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AMPS-1 OPERATING MANUAL

4 Arrhythmias

4.1 Overview

The term "arrhythmia" refers to any change from the normal sequence of electrical
impulses of the heart, resulting in abnormal heart contractions. Arrhythmias can cause
the heart to pump less effectively. Some arrhythmias are so brief (for example, a
temporary pause or premature beat) that the overall heart rate or rhythm isn't greatly
affected. But if arrhythmias persist for some time, they may cause severe pain,
unconsciousness, or death.

AMPS-1 offers a wide range of arrhythmia simulations to test the function of patient
monitors. AMPS-1 can also be used in training clinicians in arrhythmia recognition.

4.2 Available Settings

Press ENTER after selecting a parameter to activate that setting.
( * indicates a one-time event, which is activated each time the ENTER key is pressed )

4.2.1 Premature Atrial Contraction (PAC)

• PAC on every 10 beat

th

4.2.2 Premature Nodal Contraction (PNC)

• PNC on every 10 beat

th

4.2.3 Multifocal Premature Ventricular Contraction (MF PVC)

• Occasional: MF PVC on every 20 beat

th

• Frequent: MF PVC on every 10 beat

th

4.2.4 Asystole

• Asystole 1: flat line
• Asystole 2: low activity, peak amplitude < 0.15mV
• Asystole 3: high activity, peak amplitude > 0.15mV

Arrhythmias/Chapter 4

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Summary of Contents for AMPS-1

Page 1: ...AMPS 1 Advanc e d Mo dular Patie nt Sim ulato r Operating Manual ...

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Page 3: ...ar Patient Simulator Operating Manual 2008 2021 Datrend Systems Inc Unit 130 4020 Viking Way Richmond BC CANADA V6V 2L4 Tel 800 667 6557 North America Only or 604 291 7747 Fax 604 294 2355 e mail customerservice datrend com ...

Page 4: ......

Page 5: ...ts labelled with a distinct serial number and accessories are eligible for partial refund and or credit Non serialized parts and accessory items cables carrying cases auxiliary modules etc are not eligible for return or refund In order to receive a partial refund credit the product must not have been damaged and must be returned complete meaning all manuals cables accessories etc within 90 days of...

Page 6: ... Improper power supply such as low voltage incorrect voltage defective wiring or inadequate fuses Accident alteration abuse or misuse of the instrument Fire water damage theft war riot hostility acts of God such as hurricanes floods etc Only serialized products those items bearing a distinct serial number tag and their accessory items are covered under this warranty PHYSICAL DAMAGE CAUSED BY MISUS...

Page 7: ...Datrend Systems You will be required to provide us with the serial number for your instrument as well as a valid reason for breaking the Quality Seal You should break this seal only after you have received factory authorization Do not break the Quality Seal before you have contacted us Following these steps will help ensure that you will retain the original warranty on your instrument without inte...

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Page 9: ... Navigating AMPS 1 Menus 14 3 ECG Normal Sinus Rhythm 15 3 1 Overview 15 3 2 Normal Sinus Rhythm 15 3 3 Available Settings 16 3 4 ECG Function 17 3 5 ECG Advanced Function 19 4 Arrhythmias 21 4 1 Overview 21 4 2 Available Settings 21 4 3 Arrhythmia Function 24 4 4 Defibrillator Training 27 4 4 1 Overview 27 4 4 2 External Trigger Specifications 27 4 4 3 Scenario Descriptions 27 4 4 4 Defibrillator...

Page 10: ...ional 51 10 1 Overview 51 10 2 Available Settings 51 10 3 Setup 52 10 4 Cardiac Output Function optional 53 11 Fetal ECG and Intrauterine Pressure optional 57 11 1 Overview 57 11 2 Available Settings 57 11 3 Optional Mechanical Fetal Heart 58 11 4 Fetal ECG Simulations 59 11 5 Intrauterine Simulations 60 12 Automated Settings 63 12 1 Overview 63 12 2 Choosing an Auto Setting 63 13 AMPSpc Companion...

Page 11: ...AMPS 1 OPERATING MANUAL 15 Enabling Optional Features 75 15 1 Overview 75 15 2 Adding Optional Features 75 16 Calibration and Maintenance 77 Appendix A Numeric Mode 79 Appendix B Accessories 85 ...

Page 12: ...ent BP Blood Pressure BPM ECG Beats Per Minute or RESPIRATION Breaths Per Minute cc cubic centimeters cm centimeter CO Cardiac Output DUT Device Under Test ECG Electrocardiogram Equivalent to EKG Hg Mercury HORIZ Horizontal Hz Hertz IEC INT International Electrotechnical Commission Intermediate k kilo kg kilogram kHz kilohertz kV kilovolt kÙ kilohm l min liters per minute LA Left arm ECG connectio...

Page 13: ...n or electrode RV Right Ventricular TEMP Temperature V volt V1 V6 Chest electrodes 1 through 6 of the ECG VERT Vertical W watt Style Example Definition Activates or Enables a Setting Parameter or Feature Scrolls Menu Left or Right as available indicated by t and u on the LCD Display Increases or Decreases the value of a setting as available indicated by p and q on the LCD Display In ALPHA mode ent...

Page 14: ...AMPS 1 OPERATING MANUAL ...

Page 15: ...gs BP 1 4 proprietary USB TEMP 6 pin mini DIN AUX 8 pin mini DIN High level ECG Out Defib Trigger In 2 5mm stereo phono jack DC IN EIAJ 3 center positive 9 VDC 500 mA RS 232 Serial Port proprietary RJ 12 User Interface AMPS 1 is controlled through 17 keys on the front panel keypad allowing the user to easily access all functions of the simulator As individual functions are activated they remain ac...

Page 16: ...II millivolt Amplitude Accuracy 2 Lead II 2 Hz Square Wave Normal Sinus Rhythm Rates 30 40 60 80 100 120 140 160 180 200 220 240 260 280 and 300 BPM Rate Accuracy 1BPM Amplitudes Lead II 0 1 0 25 0 5 1 2 3 4 and 5 mV normal amplitude settings 0 05 to 5 50 mV in 0 05 mV steps using performance settings ST Segments 0 1 0 2 0 3 0 4 0 5 0 6 0 7 0 8 0 0 1 0 2 0 3 0 4 0 5 0 6 0 7 and 0 8 mV Axis Deviati...

Page 17: ...VF PVC 6 Minute PVC 12 Minute PVC 24 Minute PVC Pair Run 5 Run 11 BLOCK First Degree Second Degree TYPE 1 Second Degree TYPE 2 Third Degree Right Bundle Branch Block Left Bundle Branch Block FIBRILLATION Atrial Fibrillation Coarse Atrial Fibrillation Fine Ventricular Fibrillation Coarse Ventricular Fibrillation Fine TACHYCARDIA Paroxysmal Atrial Tachycardia Supraventricular Tachycardia GENERAL 2 A...

Page 18: ...0 5 1 10 25 30 40 50 60 and 100 Hz R Wave Detector Test 60 BPM haver triangle wave with selectable width Haver triangle Width 8 12 20 40 60 80 100 120 140 160 180 and 200 msec Performance Amplitude 0 05 to 5 50 mV in 0 05 mV steps applies to all performance waveforms Respiration Rates 0 15 20 30 40 60 80 100 and 120 BPM Baseline Impedance 500 1000 1500 2000 ohms on Leads I II III Apnea Selections ...

Page 19: ...tive or negative Invasive Blood Pressure OPTIONAL Channels 2 or 4 functionally identical channels Electrical Isolation Isolates BP channels from other AMPS 1 connections ECG temperature respiration Static Pressures 10 5 0 20 40 60 80 100 120 150 160 180 200 240 320 and 400 mmHg Transducer Sensitivity 5 µV V mmHg or 40 µV V mmHg Dynamic Simulations Arterial 120 80 90 40 and 160 100 Left Ventrical 1...

Page 20: ...Faulty Injection L R Shunt Cal Pulse 1 C for 1 second Cal Pulse 1 C for 4 seconds Fetal ECG Intrauterine Pressure OPTIONAL Fetal ECG Base Rates 60 90 120 140 150 180 210 and 240 BPM Fetal ECG Amplitudes 0 1 0 25 0 5 1 2 3 4 and 5 mV Fetal ECG Rate Variation Uniform early and late deceleration Intrauterine Pressure 0 25 0 50 and 0 100 mmHg Transducer Sensitivity 5 µV V mmHg or 40 µV V mmHg Auto Pre...

Page 21: ...Volt alkaline battery AMPS 1 is controlled through 17 keys on the front panel keypad allowing the user to easily access all functions of the simulator As individual functions are activated they remain active unless turned off allowing numerous simulations to be enabled concurrently with all appropriate signals synchronized AMPS 1 includes an RS 232 communications port to allow control through seri...

Page 22: ...follow 2 4 Powering up AMPS 1 To power up press the POWER button on the left side of AMPS 1 The Power On screen Figure 1 which shows the firmware version number will appear briefly and then be replaced by the Selection screen Figure 2 When viewing the Selection screen pressing any of the keys 0 9 will enter a menu for the simulation function s noted on the button face Each simulation function is d...

Page 23: ...nu When a desired setting is shown on the LCD display the ENTER button is pressed to activate the setting In NUMERIC mode code numbers can be input via the AMPS 1 keypad which will then activate corresponding simulation functions or settings Code numbers used in NUMERIC mode are listed in Appendix A of this manual 2 6 Power On Defaults A wide range of simulation parameters are automatically initia...

Page 24: ... 1 initially sets all blood pressure BP channels to ze ro pre ssure regardless of which dynamic BP waveforms may have been set as the power on defaults This allows the pressure channels of the monitor under test to be zeroed After calibrating the zero pressure level on each BP channel of the patient monitor you can then activate the default dynamic BP simulations by pressing SHIFT 3 ENTER on the A...

Page 25: ...jectate thermistor type Continue until the above parameters are configured to your preferences Remember to press ENTER after making each selection to enable the change When you are finished changing the settings press SHIFT then press VIEW SAVE to store the settings as the power on defaults in AMPS 1 memory 2 6 2 Numeric Mode After powering up AMPS 1 simulator operation will default to ALPHA mode ...

Page 26: ... remain in NUMERIC mode Press SHIFT to switch from NUMERIC to ALPHA mode 2 6 3 AMPSpc AMPSpc companion software supplied on CD ROM as a standard accessory with AMPS 1 allows you to program the power on default settings using drop down boxes Simply make the desired selections connect AMPS 1 to your PC using the RS 232 serial cable provided and upload to AMPS 1 See Chapter 13 for more information on...

Page 27: ...communication 4 Invasive Blood Pressures Cardiac Output AUX and Temperature A pushbutton to toggle respiration output LA or LL referenced to RL is also located along the this panel A wide array of Invasive BP IUP and temperature cables are available and are listed in Appendix B of this manual A stereo phono jack located on the right side of AMPS 1 provides a high level ECG output on the tip connec...

Page 28: ... additional parameters which are set less frequently To streamline operation of AMPS 1 these particular parameters are segregated in an Advanced group under the ADV 7 key Advanced parameters are accessed by pressing the ADV 7 key while in any function that provides Advanced parameters These functions and the ADV key have a copper colored border around the key to indicate Advanced settings are prov...

Page 29: ...for heart rate amplitude and ST Segment elevation depression 3 2 Normal Sinus Rhythm In a normal heart rhythm the sinus SA node generates an electrical impulse which travels through the right and left atrial muscles producing electrical changes which are represented on the electrocardiogram ECG by the P wave The electrical impulse then continues to travel through specialized tissue known as the at...

Page 30: ...ce settings 3 3 3 Baseline Electrode Impedance 500 1000 1500 and 2000Ù 3 3 4 Artifact selections 50Hz 60Hz Muscle Wandering and OFF Wandering artifact uses the respiration simulation settings for rate and waveshape 3 3 5 ST Segments Lead II 0 mV normal Elevated 0 1 to 0 8mV in 0 1 mV steps Depressed 0 1 to 0 8mV in 0 1 mV steps 3 3 6 Axis Deviation Normal intermediate horizontal and vertical Modif...

Page 31: ...n LED above the ECG button or through an ECG monitor if such a monitor is connected While viewing the display of Figure 13 pressing the RIGHT u arrow button once will change the display to that of Figure 14 the ECG Amplitude Menu Press the UP or DOWN arrow button to scroll through the settings provided for the ECG amplitude 0 1 0 25 0 5 1 2 3 4 and 5mV If finer control of the amplitude is desired ...

Page 32: ...g the RIGHT u an arrow button will change the screen to Figure 16 the ECG Artifact Menu Press the UP or DOWN arrow button to scroll through the ECG artifact simulations 60Hz 50Hz MUSCLE and WANDERING Wandering artifact uses the respiration simulation settings for rate and waveshape The artifact simulation may be disabled by setting it to OFF default Pressing the RIGHT u arrow button again will res...

Page 33: ...arrow button to scroll through the settings provided for ST elevation or depression 0 0 1 0 2 0 3 0 4 0 5 0 6 0 7 0 8 0 8 0 7 0 6 0 5 0 4 0 3 0 2 and 0 1mV If an ST elevation or depression is selected on the menu of Figure 17 pressing ENTER overrides the current ECG RATE setting and automatically changes the rate to 80 BPM This rate override occurs even if ECG ST is set to 0 mV To restore the orig...

Page 34: ...imulation between OFF and ON When set to ON the duration of the ECG R wave is reduced to 40 milliseconds Pressing the RIGHT u arrow button will restore the LCD display to the initial menu screen of Figure 17 Press the LEFT t arrow button to scroll the display through the above simulator parameters in reverse order Press ENTER after selecting a parameter to activate your selection ECG Normal Sinus ...

Page 35: ...hythmia simulations to test the function of patient monitors AMPS 1 can also be used in training clinicians in arrhythmia recognition 4 2 Available Settings Press ENTER after selecting a parameter to activate that setting indicates a one time event which is activated each time the ENTER key is pressed 4 2 1 Premature Atrial Contraction PAC PAC on every 10 beat th 4 2 2 Premature Nodal Contraction ...

Page 36: ...h PVC type 2 PVC2 4 2 9 First Degree Heart Block At 80BPM with PR interval of 0 25 seconds 4 2 10 Second Degree Heart Block Type1 Wenckebach an increasing PR interval followed by a P wave only with no QRS response 4 2 11 Second Degree Heart Block Type 2 A waveform similar to right bundle branch block except PR interval is 0 25 seconds eighteen beats at 80 BPM followed by two missed beats 4 2 12 Th...

Page 37: ...hythmia Varying rate 60 to 100 BPM 4 2 20 Missed Beats Manual triggered by ENTER key At 80 BPM every 10 beat is missed th At 120 BPM every 10 beat is missed th 4 2 21 Nodal Rhythm 4 2 22 AED Shock Advisory Ventricular Rhythm 90 and 120 BPM Ventricular Tachycardia 140 160 180 and 190 BPM 4 2 23 Defibrillator Training Emergency scenarios 1 and 2 Elective cardioversion Defibrillator discharge simulat...

Page 38: ... PVC 1 TRIGEMINY 2 PVC2 PAC PNC MULTIFOCAL PVC and FREQUENT MF PVC Pressing the RIGHT u arrow button will change the menu screen to that of Figure 21 Press the UP or DOWN arrow button to scroll through the arrhythmia waveforms provided under PVC group 1 PVC1 LVF PVC1 EARLY LVF PVC1 RonT LVF PVC1 6 MIN PVC1 12 MIN PVC1 24 MIN PVC1 PAIR PVC1 RUN 5 and PVC1 RUN 11 NOTE The menus of Figure 21 and Figu...

Page 39: ...arrow button will change the menu screen to that of Figure 23 Press the UP or DOWN arrow button to scroll through the arrhythmia waveforms provided under the conduction block group 1ST DEGREE 2ND DEGREE TYPE1 2ND DEGREE TYPE2 3RD DEGREE RIGHT BUNDLE and LEFT BUNDLE Pressing the RIGHT u arrow button will change the menu screen to that of Figure 24 Press the UP or DOWN arrow button to scroll through...

Page 40: ... MISSED BT 120BPM and NODAL Pressing the RIGHT u arrow button will change the menu screen to that of Figure 27 Press the UP or DOWN arrow button to scroll through the arrhythmia waveforms provided under the AED group VENT 90BPM VENT 120BPM VTACH 140BPM VTACH 160BPM VTACH 180BPM VTACH 190BPM EMERGENCY 1 EMERGENCY 2 and ELECTIVE CARDIOVER Additionally two settings are provided in this group which si...

Page 41: ...5 0 volts and the duration of the pulse should be at least 5 milliseconds Polarity of the trigger voltage may be positive or negative with respect to DEFIB IN ground sleeve A suitable trigger signal can be obtained by connecting the WAVEFORM OUTPUT jack of the Datrend Phase 3 Defibrillator Analyzer to the DEFIB IN jack of AMPS 1 tip connection at Phase 3 to ring connection at AMPS 1 Discharging a ...

Page 42: ...gger pulse applied via the DEFIB IN jack as previously described In response to a trigger at the correct time a large negative going transient will then appear on the simulated ECG followed by a gradual recovery of the baseline and a change in rhythm to NSR The simulated ECG transient is always negative going regardless of the polarity of the trigger voltage applied at the DEFIB IN jack As an alte...

Page 43: ...me while in ARRY mode will change the screen to that of Figure 28 the arrhythmia amplitude menu Press the UP or DOWN arrow button to scroll through the amplitude settings for the selected arrhythmia waveform 0 1 0 25 0 5 1 2 3 4 and 5mV Press the ARRY button to return the LCD display to the initial menu screen of Figure 20 Arrhythmias Chapter 4 Page 29 ...

Page 44: ...AMPS 1 OPERATING MANUAL Arrhythmias Chapter 4 Page 30 ...

Page 45: ...annels are set to a static pressure of zero mmHg and the respiration rate is set to zero 5 2 Available Settings Press ENTER after selecting a parameter to activate that setting 5 2 1 Square Wave 2 Hz or 0 125 Hz 5 2 2 Triangle Wave 2 Hz 5 2 3 Pulse 80 msec 1 Hz 60BPM 5 2 4 Sine Waves 0 05 0 5 1 10 25 30 40 50 60 and 100 Hz 5 2 5 R Wave Detector Test 60 BPM haver triangle waveform Selectable widths...

Page 46: ... and Pulse waveform Sinusiodal waveform Haver triangle pulse width and Amplitude Pressing the PERF 3 button will enter the Performance Waveform menu as shown in Figure 29 Press the UP or DOWN arrow button to scroll through the waveshapes provided SQUARE 2Hz TRI 2Hz PUL 1 Hz 80ms and SQR 0 125Hz Pressing the RIGHT u arrow button will change the menu screen to that of Figure 30 Press the UP or DOWN ...

Page 47: ...reen to that of Figure 32 Press the UP or DOWN arrow button to scroll through the amplitudes provided for the selected performance waveform 0 05 0 10 0 15 0 20 0 25 0 30 0 35 0 40 0 45 0 5 0 75 1 1 25 1 50 1 75 2 2 25 2 50 2 75 3 3 25 3 50 3 75 4 4 25 4 50 4 75 5 5 25 and 5 50 mV Pressing the RIGHT u arrow button will restore the LCD display to the initial menu screen of Figure 29 Press the LEFT t...

Page 48: ...AMPS 1 OPERATING MANUAL Performance Waveforms Chapter 5 Page 34 ...

Page 49: ...blood pressure is at its lowest A dynamic blood pressure value is normally written with the systolic blood pressure first followed by the diastolic blood pressure for example 120 80 AMPS 1 offers the option of two or four electrically isolated BP channels and simulates static pressures as well as dynamic BP waveforms that track arrhythmia and normal sinus ECG simulations The unique isolation syste...

Page 50: ...imultaneously connected to a monitor press the ISOLATION button to the ON in position Note since the ISOLATION function reduces battery life it should o nly be use d w he n ne c e ssary Respiration artifact can be selected on all BP channels RESP ARTIFACT1 has an amplitude of 5 mmHg and RESP ARTIFACT2 has an amplitude of 10 mmHg 6 2 Available Settings Press ENTER after selecting a parameter to act...

Page 51: ... Pressing the BP 1 4 button repeatedly will cycle the display through the installed blood pressure channels While within the menu for any of the BP channels any change in settings will only change that particular channel The exception is changing a dynamic waveform to a static pressure level which will change all channels to the same static pressure Since all four channels have the same parameters...

Page 52: ...f the DYNAMIC 1 group ART 120 80 ART 90 40 ART 160 110 LT VENT 120 0 and RT VENT 25 0 Pressing the RIGHT u arrow button will change the menu screen to that of Figure 37 Press the UP or DOWN arrow button to scroll through the simulations of the DYNAMIC 2 group LT ATRIAL 14 4 RT ATRIAL 15 10 PULM ART 25 10 and PULM W 10 2 Pressing the RIGHT u arrow button again will restore the LCD display to the in...

Page 53: ...ings will only affect the BP channel indicated at the top left corner of the LCD display for example BP1 as shown in Figure 38 To change settings on a different BP channel press the BP 1 4 button until the desired channel is displayed at top left on the LCD then press the ADV key Referring to Figure 38 press the UP or DOWN arrow button toggle the DYNAMIC 3 simulation between SWGNZ AUTO15s and SWGN...

Page 54: ...1 ON and 2 ON Pressing the RIGHT u arrow button again will restore the LCD display to the initial menu screen of Figure 38 Press the LEFT t arrow button to scroll the display through the above simulator parameters in reverse order Press ENTER after selecting a parameter to activate your selection NOTE Dynamic BP waveforms may be incompatible with certain other functions for example ECG performance...

Page 55: ... selecting a parameter to activate that setting 7 2 1 Baseline Impedance 500 1000 1500 and 2000 ohms on Leads I II and III 7 2 2 Impedance Variation 0 0 05 0 1 0 2 0 5 1 2 3 4 and 5Ù 7 2 3 Rates 0 15 20 30 40 60 80 100 and 120 Breaths per Minute BPM 7 2 4 Apnea Selections 12 22 32 seconds and continuous 7 2 5 Respiratory Effort Inspiration Expiration Ratio 5 1 4 1 3 1 2 1 1 1 7 2 6 Ventilator wave...

Page 56: ...nu Figure 42 Press the UP or DOWN arrow button to scroll through the settings provided for the respiration rate 0 15 20 30 40 60 80 100 and 120 Breaths per Minute BPM Pressing the RIGHT u arrow button will change the menu screen to that of Figure 43 Press the UP or DOWN arrow button to scroll through the settings provided for the apnea time 12 22 32 seconds and CONTINUOUS Pressing the RIGHT u arro...

Page 57: ...rrow button will change the menu screen to that of Figure 46 Press the UP or DOWN arrow button to scroll through the settings provided for the respiratory ratio Inhale Exhale 1 1 2 1 3 1 4 1 and 5 1 A ventilator simulation is also provided under this parameter Pressing the RIGHT u arrow button will restore the LCD display to the initial menu screen of Figure 42 Press the LEFT t arrow button to scr...

Page 58: ...AMPS 1 OPERATING MANUAL Respiration Chapter 7 Page 44 ...

Page 59: ...hythmias are noted when the ECG is monitored AMPS 1 simulates the presence of a pacer pulse with the ECG signal to allow the evaluation of how a patient monitor deals with the pacer pulse 8 2 Available Settings Press ENTER after selecting a parameter to activate that setting Below indicates a one time event which is activated by pressing the ENTER key 8 2 1 Rhythms Asynchronous at 75 BPM Demand wi...

Page 60: ...button will change the menu screen to that of Figure 47 Press the UP or DOWN arrow button to scroll through the pacing simulations provided ASYNC 75BPM DEMAN FRE SIN DEMAN OCC SIN AV SEQUENTIAL NON CAPTURE and NON FUNCTION Pressing the RIGHT u arrow button will change the menu screen to that of Figure 48 Press the UP or DOWN arrow button to scroll through the settings provided for the pacer pulse ...

Page 61: ...l change the menu screen to that of Figure 50 Press the UP or DOWN arrow button to toggle the pacer pulse polarity between positive going and negative going Pressing the RIGHT u arrow button will restore the LCD display to the initial menu screen of Figure 47 Press the LEFT t arrow button to scroll the display through the above simulator parameters in reverse order Press ENTER after selecting a pa...

Page 62: ...AMPS 1 OPERATING MANUAL Pacer Chapter 8 Page 48 ...

Page 63: ...ased on the adaptor cable connected to the TEMPERATURE jack AMPS 1 simulates five body temperatures 9 2 Available Settings Press ENTER after selecting a parameter to activate that setting 9 2 1 Body Temperatures 30 35 37 38 and 40 C 9 3 Temperature Function In the Temperature function AMPS 1 automatically senses the adapter connected at the TEMPERATURE jack YSI 400 or 700 Pressing the TEMP CO 8 bu...

Page 64: ...ore the LEFT t and RIGHT u arrows are not displayed Pressing them will have no effect on the AMPS 1 Press the UP or DOWN arrow button to scroll through the settings provided for the body temperature 30 35 37 38 and 40 C Press ENTER to activate the temperature selection Temperature Chapter 9 Page 50 ...

Page 65: ...emperature in the bloodstream after injecting a measured amount of cool fluid such as saline The Cardiac Output Option and Cardiac Output Adapter Box are required to perform this simulation See Appendix B ACCESSORIES for part numbers 10 2 Available Settings Press ENTER after selecting a parameter to activate that setting 10 2 1 Injectate Thermistor Type H P Philips compatible at 2 C H P Philips co...

Page 66: ...e the cardiac output monitor to the following settings CATHETER TYPE SIZE Baxter Edwards 93a 131 7f CALIBRATION COEFFICIENT 0 542 for 2 C Injectate 0 595 for 20 C Injectate INJECTATE VOLUME 10 cc INJECTATE TEMPERATURE 2 C or 20 C Connect the Cardiac Output Adapter box P N 8000 454 to the AUX input on AMPS 1 using the 8 pin mini DIN cable supplied with the adaptor Figure 53 Cardiac Output Adapter C...

Page 67: ...ional feature and must be activated before it can be used Pressing the TEMP CO button from the Temperature Function or twice from any other menu will change the menu screen to that of Figure 53 Press the UP or DOWN arrow button to scroll through the settings provided for the baseline body temperature 36 37 and 38 C Pressing the RIGHT u button will change the menu screen to that of Figure 54 Press ...

Page 68: ...n pulses Pressing the RIGHT u arrow button will change the menu screen to that of Figure 57 Press the UP or DOWN arrow button to scroll through the settings provided INJT T1 INJT T2 INJT T3 and INJT T4 These settings correspond to the type of injectate thermistor that would normally be connected to the monitor and also the injectate temperature being measured by the thermistor The thermistor setti...

Page 69: ... For example for an American Edwards or Spacelabs system and 20 C injectate solution the nominal thermistor resistance would be 67 7 kilo ohms kÙ This is the factory default setting of the INJT T4 trimpot Enter the CO menu of AMPS 1 and select INJT T4 under CARDIAC INJECTATE Disconnect the CO monitor from the Cardiac Output Adaptor 8000 454 and use an ohmmeter to probe pins 1 and 3 of the Injectat...

Page 70: ...AMPS 1 OPERATING MANUAL Cardiac Output Optional Chapter 10 Page 56 ...

Page 71: ...ucer during contractions Transducer sensitivity can be set to either 5 or 40 ìV V mmHg for this simulation 11 2 Available Settings Press ENTER after selecting a parameter to activate that setting 11 2 1 Fetal Heart Rates 60 90 120 150 180 210 and 240 BPM 11 2 2 Fetal Heart Rate Variation Uniform early and late deceleration 11 2 3 Dynamic Intrauterine Pressure IUP waveform Positive bell shaped pres...

Page 72: ... pin mini DIN cable supplied with the accessory As the mechanism draws significant electrical power in operation the Mechanical Fetal Heart requires AMPS 1 to be powered by the optional AC adaptor P N 3000 445 for USA Japan P N 3000 446 for continental Europe or P N 3000 447 for UK Connect the AC adaptor which is appropriate for your region to the DC IN jack of AMPS 1 The ultrasound transducer sho...

Page 73: ...ratures 11 4 Fetal ECG Simulations Note Fetal Simulations are an optional feature and must be activated before they can be used Pressing the FETAL IUP button once will change the menu screen to that of Figure 60 Press the UP or DOWN arrow button to scroll through the settings provided for the fetal heart rate 60 90 120 150 180 210 and 240 BPM Pressing the RIGHT u arrow button will change the menu ...

Page 74: ... parameters in reverse order Press ENTER after selecting a parameter to activate your selection 11 5 Intrauterine Simulations Using the appropriate IUP cable as listed in Appendix B connect the patient monitor to the BP 1 channel of AMPS 1 Pressing the FETAL IUP button while in any of the FETAL menu screens will change the menu screen to that of Figure 63 Press the UP or DOWN arrow button to scrol...

Page 75: ...er sensitivity between 5 and 40 ìV V mmHg Pressing the RIGHT u or LEFT t arrow buttons will toggle the LCD display between amplitude and sensitivity parameters Press ENTER after selecting a parameter to activate your selection Fetal Intrauterine Pressure Optional Chapter 11 Page 61 ...

Page 76: ...AMPS 1 OPERATING MANUAL Fetal Intrauterine Pressure Optional Chapter 11 Page 62 ...

Page 77: ...13 4 of this manual 12 2 Choosing an Auto Setting With AMPS 1 in the ALPHA operating mode the default mode after powering up press the AUTO 0 button Pressing the LEFT t or RIGHT u arrow buttons will scroll the display through the Auto setups AUTO1 to AUTO10 as indicated in Figure 65 When the desired Auto setup is displayed press ENTER to activate the parameters of that Auto Auto setups can also be...

Page 78: ...IC mode will scroll the LCD display through all simulator settings provided by AMPS 1 including the Auto setups When the desired Auto is displayed on the LCD press ENTER to activate the parameters of that Auto setup Once an Auto setup has been selected the simulator parameters configured by that Auto will remain in effect until one or more of the parameters are modified via the various menus provi...

Page 79: ...S 1 to the DB9 RJ12 adapter P N 3140 426 Connect the DB9 of the adapter to a serial communications port COM Port on your PC and insert the other end of the cable into RS 232 port of AMPS 1 Power up AMPS 1 by pressing the POWER pushbutton AMPS 1 will power up in ALPHA mode by default but AMPS 1 will communicate with your PC from either ALPHA or NUMERIC mode There is no need to set AMPS 1 to a parti...

Page 80: ...AMPS 1 OPERATING MANUAL Figure 68 COM Port settings AMPSpc Companion Software Chapter 13 Page 66 ...

Page 81: ...00 or 120 BPM Respiration Waveform I E 1 1 I E 2 1 I E 3 1 I E 4 1 I E 5 1 or Ventilator Respiration Delta 0 0 05 0 1 0 2 0 5 1 2 3 4 or 5Ù Pacer Pulse Amplitude 2 4 8 10 12 14 16 18 20 50 100 200 500 or 700 mV Pacer Pulse Width 0 1 0 2 0 5 1 0 or 2 0 msec Pacer Pulse Polarity Negative or Positive Pulse Temperature YSI 400 700 30 35 37 38 or 40 C CO Injectate Temperature 2 or 20 C CO Baseline Temp...

Page 82: ... under test can be zeroed After zeroing the pressure channels of the patient monitor BP Dynamic waveforms as programmed by AMPSpc are then activated by pressing SHIFT 3 ENTER on the AMPS 1 keypad To set or change a power on default of AMPS 1 click on the Power On tab of AMPSpc Figure 68 Double click on a desired setting in the table 1 20 or highlight the setting and press the Edit Power On Value b...

Page 83: ...s Set Power On Values This will upload the power on settings to AMPS 1 via the RS 232 serial connection The settings will then be stored in the non volatile memory of AMPS 1 During the upload AMPSpc will give an indication of progress Figure 70 although the AMPS 1 display will remain unchanged For the settings to take effect it is necessary to restart AMPS 1 After uploading reset AMPS 1 by switchi...

Page 84: ... Type of Auto Multi parameter Simulation ECG Tab Rate Amplitude Impedance ST Depression Axis Neonatal Artifact Blood Pressure Tab Sensitivity Static Level BP1 Dynamic BP2 Dynamic BP3 Dynamic BP4 Dynamic Artifact Respiration Tab Rate Apnea Delta Waveform Temperature and CO Tab available in all Types Temperature YSI 400 700 Baseline Temperature Injectate Thermistor Type Injectate Temperature Cardiac...

Page 85: ...mperature and CO Tab See above Type of Auto ECG Performance Test Performance Tab Square triangle Sine Wave Haver triangle Signal Amplitude Temperature and CO Tab See above To set or change an Auto setup select the Auto Selections tab in AMPSpc Figure 71 Figure 72 Auto Selections AMPSpc Companion Software Chapter 13 Page 71 ...

Page 86: ...ach parameter Each Auto may include up to 10 such settings When you are finished editing the Auto setups click OK to exit the editor Press Set Auto Selections to upload the Auto setups to AMPS 1 via the RS 232 connection AMPSpc will give an indication of progress Figure 73 although the AMPS 1 display will remain unchanged during the upload For the settings to take effect it is necessary to restart...

Page 87: ...communications port COM Port on your PC and insert the other end of the cable into RS 232 port of AMPS 1 Power up AMPS 1 by pressing the POWER pushbutton AMPS 1 will power up in ALPHA mode by default but AMPS 1 will communicate with your PC from either ALPHA or NUMERIC mode There is no need to set AMPS 1 to a particular mode for computer communications The serial protocol used by AMPS 1 is 9600 N ...

Page 88: ...SR 80BPM 4 Set ECG to Coarse AFIB 104 Set ECG to NSR 120BPM 15 Set BP channel 1 to 160 110 181 AMPS 1 has special requirements for remote control via RS 232 Characters sent to AMPS 1 by a controlling device must be separated by a delay of at least two tenths of a second In response to each character received by AMPS 1 via the RS 232 Port AMPS 1 will return a string of 22 characters to the sending ...

Page 89: ... only Be prepared to provide your AMPS 1 serial number Upon purchasing the optional feature you will receive a 10 digit code to enable the option This code is serial number specific and will be valid only for the serial number you provide Power up AMPS 1 and select NUMERIC mode by pressing the SHIFT key Input three digits corresponding to the option you wish to enable then press the ENTER key The ...

Page 90: ...sing you that the option has been successfully enabled In this case press SHIFT to return to ALPHA mode Power down AMPS 1 wait one second then power up AMPS 1 Verify the option has been enabled by pressing the corresponding key on the keypad If you mis type or enter an incorrect code ENABLE MODE OFF will appear on the screen In this case press SHIFT twice to exit and return to NUMERIC mode then tr...

Page 91: ... status of your AMPS 1 AMPS 1 contains no user serviceable parts Ope ning the c ase o f AMPS 1 fo r any re aso n w ill vo id the w arranty For calibration or service assistance contact Datrend for a Return Materials Authorization RMA number and the location of the nearest Service Facility Datrend Systems Inc Unit 130 4020 Viking Way Richmond BC CANADA V6V 2L4 Tel 800 667 6557 North America Only or...

Page 92: ...AMPS 1 OPERATING MANUAL Calibration and Maintenance Chapter 16 Page 78 ...

Page 93: ...ns available numbered from zero to 511 as listed in the table in this Appendix By default AMPS 1 powers up in ALPHA mode To change to NUMERIC mode press the SHIFT button The NUMERIC mode display will then appear as illustrated in Figure 75 The table on the following page lists the numeric codes for all AMPS 1 settings organized by GROUP Find the desired setting in the table type the corresponding ...

Page 94: ...mV 49 ST DEPR 0 4mV 50 ST DEPR 0 3mV 51 ST DEPR 0 2mV 52 ST DEPR 0 1mV 53 ST DEPR 0 1mV 54 ST DEPR 0 2mV 55 ST DEPR 0 3mV 56 ST DEPR 0 4mV 57 ST DEPR 0 5mV 58 ST DEPR 0 6mV 59 ST DEPR 0 7mV 60 ST DEPR 0 8mV 61 AXIS NORMAL 62 AXIS HORIZONT 63 AXIS VERTICAL 65 NEONATAL ON 66 NEONATAL OFF ARRHYTHMIA 67 ASYSTOLE 1 68 ASYSTOLE 2 69 ASYSTOLE 3 70 BIGEMINY1 LVF 71 BIGEMINY2 RVF 72 TRIGEMINY1 LVF 73 TRIGE...

Page 95: ...VER A 5 mV 421 HAVER A 5 25mV 422 HAVER A 5 5 mV IBP 2 BP ZERO 3 BP DYNAMIC 5 BP SENS 5ìV 6 BP SENS 40ìV 151 SAVE BP WAVES 152 BP SENS 5ìV 153 BP SENS 40ìV 158 BP ZERO 159 BP DYNAMIC 160 BP STATIC STEP 161 STATIC 10mmHG 162 STATIC 5mmHG 163 STATIC 0mmHG 164 STATIC 20mmHG 165 STATIC 40mmHG 166 STATIC 60mmHG 167 STATIC 80mmHG 168 STATIC 100mmHG 169 STATIC 120mmHG 170 STATIC 150mmHG 171 STATIC 160mmH...

Page 96: ...16mV 350 PULSE 18mV 351 PULSE 20mV 352 PULSE 50mV 353 PULSE 100mV 354 PULSE 200mV 355 PULSE 500mV 356 PULSE 700mV 358 P WIDTH 0 1mS 359 P WIDTH 0 2mS 360 P WIDTH 0 5mS 361 P WIDTH 1mS 362 P WIDTH 2mS 363 PACE CAL TEMPERATURE 230 TEMP 30 C 231 TEMP 35 C 232 TEMP 37 C 233 TEMP 38 C 234 TEMP 40 C CO 251 INJ T1 252 INJ T2 253 INJ T3 254 INJ T4 256 C O BASE 36 257 C O BASE 37 258 C O BASE 38 259 INJ TE...

Page 97: ...UTO10 OPTION ENABLE 500 ARRHYTHMIA 501 AED ARRHYTHMIA 502 ECG PERFORMANCE 503 RESPIRATION 504 TEMPERATURE 505 BP CH1 CH2 506 BP CH3 CH4 507 PACER 508 CARDIAC OUTPUT 509 FETAL ECG IUP Numbers between 1 511 which are not listed are reserved for later use Appendix A Page 83 ...

Page 98: ...AMPS 1 OPERATING MANUAL Appendix A Page 84 ...

Page 99: ...453 Operating Manual AMPSpc companion software application on CD 3140 429 RJ 12 communication cable 3140 426 RJ 12 to DB 9 adapter Optional Accessories For a complete list of available accessories visit www datrend com or contact Datrend Customer Service see Chapter 16 for contact details Appendix B Page 85 ...

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