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Asset Type
Electrocardiograph (EKG) Machine
Manufacturer
Model
Manual Reference
Philips PageWriter TC70 Cardiograph Service Manual, publication number 453564106431, Edition 1, October 2008, Software Revision A.01.00 and higher.
Manufacturer Recommendation / AEM Status
Manufacturer-listed PM items
The manufacturer-listed care and maintenance items include:
- Clean cardiograph and Patient Interface Module.
- Clean patient data cable and lead wires.
- Clean reusable electrodes.
- Clean print head when print quality is uneven.
- Replace printer paper when the red stripe appears.
- Maintain and charge batteries.
- Replace batteries when fully charged batteries lose significant power after only a few ECGs.
- Calibrate batteries when battery status information is inaccurate.
- Calibrate touch screen when touch performance decreases.
- Clean touch screen.
- Perform cardiograph overall sensitivity test.
- Inspect patient data cable, lead wires, AC power cord, AC connector, reusable electrodes, printer components, touch screen, and exterior condition.
- Run Power On test and review for errors.
- Run functional tests as applicable: printer, touch screen, PIM, keyboard, leadwire open/short tests, and ECG simulation.
- Perform safety testing after certain repair events, especially internal repairs.
Manufacturer-listed frequencies
From the maintenance frequency table:
- Cardiograph and PIM cleaning: Weekly.
- Patient data cable and lead wire cleaning: Weekly.
- Reusable electrode cleaning: After each patient use.
- Print head cleaning: When necessary due to uneven print quality.
- Battery calibration: When necessary due to inaccurate battery status information.
- Touch screen calibration: When necessary due to decreased touch screen performance.
- Touch screen cleaning: Weekly.
- Cardiograph overall sensitivity test: Yearly.
Manufacturer-listed part numbers
- AC power adapter / external power supply: 453564094411
- Lithium-ion replacement battery: 989803160981
- External battery charger / calibrator: 989803162021
- Patient data cable, 2.0 m / 6.56 ft: 989803158481
- Printer paper, Z-fold A size: 989803106261
- Printer paper, Z-fold A4 size: 989803106271
- Printer paper, anti-fade A size: 989803106281
- Printer paper, anti-fade A4 size: 989803106291
- USB memory stick: 989803161021
Post-repair safety inspection requirements
The manual separates preventive maintenance from service events. It states that installation and preventive maintenance are not considered service events because the cardiograph is designed to be installed and maintained by the user.
Post-repair testing depends on the repair type:
- External repair not involving patient module: Visual Inspection, Power On test, and functional tests specific to repaired components.
- External repair involving PIM, patient lead set, or patient data cable: Visual Inspection, Power On test, ECG simulation test, and functional tests specific to repaired components.
- Internal repair where the case is opened: Visual Inspection, Power On test, ECG simulation, Safety Tests S2 and S3, plus functional tests specific to repaired components.
- Software upgrade via USB: Power On test.
AEM note
If a facility performs this PM at a different interval or changes the listed activities, that should be handled under the facility’s approved AEM program, risk assessment, maintenance history, and applicable regulatory requirements.
What This PM Procedure Covers
- Visual inspection
- Cleaning status check
- Battery condition check
- Printer and paper inspection
- Touch screen function check
- PIM / leadwire inspection
- Yearly sensitivity test
- Electrical safety documentation when facility policy or repair history requires it
- CMMS documentation
Required Tools and Equipment
- Soft cloth
- Mild soap and water, 70% isopropyl alcohol, approved bleach dilution, or approved quaternary ammonium cleaner
- Foam swab and 90% alcohol for print head cleaning
- Philips-approved ECG printer paper, as needed
- Calibrated ECG simulator capable of producing a 1 mV, 2 Hz square wave on Lead I or II
- Electrical safety analyzer, if required by facility policy or post-repair testing
- Philips-approved replacement batteries, if needed
- Philips-approved patient data cable / lead set parts, if needed
Step-by-Step PM Procedure
1. Identify the Device
Action: Confirm manufacturer, model, asset ID, serial number, location, and accessories.
Expected outcome: Device identity matches the CMMS record.
Why it matters: TC70 units may have different PIM, network, barcode, cart, or power accessory configurations.
2. Remove From Active Patient Use
Action: Confirm the cardiograph is not connected to a patient. Power down or place in Standby before inspection and cleaning.
Expected outcome: PM is performed only when the unit is not being used for patient care.
3. Visual Inspection
Action: Inspect the cardiograph exterior and accessories for:
- Worn or damaged AC power cord
- Loose or missing hardware
- Mechanical damage
- Evidence of liquid spill
- Worn printer drive gear
- Worn printer roller
- Corroded or damaged reusable electrodes, if present
- Damaged patient leads
- Dirt or paper residue on thermal print head
- Frayed or damaged wiring
- Visible touch screen damage
- Damaged PIM or patient data cable
- Damaged cart, basket, drawer, or mounting hardware if installed
Expected outcome: No apparent wear, damage, corrosion, missing hardware, or unsafe condition.
Remove from service if: AC cord damage, exposed conductors, cracked patient cable insulation, damaged PIM, liquid intrusion, unstable cart mounting, damaged touch screen, or failed visual inspection is found.
4. Cleaning Check
Action: Clean external cardiograph surfaces and PIM using a soft cloth dampened with an approved cleaning solution. Avoid wetting lead wire connectors and patient data cable connectors.
Expected outcome: External surfaces are clean, dry, and free of residue.
Manual-supported cleaners include:
- Mild soap and water
- 70% isopropyl alcohol
- Chlorine bleach solution as specified by Philips
- Quaternary ammonium compound solution as specified by Philips
Do not use: strong solvents, abrasive cleaners, acetone, iodine-based cleaners, phenol-based cleaners, ethylene oxide sterilization, autoclave, ultrasonic cleaning, or immersion.
5. Patient Data Cable and Lead Wire Inspection / Cleaning
Action: Inspect patient data cable and lead wires for cracked insulation, exposed conductors, damaged connectors, loose lead adapters, or contamination. Clean with approved solution using a damp cloth.
Expected outcome: Cable and lead wires are intact, clean, dry, and connectors are not wet.
Remove from service if: cable integrity is questionable or exposed conductors are visible.
6. Reusable Electrode Check, If Present
Action: If reusable electrodes are stored with the unit, inspect for corrosion, residue, damage, and cleanliness.
Expected outcome: Reusable electrodes are clean, disinfected, dry, and usable.
Manual-listed frequency: reusable electrodes are cleaned after each patient use.
Note: Philips recommends disposable electrodes for patient applications. Welsh bulb electrodes have special warnings and should not be treated like routine disposable ECG electrodes.
7. Printer Paper and Paper Path Check
Action: Open the paper drawer. Confirm Philips-approved paper is loaded correctly with the paper sensor hole properly positioned. Replace paper if the red stripe is present or paper is low.
Expected outcome: Paper is loaded correctly, drawer closes fully, and paper advances properly.
Remove from service if: paper tray is damaged, paper will not advance, printer door/paper jam errors persist, or print quality cannot be corrected.
8. Print Head Cleaning, If Needed
Action: If print quality is uneven, open the paper drawer and lightly wipe the print head with a foam swab dipped in 90% alcohol. Allow the print head to dry before use.
Expected outcome: Print quality improves and no residue remains.
Manual-listed frequency: when necessary due to uneven print quality.
9. Battery Inspection and Status Check
Action: Confirm both batteries are installed. Check battery status from the status bar / battery status window. Confirm the unit charges on AC power and the AC power indicator illuminates.
Expected outcome: Both batteries are present, charging/charged status is reasonable, and battery condition supports mobile use.
Manufacturer-listed battery maintenance points:
- Use only Philips lithium-ion batteries, part number 989803160981.
- Two batteries are required to power the cardiograph.
- Charge batteries for five hours before battery-only use after installation or replacement.
- Keep batteries charged when not in use.
- If stored more than 60 days, fully charge batteries, remove AC power, remove batteries, and store batteries in a cool dry location.
- Fully charged batteries stored outside the cardiograph need recharging every 60 days.
- Consider replacement if fully charged batteries lose significant power after only a few ECGs.
10. Battery Calibration, If Needed
Action: If displayed battery status is inaccurate or not useful, perform battery calibration per the manual.
Expected outcome: Battery status information becomes more accurate.
Manual-listed frequency: when necessary due to inaccurate battery status information.
PM note: The manual states the battery calibration procedure may take up to 8 hours with the cardiograph out of active use. Philips also lists an external battery charger/calibrator, part number 989803162021.
11. Touch Screen Check
Action: Verify touch screen response across normal use areas. Clean the touch screen with a damp soft cloth using water or isopropyl alcohol. Allow it to dry.
Expected outcome: Touch screen responds accurately without repeated presses.
Manual-listed frequency:
- Cleaning: weekly
- Calibration: when touch screen performance decreases
If needed: Run touch screen calibration using Ctrl + Alt + C or the Service Utilities procedure.
12. Power On Test
Action: Restart the cardiograph.
Expected outcome: Software identification screen appears, audible beep occurs, and the Main screen loads without errors.
Self-test areas listed by the manual include:
- Software CRC
- CompactFlash memory
- PIM status
- USB detect
Remove from service if: device does not power on, does not complete startup, shows persistent errors, or is unresponsive.
13. Functional Check
Action: Perform basic operational checks:
- Keyboard responds
- ID and ECG controls respond
- Touch screen responds
- Printer feeds and prints correctly
- Paper drawer closes fully
- PIM is detected
- No PIM red X icon remains after normal reset time
- Leads connect securely
- No persistent lead-off condition with known-good leads/simulator
Expected outcome: Controls, display, printer, PIM, and lead system operate normally.
14. Cardiograph Overall Sensitivity Test
Action: Perform the manufacturer-listed yearly sensitivity test using a calibrated ECG simulator.
Procedure summary:
- Set ECG simulator to 2 Hz square wave and 1 mV amplitude.
- Confirm Simulated Mode is not enabled on the cardiograph.
- Select Resting 12-Lead using the factory default Standard 12-lead Exam Profile.
- Set Artifact to OFF.
- Set Limb Leads to 10 mm/mV.
- Set Speed to 25 mm/sec.
- Acquire and print ECG.
- Verify Lead I or II on the printed report.
Expected outcome: The 1 mV square wave measures 10 mm with a ±5% margin for error.
Pass range: approximately 9.5 mm to 10.5 mm.
If failed: Repeat the test. If it fails again, test the simulator on another cardiograph. If the simulator passes on another cardiograph, remove this cardiograph from service and escalate.
Electrical Safety Testing if applicable
Manufacturer-listed electrical safety context
The manual identifies the TC70 as an electrical Class II device. For this device, protection against electric shock does not rely on a protective earth conductor.
The manual does not list routine annual PM electrical safety testing as a manufacturer-listed PM frequency. It does list safety tests for post-service verification, especially after internal repairs.
Ground resistance
Protective earth / ground resistance testing is not manufacturer-listed as a routine PM item for this Class II cardiograph.
Document as:
Ground resistance measured in ohms, expected ≤ 0.5 Ω or facility/NFPA 99 criteria if different:
Result = N/A - Class II device / no manufacturer-listed protective earth resistance PM test
Pass / Fail = N/A
If facility policy requires a ground continuity-style check on the cart, power cord, or system configuration, document the facility limit used.
Leakage current
Use facility policy and the applicable electrical safety analyzer procedure unless the repair event requires the manual’s S2/S3 safety test blocks.
Manufacturer-listed post-repair safety test limits include:
- S2 Equipment leakage: maximum leakage current < 1000 µA
- S3 Leads leakage current: the manual lists CF applied-part leakage testing. The matrix shows normal condition and mains-on-applied-part values, and the safety test section also references CF separate/together limits. Use the facility’s approved safety analyzer setup and document the exact limit used.
Default PM documentation:
Touch/chassis leakage measured in microamps:
Facility limit used =
Result =
Pass / Fail =
Applied part / patient lead leakage, if performed:
Facility limit used =
Result =
Pass / Fail =
Pass / Fail Criteria
PM pass criteria
Pass the PM if:
- Visual inspection passes.
- AC cord, power supply, patient cable, PIM, and leads are intact.
- Unit powers on and reaches Main screen without persistent errors.
- Printer feeds and prints correctly.
- Touch screen and keyboard respond normally.
- Batteries are present, charging, and not showing obvious failure.
- PIM and lead system function correctly.
- Overall sensitivity test passes: 1 mV signal prints at 10 mm ±5%.
- Electrical safety testing passes if performed by facility policy or post-repair requirement.
Remove from service criteria
Remove from service if:
- AC cord or connector is damaged.
- Patient cable, lead wires, or PIM are damaged or fail testing.
- Touch screen is cracked, damaged, or unresponsive.
- Unit fails Power On test.
- Persistent system, PIM, printer, storage, or startup errors occur.
- Printer cannot produce a usable ECG report.
- Sensitivity test fails after repeat testing with a known-good simulator.
- Electrical safety testing fails.
- Liquid intrusion, corrosion, exposed wiring, or unsafe cart mounting is found.
Copy/Paste CMMS Work Order Procedure
Use the manufacturer service manual, facility policy, and approved AEM program to determine the final PM interval and return-to-service requirements.