450C Masimo Service Manual

Vital-Guard 450C
Patient Monitor
®
with Masimo SET SpO2
2684-01-20
Operation and Maintenance Manual

User Responsibility
This product will perform in conformity with the description thereof contained in this Operation and Maintenance
Manual and accompanying labels and/or inserts, when assembled, operated, maintained and repaired in accordance
with the instructions provided. This product must be checked periodically. A defective Product should not be used.
Parts that are broken, missing, plainly worn, distorted or contaminated should be replaced immediately. Should such
repair or replacement become necessary, IVY Biomedical Systems, Inc. recommends that a telephone call or written
request for service advice be made to IVY Biomedical Systems, Inc. Service Department. This product or any of its
parts should not be repaired other than in accordance with instructions provided by IVY Biomedical Systems, Inc.
trained personnel. The product must not be altered without the prior written approval of IVY Biomedical Systems,
Inc. Quality Assurance Department. The user of this Product shall have the sole responsibility for any malfunction,
which results from improper use, faulty maintenance, improper repair, damage or alteration by anyone other than
IVY Biomedical Systems, Inc.
CAUTION: US Federal law restricts this device to sale by or on the order of a licensed medical practitioner.
Ivy Biomedical Systems, Inc. has declared that this product conforms with the Eurpean Council Directive 93/42/EEC
Medical Device Directive when its used in accordance with the instructions provided in the Operation and
Maintenance Manual.
Ivy Biomedical Systems, Inc.

11 Business Park Drive
Branford, Connecticut 06405
(203) 481-4183  (800) 247-4614  FAX (203) 481-8734
www.ivybiomedical.com e-mail:ivybio@ivybiomedical.com
The following are trademarks of Masimo Corporation: Masimo®, Masimo SET® and LNOP®.
Covered by one or more of the following U.S. 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 and international equivalents. U.S.A. and international patents pending.
Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would,
alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device.
S450C-4May2010
2684-01-20 Rev.03
Declaration of Conformity
Manufacturer: Ivy Biomedical Systems, Inc.
Branford, CT 06405
Authorized Representative: Cavendish Scott Ltd.

Starlings Bridge, Nightingale Road
Hitchin, Herts, SG5 1FW, England
Type of Equipment: Physiological Monitors
Models: 450C
We, Ivy Biomedical Systems, Inc., hereby declare that the devices mentioned above
comply with the Swedish National Board of Health and Welfare Regulation and
guidelines on medical devices LVFS 2003:11 (M) 28 October 1994 – transposing
European Medical Devices Directive 93/42/EEC.
Date of Validity: March 30, 2010
Classification: IIb According to rule No. 10
Conformity Assessment
Procedure: Annex II
Notified Body: Intertek SEMKO AB Notified Body No. 0413
Name of Authorized Signatory: Dick Listro

Position held in Company: Director of Regulatory
Signature
This page is intentionally left blank.
TABLE OF CONTENTS
TABLE OF CONTENTS
WARRANTY ............................................................................................................................................................... v
INTRODUCTION ....................................................................................................................................................... 1
SAFETY ....................................................................................................................................................................... 2
Electrical ............................................................................................................................................................. 2
Explosion ............................................................................................................................................................. 2
Patient Connections ........................................................................................................................................... 3
MRI ..................................................................................................................................................................... 3
Pacemakers ......................................................................................................................................................... 3
Electrosurgery .................................................................................................................................................... 3
Defibrillation Protection .................................................................................................................................... 3
EMC .................................................................................................................................................................... 3
Electromagnetic Compatibility IEC 60601-1-2:2001 ..................................................................................... 4
Description of Warning Labels ......................................................................................................................... 8
For monitors used in Australia ......................................................................................................................... 8
MONITOR DESCRIPTION ....................................................................................................................................... 9

Classification....................................................................................................................................................... 9
Specifications .................................................................................................................................................... 10
Controls and Indicators ................................................................................................................................... 16
Display ............................................................................................................................................................... 20
Alarms ............................................................................................................................................................... 21
Priority Alarms Feature (If Present) .............................................................................................................. 24
Rear Panel......................................................................................................................................................... 24
Menu Structure ................................................................................................................................................ 25
The PATIENT SETUP Key......................................................................................................................... 26
The SYSTEM SETUP Key .......................................................................................................................... 27
MONITOR SETUP ................................................................................................................................................... 28

Adult/Neonate Modes ...................................................................................................................................... 28
Heart Rate Source ............................................................................................................................................ 29
Trace Speed ...................................................................................................................................................... 29
Set Time and Date ............................................................................................................................................ 29
Display Setup .................................................................................................................................................... 30
Data and Waveforms Color Setup .................................................................................................................. 30
Audio Setup ...................................................................................................................................................... 31
Display Limits ................................................................................................................................................... 31
Trend Displays.................................................................................................................................................. 31
Default Settings ................................................................................................................................................ 33
BATTERY OPERATION ......................................................................................................................................... 34

Internal Battery ................................................................................................................................................ 34
Status of the Battery ........................................................................................................................................ 34
Removing the Battery ...................................................................................................................................... 34
Vital-Guard 450C Operation and Maintenance Manual i

TABLE OF CONTENTS
RECORDER OPERATION ..................................................................................................................................... 35
Changing Paper ................................................................................................................................................ 35
Recorder Menus ............................................................................................................................................... 36
Recorder Modes ............................................................................................................................................... 36
Recorder Messages ........................................................................................................................................... 39
Example Printouts ............................................................................................................................................ 39
ECG MONITORING ................................................................................................................................................ 42

Safety Considerations ...................................................................................................................................... 42
Patient Connections ......................................................................................................................................... 43
ECG Waveform Amplitude ............................................................................................................................. 44
Heart Rate (HR) Alarm Limits ....................................................................................................................... 44
Lead Selection ................................................................................................................................................... 44
ECG Filter (Adult Mode Only) ....................................................................................................................... 44
ECG On/Off ...................................................................................................................................................... 45
Pacemakers ....................................................................................................................................................... 45
RESPIRATION MONITORING ............................................................................................................................. 46

Respiration Size ................................................................................................................................................ 46
Apnea Delay ...................................................................................................................................................... 47
Coincidence On/Off.......................................................................................................................................... 47
Respiration Rate (RR) Alarm Limits.............................................................................................................. 47
Respiration On/Off .......................................................................................................................................... 47
END TIDAL CO2 MONITORING........................................................................................................................... 48

General Description ......................................................................................................................................... 48
Preparation for Monitoring ............................................................................................................................ 53
Response Setting ............................................................................................................................................... 55
Compensation Settings ..................................................................................................................................... 56
Barometric Pressure ...................................................................................................................................... 56
N2O Compensation ........................................................................................................................................ 56
O2 Compensation ........................................................................................................................................... 56
Trace Scale Setting ........................................................................................................................................... 57
CO2 Alarm Limits ............................................................................................................................................ 57
Respiration Rate Alarm Limits ....................................................................................................................... 57
Respiration On/Off .......................................................................................................................................... 57
Gas Calibration ................................................................................................................................................ 58
INVASIVE PRESSURE MONITORING ................................................................................................................ 59

Pressure Transducer ........................................................................................................................................ 59
Connecting the Transducer ............................................................................................................................. 59
Zeroing the Transducer ................................................................................................................................... 60
Blood Pressure Scale ........................................................................................................................................ 60
Pressure Alarm Type ....................................................................................................................................... 61
Pressure Alarm Limits ..................................................................................................................................... 61
Expanded Pressure Scale ................................................................................................................................. 61
Alternate Pressure Site Labeling and Automatic Scale/Limit Adjustment Feature (If Present) .............. 62
MASIMO SET® PULSE OXIMETRY MONITORING ........................................................................................ 63

Overview ........................................................................................................................................................... 63
Principles of Operation .................................................................................................................................... 63
Pulse Oximetry Sensors ................................................................................................................................... 64
Monitoring Procedure ..................................................................................................................................... 64
SpO2 Alarm Limits........................................................................................................................................... 66
ii Vital-Guard 450C Operation and Maintenance Manual

TABLE OF CONTENTS
Response Mode Settings .................................................................................................................................. 66
Default Values .................................................................................................................................................. 66
Pulse Oximetry with ECG Off ........................................................................................................................ 67
Pulse Oximetry Considerations ....................................................................................................................... 67
NIBP MONITORING ............................................................................................................................................... 68

General Description ......................................................................................................................................... 68
NIBP Monitoring Considerations ................................................................................................................... 68
Cuff Placement ................................................................................................................................................. 69
Monitoring Procedure ..................................................................................................................................... 69
NIBP Graph ...................................................................................................................................................... 70
NIBP Messages ................................................................................................................................................. 71
Tabular Scrolling ............................................................................................................................................. 71
Clear Tabular Data .......................................................................................................................................... 72
NIBP Mode Select ............................................................................................................................................ 72
NIBP Alarm Settings........................................................................................................................................ 72
NIBP Calibration ............................................................................................................................................. 72
TEMPERATURE MONITORING .......................................................................................................................... 73

Temperature Alarms Description ................................................................................................................... 73
ALARM MESSAGES ............................................................................................................................................... 74
MONITOR TESTING............................................................................................................................................... 75
MAINTENANCE AND CLEANING ....................................................................................................................... 76

The Monitor ...................................................................................................................................................... 76
Patient Cables ................................................................................................................................................... 76
Reusable Pressure Transducer........................................................................................................................ 76
Cleaning and reuse of SpO2 sensors ............................................................................................................... 77
Reusable Temperature Probes ........................................................................................................................ 77
ETCO2 Sensor and Airway Adapter ............................................................................................................... 77
Preventive Maintenance .................................................................................................................................. 77
ACCESSORIES ......................................................................................................................................................... 79
ECG/Respiration .............................................................................................................................................. 79
EtCO2................................................................................................................................................................ 79
Invasive Pressure.............................................................................................................................................. 79
Non-Invasive Pressure (NIBP) ........................................................................................................................ 80
Temperature ..................................................................................................................................................... 80
Recorder............................................................................................................................................................ 80
SpO2 Reusable sensors ...................................................................................................................................... 81
SpO2 Disposable sensors ................................................................................................................................... 81
SpO2 Patient cables ........................................................................................................................................... 81
SpO2 Starter kits ............................................................................................................................................... 81
Disposal ............................................................................................................................................................. 81
REAR PANEL OUTPUTS ........................................................................................................................................ 82

Analog Output Connector ............................................................................................................................... 82
COM1 & COM2 Connectors .......................................................................................................................... 83
RJ45 Connector (option in place of COM2) .................................................................................................. 83
Configuration Menu ........................................................................................................................................ 84
Vital-Guard 450C Operation and Maintenance Manual iii

TABLE OF CONTENTS
TESTING AND TROUBLESHOOTING ................................................................................................................ 85
General .............................................................................................................................................................. 85
ECG Test ........................................................................................................................................................... 85
Pressure Test .................................................................................................................................................... 86
Respiration Test ............................................................................................................................................... 87
Temperature Test ............................................................................................................................................. 87
Pulse Oximeter Test ......................................................................................................................................... 87
EtCO2 Test ....................................................................................................................................................... 88
NIBP Test .......................................................................................................................................................... 88
Recorder Test ................................................................................................................................................... 88
Battery Test ...................................................................................................................................................... 89
Isolation and Leakage Tests ............................................................................................................................ 89
System Error Messages.................................................................................................................................... 90
Simplified Block Diagram................................................................................................................................ 91
REPLACEMENT PARTS ........................................................................................................................................ 92

Printed Circuit Boards .................................................................................................................................... 92
Modules and Assemblies .................................................................................................................................. 92
Fuses .................................................................................................................................................................. 92
Cables and Harnesses ...................................................................................................................................... 93
Labels ................................................................................................................................................................ 93
Software ............................................................................................................................................................ 93
DISASSEMBLY AND ASSEMBLY ....................................................................................................................... 94

Covers............................................................................................................................................................... 94
Printed Circuit Boards ................................................................................................................................... 95
450C Mother (5143) Board ........................................................................................................................... 95
EtCO2 Interface (5108) Board ...................................................................................................................... 95
EtCO2 Module .............................................................................................................................................. 95
Masimo SpO2 Module .................................................................................................................................. 95
Isolated Input (5144) Board .......................................................................................................................... 96
Front Panel ....................................................................................................................................................... 96
EOS Power Supply ........................................................................................................................................... 97
Recorder Assembly .......................................................................................................................................... 97
NIBP Module ................................................................................................................................................... 97
Battery Removal ............................................................................................................................................... 97
Display Assembly.............................................................................................................................................. 98
Speaker.............................................................................................................................................................. 98
BOARD LAYOUT DIAGRAMS ............................................................................................................................... A
SCHEMATIC DIAGRAMS....................................................................................................................................... B
iv Vital-Guard 450C Operation and Maintenance Manual

WARRANTY
WARRANTY
All products manufactured by Ivy Biomedical Systems, Inc. are warranted to be free from defects in material and
workmanship and to operate within published specifications, under normal use, for a period of one year from date of
original shipment.
All accessories supplied by Ivy Biomedical Systems, Inc. are warranted to be free from defects in material and
workmanship and to operate within published specifications, under normal use, for a period of 90 days from date of
original shipment.
If an examination by Ivy Biomedical Systems, Inc. discloses such products or component parts to have been
defective, then our obligation is limited to repair or replacement (at our option). Fuses and batteries are not covered
under this warranty.
If products need to be returned to the manufacturer for repair or examination contact customer service personnel at
IVY Biomedical Systems, Inc. to obtain the Return Authorization Number (RMA) and proper packing instructions.
Vital-Guard 450C Operation and Maintenance Manual v

WARRANTY
vi Vital-Guard 450C Operation and Maintenance Manual

INTRODUCTION
INTRODUCTION
This manual is to provide information on the correct use of the Vital-Guard 450C patient monitor. It is up to the
user to ensure that any applicable regulations regarding the installation and operation of the monitor are observed.
The Information regarding circuit diagrams, board layouts and replacement parts is contained in the Operation and
Maintenance Manual. For instructions on how to obtain the Operation Manual or the Operation and Maintenance
Manual please contact customer service personnel at IVY Biomedical Systems, Inc.
The model 450C is to be operated by qualified personnel only.
Using This Manual
We recommend that you read this entire manual before operating the equipment. This manual is written to include
all parameters for a fully configured monitor. If the configuration of your monitor does not include all parameters,
menu selections and display data for those parameters will not appear on your monitor.
Use the Monitor Description section for general descriptions of controls and displays. For details on monitoring
each parameter, refer to the section of the manual dealing with the appropriate parameter.
NOTE: If the monitor beeps when you press a key, it indicates an invalid selection for the current
mode or function.
Boldface type is used in text to refer to the labeling on user controls. Special brackets [ ] surround menu
selections used with the programmable keys.
Manufacturer’s Responsibility
The manufacturer of this equipment is responsible for the effects on safety, reliability, and performance of the
equipment only if:
• Assembly operations, extensions, re-adjustments, or repairs are carried out by persons authorized by the
manufacturer
• The electrical installation complies with all applicable regulations
• The equipment is used in accordance with the instructions in this manual
Incorrect operation or failure of the user to maintain the monitor in accordance with proper maintenance procedures
relieves the manufacturer or his agent from all responsibility for consequent non-compliance, damage, or injury.
For technical and service information, please refer to the Vital-Guard 450C Operation and Maintenance Manual
or contact:
Ivy Biomedical Systems, Inc.

Branford, Connecticut 06405
(203) 481-4183 or (800) 247-4614
e-mail: techline@ivybiomedical.com
This manual explains how to set up and use the Model 450C. Important safety information relating to general use of
the pulse oximeter appears in this manual. Other important safety information is located throughout the manual
where appropriate. READ THE ENTIRE SAFETY INFORMATION SECTION BEFORE YOU OPERATE THE
MONITOR.
Vital-Guard 450C Operation and Maintenance Manual 1

SAFETY
SAFETY
Electrical
This product is intended to be operated from a mains power source of nominally 100 to 230 V ~, 47-63 Hz, or
from its internal battery.
WARNING: To prevent electrical hazards to all personnel, this monitor must be properly grounded. Connect the
monitor only to a three-wire, grounded, hospital grade receptacle. The three-conductor plug must be inserted into a
properly wired three-wire receptacle; if a three-wire receptacle is not available, a qualified electrician must install
one in accordance with the governing electric code.
WARNING: Do not under any circumstances remove grounding conductor from the power plug.
WARNING: The power cable supplied with this equipment provides for this protection. Do not attempt to defeat
this protection by modifying the cable or by using ungrounded adapters or extension cables. The power cord and
plug must be intact and undamaged. To disconnect the equipment from the mains power unplug the power cord.
WARNING: Do not connect to an electrical outlet controlled by a wall switch or dimmer.
WARNING: If there any doubt about the integrity of the protective earth conductor arrangement, operate the
monitor on internal battery power until the AC power source protective conductor is fully functional.
WARNING: Do not place the monitor in any position that may cause it to fall on the patient. Do not lift the monitor
by the power supply cord or patient cable, use only the handle on the monitor.
WARNING: Electric shock hazard! Do not remove covers or panels. Refer service to qualified service
personnel.
WARNING: To avoid electrical shock, disconnect the monitor from its power source before changing fuses.
Replace fuses only with same type and rating (1.6ASB, Metric 5x20mm, 250V).
WARNING: Do not clean monitor while it is on and/or plugged into a power source.
WARNING: If unit is accidentally wet, discontinue use until dry and then test unit for proper operation before reuse
on patient.
WARNING: This unit uses a common isolation path for the ECG leads. Do not connect any non-isolated
accessories to the ECG input when connected to a patient, as this may compromise the safety of the unit. When
attached to other devices, insure that the total chassis leakage currents of all units do not exceed 300 μA.
Explosion
DANGER: Explosion hazard! Do not use this equipment in the presence of flammable anesthetics or other
flammable substance in combination with air, oxygen-enriched environment or nitrous oxide.
2 Vital-Guard 450C Operation and Maintenance Manual

SAFETY
Patient Connections
Patient connections are electrically isolated. For all connections use isolated probes. Don’t let patient connections
contact other conductive parts, including earth. See instructions for patient connections in this manual.
Carefully route patient cables to reduce the possibility of patient entanglement or strangulation.
Leakage current is limited internally by this monitor to less than 10 μA. However, always consider cumulative
leakage current that can be caused by other equipment used on the patient at the same time as this monitor.
To ensure that the leakage current protection remains within the specifications, use only the patient cables specified
in this manual. This monitor is supplied with protected lead wires. Do not use cables and leads with unprotected
lead wires having exposed conductors at the cable end. Unprotected lead wires and cables may pose an
unreasonable risk of adverse health consequences or death.
If an alarm condition occurs while the alarms are set to off, the only alarm indication will be visual displays and
symbols related to the alarm condition.
MRI
The model 450C should not be used within the magnetic field during Magnetic Resonance Imaging.
Pacemakers
Rate meters might continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias.
Do not rely on rate meter alarms. Keep pacemaker patients under close surveillance.
Electrosurgery
To avoid the potential of electrosurgery burns at monitoring sites, ensure proper connection of the electrosurgery
return circuit as described by manufacturer’s instructions. If improperly connected, some electrosurgery units might
allow energy to return through the ECG electrodes, SpO2 sensors, Pressure Transducers, EtCO2 sensors, and
Temperature probes. To further reduce the potential of burns, locate the SpO2 sensors, Pressure Transducers, EtCO2
sensors, and Temperature probes as described in the manufacturer’s instructions.
Defibrillation Protection
This equipment is protected against 360 J discharge and electrosurgery potentials. The monitor is internally
protected to limit current through the electrodes to prevent injury to the patient and damage to the equipment as long
as the defibrillator is used in conformance with the manufacturer’s instructions.
EMC
This equipment has been certified to be protected to emissions and immunity according to IEC-60601-1-2.

SAFETY
Electromagnetic Compatibility IEC 60601-1-2:2001
CAUTION: Medical Equipment needs special precautions regarding EMC and needs to be installed and put into
service according to the EMC information provided in the Operation Manual.
CAUTION: Portable and mobile RF communications equipment can affect medical electrical equipment.
WARNING: The model 450C should not be used adjacent to or stacked with other equipment and that if adjacent or
stacked use is necessary, the Model 450C should be observed to verify normal operation in the configuration in
which it will used.
Accessories
WARNING: The use of accessories other than those specified below may result in increased emissions or decreased
immunity of the equipment.
Part Number Description

590170 Three lead patient cable
590162 Set of three lead wires
590167 Five lead patient cable
590168 Set of five lead wires
590198 Set of three lead wires for prewired electrodes
590317 Low noise three lead patient cable
590318 Set of three radiotranslucent lead wires
590323 Low noise three lead patient cable with 1kohm resistors.
The minimum amplitude or value patient physiological signal is 0.5 mV (AAMI EC-13 3.2.6.1).
WARNING: The use of the Model 450C below the following amplitude values may cause inaccurate results:

SAFETY
Guidance and manufacturer’s declaration – Electromagnetic emissions

The Model 450C is intended for use in the electromagnetic environment specified below. The
customer or the user of the Model 450C should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic environment - guidance
RF emissions Group 1 The Model 450C uses RF energy only for its internal
CISPR 11 function. Therefore, its RF emissions are very low
and are not likely to cause any interference in nearby
electronic equipment.
RF emissions Class A The Model 450C is suitable for use in all
CISPR 11 establishments other than domestic and those
Harmonic emissions Class A directly connected to the public low-voltage power
IEC 61000-3-2 supply network that supplies buildings used for
Voltage fluctuations/ Complies domestic purposes.
flicker emissions
IEC 61000-3-3

SAFETY
Guidance and manufacturer’s declaration – Electromagnetic immunity

Immunity test IEC 60601 test Compliance level Electromagnetic environment –
level guidance
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete,
discharge (ESD) or ceramic tile. If floors are
IEC 61000-4-2 ±8kV air ±8kV air covered with synthetic material,
the relative humidity should be at
least 30%.
Electrical fast ±2 kV for power ±2 kV for power Mains power quality should be
Transient/burst supply lines supply lines that of a typical commercial or
IEC 61000-4-4 hospital environment.
±1 kV for ±1 kV for
input/output lines input/output lines
Surge ±1 kV differential ±250V Remove equipment that can cause
IEC 61000-4-5 mode differential mode electrical disturbance from the
vicinity of the input/output
±2 kV common ±2 kV common cables.
mode mode
Voltage dips, short <5 % UT <5 % UT Mains power quality should be
interruptions, and (>95 % dip in UT) (>95 % dip in UT) that of a typical commercial or
voltage variations for 0.5 cycle for 0.5 cycle hospital environment. If the user
on power supply of the Model 450C requires
input lines 40 % UT 40 % UT continued operation during power
IEC61000-4-11 (60 % dip in UT) for (60 % dip in UT) mains interruptions, it is
5 cycles for 5 cycles recommended that the Model
450C be powered from an
70 % UT 70 % UT uninterruptible power supply.
(30 % dip in UT) for (30 % dip in UT)
25 cycles for 25 cycles
<5 % UT <5 % UT
(>95 % dip in UT) (>95 % dip in UT)
for 5 sec cycle for 5 sec cycle
Power frequency 3 A/m Not applicable Not applicable
(50/60 Hz)
magnetic field
IEC 61000-4-8

SAFETY
Guidance and manufacturer’s declaration – Electromagnetic immunity

Immunity test IEC 60601 test Complianc Electromagnetic environment – guidance
level e level
Portable and mobile RF communications
equipment should be used no closer to any
part of the Model 450C, including cables,
than the recommended separation distance
calculated from the equation applicable to
the frequency of the transmitter.
Recommended separation distance
Conducted RF 3 Vrms 3 Vrms d = 1.2 p

IEC 61000-4-6 150 kHz to 80 MHz
Radiated RF 3 V/m 3 V/m d = 1.2 p 80 MHz to 800 MHz

IEC 61000-4-3 80 MHz to 2.5 GHz
d = 2.3 p 800 MHz to 2.5 GHz
Where p is the maximum output power

rating of the transmitter in watts (W)
according to the transmitter manufacturer
and d is the recommended separation
distance in meters (m).
Field strengths from fixed RF transmitters,

as determined by an electromagnetic site
survey a, should be less than the
compliance level in each frequency range b
Interference may occur in the vicinity of

the equipment marked with the following
symbol:
NOTE 1 – At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 – These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects, and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radios, amateur radios, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy.
To assess the electromagnetic environment due to fixed RF transmitters, and electromagnetic site survey should be
considered. If the measured field strength in the location in which the Model 450C is used exceeds the applicable RF
compliance level above, the Model 450C should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the Model 450C.
b
Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.

SAFETY
Description of Warning Labels

Attention, consult ACCOMPANYING DOCUMENTS before attempting to change
power supply selection or carry out interconnections. Equipment connected should
comply with IEC-60601-1 or IEC-950 with configuration to IEC-60601-1-1.
 ♥  Type CF applied part, Defibrillator proof.
Equipotential earth connector adjacent to this symbol.
Fuse type/rating. Output signal.

_______
ON Input signal.
Stand By (STBY) ∼ Alternate Current (AC)
♥ Type CF applied part. WEEE Compliance
For monitors used in Australia

For continued Defibrillation protection and proper Respiration monitoring use only patient cables with 1kΩ series
resistors. It is important to use only patient cables with 1kΩ series resistors because the respiration circuit is tuned to
operate with series resistors.
For 3-lead configuration monitors, use 3-lead patient cable with 1kΩ series resistors. Ivy reorder no. 590197.
For 5-lead configuration monitors, use 5-lead patient cable with 1kΩ series resistors. Ivy reorder no. 590207.

MONITOR DESCRIPTION
MONITOR DESCRIPTION
The Model 450C Patient Monitor is a color four-trace adult, pediatric, or neonatal monitor for:
ECG
Heart Rate
Respiration - Impedance
EtCO2
Two Invasive Pressures
Two Temperatures
Non-Invasive Blood Pressure (NIBP)
Pulse Oximetry
The Model 450C is available in several configurations, therefore, not all parameters are included in all monitors.
The use of the Model 450C is restricted to one patient at a time. The monitor is intended for use in emergency room,
recovery room, intensive care, and surgical applications and transport with 2.5 hours battery operation.
The Model 450C is suitable for use in presence of electrosurgery.
The Model 450C is not intended for use with any other physiological monitoring unit.
An optional integral recorder is available. Recorder settings are made through the monitor menus. Battery operation
consists of two rechargeable lead acid cells.
The display has four traces available and alphanumeric displays for data, alarms, and user information, such as
menus. The monitor automatically senses which devices are connected and acquires and displays data for the
parameters being used. Data for parameters not being used is not displayed. Areas for display of those parameters
are left blank.
Classification (in accordance with IEC-60601-1)

Protection against electric shock: Class 1 and internally power equipment
Degree of protection against electric shock: Type CF applied part. Defibrillator proof:
ECG
Type CF applied part: SpO2, IBP, Temperature,
NIBP, & EtCO2.
Degree of protection against harmful ingress of water: Ordinary equipment IPX0 per IEC-60529
Methods of Maintenance and Cleaning: See page 72
Degree of safety of application in the presence of a Equipment not suitable for use in the presence of a
flammable anesthetic mixture with air or with oxygen flammable anesthetic mixture
or nitrous oxide:
Mode of operation: Continuous

MONITOR DESCRIPTION
Specifications
ECG
Lead Selection: Standard Three-Lead: LI, LII, LIII,

Five-Lead Option: LI, LII, LIII, aVR, aVL, aVF, V
ECG Amplitud range: 1 to 100 mm/mv
Patient Cable: 6-Pin AAMI Standard
Isolation: Isolated from ground related circuits by ≥4 kV rms, 5.5 kV peak
CMRR: ≥90 dB with patient cable and 51 kΩ/47 nF imbalance
Input Impedance: ≥20 MΩ at 10 Hz with patient cable
Frequency Response
Display, at 50 mm/sec: Filtered: 0.5 to 35 Hz
Diagnostic: 0.05 to 100 Hz
Frequency Response Filtered: 0.5 to 35 Hz

X1000 Output: Diagnostic: 0.05 to 100 Hz
Input Bias Current: Any lead configuration <200 nA dc maximum
Electrode Offset Potential: ± 0.5 V
Noise: <20 µV peak-to-peak, referred to the input with all leads

connected through 51 kΩ/47 nF to ground
Defibrillator Protection: Protected against 360 J discharge.
Leakage Current: <10 µA at 120 V ~, 60 Hz
Electrosurgical Interference
Protection: Standard
Lead Fault Detection: Lead fault detection in any lead configuration with any of the leads open
NOTE: The Phase Delay from patient electrode to rear panel outputs is < 3ms
Cardiotach
Range: 15 to 300 bpm
Accuracy: ±1%
Resolution: 1 bpm
Sensitivity: Adult: 300 µV peak

Neonate: 100 µV peak
Pacer Rejection Width: 0.1 to 2 ms at ±2 to ±700 mV
Tall T Wave Rejection: Rejects T waves ≤R wave

MONITOR DESCRIPTION
Temperature (Two Channels)
Thermistor: YSI Series 400 or equivalent
Range: 19°C to 45°C
Accuracy: ±0.1°C from 25°C to 40°C
Resolution: 0.1°C
Leakage: <10 µA at 120 V ~, 60 Hz
Respiration
Excitation Current: <400 µA rms
Excitation Frequency: 57 kHz
Maximum Electrode
Impedance: 4 kΩ
Size Adjustment: Manual
Respirotach Range: Neonate: 4 to 150 br/min

Adult: 4 to 60 br/min
Sensitivity Range: Neonate: 0.1 to 10 Ω, 4 to 150 br/min

Adult: 0.3 to 10 Ω, 4 to 60 br/min
Pace Pulse
Rejection Width: 0.1 to 2 ms at ±2 to ±700 mV
End Tidal CO2
Measurement Range: 0.0 to 100.0 Torr
Reporting Range: –5.0 to 120.0 Torr
Resolution: 0.1 Torr (0.01%)
Bias: 0.0 to 40.0 Torr: ±2.0 Torr Abs

40.1 to 100.0 Torr: ±5.0% Relative
Precision: 0.0 to 40.0 Torr <0.5 Torr (RMS)

40.1 to 100 Torr <1.0 Torr (RMS)
CO2 Compensation: Local Barometric Pressure: 500 to 850 Torr (in whole units)
N2O 0 to 100% (in whole units)
O2 0 to 100% (in whole units)

MONITOR DESCRIPTION
MASIMO SET® Pulse Oximetry
Range:
Saturation (%SpO2) 1% - 100%
Pulse Rate (bpm) 25 - 240
Accuracy:
Saturation (%SpO2) – During no motion conditions
Adults 70% - 100% ± 2 digits
0% - 69% unspecified
Neonates 70% - 100% ± 3 digits
Saturation (%SpO2) – During motion conditions

Adults 70% - 100% ± 3 digits
0% - 69% unspecified
Pulse (bpm) – During no motion conditions

25 to 240 ± 3 digits
Pulse (bpm) – During motion conditions

25 to 240 ± 5 digits
Resolution:
Saturation (%SpO2) 1%
Pulse Rate (bpm) 1
Non-Invasive Blood Pressure
Measurement Technique: Oscillometric method determines mean arterial

pressure (MAP), systolic, and diastolic pressure.
Resolution: 1 mmHg
Measuring Range:
Adult Neonatal
(mmHg) (mmHg)
Systolic 60–250 40–130
Mean 45–235 35–105
Diastolic 40–220 20– 90
Pulse Rate 30 –180 30 –240
Accuracy: Over the blood pressure measurement range stated above, for systolic and
diastolic pressures treated separately, the mean difference of the paired
measurement of the test system and the comparison system shall be
±5mmHg or less, with a standard deviation of 8mmHg or less.
Inflation speed: At sea level <10 seconds.
Maximum leak rate: 5 mmHg/3 min.
Over pressure protector: Adult/Child 300mmHg

(Maximum cuff pressure) Neonate 150mmHg

MONITOR DESCRIPTION
Modes: Auto: Measurements are automatically repeated at timed
programmed intervals of 1, 2, 3, 4, 5, 10, 15, 20, 30, or 60 minutes
Stat: A series of consecutive measurements; the series lasts for 5

minutes.
Manual: A single reading each time START is pressed.
Alarms: High and low pressure alarms derived from the NIBP systolic,
diastolic, or mean
Invasive Pressure (Two Channels)
Frequency Response: dc to 12 Hz
Input Impedance: 500 kΩ
Transducer Sensitivity: 50 µV/V/cm Hg
Excitation Voltage: +5 V dc
Zero: Auto pushbutton, ±150 mmHg
Drift: 0.1 mmHg/oC
Accuracy: ±2% of reading or ±1 mmHg, whichever is greater
Test Waveform: 150/50 mmHg
NOTE: Refer to the manufacturer’s documentation for technical specifications on any particular pressure transducer.
Alarms
Heart Rate: High and Low: 15 to 300 bpm in 5 bpm increments
SpO2: High: 70 to 99% in 1% increments

Low: 50 to 95% in 1% increments
Asystole: R to R interval >6 seconds
No Pulse: When triggering from pleth or invasive pressure, interval >6 seconds
Lead Off: Detached lead or offset potential ≥0.5 V
Check Leads: Electrode impedance is >4 kΩ
Coincidence: When QRS and respiration triggers are synchronized for eight
consecutive events
Apnea: Absence of detectable respiration activity for 5, 10, 15,, or 20 seconds

MONITOR DESCRIPTION
Alarms
Resp Rate: High and Low: 5 to 150 br/min in 5 br/min increments
Invasive Pressure: High and low; systolic, diastolic, or mean:

-40 to 300 mmHg in 2 mmHg increments
NIBP: High and low; systolic, diastolic, or mean:

10 to 300 mmHg in 2 mmHg increments
For additional NIBP alarm conditions, see the NIBP Monitoring section of this manual.
Trends
NIBP: Last 200 readings, tabular
Cardiorespirogram: Up to 4 minutes beat-to-beat heart rate and respiration
Trend Waveforms: Up to 24 hours of heart rate, respiration rate, SpO2, and invasive
pressure
Review Trend: 6 hour view: Stored the last 24 hours of heart rate, respiration rate, SpO2
and IBP. Six hours of data are displayed per window.
(1 pixel = 1 minute).
30 minute view: Stored the last 24 hours of heart rate, respiration rate,
SpO2 and IBP. Thirty minutes of data are displayed per window.
(1 pixel = 5 seconds).
Real Time Clock
Resolution: 1 minute
Display: 24 hours
Power Requirement: The real time clock keeps time if the monitor has power or not.
The clock is powered by a dedicated battery whose life is minimum
4 years at a temperature of 25oC
Test Mode
ECG: 1 mV/100 ms @ 70 bpm
Respiration: 70 br/min, coincidence check
Invasive Pressures: 150/50 mmHg
Temperatures: 40oC
Display
Type: Active Matrix TFT Color LCD
Trace: Four Traces, moving bar
Screen size (viewing area): Height: 158.4 mm

Width: 211.2 mm

MONITOR DESCRIPTION
Display
Sweep Speed: 6.25, 12.5, 25, 50 mm/s
Character Size: Large: 13x8 mm

Small: 4x3 mm
Recorder
Writing Method: Direct Thermal
Number of Traces: 2
Modes: Direct - Manual Recording
Timed - Print button initiates a 30 second recording
Delay - Recorder is activated by an alarm
Auto - Parameters to be printed are selected based on the alarm
CRG - Prints Cardiorespirogram
Remote - Allows activation of a remote recorder
Paper Speeds: 1 mm/s in CRG mode, 6.25, 12.5, 25 and 50 mm/s
Trends: Printed as selected for the display
NIBP tabular - prints up to 200 measurements as shown on the display
Resolution: Vertical - 200 dots/in.
Horizontal - 600 dots/in. at ≤25 mm/s
400 dots/in. at >25 mm/s
Frequency Response: >100 Hz at 50 mm/s
Data Rate: 400 samples/s/trace
Mechanical
Size: Height: 11.0 in. (28.0 cm)

Width: 11.1 in. (28.2 cm)
Depth: 7.5 in. (19.1 cm)
Weight: Basic unit: 12.8 lbs. (5.8 kgs.)
Environmental
Operating Temperature Range: 15oC to 35oC
Storage Temperature Range: -5oC to 55oC
Relative Humidity: 0-90% non-condensing
Power Requirements
Voltage Input: 100 - 230 V ~; 47 - 63 Hz, +10% –15%
Fuses Type and Rating: 1.6ASB, Metric 5x20mm, 250V
Maximum ac Power
Consumption: 145 VA
Battery: Run Time: 2.5 hours – (NIBP measurement every 15 minutes and
30-second recorder print-out every 30 minutes)
Charge Time: <12 hours
Type: Replaceable sealed gel cell, DOT and IATA
approved

MONITOR DESCRIPTION
Controls and Indicators

Setup Keys
PATIENT Causes menu to be displayed for settings involving the parameters.

SETUP
SYSTEM Displays menus for general settings, such as display and recorder setup, adult/neonatal mode,
SETUP and audio and clock settings.
ALARM To set limits for all parameters

SETUP
EXIT To leave a menu and return to the normal display.
See the Menu Structure section of this manual for a description of the menus.
PROGRAMMABLE
KEYS
COLOR
DISPLAY
SETUP
KEYS
BASIC KEYS

MONITOR DESCRIPTION
Basic Keys
Generates a 1 mV pulse at 70 bpm, respiration signal at 70 br/min, (coincidence check),
invasive blood pressures at 150/50, and temperatures at 40°C displayed on the screen and sent
to the rear panel. This key is used to verify that the monitor is functioning correctly. In TEST,
heart rate is always computed from the generated ECG.
Turns the alarm audio on and off. When off, the ALARMS OFF tag is displayed on the
screen.
Disables the audible and visual alarms for a two-minute period to allow the operator to
perform procedures that would otherwise set off the alarms. This avoids the problem of
turning off the alarms and forgetting to turn them back on. A message on the screen indicates
when this function is active. Press the ALARM PAUSE key again to return the alarms to
normal before the two minutes have expired.
Respiration Size
The up and down arrows control the relative size of the respiration signal. Size ranges are from
RESP SIZE 0 to 100%. This controls both the display size and the trigger sensitivity.
NOTE: If the respiration size is set for a very sensitive range, cardiac artifact can generate false triggers, causing a
coincidence alarm.
On
When the monitor is either plugged into an AC power source or operating on batteries,
the switch toggles from Stand By (off position) to ON providing power to the monitor’s
electronic circuits. The monitor must be connected to an AC source to be able to charge
the internal batteries.
NOTE: To disconnect the monitor from the mains power unplug the power cord.
Stand By
NIBP Control Keys
Starts a single non-invasive blood pressure measurement in cycle off (manual mode) or
START repetitive measurements in cycle mode or stat mode. Measurements in any mode can be
canceled by pressing STOP.
Stops any non-invasive blood pressure measurements in cycle off (manual mode), automatic
STOP mode, or stat mode and cancels automatic or stat mode.
Selects the NIBP mode of operation. Selections are: automatic cycle mode, stat mode or
CYCLE cycle off (manual mode). In the automatic cycle mode inflation intervals of 1, 2, 3, 4, 5,
10, 15, 20, 30 or 60 minutes can be selected.

MONITOR DESCRIPTION
Programmable keys
Each of the keys to the right of the display has a normal function, printed on the key, and several menu functions
displayed on the screen in the setup mode. The normal functions are described below. Menu functions are described
in the menu structure section of this manual.
DISPLAY Displays the current alarm limit settings. Press DISPLAY LIMITS again to return to normal
LIMITS display.
Stops the movement of the all waveforms on the display for closer evaluation. Press FREEZE
FREEZE again to resume movement.
ALARM Resets the audible and visual indicators for an alarm that has been activated.
RESET
Starts a printout at the optional recorder. The recorder normally plots waveforms. To define
PRINT the waveform printout, use the menus accessed by pressing the SYSTEM SETUP key.
TREND Displays Trend data. To define the trend display, see the trend display setup instructions.

MONITOR DESCRIPTION
Side Panel Connector
SpO2
ECG/RESP
PRESS 1
PRESS 2
TEMP 1 TEMP 2
NIBP
ETCO2

MONITOR DESCRIPTION
Display
Waveform Display
When the monitor is configured for all parameters, any of the following waveforms can be displayed:
ECG
Respiration
Two Invasive Pressures (P1, P2)
Pleth (Pulse Oximetry)
EtCO2
Waveforms are updated with a moving bar at a rate of 6.25, 12.5, 25, or 50 mm/s, selected by the user. Waveform
amplitudes are adjusted using the ECG Size selection in the menus and the RESP SIZE keys on the front panel.
Invasive blood pressure scales are changed through the P1/P2 menu. A typical display is shown below.
The display contains five zones, selectable through the menus.
ZONE 1: Can only display the ECG waveform or no waveform (OFF)

ZONE 2: Selectable to display waveforms of RESP, EtCO2, SpO2, P1, P2, or OFF
ZONE 3: Selectable to display waveforms of RESP, EtCO2, SpO2, P1, P2, or OFF
ZONE 4: Selectable to display waveforms of RESP, EtCO2, SpO2, NIBP, P1, P2, Zones 3 & 4 P1
EXPAND, Zones 3 & 4 P2 EXPAND, Zones 3 & 4 P1/P2 EXPAND, or OFF
ZONE 5 (numeric only): Displays temperature readings with an area reserved to selectively
display RESP, EtCO2, SpO2, or OFF
If invasive pressure is being monitored, Zones 3 and 4 combined can display one or both pressures on a single
expanded scale that is twice the height of the normal pressure scale.
ZONE 1
ZONE 2
PR=70 ZONE 3
ZONE 4
TIME OF DAY
ZONE 5 BATTERY
INDICATOR

MONITOR DESCRIPTION
Temperature data displayed in Zone 5 P1 displayed in Zone 3 and P2 displayed in Zone 4
PR=70
PR=70
Expanded P1 displayed in Zones 3 and 4 With NIBP Graph in Zone 4.
PR=70
With PATIENT SETUP selections displayed With SYSTEM SETUP selections displayed
PR=70 PR=70
NIBP Graph
To display the NIBP graph, press the PATIENT SETUP key, select [NIBP], and select [DATA FORMAT] until it is
set at GRAPH.
The NIBP graph is shown in Zone 4 in one of the above illustrations. This oscillation profile assists the clinician in
determining the validity of the NIBP measurement. An erratic or flat profile suggests that excessive motion or other
artifact may have affected the measurement. A profile shaped like a bell curve represents a measurement not
affected by motion or other artifact.

MONITOR DESCRIPTION
Alphanumeric Data
The following data appears on the display when the appropriate parameters are in use. Whenever possible, numeric
data is displayed near related waveforms. When you select a display zone for a waveform, numeric data related to
that waveform is also displayed in that zone. To display data without displaying the waveform, use Zone 5.
Time of Day- At the lower right-hand corner of the display.
Heart Rate- Upper left corner of the display with a symbol indicating the source of the heart rate.
Respiration rate and flashing respiration indicator- To the left of the waveform. if the waveform is displayed.
Otherwise, at the bottom of display in Zone 5. Respiration rate can be computed from either impedance or EtCO2.
End Tidal CO2 (EtCO2 ) - To the left of the waveform if the waveform is displayed. Otherwise, at the bottom of
display in Zone 5.
Oxygen Saturation (SpO2) and pulse oximeter bar graph- To the left of the waveform if the waveform is displayed.
Otherwise at the bottom of the display in Zone 5.
Pressure Readings-one or two sets of readings- To the left of the waveform in the form: syst/dias
(mean)
Current NIBP Reading- At the lower left in the form: syst/dias
(mean)
Temperature- Three readings at the bottom of the display: Temp 1, Temp 2 and the difference between the two
temperatures (∆ Temp).
The data display is blank for any parameter not in use.
Alarm Limits Display
A numeric display of current alarm limits settings. The alarm limits appear just below the numeric value of the
corresponding parameter. This display appears when the DISPLAY LIMITS key is pressed.
Alarm Displays
When an alarm setting has been exceeded, a flashing alarm tag appears on the screen, indicating which alarm has
been triggered. Each alarm tag appears in the same location where the limits for that alarm are displayed.
Trend Displays
NIBP Trend: A tabular display of the readings at the time of each NIBP measurement. The latest five readings are
displayed, and the display can be scrolled to view previous readings.
CRG: Graphic Display of up to four minutes of beat-to-beat heart rate, SpO2 and respiration effort. Whenever EtCO2
is being monitored, the EtCO2 waveform is used for the respiration portion of the CRG.
Trend: Graphic Display of up to 24 hours of averaged heart rate, SpO2, respiration rate, and pressure readings.
Review Trend: Graphic and Numeric display of the most recent 24 hours of heart rate, SpO2, respiration rate, and
pressure readings at two different views: 6 Hour View displays 6 hours of data per window; and 30 Minute View
displays 30 minutes of data per window. Data can be moved under the cursor to obtain parameters readings at
specific point in time. Numeric value of heart rate, SpO2, respiration rate, and invasive pressures is displayed over
the cursor.

MONITOR DESCRIPTION
Alarms
The following is a list of alarms and ranges for which they can be set. When the alarm triggers, the alarm indicator
flashes on the display and the audio alarm tone sounds. Pressing ALARM RESET turns off any alarms that have
triggered. If the measurement returns to within the limits, the alarm turns off.
The ALARM PAUSE key disables the alarms for two minutes or until ALARM PAUSE is pressed again.
High heart rate: 15 to 300 bpm in 5 bpm increments
Low Heart Rate: 15 to 300 bpm in 5 bpm increments
High Resp Rate: 5 to 150 br/min in 5 br/min increments
Low Resp Rate: 5 to 150 br/min in 5 br/min increments
Temp High: 35ºC to 45ºC in 0.1ºC increments
Temp Low: 35ºC to 45ºC in 0.1ºC increments
NOTE: For additional Temp alarm conditions, see the Temperature Monitoring section of this manual.
EtCO2 High: 10 to 100 Torr in 2 Torr increments
EtCO2 Low: 10 to 100 Torr in 2 Torr increments
NIBP High: Selectable systolic, diastolic, or mean 10 to 300 mmHg in 2 mmHg increments
NIBP Low: Selectable systolic, diastolic, or mean 10 to 300 mmHg in 2 mmHg increments
NOTE: For additional NIBP alarm conditions, see the NIBP Monitoring section of this manual.
IBP High: Selectable systolic, diastolic, or mean; -40 to 300 mmHg in 2 mmHg increments
IBP Low: Selectable systolic, diastolic, or mean; -40 to 300 mmHg in 2 mmHg increments
NOTE: Invasive and non-invasive pressures can be set to alarm on systolic, diastolic, or mean.
High SpO2: 50 to 100%in 1% increments
Low SpO2: 50 to 100% in 1% increments
Asystole: R-to-R interval >6 seconds
No Pulse: When triggering from pleth or invasive pressure, the interval between heartbeats exceeds six
seconds
Lead Off: Detached lead or offset potential ≥0.5 V. The ALARM RESET key does not reset this alarm
Coincidence: When QRS and respiration triggers are synchronized for eight consecutive events
Apnea: Absence of detectable respiration activity for 5, 10, 15, or 20 seconds, selectable.

MONITOR DESCRIPTION
Priority Alarms Feature (If present)

Note: Priority alarms may be enabled via the CONFIGURATION MENU (see operation and maintenance
manual).This section applies only if priority alarms are PRESENT (default is ABSENT)
There are two types of Priority alarms schemes. Scheme 1 prioritized the alarms into 3 groups while Scheme 2
prioritized the alarms into 4 groups. The table below describes the color and audio associated with each alarm and
scheme.
SCHEME 1 SCHEME 2
Priority Color Audio Type Color Audio Type
High Red Rapid Beeps Red Siren
Medium Yellow Slower Beeps Yellow Warble
SpO2 High N/A N/A Light Blue Alternate tones
Low White Longest Beeps White Tone
The alarms are grouped as follows:

High Priority:
Asystole / No Pulse
Apnea / No Resp
Heart Rate (high/low)
Medium Priority:
Respiration rate (high/low)
SpO2% (high/low). If Scheme 2 is selected this alarm becomes a separate priority.
NIBP pressures (high/low)
Invasive pressures (high/low)
EtCO2 (high/low)
InCO2 (high)
Low Priority:
Temperature (high/low)
Miscellaneous alerts (i.e.: Coincidence)
All non-physiological alerts (i.e.: Lead Off, Check Cuff, etc)
Note: The Priority Alarm feature incorporated into the Vital-Guard 450C is intended to provide the user
with a graded visual and audible indication of both the Patient’s and the Monitor’s status. It is the
responsibility of the users to ensure that they use good clinical judgement to determine how they should
respond to any alarm.
Rear Panel
The following are located on the rear panel.
ANALOG OUTPUT: An analog output that can be used for connecting to an external device. Signals on this
connector include ECG, respiration, invasive pressures, pleth, heart rate, SpO2, alarm out, remote recorder, and
optional nurse call.
Do not attempt to connect a cable to this connector without contacting your Biomedical Engineering Department or
the Ivy Service Department. This is to insure the connection complies with leakage-current requirements of one of
the following applicable standards: Underwriters Laboratories UL 2601-1, Canadian Standards Association CSA
601.1 No. M90 or Internal Electrotechnical Commission IEC 60601-1. The maximum non-destructive voltage that
may be applied to this connector is 5 V dc.
ECG X1000: A ¼-inch phone socket that can be used for connecting to an external device using the ECG waveform
and LEAD OFF indicator.

MONITOR DESCRIPTION
COM 1: A digital interface for network communication.
COM 2 / RJ45: A digital interface for network communication.
TELEMETRY ANTENNA: A BNC connector for the Telemetry System antenna.

CAUTION: When the Telemetry option is selected and installed in the Model 450C due to the technical
limitations inherent with all wireless communications, IVY Biomedical Systems, Inc. cannot guaranty that all
signals transmitted via the antenna will be received by the appropriate receiver or receiving device.
PEQ GROUND: Potential Equalization- Use this ground connection to ensure that no potential differences can
develop between this equipment and the other electrical equipment.
TELEMETRY
ANTENNA
COM 1
COM 2 / RJ45
ANALOG OUTPUT
PEQ GROUND
ECG X1000 OUTPUT
MAINS POWER INPUT
FUSES BEHIND THE PANEL

Note: Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards and
essential performance standards, and/or the system configuration must meet the requirements of the IEC 60601-1-1
medical electrical systems standard.
ACCESSORIES (EQUIPMENT) – The use of ACCESSORY equipment not complying with the equivalent safety
requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating
to the choice shall include:
• use of the accessory in the PATIENT VICINITY; and
• evidence that the safety certification of the ACCESSORY has been performed in accordance to the appropriate
IEC 60601-1 and/or IEC 60601-1-1 harmonized national standard.
Menu Structure
Settings for all options for the Model 450C are made through a series of menus that appear at the right side of the
display. You access the menus by pressing the PATIENT SETUP or SYSTEM SETUP key. The PATIENT
SETUP key is for settings involving the parameters, while the SYSTEM SETUP key is for general monitor settings.
When menus are displayed, if no key is pressed for a period of 30 seconds, the monitor returns to normal display.
NOTE: If the monitor beeps when you press a key, it indicates an invalid selection for the current mode or function.

MONITOR DESCRIPTION
The PATIENT SETUP Key
Press PATIENT SETUP to display the main menu, which allows you to select ECG, RESP, SpO2, P1/P2, or NIBP
menus. See the menu structure diagram below.
When the main menu is displayed, press EXIT to return to normal display.
PATIENT
SETUP
ECG/HR
RESP/CO2
SpO2
NIBP
INVASIVE BP
SpO2 ALARM RESP RESP RESP ECG ECG
ON IMPEDANCE CO2 OFF ON OFF
AVERAGING COINCIDENCE RESPONSE LEAD HR SOURCE
8 SEC ON NORMAL I OXIMETRY
SENSITIVITY APNEA DELAY ZERO FILTER
NORMAL 20 sec SENSOR ON
SPAN 
CHECK ECG SIZE
10 m m/mv
SETTINGS

PARAMETER ALARM TYPE ALARM TYPE ALARM TYPE ALARM TYPE NEXT
P1 MEAN MEAN MEAN MEAN SETTING
ZERO     
TRANSDUCER INITIAL CUFF INITIAL CUFF BAR PRESS
SCROLL SCROLL
ALARM TYPE 180 180 760
MEAN     
TRACE SCALE DATA FORMAT DATA FORMAT DATA FORMAT DATA FORMAT DEFAULT
0 TO 240 NIBP TABLE IBP / TEMP GRAPH ( NONE ) 760 MMHG
SITE LABEL TRACE SCALE
P1 0 TO 50
PATIENTSETUP KEY SELECTION
ECG/HR SpO2
ECG: ON, OFF SpO2 ALARM; ON, OFF
LEAD: I, II, III, aVR, aVL, aVF, V AVERAGING:6, 8, 10, 12,14, 16 SEC
FILTER: ON, OFF SENSITIVITY: NORMAL, HIGH
ECG SIZE: 1 TO 100 m m/mV
NIBP
RESP/CO2 ALARM TYPE: MEAN, SYS, DIAS, OFF
RESP: IMPEDANCE, CO2, OFF DATA FORMAT: NIBP TABLE, IBP/TEMP, GRAPH, NONE
COINCIDENCE: ON, OFF INITIAL CUFF: 50-250 mm Hg (ADULT)
APNEA DELAY: OFF, 5, 10, 15, 20 s 50-150 mm Hg (NEONATE)
NO RESP DELAY: OFF, 5, 10, 15, 20 s.
SETTINGS INVASIVE BP 1&2
NEXTSETTING: BAR PRESS, N20, 02, PARAMETER: P1, P2
NORMAL RESPONSE ALARM TYPE: MEAN, SYS, DIAS, OFF
TRACE SCALE:0 TO 50, 0 TO 100 mmHg TRACE SCALE: -30 TO 30, 0 TO 60, 0 TO 120,
0 TO 240, 0 TO 300 mmHg
SITE LABEL: P1, ART1, CVP1, PA1, ICP1, UAC1, UVC1
P2, ART2, CVP2, PA2, ICP2, UAC2 & UVC2

MONITOR DESCRIPTION
The SYSTEM SETUP Key
Press SYSTEM SETUP to display the mode menu for setting audio volume, trace speed, display and recorder
settings.
When the mode menu is displayed, press EXIT to return to normal display.
SYSTEM ALARM
SETUP SETUP
DISPLAY
SETUP
TREND
SETUP
PARAMETER
RECORDER
HR
SETUP
SET 
HIGH
VOL/CLOCK
140
MODE 
ADULT MODE
DIRECT
TREND MODE
1 HOUR
CONFIRM
CLEAR
TRACE SPEED
25 MM/SEC

LOW
CHANNEL 1 CLEAR ZONE 2 40
CANCEL
ECG TRENDS RESP/CO2 
REVIEW
TREND
CO2 TREND
ETCO2
 SELECT < ---- < ----

HR VOL MONTH
40%
  ----> ---->
2
 
VIEW IN
(30 MIN)
VIEW OUT
(6 HOUR)
ALARM VOL
40% PRINT PRINT
 ENTER
PAGE PAGE
SET
CANCEL
CLOCK
SYSTEM SETUP KEY SELECTION
DISPLAY SETUP RECORDER SETUP

TRACE SPEED: 6.25, 12.5, 25, 50 mm/s MODE: DIRECT,TIMED,DELAY, AUTO, CRG, REMOTE
ZONE 2: OFF, RESP/CO2, SpO2, P1, P2 CHANNEL 1: ECG, RESP/CO2, PLETH, P1, P2
ZONE 3: OFF, RESP/CO2, SpO2, P1, P2 CHANNEL 1: ECG, RESP/CO2, PLETH, P1, P2, OFF
ZONE 4: OFF, RESP/CO2, SpO2, NIBP, P1, P2
EXPANDED 3&4: P1, P2, P1/P2 SET VOL/CLOCK
ZONE 5: OFF, RESP, SpO2, NIBP HR VOL: OFF, 20, 40, 60, 80, 100%
ALARM VOL: 20, 40, 60, 80, 100%
TREND SETUP SETCLOCK
TREND MODE: CRG, 1, 8, 12, 24 hrs. SELECT: MONTH, DAY, YEAR, HOUR, MINUTE
CO2 TREND: ETCO2, RR
ALARM SETUP KEY SELECTIONS
PARAMETER: HR, RR, SpO2, NIBP, P1, P2, ETCO2,

INCO2, T1 & T2 (if active)

MONITOR SETUP
MONITOR SETUP
To setup the instrument for operation:
1. Plug the ac line cord into a power source providing the proper voltage.
2. Press the ON/STANDBY key at the bottom of the front panel to turn the unit on.
3. Connect the patient cable to the ECG/RESP connector on the right side panel.
4. If end tidal CO2 is to be monitored, connect the Sensor cable to the ETCO2connector on the right side panel.
5. If pulse oximetry is to be monitored, connect the sensor and the pulse oximetry cable to the SpO2 connector
on the right side panel.
6. If NIBP is to be monitored, connect the NIBP hose to the NIBP connector on the right side panel.
7. If invasive pressure is to be monitored, connect the pressure transducer cable to the PRESS 1 or PRESS 2
right side panel connector.
8. If temperature is to be monitored, connect the temperature sensor cable to the TEMP 1 or TEMP 2 right
side panel connector.
Adult/Neonate Modes
The Model 450C has mode settings for both adult/pediatric and neonatal monitoring. In general, the neonate mode is
used for patients less than one year old. All other patients should be monitored using the adult mode.
When monitoring NIBP, set the monitor to neonate mode whenever a neonatal cuff is being used.
Select Adult or Neonate monitoring mode as follows:
1. Press the SYSTEM SETUP key to display the mode menu.
2. Use the [MODE] menu selection to select either ADULT or NEO. The current selection is displayed on the
left side of the screen near the bottom.
3. Press EXIT to return to the normal display.

MONITOR SETUP
Heart Rate Source

Normally, heart rate is computed using the ECG waveform. If ECG is set to OFF, heart rate can be computed using
the oximetry, P1, or P2 waveforms.
1. Press the PATIENT SETUP key.
2. Select [ECG/HR] and select [ECG], setting it to OFF. The [HR SOURCE] selection appears.
3. Use the [HR SOURCE] selection to select OXIMETRY, P1, P2, or NONE.
Trace Speed
1. Press the SYSTEM SETUP key to display the mode menu. Then select [DISPLAY SETUP].
2. Use the [TRACE SPEED] selection to select the trace speed. Selections are 6.25, 12.5, 25, and 50 mm/s.
Set Time and Date

1. Press the SYSTEM SETUP key to display the mode menu. Then select [SET VOL/CLOCK] and select
[SET CLOCK] from the next menu.
2. The first setting is for MONTH. Use the and keys to increase or decrease the month setting.
3. Press [SELECT] to move to the DAY setting. Use the and keys to increase or decrease the day
setting.
4. Press [SELECT] to move to the YEAR setting. Use the and keys to increase or decrease the year
setting.
5. Press [SELECT] to move to the HOUR setting. Use the and keys to increase or decrease the hour
setting.
6. Press [SELECT] to move to the MINUTE setting. Use the and keys to increase or decrease the
minute setting.
7. When all date and clock settings are correct, select [ENTER] to enter the settings into the monitor’s
memory.

MONITOR SETUP
Display Setup
2. Select [DISPLAY SETUP] to display the Zone Select menu.
3. Use the key next to each zone to select the display for the corresponding zone. Zone 5 is numeric only.
Selections are as follows.
Zone 1 Zone 2 Zone 3 Zone 4 Zone 5
ECG Off Off Off Off

Resp/CO2 Resp/CO2 Resp/CO2 Resp/CO2
SpO2 (Pleth) SpO2 (Pleth) SpO2 SpO2
P1 P1 NIBP NIBP
P2 P2 P1
P2
P1 Expanded
P2 Expanded
P1/P2 Expanded
Each zone can also be set to off, except Zone 1, which is always ECG.
Temperatures are displayed in a portion of Zone 5.
NOTE: The above selections are available when the indicated parameters are included in the monitor’s
configuration and are being used.
5. To display expanded invasive pressure waveforms, use the Zone 4 setting.
Data and Waveforms Color Setup

1. Turn the monitor OFF.
2. Simultaneously press the SYSTEM SETUP key and the ON/STANDBY button.
3. Use the and keys to change the parameter.
4. Press [CHANGE COLOR] to change the color.
5. Press [DEFAULTS] to reset the colors.
6. Press ON/STANDBY button twice to return to normal display.

MONITOR SETUP
Audio Setup
2. Select [SET VOL/CLOCK] to display the menu for setting HR and alarm volume.
3. Adjust the HR volume using [HR and ] keys.
4. Adjust the alarm volume using [ALARM and ] keys.
Display Limits
To avoid clutter on the display, limits for parameter alarms are not displayed unless the Limits Display selection is
set to ON.
To enable or disable Limits Display, press the DISPLAY LIMITS key during normal display.
Trend Displays
The 450C monitor has a trend display showing heart rate, SpO2, P1, P2, and respiration rate. Time selections for this
trend display are 1, 8, 12, and 24 hours. Another trend display is cardiorespirogram (CRG). The CRG displays the
last four minutes of beat-to-beat heart rate, a compressed respiration signal, and SpO2 trend, if the SpO2 waveform is
being displayed in the normal display.
Trend Setup
1. Press the SYSTEM SETUP key. The mode menu appears.
2. Select [TREND SETUP] to display the trend selection menu.
3. Use the [TREND MODE] selection to select the trend mode: 1, 8, 12, or 24 hours or CRG.
Trend Display
1. To display the trend selected in the trend setup, press the TREND key.
The trends appear on the display for the parameters selected in display setup.
2. Press TREND again to return to the normal display.
NOTE: The monitor continuously accumulates trend data for all parameters in use. Any trend can be displayed by
changing the setup in the menus.

MONITOR SETUP
CRG Display 1 Hour Trend Display
Review Trend Displays
Review trend collects the most recent 24 hours of heart rate, SpO2, invasive pressures, and respiration rate. The
monitor exhibits them at two different trend views:
1. The 6 Hour view trend displays 6 hours of data per screen (1 dot = 1 minute).
2. The 30 Minute view shows 30 minutes of data per screen (1 dot = 5 seconds).
In either case, a cursor indicates the numeric value of the parameters. The data can be moved under the cursor to
review the accumulated information at any specific time within the last 24 hours.
NOTE: The 450C monitor is constantly gathering data of heart rate, SpO2, invasive pressures, and respiration rate to
be used in the Review Trend. However, if the monitor is turned off the data will be erased.
To access the Expanded Trend mode:
1. Press the SYSTEM SETUP key. The setup menu appears.
3. Select [REVIEW TREND] to enter the expanded trend display.
4. Press [←] or [→] to move the cursor a long the trend.
5. Select [VIEW IN/OUT] to toggle between 6 hour view and 30 minute view displays.
NOTE: The 450C monitor should be ON for at least one minute before Review Trend can be accessed.

MONITOR SETUP
6 Hour View 30 Minute View
Clear Trend Data
Use the following procedure to delete all trend data in memory (including NIBP tabular trend data) without turning
power off.
1. Press the SYSTEM SETUP key. The mode menu appears.
3. Select [CLEAR TRENDS]. The selections [CONFIRM] and [CANCEL] appear.
4. Select [CANCEL] to abort the clear trends procedure. To clear the trend data, select [CONFIRM].
Default Settings
User settings are stored in non-volatile memory. The monitor powers up with the same settings that were in effect
when power was last turned off.
To reset the monitor to the default settings press TEST key and ALARM RESET key simultaneously while
applying power to the monitor by pushing the ON/STAND BY key.
Default Settings
System Setup RESPIRATION
Trace Speed: 25 mm/sec Resp: Impedance IBP 1
Displayed parameters: Apnea delay: 20 sec Alarm Type: Mean
Zone 1: ECG Coincidence: ON Alarm limits (120-60)
Zone 2: RESP RR limits (60-10) Trace Scale: 0 to 240 mmHg
Zone 3: SpO2 SpO2 Site Label: P1
Zone 4: NIBP SpO2 Alarm: ON IBP 2
Zone 5: Off Averaging: 8 sec Alarm Type: Mean
Trend Mode: One hour Sensitivity: Normal Alarm limits (120-60)
Recorder: direct Alarm limits (100-90) Trace Scale: 0 to 240 mmHg
HR Volume: 40% NIBP Site Label: P2
Alarm Volume: 100% Cycle: OFF EtCO2
Monitoring Mode: Adult Data Format: NIBP table No Resp Delay: 20 sec
ECG Alarm Type: Mean Bar. Press: 760mmHg
Lead: I Alarm limits (160-80) Trace Scale: 0 to 50
Filter: ON TEMP (Both channels) Alarm limits (50-300)
ECG size 10mm/mv Alarm limits: Off
HR limits (140-40)

BATTERY OPERATION
BATTERY OPERATION
Internal Battery
The model 450C is equipped with two internal batteries. This allows the monitor to operate for 2½ hours under its
own power.
In the event of a mains power failure, the model 450C will automatically switch to battery operation.
A BAT indicator in the lower right corner of the display graphically displays the approximate remaining charge of
the battery: full, 75 %, 50 %, 25 %.
When the remaining battery charge is less than 20 minutes, the BAT indicator flashes the word LOW and an audio
tone sounds every 15 seconds.
The battery is continuously charged whenever the ac power is connected, even when the monitor is turned off.
Charging time when the battery is fully discharged is 12 hours.
If monitor is not in regular service, i.e. weekly use, to ensure maximum battery life, it is recommended that, at least
once a month, the unit be run on battery until it turns itself off and then recharged.
Remove the batteries if the monitor will not be in regular use for more than six months.
Status of the Battery
The model 450 has three LED’s (label as Charged, Charging and Battery Fault) to indicate the status of the battery.
They are located in the bottom left corner of the faceplate. The following table shows the status of the battery
depending on the action (ON, OFF or FLASHING) of the LED’s.
Status Charged Charging Battery Fault

of the Battery LED LED LED
Battery Absent OFF OFF ON
Pre-charge qualification OFF FLASHING OFF
Fast charging OFF ON OFF
Maintenance charging ON OFF OFF
*Charge Pending (Temperature out of range) X X FLASHING
**Fault X X ON
*If the temperature of the battery exceeds 116 oF (47 oC) the battery will not charge and will remain in a Charge Pending status.
**If Fault condition occurs replace the batteries immediately.
Removing the Battery

Refer to Disassembly and Assembly section of the Operation and Maintenance Manual to find out how to remove the
batteries.
WARNING: To avoid risk of fire, replace only with the same type battery (Ivy Part No. 110007).

RECORDER OPERATION
RECORDER OPERATION
Changing Paper
Replace the roll of thermal paper as follows.
1. Press the paper eject button to open the door at the front of the recorder.
Press Here
If the door does not open completely, pull it toward you until it is completely open.
2. Reach in and remove the spent paper core by pulling it gently toward you.
3. Place a new paper roll between the two round tabs of the paper holder.
4. Pull some paper from the roll. Make sure the sensitive (shiny) side of the paper faces the print head. The
shiny side of the paper normally faces inside the roll.
5. Align the paper with the pinch roller on the door. Print
Head
Pinch
Roller

RECORDER OPERATION
6. Hold the paper against the pinch roller and close the door.
Recorder Menus
The recorder user interface is through the menu structure of the 450C.
1. Press the SYSTEM SETUP key to display the system menu.
2. Select [RECORDER SETUP] to display the recorder menu.
NOTE: At the start of each printout, the printer produces a header consisting of the current readings for all
parameters in use at the time of the printout, whether the parameter is displayed or not.
Recorder Modes
From the recorder menu, use (MODE) to select the printing mode to be used. Selections are DIRECT, TIMED,
DELAY, AUTO, CRG, and REMOTE.
The print mode is indicated in the lower right corner of the display.
Direct
To print in direct, press the PRINT key. Press PRINT again to stop printing.
The plot is preceded by a header which contains all parameter readings and the time/date.
The speed of the plot and vertical resolution are the same as the display. The plot is labeled with the speed of the plot
in mm/s, the recorder mode, and the parameters.
The following setup allows you to select which parameter is plotted in which channel of the recorder. If only one
waveform is plotted or if the same waveform is selected for both channels, the recorder is scaled to use the entire 40
mm. If two different waveforms are selected, the recorder splits the plot into two 20 mm channels.

RECORDER OPERATION
Use the following procedure to select the waveforms for each channel.
1. From the recorder menu, press the [CHANNEL 1] menu key to select the waveform to be printed on
Channel 1.
2. Press the [CHANNEL 2] menu key to select the waveform to be printed on Channel 2.
Selections for each channel are ECG, Respiration, ETCO2, SpO2 (Pleth), P1, and P2. Channel 2 can also be
set to OFF. Whenever ETCO2 is being monitored, the ETCO2 waveform is used for respiration.
Timed
TIMED mode starts by pressing PRINT and prints for 30 seconds.
Delay
Delay mode plots the 15 seconds before and 15 seconds after the occurrence of an alarm condition. The parameters
printed are those selected as described in the Direct Mode section.
With no alarm, pressing PRINT starts a printout that includes the 15 seconds before and the 15 seconds after
pressing the key. An asterisk marks the time when the key was pressed or the alarm occurred.
The plot is preceded by a header which contains all parameter readings and the time/date.
Whenever delay mode is enabled, REC DELAY is displayed in the lower right corner of the display.
Auto
Parameters to be printed are selected based on the alarm. The printout is the same as in delay mode except that when
an alarm triggers the recorder, the parameters are selected automatically. If the recording is started by pressing the
PRINT key, the selected parameters are printed.
The following are the parameters printed for each type of alarm.
Type of Alarm Traces Printed

ASYSTOLE Single-trace ECG
HR Single-trace ECG, SpO2 (Pleth), P1, or P2 (based on HR source)
NO PULSE Single-trace SpO2 (Pleth), P1, or P2 (based on HR source)
APNEA ECG, Respiration
COINCIDENCE ECG, Respiration
RR ECG, Respiration
SpO2 ECG, SpO2 (Pleth)
NIBP Single-trace ECG
IBP1 ECG, P1
IBP2 ECG, P2

RECORDER OPERATION
CRG
The recorder plots the CRG as two trend waveforms. The heart rate trend occupies the top half, and the compressed
respiration occupies the lower half. If CRG is selected and respiration is not being monitored, HR only is printed.
The trend is plotted at 1 mm/s. The plot is preceded by a header containing all the parameter readings and time/date.
From the recorder menu, use [MODE] to select the CRG mode. While the recorder is in CRG mode, REC
CRG is displayed in the lower right portion of the display.
When menus are not displayed, press PRINT. The recorder then prints the real time CRG at 1 mm/s until you press
PRINT again.
Remote
REMOTE mode will activate the recorder at a central station.
Print Trend
To print trends, select [PRINT TREND] from the [RECORDER SETUP] menu.
The recorder prints the trends as they appear on the display. The trend is scaled to appear as it does on the display.
The strip starts with a header, which contains the time and date and prints current readings for all measured
parameters. Each trend is then plotted sequentially. The parameter, vertical scaling, and total time of the trend is
printed with each trend. The vertical axis is printed at the start of the plot, and the horizontal time divisions are
indicated. The resolution of the trend printout is:
1 hour 5 min/cm
8 hours 30 min/cm
12 hours 45 min/cm
24 hours 90 min/cm
The contents of the trend buffers at the settings currently selected in the trend menu are printed. The system prints
the selected trends sequentially. Once the contents of the print trend buffer have been printed, the recorder exits this
mode.
Print Review Trend
To print Review trends:
1. Press the SYSTEM SETUP key and then select [TREND SETUP] from the setup menu.
2. Select [REVIEW TREND] to enter the Review trend mode.
3. Press [PRINT PAGE], the recorder will start printing.
The resolution of the Review trend printout is:

6 Hour view View (6 hours): 0.5 hr / cm
30 Minute view (30 minutes): 2.5 min / cm
The recorder prints the trends as they appear on the display. The trend is scaled to appear as it does on the display.
The strip starts with a header, which contains the time and date and prints current readings for all measured
parameters. Each trend is then plotted sequentially. The parameter, vertical scaling, and total time of the trend is
printed with each trend. The vertical axis is printed at the start of the plot, and the horizontal time divisions are
indicated.

RECORDER OPERATION
Print NIBP Tab
From [RECORDER SETUP] select [PRINT NIBP TAB] to print the entire contents of the tab buffer in columns as
shown on the display.
Recorder Messages
The following are messages that appear on the display to indicate the status of the recorder.
REC DIRECT: The recorder is ready to print in direct mode.

REC DELAY: The recorder is set for delay mode.
REC TIMED: The recorder is set for timed mode.
REC REMOTE: The recorder is set for remote mode.
DOOR OPEN: The recorder indicates that the door is open.
PAPER OUT: The recorder is out of paper.
REC ERROR: The monitor has detected a recorder failure.
REC INOP: Low battery voltage. Insufficient battery charge to operate the recorder.
REC HR: CRG is selected when respiration is not being monitored. HR only is printed.
Example Printouts
5/11/99
Direct Mode: ECG on Channel 1 and Respiration on Channel 2
5/11/99
Direct Mode: ECG on Channel 1 and SpO2 (Pleth) on Channel 2

RECORDER OPERATION
5/11/99
Direct Mode: ECG on Channel 1 and P1 on Channel 2
5/11/99
Direct Mode: ECG on Channel 1 and P2 on Channel 2
5/11/99
Direct Mode: ECG on Channel 1 and Channel 2 off

RECORDER OPERATION
5/11/99
Delayed Mode: ECG on Channel 1 and Channel 2 off
5/11/99
CRG Mode
NIBP Table IBP/TEMP Table

ECG MONITORING
ECG MONITORING
When ECG monitoring, the display shows the ECG waveform, the heart rate, heart rate limits (if DISPLAY
LIMITS is selected), lead selection, adult/neonate mode, and alarm indications. Also, a heart symbol, pulse, or BP
symbol flashes each time a heartbeat is detected, depending on whether the rate is being triggered by the ECG,
pleth, or blood pressure waveform.
Safety Considerations
Disposable products are intended for single-use only. Do not attempt to re-use these products.
ECG Patient connections are electrically isolated Type CF . For ECG connections use insulated probes. Don’t
let patient connections contact other conductive parts, including earth. See instructions for patient connections in
this manual.
This monitor is supplied with protected lead wires. Do not use cables and leads with unprotected lead wires having
exposed conductors at the cable end. Unprotected lead wires and cables may pose an unreasonable risk of adverse
health consequences or death.
Leakage current is limited internally by this monitor to less than 10 μA. However, always consider cumulative
leakage current that can be caused by other equipment used on the patient at the same time as this monitor.
To avoid the potential of electrosurgery burns at ECG monitoring sites, ensure proper connection of the
electrosurgery return circuit as described by manufacturer’s instructions. If improperly connected, some
electrosurgery units might allow energy to return through the electrodes.
RA LA
Typical Electrode Placement
during Surgical Procedure. V
RA LA
RL LL
Typical Electrode Placement.
RL LL
For monitors used in Australia. For continued defibrillation protection and proper respiration monitoring use only
patient cables with 1kΩ series resistors. Respiration circuit is tuned to operate with series resistors.

ECG MONITORING
Patient Connections
To ensure compliance with safety and performance specifications, always use the patient cables and leads supplied
by Ivy. Other cables might not produce reliable results.
NOTE: We recommend that you always use five-lead cables with monitors having the five-lead option. The use of
many three-lead cables can cause poor quality signals and can inhibit the LEAD OFF alarm. When monitoring three
leads, use the five-lead cable and remove the two unnecessary patient leads.
Use only high quality silver/silver-chloride electrodes or equivalent.
Use the following procedure for ECG monitoring:
1. Prepare each electrode site and apply the electrodes.
2. Connect the patient cable to the monitor’s right side panel ECG input.
3. Attach the leads to the electrodes.
Model 450C monitors with five-lead option can accommodate both three- and five-lead configurations.
4. Use the procedures described in the following sections for alarm limit settings, lead selection, amplitude
adjustment, and enabling or disabling the filter. See the menu diagram below.
NOTE: For monitors designed to use both three- and five-lead cables, the LEAD OFF alarm tests only those leads
that are relevant to the selected lead setting.
PATIENT
SETUP
ECG/HR
RESP/CO2
SpO2
NIBP
INVASIVE BP ECG ECG

ON OFF
LEAD HR SOURCE
I OXIMETRY
FILTER
ON

ECG SIZE
10 m m/mv


ECG MONITORING
ECG Waveform Amplitude

Use the following procedure to adjust the amplitude (size) of the displayed ECG waveform.
1. Press the PATIENT SETUP key to display the main menu. Select [ECG/HR] to display the ECG menu.
2. Use the [ECG SIZE and ] selections to adjust the ECG size.
HR Alarm Limits
1. Press the ALARM SETUP key to display the alarm limits menu.
2. If necessary select [PARAMETER] to display HR limits.
3. Use the [HIGH and ] selections to set the high heart rate limit.
4. Use the [LOW and ] selections to set the low heart rate limit.
Each time you press a key, the corresponding limit changes by 5 bpm. The current settings are shown on the
display when the front panel DISPLAY LIMITS selection is on.
Lead Selection
2. Use the [LEAD] selection to set the lead selection.
Available lead selections for five-lead ECG are I, II, III, aVR, aVL, aVF, and V. Selections for three-lead
ECG are I, II, and III. If you select any other setting with only three leads connected, the monitor activates
the LEAD OFF alarm.
ECG Filter (Adult Mode Only)

2. Use the [FILTER] selection to set the filter to on or off. The filter on indication is FILT; the filter off
indication is DIAG (diagnostic). The filter sets the frequency response of the displayed waveform as
follows:
Filtered: 0.5 to 35 Hz
Unfiltered (diagnostic): 0.05 to 100 Hz
In neonate mode, the filter is always on.

ECG MONITORING
ECG On/Off
The ECG can be turned off to monitor other parameters and not generate a LEAD OFF alarm. LEAD OFF is still
functional for respiration.
1. Press the PATIENT SETUP key to display the main menu. Select [ECG/HR] to set the ECG to ON or
OFF.
Pacemaker
When a pacemaker has been detected, a P will start flashing in the heart symbol.

RESPIRATION MONITORING
The monitor obtains the respiration signal through the same electrodes used for ECG. The lead selection does not
affect the respiration signal.
WARNING: This monitor is supplied with protected lead wires. Do not use cables and leads with unprotected lead
wires having exposed conductors at the cable end. Unprotected lead wires and cables may pose an unreasonable risk
of adverse health consequences or death.
CAUTION: Do not use patient cables with internal resistors for defibrillation protection when monitoring
respiration. Use of such cables might cause erratic respiration readings.
For proper respiration monitoring, cable capacitance between the RA and LA leads must be 400 ±100 pF.
The following diagram shows the respiration menus.
PATIENT
SETUP
ECG/HR
RESP/CO2
SpO2
NIBP
INVASIVE BP
RESP RESP RESP
IMPEDANCE CO2 OFF
COINCIDENCE RESPONSE
ON NORMAL
APNEA DELAY ZERO
20 sec SENSOR
SPAN
CHECK
SETTINGS
Respiration Size
The front panel up and down arrows control the relative size of the respiration signal.
Adjust the size so that it is not so large that the peaks of the waveform are clipped on the display but large enough so
that the signal triggers the rate counter.
NOTE: The respiration detector requires the proper size setting to correctly detect respiration activity.

Apnea Delay
1. Press the PATIENT SETUP key to display the main menu. Select [RESP/CO2] to display the respiration
menu.
2. Use [APNEA DELAY] to set the delay at 5, 10, 15, 20 seconds, or off. Once this alarm is triggered, it
remains on until a respiration is detected or ALARM RESET is pressed.
Coincidence On/Off
In some cases, the true respiration rate and heart rate are the same. If this condition occurs for some time, the
coincidence alarm can become a nuisance. To avoid this problem, the audio and visual coincidence alarms can be
turned off.
Use the following procedure to enable or disable the coincidence alarm.
menu.
2. Use the [COINCIDENCE] selection to turn the coincidence alarm on or off.
Respiration Rate Alarm Limits

2. Use the [PARAMETER] selection to display respiration rate (RR) limit settings.
3. Use the [HIGH and ] selections to set the high respiration rate limit.
4. Use the [LOW and ] selections to set the low respiration rate limit.
Each time you press a key, the corresponding limit changes by 5 br/min. The current settings are shown on
the display when the front panel DISPLAY LIMITS selection is on.
Respiration On/Off
menu.
2. Use the [RESP] selection to turn respiration monitoring on or off.

ETCO2 MONITORING
END TIDAL CO2 MONITORING
General Description
The Ivy Model 450C monitor uses NonDispersive InfraRed (NDIR) gas measurement to determine CO2 gas
concentration. The NDIR measurement method uses fixed (non-scanning) frequencies of infrared (IR) light. NDIR
measurement is based on the phenomenon that higher gas concentrations in a given volume of gas in the path of an
IR light signal create more absorption of the IR light. Therefore, higher concentrations of an IR absorbing gas create
a measurably lower transmission of the IR light.
Components
The following components make up an NDIR instrument. See the illustration below.
IR Source: A source of infrared light.
The infrared light source actually produces a wide range of light at frequencies covering the IR band and extending
in either direction into the visible and ultraviolet spectra.
Sample Cell: The gas to be measured is transported into a sample cell with windows that allow the IR light to pass
through the gas sample. The Sensor Head is mounted on the sample cell, called the Airway Adapter. The Airway
Adapter has a constant volume and path length as seen by the Sensor Head. The Sensor Head and Airway Adapter
windows are chosen for their non-IR absorbing quality.
IR Filter: An optical bandpass filter is used to select a specific band of IR light centered on an exact wavelength.
The optical IR filter’s center wavelength is chosen for the specific gas to be measured (CO2). The monitor also needs
a reference channel which requires a second IR filter.
IR Detector: A lead selenide IR detector converts the IR light transmitted through the sample cell into an output
voltage.

ETCO2 MONITORING
Sensor Head Components
The diagram below represents the components of the Sensor Head.
Sensor Head Case – The Sensor Head Case is sealed to control internal ambient CO2 concentration and to provide
sufficient moisture resistance for cleaning.
Hybrid Processing Board – The Hybrid Processing Board includes programmed control of:
Lamp Power on/off
Window Heating and Temperature Monitoring
Detector Block Heating and Temperature Monitoring
Multiplexing of Analog Signals
Non-Volatile Memory containing all unit-specific data
Bi-directional Digital Communications with the Signal Processing Board

ETCO2 MONITORING
Lamp and Reflector Assembly – The lamp is pulsed on and off. Its collimated light beam travels through one Sensor
Head Window, through the Airway Adapter containing the patient sample, through the second Sensor Head Window,
and through the beam splitter.
Heated Windows – The Sensor Head Windows are heated to reduce condensation. A thermistor monitors window
temperature.
Beam Splitter – The Beam Splitter directs part of the light falling on it to the CO2 IR Detector and the balance of the
light to the Reference Channel Detector.
IR Filters – An optical band pass filter is located in front of both IR Detectors. Each filter passes to its detector only
the wavelength of light that is appropriate.
IR Detectors – The IR Detectors convert the light falling on them into analog signals. The CO2 IR Detector’s output
is relative to the CO2 concentration in the Airway Adapter, while the reference channel IR Detector is insensitive to
CO2 concentration.
Detector Preamplifier Board – The outputs of the IR Detectors are amplified and filtered. These analog signals are
fed through the Hybrid Processing Board’s multiplexer to the Signal Processing Board.
Heated Detector Block – The Detector Block is heated to stabilize the IR filter temperature. A thermistor monitors
Detector Block temperature.

ETCO2 MONITORING
To demonstrate the absorption of specific IR wavelengths by CO2 gas, the chart below shows the amount of IR
transmission for various wavelengths of IR light through CO2. The CO2 filter passes infrared light in the range
between 4.22 and 4.32 microns.
The chart below shows that as the CO2 concentration increases from 2% to 10%, infrared light transmission
decreases. IR light transmission is inversely proportional to the IR light absorption of the gas. By measuring how
much light gets through the sample gas and the CO2 optical filter, we can calculate how much CO2 is present in the
gas sample.

ETCO2 MONITORING
Complications of NonDispersive InfraRed (NDIR) Monitoring
IR Light Amplitude Changes – Changes in the output of the IR light source directly affect the IR detector’s voltage
output for a given gas sample.
In this monitor, the IR lamp pulses on and off. The on phase is created by a constant voltage, providing a consistent
light output. A consistent IR lamp output is more important than a specific output level.
Short and long term IR lamp amplitude changes are compensated for by use of a reference channel. A reference
channel output change can be assumed to be non-gas related, and common to the CO2 channel. Software data
processing compensates for IR lamp output changes. This same mechanism compensates for any other common
mode source of signal degradation, such as light beam obscuration by patient secretions.
Sample Gas Pressure Changes – Because a change in gas pressure in the Airway Adapter reduces the number of
CO2 molecules in the IR path, without airway adapter pressure compensation, changes in gas pressure would appear
as changes in CO2 concentration.
Typically, the monitor measures CO2 only during the patient’s expired breath phase. At this time, airway adapter
pressure is very close to local barometric pressure. The sensors are factory characterized and calibrated at sea level
where local barometric pressure, and airway adapter pressure is 760 Torr. The system also has the ability to set the
local barometric pressure into the monitor. The Sensor Head stores this pressure value and uses it to correct for the
difference in airway adapter pressure between calibration time and normal use.
Temperature Changes – Changes in the temperature of the IR filters, IR detectors, or sample gas (patient breath or
calibration gas) directly affect the IR detector’s voltage output for a given gas sample. Each of these must be either
held at a constant temperature or monitored for temperature compensation.
During the expired phase, the patient’s breath is slightly lower than body temperature (about 34°C). This relatively
constant temperature relieves the monitor of the need to control sample gas temperature or correct for its changes.
Changes in sample gas flow rate can cause small sample gas temperature changes. The sensors are factory
characterized and calibrated at 4.0 liters per minute.
NOTE: When using bottled calibration gas for span calibration or troubleshooting, its temperature might not be
34°C. The difference between calibration gas temperature and 34°C can cause CO2 measurement errors.
The IR filters and detectors are mounted on the Sensor Head’s detector block. Attached to the detector block is a
thermoelectric heater strip and a thermistor. The heater temperature holds the Detector Block, IR Filters, and IR
Detectors at a constant temperature (approximately 43°C).
Multiple IR Absorbing Gases – N2O, water vapor, and anesthetic agents also absorb IR light and might be present in
some applications. Each of these gases has different IR absorption characteristics, and choosing the correct CO2 and
reference channel IR filters reduces the “cross gas interference” effect.
Non-IR Absorbing Gases Present – The sample gas might also contain O2, N2O, or N2. Although O2 and N2 don’t
absorb IR, they can create NDIR measurement problems via “collision line broadening.”
The monitor uses assumed values for O2 and N2O and uses these values to compensate for “collision line
broadening.” The default values are 21.0% O2 and 0.0% N2O. Different values can be entered and stored in the
Sensor Head.
NOTE: When using a calibration gas for span calibration or troubleshooting, O2 and N2O concentrations must also
be entered.

ETCO2 MONITORING
Zero Baseline and Span Calibration – The voltage output of the IR Detector has no absolute meaning until it is
established what CO2 detector voltage represents 0.00% CO2 gas concentration and what other voltage represents full
scale CO2 gas concentration (10.00%).
The voltage level when the IR Lamp is off, known as the “dark level,” is the minimum voltage output of the IR
Detector, and is used as the common reference for measuring all other IR Detector output voltages. When there is
0% CO2 in the sample gas, there is minimum IR absorption, and therefore, maximum IR transmission. This
measurement is the maximum output voltage of the IR Detector, and is stored in the system at each Zero Calibration.
All CO2 measurements are between these two values. The factory characterization of each unit includes the
calculation of the system’s CO2 response curve. A field Span Calibration calculates simple multipliers that allow
correction of long term component performance changes.
Nonlinearity – As the IR Detector output voltage decreases with increasing CO2 gas concentration, some
nonlinearities of NDIR technology must be managed.
The nonlinearity of the system’s response curves was determined during its development. This nonlinearity is
described in the resident CO2 response curve, and is automatically compensated for during data processing.
Preparation for Monitoring

Choosing an Airway Adapter
Select one of the two Airway Adapters that are available. Use the Adult Airway Adapter for monitoring patients
with endotracheal tube sizes greater than 4 cc. The Adult Airway Adapter is shown below.
Use the Pediatric/Neonatal Airway Adapter for all other patients. The Pediatric/Neonatal Airway Adapter is shown
below.
Zeroing the Airway Adapter
This procedure should be done at the start of monitoring or any time the message ZERO SENSOR is displayed on
the monitor.

ETCO2 MONITORING
1. Insert the Airway Adapter into the Sensor as shown below.
2. Press the PATIENT SETUP key on the monitor to display the Main Menu, then select [RESP] so that CO2
is displayed.
3. Make sure that the Airway Adapter is exposed to room air and is not in the patient breathing circuit. Keep
the Sensor and Airway Adapter away from all sources of CO2, such as ventilator exhaust and your own
breath.
4. Select [ZERO SENSOR].
5. After approximately 15 seconds, the message ZERO OK appears on the display.
If an error message is displayed, either the Airway Adapter windows are occluded or the Sensor is
defective. Replace the Airway Adapter and repeat the zeroing procedure.
6. Press the EXIT key to return to the normal display.
Checking Sensor Calibration
1. Allow the sensor temperature to stabilize.
2. Place the sensor on the Span Check Cell attached to the sensor cable as shown below. Make sure that the
sensor is fully seated on the cell.
3. Press the PATIENT SETUP key on the monitor to display the Main Menu, then select [RESP] so that CO2
is displayed.

ETCO2 MONITORING
4. Select [CHECK SPAN]. The test takes approximately 15 seconds.
The message SPAN OK appears on the display. If SPAN FAIL appears, do not use the sensor. Have the
sensor checked and calibrated by a biomedical engineer or contact Ivy Biomedical Systems, Inc.
5. Press the EXIT to return to the normal display.
The Patient Airway Connection
1. Install the Sensor/Airway Adapter into the patient airway at the proximal end of the airway circuit between
the endotracheal tube and the ventilator circuit wye. The Sensor cable should face away from the patient.
2. Connect the Sensor cable connector to the ETCO2 input on the monitor.
3. Verify the presence of a CO2 waveform on the monitor.
Response Setting
Three response settings are available on the Model 450C monitor, slow, fast, or normal. Use the following procedure
to set the response.
1. Press the PATIENT SETUP key on the monitor to display the Main Menu, select [RESP/CO2], then select
[RESP] so that CO2 menu is displayed.
2. Select [SETTINGS] to display next menu, then select [NEXT SETTING] until Response is shown.
3. Select [RESPONSE] until the desired response setting is displayed.

ETCO2 MONITORING
Compensation Settings
As described earlier in this section, settings are available for entering barometric pressure. N2O, and O2 in case the
actual values differ from the default settings, which were entered into the Sensor at the factory. Default settings are
barometric pressure = 760 Torr, N2O = 0.0%, and O2 = 21.0%. If necessary, use the following procedures to change
these settings.
Barometric Pressure
[RESP] so that CO2 menu is displayed. Then select [SETTINGS].
2. Use the [BAR PRESS and ] selections to set the barometric pressure to the desired value.
3. To return to the default setting (760 Torr) select [DEFAULT].
N2O Compensation
2. Select [NEXT SETTING] until N2O is displayed.
3. Use the [N2O and ] selections to set the N2O to the desired value.
O2 Compensation
2. Select [NEXT SETTING] until O2 is displayed.
3. Use the [O2 and ] selections to set the O2 to the desired value.

ETCO2 MONITORING
Trace Scale Setting

Two trace scale settings are available for waveform display, 0 to 50 and 0 to 100. Use the following procedure to set
the trace scale.
2. Use the [TRACE SCALE] selection to select the desired trace scale setting.
CO2 Alarm Limits

2. If necessary select [PARAMETER] until ETCO2 is displayed.
3. Use the [HIGH and ] selections to set the high CO2 limit.
4. Use the [LOW and ] selections to set the low CO2 limit.
Each time you press a key, the corresponding limit changes by 2 Torr. The current settings are shown on the
Respiration Rate Alarm Limits

2. Use the [PARAMETER] selection to display respiration rate (RR) limit settings.
3. Use the [HIGH and ] selections to set the high respiration rate limit.
4. Use the [LOW and ] selections to set the low respiration rate limit.
Respiration On/Off
1. Press the PATIENT SETUP key to display the main menu. Select [RESP/CO2], then select [RESP] to set
respiration to OFF.

ETCO2 MONITORING
Gas Calibration
The Sensor should never need to be calibrated. However, if hospital regulations require a periodic calibration, use
the following procedure.
1. Make sure the Sensor has been operating for at least 30 minutes with no error conditions reported.
2. Zero the Sensor on an Adult Airway Adapter. See “Zeroing the Sensor” earlier in this section.
[RESP] so that CO2 menu is displayed. The select [SETTINGS].
4. Select [TRACE SCALE] and press TEST at the same time to display a “hidden” menu.
5. Introduce a 1.0 ±0.1 liter per minute flow of 5% ±0.1% CO2 balance Nitrogen into the Airway Adapter. The
calibration gas should be held at a constant 34°C ±3°C. The flow of gas out of the Airway Adapter must be
free and unobstructed. The reading should be 38 ±2 Torr. If 10% ±0.1% CO2 balance Nitrogen is available,
check the accuracy with this. The reading should be 76 ±3 Torr.

INVASIVE PRESSURE MONITORING
Model 450C monitors configured for invasive pressure monitoring have two channels available for monitoring
pressure. Procedures and specifications are the same for both channels. These procedures refer primarily to P1,
which uses the PRESS 1 connector (the lower pressure connector). Text in parentheses ( ) refers to P2.
Pressure Transducer
To ensure conformance with all safety and performance specifications, use only the recommended pressure
transducers and cable. These are available from Ivy Biomedical Systems. Transducers are not to be immersed in
liquid unless disconnected from the monitor.
WARNING: Disposable transducers are for single use only. Do not attempt to re-use these products.
WARNING: Disposable transducers and accessories identified as STERILE shall be handled in accordance to the
manufacturer’s instructions.
Connecting the Transducer

1. Connect the pressure cable to the PRESS 1 (PRESS 2) connector on the monitor’s side panel.
2. Make sure that the catheter tip is at the same height as the dome of the pressure transducer during both
zeroing and monitoring.
3. If a continuous flow catheter flush system is used, fill the transducer dome and set the transducer at the
desired level before zeroing.
4. Always do a final zeroing of the transducer after it is connected to the fluid system, positioned, and allowed
to stabilize for a few minutes.
5. Always follow the instructions that come with the pressure transducer to ensure proper calibration and
operation.

Zeroing the Transducer

If the pressure transducer has not been zeroed, the monitor displays the message ZERO TRANSDUCER. Use the
following procedure to zero the transducer. See the menu diagram below.
PATIENT
SETUP
PARAMETER
ECG/HR P1
ZERO
RESP/CO2 TRANSDUCER
ALARM TYPE
SpO2 MEAN
TRACE SCALE
NIBP 0 TO 240
SITE LABEL
INVASIVE BP P1
1. Vent the pressure transducer to air
2. Press the PATIENT SETUP key to display the main menu. Select [INVASIVE BP] to display the pressure
select menu.
3. Use the [PARAMETER] selection to select P1 or P2 for the transducer being zeroed.
4. Select [ZERO TRANSDUCER] to zero the transducer.
Once the system has been correctly zeroed, the ZERO TRANSDUCER message disappears.
If the transducer has an offset greater than ±150 mmHg or a varying signal, the monitor does not zero the
transducer, and a tone sounds when you select [ZERO TRANSDUCER].
NOTE: If Barometric Pressure changes then the transducer must be zero again.
Blood Pressure Scale

select menu.
2. Use the [PARAMETER] selection to select P1 or P2 for the pressure channel being set.
3. Use the [TRACE SCALE] selection to select the scale. Selections are ±30, 60, 120, 240, and 300.

Pressure Alarm Type

select menu.
2. Use the [PARAMETER] selection to select P1 or P2 for the pressure channel being set.
3. Use the [ALARM TYPE] selection to select the pressure to be used to trigger the blood pressure alarm.
Selections are systolic (SYS), diastolic (DIAS), MEAN, and OFF.
Pressure Alarm Limits

2. If necessary select [PARAMETER] to display P1 or P2 limits. If the alarm for P1 or P2 has been set to off,
that selection does not appear in the [PARAMETER] selections.
3. Use the [HIGH and ] selections to set the high blood pressure limit.
4. Use the [LOW and ] selections to set the low blood pressure limit.
Each time you press a key, the corresponding limit changes by 2 mmHg. The current settings are shown on
Expanded Pressure Scale

Use the following procedure to display one or both pressure waveforms on an expanded scale in Zones 3 and 4.
1. Press the SYSTEM SETUP key to display the mode menu. Then select [DISPLAY SETUP].
2. Use the [ZONE 4] selection to select expanded pressure display. Selections are Zones 3 and 4 expanded
P1, Zones 3 and 4 expanded P2, and Zones 3 and 4 expanded P1/P2.

Alternate Pressure Site Labeling and Automatic Scale/Limit Adjustment

Feature (If present)
NOTE: This feature must be enabled by setting the Pressure Site Labels option in the Configuration Menu (see
service manual) to Present. When enabled, the user may select alternate labels by using the SITE LABELING soft
key in the Invasive Pressure Setup menu.
Labels for invasive blood pressures (P1 and P2) may be changed to one of several alternate labels at the users
discretion.
Site label selections for P1 are: P1, ART1, CVP1, PA1, ICP1, UAC1, and UVC1.
Site label selections for P2 are: P2, ART2, CVP2, PA2, ICP2, UAC2 and UVC2.
These labels will appear on both the screen, and the chart recorder printouts.
When a pressure site label is changed, the alarm limits are also automatically adjusted to reflect that change. Limits
are stored separately for each site label.
The default limits are as follows (channel 2 defaults are the same as the channel 1 defaults). Note that one set of
invasive pressure alarm limits is stored regardless of whether Adult or Neonatal mode has been selected.
SYS DIAS MEAN

Site Label High Low High Low High Low
P1 150 80 100 50 120 60
ART1 150 80 100 50 120 60
CVP1 -10 10 -10 10 -10 10
PA1 150 80 100 50 120 60
ICP1 20 4 20 4 20 4
UAC1 100 40 60 20 70 30
UVC1 20 4 20 4 20 4
In addition, pressure scales for waveforms and trends are automatically adjusted whenever the user changes pressure
site labels.
The default scale selections are as follows (again, P2 scales are the same choices as P1 scales):
Site Label Scale

P1 0 to 240 mmHg
ART1 0 to 240 mmHg
CVP1 -30 to 30 mmHg
PA1 0 to 240 mmHg
ICP1 -30 to 30 mmHg
UAC1 0 to 120 mmHg
UVC1 0 to 60 mmHg
PATIENT
SETUP
PARAMETER
ECG/HR P1
ZERO
RESP/CO2 TRANSDUCER
ALARM TYPE
SpO2 MEAN
TRACE SCALE
NIBP 0 TO 240
SITE LABEL
INVASIVE BP ART1

MASIMO SET® PULSE OXIMETRY MONITORING
Overview
Pulse oximetry allows you to continuously and no invasively monitor a patient’s hemoglobin oxygen saturation. The
oximetry sensor contains two light emitting diodes (LEDs) that transmit specific wavelengths of light, which are
received by a photodetector.
Oxygen saturated blood absorbs light differently as compared to unsaturated blood. Thus the amount of light
absorbed by blood can be used to calculate the ratio of oxygenated hemoglobin to total hemoglobin in arterial blood.
The monitor displays this ratio as percent SpO2. Normal values typically range from 95 to 100% at sea level.
Principles of Operation
The Model 450C Pulse Oximeter is based on three principles:
1. Oxyhemoglobin and deoxyhemoglobin differ in their absorption of red and infrared light (spectrophotometry).
2. The volume of arterial blood in tissue and the light absorbed by the blood changes during the pulse
(plethysmography).
3. Arterio-venous shunting is highly variable and that fluctuating absorbance by venous blood is a major
component of noise during the pulse.
The Model 450C Pulse Oximeter as well as traditional pulse oximetry determines SpO2 by passing red and infrared
light into a capillary bed and measuring changes in light absorption during the pulsatile cycle. Red and infrared light-
emitting diodes (LEDs) in oximetry sensors serve as the light sources, a photodiode serves as the photodetector.
Traditional pulse oximetry assumes that all pulsations in the light absorbance signal are caused by oscillations in the
arterial blood volume. This assumes that the blood flow in the region of the sensor passes entirely through the
capillary bed rather than through any arterio-venous shunts. The traditional pulse oximeter calculates the ratio of
pulsatile absorbance (AC) to the mean absorbance (DC) at each of two wavelengths, 660 nm and 940 nm.
S(660) = AC(660)/DC(660)
S(940) = AC(940)/DC(940)
The oximeter then calculates the ratio of these two arterial pulse-added absorbance signals:
R = S(660)/S(940)
The value of R is used to find the saturation SpO2 in a look-up table built into the oximeter’s software. The values in
the look-up table are based upon human blood studies against a laboratory co-oximeter on healthy adult volunteers in
induced hypoxia studies.

The Model 450C Pulse Oximeter assumes that arterio-venous shunting is highly variable and that fluctuating
absorbance by venous blood is the major component of noise during the pulse. The Model 450C monitor
decomposes S(660) and S(940) into an arterial signal plus a noise component and calculates the ratio of the arterial
signals without the noise:
S(660) = S1 + N1
S(940) = S2 + N2
R = S1/S2
Again, R is the ratio of two arterial pulse-added absorbance signals and its value is used to find the saturation SpO2
in an empirically derived equation into the oximeter’s software. The values in the empirically derived equation are
based upon human blood studies against a laboratory co-oximeter on healthy adult volunteers in induced hypoxia
studies.
The above equations are combined and a noise reference (N’) is determined:
N' = S(660) - S(940) x R
If there is no noise N' =0; then S(660) = S(940) x R which is the same relationship for the traditional pulse oximeter.
The equation for the noise reference is based on the value of R, the value being seeked to determine the SpO2. The
Model 450C software sweeps through possible values of R that correspond to SpO2 values between 1% and 100%
and generates an N' value for each of these R values. The S(660) and S(940) signals are processed with each possible
N' noise reference through an adaptive correlation canceller (ACC) which yields an output power for each possible
value of R (i.e., each possible SpO2 from 1% to 100%). The result is a Discrete Saturation Transform (DSTTM) plot
of Relative output power versus possible SpO2 value as shown in the following figure, where R corresponds to SpO2
= 97%.
The red light power range is 1mw to 3 mw.

The infrared light power range is 0.7mw to 3mw.
Relative

The DST plot has two peaks: the peak corresponding to the higher saturation is selected as the SpO2 value. This
entire sequence is repeated once every two seconds on the most recent four seconds of raw data. The Model 450C
SpO2 therefore corresponds to a running average of arterial hemoglobin saturation that is updated every two seconds.
WARNING: The pulse oximeter should NOT be used as an apnea monitor.
WARNING: The pulse oximeter should be considered an early warning device. If a trend towards patient
deoxygenation is indicated, blood samples should be analyzed by a laboratory co-oximeter to completely
understand the patient’s condition.
Caution: Use only sensors specified by Ivy Biomedical Systems, Inc. If you use sensors other than those
manufactured by the Masimo corp., it might degrade performance and could damage the pulse oximeter.
Caution: Tissue damage can be caused by incorrect application or use of the sensor. Check the sensor site
frequently. Do not allow the sensor to remain on one site for a prolonged period of time, especially when
monitoring neonates. Refer to the sensor’s specific instructions.
Caution: Never attach a SpO2 sensor on a limb being monitored with a blood pressure cuff or a limb with
restricted blood flow.
Caution: A poorly applied sensor might give incorrect saturation values. Reapply the sensor.
Caution: Choose a site with sufficient perfusion to ensure accurate oximetry values.
Caution: Certain nail aberrations, nail polish, fungus, etc. might give inaccurate oximetry values
Caution: Do not use the Model 450C Pulse Oximeter or sensors during Magnetic Resonance Imaging (MRI).
Pulse Oximetry Sensors

To ensure conformance with all safety and performance specifications, use only the recommended pulse oximetry
sensors.
Monitoring Procedure
Use the following procedure for monitoring pulse oximetry:
1. Choose a site that is well perfused and provides proper alignment of the LEDs and receiving photodetector
Select a site that has unrestricted blood flow
Do not restrict blood flow when securing sensor with tape
Select an appropriate sensor and apply it to the patient, following the directions for use provided with the sensor
Do not select a site near potential electrical interference (electrical cords, for example).
2. Connect the cable to the monitor’s SpO2 input.
3. Plug the sensor into the extension cable.
4. Use the procedures described in the following sections for alarm limit settings, response mode settings, and
enabling or disabling the SpO2 alarm.

PATIENT
SETUP
SpO2 ALARM
ECG/HR ON
AVERAGING
RESP/CO2 8 SEC
SENSITIVITY
SpO2 NORMAL
NIBP
INVASIVE BP
SpO2 Alarm Limits

2. Use the [PARAMETER] selection to display SpO2 % limit settings.
3. Use the [HIGH and ] selections to set the high SpO2 % limit.
4. Use the [LOW and ] selections to set the low SpO2 % limit.
Each time you press a key, the corresponding limit changes by 1 %. The current settings are shown on the
Response Mode Settings

1. Press PATIENT SETUP to display the menu. Select the [SpO2] to display the SpO2 menu..
2. Use the [SpO2 ALARM] selection to set the Alarms on/off.
3. Use the [AVERAGING] selection to set the response time – 6, 8, 10, 12, 14 or 16 sec.
4. Use the [SENSITIVITY] selection to set the sensitivity level. (Options – Normal and High). The High
sensitivity level should be used when the clinician wants to have absolute low perfusion performance of the
Masimo SET® and is willing to sacrifice some sensor off detection capability.
Default Values
The following defaults are set:
1. High SpO2 limit – set to 100.
2. Low SpO2 limit – set to 90.
3. Averaging – set to 8 sec.
4. Sensitivity – set to Normal.

Pulse Oximetry with ECG Off
When you are monitoring oxygen saturation but not ECG, set the ECG/HR menu setting to OFF to inhibit unwanted
LEAD OFF alarms. With these settings, the heart rate on the display is derived from the pulse waveform and has a
flashing pulse symbol for each detected heartbeat.
Use the following procedure to set ECG to OFF.
1. Press the PATIENT SETUP key to display the main menu. Select [ECG/HR] to display the ECG/HR menu.
2. Use the [ECG] selection to set ECG to off. When ECG is off, heart rate can be computed from the pleth
waveform.
NOTE: To set heart rate limits when using any heart rate source, use the ALARM SETUP menus as described in the
ECG Monitoring section of this manual.
Pulse Oximetry Considerations

If the accuracy of any measurement does not seem reasonable, first check the patient’s vital signs by alternate means
and then check the Model 450C Pulse Oximeter for proper functioning.
NOTE: The waveform displayed by the SpO2 signal is not proportional to the pulse volume.
Inaccurate measurements may be caused by:

• Incorrect sensor application or use
• Significant levels of dysfunctional hemoglobin (e.g., carboxyhemoglobin or methemoglobin) – see note.
• Intravascular dyes such as indocyanine green or methylene blue – see note.
• Exposure to excessive illumination, such as surgical lamps (especially ones with a xenon light source),
bilirubin lamps, fluorescent lights, infrared heating lamps, or direct sunlight (exposure to excessive
illumination can be corrected by covering the sensor with a dark or opaque material)
• Excessive patient movement
• Venous pulsations
• Placement of a sensor on an extremity with a blood pressure cuff, arterial catheter, or intravascular line
The Model 450C can be used during defibrillation, but the readings may be inaccurate for a short time.
Loss of pulse signal can occur in any of the following situations:

• The sensor is too tight
• There is excessive illumination from light sources such as a surgical lamp, a bilirubin lamp or sunlight
• A blood pressure cuff is inflated on the same extremity as the one with a SpO2 sensor attached
• The patient has hypotension, severe vasoconstriction, severe anemia, or hypothermia
• There is arterial occlusion proximal to the sensor
• The patient is in cardiac arrest or is in shock
NOTE: A pulse oximeter measures functional hemoglobin saturation. This is different to an arterial blood gas that
measures fractional hemoglobin saturation. Differences can occur when significant levels of HbCO
(carboxyhemoglobin), HbMET (methomoglobin) indocynanine green or methylene blue exist.

NIBP MONITORING
NIBP MONITORING
General Description
The Model 450C uses the oscillometric method for measuring non-invasive blood pressure (NIBP). The monitor
automatically inflates and then slowly deflates the pressure cuff. Pressure fluctuations from the arterial pulse are
detected by the monitor and used to determine the systolic, diastolic, and mean pressure. The monitor displays
numeric values for this measurement on the left side of the monitor. No waveform is displayed.
For proper NIBP monitoring, use the accessories listed in the Accessories section of this manual.
NIBP has three modes of operation: manual, automatic, and stat. Press the CYCLE key to set the desired mode. In
manual mode, a single measurement is taken by pressing the START key. Automatic mode generates measurements
at regular intervals until the STOP key is pressed. Intervals are programmable for 1, 2, 3, 4, 5, 10, 15, 20, 30, or 60
minutes.
In STAT mode, pressing the START key initiates a series of measurements taken for a five-minute period.
A tabular display shows data as it is measured at the time of each NIBP reading. The display contains columns for
time of day; systolic, diastolic, and mean NIBP; peripheral pulse measured from the NIBP cuff; respiration rate;
SaO2; invasive blood pressures and temperature. The latest four readings are displayed, and a scrolling procedure
allows you to display previous readings.
NIBP Monitoring Considerations

• Do not use this device on a patient who has an artificial heart or lung.
• Measurement might be impossible in case of continuous noise or when the patient’s pulse is highly irregular.
• When this device is used to measure the blood pressure of critically conditioned patients, the pressures should
be measured again by stethoscope or palpation if the indicated values are doubted.
• Since the pulse rate is measured at a distal part of the body, it might be different from the rate computed from
the ECG.
• Use of the correct size cuff and proper wrapping help ensure accurate measurements.
• Do not restrict or compress the external tubing.
• Compression of the cuff or hose can cause noise, which might interfere with the measurement.
• Try to keep the patient relaxed and quiet during the measurement. Muscle tension or talking can interfere with
the measurement.
• Check to be sure that use of the equipment does not result in prolonged impairment of the circulation of the
patient.
• The repeated use of the Short Term Automatic Mode (STAT MODE) for more than five minutes can caused
tissue damaged.

NIBP MONITORING
Cuff Placement
Proper cuff size and placement are essential to assure accurate blood pressure measurement.
The American Heart Association recommends that cuff sizes should be at a length-to-width ratio of about 2:1,
ensuring that if the bladder width is 40% of the arm circumference, the bladder length will encircle 80% of the arm.
Also, care should be taken to center the bladder directly over the brachial artery.
Cuff too narrow Cuff proper width
On the left, the bladder width is small for the arm, and full cuff pressure is never applied to the artery which can
caused an erroneously high pressure result. On the right, the bladder width is adequate for the arm, and full cuff
pressure is applied to the brachial artery.
Cuffs for thighs are available for large patients or those where neither arm is available for cuff placement. Blood
pressure measured at the thigh is typically 20-30 mmHg higher than blood pressure measured at the upper arm.
Monitoring Procedure
1. Connect the air hose fitting to the NIBP connector on the monitor’s side panel. To remove move the sleve
back and pull the air hose.
Also connect the other end of the air hose to the cuff fitting.
NIBP Air Hose Fitting Air Hose Fitting Cuff Fitting

connector Neonate
Sleve
Monitor’s Side Cuff’s Side

NIBP MONITORING
2. Apply the cuff to the patient as follows.
• Wrap the cuff snugly, with room between the cuff and arm for two fingers. If the cuff is wrapped too
loosely, it cannot be inflated properly causing possible errors in measured values.
• Wrap the bare arm when possible. If clothing oppresses the arm, measured values might not be reliable.
The end of the cuff should fall inside the range marked on the inside of the cuff. If it doesn’t, use a different
size cuff.
Heart
Cushion
• Keep the cuffed part of the arm at the same level as the heart. If it is above the level of the heart the blood
pressure measurement will be lowered. If it is below the heart level, the blood pressure will be raised (due
to the physical weight of the blood).
• Do not compress the cuff or the rubber hose externally. Compression of the cuff or the rubber hose will
cause measurement error. Rest the arm on a cushion to prevent compression against the body.
• Keep the patient as still as possible during the measurement.
WARNING: Always check the mode setting before starting an NIBP procedure. Monitoring a neonate in adult
mode can cause injury to the patient.
3. Select the NIBP monitoring mode as described in the following procedures.
4. Press the START key to initiate measurements.
5. Press STOP/DEFLATE to deflate the cuff and end all NIBP procedures.
If the monitor cannot obtain a valid reading in manual mode, it displays a small number 1 near the NIBP mean value
display and repeats the measurement. The monitor might try up to four measurements, depending on the problem,
until a valid reading is obtained, displaying the number of tries after each measurement.
After several unsuccessful tries, the monitor cancels the measurement and displays the CHK CUFF alarm message.
NIBP Graph
To display the NIBP graph, press the PATIENT SETUP key, select [NIBP], and select [DATA FORMAT] until it
is set at GRAPH.
The oscillation profile assists the clinician in determining the validity of the NIBP measurement. An erratic or flat
profile suggests that excessive motion or other artifact may have affected the measurement. A profile shaped like a
bell curve represents a measurement not affected by motion or other artifact.

NIBP MONITORING
NIBP Messages
If the monitor detects any problems with the measurement, one of the following messages is displayed. In most cases,
the monitor attempts to get a good reading several times before displaying the message. The number of attempts is
displayed near the NIBP readings.
Alarm Messages
CHECK CUFF: Check the cuff and hose connector for leaks.
Check for patient movement and check the cuff for proper attachment.
MOTION ARTIFACT: Check for patient movement.
LOW INFLATION: Check for insufficient monitor pressure because of high blood pressure.
ABNORMAL PULSE: Check for patient movement or arrhythmic patient.
TIME EXCEEDED: Check the cause of obstructed air discharge, such as patient movement or bent or crimped
hose.
HIGH PULSE RATE: Check the cause of obstructed air discharge, such as patient movement or bent or crimped
hose.
OVER PRESSURE: Check for folded arm of patient or bent hose.
WEAK PULSE: Check for improper attachment of cuff.
CHECK CUFF HOSE: Check for improper cuff or improper attachment of cuff.
CHECK CUFF SIZE: Check for neonatal cuff being used in ADULT mode.
Non-Alarm Messages
PRESS START: Indicates that you must press the NIBP START key to resume measurements.
MVT (movement): Indicates that the monitor detected some patient movement during the measurement and
the readings might be less reliable.
INOPERABLE: The monitor has detected an NIBP failure.
Tabular Scrolling
Use the following procedure to scroll the tabular display to view previous readings.
1. Press the PATIENT SETUP key and select [NIBP] to display the NIBP menu.
2. Select [SCROLL ] to scroll back or [SCROLL ] to scroll forward until the desired readings are
displayed.
3. Press EXIT to return to normal display. The data selected remains on the display until the next NIBP
reading or until the scrolling procedure is repeated.

NIBP MONITORING
Clear Tabular Data

Use the following procedure to delete all tabular data in memory without turning power off.
1. Press the SYSTEM SETUP key then select [TREND SETUP].
2. Select [CLEAR TRENDS] to delete all trend data in the monitor, including tabular data.
3. Select [CONFIRM] to proceed with clearing data or [CANCEL] to retain all data.
NIBP Mode Select

Press the CYCLE key in the front panel NIBP area repeatedly until the desired mode is displayed in the zone where
NIBP values are displayed.
Available modes are 1, 2, 3, 4, 5, 10, 15, 20, 30, or 60 minute automatic cycles, STAT, and OFF (MANUAL).
NIBP Alarm Settings

You must select one of the NIBP values (systolic, diastolic, or mean) to be used to trigger the NIBP alarm and then
set up upper and lower alarm limits.
NOTE:When the monitor alarms, there is a delay of <0.3s to the signal output connector for remote equipment.
1. Press PATIENT SETUP then select [NIBP] to display the NIBP menu.
2. Use [ALARM TYPE] to select the pressure to be used to trigger the NIBP alarm. Selections are SYS
(systolic). DIAS (diastolic), MEAN and OFF.
4. Press ALARM SETUP.
5. Use the [PARAMETER] selection to select NIBP.
6. Use the [HIGH and ] selections to set the high NIBP limit.
7. Use the [LOW and ] selections to set the low NIBP limit.
Each time you press a key, the corresponding limit changes by 2 mmHg. The current settings are shown on
NIBP Calibration
1. To enter the calibration mode, press TEST, ALARM RESET, and START at the same time.
2. Momentarily block the NIBP input and then attach the cuff to a manometer or other pressure measuring
device.
3. Pump in pressure, and compare the manometer reading to the reading on the monitor display.
4. Press STOP/DEFLATE to exit the calibration mode.
5. With a cuff attached to the NIBP input, enter the calibration mode as described above. One minute after the
monitor reaches a maximum pressure reading, leakage should be <5 mmHg/3 min.

TEMPERATURE MONITORING
TEMPERATURE MONITORING
Use only YSI Series 400 temperature probes or equivalent. Probes and cables are available from Ivy Biomedical
Systems.
WARNING: Disposable probes are for single use only. Do not attempt to re-use these products.
1. Connect the temperature cable to one of the TEMP connectors on the monitor’s side panel.
2. Locate the probe on the patient and wait for the probe temperature to stabilize.
The temperature is displayed at the bottom of the screen. The label T1 refers to TEMP 1, the connector to the
left; the label T2 refers to TEMP 2.
When both temperature probes are connected to the monitor, the difference between the two temperatures (∆T)
is displayed in Zone 5.
Temperature Alarms Description

Alarm limits for each of the two temperature channels may be set via the Alarm Setup menu, in the same manner as
setting other limits.
Temperature alarms may be set to off, (The default is off).
Temperature alarm messages appear in the alarm overflow area (lower left corner of the screen).
Temperature alarms are never latched, even if the latched alert option is enabled for other parameters.
ALARM
SETUP
PARAMETER
T1

HIGH
39.2


LOW
36.0


ALARM MESSAGES
ALARM MESSAGES
The following is a list of alarms and ranges for which they can be set. When the alarm triggers, the alarm indicator
flashes on the display and the audio alarm tone sounds. Pressing ALARM RESET turns off any alarms that have
triggered.
If the measurement returns to within the limits, the alarm turns off.
The ALARM PAUSE key disables the alarms for two minutes or until ALARM PAUSE is pressed again.
High heart rate: 15 to 300 bpm in 5 bpm increments
Low Heart Rate: 15 to 300 bpm in 5 bpm increments
High Resp Rate: 5 to 150 br/min in 5 br/min increments
Low Resp Rate: 5 to 150 br/min in 5 br/min increments
High ETCO2: 10 to 100 Torr in 2 Torr increments
Low ETCO2: 10 to 100 Torr in 2 Torr increments
NIBP High: Selectable systolic, diastolic, or mean 10 to 300 mmHg in 2 mmHg increments
NIBP Low: Selectable systolic, diastolic, or mean 10 to 300 mmHg in 2 mmHg increments
NOTE: For additional NIBP alarm conditions, see the NIBP Monitoring section of this manual.
IBP High: Selectable systolic, diastolic, or mean; -40 to 300 mmHg in 2 mmHg increments
IBP Low: Selectable systolic, diastolic, or mean; -40 to 300 mmHg in 2 mmHg increments
NOTE: Invasive and non-invasive pressures can be set to alarm on systolic, diastolic, or mean.
High SpO2: 50 to 100%in 1% increments
Low SpO2: 50 to 100% in 1% increments
Asystole: R-to-R interval >6 seconds
No Pulse: When triggering from pleth or invasive pressure, the interval between heartbeats exceeds six seconds
Lead Off: Detached lead or offset potential ≥0.5 V. This alarm is not reset by the ALARM RESET key
Coincidence: When QRS and respiration triggers are synchronized for eight consecutive events
Apnea: Absence of detectable respiration activity for 5, 10, 15, or 20 seconds, selectable

MONITOR TESTING
MONITOR TESTING
Press and hold the TEST key to test the internal functions of the monitor. You should do this each time you begin
monitoring a patient.
The TEST function generates a 1 mV ECG pulse at 70 bpm, a respiration signal at 70 br/min and a coincidence
check, which are displayed on the display and are available at the rear panel connector. The monitor also displays
invasive pressure readings of 150/50 and temperature readings of 40°C. If these indications are not present, contact
qualified service personnel.
To test the visual and audio alarms turn on the monitor and press the ALARM PAUSE key. Check that the LEAD
OFF messages is displayed on the ECG channel and the audio alarm is on. While pressing the TEST key check for
the following sequence to happen: 1) LEAD OFF message disappear, 2) Monitor starts counting QRS, 3) HR<40
message appears on ECG channel, audio alarm is triggered, 4) RR<10 message appears on ECG channel, audio
alarm is triggered, 5) A few seconds after the HR<40 message disappeared, a COINCIDENCE message is displayed
on the Respiration channel. Stop pressing the TEST key and press ALARM OFF, all audio alarms should be silenced
and visual alarms should be displayed.
Under normal operation, no internal adjustment or recalibration is required. Safety tests and internal adjustments
should be done by qualified personnel only. Safety checks should be performed at regular intervals or in accordance
with local or governmental regulations. In the event that internal adjustment or recalibration is necessary, refer to the
Operation and Maintenance Manual for this equipment.
Note:
If no display is visible on the monitor, the monitor is inoperable. Contact qualified personal. When ECG input is
>0.5 V, a inoperable condition is indicated by flashing LEAD OFF indicator on the display.

MAINTENANCE AND CLEANING
The Monitor
When necessary, clean the exterior surfaces of the monitor with a cloth or swab dampened with a warm water and
mild detergent solution. Do not allow liquids to enter the interior of the instrument.
CAUTION:
• Do not autoclave, pressure sterilize, or gas sterilize the monitor.
• Do not soak or immerse in any liquid.
• Use cleaning solution sparingly. Excessive solution can flow into the monitor and cause damage to internal
components.
• Do not touch, press or rub the display and covers with abrasive cleaning compounds, instruments, brushes,
rough surface materials, or bring them into contact with anything that could scratch the display or the
covers.
• Do not use petroleum based or acetones solutions, or other harsh solvents, to clean the monitor.
Patient Cables
Do not autoclave the patient cables.
Wipe the cables using a mild detergent solution. Never submerge the cables in any liquid or allow liquids to enter
the electrical connections.
Reusable Pressure Transducer

1. Remove the dome.
2. Clean the transducer as recommended by manufacturer.
CAUTION: Do not immerse any part of the electrical connector of the transducer in the cleaning solution at any
time. Examine the outer sheath of the cable for perforations. If the outer covering is damaged in any way, do not
immerse the cable in the cleaning solution; this might result in moisture entering the transducer case, which is vented
through the cable.
WARNING: If liquids are permitted to enter the electrical connector, resistance between the electrical element and
the transducer case should be checked to ensure that the leakage current is below acceptable levels for safe use on
patients.

Cleaning and Reuse of SpO2 Sensors

Reusable sensors can be cleaned as follows:
1. Remove the sensor from the patient.
2. Clean the sensor as recommended by the manufacturer.
NOTE: If the sensor fails to track the pulse consistently, the sensor might be incorrectly positioned. Reposition the
sensor or choose a different monitoring site.
CAUTION: Do not soak or immerse the sensor in any liquid solution. Do not sterilize any sensor by irradiation,
steam, or ethylene oxide.
Reusable Temperature Probes

Clean the probes as recommended by the manufacturer.
CAUTION: Probe plugs should not be immersed.
CAUTION: Never boil the temperature probe. Autoclaving might cause the insulation to fail, and might also cause
the probe to give inaccurate readings.
EtCO2 Sensor and Airway Adapters

The Sensor Head, Head Cables(s) and Airway Adapters should be cleaned as recommended by manufacturer.
CAUTION Do not immerse the Head or Cables in cleaning solution or any other liquids. The Sensor Head can not be
sterilized.
Preventive Maintenance
ECG & RESP
Check that:
• Cables and Leads are clean and intact.
• The LEAD OFF message is displayed when the patient cable is connected, but the patient leads are not
connected. Connecting the patient leads together should make the message disappear.
SpO2
Check that:
• Cables and Leads are clean and intact.
• The probe is functioning (place it on a finger).
Temperature
Check that:
• Temperature probe and cable are clean and intact.
• Both channels are working (connect a temperature probe).

Invasive Blood Pressure
Check that:
• Cables and pressure transducers are clean and intact.
• The device recognizes cable connection (activated on the display).
• The zeroing of transducers is working correctly.
Non Invasive Blood Pressure

Check that:
• The cuff and hose are clean and intact.
• A few seconds after turning the monitor on the message “PRESS START” appears in the NIBP zone.
EtCO2
Check that:
• The cable and sensor are clean and intact.
• The probe is functioning. Connect the sensor to the monitor and verify the light on the head of the sensor turns
on and the “WARMING UP” messages is displayed on the screen.

ACCESSORIES
ACCESSORIES
ECG/Respiration
Standard Three-Lead
Three-lead patient cable 590170
Patient leads 590162
Optional Five-Lead
Five-lead patient cable 590167
NOTE: For proper respiration monitoring, cable capacitance between the RA and LA leads must be 400 ±100 pF.
For units used in Australia
Three-lead patient cable with 1kΩ series resistors 590197

Five-lead patient cable with 1kΩ series resistors 590207

ETCO2
Adult Airway Adapter 590186
Pediatric/Neonatal Airway Adapter 590188
ETCO2 Sensor with Span Chech and one Adult Airway Adapter 2315-00-01
Invasive Pressure
Pressure transducer reusable 590252
Cable for reusable pressure transducer 590251
Disposable transducer domes (Box of 50) 590253
Disposable pressure transducer (Box of 10) 590016
Cable for disposable pressure transducer 590235

ACCESSORIES
Non-Invasive Pressure (NIBP)

Disposable Cuffs
Neonatal Cuff, bladderless (3–6 cm) 590239
Child Small Cuff, full bladder (13–20 cm) 590267
Adult Small Cuff, full bladder (18–26 cm) 590268
Adult Cuff, full bladder (26–35 cm) 590269
Reusable Cuffs
Infant Cuff (8–14 cm) 590270
Child Cuff (13–20 cm) 590271
Adult Small Cuff (18–26 cm) 590272
Adult Cuff (26–35 cm) 590273
Adult Large Cuff (32–42 cm) 590274
Adult Thigh Cuff (42–50) 590275
Cuff Hoses
For use with all disposable cuff (yellow hose). 2686-00-01
For use with all reusable cuffs (black hose). 2689-00-01
Temperature
Reusable temperature probe – rectal/esophageal 590003
Reusable temperature probe – skin 590005
Reusable cable for YSI disposable probes 590000
Disposable temperature probe YSI Series 400 or equivalent 590001
Disposable skin temperature probe 590002
Recorder
Recorder Paper, box of 10 rolls 590035

ACCESSORIES
SpO2 Reusable Sensors
Adult LNOP DC-1 Finger Sensor, Reusable 590227
SpO2 Disposable Sensors

Neonatal LNOP-Neo, Disposable Sensor, Box of 20 590223
Pediatric LNOP-Pdt, Slender Digit Disposable Sensor, Box of 20 590222
Neonatal Pre-term LNOP-NeoPt, Disposable Sensor, Box of 20 590224
Adult LNOP-Adt, Disposable Sensor, Box of 20 590221
SpO2 Patient Cables
Patient Cable, 8 ft PC08 with LNOP Sensor Connector 590220
Patient Cable 12 ft PC12 with LNOP Sensor Connector 590230
SpO2 Starter Kits

Starter Kit with 2 LNOP-Adt and 2 LNOP-Pdt sensors, and
12’ PC12 sensor cable 590225
Starter Kit with 2 LNOP-Neo and 2 LNOP-NeoPt sensors, and

8’ PC08 sensor cable 590226
Starter Kit with Adult LNOP-DC1 finger sensor, reusable and

PC08 sensor cable 590228
Disposal
Disposal of devices or consumables must be done in accordance with local, state, and federal laws and regulations.
WEEE Directive 2002/96/EC.- Do not dispose of WEEE products in general waste. At the end of life of product
contact IVY Biomedical Systems, Inc. customer service for return instructions.

REAR PANEL OUTPUTS
REAR PANEL OUTPUTS
Analog Output Connector
Pin Signal Output

1 ECG X1000 1 V = 1 mV input
0.5 to 40 Hz filtered
0.05 to 100 Hz diagnostic (Adult Mode only)
2 ECG Adult: X1000 (1 V = 1 mV input)
Neonate: X2000 (1 V = 0.5 mV input)
3 RESPIRATION 2.5 V peat-to-peak maximum (±1.25 V), variable with front panel control
4 IBP1 10 mV/mmHg, 0 mmHg = 0 mV ±50 mV (after Auto-Zero)
5 IBP2 10 mV/mmHg, 0 mmHg = 0 mV ±50 mV (after Auto-Zero)

6 PLETH Waveform, 1.2 V peak-to-peak maximum. No sensor = +0.6 V
7 HEART RATE 16.6 mV/bpm, 300 bpm max, 60 bpm = 1 V, 120 bpm = 2 V, 300 bpm = 5 V
8 SpO2 50 mV/% SpO2 100% max, 100% = 5 V
9 No Connection
10 GROUND Ground
11 EtCO2 50 mV/mmHg 38mmHg = 1.90 ± 50 mV

12 ALARM OUT High +5 V (>2.4 V) when an alarm is present
13 GRAPH OUT Relay closure for remote recorder
14 GRAPH COM
15 UNIT ON
16 NURSE CALL Relay closure for Nurse Call option
17 N.C. COMMON
18 LEAD OFF ALARM High +5 V (>2.4 V) when a lead off alarm is present
19-25 No Connection
For the mating connector, use Ivy P/N 188505, 25-pin plug for 22-26 AWG wire. Use RFI/EMI shielded cable
clamp, Ivy P/N 210032, 15-conductor shielded cable, Ivy P/N 600005, and a ferrite bead, Ivy P/N 150025, at the
monitor end of the cable.
82 Vital-Guard 450C Operation and Maintenance

Manual
REAR PANEL OUTPUTS
COM 1 & COM 2 Connectors
Pin Signal Output

1 No Connection
2 RECEIVE DATA Not Used
3 TRANSMIT DATA RS-232 ±9 V (±5 V min.)

4 Not Used
5 SIGNAL GROUND Reference for COM 1 signals
6 Not Used
7 REQUEST TO SEND Not Used
8 CLEAR TO SEND Not Used
9 Not Used
For the mating connector, use Ivy P/N 179004, 9-pin receptacle for 22-26 AWG wire. Use RFI/EMI shielded cable
clamp, Ivy P/N 210030, and 5-conductor shielded cable, Ivy P/N 600002.
RJ45 Connector (option in place of COM 2)

Pin Signal
1 TRANSMIT DATA
2 SIGNAL GROUND
RJ45
3 RECEIVE DATA
4 Not Used
VIEWED FROM
REAR OF MONITOR
5 Not Used
6 SIGNAL GROUND
7 Not Used 1
8 Not Used

REAR PANEL OUTPUTS
Configuration Menu
To access the configuration menu hold both the TEST button and the EXIT button in while switching the power ON.
Use the arrow keys ( ⇑ ⇓ ) to scroll to the function to be changed.
Use the CHANGE OPTION key to select the desired option.
CAUTION: Configuration is carefully preset at the factory based on which parameters and options have
been installed. Extreme care should be taken when altering any of these settings and all users
should be informed of changes
Configuration Menu
FUNCTION OPTIONS
ECG 3 LEAD 60Hz 3 LEAD 50Hz 5 LEAD 60Hz 5 LEAD 50Hz
RESP ABSENT IMPEDANCE CO2 IMP + CO2
SpO2 ABSENT NELLCOR MP204 MASIMO NELLCOR MP405
NIBP ABSENT COLIN
TEMP ABSENT SINGLE DUAL
INVASIVE BP ABSENT SINGLE DUAL
RECORDER ABSENT PRESENT
COM 1 ABSENT HTS820TC HTS820 THERMALINK
COM2/ETHERNET ABSENT CPC REV C ANSAR REV B
AUDIO OFF FEATURE ABSENT PRESENT
LATCHING ALARMS ABSENT PRESENT
PRIORITY ALARMS ABSENT SCHEME 1 SCHEME 2
INITIAL LIMITS DEFAULTS STORED
TEMP UNITS DEGREES F DEGREES C
PRESSURE UNITS KPA MMHG
PRESSURE SITE LABELS ABSENT PRESENT
CO2 UNITS KPA MMHG PERCENT
ALARM TONE 3.0 KHZ 3.5KHZ 4.0KHZ
TAB RETENTION NONE ONE HOUR PERMANENT TWO HOUR
DATE FORMAT MM/DD/YYYY DD/ MM/YYYY
KEYPAD TYPE 17 KEYS 20 NO LIGHT 20 + LIGHT

Manual
TESTING AND TROUBLESHOOTING
General
Press and hold the TEST key to test the internal functions of the monitor. You should do this each time you begin
monitoring a patient.
The TEST function generates a 1 mV ECG pulse at 70 bpm, a respiration signal at 70 br/min and a coincidence check,
which are displayed on the display and are available at the rear panel connector. The monitor also displays invasive
pressure readings of 150/50 and temperature readings of 40°C. If these indications are not present, continue with
troubleshooting procedures.
Under normal operation, no internal adjustment or recalibration is required. Safety tests and internal adjustments should
be done by qualified personnel only. Safety checks should be performed at regular intervals or in accordance with local or
governmental regulations.
ECG Test
Equipment Required
ECG Simulator (Fogg Model M310 or equivalent)
Initial Settings for the Test
HR high alarm limit 150

HR low alarm limit 50
Lead select I
Filter ON
ECG Size 10 mm/mV
Alarms ON (ALARMS OFF message not displayed)
Test Procedure
1. Connect the patient cable and simulator to the monitor and set the simulator as follows:
• Heart rate of 80 bpm
• Amplitude of 1.0 mV
2. Observe the following on the monitor display:
• ECG Lead I is displayed with an amplitude of approximately 10 mm and is noise free
Press FREEZE to check the waveform if necessary.
• Heart rate of 80 ±1 bpm
• The heart next to the heart rate indicator flashes with every QRS complex displayed.

3. Verify that ECG Leads I, II, III, aVR, aVL, aVF, and V display properly as shown below.
4. Check the LEADS OFF alarm by removing one lead at a time from the simulator.
5. Change the heart rate on the simulator to 40 bpm. Notice the following:
• The HR <50 message appears on the display.
• Heart rate value of 40 ±1 bpm is displayed.
6. Press ON/OFF. Notice the following:
• Audible alarm stops
• Alarms Off message is displayed.
7. Press ON/OFF. The Alarms Off message goes off.
8. Set the simulator heart rate to 200 bpm. The HR >150 message is displayed, and an audible alarm sounds.
9. Set the simulator to 80 bpm.
Pressure Test
Equipment Required
Transducer Simulator (Fogg Model BP48C or equivalent)
Test Procedure
1. Press and hold the monitor's TEST button. The monitor's pressure reading should be 150/50.
2. Connect the simulator output to the monitor's pressure input.
3. Set the simulator output to 0 mmHg.
4. Zero the pressure channel.
5. Set the simulator to 100 mmHg output.
6. Set the monitor's blood pressure range to 120.
7. Check for the proper level on the monitor's display.
8. Repeat for the second pressure channel.

Respiration Test
Equipment Required
Respiration Simulator (Fogg Model M98 or equivalent)
Test Procedure
Connect the BLACK (LA) and RED (LL) leads to the black simulator terminal. Connect the WHITE (RA) lead to the
white simulator terminal.
1. Set the monitor to NEONATAL mode and the front panel RESP SIZE to 50%.
2. Set the simulator as follows:

Power: ON
Rate: 50 br/min
Variation: 0.5 Ω
Toggle Switch: NORM.
Base Impedance: 1 kΩ
The triggering should be consistent and the rate should be 50 ±1 br/min.
3. Set the monitor to ADULT mode. Check for the displayed amplitude to drop approximately 50%.
The triggering should be consistent and the rate should be 50 ±1 br/min.
4. Turn the simulator power off. Set the APNEA DELAY to 20 seconds. The respiration must not trigger. Check
for an APNEA alarm in 20 seconds.
Temperature Test
Equipment Required
Temperature Simulator (Fogg Model TP-69 or equivalent)
Test Procedure
1. Connect the SERIES 400 TEMPERATURE OUTPUT of the simulator to the monitor's TEMP input.
2. Set the output of the simulator to 37°C. The monitor's temperature reading should be 37°C ±0.1°C.
3. Check the monitor's output at 20°C and 40°C.
4. Repeat for the second temperature channel.
Pulse Oximeter Test

Equipment Required
Sensor with cable
Test Procedure
1. Connect the patient cable to the monitor and the sensor to your finger.
2. Check for waveform, SpO2 reading, pulse rate, bar indicator, and audio tone.

ETCO2 Test
Equipment Required
EtCO2 sensor with cable.
Test Procedure
1. Make sure the EtCO2 waveform is displayed in either zone 2, 3, or 4.
2. Check for the NO SENSOR message to be displayed.
3. Plug in the EtCO2 sensor and place the airway adaptor on it. The sensor should illuminate and the display should
indicate that the sensor is warm-up. Warm-up should conclude in 3-5 minutes.
4. Through the RESP/CO2 menu, zero the sensor and check for the ZERO OK message to be displayed.
5. Remove the airway adaptor from the sensor and make sure the OFF AIRWAY message is displayed.
6. Place the span check cell on the sensor. Through the RESP/CO2 menu run the SPAN CHECK test, and wait for
the SPAN OK message.
7. With the span check cell still on the sensor, check for the EtCO2 value and waveform to be within the percentage
value of the Barometric Pressure (760mmHg) printed on the span check cell.
(Span Check Value = %value * 760/100)
NIBP Test
Equipment Required
Cylinder, such as bottle or coffee can

NIBP cuff, hose, and Y-connector
Manometer or other pressure measuring device
Test Procedure
1. To enter the calibration mode, press TEST, ALARM RESET, and START at the same time.
2. Momentarily block the NIBP input and then attach the cuff to a manometer or other pressure measuring device.
3. Pump in pressure, and compare the manometer reading to the reading on the monitor display.
4. With a cuff attached to the NIBP input, enter the calibration mode as described above. One minute after the
monitor reaches a maximum pressure reading, leakage should be <5 mmHg/3 min.
Recorder Test
Use the following procedure to verify that the recorder is operating properly.
1. Set the recorder to print ECG and respiration waveforms and set the recorder to TIMED mode.
2. Press PRINT and then press and hold the TEST key for at least 30 seconds.

The recorder prints waveforms that match the waveforms on the display. The recorder continues printing for 30
seconds and then stops.
Battery Test
1. Disconnect the power cord from the monitor so that it is operating on battery.
2. In approximately 30 seconds, the battery indicator should appear in the lower right corner of the display.
3. Connect the power cord. Verify that the charging light starts flashing (pre-charged qualification) and that after a
few minutes either one of the following conditions occur: the charging light stays on (fast charging) or the
charged led goes on (maintenance charging).
4. If the fault light goes on replace the battery immediately.
Isolation and Leakage Tests

Use a leakage tester or use the ac voltage range on a digital voltmeter to measure across a 1 kΩ resistor as shown below.
CAUTION: Be careful to connect the circuit below only between the measurement points indicated in the following
instructions. Do not connect this circuit directly across line voltage. Full line voltage would damage the measurement
circuit and could possibly damage the monitor and/or the digital voltmeter.
DMM
A.C. VOLTS
TO CIRCUIT
0.015µf 1kΩ BEING
MEASURED
1. Measure between a known ground and the monitor’s ground post on the rear panel. With the line cord properly
grounded, with the ground removed, and with the line cord reversed, the readings should be
<100 µA.
2. With the line cord grounded, measure between shorted patient leads and the hot side of the ac line. The reading
should be <10 µA.

System Error Messages

Numeric messages might appear in the lower right corner of the display if the processor detects a problem with the
monitor. If a message appears, contact Ivy Biomedical Systems Service Department.
When you call, have the following information available:
Model Number
Serial Number
Numeric Error Message
Procedure being performed when the message appeared
System Error Messages & Solutions

Error Meaning Solution
1 The EPROM checksum test has failed. Replace U57 (2600-00-04) on Mother Board (5143-00-
01) board or replace U53 (2601-00-04) on Mother Board
(5143-00-01) board or replace Mother Board (5143-00-
01).
2 The static RAM test has failed. Replace Mother Board (5143-00-01).
3 The non-volatile (clock chip) RAM test has failed. Replace Lithium Battery (330115) or replace Mother
Board (5143-00-01).
4 An undefined interrupt has been detected. Replace Mother Board (5143-00-01)
5 A system timing error has been detected. Replace Mother Board (5143-00-01)
6 No DSP data has been received. Replace Mother Board (5143-00-01).
7 A DSP communication error (framing, overrun, Replace Mother Board (5143-00-01)

etc) has been detected.
8 Bad DSP data has been received (ie: a bad header Replace Mother Board (5143-00-01)
byte).
9 An unknown error has been detected. Replace Mother Board (5143-00-01)

Simplified Block Diagram
ECG
&
RESP MUX
A/D DSP Uart
ECG
ISOLATED
Temp 1 INPUT
BOARD
Temp 2
Resp
Press 1
Analog &
Press 2 Serial COM ports
Inputs
Temp &
Pressure
Recorder
Processor
Front
Panel
SpO2 SpO2 SpO2
Module Power Video
Generator Display
EtCO2 EtCO2
EtCO2
Module Power
NIBP
NIBP
Module
90-230VAC Mains BAT 1

Power Battery
47-63 Hz Filter Supply Charger
BAT 2
450C Mother Board (5143-00-01)

REPLACEMENT PARTS
REPLACEMENT PARTS
Printed Circuit Boards

Part Ivy Part Number
450C Monitor Mother Board 5143-00-01

Isolated Input Board (ECG/RESP, 2Temps & 2Press) 5144-00-01
Isolated Input Board (ECG/RESP) 5144-01-01
Isolated Input Board (ECG/RESP & 2Temps) 5144-02-01
Isolated Input Board (ECG/RESP & 2Press) 5144-03-01
EtCO2 Interface Board 5108-00-01
Modules and Assemblies

Replacement Battery 110007

EOS Power Supply 60W 580025
Masimo Sp02 Module (MS-3) 580022
Colin M2000 NIBP Module 580024
EtCO2 Signal Processor Board 580011
EtCO2 Power Board 580012
LSI Telemetry Transmitter Module Kit 580016
Ethernet Module 580026
Color Display 570013
Recorder 380004
Rubber Feet 680010
Pneumatic Hose for NIBP 560000
Window 2457-00-13
Speaker Assembly 2616-00-10
Fan Assembly 2620-00-10
Rear Enclosure (Rear bezel) 2566-00-11
Front Bezel 2565-00-11
Handle 2570-00-11
Fuses
CAUTION: To ensure safety and reliability, always replace fuses with the type specified.
Part Description Ivy Part Number
Power Entry Module (2) 1.6ASB, 5x20mm 290021

Mother Board – F1 5ASB, ASSY, SMT. 290503
Mother Board – F2, F3 & F4 3/8ASB, ASSY, SMT 290502

Manual
REPLACEMENT PARTS
Cables and Harnesses

Masimo Internal Sp02 Cable 2451-01-01

Andros Internal EtCO2 Cable 2317-01-01
EtCO2 Signal Power Supply Harness Assembly 2335-00-01
EtCO2 Signal Interface Harness Assembly 2336-00-01
Backlight Inverter 2470-01-10
NIBP Interface Ribbon 2609-00-10
Recorder Interface Ribbon 2608-00-10
COM 1 & COM 2 Interface Ribbon 2614-00-10
Telemetry Interface Ribbon 2611-00-10
Power Supply Input 2612-00-01
Power Entry Module 2613-00-01
Display Interface Ribbon 2615-00-10
Analog Output Interface Ribbon 2619-00-10
Horizontal Front Panel 2605-00-10
Vertical Front Panel 2577-00-10
Harness Interface Ribbon 2466-00-10
Labels
Front Panel Label, Vertical 2458-00-10

Front Panel Label, Horizontal 2596-00-10
Ivy Model Number Label (Masimo) 2599-01-10
Rear Panel Label 2598-00-10
Input Connector Label (ECG/Resp, NIBP, Sp02, 2Temp, 2Press, EtCO2) 2597-01-10
Input Connector Label (ECG/Resp, NIBP, Sp02, 2Temp, 2Press) 2597-03-10
Input Connector Label (ECG/Resp, NIBP, Sp02 , 2Temp) 2597-05-10
Input Connector Label (ECG/Resp, NIBP, Sp02 , 2 Press) 2597-07-10
Input Connector Label (ECG/Resp, NIBP, Sp02) 2597-09-10
Software
Part Description Ivy Part Number
Mother Board – U57 450C Program (1 of 2) 2600-00-04

Mother Board – U53 450C Program (2 of 2) 2601-00-04
Mother Board – U26 DSP software 2636-00-04
Mother Board – U98 450C Video 2634-00-04

DISASSEMBLY AND ASSEMBLY
Covers
WARNING: To prevent equipment damage and possible personal injury, always remove the power cord from the
instrument.
1. Remove the four screws that secure the back half frame to the front half frame (front bezel).
2. Carefully unplug the following harnesses from the 450C mother board: Power harness, ground connector,
COM1 & COM2 harness, ECGX1000, ANALOG OUTPUT harness, NIBP harness, Recorder harness,
SpO2 Connector, EtCO2 connector (if available) and Ethernet connector (if available).
The monitor should be open in two, the front half and the back half. Attached to the front half is the Mother board
(5143-00-01), the color display and both horizontal and vertical faceplates. The back half contains the batteries,
NIBP pump, Analog and digital outputs, the EOS power supply and the isolated input board (5144-00-01).
Rear Panel Fan

Outputs
NIBP Pump
Batteries
Handle EOS Power

Supply
Back Half
Frame
Isolated
Input
Ethernet EtCO2 Interface Board
Module Board
EtCO2
450C Mother Module
Board
SpO2 Module
Front Half
Frame
Color
Display
Speaker

Printed Circuit Boards

450C Mother (5143) Board
1. Open the monitor as describe in the previous section.
2. Take the front half of the monitor and remove the three screws (located at each corner of the 5143 board)
that hold the board to the front half.
3. Disconnect the front panel interface ribbon cable and the speaker harness.
EtCO2 Module Interface (5108) Board
The EtCO2 module interface board is mounted on the Mother board next to the SpO2 module and the EtCO2
module.
1. Open the monitor as described above.
2. Disconnect the EtCO2 signal interface harness and EtCO2 power supply harness from J204 and J202 on the
EtCO2 mother interface board.
3. Remove the three nylon screws that hold the EtCO2 interface board and carefully pull it up to release it
from the Mother board.
EtCO2 Module
The EtCO2 module is mounted on the Mother board next to the SpO2 module.
2. Disconnect the EtCO2 signal interface harness and EtCO2 power supply harness from J204 and J202 on the
EtCO2 module.
3. Remove the three screws that hold the EtCO2 module to the Motherboard.
Masimo SpO2 Module
The Masimo module is attached to the 5143 board (the module is approximately at the middle of the 5143 board).
2. Unplug the ribbon cable from the Masimo module.
3. Remove the three nylon screws that secure the module.

Isolated Input Board
NOTE: The screws securing the side panel to the monitor are covered by an adhesive label with the identification
for the connectors on the panel. To gain access to the screws, you should carefully lift the label to expose the screws.
If the label is damaged, it can be replaced by ordering Ivy P/N 2597-01-10.
1. Remove the four screws that secure the front half (front bezel) and back half of the monitor and unplug all
the ribbon cables and harnesses from the 450C motherboard.
2. Remove the nuts from the outside of the temperature jacks (if present) and peel the adhesive label.
3. Unscrew the EtCO2 input connector (if present) and remove it from the monitor’s frame.
4. Remove the four screws that secure the isolated input board to the monitor’s frame.
5. Remove the two screws that hold the SpO2 input cable and pull it out from the monitor’s frame.
Front Panel
Use the following procedure to replace the horizontal front panel assembly.
the ribbon cables from the 450C motherboard.
2. Take out the three screws that secure the motherboard to the front half and carefully remove the board.
3. Carefully disconnect the 18 pin Interface ribbon cable and the speaker harness from the motherboard.
4. Disconnect the 10-pin ribbon cable that connects the vertical and horizontal faceplates.
5. Remove the four hex nut that hold the horizontal front panel to the front bezel (front half).
6. Pull the horizontal front panel out.
CAUTION: Do not bend any pins when removing the front panel connector from the Mother Board. Bent pins
might require replacement of the Mother Board.
Use the following procedure to replace the vertical front panel assembly.
2. Take out the three screws that secure the motherboard to the front half and carefully remove the board.
3. Carefully disconnect the 18 pin Interface ribbon cable and the speaker harness from the motherboard.
4. Disconnect the 10-pin ribbon cable that connects the vertical and horizontal faceplates.
5. Remove the two hex nut that hold the vertical front panel to the front bezel (front half).

6. Pull the vertical front panel out.
CAUTION: Do not bend any pins when removing the front panel connector from the Mother Board. Bent pins
might require replacement of the Mother Board.
EOS Power Supply

2. Remove the Isolated Input Board.
3. Remove the four screws that secure the EOS Power Supply to the monitor’s back frame.
4. Disconnect the connectors from the EOS Power Supply, including the ground wire connector.
Recorder Assembly
1. Open the recorder door and remove the paper from the recorder.
2. Loosen the two captive Philips-head screws inside the recorder housing.
3. Pull the Recorder Assembly straight out from the monitor.
NIBP Module
The NIBP module is mounted in the back half frame of the unit under the NIBP mounting bracket.
2. Remove the recorder (if present) as described above.
3. Remove the two hex-nut that hold the ground points over the NIBP mounting bracket and remove all
ground wires.
4. Remove the four screws (located to the sides of the bracket) that secure the NIBP mounting bracket to the
back half frame and take the bracket out; the NIBP pump is attached to it.
5. Once the bracket is out, remove the four screws placed at each corner of the bracket and release the NIBP
pump.
Battery Removal
The batteries are secure to the back half frame of the monitor by the Battery bracket. The Battery bracket has to be
removed to replaced the batteries.

2. Unplug the wires at the batteries terminals.
3. Remove the four screws that hold the battery bracket to the unit. Two screws are located on the rear panel
and the other two are in the bottom of the back half frame.
4. Remove the battery bracket and the batteries.
Display Assembly
The Display Assembly is mounted on the front half frame under the motherboard. To remove the Display Assembly
follows the next steps:
2. Remove the motherboard as described previously. Unplug the speaker harness and the front panel ribbon
cable from the motherboard.
3. Remove the four screws that hold the display to the front half frame and lift the display up.
NOTE: When installing back the display, the screws must be tight at 60 lb/in
4. Remove the four screws that secure the Display Power Supply to the front bezel.
NOTE: The Display Assembly and Display Power Supply must be replaced as a pair.
Speaker
1. Open the monitor as described in the first section of this chapter.
2. Remove the Mother Board and unplug the speaker harness.
3. Pull the speaker out from its location.

BOARD LAYOUT DIAGRAMS
1. EtCO2 Interface Board 5108-00-02
2. 450C Monitor Mother Board (front) 5143-00-02
3. 450C Monitor Mother Board (back) 5143-00-02
4. Isolated Input Board (solder side) 5144-00-02
5. Isolated Input Board (connector side) 5144-00-02
Vital-Guard 450C Operation and Maintenance Manual A

Vital-Guard 450C Operation and Maintenance Manual

SCHEMATIC DIAGRAMS
SCHEMATIC DIAGRAMS
1. EtCO2 Module Interface Board 5108-00-01
2. 450C Monitor Mother Board 5143-00-01

a. 5143 Main (1 of 16)
b. Analog (2 of 16)
c. Bypass (3 of 16)
d. COMM (4 of 16)
e. Color CPU Main (5 of 16)
f. DSP Processor (6 of 16)
g. DSP Power Supply (7 of 16)
h. ECG Front End (8 of 16)
i. Ethernet Power Supply (9 of 16)
j. Glue (10 of 16)
k. CPU Memory (11 of 16)
l. Power Supply (12 of 16)
m. Resp (13 of 16)
n. SpO2 Power Supply (14 of 16)
o. Temp Pressure Front End (15 of 16)
p. Video FPGA (16 of 16)
3. Isolated input board 5144-00-01
Vital-Guard 450C Operation and Maintenance Manual B

SCHEMATIC DIAGRAMS
Vital-Guard 450C Operation and Maintenance Manual

8 7 6 5 4 3 2 1
REVISIONS
REV DESCRIPTION BY DATE
01 REVISED PER ECN 691. GP 8-28-97
2336-00-01
ISOLATED NON-ISOLATED D
J202-1 VCC
TTL RECEIVE DATA
1
J202-2 TTL TRANSMIT DATA
TTL EXTERNAL RES U3
J202-3 R1 CNY17-3
2K E1
J202-4 1 RN1 2 TXD_B
2
IGET
IGET 1K
+5VIET
+5VIET E2
RXD_B
5
U4
+5VIET CNY17-3 VCC
J204 R3
173011 3 RN1 4 5 RN1 6 VCC
4
1K D 9 RN1 10 E3
1 +5VIET R5 1K 1K
2 2K VCC 1K
3
IGET
1
C C
U5
CNY17-3
E4
7 RN1 8 ET_RES
2
IGET 1K
B++
E7
+5VIET R12
TP1 B++ 100 OHM
U2 64KHz
BNX002-01 L1 D1 2252-00-10 E5
+5VIET 4 1 R14
T1
25UH
. . 150 OHM C9 R8 R10 R13
3
3 2 SB5100 2 4 + C6 U7
10W 5% 1UF MP 6.98K 10K 1K
8
4
C3 2N3903 2 22UF ICM7555
+ C2 R6 H.S. TANT C7
V+
R
100UF C4 Q1 3 2 R11
IGET 1500UF 620 OHM C8 Q TR 10K
25V + .0068UF 3 1 +
1 1
D2 100UF 25V
3
25V 1KV CD 2W 5% 7 47PF NPO
MBR350 730MA DIS
2
B D 2 6 5 R9 2N3903 B
2
THR CV
H.S.
V-
IGET Q4 2N3906 C5 10K
1
Q3
1
IRF540 1G 1000PF
3
IGET U6 Q2 NPO
1
TP2 CNY17-3 S
3
C1 R2 C11
D
2
C10
.1UF MP 10K 10000PF R7
NPO 10K DGND
.047UF MP E6 TP3
R4 D_GND
8 REF COLLECTOR 1 D
7 R_MID COMP 2
6 3 33.2K
GND-F V+
5 GND-S R_TOP 4
U1
IGET LT1431CN8
IVY BIOMEDICAL SYSTEMS INC.

A A
11 BUSINESS PARK DRIVE
BRANFORD, CT. 06405
NOTES: (203) 481-4183
1. ALL RESISTORS ARE 1/4W, 1% U.O.S. Title
ETCO2 MODULE INTERFACE BOARD ASSEMBLY
2. LAST USED:
Size Document Number Rev
3. NOT USED: B 5108-00-01 (-03 SCHEMATIC) 04
Date: Thursday, March 10, 2005 Sheet 1 of 1

8 7 6 5 4 3 2 1
REVISIONS
FOR REVISION LEVEL HISTORY REV-00 THRU REV-17
REFER TO ECN 1274 IN THE ENGINEERING RECORD FILES.
+6.5V PRES_TEST
TP50
+5_Vref PRESS_TEST
U86A
TL034ACD
4
1
Q32 3
R296
1 + 3
+5VI
MMBF4393 1M - 2 SLF7032T-101MR45-2 from TDK
1.5V
2
11
R297 L8
10K temp1_plus
100UH C178
U87A +6.5V
SMT .1UF CER
-6.5V MAX327CSE +6.5V
1
+6.5V R298 0805
IN
R299 13 4 C179 R300 R301 1.82K
V+ V- I
10K .1UF CER 1.2K .1% 2.8K .1% 12 .1% 50PPM I TP11
GND 5 0805 50PPM 50PPM AV = 100 7 5 TEMP 1
-6.5V R302
D
Vcc
S
1 In1 Out1 3 3 +
I 10K 6 temp1_out
8 6 2 -
3
I In2 Out2 C180 25.7mV/deg C
L9 U89
9 11 1UF MP
temp1_neg
100UH
In3 Out3 2824 4 1 8 AD621AR
SMT 16 In4 Out4 14 1.5V
+ C181 I Temp Scaling
C182 6.8UF TANT 15 deg C = -3.5V
.1UF CER 40C_sel R303 R304
20V 3528 40C_sel 2 931 OHM
45 deg C = 4.21V
0805 20C_sel 7 Gate1 9.31K -6.5V
20C_sel temp_cal# Gate2 .1%
temp_cal# 10 Gate3 .1% 50PPM 50PPM
15 Gate4
I I R305
4 Latch
GND 10K
I R306 + C217
5 U88 9.31K 1UF TANT
DS1640S .1% 50PPM 16V 3216
I
I I
I
1.5V
L10
+5VI temp2_plus
100UH C183
SMT +6.5V
.1UF CER +6.5V
U87D 0805
MAX327CSE R310 R307
C184 R308 R309 1.82K
10K I
.1UF CER 1.2K .1% 2.8K .1% 12 .1% 50PPM I
7 PRESS_EN TP12
D 0805 50PPM 50PPM AV = 100 7 5 TEMP 2
IN 8 Vcc R311
1 In1 Out1 3 3 +
6 10K 6
3
S 8 6 2 - temp2_out
R312 In2 Out2 C185 25.7mV/deg C
Q33 1 PRESS_EN L11 U91
+5VI MMBT3904LT1 9 11 1UF MP AD621AR
10K temp2_neg In3 Out3 418
16
100UH 2824
16 14 1.5V
2
SMT In4 Out4

U87B + C186 Temp Scaling
IN
C187 6.8UF TANT I

R313 I MAX327CSE R315
15 deg C = -3.5V
22M .1UF CER 20V 3528 40C_sel 2 R314 931 OHM
45 deg C = 4.21V
20C_sel 7 Gate1 9.31K -6.5V
5% 0805 Gate2 .1%
temp_cal# 10 .1% 50PPM
D
Gate3 50PPM
S
TP13 15 Gate4
I -6.5V 9.775mV = 1mmHg I I R317
PRESS 1
15
14
C188 C189 R316 R318 4

.1UF CER .1UF CER 22M 12 + Latch
press_1 GND 10K
0805 0805 5% I 40.2K 14 +5_Vref I
4
1
5
L12 13 - press_1 R319 + C218

SG1- 2 - 5 U90 9.31K 1UF TANT
SG1- 6 C190 DS1640S .1% 50PPM 16V 3216
C191 100UH C192 U86D RN1
3 + .22UF MP I
.1UF CER SMT .1UF CER U92 TL034ACD 435023
2824 I I
0805 0805 AD621AR Av = 3.906 I
L13
7
8
SG1+ AV = 100 I 1 195K

SG1+ 1
C193 100UH C194 +6.5V
.1UF CER SMT .1UF CER 2 2
0805 0805
R320 R321 3 90.1875K
9
3
499K 499K
IN
I
4 4 5K
U87C
MAX327CSE
D
5 5 12K
I I
10
11
TP14
R322 PRESS 2 6 6 34.872K
10 + C229
8 press_2
40.2K 9 - press_2 .1UF CER 7
0805 7
C195
.22UF MP U86C 8
2824 TL034ACD 8 12K
+5_Vref
+5VI
I C230 9 34.872K
.1UF CER 9
0805 R324
10 10 U86B
R323 332K
TL034ACD
22M
5% 5 + R325
7 1.5V
6 - 1K
I -6.5V R326
C196 C197 R327 143K C198
.1UF CER .1UF CER 22M
0805 0805 5% I .33UF NPO
4
1
5
L14 +6.5V I 0805

SG2- 2 -
SG2- 6
C199 100UH C200 +6.5V
SMT 3 +
.1UF CER .1UF CER U93
0805 0805 AD621AR
L15 +5VI
7
8
SG2+ AV = 100
SG2+
100UH +6.5V +5VI NOTES:
C201 SMT C202 1. LAST USED: C230, D44, DS6, E7, F4, FB5, J24,
.1UF CER .1UF CER
+5_Vref JP8,K3, L15, Q42, R392, RT2, SF11,
0805 0805 R328 R329
499K 499K T5, TP51,U103, Y4.
+5_Vref
2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.
I
3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS
OTHERWISE SPECIFIED.
IGND
I
I IVY BIOMEDICAL SYSTEMS INC.
BRANFORD, CT., 06405 USA
-6.5V (203) 481-4183
DWN: CHK: APR:
MARK TUCCILLO 9/5/01 GP 9/5/01 RAM 9/5/01
-6.5V
Title
Temp Pressure Front End

D 5143-00-01 (-03 SCHEMATIC) 24
Date: Friday, May 27, 2005 Sheet 15 of 16
TP44
U77 +15VI_SpO2
F2 LM2940IMP-15
3/8ASB D39
+12V 1 VI VO 3
GND
+15VI_SpO2
D40 MBRS340T3
R346 C204 BZT52-C16
+ C166
C167 + 680 OHM .22UF MP 16V 7 6.8UF TANT
180UF TANT 2W SMT 100V 2220-N 35V 7343
2
R278
16V SIZE-R 4.02K 5
LOW ESR 9
4 C168
D 5 120UF TANT I
D41 8 D42 20V SIZE-R +
U12-14
Vin MBRS340T3 11
+5VREF TP45
1
Switch 4 2 MBRS340T3 + C169 -15VI_SpO2
10
GND
1 U78 1 120UF TANT
R347 Comp D43
LM2587S-ADJ 20V SIZE-R
49.9K 2 T5 2 3
2
Feedback VI VO -15VI_SpO2
2604-00-10
12
1 Q35 Gnd MBRS340T3 U80 U79 C170
CMPT3906 LM3411M5-5.0 LM2990S-15 6.8UF TANT
3 + 35V 7343
3
TP46
R348 R279 +5VI_SpO2
10K 5 Out IN 1 I
1K C171
D .1UF CER
GND 2 +5VI_SpO2
0805
4 + C172
Comp 3 180UF TANT
2
C173 NC 16V SIZE-R
.1UF CER TP18 TP47 TP48
U81 LOW ESR IGND_SpO2 IGND_SpO2
0805 DGND CNY17-3SM
1
DGND IGND_SpO2
D I
R280
VCC
10K
2
Vcc R281
1
1K Iso_SaO2_Xmitt
R282 8 VCC Q28
7 2
3
2K CMPT3906
6 U82
SaO2_Xmitt HCNW2601-300
C174 3
.1UF CER 5
0805 GND
R283
D 499 OHM
VCC
Grounded
I
R284 Isolated
10K
2
R285 U83
SaO2_Rec 1 HCNW2601-300
1K
Q29 VCC 8 R286
2 7
3
CMPT3906 1K
6 Iso_SaO2_Rec
3 C175
GND 5 .1UF CER
0805
R287
499 OHM
I
VCC D
R288
10K
2
R289 U84
SaO2_Rts 1 HCNW2601-300 REVISIONS
1K REV DESCRIPTION
Q30 VCC 8 R290 BY DATE
2 7 FOR REVISION LEVEL HISTORY REV-00 THRU REV-17
3
CMPT3906 1K REFER TO ECN 1274 IN THE ENGINEERING RECORD FILES.

6 Iso_SaO2_Rts 18 REVISED PER ECN 1274. GP 6-11-03
3 C176 20 REVISED PER ECN 1289. GP 6-25-03
GND 5 .1UF CER 21 REVISED PER ECN 1290. GP 6-25-03
0805 22 REVISED PER ECN 1326. GP 3-4-04
R291 23 REVISED PER ECN 1354. GP 4-13-04
499 OHM
I
VCC D
NOTES:
1. LAST USED: C230, D44, DS6, E7, F4, FB5, J24,
R292 JP8,K3, L15, Q42, R392, RT2, SF11,
10K T5, TP51,U103, Y4.
2
R293 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.

1
SaO2_Reset U85 3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS
1K
Q31 HCNW2601-300 OTHERWISE SPECIFIED.
3
CMPT3906
8 R294
2 7
1K
6 Iso_SaO2_Reset
3 C177 BRANFORD, CT., 06405 USA
5 .1UF CER (203) 481-4183
0805
DWN: MARK TUCCILLO 9/5/01 CHK: APR:
GP 9/5/01 RAM 9/5/01
R295 Title
499 OHM
SpO2 Power Supply
I
D C 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
D34 Try LT1881 as a replacement for the 1112

MMBD4148SE
R239
TP8
100K 1 RESP LOW
R240 R241
4.99K +5VI 3 5 +
C136 7
2 470K 6 - resp_low
TP9 I
RESP HIGH .1UF CER I U69B
8 0805 R242 LT1112S8
R243 470K
3 +
resp_high 100K 1 R244
2 - U69A 2K
LT1112S8
R245 4 C137
1K R246 C138
1K I
100PF NPO
.1UF CER I 0805 C139
I -5VI 0805
.033UF MP
C142 + C140 2824
6.8UF TANT
20V 3528 R247
1M
C215 R248
680PF NPO C141
0805 + 6.8UF TANT 470K
TP42 20V 3528
RESP_OSC 15PF NPO
0805
R251 R249
R250 +5V_Ref I 49.9K
C220 249 OHM
shield_dr 40.2K .5%
D35 .33UF CER
25PPM NPO 0805
MMBZ5234B + C144
R252 68UF TANT I
-5VI 1K
C143 16V 7343
R253 I
TP43 49.9K
C145
ZERO_ADJ
.1UF CER I
LA T4 4 0805 -5VI
.0068UF 1KV CD C146
DS6 2637-00-10 C147 R254
R255 2
BA-CMS-90 8 2 6 R256
C148 3 10K .1% +5VI +5VI
R257 4.99K 680PF NPO
3
680PF 7 1000PF NPO 50PPM C149
0805 R259 200K
3KV CD 0805 I Q27 1
10K U70 7 U101
5 3 C150 R258 MMBT3904LT1 3.32K 7
OPA228U C151 .1UF CER TLE2061ACD
100PF NPO 402 OHM
0805 3
2
C152 0805 .1% 25PPM +5VI 6 U71 -5VI
base_imp R354
RA * R260
+5VI
.1UF CER
0805
I -5VI sclock0 R369 2 DS1804Z-050 8 100K R261
4
*
1K I R391 200K
.0068UF 1KV CD 0 OHM R262 inc# 10K U73 Vcc
0805 8 DS1804Z-100 4 2
10K TP10
-
1K
449008 49.9K 442049 C228 BASE IMP 1 INC L 6 1
I I Vcc u/d#
u/d# 2 U/D W 5 3 +
.01UF CER -5VI 7 3 U72A
0805 1 6 offset_cs# CS H
INC L GND LT1112S8
u/d# 2 5 8
7 U/D W 3
I gain_cs# CS H 4 R355
GND R378 100K +5VI
+5VI +5VI
C153
4 10K
D36 R379 R264 R265
MMBD1503A +5VI 49.9K U75B 200K
* .1UF CER
0805
I 10K
I R267
LT1112S8
D37 I
7
1
SPECIAL FOR ACCOMMODATING R263 5 + MMBD1503A

3 + 1 10M 7
PATIENT CABLES WITH 1K SERIES 6 49.9K .5% 3 R269 6 -
2 -U74 C154
RESISTORS. OPA228U 25PPM 2 .1UF CER 1
121K 0805 3
R266 C157 .5% 25PPM
4
8
C156 R270
49.9K .5% I 2
R268 25PPM 2M
100K .1UF MP
.1UF CER I +5VI 2824
-5VI 0805 C155 +5VI C160 C161 C162
.1UF CER I
0805 .1UF CER I .01UF MP 2.2UF MP
7
1
8 0805 2824 4036

I 3 + R274
C158 C159 6 3 +
R271 I
2 -U76 1 R276 40.2K
49.9K .5% OPA228U 2 - C164
330PF NPO R272 .01UF MP U75A resp_test
25PPM LT1112S8 150K 33UF TANT
0805
4
8
4.02K 2824 R273 C163 4 D38

R277 MMBD4148 10V 7343
2K C165
15K
I .1UF CER I
R275 -5VI 0805 .1UF CER I I
1.82K .1% -5VI 0805 I
50PPM
I
Try LT1468 as a replacement for the 1028
+5V_Ref
+5V_Ref
+5VI
+5VI
-5VI
-5VI NOTES:
JP8,K3, L15, Q42, R392, RT2, SF11,
TP15 T5, TP51,U103, Y4.
IGND 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.
Iso_GND OTHERWISE SPECIFIED.
I
(203) 481-4183
DWN: CHK: APR:
Title
Resp
D 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
R198
Mot FOR REVISION LEVEL HISTORY REV-00 THRU REV-17
TP49 3.52K
MBRS360T3 REFER TO ECN 1274 IN THE ENGINEERING RECORD FILES.
EOS_OUT 18 REVISED PER ECN 1274. GP 6-11-03
L3 D20 D21 20 REVISED PER ECN 1289. GP 6-25-03
8
7
6
5
22UH SMT 22 REVISED PER ECN 1326. GP 3-4-04
MBRS340T3 MBRS340T3 23 REVISED PER ECN 1354. GP 4-13-04
C109 R392 24 REVISED PER ECN 1432. GP 5-27-05
+ 150 OHM + C110
180UF TANT 5 Q17
16V SIZE-R 2W 5% 33UF TANT IRF7205/SO
35V SIZE-R Vbat TP39
LOW ESR Vin VBATT
Switch 4 R199
L4 R200
1
2
3
4
20K
1 Comp Battery_Pos
68UH SMT .1 OHM 1W
Feedback 2 Q18
MMBT3904LT1 2512
3
12V_Switcher Gnd R202 D22
1 MBRS340T3
1K
3 U61 R201 + C112
C111 LM2587S-ADJ 1.2K R203
33UF TANT
2
.1UF CER 261K R206
35V SIZE-R
0805 46.4K
+ C115 + C116 + C117 + C118
L5 470UF 470UF 470UF 470UF
D23 27UH SMT
Thermistor_Neg 16V ALUM 16V ALUM 16V ALUM 16V ALUM
MMBD4148
R204 R205 R389
2K 604K 0 OHM
Rec_GND Rec_GND
4
3
2
1
R387
1
TP38
U62 Vcc_BC 0 OHM Battery_Neg
LM2931M-5.0 Vcc_BC TP22
R207 RT2 Q40 JP6 Pump_GND
REC_GND
249 OHM 3.3K
1
t TP40 IRF7205/SO
GND
8 VIN VO 1 RT1
33K BAT (-)
Vcc_BC R210
2
+ C113 D44 .39 OHM 1W
+ C114 6.8UF TANT t MBRS340T3
2512
2
5
6
7
8
TP41
3
1UF TANT 20V 3528 R211 BAT_GND
16V 3216 1
2
R208
1K Q19 100K R209
MMBT3904LT1 100K
2
Switcher_GND
Thermistor_Pos TP2
+12V
+12V
T3
U63 bq2031SN Q4435-B
Vcc Vcc_BC D24
3. 11 +12V_HD TP4
R333 R212 1 TMTOLED2/DSEL 16
2 15 MBRS340T3 -12V
120K 20K D28 FLOAT LED1/TSEL D25
3 Bat MOD 14 D26
CMPD6263 4 13 2 .10 C119 D27
TP51 Vcomp Vcc +
BC_TMR Vcc_BC 5 Icomp Vss 12 180UF TANT -12V
ac 6 11 BZT52-C16 MBRS340T3 16V SIZE-R
7 IGsel COM 10 MBRS340T3
SNS LED3/QSEL R213 R214 R215 16V LOW ESR
8 TS TPWM 9 49.9K 10K 10K -12V
U65 L6
4 2 LM2575S-12 100UH
R383 R216 SMT C120
R334 R221 20K 200K C121 Switch Output 180UF TANT
Switcher_off 100K R217 16V SIZE-R
20K 1000PF 4
121K C123 Feedback + LOW ESR
NPO 0805 R218 R219 R220 R224 5 Vin Feedback 2 1 Vin
.01UF CER
0805 402 OHM 402 OHM 402 OHM 1K 5
C122 + U64 ON/OFF
C124 .01UF CER C126 Comp Gnd + C125
R222 LM2587S-12 GND
.1UF CER 0805 120UF TANT 120UF TANT
100K 0805 Power_On_Led 20V SIZE-R 1 3 20V SIZE-R
R335 3
Bat_Maintence_LED
2K C127
Bat_Charging_LED .22UF NPO
Battery_Fault_LED 0805
8
Common_LED JP7
3
1
R336
1 + 3 R223
3.01K
49.9K - 2
R376
1
2
3
4
Q34 U99A
2
MMBT3904LT1 LM393M HD_GND

4
R385 10K HD_GND

49.9K Q41
2
Q20 CMPT3906
IRF7205/SO R375
1
100K
R377
3
8
7
6
5
100K
Vbuss
-12V
5
6
7
8
D29 Q21
MBRS340T3 IRF7205/SO
4
3
2
1
12V_BM U66 C128

LM2676S-5 6 .01UF CER TP3
D30 0805 VCC
Feedback 3
2 Cb L7
Input 1
MMBD4148 Vsw Vcc
C129 33UH SMT
R225 R332
+
C130 + GND ON/OFF C131

C219 10K .1UF CER 10K
6.8UF TANT 0805 120UF TANT 150UF TANT
R226 TP20 4 7 D31
20V 3528 20V SIZE-R MBRS340T3 10V SIZE-C
200K DGND
2
R227 Q22
1
10K CMPT3906
3
D32
JP8
MMBD4148
On_Off U67A
14
CD4013BM
6
R228
5 1 9 13 1 Q23
VD
S
D Q D Q
10K MMBT3904LT1 DGND
3 CLK 11 CLK DGND
2
8
7
6
5
VS
2 12
R
Q Q
R229
U67B
10
200K
7
4
Q24 CD4013BM
R230
IRF7205/SO
100K
R231
C132 10K
.33UF NPO
1
2
3
4
0805 + C133
1UF TANT
16V 3216
R232 D33
R233 10K
100K
R234 MMBD4148
10K
2
Q26
1 1 MMBT3904LT1
NOTES:
Q25 1. LAST USED: C230, D44, DS6, E7, F4, FB5, J24,
CMPT3906
3
+ R337 JP8,K3, L15, Q42, R392, RT2, SF11,

1 OP AMP 8 100K R338
C134 + - 100K T5, TP51,U103, Y4.
1UF TANT 2 7 5 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.
7 +
16V 3216 x1
R235 - 6 3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS
3 6
- 732K OTHERWISE SPECIFIED.
U99B + C203
4 + 5 LM393M 1UF TANT
R237
16V 3216 IVY BIOMEDICAL SYSTEMS INC.
C135 U68 11 BUSINESS PARK DRIVE
316K R236
.1UF CER LTC1541CMS8 BRANFORD, CT., 06405 USA
100K
0805 (203) 481-4183
DWN: CHK: APR:
Title
R238
100K
Power Supply
D 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
VCC
VCC
GND
cs0
cs0
cs1
cs1
lbwe
lbwe
U54 U55
ubwe U53
ubwe CY7C1009-20VC CY7C1009-20VC
lbre a1 12 13 d0 a1 12 13 d0
lbre a1 12 13 d0 a2 11 A0 D0 14 d1 a2 11 A0 D0 14 d1
ubre a2 11 A0 O0 14 d1 a3 10 A1 D1 15 d2 a3 10 A1 D1 15 d2
ubre a3 10 A1 O1 15 d2 a4 9 A2 D2 17 d3 a4 9 A2 D2 17 d3
pcs8-8 a4 9 A2 O2 17 d3 a5 8 A3 D3 18 d4 a5 8 A3 D3 18 d4
pcs8-8 a5 8 A3 O3 18 d4 a6 7 A4 D4 19 d5 a6 7 A4 D4 19 d5
nv_wr a6 7 A4 O4 19 d5 a7 6 A5 D5 20 d6 a7 6 A5 D5 20 d6
nv_wr a7 6 A5 O5 20 d6 a8 5 A6 D6 21 d7 a8 5 A6 D6 21 d7
a8 5 A6 O6 21 d7 a9 27 A7 D7 a9 27 A7 D7
a9 27 A7 O7 a10 26 A8 22 cs1 a10 26 A8 22 cs1
a10 26 A8 22 cs0 a11 23 A9 CS1 30 a11 23 A9 CS1 30
a11 23 A9 CE 24 lbre a12 25 A10 CS2 a12 25 A10 CS2
a12 25 A10 OE a13 4 A11 29 lbwe a13 4 A11 29 lbwe
a13 4 A11 1 a14 28 A12 WE 24 lbre a14 28 A12 WE 24 lbre
a14 28 A12 VPP 31 a15 3 A13 OE a15 3 A13 OE
a15 29 A13 PGM 30 a16 31 A14 1 a16 31 A14 1
a16 A14 NC VCC a17 A15 NC a17 A15 NC
3 A15 2 A16 2 A16
a17 2 A16 16 32 16 32
d[0..15] GND VCC VCC GND VCC VCC
d[0..15] 16 GND VCC 32
VCC
SOCKET a18
32 PIN
U56
28
M48T58SOH28
Vcc
1 FT
a1 10 11 d8
a2 9 A0 DQ0 12 d9
a3 8 A1 DQ1 13 d10
A2 DQ2 U58 U59
a4 7 15 d11 U57
a5 A3 DQ3 d12 CY7C1009-20VC CY7C1009-20VC
6 A4 DQ4 16
a6 5 17 d13 a1 12 13 d8 a1 12 13 d8
a7 4 A5 DQ5 18 d14 a1 12 13 d8 a2 11 A0 D0 14 d9 a2 11 A0 D0 14 d9
a8 3 A6 DQ6 19 d15 a2 11 A0 O0 14 d9 a3 10 A1 D1 15 d10 a3 10 A1 D1 15 d10
a9 25 A7 DQ7 a3 10 A1 O1 15 d10 a4 9 A2 D2 17 d11 a4 9 A2 D2 17 d11
a10 24 A8 a4 9 A2 O2 17 d11 a5 8 A3 D3 18 d12 a5 8 A3 D3 18 d12
a11 21 A9 a5 8 A3 O3 18 d12 a6 7 A4 D4 19 d13 a6 7 A4 D4 19 d13
a12 23 A10 a6 7 A4 O4 19 d13 a7 6 A5 D5 20 d14 a7 6 A5 D5 20 d14
a13 2 A11 a7 6 A5 O5 20 d14 a8 5 A6 D6 21 d15 a8 5 A6 D6 21 d15
A12 a8 5 A6 O6 21 d15 a9 27 A7 D7 a9 27 A7 D7
a9 27 A7 O7 a10 26 A8 22 cs1 a10 26 A8 22 cs1
pcs8-8 20 a10 26 A8 22 cs0 a11 23 A9 CS1 30 a11 23 A9 CS1 30
lbre 22 E1* a11 23 A9 CE 24 ubre a12 25 A10 CS2 a12 25 A10 CS2
nv_wr 27 G* a12 25 A10 OE a13 4 A11 29 ubwe a13 4 A11 29 ubwe
26 W* a13 4 A11 1 a14 28 A12 WE 24 ubre a14 28 A12 WE 24 ubre
E2 a14 28 A12 VPP 31 a15 3 A13 OE a15 3 A13 OE
a15 29 A13 PGM 30 a16 31 A14 1 a16 31 A14 1
a16 A14 NC VCC a17 A15 NC a17 A15 NC
3 2 2
Vss
A15 A16 A16

BATTERY a17 2 A16 16 32 16 32
16 32 GND VCC VCC GND VCC VCC
14
GND VCC
SOCKET
32 PIN
a18
a[0..20]
a[0..20]
a18
VCC
U60
SN74AHC1G04DCK
5 Vcc
2 A Y 4
GND
NOTES:
3
JP8,K3, L15, Q42, R392, RT2, SF11,
T5, TP51,U103, Y4.

(203) 481-4183
DWN: CHK: APR:
Title
CPU Memory
C 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
spare_in_1
a0
pcs8_8
pcs5_8
pcs4_8
pcs2_8
pcs1_8
a18
a19
a17
a16
VCC
fp_2
fp_1
ac
spare_in_3
11
10
84
83
82
81
80
79
78
77
76
75
9
8
7
6
5
4
3
2
1
spare_in_3
host_a18
ac
host_a0
GND
fp_2
host_a19
fp_1
VccINT
host_a17
host_a16
~PIN001
GND
GND
pcs8_8
pcs5_8
pcs4_8
pcs2_8
pcs1_8
spare_in_1
VCCIO
as 12 74
13 as ~PIN002 73 pcs0_8
a9 14 VCCIO pcs0-8 72
spare_out_1 15 host_a9 GND 71 lbwe
spare_out_0 16 spare_out_1 lbwe 70 lbre
25_MHz 17 spare_out_0 lbre 69 nv_wr
r/w 18 16_MHz clock_wr 68 alarm_out
19 r/w alarm_out 67 spare_out_4
siz0 20 GJND spare_out_4 66 ubwe
3_6864MHz siz0 VCCIO VCC ubre
21 3_6864MHz U52 ubwe 65
kojak_light 22 64
64_KHz kojak_light 2635-00-04 ubre d12
23 64KHz host_d4 63
a14 24 LC Color Glue 62 sao2_res
cs2 25 host_a14 sao2_res 61 graph_out
26 cs2 graph_out 60 rec_res
ac spare_in_2 27 VCCIO rec_res 59
ac 1_8MHz 28 spare_in_2 GND 58 etco2_res
fp_0 a13 29 1_843MHz etco2_res 57 lead_off
fp_0 fp_1 fp_0 30 host_a13 leads_off 56 nibp_res
fp_1 fp_2 cs3 31 fp_0 nibp_res 55
fp_2 fp_3 32 cs3 dac_wr 54 ecg_gain
fp_3 GND ecg_gain
spare_out_3
spare_out_2
host_a20
host_a12
host_a11
host_a10
host_a15
VCCINT
host_d6
host_d7
host_d5
host_d3
host_d2
host_d1
host_d0
pcs3_8
VCCIO
VCCIO
GND
GND
3_6864MHz
fp_3
3_6864MHz 25_MHz
25_MHz
pcs0_8
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
VCC pcs1_8 pccs0_8
r/w pcs2_8 pccs1_8
r/w siz0 pcs3_8 pccs2_8
siz0 as
spare_out_3
pcs5_8 pccs3_8
as pccs5_8
spare_out_2
pcs8_8
cs2 pccs8_8
cs2
pcs3_8
cs3
fp_3
cs3
d9
d8
a20
a12
a11
a10
a15
d14
d15
d13
d11
d10
spare_in_0 ecg_gain
spare_in_0 spare_in_1 ecg_gain
spare_in_1 spare_in_2 lbwe
spare_in_2 spare_in_3 ubwe lbwe
spare_in_3 lbre ubwe
ubre lbre
ubre
nv_wr
nv_wr
1_8MHz
1_8MHz
kojak_light
kojak_light
a[0..20]
a[0..20] rec_res
sao2_res rec_res
nibp_res sao2_res
etco2_res nibp_res
d[0..15] etco2_res
d[0..15]
graph_out
alarm_out graph_out
lead_off alarm_out
lead_off
VCC spare_out_0
spare_out_1 spare_out_0
VCC spare_out_3 spare_out_2
spare_out_4
64_KHz
GND 64_KHz
NOTES:
1. LAST USED: C230, D44, DS6, E7, F4, FB5, J24, BRANFORD, CT., 06405 USA
JP8,K3, L15, Q42, R392, RT2, SF11, (203) 481-4183
T5, TP51,U103, Y4. DWN:
MARK TUCCILLO 9/5/01
CHK:
GP 9/5/01
APR:
RAM 9/5/01
2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388. Title
GLUE
OTHERWISE SPECIFIED. 24
C 5143-00-01 (-03 SCHEMATIC)
REVISIONS
Grounded Isolated 21 REVISED PER ECN 1290. GP 6-25-03
F4
3/8ASB TP36
+12V +5VI_E
D17 D18
C103 + BZT52-C16 ether_iso_+5V
R188 16V
180UF TANT MBRS340T3 C104
16V SIZE-R 4.02K + TP37
180UF TANT E_GND
16V SIZE-R
5 D19 1 5 LOW ESR
MBRS340T3
Vin 7 ether_IGND
Switch 4 4 8
DGND T2 I
1 Comp 2532-00-10
Feedback 2
D
Gnd
U47 3
LM2587S-ADJ
D U48
U12-14 LM3411M5-5.0
+5VREF
R189
5 Out IN 1
1K C105
R351 .1UF CER 2
0805 GND
49.9K 4
2
Comp 3
2
1 Q37 C106 NC
CMPT3906 .1UF CER U49
0805 CNY17-3SM
3
R352
1
10K
D
I
VCC
VCC
R190
10K
2
U50 R191
HCNW2601-300 1 ether_iso_txd
1K
R192 8 VCC Q15
7 2
3
2K CMPT3906
ether_txd 6
C107 3
.1UF CER 5 GND
0805
R193
D 499 OHM
I
VCC
R194
10K
2
R195 U51
ether_rxd 1 HCNW2601-300
1K
Q16 VCC 8 R196
2 7
3
CMPT3906 1K
6 ether_iso_rxd
3 C108
GND 5 .1UF CER
0805
R197
499 OHM
NOTES:
JP8,K3, L15, Q42, R392, RT2, SF11,
D I T5, TP51,U103, Y4.
OPTIONAL
(203) 481-4183
DWN: CHK: APR:
THIS CIRCUITRY IS FOR THE ETHERNET OPTION Title
Ethernet Power Supply
C 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
+6.5V REFER TO ECN 1274 IN THE ENGINEERING RECORD FILES.
TP6 U36B 19 REVISED PER ECN 1275. GP 6-11-03
ecg_test U36A TL062ACD 20 REVISED PER ECN 1289. GP 6-25-03
SHIELD_DR 5 21 REVISED PER ECN 1290. GP 6-25-03
TL062ACD
8
7 + 22 REVISED PER ECN 1326. GP 3-4-04
R126 3 6 23 REVISED PER ECN 1354. GP 4-13-04
1 + - 24 REVISED PER ECN 1432. GP 5-27-05
shield_dr C90 1K - 2 I
+5VI .1UF CER
0805
4
* R340
+5VI
2
SPECIAL FOR ACCOMMODATING 22M R127 I
5% 1 Q13
100K CMPT3906
PATIENT CABLES WITH 1K SERIES TP25 -6.5V
R353 IGND
RESISTORS.
3
R129
3
22M 100K
R128
CHANGE THE "5K MELF 1W" RESISTORS 5% CONF LA RA LL V LEAD MIX
3
4.75M +6.5V
TO "499 OHM MELF 1W" No. 449012 2 Q14
3
2
R130 D12 DTC114 2 2 1 1 I ON ON OFF OFF I = LA - RA
10 PLACES. 22M
MMBD1503A
II OFF ON ON OFF II = LL - RA
R131
5% D11 -6.5V
953 OHM III ON OFF ON OFF III = LL - LA
1
2 2 1 1
.1% 50PPM MMBD1503A
AVR ON ON ON ON AVR = RA - 0.5(LA + LL)
1
R132
* *R134 AVL ON ON ON ON AVL = LA - 0.5(LL + RA)

22M -5VI
3
5%
R133 R135 I AVF ON ON ON ON AVF = LL - 0.5(LA + RA)
12
LA
5K MELF 1W 5K MELF 1W 200K 10 V ON ON ON ON V = V - 0.33(LA + RA + LL)
11
DS1 C91 U42C
BA-CMS-90 IVCC
220PF NPO LT1058SW
0805
16
I LA_Lead
13 3
VDD
14 X0 X
15 X1
R341 15 16 12 X2
22M D2 In2 1 X3 U39B
5% 14 5 X4 LT1112S8
S2 MAX327CSE 2 X5 5 +
U37B 4 X6 7
X7 6 -
R136 I U38
6 INH
22M leads0 11 CD4051BCM
5% +5VI leads1 10 A +6.5V
VEE
VSS
R137 R138 R139 R140 R141 leads2 9 B
LA_ref C
10K .1% 10K .1% 10K .1% 10K .1% 10K .1% ECGX10
R142 50PPM 50PPM 50PPM 50PPM 50PPM
+6.5V
7
8
C92 R143 R144 C93
22M D13 I 9.31K
-5VI .01UF MP 100K .1UF MP
5% MMBD1503A 7 5 .1% 50PPM
2824 U41A 2824 TP7
6
+6.5V 3 + C94
R145 LT1057S8 ECGX1000
2 2 1 1 I 6 1 + R147 R148
R146 2 - 7 4 -
* *R153
100K
3
22M U42D U39A U40 2.2UF MP 8 - 5

C95 9.31K 2.49K ecgX1000
5% -5VI LT1058SW 8 LT1112S8 R149 AD621AR 4036 3 +
418 1000PF NPO .1% U41B
3
R152 R154 100K C96

14 3 + 0805 50PPM
2
I LT1057S8
RA 16 1 .22UF MP
5K MELF 1W 5K MELF 1W 200K C97 R150 R151
15 IVCC 2 - 2824
220PF NPO 1.62M 178K -6.5V
I C98
0805 I
4
16
DS2 -6.5V I
BA-CMS-90 RA_Lead
13 3 R155 680PF NPO
VDD
14 X0 X
X1 1.65K 0805
I 15 X2 -6.5V .1%
R342 10 9 12
22M D3 In3 X3 50PPM R157
1 X4 U43 +5VI
5% 11 U37C 5 +6.5V +5VI
S3 MAX327CSE 2 X5 CD4051BCM U44D 165K
4 X6 MAX327CSE .1% 50PPM
X7 R156
I R374 32.4K R158
R159 R160 R161 R162 R163 6 20 OHM 10K
3
22M +5VI 10K .1% 10K .1% 10K .1% 10K .1% leads0 11 INH 7 8
leads0 leads1 A D4 In4
5% 10 +5VI 5 +
VEE
VSS
RA_ref 50PPM 50PPM 50PPM 50PPM leads1 B C99
leads2 9 +5VI 6 2
leads2 C S4 U45A
4 -
I
R167 R166 LM339AM
D14 R168 .01UF MP
7
8
24.9K I
12
22M MMBD1503A 10K 2824
-5VI
5% R164
9 + R165
2 1 C100 14 21.5K
2 1 U45C 11K -6.5V
+6.5V I 8 -
R170
3
LM339AM +5VI
* *R174
22M -5VI .1UF MP
5% diag_bw\
3
2824 I
4
R173 R175 R172 7 + R169

3 200K R176 1 pacer_det
LL 1 5 U45B
6 -
5K MELF 1W 5K MELF 1W 200K C101 10K 10K
2
220PF NPO 1
0805 U42A 11 + A Vcc 4 LM339AM
R177 Y R171
13
DS3 LT1058SW 13 2
I U45D B GND 32.4K
BA-CMS-90 10 - 10K U46
LM339AM D15 3 SN74AHC1G08DCK
-6.5V MMBD4148
I 7 D4 In4 8 R178
LL_Lead 24.9K -5VI
R343 6 S4 I
22M MAX327CSE I
5% U37D
I -5VI
R179 +5VI
22M
5% LL_ref
R180 U44B U44C

D16 MAX327CSE MAX327CSE
22M MMBD1503A
5%
2 2 1 1 15 D2 In2 16 10 D3 In3 9
R181
3
14 11
* *R183
22M -5VI S2 S3
5%
3
R182 R184
5
V 5K MELF 1W 200K 7
5K MELF 1W 6
C102 U42B
DS4 220PF NPO +6.5V LT1058SW I I
BA-CMS-90 0805
V_Lead
I 13
Vcc
2 D1 In1 1
3 S1 MAX327CSE
Vss Gnd U37A
I 4 5
V_ref
I
-6.5V
+6.5V
+6.5VI
+6.5V +5VI IVCC
+5VI
13 NOTES:
*
R185
*R186 R187
Vcc
-5VI
JP8,K3, L15, Q42, R392, RT2, SF11,
2 D1 In1 1
RL 5K MELF 1W 200K T5, TP51,U103, Y4.
5K MELF 1W 3 -5VI
S1 MAX327CSE
Vss Gnd U44A 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.
DS5 3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS
I 4 5 -6.5VI
BA-CMS-90
RL_ref -6.5V
I
-6.5V IVY BIOMEDICAL SYSTEMS INC.
I Iso_GND BRANFORD, CT., 06405 USA
(203) 481-4183
I DWN: CHK: APR:
Title
ECG Front End
D 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
F3 C74 C75 C76 22 REVISED PER ECN 1326. GP 3-4-04
500mASB Grounded Isolated .1UF CER .1UF CER .1UF CER 23 REVISED PER ECN 1354. GP 4-13-04
+12V 0805 0805 0805 24 REVISED PER ECN 1432. GP 5-27-05
R372 R373
R371 10K 806 OHM
2 OHM 1W
C77 C78 C79
2512 5% .1UF CER .1UF CER .1UF CER
0805 0805 0805
2
1 Q38 Q36 1
CMPT3906 CMPT3906
R349
3
R366
10K -6.5VI
0 OHM
2512
3
R350
1 U31 TP33
1K Q39 LM2990S-5.0 -5VI
MMBT3904LT1
2
2 VIN VOUT 3 -5VI
GND
TP31
+6.5VI
D7 D8
1
BZT52-C16
C81 + R119 16V C80 +
180UF TANT T1 MBRS340T3 6.8UF TANT
4.02K C82 + TP17 TP34 TP23
16V SIZE-R 2532-00-10 35V 7343
LOW ESR 100UF TANT IGND IGND IGND
5 D9 1 5 16V 7343
MBRS340T3 7
Vin IGND
DGND
Switch 4 4 8 + TP32
C83
-6.5VI I U33 C214
1 100UF TANT
Comp 16V 7343 LM2931M-5.0 470UF
2 D10 16V ALUM
Feedback +
Gnd 8 VIN VOUT 1 +5VI
MBRS340T3
GND
GND
GND
GND
U32 + C84
NC
NC
3
LM2587S-ADJ 6.8UF TANT
35V 7343 TP24
+5VI
2
3
6
7
4
5
R367
0 OHM
2512
I
R120 +6.5VI
3.01K
3
R121
3.01K 1 Q10
FMMT617TA
2
1 Q11
2
CMPT3906
TP35
3
ISO_+5_VREF
R122
10K
R368
+5_Vref
0 OHM
0805
I R123
10K
U34
PS_Synch
R124
5 Out IN 1
1K
3
C85 C86
.33UF NPO 2 1 Q12
I GND
0805 MMBT3904LT1
4 Comp + C87 47PF NPO
3
2
0805
5
C88 NC 6.8UF TANT C89

.1UF CER U35 20V 3528 R125 470PF NPO
0805 CNY17-3SM 0805
LM3411M5-5.0 20K
4
I I
NOTES:
JP8,K3, L15, Q42, R392, RT2, SF11,
T5, TP51,U103, Y4.

(203) 481-4183
DWN: CHK: APR:
Title
DSP Power Supply
C 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
ecgX1000 23 REVISED PER ECN 1354. GP 4-13-04
ecgX1000 24 REVISED PER ECN 1432. GP 5-27-05
resp_high C224
resp_high +
10UF TANT D6
base_imp base_imp 10V 3528 IVCC MMBD1503A
ecgX10 I
ecgX10
R386 2 2 1 1
la_lead la_lead +5V_Ref
3
ra_lead 1K +6.5VI
ra_lead -5VI
C57
3
IVCC ll_lead .1UF CER
ll_lead
U20 0805 IVCC U19B
v_lead 2529-00-04
v_lead 74HCT221D
10K R92 I +6.5VI
CMS- resp_low DSP_GLUE TP5 R90 14
resp_low C58 CEXT
d16 2 D0 AD_AZ 36 ad_az
U22 ANALOG IN 8 100K
pacer_det d17 44 17 ad_cal .1UF MP
10K R93 pacer_det D1 AD_CAL ADC1241 U23 2824
IOMS- d18 6 D2 + 3
temp_1 d19 4 13 ls0 d11 15 1 1 ADG426BRS 15
temp_1
1
D3 LEADS0 21 ls1 d12 16 DB0 VIN 2 REXT/CEXT
10K R94 temp_2 LEADS1 ls2 DB1 - R91
PMS- a4 38 20 d13 17 pacer_det 1 13 DR1
Vdd
temp_2 a5 A4 LEADS2 d14 DB2 U21A 4.99K ecgX1000 A Q
39 A5 18 DB3 S1 19 2 B
press_1 a6 40 19 mux0 d15 19 2 TLE2062ACD 4 20 resp_high IVCC 3 4
10K R95 press_1 A6 MUX0 mux1 DB4 VREF S2 CLR Q
DMS- a7 37 A7 MUX1 18 d16 20 DB5 28 D S3 21 base_imp
press_2 a11 1 8 mux2 d17 21 IVCC 22 ecgX10
press_2 IOMS- A11 MUX2 DB6 S4
10K R96 43 DMS
d18 22 DB7 S5 23 la_lead
BMS- 16MHz 5 25 la_ref d19 23 4 -6.5VI IVCC 24 ra_lead
16MHZ LA_REF 33 ra_ref d20 24 DB8 AVCC 2 S6 25 ll_lead
RA_REF DB9 C225 NC S7 v_lead
10K R97 LL_REF 7 ll_ref d21 25 DB10 + 18 EN S8 26
WR- IVCC 11 v_ref d22 26 10UF TANT 3 11 temp_1
V_REF 34 rl_ref d23 27 DB11 5 -5VI 10V 3528 RS S9 10 temp_2
3 RL_REF DB12 V- pcs9 13 S10 9 press_1
10K R98 VCC WR S11 press_2
RD- 15 VCC LEADS_OFF0 29 sel_20 WR- 7 WR I S12 8
23 16 press_test RD- 11 D11 14 7
35 VCC LEADS_OFF1 pcs6 10 RD 28 D10 15 A3 S13 6
10K R99 VCC CS DVCC D9 A2 S14
IRQE
DIAG_BW 14 diag_bw 4MHz 8 CLKIN C226 16 A1 S15 5
12 6 ad_az + D8 17 4
EOC AZ 10UF TANT A0 S16
GND
10K R100 24 PRESS_EN IRQ1 13 9 ad_cal
Vss
IRQL0 PRESS_EN INT CAL 10V 3528 rl_ref rl_ref
DGND
AGND
10K R101 10 27 ecg_test I press_en press_en
GND ECG_TEST
12
27
IRQL1 22
30 GND press_test press_test
GND I
10K R102 42 GND TEMP_CAL_SEL 41 temp_cal
14
IRQ1 26 sel_40 v_ref v_ref
3
HI_LO_SEL
IDG
10K R103 28 pcs6 -6.5VI ls0 ls0
IRQ0 PCS6 9 pcs7
PCS7 IDG
31 pcs8 IDG I ls1
PCS8 32 pcs9 ls1
10K R104 PCS9
RFS0 la_ref
12 4MHz la_ref
4MHZ ra_ref
10K R105 TFS0 ra_ref
ll_ref
ll_ref
10K R344 IRQ2 diag_bw
diag_bw
ecg_test
ecg_test
sel_40 sel_40
temp_cal
temp_cal
sclk0
sclk0
sel_20
PF0 sel_20
PF1 resp_test
PF2 resp_test
IVCC C227 ls0
ls0
ls1
a[13..0] 100PF NPO ls1
R106 R107 R108
0805 ls2
100K 100K 100K ls2
14
U21B
R364 d[23..8] pcs8 12 16
VDD
CS RFB TLE2062ACD
10K WR-
IVCC 13 WR OUT1 1 6 -
7 resp_high
d15 4 2 5 +
d14 5 DB7 OUT2
IDG DB6
d13 6 DB5 VREF 15 I
a3
a1
a2
a0
d12 7
d18
d22
d23
d21
d20
d19
d17
d16
DB4
94 PF0
93 PF1
89 PF2
d11 8 DB3 R109

d10 9 DB2
GND
d9 10
100
DB1 649K
99
98
97
96
95
92
91
90
88
87
86
85
84
83
82
81
80
79
78
77
76
IVCC d8 11 DB0
resp_low
Isolated
A3/AD2
A2/AD1
A1/AD0
A0
PWDACK
Vdd
PF3
FL0
FL1
FL2
D23
D22
D21
D20
D19
D18
D17
D16
BGH
PF0[MODE A]
PF1[MODE B]
GND
PWD
PF2[MODE C]
GND
U24
3
AD7524JR
a4 1 A4/AD3 D15 75 d15 SOCKET IDG
32
IVCC a5 2 74 d14 32 PIN
3 A5/AD4 D14 73 d13
a6 4 GND D13 72 d12 IVCC
VCC
a7 5 A6/AD5 D12 71 a0 12 13 d8
a8 6 A7/AD7 GND 70 d11 a1 11 A0 O0 14 d9 IVCC
a9 7 A8/ID7 D11 69 d10 a2 10 A1 O1 15 d10
Y3
EMC60S5B-016
a10 8 A9/ID8 D10 68 d9 a3 9 A2 O2 17 d11 U19A Grounded
4
A10/AD9 D9 A3 O3
16
a11 9 67 a4 8 18 d12 74HCT221D
a12 10 A11/AD10 Vdd 66 a5 7 A4 O4 19 d13 VCC
Vcc
a13 11 A12/AD11 GND 65 d8 a6 6 A5 O5 20 d14 6
Vcc
A13/AD12 D8 a7 A6 O6 d15 R110 C59 CEXT
R363 12 GND D6/IWR 64 IVCC 5 A7 O7 21
3 16MHz 13 U25 63 a8 27 402K 1UF MP
OUT 14 CLKIN ADSP-2184BST-160 D6/IRD 62 a9 26 A8 22 BMS- 2824 VCC
100 OHM 15 XTAL D5/IAL 61 a10 23 A9 CE 24 RD- 7
16 Vdd D4/IS 60 R339 a11 25 A10 OE REXT/CEXT
CLKOUT GND A11
2
17 59 10K a12 4 1 9 5 resp_test

GND Vdd A12 VPP A Q
GND
18 58 a13 28 31 ecg_test 10
WR- 19 Vdd D3/IACK 57 d16 29 A13 PGM 30 11 B 12 R111
RD- 20 WR D2/AD15 56 d17 3 A14 NC CLR Q IVCC
RD D1/AD14 A15 IDG 10K
BMS- 21 55 d18 2
2
DMS- 22 BMS D0/AD13 54 A16
8
PMS- 23 DMS BG R112
IDG PMS EBG 53 U26 1 dsp_txd
GND
IOMS-24 52 dsp_txd
CMS- 25 IOMS BR 2636-00-04 Q8 1K
51 IDG 8
IRQL0+PF5
IRQL1+PF6
CMS EBR R113 VCC

IRQE+PF4
CMPT3906
IRQ2+PF7
7 2
3
2K
ERESET
RESET
ELOUT
16
SCLK0
SCLK1
6 U27
ECLK
RFS0
RFS1
TFS0
TFS1
EINT
GND
GND
ELIN
EMS
HCNW2601-300
DR0
DR1
DT0
DT1
Vdd
C60
EE
IDG 3
.1UF CER 5
0805 GND
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
R114
499 OHM
IRQL0
IRQL1
sclk0
RFS0
TFS0
IRQE
IRQ2
IRQ1
IRQ0
DR1
I
IVCC DGND
IDG
J17 D
U28 EZ-ICE
MAX690A-CSA IVCC
2
U29 IVCC IVCC

4 1 1 2
TP30
VCC
PFI VO 3 4 SCC2691AC1A28
RESET\_DSP R345 5 6 IDG
10K key
7 8 15 GND VCC 1
6 5 IRQ2 16 2 RD-
WDI PFO 9 10 INTRN RDN
GND
pcs7 17 3
8 7 RESET 11 12 d15 18 CEN RXD 4
VB RS 13 14 d14 19 D7 TXD 5 R115
d13 20 D6 MP0 6
D5 MP1 10K
d12 21 7
3
2
d11 22 D4 NC 8 VCC
D3 NC R116
IDG 23 NC A2 9 a2 1 Q9
d10 24 10 a1 CMPT3906
d9 D2 A1 1K
25 D1 A0 11 a0
26 12
3
d8 27 NC X1/CLK 13 VCC 8
pcs6 WR- 28 D0 X2 14 2 7 R117
WRN RESET 2K
RESET U30 6 dsp_rxd
HCNW2601-300 dsp_rxd
3 C61
TP16 GND 5 .1UF CER
JP4 IDG 0805 NOTES:
R118
IVCC IVCC 499 OHM 1. LAST USED: C230, D44, DS6, E7, F4, FB5, J24,
IRQE
PS_Synch R365 JP8,K3, L15, Q42, R392, RT2, SF11,
100 OHM T5, TP51,U103, Y4.
D
-5VI IDG
5
-5Vi +5VI 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.

Vcc
Vcc
I
+6.5VI 3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS
+6.5VI JP5 C62 C63 C64 C65 C66 C67 C205 C206 C207
.1UF CER .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER 2 4 3 OTHERWISE SPECIFIED.
-6.5VI 0805 0805 0805 0805 0805 0805 0805 0805 0805 A Y OUT
-6.5VI
GND
GND
U100
SN74AHC1G04DCK
Y4
1.8432MHZ SMT
IGND 11 BUSINESS PARK DRIVE
3
+5V_Ref C68 C69 C70 C71 C72 C73 (203) 481-4183

+5V_Ref I
IVCC .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER
0805 0805 0805 0805 0805 0805 DWN: CHK: APR:
IDG IDG MARK TUCCILLO 9/5/01 GP 9/5/01 RAM 9/5/01
+5VI Title
-5Vi DSP Processor
D 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
VCC 18 REVISED PER ECN 1274. GP 6-11-03
glue 22 REVISED PER ECN 1326. GP 3-4-04
memory 23 REVISED PER ECN 1354. GP 4-13-04
pcs0_8 VCC 24 REVISED PER ECN 1432. GP 5-27-05
VCC
pcs0_8 pcs1_8
as pcs1_8 pcs2_8
VCC
as pcs2_8 pcs4_8 cs0 VCC video
pcs4_8 pcs5_8 cs1 cs0 iack5 green[0..5]
pcs5_8 cs1 intack5 green[0..5] green[0..5]
25_MHz pcs8_8
VCC
8
r/w 25_MHz pcs8_8 pcs8-8 intack7 red[0..5]
siz0 r/w ecg_gain intack7 red[0..5] red[0..5]
+5VDC
siz0 ecg_gain lbwe reset blue[0..5]
lbwe lbwe clear blue[0..5] blue[0..5]
3MHz ubwe R362
3_6864MHz ubwe lbre ubwe 5 clock hsynch
lbre lbre OUT clock hsynch hsynch
cs2 ubre vsynch
cs2 ubre ubre a[0..20] 0 OHM vsynch vsynch
GND
cs3 cs2 dot_clock
cs3 nv_wr 0805 cs2 dot_clock dot_clock
ac
ac 64KHz
64KHz Y2 ds 25_MHz
ac 64_KHz 1_843MHz siz0 ds 25_MHz
1_8MHz EMC60S5B-048 siz1 siz0 irq7
4
fp0 kojak_light kojak_light d[0..15] as siz1 sof_int
fp0 fp1 fp_0 rec_res r/w as irq5
fp1 fp_1 rec_res rec_res D r/w eow_int
fp2 sao2_res spo2_res
fp2 fp3 fp_2 sao2_res nibp_res nv_wr cs_hires_dac
fp3 fp_3 nibp_res nibp_res A[0..21] cs_hires_dac
etco2_res
etco2_res
GND
etco2_res dsack1
spare_out_0 graph_out hd[0..15] dsack1
spare_out_1 graph_out graph_out
alarm_out
spare_out_2 alarm_out lead_off
alarm_out audio_a_clk
spare_out_3 lead_off lead_off memory audio_b_clk
GND
spare_out_4
a[0..20] D
spare_in_1
spare_in_2 d[0..15] video
spare_in_3
VCC D
intack7
pcs3_8
comm
GND
ether_cts ether_rxd
VCC
ether_rxd ether_txd ether_rxd
glue ether_txd ether_txd
ether_rts
D d[0..15] 3MHz
3MHz
cts_d
d[0..15] a[0..20] cts_d rts_d cts_d
rts_d txd_d rts_d
porta0 txd_d rxd_d txd_d
porta0 rxd_d rxd_d
dsack1
dsack0
porta1
porta1
porta7
porta4
porta2
porta0
porta1
iack5
iack3
porta2 VCC r/w cts_c

d15
d14
d13
d12
d11
d10
porta2 r/w cts_c cts_c

a0
d9
d8
d7
d6
d5
d4
d3
d2
d1
d0
porta4 rts_c
porta4 porta7 pcs0_8 rts_c txd_c rts_c
porta7 pcs0-8 txd_c rxd_c txd_c
irq3 rxd_c rxd_c
irq3 cts_b
144
143
142
141
140
139
138
137
136
135
134
133
132
131
130
129
128
127
126
125
124
123
122
121
120
119
118
117
116
115
114
113
112
111
110
109
D
iack3 cts_b rts_b
cts_b
iack3 rts_b rxd_b
rts_b
reset rxd_b txd_b rxd_b
txd_b
GND
VCC
DSACK1
DSACK0
A0
A31/IACK7
A30/IACK6
A29/IACK5
A28/IACK4
GND
VCC
A27/IACK3
A26/IACK2
A25/IACK1
A24
D15
D14
D13
GND
D12
GND
VCC
D11
D10
D9
D8
D7
D6
D5
D4
GND
VCC
D3
D2
D1
D0
reset txd_b
txd_a
txd_a rts_a txd_a
108 cs0 rts_a rxd_a rta_a
CS0/AVEC cs1 pcs4_8 rxd_a cts_a rxd_a
1 RMC CS1/IRQ2 107 pcs4_8 cts_a cts_a
r/w 2 106 cs2
siz1 3 R/W CS2/IRQ2 105 irq3 irq6 txd_e
siz0 4 SIZ1 IRQ3 104 cs3 irq6 txd_e rts_e txd_e
ds 5 SIZ0 CS3/IRQ4 103 ubre rts_e rxd_e rta_e
as DS GND ubre rxd_e cts_e rxd_e
6 AS VCC 102 cts_e cts_e
bgack 7 101 irq5 ubwe
8 BGACK IRQ5 100 irq6 ubwe audio_a
GND
br 9 BG IRQ6 99 irq7 audio_a audio_b
berr 10 BR IRQ7 98 done2 audio_b
halt 11 BERR DONE2 97
reset 12 HALT DACK2 96 dreq2
RESET DREQ2 done1 comm
13 GND DONE1 95
14 CLKOUT DACK1 94
15 93 dreq1 D
16 VCC U17 DREQ1 92 1_843MHz VCC
17 XFC X1 91
25_MHz VCC MC68340FE25 GND
18 EXTAL VCC 90
19 VCCSYN
POWERED BY MOTOROLA
X2 89
20 XTAL SCLK 88
21 87 VCC +12V
22 GND CTSB 86
23 MODCK RTSB 85
24 VCC TXDB 84 dsp_txd
IPIPE RXDB dsp_rxd analog
25 IFETCH TXRDYA 83
26 BKPT RXRDYA 82
27 81
VCC
+12
28 FREEZE CTSA 80 sinen
29 TIN1 RTSA 79 souten
30 TOUT1 GND 78 d[0..15] filter_clka
31 TGATE1 VCC 77 filter_clkb
32 TCK TXDA 76 rec_txd
33 TMS RXDA 75 rec_rxd a[0..20]
34 TDI TIN2 74
35 TDO TOUT2 73 ecg_gain
VCC TGATE2 ecg_gain ECG ecg_aout
36 GND RESP resp_aout
audio_a IBP1 ibp1_aout
GND
GND
GND
GND
GND
VCC
VCC
VCC
VCC
FC3
FC2
FC1
FC0
A23
A22
A21
A20
A19
A18
A17
A16
A15
A14
A13
A12
A11
A10
D audio_b IBP2 ibp2_aout

A9
A8
A7
A6
A5
A4
A3
A2
A1
lbwe PLETH pleth_aout

ds lbwe HR hr_aout
ds SpO2 spo2_aout
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
VCC
pcs1_8
pcs2_8 pcs1-8 ECGX1000 ecgX1000
pcs5_8 pcs2-8
cs_hires_dac pcs5-8 speaker+ speaker+
cs_hires_dac speaker- speaker-
Battery
D Battery ETCO2 etco2_aout
a8
berr
a21
a9
a7
a6
a5
a4
a3
a2
a1
a20
a18
a17
a16
a15
a14
a13
a12
a11
a10
a19
J16 a0 +5VREF +5VREF
AGND
TEST
DGND
a[0..21]
-12
ds Battery Battery
1 2 VCC
3 4
5 6
7 8 analog
9 10
TP29 D
RESET\
R72
10K
R73
10K
R74
10K
-12V
A
NOTES:
irq3 dreq1 1. LAST USED: C230, D44, DS6, E7, F4, FB5, J24,
R75 R76 R77 JP8,K3, L15, Q42, R392, RT2, SF11,
10K 10K 10K T5, TP51,U103, Y4.
VCC irq5 dreq2 reset bypass
VCC 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.
<Value>
2
R78 R79 R80

U18 1 10K 10K 10K VCC VCC 3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS
MAX690A-CSA Q7 irq6 bgack dsack0
DGND
2
CMPT3906 +12V DGND OTHERWISE SPECIFIED.

4 1 R81 R82 R83
3
GND VCC
PFI VO
10K 10K 10K +12V +12 D
irq7 br dsack1
pcs5_8 6 WDI PFO 5
D
-12V -12 AGND AGND
R84 R85 R86 11 BUSINESS PARK DRIVE
8 VB RS 7 10K 10K BRANFORD, CT., 06405 USA
done1 berr A
1K (203) 481-4183
-12V
R87 R88 DWN:
3
MARK TUCCILLO 9/5/01 CHK: APR:

GP 9/5/01 RAM 9/5/01
10K 10K
done2 halt Title
COLOR CPU MAIN
D Size Document Number Rev
C 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
lbre 24 REVISED PER ECN 1432. GP 5-27-05
VCC R50 R51 R52 R53
U13 10K 10K 10K 10K
irq6 SCC2691AC1A28
pcs4_8 15 GND VCC 1
16 INTRN RDN 2
17 CEN RXD 3 ether_rxd
d15 18 4 ether_txd
d14 19 D7 TXD 5
D6 MP0 ether_cts
d13 20 6 ether_rts
VCC d12 21 D5 MP1 7
d11 22 D4 NC 8
23 D3 NC 9 a3
d10 24 NC A2 10 a2 VCC
U102 d9 25 D2 A1 11 a1
26 D1 A0 12
SN74AHC1G04DCK U14
5
d8 27 NC X1/CLK 13
7
28 D0 X2 14 MAX233ACWP
Vcc
lbwe WRN RESET txd_e
2 T1OUT 5
VCC
T1IN rts_e txd_e
1 T2IN T2OUT 18 rts_e
RESET 2 4
A Y
GND
3 4 rxd_e rxd_e
20 R1OUT R1IN 19 cts_e
R2OUT R2IN cts_e
12
3
C2+ 15
13 C2+ 11
14 C1+ C2- 16
10 C1- C2-
17 V- 9
8 V- GND 6
VCC V+ GND
R54 R55 R56 R57 VCC

10K 10K 10K 10K
U15
MAX233ACWP
7
2 5 txd_a
VCC
T1IN T1OUT 18 rts_a
txd_a
1 T2IN T2OUT rts_a
3 4 rxd_a rxd_a
20 R1OUT R1IN 19 cts_a
R2OUT R2IN cts_a
C2+ 12
C2+ 15
13 C1+ C2- 11
14 C1- C2- 16
10 V-
17 V- GND 9
8 V+ GND 6
VCC
d[0..15] d[0..15]
U16
82C684CJ/44 R58 R59 R60 R61 R62 R63 R64 R65 R66 R67 R68 R69 R70 R71
a[0..20] 10K 10K 10K 10K 10K 10K 10K 10K 10K 10K 10K 10K 10K 10K
a[0..20] d8 7 D0 RXD A 39
d9 8 40
d10 9 D1 TXD A 41
d11 10 D2 RTS A 36
d12 11 D3 CTS A
d13 12 D4 4 rxd_b
VCC d14 13 D5 RXD B 3 txd_b rxd_b
d15 14 D6 TXD B 42 rts_b txd_b
D7 RTS B 37 cts_b rts_b
a1 35 CTS B cts_b
R356 a2 34 A1 27 rxd_c
a3 33 A2 RXD C 26 txd_c rxd_c
10K A3 TXD C txd_c
a4 32 25 rts_c
a5 A4 RTS C rts_c
31 A5 CTS C 30 cts_c
r/w 15 17 rxd_d
r/w pcs0-8 R/W RXD D txd_d rxd_d
pcs0-8 16 CE TXD D 18 txd_d
24 rts_d rts_d
irq3 21 RTS D 29 cts_d
irq3 INTRN CTS D cts_d
iack3 20
iack3 19 IACK 2 audio_a
VCC DTACK TIMER 1 audio_b audio_a
1 SEL TIMER 2 22 audio_b
reset 43
reset 3_MHz RESET
3MHz 5 CLK VCC 44 VCC
6 X2 DGND 23
28 IEI
38 RDN
R361 VCC
100 OHM
8
+5VDC
5 OUT Y1
3.6864MHZ SMT
GND
VCC
4
NOTES:
VCC JP8,K3, L15, Q42, R392, RT2, SF11,
T5, TP51,U103, Y4.
GND OTHERWISE SPECIFIED.

(203) 481-4183
DWN: CHK: APR:
Title
COMM
C 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS
DGND 20 REVISED PER ECN 1289. GP 6-25-03
+12 D 24 REVISED PER ECN 1432. GP 5-27-05
AGND
+12
-12
A
-12
+12
+12 +12 +12 +12 +12 +12
C28 + C29 C30 C31 C32 C33 C34
4.7UF TANT .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER
16V 3528 0805 0805 0805 0805 0805 0805
C36 C37 C38 C39 C40

C35 + .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER
4.7UF TANT A
0805 0805 0805 0805 0805
16V 3528
-12 VCC VCC VCC -12
-12
VCC VCC VCC VCC VCC NOTES:

C41 C42 C43 C44 C45 1. LAST USED: C230, D44, DS6, E7, F4, FB5, J24,
.1UF CER .1UF CER .1UF CER .1UF CER .1UF CER JP8,K3, L15, Q42, R392, RT2, SF11,
0805 0805 0805 0805 0805 T5, TP51,U103, Y4.
VCC 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.
VCC VCC VCC VCC VCC
C46 + C47 C48 C49 C50 C51 3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS
4.7UF TANT .1UF CER .1UF CER .1UF CER .1UF CER .1UF CER OTHERWISE SPECIFIED.
16V 3528 0805 0805 0805 0805 0805
VCC VCC VCC VCC VCC

C52 C53 C54 C55 C56
.1UF CER .1UF CER .1UF CER .1UF CER .1UF CER BRANFORD, CT., 06405 USA
0805 0805 0805 0805 0805 (203) 481-4183
DWN: CHK: APR:
D Title
BYPASS
A 5143-00-01 (-03 SCHEMATIC) 24
REVISIONS C13
R14
FOR REVISION LEVEL HISTORY REV-00 THRU REV-17 10K
REFER TO ECN 1274 IN THE ENGINEERING RECORD FILES. .1UF CER 0805
18 REVISED PER ECN 1274. GP 6-11-03 U2 U3
19 REVISED PER ECN 1275. GP 6-11-03 R15
20 REVISED PER ECN 1289. GP 6-25-03 VCC LTC1069-7CS8 LTC1069-7CS8
21 REVISED PER ECN 1290. GP 6-25-03 VCC
22 REVISED PER ECN 1326. GP 3-4-04 100K C14
23 REVISED PER ECN 1354. GP 4-13-04 1 8 + 1 8
24 REVISED PER ECN 1432. GP 5-27-05 +12 AGND Vout AGND Vout
2 7 6.8UF TANT 2 7
8
C208 V+ V- V+ V-
R16 20V 3528
.1UF CER 2 +5VREF 3 6 R17 3 6
0805 1 C15 NC NC C16 NC NC
U4A 100K .1UF CER filter_clka 100K .1UF CER filter_clkb
3 4 Vin CLK 5 4 Vin CLK 5
A TL062ACD +5VREF 0805 0805
A
4
C209 -12 R18 A
.1UF CER 1K
0805 R19 R20
C17
A 1M 100K R21 A A +
U5 R22 10K
U6 6.8UF TANT VCC
AD7574JN 4.02K VCC C18
AD7528ACR R23 35V 7343 .1UF CER
filter_clka filter_clka d8 13 TL062ACD U7D 100K
d9 12 DB0 2 d8 14 17 0805
DB1 VREF A DB0 VDD TL034ACD
d10 11 6 d9 13
d11 10 DB2 4 7 d10 12 DB1 2 13 - C19
DB3 AIN U4B R24 DB2 OUT A R28 R26
filter_clkb filter_clkb d12 9 3 5 Battery d11 11 3 14 +
d13 8 DB4 BOFS d12 10 DB3 RFB A 4 12 + 1 8
DB5 100K DB4 VREF A 24.9K 33.2K A SHUTDOWN Vo2
d14 7 d13 9 6.8UF TANT
d15 6 DB6 VCC d14 8 DB5 2 7
DB7 R27 d15 DB6 A 35V 7343 BYPASS GND
7 DB7
16 17 49.9K a1 6 C20 3 6
pcs5-8 15 CS! CLK DA/DB 20 .1UF CER +IN Vdd
RD! OUT B A
14 A lbwe 16 19 0805 4 5
BUSY! pcs1-8 15 WR RFB B 18 -IN Vo1
VCC R29 CS VREF B
100K R25
1 VDD AGND 5 5 DGND AGND 1 A
40.2K U8
18 DGND A D A LM4861M
-12 C212 R30
C21 C22 .1UF CER 100K
.1UF CER 220PF NPO 0805
0805
11
0805
C23
D D A 100PF NPO R31
2 -
A 100K
1 0805
3 +
Battery U7A
A TL034ACD
4
QRS TP27
audio_a SPEAKER (-)
ALARM C213 TP28
audio_b +12 .1UF CER SPEAKER (+) speaker-
0805
A speaker+
d[0..15] R32
a[0..20] 10K
U9
AD7545AKSW R33
+5VREF 6 -
7 RESP
10K RESP
5 +
d2 15 17 ds U7B
d3 14 DB0 WR 16 cs_hires_dac
DB1 CS U10 TL034ACD
d4 13 R34
d5 12 DB2 20 AD7228ACR
d6 11 DB3 RFB d8 20 9 ETCO2
d7 DB4 10K d9 DB0 VOUT 1 ETCO2
10 DB5 19 DB1 VOUT 2 8
d8 9 1 9 - d10 18 7 IBP1
d9 DB6 OUT1 d11 DB2 VOUT 3 IBP2
IBP1
8 DB7 8 17 DB3 VOUT 4 6 IBP2
d10 7 2 10 + d12 16 5 PLETH
d11 6 DB8 AGND d13 15 DB4 VOUT 5 4 HR PLETH
d12 5 DB9 19 U7C d14 14 DB5 VOUT 6 3 SpO2 HR
DB10 VREF A DB6 VOUT 7 SpO2
d13 4 TL034ACD d15 13 2
DB11 DB7 VOUT 8
3 18 VCC a1 24 1
DGND VDD a2 A0 VDD +12 -5VREF
23 A1 VSS 10
D a3 22 11
A2 VREF +5VREF
DGND 12 R36
pcs2-8 21 WR
D 10K
R35
10K C24 -12

C210
U11 .1UF CER
.033UF MP +5 0805
AD680JR
2220
R37 R38 2 U12D A
VIN
11
ds R39 TL034ACD
ds VCC
20K 20K VOUT 6 12 + R40
cs_hires_dac 14 2 -
cs_hires_dac C25 10K
4 GND 13 - 10K 1
.1UF CER 3 +
0805 C26
pcs5-8 .1UF CER U12A
pcs5-8 U12B +5VREF A TL034ACD
0805
4
D R41 R390 TP1
9 - TL034ACD R42
8 ecgX1000 5 +
10K ecg 499 OHM +12
10 + 7 A 10K .1%
6 - C211
A 50PPM
lbwe A U12C .1UF CER
lbwe C27 0805
TL034ACD R43
pcs1-8
pcs1-8
100K A
pcs2-8 .1UF CER
pcs2-8 R44 0805
10K .1%
+5 50PPM
A
R45
+5VREF +5VREF R46 100K
100K
2
D4 R47 D5 D
ecg_gain 1
2
MMBD4148 ECGX1000
100K 3 Q6
MMBD4148 ECG
G MMBF4393
3
Q5 S
1
VCC +5 VCC CMPT3906

R48
+12 100K
+12
R49
vdd
+12 100K
VCC
TP21
-12 NOTES: 11 BUSINESS PARK DRIVE
AGND BRANFORD, CT., 06405 USA
A JP8,K3, L15, Q42, R392, RT2, SF11, (203) 481-4183
-12
T5, TP51,U103, Y4. DWN: CHK: APR:
AGND DGND MARK TUCCILLO 9/5/01 GP 9/5/01 RAM 9/5/01
Title
-12 ANALOG
A D 3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS Size Document Number Rev
OTHERWISE SPECIFIED. 24
C 5143-00-01 (-03 SCHEMATIC)
ecg_front_end Power Supply REVISIONS
leads0
17
leads1 SF1 FOR REVISION LEVEL HISTORY REV-00 THRU REV-17
J1 MEA8020T10R0 D REFER TO ECN 1274 IN THE ENGINEERING RECORD FILES.
leads2 Rec_GND 18 REVISED PER ECN 1274. GP 6-11-03
NIBP 16 1 19 REVISED PER ECN 1275. GP 6-11-03
shield_dr nibp_res cts_c F1 J2
POWER 20 REVISED PER ECN 1289. GP 6-25-03
FB1 rxd_c 1 2 txd_c 5ASB 15 2 21 REVISED PER ECN 1290. GP 6-25-03
LA_ref +12V 3 4 +12V 22 REVISED PER ECN 1326. GP 3-4-04
150014 LL RA_ref nibp_gnd 5 6 nibp_gnd Battery_Pos 1 14 3 23 REVISED PER ECN 1354. GP 4-13-04
LL_ref 7 8 2 24 REVISED PER ECN 1432. GP 5-27-05
FB2 V_ref 9 10 Pump_GND Battery_Neg 3 13 4
RL_ref 11 12 +12V 4
150014 LA 13 14 12V_Switcher 5 12 5
pacer_det 15 16 Vcc Vbuss +12V Switcher_GND 6
FB3 11 6
TP26
150014 RA ecgX1000 GND 10 7
ECGX10 Thermistor_Pos 1
LL_Lead +12V_HD Thermistor_Neg 2 J20
FB4 LA_Lead 3 9 8 J4
210062
RL RA_Lead Vbuss FRONT PANEL
150014 V_Lead J23 1 Vcc Vcc
18
17
Vcc Power Supply THERMISTOR 2 1
FB5 D 2 R1
D Vcc 1 21
Iso_GND
150014 V diag_bw -12V 16 1 3 2 1 21 22
+6.5VI
ecg_test 4 2 22 470K
-6.5VI 3 23
+5VI
-5VI
HD_GND Common_LED 15 2 5 R2 4 3 23 24
On_Off 6 470K 5 4 24 25
DGND Power_On_Led 14 3 7 6 5 25 26
Bat_Maintence_LED 8 D 6 26
ecg_front_end dsp Bat_Charging_LED 9 7 7 27 27
A D 13 4 RDBK0 8 28
-12V Battery_Fault_LED 10 9 8 28 29
12 5 11 10 9 29 30
ls0 NON Switcher_off 12 11 10 30 31
ls1 11 6 13 Vbuss 12 11 31 32
ls2 ISOLATED ac 14 12 32
15 13 13 33 33
10 7 16 14 14 34 34
la_ref 17 15 15 35 35
9 8 16 36 R3 R4
ra_ref cpu_main 18 16 36 470K 470K
ll_ref 17 17 37 37
D SF2 18 38
v_ref 18 38
18
rl_ref Vcc CONNECT TO MEA8020T10R0 19 19 39 39
J5 MOUNTING HOLE 20 40 Vcc
ac 20 40
ISOLATED INPUTS pacer_det +5VREF Battery D
LL LL VCC J3 RECORDER
LA 1 2 LA ecgX1000 cts_c
RA 3 4 RA ecgX10 DGND rxd_c
RL 5 6 RL ll_lead txd_c
V 7 8 V la_lead nibp_res
shield_dr 9 10 shield_dr ra_lead Vcc
11 12 v_lead D
IGND IGND 1 16
+5_VREF 13 14 +5_VREF 2 IN V+ 15
sg1- 15 16 sg1+ diag_bw 3 IN IN 14
sg2- 17 18 sg2+ ecg_test dsp_txd dsp_txd fp3 4 IN IN 13 Vcc
temp1_1 19 20 temp1_2 dsp_rxd dsp_rxd fp2 5 IN IN 12
temp2_1 21 22 temp2_2 Vcc +12V fp1 6 IN IN 11 +12V_Rec Vbuss
23 24 sclk0 fp0 7 IN IN 10
resp_test 8 IN IN 9
Resp porta7 -V IN
resp_high porta4 R5
resp_low +12V porta2 D U1 1 1 10K
J21 J6
+5V_Ref
+5VI
base_imp porta1 R6 R8 R7 R9 SP720AB 2 FAN 2 DISPLAY BACKLIGHT

shield_dr VCC porta0 3 3
press_test 10K 10K 10K 10K
sclock0 press_en -12V Q1
LA resp_test press_1 speaker+ 1 D D
J7 MMBT3904LT1
1
2
3
4
press_2 DGND 2 SPEAKER
RA ISOLATED speaker- 3 1
D
3
temp_1 AGND
resp_high temp_2 R384
1 Q42 Q2
PS_Synch
resp_low rec_res MMBT3904LT1
2
+5V_Ref
base_imp sel_40 sinen 100K IRF7205/SO
D A R10
+6.5VI
sel_20 souten
-6.5VI
+5VI -12V
2
IGND
temp_cal rec_rxd 10K

-5Vi
u/d# 1 rec_txd
Iso_GND
offset_cs# 2 D SF10
8
7
6
5
inc# 3 ACH3218-472
dsp
-5VI
gain_cs# 4 kojak_light red[0..5]

red[0..5] green[0..5] 1 J8
J19 green[0..5] blue[0..5] D 2
blue[0..5] 1 3 KOJAK LIGHT
RESP ADJ dot_clock
Resp dot_clock hsynch 2 D
hsynch vsynch 3
vsynch 4 D
red0 5
SF8 SF11 red1 6
ACH3218-472 rta_a ACH3218-101 red2 7
cts_a red3 8
D 9
18
red4
red5 10
cts_d J10 11
I rts_b 9 8 COM 1 D 12
green0 J9
rts_c 10 7 green1 13 DISPLAY
cts_b rxd_a 7 2 green2 14 191501
SF9 txd_a 5 4 green3 15
ACH3218-472 11 6 3 6 16
green4
12 5 1 8 green5 17
18
D blue0 19
13 4 J12
temp_press blue1 20 Vcc BEDSIDE WIRELESS
I blue2 21
rta_e 14 3 R382 22 INTERFACE (B.W.I.)
Vcc blue3
DSP Power Supply cts_e 23
15 2 blue4
+5_Vref
+6.5V
+5VI
+12V 0 OHM blue5 24 1

SF6 PRES_TEST PS_Synch J11 25 2
ACH3218-472 PRESS_EN +5_Vref 16 1 COM 2
SG1+
C2 + C1 26
27
3
4
.1UF CER 10UF TANT D
SG1- +12V 7 2 0805 10V 3528 28 5
SF7 press_1 +6.5VI rxd_e 5 4 29 6
17
ACH3218-472 press_2 +5VI DGND txd_e 3 6 30 D 7
I SG2+ SF3 1 8 R380 31 8
SG2- temp1_out IGND MEA8020T10R0 D 9
temp2_out D D D 0 OHM 10
ECGX1000 11
I 40C_sel -5VI line_enable 12
SaO2Wform
temp1_plus 20C_sel -6.5VI RespWform 13
temp1_neg temp_cal# 14
NON 15
ISOLATED ISOLATED L1 16
temp2_plus ecgX1000 17
temp2_neg DSP Power Supply 100UH C3 18
IGND
-6.5V
SMT .15UF 63V 19

MP 2824 20
21
graph 22
temp_press Battery 23
L2 A 24
ecg_aout SF4
18
rxd_d 100UH C4 MEA8020T10R0 A
txd_d R357 R358 R359 R360 SMT .15UF 63V
rts_d 8 9
MP 2824
spo2_res 1K 332 OHM 1K 301 OHM
I A A J24 7 10
etco2_aout ECGX1000 OUT 6 11
FRONT END ISOLATED resp_aout
ibp1_aout 1 5 12
ibp2_aout 2
ether_rxd pleth_aout 3 J13
ether_txd hr_aout 4 13 ANALOG OUT
spo2_aout 3 14 CONNECTOR
ecgX1000_out
ecg_out 2 15 1
graph_out resp 3
txd_b ibp1 1 16 5
rxd_b alarm_out ibp2 7
etco2_res lead_off C5 pleth 9
64KHz + 11
4.7UF TANT hr
18
A 13
17
16V 3528 SaO2
C6 + 8 9 15
C7 4.7UF TANT C8 A 17
+ + 19
4.7UF TANT 16V 3528 10UF TANT 7 10
16V 3528 10V 3528 21
C9 + 6 11 23
C11 C10 + 10UF TANT 25
cpu_main 4.7UF TANT C12 2
4.7UF TANT + 10V 3528 5 12 4
+
16V 3528 10UF TANT
16V 3528 10V 3528 6
SpO2 Power Supply Vbuss Vcc Vbuss Vcc 4 13 8
J15 Ethernet Power Supply 10
+12V ETHERNET A 3 14 12
+12V etco2 2 15 14
1 +5VI_SpO2 Vcc 1 2 ether_IGND 16
2 3 4 ether_iso_txd VCC E1 Vcc 1 16 18
3 DGND 5 6 20
4 +15VI_SpO2 7 8 DGND E2 SF5 22
5 D 9 10 24
6 -15VI_SpO2 11 12 JP1 MEA8020T10R0 26
17
D TP19 E3 CHASSIS_GND
7 TRANSMIT DATA
8 RECEIVE DATA Iso_SaO2_Xmitt DGND +12V A
9 CTS- Iso_SaO2_Rec SaO2_Xmitt E4
Vcc graph_com
10 RESET INPUT- Iso_SaO2_Rts SaO2_Rec ether_txd E5 7
11 Iso_SaO2_Reset SaO2_Rts ether_rxd Vbuss 6
12 IGND_SpO2 SaO2_Reset E6 5
13 2
14 C216 E7 R11 D1 3
100PF MMBD4148 4 graph
J14 6KV CD +5VREF ether_iso_rxd +5VREF 10K
ether_iso_+5V 1
SaO2 INTERFACE NON 8 7
+12V
D ISOLATED ISOLATED NON 6
ISOLATED ISOLATED K1 390005 5
ETHERNET
3
R12 G6K-2F-Y-DC12 2
SpO2 Power Supply 1 Q3 3
ISOLATED Ethernet Power Supply
10K MMBT3904LT1
D2 1
4 NOTES: IVY BIOMEDICAL SYSTEMS INC.
D 11 BUSINESS PARK DRIVE
7 MMBD4148 8 1. LAST USED: C230, D44, DS6, E7, F4, FB5, J24,
2
Alarm Out 6 BRANFORD, CT., 06405 USA

SpO2 ISOLATED D 5
2
K3 390005 JP8,K3, L15, Q42, R392, RT2, SF11,
T5, TP51,U103, Y4.
(203) 481-4183
G6K-2F-Y-DC12
3
D3 3 DWN: CHK: APR:
R13 Graph Out MARK TUCCILLO 9/5/01 GP 9/5/01 RAM 9/5/01
MMBD4148 4 1 Q4 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388. Title
1 MMBT3904LT1
8
10K
3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS 5143 Main
2
K2 390005 OTHERWISE SPECIFIED. Size Document Number Rev
D 24
G6K-2F-Y-DC12 D D 5143-00-01 (-03 SCHEMATIC)
8 7 6 5 4 3 2 1
REVISIONS
D D
2336-00-01
J202-1 VCC
TTL RECEIVE DATA
1
J202-2 TTL TRANSMIT DATA
TTL EXTERNAL RES U3
J202-3 R1 CNY17-3
2K E1
J202-4 1 RN1 2 TXD_B
2
IGET
IGET 1K
+5VIET
+5VIET E2
RXD_B
5
U4
+5VIET CNY17-3 VCC
J204 R3
173011 3 RN1 4 5 RN1 6 VCC
4
1K D 9 RN1 10 E3
1 +5VIET R5 1K 1K
2 2K VCC 1K
3
IGET
1
C C
U5
CNY17-3
E4
7 RN1 8 ET_RES
2
IGET 1K
B++
E7
+5VIET R12
TP1 B++ 100 OHM
U2 64KHz
BNX002-01 L1 D1 E5
4 1 2252-00-10
+5VIET T1 R14
25UH
. . 150 OHM C9 R8 R10 R13
3
3 2 SB5100 2 4 + C6 U7
10W 5% 1UF MP 6.98K 10K 1K
8
4
C3 2N3903 2 22UF ICM7555
+ C2 R6 H.S. TANT C7
V+
R
100UF C4 Q1 3 2 R11
IGET 1500UF 620 OHM C8 Q TR 10K
25V + .0068UF 3 1 +
1 1
D2 100UF 25V
3
25V 2W 5% 7 47PF NPO
1KV CD MBR350 730MA DIS
2
B D 2 6 5 R9 2N3903 B
2
THR CV
H.S.
V-
IGET 2N3906 C5 10K
Q4
1
Q3
1
IRF540 1G 1000PF
3
IGET U6 Q2 NPO
1
TP2 CNY17-3 S
3
C1 C11
R2 D
2
C10
10K
.1UF MP 10000PF R7
NPO 10K DGND
.047UF MP E6 TP3
R4 D_GND
8 REF COLLECTOR 1 D
7 R_MID COMP 2
6 3 33.2K
GND-F V+
5 GND-S R_TOP 4
U1
IGET LT1431CN8

A A
BRANFORD, CT. 06405
NOTES: (203) 481-4183
1. ALL RESISTORS ARE 1/4W, 1% U.O.S. Title
ETCO2 MODULE INTERFACE BOARD ASSEMBLY
2. LAST USED:
3. NOT USED: B 5108-00-01 (-03 SCHEMATIC) 04
Date: Thursday, March 10, 2005 Sheet 1 of 1

8 7 6 5 4 3 2 1
Video Add va[0..16]
Video Data vd[0..15]

Wave Add wa[0..14]
Wave Data wd[0..7]

Host Data
Host Add
U94
CY7C199-12VI
wa0 10 11 wd0
hsynch
vd12
vd11
vd15
A0 D0
A15
A14
A10
A11
wd3
wd2
wd6
wa9
wa1 wd1
Data0
vd2
vd1
vd6
vd5
vd9
9 12
wa14
wa11
wa10
wa12
VCCIO
GND
hd11
hd10
hd15
hd14
VCCIO
A6
A4
A5
A1 D1
GND
GND
wa6
wa7
wa8
dclk
VCCIO
wa2 wd2
hd1
hd5
hd4
hd7
va9
va5
8 13
A1
wa3 7 A2 D2 15 wd3
wa4 6 A3 D3 16 wd4
wa5 5 A4 D4 17 wd5
wa6 4 A5 D5 18 wd6
208
207
206
205
204
203
202
201
200
199
198
197
196
195
194
193
192
191
190
189
188
187
186
185
184
183
182
181
180
179
178
177
176
175
174
173
172
171
170
169
168
167
166
165
164
163
162
161
160
159
158
157
wa7 3 A6 D6 19 wd7
wa8 25 A7 D7
wa9 24 A8 20
wave_add14
wave_add11
wave_add10
vram_add9
hd1
hd5
hd4
hd7
GND
hd11
hd10
hd15
hd14
video_data2
video_data1
video_data6
video_data5
video_data9
wave_data12
wave_data11
wave_data15
wave_data3
wave_data2
dclk
GND
data0
wave_data6
host_add15
host_add6
host_add14
host_add10
host_add11
host_add4
host_add5
wram_cs
wave_add9
RESERVED
RESERVED
RESERVED
RESERVED
GND
RESERVED
wave_add6
host_add1
hsynch
vram_add5
wave_add12
wave_add7
wave_add8
VCCIO
VCCIO
VCCIO
wram_we 1 156 wa13 wa10 21 A9 CE 22
green1 2 wram_we wave_add13 155 va3 wa11 23 A10 OE 27 wram_we
green2 3 green1 vram_add3 154 va4 wa12 2 A11 WE
A20 4 green2 vram_add4 153 vram_cs wa13 26 A12 VCC
A18 5 host_add20 vram_cs 152 A19 wa14 1 A13
6 host_add18 host_add19 151 vsynch A14
GND 7 ^nCE vsync 150 conf_done 14 28
VCCINT 8 GND CONF_DONE 149 VCCIO DGND VCC
VCCIO 9 VCCINT VCCIO 148 VCCINT
A16 10 VCCIO VCCINT 147 GND
A17 11 host_add16 GND 146 A21
green0 12 host_add17 host_add21 145 va2
13 green0 vram_add2 144 cs_hires_dac
sof_int 14 cs_wform_ram cs_hires_dac 143 va16
eow_int 15 sof_int vram_add16 142 va15
16 eow_int vram_add15 141 va1
17 zone_inc vram_add1 140 wa0
18 reserved wave_add0 139 wa2
vert_wave_time wave_add4 U96
21 136 wa3 CY7C1009-20VC
23 reserved wave_add1 134 va0 12 13 vd0
clear 24 reserved RESERVED 133 va1 11 A0 D0 14 vd1
GND 25 clear U95 RESERVED 132 intack7 va2 10 A1 D1 15 vd2
VCCINT 26 GND EPF6016QC208-2 intack7 131 VCCIO va3 9 A2 D2 17 vd3
VCCIO 27 VCCINT VCCIO 130 VCCINT va4 8 A3 D3 18 vd4
VCCIO vga_fpga VCCINT A4 D4
clock 28 129 GND va5 7 19 vd5
29 clock GND 128 intack5 va6 6 A5 D5 20 vd6
30 RESERVED intack5 127 cs2 va7 5 A6 D6 21 vd7
31 RESERVED host_cs3 126 ds va8 27 A7 D7
32 RESERVED ds 125 siz0 va9 26 A8 22
33 RESERVED siz0 124 as va10 23 A9 CS1 30
dsack1 34 RESERVED as 123 va11 25 A10 CS2
35 dsack0 vram_rd 122 siz1 va12 4 A11 29 vram_we
36 RESERVED siz1 121 r/w va13 28 A12 WE 24 vram_cs
green5 37 RESERVED r/w 120 vram_we va14 3 A13 OE
green3 38 green5 vram_rd 119 red5 va15 31 A14 1
blue3 39 green3 red5 118 blue1 va16 2 A15 NC VCC
blue2 40 blue3 blue1 117 blue0 A16
blue4 41 blue2 blue0 116 red0 16 32
green4 42 blue4 red0 115 red1 GND VCC
GND 43 green4 red1 114 red2
VCCINT 44 GND red2 113 red3
VCCIO 45 VCCINT red3 112 VCCIO
46 VCCIO VCCIO 111 VCCINT
blue5 47 MSEL VCCINT 110 GND
va14 48 blue5 GND 109 red4
video_data10
video_data13
video_data14
va10 49 vramadd14 red4 108 audio_b_clk

RESERVED
RESERVED
RESERVED
RESERVED
RESERVED
RESERVED
RESERVED
RESERVED
RESERVED
RESERVED
RESERVED
video_data0
video_data3
video_data4
video_data7
video_data8
wave_data0
wave_data1
wave_data4
wave_data5
wave_data7
host_add13
host_add12
line_enable
vramadd10 audio_b
vramadd13
vram_add8
va0
host_add3
host_add9
host_add0
host_add8
host_add2
host_add7
50 25MHz vram_add0 107
va11 51 106 va6
audio_a
vramadd11 vram_add6
nconfig
nstatus
VCCIO
VCCIO
VCCIO
va12 52 105 va7
vramadd12 vram_add7
GND
GND
GND
hd12
hd13
U97
hd0
hd2
hd3
hd6
hd8
hd9
CY7C1009-20VC
R370
100
101
102
103
104
va0 12 13 vd8
100 OHM
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
audio_a_clk 99
va1 11 A0 D0 14 vd9
va2 10 A1 D1 15 vd10
25_MHz va3 9 A2 D2 17 vd11
va13 va8 va4 8 A3 D3 18 vd12
nstatus
VCCIO
vd10
vd13
vd14
hd12
hd13
VCCIO
A4 D4
GND
GND
GND
A13
A12
wd0
wd1
wd4
wd5
wd7
VCCIO
va5 vd13
hd0
hd2
hd3
hd6
hd8
hd9
dot_clock
vd0
vd3
vd4
vd7
vd8
7 19
A3
A9
A0
A8
A2
A7 line_enable va6 6 A5 D5 20 vd14

line_enable va7 5 A6 D6 21 vd15
va8 27 A7 D7
va9 26 A8 22
va10 23 A9 CS1 30
va11 25 A10 CS2
va12 4 A11 29 vram_we
va13 28 A12 WE 24 vram_cs
va14 3 A13 OE
va15 31 A14 1
va16 2 A15 NC VCC
A16
16 GND VCC 32
audio_a_clk
audio_a_clk
audio_b_clk
audio_b_clk
blue[0..5] blue[0..5]
blue[0..5]
green[0..5] green[0..5]
green[0..5]
red[0..5]
red[0..5]
R330 R331 hsynch

hsynch
10K 10K
U98 VCC vsynch
vsynch
2634-00-04
hd[0..15] dot_clock
hd[0..15] dot_clock
A[0..21] Data0 1 8 25_MHz
A[0..21] dclk 2 Data VCC 7 25_MHz
clear nstatus 3 DCLK VCC 6 sof_int
clear OE nCASC sof_int
clock
conf_done 4 nCS GND 5 NOTES: eow_int
clock eow_int
cs2 cs_hires_dac
cs2 JP8,K3, L15, Q42, R392, RT2, SF11, cs_hires_dac
intack5 VCC SOCKET T5, TP51,U103, Y4. dsack1
intack5 dsack1
intack7 VCCIO 8 PIN
intack7 2. NOT USED: C221,J18,J22,JP2,JP3,R89,R388.
VCCINT 3. ALL RESISTORS ARE 1/10W, SIZE 0805 UNLESS
VCC
siz0 OTHERWISE SPECIFIED. IVY BIOMEDICAL SYSTEMS INC.
siz0 11 BUSINESS PARK DRIVE
siz1 REVISIONS BRANFORD, CT., 06405 USA
siz1
GND (203) 481-4183
as REV DESCRIPTION BY DATE
as FOR REVISION LEVEL HISTORY REV-00 THRU REV-17 DWN: MARK TUCCILLO 9/5/01 CHK: APR:
REFER TO ECN 1274 IN THE ENGINEERING RECORD FILES. GP 9/5/01 RAM 9/5/01
r/w
r/w 18 REVISED PER ECN 1274. GP 6-11-03 Title
ds ds 19 REVISED PER ECN 1275. GP 6-11-03 VIDEO FPGA
21 REVISED PER ECN 1290. GP 6-25-03 Size Document Number Rev
22 REVISED PER ECN 1326. GP 3-4-04 5143-00-01 (-03 SCHEMATIC) 24
C
24 REVISED PER ECN 1432. GP 5-27-05 Date: Friday, May 27, 2005 Sheet 16 of 16
8 7 6 5 4 3 2 1
J6 J5 J4 J3 J2
TEMP 2 TEMP 1 PRESSURE 2 PRESSURE 1 ECG
C
D
C
D
D
C
A
B
A
B
B
A
F
F
2
1
2
1
D D
FB6
I I 150013
FB5
FB4
FB3
FB1
FB10
FB9
FB8
FB7
FB11
150010 FB2
(FB-7 THRU FB-11)
150013
C C
SG2+
SG1+
SG2-
SG1-
5V
SHIELD_DR
RL
RA
LL
LA
C2
.1UF CER
0805
FB17 I FB13
TEMP1_1 150010
FB16 150013
TEMP1_2 150013
FB19 FB15
TEMP2_1 150010
FB18 150013
TEMP2_2
C4 C1
150010
.1UF CER .1UF CER
0805 0805
23
21
19
17
15
13
11
9
7
5
3
1
B C3 B
I I J1
.1UF CER
0805 FB14 FB12 170514
150013 150010 ISOLATED INPUTS
24
22
20
18
16
14
12
10
I
8
6
4
2
I

BRANFORD, CT. 06405
A (203) 481-4183 A
Title
ISOLATED INPUT BOARD (ECG/RESP,2P & 2T)
REVISIONS
REV DESCRIPTION BY DATE Size Document Number Rev
01 REVISED PER ECN 1219. GP 12-16-02 A 5144-00-01 (-03 SCHEMATIC) 03
03 REVISED PER ECN 1221. GP 12-16-02 Date: Monday, December 16, 2002 Sheet 1 of 1
8 7 6 5 4 3 2 1

450C Masimo Service Manual

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450C Masimo Service Manual

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Vital-Guard 450C

Operation and Maintenance Manual

Ivy Biomedical Systems, Inc.

Authorized Representative: Cavendish Scott Ltd.

Type of Equipment: Physiological Monitors

Date of Validity: March 30, 2010

Classification: IIb According to rule No. 10

Notified Body: Intertek SEMKO AB Notified Body No. 0413

Name of Authorized Signatory: Dick Listro

MONITOR DESCRIPTION ....................................................................................................................................... 9

MONITOR SETUP ................................................................................................................................................... 28

BATTERY OPERATION ......................................................................................................................................... 34

Vital-Guard 450C Operation and Maintenance Manual i

ECG MONITORING ................................................................................................................................................ 42

RESPIRATION MONITORING ............................................................................................................................. 46

END TIDAL CO2 MONITORING........................................................................................................................... 48

INVASIVE PRESSURE MONITORING ................................................................................................................ 59

MASIMO SET® PULSE OXIMETRY MONITORING ........................................................................................ 63

ii Vital-Guard 450C Operation and Maintenance Manual

NIBP MONITORING ............................................................................................................................................... 68

TEMPERATURE MONITORING .......................................................................................................................... 73

ALARM MESSAGES ............................................................................................................................................... 74

MAINTENANCE AND CLEANING ....................................................................................................................... 76

REAR PANEL OUTPUTS ........................................................................................................................................ 82

Vital-Guard 450C Operation and Maintenance Manual iii

REPLACEMENT PARTS ........................................................................................................................................ 92

DISASSEMBLY AND ASSEMBLY ....................................................................................................................... 94

BOARD LAYOUT DIAGRAMS ............................................................................................................................... A

iv Vital-Guard 450C Operation and Maintenance Manual

Vital-Guard 450C Operation and Maintenance Manual v

This page is intentionally left blank.

vi Vital-Guard 450C Operation and Maintenance Manual

The model 450C is to be operated by qualified personnel only.

Using This Manual

• The electrical installation complies with all applicable regulations

• The equipment is used in accordance with the instructions in this manual

Ivy Biomedical Systems, Inc.

Vital-Guard 450C Operation and Maintenance Manual 1

WARNING: Do not connect to an electrical outlet controlled by a wall switch or dimmer.

2 Vital-Guard 450C Operation and Maintenance Manual

Vital-Guard 450C Operation and Maintenance Manual 3

Part Number Description

4 Vital-Guard 450C Operation and Maintenance Manual

Guidance and manufacturer’s declaration – Electromagnetic emissions

Vital-Guard 450C Operation and Maintenance Manual 5

Guidance and manufacturer’s declaration – Electromagnetic immunity

6 Vital-Guard 450C Operation and Maintenance Manual

Guidance and manufacturer’s declaration – Electromagnetic immunity

Recommended separation distance

Conducted RF 3 Vrms 3 Vrms d = 1.2 p

Radiated RF 3 V/m 3 V/m d = 1.2 p 80 MHz to 800 MHz

d = 2.3 p 800 MHz to 2.5 GHz

Where p is the maximum output power

Field strengths from fixed RF transmitters,

Interference may occur in the vicinity of

Vital-Guard 450C Operation and Maintenance Manual 7

Description of Warning Labels

 ♥  Type CF applied part, Defibrillator proof.

Equipotential earth connector adjacent to this symbol.

Fuse type/rating. Output signal.

Stand By (STBY) ∼ Alternate Current (AC)

♥ Type CF applied part. WEEE Compliance

For monitors used in Australia

8 Vital-Guard 450C Operation and Maintenance Manual