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RADIOMETER TCM3 User manual

TCM3
and
TCM30
Transcutaneous
Monitoring
Systems
Service
Manual
983-578
Printed
by
RADIOMETER
Copenhagen
Denmark
199808-1
RADIOMETER
EŞ
GOPENHAGEN
BiZ
©
Radiometer
A/S,
Denmark,
All
Rights
Reserved
Pa,
A
TCM3
and
TCM30
Service
Manual
Overview
Introduction
Contents
n.i..
anne
na
TCM3
and
TCM30
Service
Manual
This
service
manual
is
to
be
used
as
a
reference
when
servicing
the
TCM3
and
TCM30
systems
including
the
various
accessories
such
as
recorders,
battery
cassettes,
and
mains
adapters.
This
service
manual
contains
the
following
topics.
Topic
See
Chapter
Introduction
...................rirreerer
ire
cereerene
zena
niaea
cere
nionieneonenzerzicorenieniereneonevencenione
1
NAAA
2
TCM30
ssese
sensssssnsssnsessssnnnnsterssnsevnnrnnvsrrsrsssssressrrosssssseennnssensssennsseeasesns
3
ТССЗ..........
линии
ииииитии
ить
ионьнионииитииитиииииититеитииилиииитетеиеттитьтиттититинтттивиний
4
TCR3
and
REC
concoccocconacaononornnnroroonnonacnororonconar
encuen
oncororacoroonorconeo
rosso
renerencaresaceracecorono
5
Vo
e
10)
e
ONNO
6
Continued
on
next
page
Front
1
TCM3
and
30
Service
Manual
1.
Introduction
Overview
Introduction
This
chapter
gives
an
introduction
to
the
TCM3
and
TCM30
monitors.
It
also
gives
an
overview
of
the
changes
and
additions
to
the
manual
as
the
front
page
of
©
all
Service
Notes
are
to
be
inserted
here.
Contents
This
chapter
contains
the
following
topics.
Topic
See
Page
AS
merreemmamereamemrsrsemeremmmesemarssenrasmaraaama
rasta
anan
1
Introduction
to
the
Systems...
Service
Notes
Revised
97.06.23
-
Introduction
1-1
ーー
TCM3
and
TCM30
Service
Manual
Service
Notes
1.
Introduction
Update
ofthe
In
the
event
of
important
changes
in
procedures
or
components,
the
Service
TCM3/30
Manual
will
be
updated
by
means
of
Service
Notes.
Service
Notes
consists
of
a
Service
Manual
front
page
giving
an
overview
of
the
changes
and
copies
of
revised
pages.
The
front
page
should
be inserted
in
chronogical
order
after
this
sheet
whereas
the.
revised
pages
should
be
inserted
into
the
Service
Manual
instead
of
the
existing
ones.
Inserted
Service
The
following
Service
Notes
have
already
been
inserted
into
the
manual.
Notes
Part
Number
Subject
Issued
917-140
TCM3
electrode
socket
8607*
917-141
TCM3
Main
PCB
8608*
917-148
TCR3
paper
run
out
8701
917-156
TCR3
printing
voltage
8705
917-157
TCC3
gas
inlet
module
8707
917-167
TCM3
revision
8803
917-186
Service
Manual
corrections
8812
917-201
Service
Manual
updating
-
|
8911
917-213
New
combined
TC-electrode
|
9003*
917-238
Service
Manual
updating
9108
917-296
Electrode
performance
check
|
9401
917-302
Service
Manual
updating
9405
917-334
CE
labelling
-
New
parts
9601
N/A
Introduction
of
TCM30
9706
917-352
Service
Manual
updating
199808-1
199808-1
1-3
SERVICE
NOTES
fom
Radiometer
Medical
A/S
917
-
334
Analyzer:
TCM3
January
3,
1995
Subject
CE
Labeling
-
New
Parts
Background
In
connection
with
the
CE
labeling
of
the
TCM3
system,
some
changes
to
the
Implementation
Changes
Procedures
hardware
have
been
implemented
to
improve
the
EMC
(Electro
Magnetic
Compatibitity).
These
changes
are
implemented
in:
TCM3s
of
Run
148
onwards,
REC3s
of
Run
69
onwards,
and
E5280
of
Lot
LR
#
onwards.
Please
note
that
TCM3s
of
Runs
146
and
147
include
all
the
changes
for
compliance
with
the
CE
labeling
(only
the
CE
label
itself
is
missing)
No
hardware
changes
are
required
for
the
TCC3
and
the
BAT3.
They
are
CE
labeled
as
of
Runs
102
and
17
respectively
BAT3
R0015N005
is
also
CE
labeled.
The
following
new
part
has
been
introduced:
902-428
Analog
PCB
for
the
TCM
(revised
layout)
The
following
three parts
have
been
modified:
901-832
Power
Supply
PCB
for
the
TCM3
(decoupling
capacitors
added)
901-806
Printer
Control
PCB
for
the
REC
(ground
strap
changed)
945-377
ES280
tc
pOy/pCO,
Electrode
(decoupling
capacitors
added)
_
Modified
PCBs
which
retain
the
original
part
numbers
are
marked
with
a
round
blue
label
on
the
box.
On
new
E5280
electrodes,
one
haif
of
the
type
marker
is
green
and
the
other
half
is
white
(both
halves
of
the
earlier
type
marker
are
green).
The
new
and
moditied
PCBs
MUST
be
used
for
servicing
TCM3s
of
Run
148
onwards
and
RECs
of
Run
69
onwards
to
maintain
compliance
with
the
CE
labeling.
The
new
parts
should
also
be
used
for
servicing
TCM3s
of
Runs
146
and
147.
Earlier
analyzers
may
be
serviced
with
the
original
parts.
IMPORTANT:
ATCM3
system
will
comply
with
the
CE
labeling
only
when
ALL
of
its
components
(TCM3,
REC,
and
E5280)
are
of
the
CE
labeled
version.
RADIOMETER
서게
COPENHAGEN
B=
Service
Notes
Service
Notes
for
TCM3
and
TCM30
Service
Manual
Introduction
Documentation
Issue
The
service
manual
has
been
updated
in
the
following
respects:
®
A
sheet
which
may
be
used
for
documenting
the
results
from
an
Electrode
Performance Check
has
been
included
in
the
appropriate
sections.
The
procedure
and
the
documentation
of
results
is
to
be
carried
out
in
connection
with
a
service
action
which
may
affect
measuring
performance.
In
the
Checkout
and
Adjustment
sections
information
about
where
the
monitor
is
to
be
dismantled
has
been
included.
e
A
number
of
typographical
errors
have
been
corrected.
Please
replace the
following
existing
sheets
with
the
ones
supplied
with
this
Service
Note.
—
Inner
front
page
—
Pages
1-3,
Service
Notes
—
Section
2,
entire
section
(text
only)
—
Section
3,
entire
section
Finally
the
following
diagrams
should
be
inserted
at
the
end
of
section
2
(behind
the
existing
diagrams):
28622-A4
7422-A3
7427-A3
28623-A4
and
28455-A4
917-352,
199808-1
RADIOMETER
Bag
COPENHAGENS
TCM3
Introduction
Contents
199808-1
<
IVD
2.
TCM3
This
part
gives
detailed
information
about
the
function
and
servicing
of
the
TCM3
monitor.
This
chapter
contains
the
following
topics.
General
Information
Test
Procedures
Dismantling
and
Replacements
Spare
Parts
List
2.
TCM3
TCM3
and
TCM30
Service
Manual
2-2
199808-1
USO
AI
IVY
IG
VIE
IICA
Overview
Introduction
Contents
199808-1
e.
TUNIS
General
Information
This
section
gives
some
general
information
about
the
TCM3
monitor.
This
section
contains
the
following
topics.
General
Information...
μμ
2-4
2-3
2.
TCM3
TCM3
and
TCM30
Service
Manual
General
Information
Introduction
The
TCM3
combined
pOypCO,
monitor
is
intended
for
transcutaneous
monitoring
of
pO/pCO,
via
a
heated
electrode
mounted
on
the
skin.
The
measurement
data
are
presented
on
the
LED
display
and
printed
by
the
optional
TCR3/REC
digital
recorder
via the
serial
data
output
socket.
The
monitor
is
fitted
with
a
rechargeable
NiCd
battery.
When
fully
charged,
its
capacity
correspond
to
approximately
three
hours
of
operation.
A
mains
adapter
charges
the
NiCd
battery
and
supplies
the
monitor
simultaneously.
A
discharged
NiCd
battery
is
recharged
in
approximately
16
hours
when
the
monitor
is
switched
on
during
charging.
If
not,
8
hours
is
required
for
a
full
recharge.
The
serial
data
or
analog
outputs
are
functional
only
if
the
monitor
is
powered
from
the
mains.
Tf
an
optional
battery
cassette
is
connected
to
the
monitor,
its
total
capacity
corresponds
to
approximately
11
hours
of
operation.
TCM3
from
R22
onwards
include
the
following
features:
+
4
channel
analog
output
(pO,,
pCO,,
heat/temperature,
alarm)
®
Trend
memory
for
up
to
12
hours
patient-data
collection
»
The
optional
digital
recorder
REC
is
powered
from
TCM3
The
monitor
cabinet
is
designed
for
attaching
the
optional
recorder
or
battery
cassette
to
the
monitor
TCM3
below
R22
does
not
include
the
trend
memory
feature
nor
the
recorder/battery
cassette
attaching
feature.
em
heir
analog.
output
has-only
2
channels.(pO,.and
pCO,)
and
the
monitor
is
Software
2-4
powered
from
the
optional
digital
recorder
TCR3.
The
monitor
is
microcomputer
controlled,
and
the
software
primarily
takes
care
of
the
following
functions:
Measurement
of
the
primary
electrode
parameters
and
conversion
into
pO/pCO,
(mmHg
or
kPa)
®
Measurement
of
the
electrode
temperature
and
heat
control
e
Data
transfer
to
the
display
and
the
serial
data/analog
outputs.
+
Activation
of
the
acoustic
alarm
where
the
pOy/pCO,,
heat
or
temperature
parameter
limits
are
exceeded
«
Front
panel
keyboard
control
«
Automatic
calibration
and
electrode
check
Continued
on
next
page
199808-1
VMS
ana
FUMSU
Service
manual
2.
TCM3
General
Information,
Continued
Hardware
Analog
PCB
199808-1
The
electronics
are
mounted
on
four
PCBs.
Please
refer
to
the
block
diagram
at
the
end
of
the
TCM3
part.
Monitor
Drawing
TCM3
below
R22
|
3759-A2,
revision
O
TCM3
from
R22
3759-A2,
revision
1
This
board
includes
the
electrode
input
circuits,
the
A/D
converters,
the
patient
safety
barrier
components
and
the
charging
circuit
for
the
NiCd
battery.
Signals
from
the
electrode
and
the
electrode
amplifiers
mounted
in
the
electrode
plug,
that
is,
the
pO2,
pCO,
and
thermistor
signals,
are
converted
into
pulse
signals
by
the
two
A/D
converters.
The
pulse
duty
cycle
represents
the
measured
value.
One
of
the
A/D
converters
is
common
to
all
parameters
via
the
input
multiplexer.
The
other
is
used
in
order
to
increase
the
speed
and
security
of
the
electrode
temperature
regulation
system.
The
electrode
temperature
is
measured
by
means
of
a
thermistor
which
is
part
of
a
temperature
resistor
bridge.
The
heat
power
is
measured
across
the
resistor
R,
and
the
microcomputer
is
informed
via
the
input
multiplexer
and
A/D
converter
1.
The
NiCd
battery
charging
circuit
adjusts
the
charging
current
according
to
the
monitor
consumption.
The
galvanic
separation
between
the
power
supply
board
and
the
rest
of
the
monitor
is
achieved
by
using
a
switching
power
supply,
and
opto-couplers
for
the
input/output
signals.
TCM3
below
R22
include
two
opto-couplers.
One
for
digital/analog
output
and
one
for
digital
input.
ТСМЗ
from
R22
onwards
includes
five
opto-couplers.
Two
for
the
input/output,
and
two
for
automatic
power
supply
regulation.
The
fifth
opto-coupler
is
transferring
on/off
information
from
the
on/off
switch
to
a
switching
circuit,
which
prevents
the
optional
battery
cassette
from
being
discharged,
if
it
is
not
dismounted
after
use.
Continued
on
next
page
2-5
2.
TCM3
TCM3
and
TCM30
Service
Manual
General
Information,
Continued
Main
PCB
2-6
Includes
the
microcomputer
system,
the
parallel
and
serial
input/output
ports,
the
electrode
heating
supply,
the
5
V
supply
and
the
LED
display
control
system.
The
two
parallel
ports
interface
the
microcomputer
with
the
analog
signals,
the
front
panel
keys
and
the
heat
control.
TCM3
below R22
include
a
DIP
switch
for
setting
some
user-selectable
options.
Switch
Function
ON:
mmHg,
OFF:
kPa
2
ON:
In-vivo
cal.
(not
approved
by
the
FDA)
3-7
Not
used
8
ON:
Demonstration
mode.
The
time-out
functions
in
the
Setup
and
AUX
programs
are
cancelled.
TCM3
of
R22
onwards
do
not
include
the
DIP
switch.
Instead,
the
options
are
selected
via the
front
panel
keys.
A
demonstration
mode
is
called
by
switching
on
the
monitor
while
pressing
the
ALARM-OFF
key
and
the
A
key
simultaneously.
In
this
mode,
the
time
out
in
the
Setup
and
AUX
programs,
are
cancelled
for
30
minutes
after
power
on.
To
get
back
to
normal,
switch
off
and
on
the
monitor.
Selection
between
mmHg
and
kPa,
and
in-vivo
cal,
are
performed
while
the
.
monitor
is
in
service
mode
step
4.
-
Switch
on
the
monitor
while
the
ALARM
OFF
key
and
the
SET
key
are
pressed
simultaneously.
The
software
version
No.
is
displayed
in
the
AUX
display.
Wait
until
the
software
No.
stops
flashing
and
select
step
4
(0:04
in
the
AUX
display)
by
the
ALARM-OFF
key.
Now,
selection
between
mmHg
and
kPa
are
performed
by
the
A
or
W
keys.
kPa
“mode”
is
indicated
by
decimal
points
in
the
pO,
and
pCO,
displays.
Selection
between
in-vivo
cal.
and
not
in-vivo
cal.
is
performed
by
the
CAL
key.
In-vivo
cal.
“mode”
is
indicated
by
the
AUX
display.
The
UART
controls
the
serial
input/output
signals
for
the
serial
data
interface.
The
output
signal
is
gated
with
the
analog
control
signal
from
Port
1.
The
heat
supply
is
derived
via
a
D/A
converter
and
a
switching
power
supply.
It
is
controlled
by
the
heat-off
signal
and
the
max.
temperature
monitoring
circuit,
the
so-called
“watch-dog”
circuit,
which
disables
the
heat
in
the
case
of
a
software
error.
The
Main
PCB
includes
a
power
supply
monitoring
system
for
activating
the
BAT
light-bar
or
resetting
the
monitor.
Continued
on
next
page
199808-1
FCMS
and
1CM3U
Service
Manual
2.
TCM3
General
Information,
Continued
Main
PCB
(continued)
Display
PCB
Power
Supply
199808-1
If
the
monitor
is
powered
from
the
built-in
NiCd
battery
only,
the
light-bar
is
activated
via
comparator
1,
indicating
that
the
function
time
of
the
Monitor
is
limited
to
approximately
3
hours
on
a
fully
charged
battery.
The
heat
supply
circuit
has
a
battery-low
terminal
which
is
activated
if
the
NiCd
battery
voltage
drops
below
7.0
V.
This
causes
the
BAT
light
bar
to
flash,
indicating
that
the
function
time
now
is
limited
to
approximately
10
minutes.
If
the
voltage
drops
below
6.5
V,
the
microcomputer
and
its
peripherals
will
be
reset.
The
microcomputer
system
consists
of
the
8-bit
CMOS
processor
NSC
800,
the
EPROM
(program
memory),
the
RAM
(data
memory)
and
the
input/output
peripherals
already
mentioned.
The
system
has
a
multiplexed
bus
structure
where
the
low
order
part
of
the
address
bus
is
shared
with
the
data
bus.
The
display
is
multiplexed
and
the
7-segment
display
data
are
latched
from
the
data-bus.
Includes
the
LED
display,
the
audio
transducer
for
the
acoustic
alarm,
the
electrode
holder
micro-switch
and
the
5
front
panel
keys.
If
the
mains
adapter
is
removed
from
the
monitor,
the
display
light
is
reduced.
This
reduces
the
power
consumption
and
thus
prolongs
the
function
time
of
the
monitor.
The
circuits
of
this
PCB
are
galvanic
isolated
from
the
rest
of
the
monitor
by
means
of
the
transformer
and
opto-couplers
on
the
Analog
PCB.
It
includes
a
switching
regulator
power
supply
system,
3
linear
DC
regulators
and
a
communication
circuit
for
the
analog
output
and
serial
data
input/output.
The
switching
regulator
has
a
combined
current
limiter/battery
control
circuit
which
disables
the
regulator
output
if
the
battery
voltage
decreases
below
6.2
volts.
Continued
on
next
page
2-7
2.
TCM3 TCM3
and
TCM30
Service
Manual
General
Information,
Continued
Patient
Safety
TCM3
is
designed
to
comply
with
the
IEC
safety
standards
for
medical
equipment.
Any
external
device
connected
to
the
monitor,
such
as
mains
adapters,
recorders,
computers
etc.,
are
galvanic
isolated
from
the
patient
circuits.
The
isolation
is
achieved
by
means
of
opto-couplers
and
a
switching
transformer.
*
The
“patient-side”
of
this
barrier
thus
includes
the
Analog
PCB,
the
Main PCB,
the
Display
PCB
and
the
NiCd
battery.
Each
individual
monitor
is
exposed
to
a
final
safety
test
before
it
leaves
RADIOMETER
for
shipment.
This
safety
test
includes
a
patient
barrier
isolation
test
by
a
high
voltage
generator,
and
a
leakage
current
test.
The
monitors
are
fitted
with
a
comprehensive
safety
system
to
minimise
the
probability
of
loosing
electrode
heat
control.
e
The
electrode
power
consumption
is
continuously
monitored.
If
it
exceeds
600
mW
for
more
than
two
minutes,
the
heating
will
be
switched
off
and
Error
5
will
be
displayed.
e
Ifthe
electrode
temperature
increases
to
more
than 45.6
°C,
the
heating
will
be
switched
off,
and
Error
10
is
displayed.
Further,
the
heat
regulator
will
be
disabled.
e
Ifa
temperature
difference
of
more
than
0.6
°C
is
detected
between
the
two
thermistors
(combined
electrodes
E5277
and
E5280)
the
heating
will
be
switched
off
and
Error
11
is
displayed.
e
Ifa
software
error
occurs,
a
monitoring
circuit,
the
so-called
“watchdog”
circuit,
on
the
Main
PCB
will
switch
off the
heating.
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Continued
on
next
page
2-8
|
1998081
TGM3
and
TCM30
Service
Manual
2.TCM3
General
Information,
Continued
Specifications
199808-1
Environmental
Requirements
Ambient
temperature:
5
-
40
°C.
*)
Relative
humidity:
20
-
80
%.
*)
If
the
electrode
temperature
is
below
15
°C
before
calibration,
the
monitor
may
É
signal
Error
1,
indicating
that
the
electrode
did
not
reach
the
pre-set
temperature
within
3
minutes.
Calibrate
then
the
monitor
in
two
steps:
Calibrate
with
the
temperature
pre
set
to
37
°C.
Repeat
the
calibration
with
the
temperature
pre
set
to
the
actual
monitoring
temperature.
Ventilation
Requirements
The
system
must
be
situated
in
a
well
ventilated,
dust
free
atmosphere.
Dimensions
Height
(cm)
8
Width
(cm)
24
*
Depth
(cm)
26
Weight
(kg)
2.7
Units
The
monitor
can
be
set-up
so
as
to
indicate
the
O,/CO,
tension
in
either
mmHg
or
kPa
directly.
Monitor
Battery
Rechargeable
NiCd
battery.
The
duty
period
is
3
hours
per
charge,
typically,
at
25
°С.
The
recharging
time
is
approximately
8
hours
at
25
°C,
via the
mains
adapter.
Monitor
pO,
channel
Range:
0
-
800
mmHg
or
0
-
99.9
kPa
Accuracy:
Better
than
+
1
mmHg/0.1
kPa
t
0.1
%
of
reading
at
25
°C.
Polarisation
Voltage:
-680
mV
Continued
on
next
page
2-9
2.
TCM3
TCM3
and
TCM30
Service
Manual
General
Information,
Continued
Specifications
(continued)
2-10
Monitor
pCO,
channel
Range:
5
-
200
mmHg
or
0.7
-
26.7 kPa.
Accuracy:
Better
than
+
1
mmHg/0.1
kPa
0.1
%
of
reading
at
25
°C.
Electrode
Heat
Range:
0
-
600
mW
+
10
%
of
reading.
Temperature
Settings
37.0
°C,
41.0
°C,
41.5
°C,
42.0
°C,
42.5
°C,
43.0
°C,
43.5
°C,
44.0
°C,
44.5
°C,
45.0
°C.
Accuracy:
Better
than
+
0.1
°C
excluding
sensor.
Alarms
Audio
visual.
The
acoustic
alarm
will
be
activated
after
a
delay
of
5
seconds
when
an
alarm
state
has
occurred.
pO,
alarm
limits:
(selected
by user)
LOW:
0-99
mmHg/0
-
9.9
kPa
HIGH:
0
-
800
mmHg/0
-
99.9
kPa
pCO,
alarm
limits:
(selected
by
user)
LOW:
0-99
mmHg/0
-
9.9
kPa
HIGH:
0
-
200
mmHg/0
-
26.7
kPa
Temperature:
+
0.3
°C
deviation
from
preset
value
wili
cause
alarm.
Battery
low:
Alarm
goes
on
before
the
battery
is
empty
Leakage
Currents
Enclosure
Leakage
Current:
Max.
100
uA
Patient
Leakage
Current:
Max.
10
uA
Continued
on
next
page
199808-1
TCM3
and
TCM30
Service
Manual
2.
TCM3
General
Information,
Continued
Specifications
Serial
data
output
(continued)
Signal
Connector
Pin
TX
data
11
RX
data
(normally
not
used)
14
Common
Return
15
Transfer
parameters
2400
baud
7
bits/character
Odd
parity
2
stop
bits
Analog
oufputs
Channel/
|
Parameter
Output
Connector
|
|1/pin9
PO
5
mV/mmHg
(40
mV/kPa)
or
1
mV/mmHg
(10
mV/kPa)
(selected
in
the
AUX
program
200/800
mmHg
or
25.0/99.9
kPa)
2/pin10
|
pCO,
|
10
mV/mmHg
(100
mV/kPa)
or
5
mV/mmHg
(40
mV/kPa)
(selected
in
the
AUX
program
100/200
mmHg
or
10.0/25.0
kPa)
3/pin8
Heat/temp.
|
Heat:
mW
is
converted
to
mV.
Temperature:
50
mV/°C,
range
30
°C
to
50
°C.
Examples:
|
30
°C
gives
an
output
of
0
mV.
43
°C
gives
an
output
of
650
mV
4/pin5
Alarm
Acoustic
alarm
activated:
1000
mV
Acoustic
alarm
not
activated:
0
mV
Max.
source
current:
1
mA
--/pin15
|
Common
return
199808-1
2-11
2.
TCM3
-
TCM3
and
TCM30
Service
Manual
2-12
199808-1
TCM3
and
TCM30
Service
Manual
2.
TCM3
Test
Procedures
Overview
Introduction
This
section
details
the
procedures
for
testing
and
adjusting
the
TCM3
monitor,
For
each
of
the
paragraphs
the
required
tools
for
testing
are
listed.
Contents
This
chapter
contains
the
following
topics.
199808-1
2-13
2.
TCM3
TCMS
and
TCM30
Service
Manual
Introduction
Checkout
and
This
Section
describes
the
necessary
procedures
for
checking
and
adjusting
the
Adjustment
TCM3.
For
TCM3
with
serial
nos.
from
101R22N01
onwards,
some
test
procedures
differ
considerably
from
the
procedures
for
the
TCM3
below
RUN
22.
Yearly
RADIOMETER
recommends
a
yearly
preventive
maintenance
checkout
which
Maintenance
includes:
Checkout
and
Adjustment.
Monitor
Performance
Check.
These
procedures
are
outlined
in
the
following
two
paragraphs.
Repairs
Repairs
to
TCM3
are
made
only
by
replacing
defective
PCBs,
which
are
returned
9-14
to
RADIOMETER
for
exchange.
This
is
to
ensure
patient
and
functional
safety.
199808.1

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