but no steady communication link with a
central station has been established.

Setting Up Transceiver Communications

Each transceiver has a unique ID code (a four-digit alphanumeric code) which is
assigned at the factory. There are fourteen channels through which the transceiver
can send and receive data. The transceiver ID and the channel in use must be
recognized by both the monitor and central station with which it is
communicating.
11-3

The following steps ensure the monitor recognizes the transceiver information.
See the ESCORT-LINK E3200B Central Station Operator’s Manual, or the
ESCORT Vision Central Station Reference Manual for information on setting up
communications.

Step 1: Verify/Set the Transceiver Channel

To optimize communication between PRISM bedside monitors and the central
station, a few network configuration issues should be considered. These
considerations include assigning the proper operating channel and mode of the
monitor’s transceiver:
• If the PRISM is going to communicate alternately with two or more central
stations, it should be in AUTO mode. This mode allows the PRISM’s
transceiver to constantly be in a search mode of all fourteen operating
channels until it locks in on a central station’s channel to which it is currently
assigned. Thus, changes in the monitor’s central station assignments only
require user configuration changes at the central station.
• If you know the PRISM will always be communicating with a specific central
station, the transceiver should be assigned to the central station’s current
operating channel. See the ESCORT-LINK E3200B Central Station
Operator’s Manual or the ESCORT Vision Central Station Reference Manual
for information on setting up the communication channel at the central station.
The following steps describe how to verify and/or change your monitor’s
frequency mode:
1. Press the PAGE HOME function key.
2. Press the SYSTEM SETUP function key.
3. Press the MORE softkey twice.
4. Press the CONF softkey.
5. Press the YES softkey when prompted “ARE YOU SURE?”
6. Press the SETUP softkey.
7. Press the YES softkey when prompted “ARE YOU SURE?”
The following CONFIGURATION SETUP menu will be displayed:
PORT1 PORT2 PORT3
WF2 WF2 WF1 MORE
AUTO AUTO AUTO

8. Press the MORE softkey to display the following CONFIGURATION

SETUP menu:
11-4

BAND PWR
AUTO UP
1 DFLTS

9. Press the BAND softkey to choose channels 1 - 14 or AUTO.

10. Press PAGE HOME to return to the main monitoring screen. Changes will
take effect without the need to cycle the monitor on and off.
11. Allow additional time (up to approximately two minutes) to establish
communications if the PRISM has been set to AUTO.

Step 2: Verify the Transceiver Communication Status

Perform the following steps to verify acceptable communications:
1. Press the SYSTEM SETUP function key.
2. Press the MORE softkey twice.

3. Press the TEST softkey.

4. Press the STAT INFO (Status Information) softkey twice. NET should be
displayed.

STAT CHECK CHECK NIBP NIBP

INFO COMM PROM REC TEST
NET VER VER START OFF

The following four items will appear on the PRISM monitor under
NETWORK STATUS at the top of the screen:
• RF TRANSPONDER: The four-digit alphanumeric number on the far
right of this line is the transceiver ID number. It identifies the transceiver
connected to the monitor. If you have not installed a transceiver on the
monitor or its connection with the monitor is not adequate, this line will
read “NO RF TRANSPONDER”.
• CENTRAL TRANSPONDER: The four-digit alphanumeric number on
the far right of this line is the central station’s transceiver ID number. It
identifies the transceiver connected to the central station with which the
monitor is currently communicating. If the monitor’s frequency mode is
set to AUTO and its transceiver is searching for a central station, but has
not yet established communication, or if the monitor’s transceiver ID is
not associated with any central station, this line will read “NO LINK TO
CENTRAL”.
11-5

• FREQ: The number to the right of FREQ is the current monitor

frequency, or operating channel. If the monitor is in AUTO mode, this
number may change as various channels are checked; otherwise the
number should not change.
• HOPS: The number to the right of HOPS indicates the number of
transceivers/ repeaters this monitor’s transceiver is sending data to in order
to reach the central station.

NOTE: HOPS will not appear if the monitor is in AUTO mode and
communications are not established with a central station.

NOTE: The STATUS MESSAGE area of the screen presents additional

information for use by technical personnel.

Removing the Transceiver Module

1. Turn the monitor power OFF by pressing the STBY key and disconnect from
AC power source. Allow the monitor power to be OFF for approximately
twenty (20) seconds before proceeding with these steps.
2. Use a flat head screwdriver or 3/16"-hex nut driver to turn each of the three
screws on the transceiver until the transceiver is unscrewed from the back of
the monitor.
3. Unplug the transceiver from the connector on the back of the monitor.

Telemetry Module
WARNING: The monitor power should be OFF and the power cord
should be disconnected from its AC source when you attach or remove
a Transceiver Module. Do not open the module. Refer all servicing to
qualified technical personnel.

Attaching the Telemetry Module to the PRISM Monitor

1. Turn the monitor power OFF by pressing the STBY key and disconnect from
AC power source. Proceed with the following steps after the monitor power
has been turned off for approximately twenty (20) seconds.
2. Plug the telemetry module into the J1 connector on the back of the monitor,
making sure to line up the three screws on the module with the three screw
holes on the back of the monitor. Refer to the “Rear Panel” section of
Chapter 2 for the location of this connector.
Depending on the monitor’s configuration, the telemetry module may be
connected directly to the rear panel of the PRISM monitor or to other add-on
modules (for example, a transceiver module).
11-6

3. Use a flat head screwdriver or 3/16"-hex nut driver to turn each of the three
screws until the telemetry module is attached snugly to the back of the
monitor/add-on module.
4. Ensure that the two telemetry antennae are BNC-mounted into place at
approximately 45 degrees to the vertical, on top of the telemetry module.
5. Connect the PRISM monitor to an AC power source.
6. Turn the monitor power on by pressing the ON key.

Setting Up Telemetry Communications

The telemetry module can receive ECG signals from any one of approximately
200 different remote transmitters. Each remote telemetry transmitter is assigned a
unique ID number at the factory. The transmitter ID must be recognized by the
telemetry module in order to display the patient’s ECG waveform on the
monitor’s screen. The following procedure is used to setup telemetry
communications with the PRISM monitor.

Configuration
Four different types of transmitters are available for use with the PRISM monitor.
MDE’s analog transmitters (MDE model number E12000LR), MDE’s digital
transmitter (MDE model number 20013), Hewlett-Packard’s analog transmitters
(HP model number 78100A), and MDE’s ESCORT Guardian telemetry
transmitter (MDE model number 20601, 20602, or 20603) can all send data to the
PRISM monitor. Each of these transmitters has different capabilities. The
following table presents the features of each transmitter type.

Transmitter Screen Pacer Remote Low Check 3-LEAD/- SP02

Type Text Detect Record Battery Leads 5-LEAD Capability

MDE Digital UHF MDD Yes Yes Yes Yes Both No

MDE Analog UHF MDE Yes Yes Yes Yes 3-lead No

HP Analog UHF HP No No No No 3-lead No

MDE Guardian UHF GTM Yes Yes Yes Yes Both Yes

NOTE: Synchronization with an external defibrillator is not possible

when an MDE Digital Transmitter is used as the source for the ECG
waveform.
11-7

To access these channels, perform the following steps:

1. Press the PAGE HOME function key.
2. Press the SYSTEM SETUP function key.
3. Press the MORE softkey twice.
4. Press the CONF softkey.
5. Press the YES softkey when prompted “ARE YOU SURE?”
6. Press the SETUP softkey.
7. Press the YES softkey when prompted “ARE YOU SURE?”
The following CONFIGURATION SETUP menu will be displayed:
PORT1 PORT2 PORT3
WF2 WF2 WF1 STOPS MORE
AUTO AUTO AUTO

8. Press the STOPS softkey. The following menu appears:

MFG CHAN CHAN STOP

CLR MORE
↑↑ ↑↑ ↓↓ SET

9. Press the MFG ↑ ↑ softkey to select the desired transmitter type, as described
in the beginning of this section. Press the CHAN ↑ ↑ softkey to select higher
channel numbers or the CHAN ↓ ↓ softkey to select the lower channel
numbers. Press the STOP softkey to select CLR or SET channel.

NOTE: To clear all stops stored in memory, press the MORE function
key, and then press the CLEAR ALL STOPS softkey. When prompted
“ARE YOU SURE?”, press the YES softkey. Pressing the EDIT STOPS
softkey will revert to the previous telemetry setup page.

CLEAR
EDIT
ALL
STOPS
STOPS

Verify/Set the Telemetry Channel

NOTE: The “telemetry-monitored” patient must be adequately
prepared for proper telemetry function. Hospital personnel have the
option of using either 3-lead or 5-lead monitoring depending on the
type of transmitter used. In either case, proper lead attachment must be
achieved with correct ECG electrodes. After the patient has been
prepared, the transmitter is strapped onto the body of the patient using
a transmitter pouch.
11-8

The following steps describe how to verify and/or change the monitor’s frequency
mode:
1. Press the PAGE HOME function key.
2. Press the softkey adjacent to the ECG label.
3. Press the MORE softkey twice to display the following menu:
MODE
CABLE
TLM

4. Press the MODE softkey to select TLM (Telemetry). The following ECG
SETUP menu is displayed:
TLM TLM MODE
ID ID CABLE
↑↑ ↓ ↓ TLM

5. Press the TLM ID ↑ ↑ or TLM ID ↓ ↓ softkeys to select the transmitter ID of

the patient.
Allow a couple of seconds for each channel to settle. The ECG waveform of
the patient being monitored will appear on the display together with a
calculated heart rate.
The channel ID of the transmitter is displayed in the upper area of the
monitor’s screen, just below the ADULT/NEO/PED mode indication. If the
receiver loses communication with the transmitter, a “SIGNAL” message will
be displayed.

WARNING: Telemetry ID and lead selection on the monitor must be

identical to that of the remote transmitter. Incorrect settings may
cause the PRISM to display ECG information from a different patient
that is assigned to another telemetry ID number.

NOTE: The PRISM monitor will display a squelch, or triangular,

waveform when excessive signal noise is present. This waveform is
displayed in lieu of a noisy ECG waveform, which could cause
unnecessary alarms.

NOTE: The PRISM monitor can default to CABLE (standard ECG

cable with electrodes), TELM (telemetry), or LAST via system setup.
See Chapter 12, “System Defaults & Messages,” for details. If LAST
is selected, the PRISM will power-up to either CABLE or TELM
depending on what was last used as an ECG source.
11-9

Recording the Telemetry ECG Waveform

A push button is provided at the top of the patient’s transmitter.
1. To record the ECG output waveform, press the push button. A pulse is sent to
the telemetry module to initiate a 16-second remote recording. The time, date,
transmitter ID, ECG waveform, and additional information will be printed on
the recording strip.
Remote recording must first be enabled at the PRISM monitor from the
RECORDER SETUP menu. To access the RECORDER SETUP menu,
perform the following steps:
1. Press the PAGE HOME function key.
2. Press the SYSTEM SETUP function key.
3. Press the MORE softkey once to display the following menu:
ADULT
VOL DISP REC TIMER CLOCK MORE
PED
CRG SETUP
NEO

4. Press the REC SETUP softkey to display the following menu:

REC DELAY TRACE RREC
MARK MORE
ON ON SNGL ON
EVENT
OFF OFF DUAL OFF

5. Press the RREC (Remote Record) softkey to select ON. Telemetry recording
will now be activated.

NOTE: The factory default for the remote record feature is set to
OFF. The default may be configured to power up in the ON status.
See Chapter 12, “System Defaults & Messages,” for details on
changing the power up defaults.
11-10

CIS Communication Module

WARNING: The monitor power should be OFF and the power cord
should be disconnected from its AC source when you attach or
remove the CIS Communication Module. Do not open the module.
Refer all servicing to qualified technical personnel.

Attaching the CIS Communication Module to the PRISM Monitor

1. Turn the monitor power OFF by pressing the STBY key and disconnect from
AC power source. Proceed with the following steps after the monitor power
has been turned off for approximately twenty (20) seconds.
2. Plug the CIS module into the J1 connector on the back of the monitor, making
sure to line up the three screws on the CIS module with the three screw holes
on the back of the monitor. Refer to the “Rear Panel” section of Chapter 2 for
the location of this connector.
Depending on the monitor’s configuration, the CIS module may be connected
directly to the rear panel of the PRISM monitor or to other add-on modules
(for example, a transceiver or telemetry module).
3. Use a flat head screwdriver or 3/16"-hex nut driver to turn each of the three
screws until the CIS module is attached snugly to the back of the monitor/add-
on module.
4. Connect the PRISM monitor to an AC power source.
5. Turn the monitor power on by pressing the ON key.

Setting Up CIS Communication Module Operation

For complete information on configuring and operating the CIS interface module,
refer to the Clinical Information System (CIS) Communication Module
Operator’s Manual and the Clinical Information System (CIS)
Communication Module Configuration Instructions, or contact MDE
Technical Support at (818) 768-6411.
Chapter 12
System Defaults & Messages

Default Settings
When the PRISM monitor is powered on for the first time, it will be in the
Neonatal mode, and all parameters will be set to their factory defaults.
Each parameter has defaults for adult, pediatric, and neonatal modes (ADULT,
PED, NEO). All parameter and system defaults can be user-configured.
Tables 12-1 through 12-14 can be copied so that you can record your own system
defaults for Adult, Ped, and Neo should you desire to change from the factory
defaults. Configuring your own defaults is discussed in the section, “Changing
Parameter and System Defaults” later in this chapter.
12-2

Table 12-1. System Setup Default Record

SYSTEM SETUP ADULT PED NEO DESCRIPTION
FACTORY DEFAULTS To restore all settings to factory defaults
PWR DN MEMORY Selected time for saving VSC settings
ALRM VOLUME Alarm tone volume setting (1-8)
Sets minimum allowable alarm tone
ALM VOL MIN
volume setting (1-8)
TONE VOLUME Key tone setting
TRACE 2 Waveform or feature for second trace
TRACE 3 Waveform or feature for third trace
TRACE 4 Waveform or feature for fourth trace
HR SOURCE Heart rate source, ECG, SPO2, BP’s
ALM SUSPND Alarm suspend time
PRAM LABELS To blank parameters when off
CLOCK DISPLY Time displayed on screen
CABLE / TELM ECG mode - telemetry or cable
REMOTE RECD Telemetry recording
ALARM FLASH Flashing alarm LED
Sets language (English, French, German,
LANGUAGE
Spanish, Swedish, or Italian)
LINE FREQ 50Hz or 60Hz input line frequency
PATIENT TYPE Adult, Ped, or Neo
Enables or disables alarm ON/OFF
ALARM CNTRL
function

Table 12-2. Recorder Default Record

RECORDER SETUP ADULT PED NEO DESCRIPTION
RECD DELAY Four second delay
ALRM RECDNG Alarm recording enable/disable
DUAL RECDNG Dual trace recording
REMOTE RECD Telemetry recording
FULL DISCL Wavelog option
12-3

Table 12-3. Vital Signs Chart Default Record

VITAL SIGNS
ADULT PED NEO DESCRIPTION
CHART
STORE AUTO Auto stores at selected intervals
STORE NIBP Storing NIBP values
STORE TMP Storing Temperature values
STORE CO Storing Cardiac Output values
Displayed time for NIBP, Suretemp, and
VALID TIME
CO
STORE ALARM Storing alarm violations
STR ECG ALM Storing ECG alarm violations
STR SPO2 ALM Storing SPO2 alarm violations
STR RESP ALM Storing Respiration alarm violations
STR CO2 ALM Storing CO2 alarm violations
STR BP ALM Storing IBP alarm violations
STR NIBP ALM Storing NIBP alarm violations
STR TMP ALM Storing temperature alarm violations

Table 12-4. ECG Setup Default Record

ECG SETUP ADULT PED NEO DESCRIPTION
ALARMS Enables ECG alarms
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
LATCH ALARMS Latches the ECG alarms until reset
HIGH LIMIT High alarm limit setting
LOW LIMIT Low alarm limit setting
RCD ON ALARM Record when ECG alarm enabled
FILTER ECG filter enable
SIZE VCTR 1 3 lead select size
SIZE VCTR 2 5 lead select size
SWEEP SPEED Waveform speed
PACE DETECT Pacer detection enable
LEAD SELECT Lead select I, II, III, or V
5 LEAD 5 lead mode enable
QRS TONE QRS detect tone
WAVEFORM ON ECG waveform enable
PRAM COLOR Sets on-screen color of parameter
12-4

Table 12-5. Respiration Setup Default Record

RESPIRATION
ADULT PED NEO DESCRIPTION
SETUP
ALARMS Enables respiration alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
Latches the Respiration alarms until
LATCH ALARMS
reset
HIGH LIMIT High alarm limit setting
LOW LIMIT Low alarm limit setting
PRAM AVAIL Respiration enable or disable
PRAM ON/OFF Respiration standby
RCD ON ALARM Record when Resp alarm enabled
RESP SIZE Respiration waveform size
SWEEP SPEED Respiration waveform speed
APNEA DELAY Time delay for apnea alarm
APNEA ALM LVL Sets alarm priority level (1, 2, or 3)
CVA Artifact detection
TONE Respiration Rate tone
CRG SCALES OXYCRG scales enable
PRAM COLOR Sets on-screen color of parameter

Table 12-6. SPO2 Setup Default Record

SPO2 SETUP ADULT PED NEO DESCRIPTION
ALARMS Enables SPO2 alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
ALARM DELAY Delay time for alarm
LATCH ALARMS Latches the SPO2 alarm until reset
ALARM TONE Tone during alarm
HIGH LIMIT High alarm limit setting
LOW LIMIT Low alarm limit setting
PRAM AVAIL SPO2 enable or disable
PRAM ON / OFF SPO2 standby
RCD ON ALARM Record when SPO2 alarm enabled
TONE Tone enable for SPO2
TONE RANGE SPO2 tone frequency range
MODE SPO2 averaging time
C-LOCK ECG synchronization
WAVEFORM ON SPO2 waveform enable
PRAM COLOR Sets on-screen color of parameter
12-5

Table 12-7. BP1 Setup Default Record

BP1 SETUP ADULT PED NEO DESCRIPTION
ALARMS Enables BP1 alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
LATCH ALARMS Latches the BP1 alarm until reset
SYS HI LIMIT Systolic high alarm limit setting
SYS LO LIMIT Systolic low alarm limit setting
DIA HI LIMIT Diastolic high alarm limit setting
DIA LO LIMIT Diastolic low alarm limit setting
MN HI LIMIT Mean high alarm limit setting
MN LO LIMIT Mean low alarm limit setting
PRAM AVAIL BP1 enable or disable
PRAM ON / OFF BP1 standby
RCD ON ALARM Record when BP1 alarm enabled
SIZE BP1 waveform size
SCALE BP1 scale enable
DISPD VALUES BP1 numeric display format
SITE BP1 catheter site
PRAM COLOR Sets on-screen color of parameter

Table 12-8. BP2 Setup Default Record

BP2 SETUP ADULT PED NEO DESCRIPTION
ALARMS Enables BP2 alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
LATCH ALARMS Latches the BP2 alarm until reset
SYS HI LIMIT Systolic high alarm limit setting
SYS LO LIMIT Systolic low alarm limit setting
DIA HI LIMIT Diastolic high alarm limit setting
DIA LO LIMIT Diastolic low alarm limit setting
MN HI LIMIT Mean high alarm limit setting
MN LO LIMIT Mean low alarm limit setting
PRAM AVAIL BP2 enable or disable
PRAM ON / OFF BP2 standby
RCD ON ALARM Record when BP2 alarm enabled
SIZE BP2 waveform size
SCALE BP2 scale enable
DISPD VALUES BP2 numeric display format
SITE BP2 catheter site
PRAM COLOR Sets on-screen color of parameter
12-6

Table 12-9. BP3 Setup Default Record

BP3 SETUP ADULT PED NEO DESCRIPTION
ALARMS Enables BP3 alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
LATCH ALARMS Latches the BP3 alarm until reset
SYS HI LIMIT Systolic high alarm limit setting
SYS LO LIMIT Systolic low alarm limit setting
DIA HI LIMIT Diastolic high alarm limit setting
DIA LO LIMIT Diastolic low alarm limit setting
MN HI LIMIT Mean high alarm limit setting
MN LO LIMIT Mean low alarm limit setting
PRAM AVAIL BP3 enable or disable
PRAM ON / OFF BP3 standby
RCD ON ALARM Record when BP3 alarm enabled
SIZE BP3 waveform size
SCALE BP3 scale enable
DISPD VALUES BP3 numeric display format
SITE BP3 catheter site
PRAM COLOR Sets on-screen color of parameter
12-7

Table 12-10. NIBP Setup Default Record

NIBP SETUP ADULT PED NEO DESCRIPTION
ALARMS Enables NIBP alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
LATCH ALARMS Latches the NIBP alarm until reset
SYS HI LIMIT Systolic high alarm limit setting
SYS LO LIMIT Systolic low alarm limit setting
DIA HI LIMIT Diastolic high alarm limit setting
DIA LO LIMIT Diastolic low alarm limit setting
MN HI LIMIT Mean high alarm limit setting
MN LO LIMIT Mean low alarm limit setting
PRAM AVAIL NIBP enable or disable
PRAM ON/OFF NIBP standby
RCD ON ALARM Record when NIBP alarm enabled
AUTO Automatic mode enable
INTERVAL Automatic reading interval
1ST INFLATE First inflation pressure
TABLE DSPLY Enables NIBP table display
DISPD VALUES NIBP numeric disply format
TONE Enables end value tone
SITE NIBP cuff site
PRAM COLOR Sets on-screen color of parameter

Table 12-11. CO2 Setup Default Record

CO2 SETUP ADULT PED NEO DESCRIPTION
ALARMS Enables CO2 alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
LATCH ALARMS Latches the CO2 alarm until reset
HIGH LIMIT High alarm limit setting
LOW LIMIT Low alarm limit setting
ICO2 LIMIT Inspired CO2 alarm limit setting
PRAM AVAIL CO2 enable or disable
PRAM ON/OFF CO2 standby
RCD ON ALARM Record when CO2 alarm enabled
SCALE CO2 waveform scale size
UNITS Measurement units % or mmHg
O2 COMPNSAT O2 compensation enable
N2O COMPNSAT N2O compensation enable
PRAM COLOR Sets on-screen color of parameter
12-8

Table 12-12. CO Setup Default Record

CO SETUP ADULT PED NEO DESCRIPTION
PRAM AVAIL Cardiac output enable or disable
Adjusts computational constant for
CONSTANT
catheter and injectate volume
PRAM ON/OFF Cardiac output standby
Right ejection fraction measurement
REF ON/OFF
enable
DISP TIMEOUT Displayed time for CO measurement
UNITS Inches/pounds or centimeters/kilograms
PRAM COLOR Sets on-screen color of parameter

Table 12-13. Temp1 Setup Default Record

TEMP1 SETUP ADULT PED NEO DESCRIPTION
ALARMS Enables Temp1 alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
LATCH ALARMS Latches the Temp1 alarm until reset
UNITS Celsius or Fahrenheit
HIGH LIMIT High alarm limit setting
LOW LIMIT Low alarm limit setting
PRAM AVAIL Temp1 enable or disable
PRAM ON/OFF Temp1 standby
TONE Measurement update tone enable
PRAM COLOR Sets on-screen color of parameter

Table 12-14. Temp2 Setup Default Record

TEMP2 SETUP ADULT PED NEO DESCRIPTION
ALARMS Enable Temp2 alarm
ALARM LEVEL Sets alarm priority level (1, 2, or 3)
LATCH ALARMS Latches the Temp2 alarm until reset
HIGH LIMIT High alarm limit setting
LOW LIMIT Low alarm limit setting
PRAM AVAIL Temp2 enable or disable
PRAM ON/OFF Temp2 standby
PRAM COLOR Sets on-screen color of parameter
12-9

Changing the Parameter and System Defaults

The PRISM monitor allows you to tailor the parameter and system default
settings to suit your specific monitoring needs. It is important to recognize that
changes made to these functions determine the status of those functions upon
every subsequent power-up. As a result, default settings should not be changed
unless the setting will be desired on a regular basis.
Perform the following steps to access the CONFIGURATION SETUP menus
and screens:
1. Press the PAGE HOME function key.
2. Press the SYSTEM SETUP function key.
3. Press the MORE softkey twice.
4. Press the CONF softkey.
5. Press the YES softkey when prompted “ARE YOU SURE?”
6. Press the SETUP softkey.
7. Press the YES softkey when prompted “ARE YOU SURE?”
8. Press the MORE softkey to display the following CONFIGURATION
SETUP menu:
BAND PWR
AUTO UP
1 DFLTS

9. Press the PWR UP DFLTS softkey to display the following

CONFIGURATION SETUP menu:
DFLTS
NEXT NEXT SRCE VALUE NEXT PREV
FOR
↓↓ ↑↑ CONF ↑↑ PRAM PRAM
ADULT

This menu contains function keys, which can be used to modify the factory
defaults to a user-defined configuration. Each of the available softkeys are
explained in the following paragraphs.
• Use the DFLTS softkey to set the defaults for ADULT, PED, or NEO.
• Use the NEXT ↓ ↓ and NEXT ↑ ↑ softkeys to move vertically through the
list of default functions listed on the monitor until you have highlighted the
function you want to change.
12-10

• The SRCE (Source) softkey toggles between FACT (Factory) and CONF
(user-configured) values for each default function. Pressing the VALUE ↑ ↑
softkey for any function which, currently has a factory setting, will
automatically change the SRCE key from FACT to CONF. The SRCE
softkey is especially useful for returning any functions currently with a user-
configured value back to the factory default; simply press the SRCE softkey
to toggle the SRCE label to FACT, and the configured default value will
return to the factory default setting.
• Use the VALUE ↑ ↑ softkey to change the setting of the highlighted
parameter function. The VALUE ↑ ↑softkey toggles between two possible
settings, such as ON/OFF, or adjusts a numeric value. Once a numeric value
reaches its maximum value, the setting rolls over to start at the minimum
level.

NOTE: The display of the configuration pages will timeout and return
you to HOME PAGE state if you do not use a function key within a
three minute interval. If you have completed your default changes and
want to return to HOME PAGE state, press the PAGE HOME key. All
changes will take affect upon return to HOME PAGE.

System and Parameter Messages

System and parameter messages remind, prompt, or warn you about the current
condition of the monitor or its parameters. These messages are displayed in
reverse video and may flash on and off to get your attention.

System Messages
The system messages, explained in Table 12-15, are displayed in a reverse-video
box, just below the WDZ. They apply to conditions of the monitor that are not
specific to any one parameter. See the “System Message Area” section in
Chapter 2 for more information.
12-11

Table 12-15. System Messages

SYSTEM MESSAGE MEANING

RECORDER PAPER The recorder is out of paper, or the paper is not installed correctly

REC DISABLE FREEZE You are trying to freeze waveforms while recording is in progress. You
can only freeze waveforms when they are not being recorded.

REC IN CONT RUN MODE Indicates that you have pressed and held the RECORD key so that the
recorder will run continuously. Press RECORD again to end continuous
recording.

FREZ RELEASE FREZ Waveforms are currently frozen. To release the frozen waveforms, you
must press either the FREEZE or the RECORD key.

LINK RECORD SENT A record has been sent to the Central Station because the recorder at
PRISM monitor is either not present or out of paper.

ALARM SUSPEND XXX You have pressed the ALARM SUSPEND key, disabling all alarm tones
for the number of seconds (XXX) displayed. To enable alarm tones
before the suspend time has expired, press the ALARM SUSPEND key
again. The ALARM SUSPEND function is also enabled at power-up.

Battery Messages
When the PRISM is operating on battery power, one of the following messages
will be temporarily displayed on the system message line when the monitor is
turned ON. Battery messages may also be viewed within the SYSTEM
SETUP/TEST menu. See the section, “Battery Check” in Chapter 9 for details.
Table 12-16. Battery Messages

MESSAGE BATTERY LEVEL

MONITOR BAT HI > 60% Charge

MONITOR BAT MID 20-60% Charge

MONITOR BAT LOW < 20% Charge

BATTERY VERY LOW

Approximately 10 minutes of battery life remains
(Intermittent Alarm Tone Sounds)
12-12

Parameter Messages
The following tables explain messages that are parameter specific. Messages
concerning parameters displayed in the WDZ will be displayed in a video box
below the numeric data for the corresponding waveform parameters. The message
is displayed as long as the message condition exists. All messages that apply to
parameters in the numeric-only zone are displayed in the numeric display area.
See Chapter 2 for details.
Table 12-17. ECG/Respiration Messages

ECG/RESP MESSAGE MEANING

CVA Cardiovascular artifact (CVA) coincidence has been detected on
respiration. Respiration will reject coincident respiration while the
message is displayed. At least 8 out of 10 coincident respirations are
required to initiate and maintain the CVA message.

APNEA The apnea alarm limits have been exceeded.

APN ALM OFF Respiration alarms are ON, but apnea alarm is OFF.

CHK LEADS One or more electrodes or lead wires may be dry or loose. In addition to
the message, the ECG waveform and respiration waveform, if it is
displayed, become dotted lines.

Table 12-18. SpO2 Messages

SPO2 MESSAGE MEANING

SPO2 SRCH The monitor cannot locate the patient’s pulse. The patient’s perfusion
may be too poor to detect an acceptable pulse. Confirm proper
(Nellcor only) application of the sensor; make sure the ECG parameter is available for
C-LOCK synchronization; try another sensor site; or try the
OXISENSOR II R-15 sensor.

NO C-LOCK Indicates loss of synchronization between the ECG and SPO2 pulse
waveform. Take steps to eliminate ECG artifact, or if the R-wave
(Nellcor only) amplitude is less than 4 mm, increase the ECG waveform size by using
the ECG SIZE softkey

NO SENSOR The SPO2 parameter is ON, but the sensor and/or sensor cable is/are not
connected to the monitor.

SPO2 CAL The monitor is performing automatic self-calibration. The calibration

range is 50 to 100%.
12-13

Table 12-19. Invasive Blood Pressure (BP1/BP2/BP3) Messages

BP1/BP2/BP3 MESSAGE MEANING

NO XDUCER The pressure transducer is not connected to the monitor.

ZERO BP1 Message flashes until the pressure channel is zeroed as a reminder that
ZERO BP2 pressures must be zeroed prior to use.
ZERO BP3
NO ZERO: PULSE DETECT Displayed over the BP SETUP page to indicate that either a pulse or
electrical noise was detected, which precluded zeroing the transducer.
Confirm that the transducer is vented to air before pressing the ZERO
key.

ZERO OUT OF RANGE Displayed over the BP SETUP page to indicate that a transducer’s offset
exceeds the zero range (±100 mmHg) of the monitor. Confirm that the
transducer is vented to the air and attempt to zero again.

Table 12-20. Noninvasive Blood Pressure (NIBP) Messages

NIBP MESSAGE MEANING

ET = MM:SS Indicates elapsed time (ET) since last NIBP measurement.

AET = MM:SS Indicates elapsed time since last NIBP measurement while auto timer is
on.

AUTO Monitor is in NIBP AUTO mode.

CUFF = XXX Displays as the cuff inflates and deflates, giving the pressure in mmHg.

LOW OSCIL Oscillation amplitudes are too low to obtain measurement.

ARTIFACT Excessive artifact precluded measurement within a 145-second timeout.

MAX 2 LOW Cuff inflation was too low to take a reading. May indicate either
incorrect operating mode (ADULT, PED, NEO) or a need to increase
the initial inflation.

CHECK CUF 40-second timeout exceeded for inflation to at least 20 mmHg.

12-14

Table 12-21. ETCO2 Messages

ETCO2 MESSAGE MEANING

NO SENSOR The MediCO2 module has detected that NO FilterLine is currently
connected. This message will remain displayed until a FilterLine is
connected or another CO2 status message is displayed.

WARM UP This message is displayed for approximately 5-10 seconds after the
installation of the FilterLine, or after power-up with the FilterLine
already installed.

FILT OCCL The MediCO2 module has detected an airway blockage. If blockage
remains for more than 30 seconds, the MediCO2 module will go into
standby mode and this message will remain displayed until FilterLine is
disconnected.

CO2 ERROR This message will be displayed if the CO/CO2 firmware has not
received valid data from the MediCO2 module for more than 30
seconds.

ICO2 This message will be displayed when the INSPIRED CO2 value has
exceeded the alarm limit set in the CO2 Setup page in deep
configuration or in the Alarm Limits page under the CO2 Parameter
menu.

Table 12-22. SureTemp Messages

SURETEMP MESSAGE MEANING

T1 INITIAL This message display for a few moments as the probe warms up.

T1 WAIT This message displays momentarily when the probe is removed from the
well.

T1 READY This message means it is time to insert the probe (orally or rectally).

T1 FINAL This message displays when the final temperature is reached.

T1 POSITN If a “t1 POSITN” error displays during the reading, reposition the probe,
and initiate a new measurement.

T1 MONITOR Displays when taking a patient’s axillary temperature.

12-15

Table 12-23. Cardiac Output (CO) Messages

CO MESSAGE MEANING
NO CATH No catheter connected to the monitor.

NO PROBE No temperature probe (bath or injectate) connected to the monitor.

∧ ∧ RANGE ∧ ∧ Signal over range.

∨ ∨ RANGE ∨ ∨ Signal under range.

<< RANGE >> Cardiac output out of range.

BASELINE Noisy baseline detected.

IRG CURVE Irregular curve detected.

PEAKS Multiple curve peaks detected.

INJ LATE Delayed injection detected.

DRIFT Excessive thermal drift detected.

SHORT CUR Short thermodilution curve detected.

LONG CURV Long thermodilution curve detected.

WARM H2O Warm H2O for injectate or bath detected.

NO ECG No ECG signal detected by the monitor.

<<EF HR>> REF HR out of range.

IRG ECG Irregular rhythm.

<<CO EF>> REF out of range.

FAST DROP Fast drop curve.

EF EARLY Premature beat.

EF LATE Delayed beat.

<<BOLUS>> REF post bolus out of range.

RUNS FULL Maximum number of runs performed.

DELETED Measurement run deleted.

12-16
Chapter 13
Troubleshooting

Overview
MDE provides 24-hour technical support and should be contacted if a problem
persists after consulting the following troubleshooting guidelines. An MDE
Technical Support Specialist will be able to provide additional help in
determining system problems, and, if necessary, supplying shipping instructions
should the equipment need to be returned to the factory. All returned equipment
must be issued a Return Material Authorization Number (RMA #) prior to
shipment. An RMA number may be obtained from MDE Technical Support.
To contact MDE Technical Support, call: (818) 768-6411.

General Solutions
Problem Possible Causes Action/Solution
Monitor does not turn on. AC power may not be Verify that AC ON light is on.
connected.
Parameter labels display, but Parameter sensor or cable is not Connect appropriate sensor or
without alarm status or data. connected to monitor. cable to the monitor.
Parameter does not display label Parameter is “not available” in Contact service personnel to
or data. power-up defaults. change power-up status.
Parameter does not display label Parameter sensor or cable is not Connect appropriate sensor or
or data. connected to monitor. cable to the monitor.
13-2

ECG Solutions
Problem Possible Causes Action/Solution
CHK LEADS message. Electrodes may not be Confirm electrode placement
conductive enough to provide and skin preparation and
signal. adhesion.
The LEAD SEL softkey may be Verify that LEAD SEL is set for
set incorrectly correct lead configuration.
(3-lead or 5-lead).
ECG patient leads and/or cable Confirm connections at lead
are not connected. block and at the monitor.
CHK LEADS message is Lead I, II, or III is being Confirm electrode placement
displayed with ECG waveform. monitored with 5-lead cable and skin preparation, confirm
installed and selected. One or leads are connected at lead
more leads that are not used for block, and make sure cable is
ECG waveform is disconnected connected to monitor. If
(e.g. Lead II is being monitored possible, use a 3-lead cable
and LA is disconnected. when monitoring Leads I, II, or
III.
Displayed heart rate is too low. Insufficient R-wave amplitude. Use ECG SIZE to increase
waveform size.
Select an ECG vector that
provides an R-wave amplitude
at least twice that of the T and
P-wave.
Displayed heart rate is too high. The amplitude of the ECG Use the ECG SIZE function to
waveform is too high. decrease waveform size.

Respiration Solutions
Problem Possible Causes Action/Solution
Erratic Respiration rate and Poor electrode placement or Confirm proper electrode
waveform. conductivity. placement and adhesion.
Respiration rate displayed is Respiration waveform Use RESP SIZE function to
less than actual rate. amplitude is too low. increase waveform amplitude.
Respiration rate displayed is Cardiovascular artifact (CVA) Reposition the LA electrode to
higher than actual rate. is interfering with signal. reduce CVA.
13-3

SpO2 Solutions with Nellcor

Problem Possible Causes Action/Solution
Pleth waveform does not track Sensor is not applied correctly. Check sensor application.
pulse; SPO2 SRCH is Sensor or cable is damaged. Verify red light on sensor
displayed, or oxygen saturation illuminates. Replace cable if
does not display. needed.
Patient’s perfusion is too poor Try another sensor site.
for oximeter to detect a pulse.
Excessive patient motion. Reduce patient motion or set
response mode to SLOW.
NO C-LOCK message displays. Poor patient perfusion. Try another sensor site.
ECG electrode or lead is loose. Check all ECG connections.
NO SENSOR is displayed. Sensor not connected. Check sensor connections.
Damaged Sensor or cable. Verify red light on sensor
illuminates. Replace cable if
necessary.
Unknown sensor connected. Replace with Nellcor sensor.
LOW SIG is displayed. Sensor off patient. Place sensor on patient.
ARTIFACT is displayed. Excessive patient motion. Reduce patient motion.
O2 WTR ER Indicates an older version of Select either NORM or FAST
main software and SLOW mode. Contact MDE if SLOW
mode is selected. mode is required.

SpO2 Solutions with Masimo

Problem Possible Causes Action/Solution
Pleth waveform does not track Sensor is not applied correctly. Check sensor application.
pulse; SPO2 SRCH is Sensor or cable is damaged. Verify red light on sensor
displayed, or oxygen saturation illuminates. Replace cable if
does not display. needed.
Patient’s perfusion is too poor Try another sensor site.
for oximeter to detect a pulse.
Excessive patient motion. Reduce patient motion.
Environmental interference. Move away from light or noise
source.
NO SENSOR is displayed. Sensor is not connected. Check sensor connections.
Sensor or cable is damaged. Verify red light on sensor
illuminates. Replace cable if
necessary.
Unknown sensor connected. Replace with Masimo sensor.
13-4

All other messages. Contact MDE Technical

Support.

SureTemp Solutions
Problem Possible Causes Action/Solution
T1 Position message. Incorrect probe placement. Check location of probe to
ensure monitor is set for
position used. For example,
axillary, oral, or rectal.
Unit never displays T1 Ready. Probe switch failure. Check/Replace probe switch.
Probe not attached properly. Reattach probe properly.
Probe never inserted into well. Insert the probe into the well.
Defective probe. Replace the probe.
Unit constantly displays T1 Defective probe. Check/Replace the probe.
initial.
Suspected inaccurate reading. Incorrect probe covers. Ensure Welch Allyn probe
covers are used.
T1 not ready. Ready message not displayed
before attempted temperature.
Technique. Ensure good clinical technique.
For example, sublingual pocket
w/oral reading.
T1 Error message. Defective probe. Check/Replace the probe.
13-5

Invasive Blood Pressure Solutions

Problem Possible Causes Action/Solution
Will not zero - ZERO OUT OF Faulty transducer or transducer Try new transducer or rezero
RANGE displays. is not zeroed. current one.
Will not zero - NO ZERO: The Prism monitor has detected Open the stopcock on
PULSE DETECT displays. a pulse. transducer to air and rezero.
Pressure values are lower than Dampened waveform from Flush the line.
expected. bubbles in the line.
Transducer was repositioned Rezero the transducer.
after zeroing was completed.
Pressure values are higher than Excessive tubing length is If possible, reduce length of
expected. causing resonance. tubing and rezero transducer.

Noninvasive Blood Pressure Solutions

Problem Possible Causes Action/Solution
CHECK CUFF message Poor connection to monitor or Verify that NIBP assembly is
displays. cuff. connected to the monitor.
Cuff or hose assembly is Check cuff and hose for leaks.
leaking.
Cuff is loose on the patient. Make sure cuff is correct size
and snug on patient.
ARTIFACT message displays. Too much patient movement. If possible, reduce patient
movement and retake reading.
LOW OSCIL message displays. Pulse detected is too low due to Make sure cuff is positioned
improper placement or tightness correctly and snug on patient.
of cuff.
NIBP pump turns on and off Monitor is set to PED or NEO If monitoring an adult patient,
during inflation. mode. switch to ADULT mode,
otherwise this behavior is
acceptable.
Inaccurate NIBP readings. Improper cuff placement. Ensure proper cuff placement.
MAX 2 LOW message Monitor did not obtain valid Retry reading. Note:
displays. systolic reading. subsequent inflations are 25
mmHg higher.
13-6

Mainstream ETCO2 Solutions

Problem Possible Causes Action/Solution
NO SENSOR message displays. Sensor is not connected. Confirm proper sensor
connection.
LOW SIGNAL message Airway adapter obstructed. Check airway adapter for
displays. obstruction. Use another airway
adapter.
OCCLUSION message Particulate matter is obstructing Check airway adapter for
displays. airway. obstruction. Use another airway
adapter.
BAD SENSOR message Sensor is not functioning Try sensor with different
displays. properly. monitor. If problem persists,
replace sensor.
CO2 ERROR message displays. Hardware problem with ETCO2. Contact MDE Technical
Support.
WARM UP message displays. Sensor has not warmed to 42o C. Allow sensor to warm up prior
to ETCO2 monitoring.

Sidestream ETCO2 Solutions

Problem Possible Causes Action/Solution
NO SENSOR message displays. Pump is not operative. Try sensor with another Prism
monitor. If problem persists,
replace sensor.
NO FILTER message displays. No watertrap filter. Insert watertrap filter into
sidestream module.
FILT OCCU message displays. Filter has been obstructed. Replace watertrap filter.
EXH OCCLU message Exhaust has been obstructed. Clear exhaust of any
displays. obstruction.
LOW SIGNAL or Watertrap flow restricted or Check tubing for kinks or
OCCLUSION message pump is inoperative. blockage. Replace tubing if
displays. necessary. Replace watertrap if
message persists.
Exhaust/scavenger port flow Move objects away from
impaired. exhaust port or check scavenger
tubing.
BAD SENSOR message Sensor is not functioning If possible, try sensor with
displays. properly. another Prism monitor. If
problem persists, replace
sensor.
13-7

PUMP ERR message displays. Hardware error. Contact MDE Technical

Support.
5V FAULT message displays. Hardware error. Contact MDE Technical
Support.
CO2 COMM message displays. Hardware error. Contact MDE Technical
Support.
CO2 ERROR message displays. Hardware error. Contact MDE Technical
Support.
WARM UP message displays. Sensor has not finished Allow sensor to warm up prior
warming up to 42o C. to commencing with ETCO2
monitoring.

Recorder Solutions
Problem Possible Causes Action/Solution
Paper jams. Improper paper or an obstruction Confirm proper paper is
in paper exit area. installed (blank thermal paper,
50 mm wide roll up to 2 in. in
diameter).
Remove paper and clear paper
path. Reinstall paper and retry.
No recording prints on paper. Paper is not installed properly. Ensure that paper is properly
installed. Confirm correct paper
is being used.

Battery Solutions
Problem Possible Causes Action/Solution
Battery cycle time is less than Batteries are not adequately Contact service personnel or
expected. charged. MDE Technical Support.
A battery is installed incorrectly.
Battery is old or damaged.
Batteries will not charge and AC power is not connected Confirm that front panel AC
Battery Charging indicator is properly. ON indicator is on.
OFF. Ensure that the Prism is
connected to AC power.
Unit will not run on batteries. Batteries are not adequately Replace the battery or batteries.
charged.
A battery is installed incorrectly.
Battery is old or damaged.
13-8

Defibrillator/Pacer Solutions
Problem Possible Causes Action/Solution
Defibrillator will not charge Defibrillator cable is either Ensure that defibrillator cable is
(beeps intermittently) when disconnected or defective. properly connected to the
CHARGE key is pressed. defibrillator behind the Prism
monitor. If problem persists,
replace defibrillator cable.
Defibrillator beeps Internal paddle cable is either Ensure that internal paddle
intermittently when attempting disconnected or defective. cable is properly connected to
to charge the internal paddles. defibrillator behind the Prism
monitor. If problem persists,
replace internal paddle cable.
Energy selected exceeds 50 Ensure that energy selected is
joules. not more than 50 joules (max.
setting for internal paddles).
Patient’s skin burns during Improper electrode to skin Ensure that disposable
pacing. adhesion or use of dry or defibrillator/ pace electrodes are
otherwise defective electrodes. not outdated.
Replace electrodes that are dry
or defective.
Pacing current may be set too If possible, reduce pacing
high. current.
Insufficient ECG waveform Incorrect ECG electrode Apply standard 3-lead ECG
during defibrillation or pacing. placement. cable with proper electrodes to
obtain ECG waveform.
Defibrillator ECG source is set Set defibrillator ECG source to
to PADDLES. LEADS with ECG SOURCE
key. Then connect a standard 3-
lead ECG cable with proper
electrodes.
Patient and/or paddle motion. If possible, reduce patient
and/or paddle motion.
Discomfort or pain during Excessive pacing current. If possible, reduce pacing
pacing. current. If high pacing current is
warranted for capture, sedation
with analgesic may be required.
Unable to obtain ventricular External pacer is either not in Ensure that pacer is set to
capture. DEMAND mode or the pace DEMAND mode and pace rate
rate is too low. is higher than that of the patient.
Also ensure that sufficient
pacing current is being
delivered to patient.
Appendix A
Specifications

PARAMETER SPECIFICATIONS
PHYSICAL
Size: 9.3 x 11.8 x 10.2 in./23.6 x 30.0 x 25.9 cm (HWD)
Weight: 12.35 lb/5.6 kg (includes MPM with ECG, NIBP, SPO2, Temp)
Weight with 2 Batteries: add 2.9 lb/1.3 kg
DISPLAY
Type: Color Active Matrix TFT LCD
Size: 10.4 in./26.4 cm diagonal
Resolution: 640 x 480 pixels
Number of Traces: 4 (standard) or 5 optional
Trace Length: 5 seconds
POWER
Modular Batteries: 2 – each 12V; 2.0 AH Rechargeable Sealed Lead Acid
Battery Capacity with 2 batteries: – 1.25 to 2.25 hrs, depending on configuration
Battery Charge Time: 5hrs to 90% with unit in standby
Battery Level Indicator: Screen messages and audio tones
Ac Main: 115/230VAC selectable, 48 to 62 Hz autosensing
External DC In: 12 to 28VDC, 3A max
Power: 27 W
ENVIRONMENTAL
Operating Temp: 5 to 40° C
Relative Humidity: 0 to 90% noncondensing
See shipping carton for storage and transport specifications
INPUT/OUTPUT OPTIONS AVAILABLE
Analog Out, Recorder Out, Alarm Relay Closure, HR, SpO2 Out, Defibrillator Sync, DB-15
VGA Out
ECG
Range: 10 to 300 BPM
Accuracy: ±2% or ±2 BPM
Sweep Speed: 12.5, 25 mm/sec selectable
High Limit Range: 50 to 250 BPM in 5 BPM steps
Low Limit Range: 20 to 150 BPM in 5 BPM steps
Bandwidth: 0.5 to 40 Hz (monitor); 0.05 to 100 Hz (diagnostic)
Leads: 3 lead: I, II or III selectable;
5 Lead/Dual Vector: I, II, III, or V selectable
Sensitivity: 0.25 to 3 mV/cm selectable (12 levels)
Pacer Rejection: 0.1 to 2 msec; 2 to 700 mV
Heart Rate Source: ECG, IBP, SpO2, Pleth
A-2

Defib Tolerance: 400 joules with 50 ohm series lead impedance

Connector: Std 6 pins MS
Isolation: Full electrical isolation
RESPIRATION
Range: 4 to 200 BPM
Accuracy: ±2% or ±2 BPM
Lead: RA to LA
Display Sensitivity: 0.25 to 3 ohm/cm selectable
Minimum Detection Sensitivity: 0.1 to 1.2 ohm depending on display setting
High Limit Range: 5 to 150
Low Limit Range: 5 to 50
Apnea Delay: 10, 15, 20, 30, 40
Sweep Speed: 1.56, 6.25, 12.5, 25 mm/sec selectable
Respiration Rate Source: ETCO2 or ECG Leads
CVA Rejection: Rejects most cardiovascular coincidence
STANDARD TEMPERATURE
Channels: 1 or 2
Range: 20 to 50° C (68 to 122° F)
Accuracy: ±0.1° C
Probe: YSI 700 or 400, autosensing
Connector: 1/4 inch (0.6 cm) stereo phone jack
SURETEMP® TEMPERATURE
Measurement Range: 28.9 to 42.2 ° C (84.0 to 108.0 ° F)
Accuracy: ±0.1 ° C (±0.2 ° F)
Response Time: Oral - approx. 4 sec., Rectal - approx. 15 sec., Axillary - continuous
Cord Length: 9 ft. or 16 ft.
NIBP
Measurement Method: Oscillometric
Measurement Range: Systolic: 30 to 275 mmHg ADULT, 30 to 175 mmHg PED/NEO;
Diastolic: 20 to 240 mmHg ADULT, 20 to 130 mmHg PED/NEO
Pulse Rate: 30 to 250 BPM
Measurement Time: 40 seconds typical
Modes: Manual - initiated via START key; Automatic - STAT, 1, 2, 3, 4, 5, 10, 15, 30, 45
minutes, 1, 2, 3, 4 hrs
1st Cuff Inflation: ADULT: 90 to 220 mmHg; PED/NEO: 60 to 150 mmHg selectable
Subsequent Inflations: Systolic +30 mmHg
Alarms: SYS, DIAS, MEAN selectable in 5 mmHg steps
System Accuracy: ±5 mmHg mean error, ±8 mmHg SD
Cuff Sizes: Thigh, Large Adult, Adult, Child, Infant, Neo sizes 1, 2, 3, 4
SpO2 (Nellcor MP204)
Display: % SpO2, Plethysmographic Waveform or Pulse Amplitude Bar
Range: 1 to 100%
Accuracy: ADULT: 70 to 100% ±2 digits; 50 to 69% ±3 digits; NEO: 70 to 94% ±3 digits
Pulse Rate Range: 20 to 250 BPM
Pulse Rate Accuracy: ±3 BPM
High Limit Range: 70 to 100%
A-3

Low Limit Range: 50 to 99%

Sensors: Neonatal through Adult (NELLCOR)
Pulse Tone: Pitch varies with SpO2 value
ECG Sync: NELLCOR C-LOCK
SpO2 (Nellcor MP405)
Display: % SpO2, Plethysmographic Waveform or Pulse Amplitude Bar
Range: 0 to 100%
Accuracy: ADULT: 0 to 69% unspecified; 70 to 100% ±2 digits; NEO: 0 to 69%
unspecified; 70 to 100% ±3 digits
Pulse Rate Range: 20 to 250 BPM
Pulse Rate Accuracy: ±3 BPM
High Limit Range: 70 to 100%
Low Limit Range: 50 to 99%
Sensors: Neonatal through Adult (NELLCOR)
Pulse Tone: Pitch varies with SpO2 value
ECG Sync: NELLCOR C-LOCK
SpO2 (Masimo SET)
Display: % SpO2, Plethysmographic Waveform or Pulse Amplitude Bar
Range: 1 to 100%
Accuracy:
During NO Motion Conditions:
Saturation (% SpO2):
ADULT, PED: 70 to 100% ±2 digits
NEO: 70 to 100% ±3 digits
Pulse Rate: 25 to 240 bpm ±3 digits (Adult, Ped, and Neo)
During Motion Conditions:
Saturation (% SpO2):
ADULT, PED: 70 to 100% ±3 digits
NEO: 70 to 100% ±3 digits
Pulse Rate: 25 to 240 bpm ±5 digits (Adult, Ped, and Neo)
Low Perfusion Performance:
>0.02% Pulse Amplitude Saturation (%SpO2)±2 digits and %Transmission > 5%
Pulse Rate (bpm)±3 digits
High Limit Range: 70 to 100%
Low Limit Range: 50 to 99%
Sensors: Neonatal through Adult (Masimo)
Pulse Tone: Pitch varies with SpO2 value
INVASIVE PRESSURE
Channels: 1, 2, or 3
Range: -40 to 300 mmHg
Accuracy: ±1% or ±1 mmHg
Parameter Display: SYS, DIAS, and MEAN selectable
Pressure Labels: ART, PA, CVP, ICP, RA, LAP, FEM, UA, UV, PRES
Alarm Limit Range: 5 to 250 mmHg
Display Scale: 15, 30, 60, 120, 180, 240 mmHg selectable
Input Connector: Std 6 pin MS, 5 uV/V/mmHg
A-4

CARDIAC OUTPUT/HEMODYNAMIC CALCULATIONS

CO Range: 0.1 to 19.99 liters/minute
CO Repeatability: ±2% or 0.2 liters/minute from mean value, whichever is greater, as
measured by electronically generated standard flow curves
REF Range: 1% to 85%
Blood Temperature Range: 17.5 to 43° C
Blood Temperature Accuracy: ±0.5° C from 17.5 to 31° C, ±0.3° C from 31 to 43° C
Injectate Temperature Range: 0 to 27° C
Injectate Temperature Accuracy: ±0.3° C from 0 to 25° C, ±0.5° C from 25.5 to 27° C
Hemodynamic Calculations Provided: CI, SV, SVI, SVR, SVRI, PVR, PVRI, LVSW,
LVSWI, RVSW, RVSWI, REF, PAWP,BSA
Catheters & Accessories: Baxter-Edwards compatible
ETCO2
Type: NDIR single beam, ratiometric
Sensor Size: Mainstream: 0.78 x 1.036 x 1.003 inches/1.98 x
2.63 x 2.55 cm (LWD); Sidestream: 6.3 x 3.15 x 2.17 Inches/
160 x 80 x 55 cm (LWD)
Sensor Weight: Mainstream: <10 g, without cable; Sidestream:
1.5 lbs (0.68 kg) with cable
Airway Adapter Dead Space: Mainstream < 6cc (std), 0.6 cc NEO
Altitude/Barometric Pressure Compensation: Automatic
Warm Up: 45 seconds typical
Range: 0 to 99 mmHg
Accuracy: ±2 mmHg or ±5% of reading below 77 mmHg,
±10% above 77 mmHg
Sweep Speed: 1.56, 6.25, 12.5, 25 mm/sec selectable
Display Scale: 50, 75, 100 mmHg
Alarm Limit Range: 5 to 100 mmHg
High Limit Inspired CO2: 4 to 12 mmHg, selectable
Sampling Flow Rate: Sidestream: 150 cc/min
Response Time: Mainstream: <60 msec max, 30 msec typical;
Sidestream: <100 msec max
Calibration: None required; annual check recommended
O2 and N2O Compensation: Independently selectable
THERMAL RECORDER
Channels: Any 1 or 2 waveforms, user selectable
Resolution: 8 dots/mm vertical, 32 dots/mm horizontal
Paper: 40 mm grid; 50 mm width
Sweep Speed: 6.25, 12.5, 25 mm/sec; 1 mm/sec Trend
Manual Record Duration: 16 seconds, 12 seconds memory
Annotation: Time, date, parameter values, scales, source, speed
Weight: 1.15 lb (0.52 kg) with full roll of paper
A-5

AutoNet TRANSCEIVER MODULE

Indicator: Green light indicates comm. Status
Frequency: Spread spectrum 902 to 928 MHz or 2.4 GHz
Transmission: Bidirectional with seamless auto-retry
Weight: 0.55 lb (0.25 kg)
TELEMETRY RECEIVER MODULE
Frequency Range: UHF 450 to 470 MHz (20012/20012V)
Frequency Range: UHF 608 to 614 MHz (20012V-M6)
Sensitivity: 1 uV typical
Available Transmitters: MDE models 1200LR, 20013, ESCORT Guardian models
20601,20602, 20603
Weight: 0.85 lb (0.39 kg)
CIS COMMUNICATION MODULE
Size: 13.5 x 6.6 x 3.4 cm (HWD)
Weight: 0.50 kg
Network Interface: IEEE 802.3 10 BaseT Ethernet RJ45
Serial Interface: 2 shielded EIA/TIA RS232 (9-pin mini-DIN) ports, 1 shielded EIA/TIA
RS 485 IEEE 1073.4.1 MIB compliant) port
Keyboard Interface: PS/2 Compatible (6-pin mini-DIN)
Interface Software: TCP/IP and HL7 – other protocols/data formats available at additional
cost
Ancillary Devices: driver software required for each different device type at additional cost
A-6
Appendix B
Supplies, Accessories, & Options
The supplies, accessories, and options listed in this section can be ordered by
calling Medical Data Electronics at the following telephone number:
(818) 768-6411
To make the order of the process smoother, note the part or option/model number
of the item(s) you are ordering, and be prepared to give the number to MDE
personnel.

Part Accessory Starter Kits

Number
Adult Accessory Kit – Nellcor – Consists of: 5-Lead ECG cable, 5-Lead
E100001 Snap Leadwires, Adult NIBP Hose & Cuff, Nellcor 8 foot SPO2
extension cable, Oxisensors
Adult Accessory Kit – Masimo – Consists of: 5-Lead ECG cable, 5-Lead
E100002 Snap Leadwires, Adult NIBP Hose & Cuff, Masimo 8 foot SPO2
extension cable, Masimo Sensor Kit
Pediatric Accessory Kit – Nellcor – Consists of: 3-Lead ECG cable,
E100003 3-Lead Pinchclip Leadwires, NIBP Hose, Pediatric Cuff, Nellcor 8 foot
SPO2 extension cable, Oxisensors
Pediatric Accessory Kit – Masimo – Consists of: 3-Lead ECG cable,
E100004 3-Lead Pinchclip Leadwires, NIBP Hose, Pediatric Cuff, Masimo 8 foot
SPO2 extension cable, Masimo Sensor Kit
Neonatal Accessory Kit – Nellcor – Consists of: 3-Lead ECG cable,
E100005
Neonatal NIBP Hose, Nellcor SPO2 extension cable, Oxisensors
Neonatal Accessory Kit – Masimo – Consists of: 3-Lead ECG cable,
E100006 Neonatal NIBP Hose, Masimo 8 foot SPO2 extension cable, Masimo
Sensor Kit
Defib / Pacer Accessory Kit – Adult – Includes adult defib electrode set,
E100007
3-Lead Fixed ECG cable, Pace output cable, gel, and (1) battery
Defib Pacer Rolling Stand Kit – Includes GCX Rolling Stand, Basket,
E100008
Fixed mounting Plate, and Rolling Stand Counterweight

Part Battery Accessories

Number
E2700-37M Modular Battery Medical Grade – ESCORT II, Prism
B-2

Part Defibrillator / Pacer Accessories / Supplies

Number
GCX Defib Slide Mount Adapter Plate – Allows monitor equipped with
E2700-03
Defib base to attach to a GCX wall mount or rolling stand
E2700-80A Defib/Pacer Tester (One recommended with each Defibrillator purchase)
E2900-07 ESCORT II, Prism, Prism SE, Defib 3-Lead Cable (fixed)
384000-
Pediatric Defib/Pace Electrodes (1 set)
0161
384000-
Adult Defib/Pace Electrodes (1 set)
0160
384000-
Defib Gel (1 tube)
0162
E2700-64 Adult Disposable Defib/Pace Electrodes (box of 10)
E2700-65 Pediatric Disposable Defib/Pace Electrodes (box of 10)
E2700-66 “Hands Off” Defib/Pace Adapter Cable
E2700-69 Defib Internal Paddles Cable Only – Order internal paddles separately
E2700-70 Defib Internal Paddles – Adult (8.9 cm) – requires E2700-69
E2700-72 Defib Internal Paddles – Pediatric (3.8 cm) – requires E2700-69
E2700-73 Pace Output Cable
E2700-83 Signal Electrode Gel (box of 12 tubes)
Multi-function Defib/Pace Adapter – Order if defib and pace both have
E2700-89
Hands Off
E2900-54 External Pediatric Slide-On Paddle Set
E2900-52 External Adult Paddles/Cable
B-3

Part ECG Accessories – U.S.A

Number
E2900-01 3-Lead ECG Safety Cable
401603 24 inch 3-Lead Snap Safety Leadwires (1 set)
401503 24 inch 3-Lead Neo Safety Pinchclip Leadwires (1 set)
E2900-02 5-Lead ECG Safety Cable
401604 24 inch 5-Lead Snap Safety Leadwires (1 set)
401504 24 inch 5-Lead Neo Safety Pinchclip Leadwires (1 set)
E2700-24 24 inch HP 3-Lead ECG Safety Cable
E2700-25 24 inch HP 5-Lead ECG Safety Cable
E2700-46 24 inch HP 3-Lead Safety Pinchclip Leadwires for E2700-24
E2700-47 24 inch HP 5-Lead Safety Pinchclip Leadwires for E2700-25
E2700-43 24 inch HP 3-Lead Shielded Snap Leadwires
E2700-62 24 inch 3-Lead Neonatal Safety Pinchclip Leadwires (5 sets)
E2700-75 24 inch 5-Lead Neonatal Safety Pinchclip Leadwires (5 sets)
E2700-77 24 inch 5-Lead Safety Snap Leadwires (10 sets)
E2700-78 24 inch 3-Lead Safety Snap Leadwires (10 sets) U.S.A
E2700-27 24 inch ECG Electrode Set – For Veterinarian use
E2700-17S 5-Lead ECG Safety Cable Assembly USA 25 Feet

Part ECG Accessories – CE Approved

Number
E2900-04 5-Lead ECG Safety Cable (Red, Yellow, Green, Black, White)
E2900-03 3-Lead ECG Safety Cable (Red, Yellow, Green)
E2700-60 24 inch 3-Lead Safety Snap Leadwires (Red, Yellow, Green) (10 sets)
401505 24 inch 3-Lead Safety Pinchclip Leadwires (1 set)
401506 24 inch 5-Lead Safety Pinchclip Leadwires (1 set)
E2700-76 24 inch 5-Lead Neonatal Safety Pinchclip Leadwires (5 sets)
24 inch 5-Lead Safety Snap Leadwires (Red, Yellow, Green, Black,
E2700-61
White) (10 sets)
E2700-63 24 inch 3-Lead Neonatal Safety Pinchclip Leadwires (5 sets)

Part ECG ESIS Accessories

Number
E2800-30 ESIS Patient Cable 5-Lead USA
E2800-31 ESIS Patient Cable 5-Lead CE
E2800-33 ESIS Leadwire Set 3-Lead 36 inch Snap USA
E2800-34 ESIS Leadwire Set 5-Lead 36 inch Snap CE
E2800-32 ESIS Leadwire Set 5-Lead 36 inch Snap USA
B-4

Part ETCO2 Accessories / Supplies (Prism Only)

Number
Mainstream Sensor – (for intubated use only) – For use with MPM
20020
OPT36, must use with Airway adapter E2900-20, or E2900-21
Sidestream Sensor – (for some intubated and all non-intubated patients) –
20021
For use with MPM OPT36, must use with Watertrap E2900-26.
E2900-20 ETCO2 Airway Adapter – Standard (box of 10, single use)
E2900-21 ETCO2 Airway Adapter – Neonatal (box of 10, single use)
E2900-26 Watertrap – (box of 24)
E2900-38 ETCO2 Nasal Cannula – Adult (box of 10, single use)
E2900-39 ETCO2 Nasal Cannula – Pediatric (box of 10, single use)

Part NIBP Accessories / Supplies – Quick Disconnect Type Fittings

Number
E2910-01 NIBP CUFF Thigh – CE
E2910-02 NIBP CUFF Large Adult – CE
E2910-03 NIBP CUFF Adult – CE
E2910-10 NIBP Cuff Small Adult – CE
E2910-04 NIBP CUFF Child – CE
E2910-05 NIBP CUFF Infant – CE
E2910-06 Neo Size 1 – Box of 10
E2910-07 Neo Size 2 – Box of 10
E2910-08 Neo Size 3 – Box of 10
E2910-09 Neo Size 4 – Box of 10
E2810-06 Adult NIBP Hose
E2810-11 Neonatal NIBP Hose
E2810-12 SE to EII NIBP CUFF ADAPTER
E2810-13 EII to SE NIBP CUFF ADAPTER Screw fitting to Quick Disconnect
B-5

Part NIBP Accessories / Supplies – Screw Type Fittings

Number
E2800-06 Adult / Pediatric Hose Assembly (12 foot)
E2800-11 Neonatal Hose Assembly (8 foot)
E2810-12 SE to EII NIBP CUFF ADAPTER (Quick disconnect to screw fitting)
E2810-13 EII to SE NIBP CUFF ADAPTER (Screw fitting to Quick Disconnect)
E2910-06 Neo Size 1 – Box of 10
E2910-07 Neo Size 2 – Box of 10
E2910-08 Neo Size 3 – Box of 10
E2910-09 Neo Size 4 – Box of 10
E2910-12 NIBP Cuff Infant – Screw Fittings
E2910-13 NIBP Cuff Child – Screw Fittings
E2910-14 NIBP Cuff Small Adult – Screw Fittings
E2910-15 NIBP Cuff Adult – Screw Fittings
E2910-16 NIBP Cuff Large Adult – Screw Fittings
E2910-17 NIBP Cuff Thigh – Screw Fittings
404016 NIBP Board Exchange Kit, MPM (Prism Only)
404018 NIBP Factory Conversion Kit, MPM (Prism Only)
403958 Hose Conversion Kit

Part IBP Accessories / Supplies

Number
E2800-23 IBP Disposable Transducer Kit (use with E2800-22)
E2800-21 IBP Disposable Monitoring Kit P23XL (use with E2800-20 – box of 5)
E2800-22 IBP Interface Cable (use with E2800-23, E2800-24, or E2800-20)
E2800-24 IBP Disposable Transducer Kit (use with E2800-22)
IBP Reusable Transducer P23XL (use with E2800-21 – requires
E2800-20
E2800-22)

Part Cardiac Output Accessories / Supplies

Number
E2900-43 Injectate Flow-Through Temp Probe
E2900-42 Cardiac Output Injectate Bath Probe
E2900-41 Cardiac Output Injectate Patient Cable
B-6

Part Mounting Accessories

Number
401609 GCX Plate Interface Kit
E2700-34 Wall Mount less Wall Channel
E2700-10 Wall Mount with Wall Channel
E2700-91 6 inch Wall Mount Utility Basket with SureTemp holder
E2700-11 Rolling Stand
E2700-90 6 inch Rolling Stand Utility Basket with SureTemp holder

Part SPO2 Accessories / Supplies – Masimo

Number
E2810-50 Adult Masimo SpO2 Clip Sensor-Reusable - Single
E2810-51 Adult Masimo SpO2 Disposable Adhesive Sensors (20)
E2810-52 Pediatric Masimo SpO2 Disposable Adhesive Sensors (20)
E2810-53 Neonatal Masimo SpO2 Disposable Adhesive Sensors (20)
E2810-54 Neonatal Masimo SpO2 Preterm Disposable Adhesive Sensors (20)
E2810-55 Neonatal Masimo SpO2 Adhesive Sample pack
E2810-56 Adult/Pediatric Masimo SpO2 Adhesive Sample pack
E2810-57 SpO2 Masimo Replacement Tape 100 (pk) (For use with E2810-53)
E2810-58 SpO2 Masimo Replacement Posey Wrap (12 pk) (For use with E2810-54)
E2810-59 SpO2 Extension Cable-4 foot Masimo
E2810-60 SpO2 Extension Cable-8 foot Masimo
E2810-61 SpO2 Extension Cable-12 foot Masimo

Part SPO2 Accessories / Supplies – Nellcor

Number
E2800-50 Nellcor Durasensor – Reusable
E2800-63 SpO2 Sensor Extension Cable (8 Foot)

Part SureTemp Accessories / Supplies

Number
E2900-55 SureTemp Oral Probe
E2900-56 SureTemp Rectal Probe
E2900-57 SureTemp Probe Covers – Disposable (Box of 500)
E2900-58 SureTemp Probe Covers Snap on Holder for Monitor
E2900-62 SureTemp Probe Covers – Disposable (Box of 1000)
B-7

Part Non-SureTemp Accessories / Supplies

Number
E2700-40 YSI Esophageal / Rectal Temp Probe
E2700-41 YSI Standard Skin Temp Probe

Part Remote Displays

Number
E3202-05 17 inch Color Remote Display
E3202-08 18 inch Color Remote Display – Flat Panel
E3202-06 21 inch Color Remote Display
E2900-91 17 inch Remote Display Wall Mount
E2900-90 17 inch Remote Display Ceiling Mount
E2900-98 18 inch Flat Panel Remote Display Wall Mount
E2900-95 21 inch Remote Display Wall Mount
E2900-94 21 inch Remote Display Ceiling Mount

Part Video Cable

Number
E2800-
25 Foot Standard Cable
SC25
E2800-
50 Foot Standard Cable
SC50
E2800-
50 Foot Plenum Cable
PC50

Part Remote Display Power Isolation

Number
E2900-49 Power Isolation Transformer 150VA floor mount, single outlet 110 volts
E2900-50 Power Isolation Transformer 150VA wall mount, single outlet 110 volts
B-8

Part Miscellaneous Accessories/ Supplies

Number
E2700-32 Recorder Paper (box of 10 rolls)
E2700-54 Recorder Paper (case of 100 rolls)
E2700-14 Monitor Accessory Pouch – Snaps to side of monitor
Cable Strap – Snaps to monitor for cable management when monitor is
E2900-51
not in use
E2900-30 Power Cord Clamp
E2900-31 Nurse Call Interface Cable (unterminated)
E2900-33 High Level Interface Cable
E2700-87 Power Cord USA – Replacement
E2700-88 Power Cord Unterminated

Part Educational Material

Number
E9040-62 ESCORT Prism Service Manual
E9040-63 ESCORT Prism SE Service Manual
E9040-55 Service Manual CD ROM
E9030-31 ESCORT Prism & Prism SE Operator’s Manual
E9030-33R ESCORT Prism & Prism SE Reference Manual
E9030-36 Reference Manual CD ROM
E9040-54 ESCORT Prism & Prism SE Quick Reference Guide
B-9

Part Options (Prism Only)

Number
OPT25 BEDRAIL HANDLE – Need 9040-60 upgrade on older units
CRG and OXYCRGS – Provides CRG (Cardiorespirogram) to standard
OPT37 MPM equipped with ECG/Resp. Provides OXYCRG
(Oxycardiorespirogram) when and SpO2 option is purchased.
VGA Output for Prism model 20401 Only – Permits all Prism
waveforms and numeric data to be displayed on any standard VGA
OPT53A display. The remote display may require an Isolation Transformer
depending upon its location. Remote Display, Isolation Transformer can
be purchased from a commercial source or MDE.
VGA Output for Prism model 20403 Only – Permits all Prism
waveforms and numeric data to be displayed on any standard VGA
OPT53B display. The remote display may require an Isolation Transformer
depending upon its location. Remote Display, Isolation Transformer can
be purchased from a commercial source or MDE.
OPT70 ADD 5TH TRACE
OPT103 External DC Jack – Prism – Includes Grounding Plug
OPT104 Prism Aux I/F Option
20002 Dual Channel Recorder Module – Diagnostic quality, thermal array
20002CVR Modular Recorder Housing Cover
20202 Defibrillator / Pacer
OPT21 Defibrillator Slide Mount– 20401, 20403 only.
Defibrillator Skin (Prism Housing) – Required when adding a
500256
defibrillator to an existing Prism monitor
UHF Tlm RF/Transceiver antenna Adapter for defib – Required when
E2900-40A defib monitor is equipped with a bedside telemetry receiver AND a
central station receiver
Spectrum RF/Transceiver antenna Adapter for defib – Required when
E2900-40B
defib monitor is equipped with a central station receiver

MULTIPARAMETER MODULE – M
20001-M MPM for use with Masimo SpO2 or when no SpO2 is ordered.
Includes single or dual lead ECG and Respiration.
MULTIPARAMETER MODULE – N
20001-N MPM for use with Nellcor SpO2. Includes single or dual lead ECG
and Respiration.
20001CVR MULTIPARAMETER MODULE Housing Cover Plate
OPT101-N MPM Standard Connectors with Nellcor SpO2
OPT101-M MPM Standard Connectors with Masimo SpO2 or no SpO2
OPT101-N ECG Board Nellcor SpO2
OPT101-M ECG Board Masimo or no SpO2
OPT28 NON-INVASIVE BLOOD PRESSURE
OPT30-M MASIMO SpO2
B-10

OPT30-N NELLCOR SpO2 – Includes pkg of 3 disposable Oxisensors

OPT31 (1) INVASIVE BLOOD PRESSURE
OPT31I (1) INVASIVE BLOOD PRESSURE CE
OPT31M (1) INVASIVE BLOOD PRESSURE HP
OPT33 (2) INVASIVE BLOOD PRESSURES
OPT33I (2) INVASIVE BLOOD PRESSURE CE
OPT33M (2) INVASIVE BLOOD PRESSURE HP
OPT48 (3) INVASIVE BLOOD PRESSURES
OPT48I (3) INVASIVE BLOOD PRESSURES CE
OPT48M (3) INVASIVE BLOOD PRESSURES HP
OPT35 Standard Temperature – does not include SureTemp
ETCO2 – PRYON – Requires Model 20020 or 20021 sensors, purchased
OPT36
separately
HP MERLIN CONNECTORS – ECG & IBP only. For MPM’s equipped
OPT38-M
with Masimo SpO2 or no SpO2
HP MERLIN CONNECTORS – ECG & IBP only. For MPM’s equipped
OPT38-N
with Nellcor SPO2
CARDIAC OUTPUT / REF – Available in MPM’s for ESCORT II
OPT39 20101 & 20300 monitors ONLY. Requires purchase of (2) or (3)
Invasive Blood Pressures.
CARDIAC OUTPUT WITH HEMODYNAMIC CALCULATION –
OPT72 Available in MPM’s for PRISM 20401 & 20403 monitors ONLY.
Requires purchase of (2) or (3) Invasive Blood Pressures.
ADD SECOND STANDARD TEMPERATURE – When first temp is a
OPT50
standard temp
ADD SECOND STANDARD TEMPERATURE – When first temp is a
OPT50S
SureTemp
SURETEMP ELECTRONIC THERMOMETER – Provides episodic
OPT54
measurements of patient temperature, oral, axillary, rectal
SURETEMP ELECTRONIC THERMOMETER CE – Provides episodic
OPT54I
measurements of patient temperature, oral, axillary, rectal
B-11

Part Wireless Communication Modules

Number
VISION TRANSCEIVER MODULE – (900 MHz BAND) Spread
20011V Spectrum communication with Vision central station. Requires (1) per
monitor.
ESCORT-LINK TRANSCEIVER MODULE – (900 MHz BAND)
20011 Spread Spectrum communication with existing E3200B central stations.
Requires (1) per monitor.
VISION TRANSCEIVER MODULE – (2.4 GHz BAND) Spread
20019V Spectrum communication with Vision central station in the 2.4 GHz
BAND. Requires (1) per monitor.
VISION TRANSCEIVER MODULE – (2.4 GHz BAND) – SP – Spread
20019VS Spectrum communication with Vision central station in the 2.4 GHz
BAND. Requires (1) per monitor. (FOR USE IN FRANCE)

Part Guardian Receivers – Bedside

Number
TELEMETRY BEDSIDE RECEIVER MODULE – (450-470 MHz). For
bedside monitor to receive Guardian telemetry transmitter signal.
20012V
Requires Guardian transmitter. One required for each transmitter to be
monitored.
TELEMETRY BEDSIDE RECEIVER MODULE – (450-470 MHz). For
bedside equipped with Defib/Pacer to receive Guardian transmitter
20012VDP
signal. Requires Guardian transmitter. One required for each transmitter
to be monitored.
TELEMETRY BEDSIDE RECEIVER MODULE – (608-614 MHz). For
bedside monitor to receive Guardian telemetry transmitter signal.
20012V-M6
Requires Guardian transmitter. One required for each transmitter to be
monitored.

Part CIS Communication Modules – Bedside

Number
20030-MT1 Meditech CIS Communication Module
20030-HB1 HBOC CIS Communication Module
20030-CN1 Cerner CIS Communication Module
20030-EC1 Eclipsys CIS Communication Module
20030-
RS232 Communication Module
RS232
E9040-26 MDE Engineering CIS Software Support
B-12
Appendix C
Schematics
This chapter contains the necessary PRISM monitor schematics. The schematics
in this chapter are:
• E3B+ CPU Schematic (sheets 1 & 2 of 3) #402820
• Prism CPU Schematic (sheets 1-7 of 8) #403950
• E3B+ Power Supply Schematic (sheet 1 of 2) #402822
• E3B Plus 10.4 Color Interface Schematic (sheet 1 of 2) #402912
• E3B Plus VGA Video Controller Schematic (sheet 1 of 2) #402914
• E3B Plus 10.4 VGA EL Video Controller Schematic (sheet 1 of 2) #402923
• E3B Plus 10.4 EL VGA Interface Schematic (sheet 1 of 2) #402925
• MPM Connector Schematic (sheet 1 of 2) #403146
• MPM ISO Power Supply Schematic (sheet 1 of 2) #403162
• ECG, SMT, MPM Schematic (sheets 1-3 of 4) #403684
• MPM NIBP/BP/PT TEMP Schematic (sheets 1 & 2 of 3) #402954
• MPM CO2 Schematic (sheet 1 of 2) #401915
• MPM CO2 Processor Schematic (sheet 1 of 2) #401917
• MPM Cardiac Output Schematic (sheet 1 of 2) #402030