Friday 25 May 2018

Labomed Vision 2000 and Olympus CX21 microscopes maintenance and service


HOW TO CLEAN THE EYEPIECE
Wrap a sheet of lens tissue around a cotton swab as illustrated. If the area to be cleaned is large, wrap the lens tissue looser and thicker. Otherwise, make a thin, tight wrap.
Dip the wrapped lens tissue in the cleaning solution, and wipe the eyepiece from the center towards the periphery in a circular motion.
1) Never rub the lens surface strongly.
2) Do not use the same lens tissue to clean more than one lens.
3) Do not moisten the lens tissue with an excessive amount of cleaning solution.
4) When cleaning with tweezers, be careful not to protrude its tip from the lens tissue.
Preparing for Inspection
1) Set the main switch “A” to “I” (ON).
2) Adjust the brightness by turning the adjustment knob “B” .
3) Place a specimen on the stage.
4) Engage the 10X objective in the light path.
5) Rotate the condenser height adjustment knob ”C” to move the condenser to the highest position.
* The condenser is usually used in the highest position. If the entire observed field of view is not bright enough, brightness may be improved by lowering the condenser slightly.
6) Looking through the eyepiece in the right sleeve without the diopter adjustment ring, turn the coarse and fine focus adjustment knobs “D” to bring the specimen into focus.
7) Looking through the eyepiece in the left sleeve with the diopter adjustment ring, turn only the diopter adjustment ring “E” to focus on the specimen.
(At this time, adjust the interpupillary distance so that the binocular visions on the left and right fields of view coincide completely.)
8) Adjust the aperture iris diaphragm;
Since the aperture irirs diaphragm has an objective magnification scale (4X, 10X, 40X,100X), rotate the diaphragm ring “F” so that the magnification scale corresponding to the objective in use faces frontward.
Checking Dirty Portion
Image influence caused by dirt on each component
The following figure shows the influence of image on each optical component if stains or dust is adhered to that portion.
In general, the microscope image is largely affected by dirt adhered on the nearer portion to a specimen and image surfaces.
Therefore, the optical components should be kept clean and dust-free.
A Dirt is clearly seen.
B: Blurred contours of dirt is seen.
C: Dirt is seen when the aperture iris diaphragm is stopped down.
D: Dirt is not directly seen, but contrast of image deteriorates
How to find dirty portion through observation
1) Close the aperture iris diaphragm.
(When the aperture iris diaphragm is closed, it facilitates finding the dirt particles because the depth of focus increases and the dirt position bring into focus. However, very small dirt particle may not be found in this method.)
2) Observe a specimen through the eyepiece.
If dirt is seen by observing it, look for the portion where stains or dust is adhered by following the description below.
Note: If dirty portion cannot be identified in the above, it is assumed that internal lens and prism are contaminated.  In this case, please contact your Authorized dealer.
How to check cleaning condition
1) When a large lens is checked, look at the lens while putting it toward bright side or breathe on the lens and observe the condition that the haze on the whole surface of the lens disappears evenly.
2) For a small lens such as top lens of objective, check it by magnifier.
Optical Adjustment
Mechanical Adjustment
If a specimen image is moved when the stage is brought into the desired position of specimen, it is necessary to adjust the wire tension of stage.
Adjustment method for the tension of X-wire
Final adjustment
Image backlash adjustment:
1) Under observation state (with 100X objective), move the stage to the desired image position by turning the Y-knob (A).
At that stop position, check image backlash.
If it is over 2 microns, conduct the following adjustment.
2) When adjusting the Y-movement, loosen the two screws (*1) and turn the Y-knob (A) to bring backlash within 2 microns.
* After turning the knob and temporarily tighten the screws, check image backlash in the observation state. Repeat the adjustment until image backlash is within the standard.
Screws: AWU3X4SA (*1) 2pcs.
3) For the X-movement, adjust image backlash by turning the X-knob (B) and check it in the same manner as the Y-knob.
Screws: AWU3X4SA (*2) 2pcs.
* The tension of X/Y knob becomes heavy or light by turning the knob as following direction.
Replacing Grease for Coarse/fine Adjustment Knob Ass’y
If the coarse/fine adjustment knob is not turned smoothly, replace greases on the portions described below.
(In case where the coarse adjustment knob is not turned evenly or the stage cannot be moved vertically, please contact your Authorized Olympus dealer because it is necessary to disassemble the left coarse adjustment knob (F) with shaft and/or guide unit.)
< Disassembling coarse/ fine adjustment knob>
1) Remove the fine adj. knob ass’y (A) and fine adj. knob (B) by turning them in arrow directions.  (In fine adj. knob ass’y, the left fine adj. knob is fixed to the shaft with adhesive,OT1006)
2) Remove the spring washer (C) and washer (D).
3) Remove the fine shaft mount (E) with a spanner while holding the coarse adj. knob (F).
4) Remove the coarse adj. knob (G) by turning it counterclockwise while holding the coarse adj. knob (F).
5) Remove the tension knob (H) by turning it counterclockwise.  (The washer (I) is attached to tension knob (H) with grease.)
6) Pull out the tension ring (J) while holding the convex part using a pliers.
7) Reassemble them in the reverse order.
(For applied portions of greases, refer to the figure on the right below.)

Replacing the Circuit Board
If the lamp is not lit, check if the halogen bulb (6V20W) is broken or lamp socket is burned and also check that the voltage is being outputted each from (1), (2), (3) using multimeter to identify the defective part. (Refer to the figure below.)
In case where there is a problem in the circuit board, replace the circuit board as a whole because the components can not be supplied. Since the rheostat ass’y is incorporated in the circuit board,
the voltage adjustment is not necessary. ( It has been already adjusted: Min. 1.5V or less, Max. 4.5V +/-0.3 )
Replacement of circuit board / socket
Replacing Pinion Ass’y of Plane Stage
(1) Loosen the stopper (A) and remove the condenser (B) downward by turning Screws : AB3X8SA, 2pcs. (*1) the knob (F).
(2) Remove the left dovetail (C) as seen from the front side.
(3) Remove the right dovetail (D).
Screws : AB3X8SA, 2pcs. (*2)
(4) Remove the pinion spring (E).
(5) Remove the pinion ass’y (F).
(6) Assemble the reverse order of disassembly.
Note on assembly
Apply grease to the portions shown as the above figure.
2) The right dovetail (D) is mounted by pushing it in the arrow directions.
3) The left dovetail (C) is mounted by pushing it in the upward direction.
At this time, adjust the position of dovetail (C) in the left and right directions so that the condenser moves smoothly without a play (vertical movement)

Friday 9 February 2018

Mindray MEC1000 Patient Monitor – troubleshooting, beep error descriptions


MEC-1000 is a flexible, portable patient monitor. MEC-1000 can monitor physiological signals including ECG, RESP. Rate, NIBP, SpO2, and TEMP. MEC-1000 can convert these physiological signals into digital signals, which can be further processed and used to judge whether to trigger alarm. The user can control the operation of MEC-1000 via using the buttons on the front panel. MEC-1000 can be connected to the central monitoring system via the Mindray network so as to form a network monitoring system.
MEC-1000 uses ECG electrodes, SpO2 finger sensor, blood pressure cuff and temperature probe to measure the physiological signals including ECG, NIBP, SpO2, TEMP and RESP Rate. In the process of measurement no energy or substances are extracted from and/or delivered to the patient with the exception that sine wave signals are delivered to the patient during measuring RESP Rate. MEC-1000 converts the acquired physiological signals into digital signals, waveform and numerical values and displays all information on the screen. The user can also control the operation of the monitor via using the buttons on the front panel. The user can set alarm limits for each parameter. In this way once finding a physiological parameter exceed the pre-set alarm limits, MEC-1000 will activate its visual and audio alarm (the numerical display flashes or lights on) in order to raise the user’s attention.
During treatment, it is highly important to continuously monitor the vital physiological signs of the patient to transmit the important information. Therefore patient monitor has always been occupying a very important position in the filed of medical devices. The continuous improvement of technologies not only helps us transmit the vital physiological signs to the medical personnel but also simplifies the measurement and as a result raise the monitoring efficiency. For inpatients, we need to measure those vital cardiac and pulmonary signs such as ECG, SpO2, blood pressure and TEMP, etc. In recent years, the technological improvement pertaining to measurement and information transmission has led to more comprehensive performance and stable quality of the patient monitoring products. In the past, the dominant products manufactured by medical device manufacturers are mainly those for single parameter measurement. Nowadays however multi-parameter patient monitors are more widely and commonly used.
MEC-1000 patient monitor can measure physiological signals including ECG, RESP., NIBP, SpO2 and TEMP. It can convert these physiological signals into digital signals and further display them on the screen. The alarm limits can be user-defined. Once finding a parameter reach or exceed its pre-set alarm limits, MEC-1000 can automatically activate the corresponding alarm. In addition, the user can operate the monitor by using the buttons on the front panel. In addition to outpatient department, monitors are generally used in some clinical areas such as ICU, CCU, operation room and emergency room because the monitor
can provide many other physiological parameters of the patient to medical personnel. Only the qualified medical personnel shall use MEC-1000 patient monitor.
MEC-1000 Principle
MEC-1000 portable patient monitor has been designed to measure physiological parameters including ECG, RESP, TEMP, NIBP and SPO2, etc. Figure below shows the structure of the whole monitor as well as the connection relationships between different parts. The board in the center of the figure is the core part of the monitor, i.e., integrated board for main control and parameter measurement, which, though being a single board, could realize the measurements of five said parameters; accordingly uniform AD conversion and digital processing system is used.
MEC-1000 is made up of following parts
1) Parameter measurement part
2) Main control part
3) Man-machine interface
4) Power supply
5) Other auxiliary part
Troubleshooting
System alarm prompt table
Back display with white or blurring screen
1) Check if TFT connecting wire is well contacted;
2) If changing connecting wire cannot solve the problem, replace the TFT screen;
3) If fault still exists, replace the main control board.
Encoder fault
1) If other functions of the keypad run correctly (indicator, alarm light and key), go to the
second step; otherwise, replace the keypad;
2) Check if the bonding pad of the encoder is short-circuit connected or abnormal open circuit;
3) Replace the encoder.
No alarm sound
1) Check if the sound is switched off in the software setups;
2) Replace the speaker;
3) Replace the keypad.
Can not print
1) Check if the software has alarm related to recorder; if yes, remove the corresponding
alarm;
2) Check if the indicator of the recorder is lighted on;
3) If not, check the connecting wire of signal input of the recorder;
4) Check if the recorder module is set to ON in the MAINTAIN menu;
5) Check the connecting wire of the power input of the recorder (including power board of the recorder);
6) Replace the recorder.
Abnormal paper feeding
1) Check if foreign objects are attached to the paper bail of the recorder;
2) Check if foreign objects are attached to the gears of the thermal head of the recorder;
3) Check if the power voltage of the recorder is >7.8V.