Dynatech DS6100 Service manual

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DS6100
Patient Simulator
dh DNI
QD
N
EVA
DA
PO
BOX
1925
(89702)
IN
C.
1
2000
ARROWHEAD
DRIVE
CARSON
CITY,
NEVADA
89706
Formerly
PHONE:
702.883.3400
Dynatech
Nevada
Inc.
FAX:
702.883.9541
Operating and Service Manual
% DYNATECH NEVADA
World Class People — World Class Products

PRESTI ANI
Copyright: Dynatech Nevada, Inc. agrees to a limited copyright release that allows you to
reproduce manuals and other printed materials for use in service training programs and
other technical publications. If you would like other reproductions or distributions, submit
a written request to Dynatech Nevada Inc.
Warranty and Product Support: This instrument was thoroughly tested and found to meet
our manufacturing specifications when it was shipped from the factory. Calibration
measurements are traceable to the National Institute of Standards and Technology (NIST).
New Instrument Warranty
1 year on parts and labor
Physical damage is not covered
Repair Instrument Warranty
90 days on calibration, labor, and parts replacement Y
Physical damage is not covered i
Dynatech Nevada Inc. warrants that all products are to be free from defects in parts and
labor as described in the warranty policy unless a different period is specified. If you discov-
era
defect, Dynatech Nevada will either modify the product to correct the defect, replace
the product with new or factory reconditioned products, or refund the amount paid for the
defective product. The standard terms and conditions of sale are printed on the reverse side
of the Dynatech Nevada invoice. You may obtain additional copies of the warranty and
conditions of sale from Dynatech Nevada.
If you retum an instrument to Dynatech Nevada Inc., we recommend United Parcel Service,
Federal Express, or Air Parcel Post. You must receive prior authorization from Dynatech
Nevada Inc. for C.O.D. shipments, otherwise you will pay transportation charges.
Intended Use Disclaimer: The DS6100 is intended to be used as a simulation device only.
Recommended applications include routine preventive maintenance inspections, sales
demonstrations, or training. The DS6100 is not to be used as the primary calibration stan-
dard or the certification test instrument for medical devices.
Dynatech Nevada Inc.
2000 Arrowhead Drive, Carson City, NV 89706-0403
P.O. Box 1925, Carson City, Nevada 89702-1925
800-648-7952
702-883-3400
Fax: [phone]
Part Number: 9508-0213
Revision: C
Printed in the USA.
Table of Contents
INTRODUCTION .. 5
FRONT PANEL ........ 6
OPERATION . 10
USING THE PENDANT KEYPAD hrs 10
KEYPADCONTROLS .………… 20000 11
MODIFTER/CAL MODE ...........ccccccocsscsscscsccscevssessccsecsesece LT
SIZE ADJUSTMENTS: SPEC FUNC 54 ue. 18
CALIBRATION LEVELS: SPECFUNC78,82,&$4..................... 20
HEART RATE ADJUSTMENT: SPEC FUNC 53 ..................... 21
ARTIFACT SIMULATION: SPEC FUNC 47, 48, 8: 49 ............ 21
RESPIRATION . ee 22
DEFIB SEQUENCE .. .. seveso ... 24
PERSONALITY MODULES sense ee 26
INTERACTIVE IABP PERSONALITY MODULES ..............06 28
CARDIAC OUTPUT PERSONALITY MODULES ................... 30
CAPNOGRAPHY PERSONALITY MODULE ......................... 32
BP CABLES ... ... a „33
WIRING CHARTS … 34
CONNECTOR INTERFACE ..........ccscssscsssssssscssesseorseessrsses 25
BATTERY CARE ee 6
PARTS LIST/SCHEMATICS ses 37
Table of Figures
Fig 1: 12 Lead ECG Amplitudes...6 Fig 8: Artifact Modifier..................... 21
Fig 2: Front Control Panel........ 8 Fig 9: Wiring 5uV/VmmHg monitor .. 34
Fig 3: Pendant Keypad................. 9 Fig 10: Wiring 40uV/WVmmHg monitor . 34
Fig 4: Modifier/Cal Mode ............ 17 Figll: ECGConnecor.............. 35
Fig5:Sizeddjwsi.................. 19 Fig 12: Pressure Connectors ............ 35
Fig 6: Calibration Functions ........ 20 Fig 13: Connector Pin Assignments .. 35
Fig 7: Heart Rate Adjustment ....... 21

DS 6100 Patient Simulator
DS 6100 Operator's Manual
Introduction
DS 6100
The DS 6100 is a battery-operated, six-channel patient simulator and
defib trainer that simultaneously simulates ECG/arrhythmia,
respiration, as well as arterial, pulmonary arterial, and right atrial
pressures. Standard waveforms and sequences, selected via keypad, are
stored in microcomputer memory within the simulator. In the standard
defib training mode, you can interface the DS 6100 with Arrhythmia
Anne and Chris Clean manikins. Among the many optional
personality modules available, you'll find functions for special purpose
ECG, Cardiac Output Dilution Curves, Capnography, and IABP.
SAFETY
Levels of signals available via the ouput connectors and the
Personality Module connector do not exceed 12 volts, and, as such, do
not constitute a potential danger to the operator. However, if
calibration or other service of the DS 6100 is required, we recommend
that only qualified service personnel be permitted to remove the front
panel of the simulator.
DS 6100 Operating and Service Manual 5

Front Panel
The following front panel controls allow you to operate the DS 6100.
See Figure 2 for locations.
1. ON/OFF SWITCH: Switches power on and off. Battery operated unit is
rechargeable with the supplied charger.
2. POWER INDICATOR: Illuminates when power is ON.
3. ECG SNAP CONNECTORS: Outputs low level 12 lead ECG. Attach
your standard patient ECG cable lead wires to these snap connectors to
display the simulated ECG waveforms on your monitor screen.
1=+.25 mv (+/-5%) | V1 =-.40
141.0 V2 =-.90
HI = +.75 V3 =+.60
aVR = -.60 V4 = +1.0
aVL = -.25 V5 =+1.5
aVF = +.90 Ve =+1.0
FIGURE 1: 12 Lead ECG Amplitude
NOTE: To minimize 60 cycle artifact, it is important that a reference
electrode connection is used. For example, most 5 lead ECG diagnostic
recorders require that a simulator's REF signal be connected to the RL
input of the patient cable. The DS 6100 can also output the ECG in a
modified chest lead configuration (MCL2) used for bedside monitoring.
Simply attach the LL(+) red, RA(-) white, and LA(ref) patient cable snaps to
the patient simulator. Refer to the operator’s manual of your ECG monitor
for hook-up instructions.
4, PRESSURE OUTPUT CONNECTORS
Output for arterial, PA, and RA pressures. Simulates the electrical output of
the BP transducer that would be used with the patient monitor. The DS 6100
generates signals that are compatible with either 5 or 40 microvolt transducers.
6 DS 6100 Operating and Service Manual
EFI
SE
Front Panel
§. AUX INPUT/OUTPUT CONNECTOR: Cable interconnect for
optional waveforms such as capnography and IABP.
6. DEFIB CONNECTOR: Input for Arrhythmia Anne or Chris Clean
manikins equipped with defibrillation option.
4
7. MANUAL DEFIB SWITCH: Manually simulates defibrillation.
8. PERSONALITY MODULE CONNECTOR: Input for optional
modules. Used to add numerous functions and waveforms to the standard set.
9. KEYPAD CONNECTOR: Input for hand-held keypad.
10. KEYPAD REST: Storage area for keypad.
11.
BATTERY
CHARGER
INPUT
CONNECTOR
(Located
on
inner
well)
Jack
used
to
recharge
battery.
Unit
can
be
operated
while
recharging.
DS
6100
Operating
and
Service
Manual
7
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Front Panel
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PERSONALITY ©
MODULE
SIMULATE 6
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DEFIB N 7
NOTE: The Battery Charger Input Connector (#11) is located on the
inner well.
FIGURE 2: Front Panel Controls
8 DS 6100 Operating and Service Manual
Keypad
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Patient Simulator
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FIGURE 3: Pendant Keypad
DS
6100
Operating
and
Service
Manual

Operation
USING
THE
PENDANT
KEYPAD
Direct
Functions:
Select
the
rhythm
desired
by
pressing
one
of
15
Direct
Function
keys.
The
following
pages
list
all
of
the
functions
and
code
numbers
available
in
the
standard
simulator
unit.
Example:
To
initiate
a
bradycardia
rhythm,
press
and
release
the
key
labeled
BRAD.
The
simulator
automatically
determines
the
proper
time
in
the
cardiac
cycle
to
begin
a
new
rhythm.
Special
Functions:
To
initiate
a
Special
Functions
rhythm,
press
and
release
the
red
SPEC
FUNC
key
followed
by
the
appropriate
two
digit
code,
found
in
the
menu
on
either
side
of
the
keypad.
The
simulator
displays
the
*
to
echo
the
Special
Function
key
selection.
You
must
enter
a
two
digit
special
function
code
whenever
the
*
prompt
is
displayed.
Example:
To
select
a
bigeminy
rhythm
press
the
red
SPEC
FUNC
key
followed
by
code
27.
You
are
free
to
select
any
function
in
any
order,
and
in
doing
so,
simulate
virtually
any
patient
condition
sequence.
Some
of
the
Special
Functions
are
actually
programmed
sequences
of
rhythms
or
events.
A single PAC or PVC can be inserted into any rhythm by pressing the
PAC, PVCI, or PVC2 key. When any of these keys are pressed, the
respective PAC or PVC will be inserted into the next cardiac cycle.
Only one PAC, PVCI, or PVC2 can be inserted at any one time. The
8 character LCD display echoes key entries by displaying the abbrevi-
ated function name.
10
DS
6100
Operating
and
Service
Manual
Operation
KEYPAD CONTROLS
Code Function
00 NORMAL SINUS - Provides a convenient way to return to
normal sinus rhythm at a rate of 70 BPM.
01 SINUS TACHYCARDIA - Rapid regular rhythm with normal
P wave and heart rate of 140 BPM.
02 SINUS BRADYCARDIA - Slow regular rhythm with normal
P wave and heart rate of 35 BPM. .
03 ASYSTOLE - No beats but very small irregular signal remains.
04 ATRIAL FLUTTER - Regular ventricular rhythm; atrial
flutter with 4:1 conduction.
05 ATRIAL FIBRILLATION - Rapid irregular atrial signal with
no real P waves. Irregular ventricular rate.
06 2ND DEGREE AV BLOCK I - Wenckebach. Irregular
rhythm with normal P wave. PR interval lengthens progres-
sively until a dropped beat occurs and cycle repeats.
07 2ND DEGREE AV BLOCK II - Slow regular rhythm with
normal P wave. PR interval in conduced beats is normal; 3:1 block.
08 3RD DEGREE AV BLOCK - Slow regular ventricular rhythm;
regular atrial rhythm. Independent atrial and ventricular rhythms.
09 PAC INSERT - Premature atrial contraction. A single PAC is
inserted into the current rhythm when button is pushed.
10 PVCI INSERT - Premature ventricular contraction. A single
PVC1 is inserted into the current rhythm when button is pushed.
11 PVC2 INSERT - Premature ventricular contraction. A single
PVC is inserted into the current rhythm when button is pushed.
12 COUPLET - Irregular rhythm with frequent couplets and 1
pair ventricular beats. PVCs are premature; compensatory
pause follows couplet.
13
VENTRICULAR
TACHYCARDIA
-
Irregular,
rapid
rhythm
with irregular, successive PVCs. No P waves.
DS
6100
Operating
and
Service
Manual
11

Operation
ee
o
14.
VENTRICULAR
FIBRILLATION
-
Irregular,
rapid,
chaotic
waveforms
with
no
QRS.
AT
ㆍ ㆍ ㆍ
15
ATRIAL
TACHYCARDIA
-
Rapid,
regular
rhythm
with
biphasic
P
wave.
16 ATRIAL TACHYCARDIA/ABERRANCY - Rapid, regular
rhythm with biphasic P wave and notched, wide QRS.
17 FREQUENT PACS - Irregular rhythm with frequent pre-
mature PACs and a biphasic P wave.
18 PEDIATRIC TACHYCARDIA - Rapid regular rhythm with
tall R wave and narrow QRS.
BLOCKS
19 1ST DEGREE AV BLOCK - Normal beats except with long
PR interval of .25 sec.
20 BUNDLE BRANCH BLOCK - Wide QRS complexes.
Regular rhythm with a PR interval of .16 sec.
JUNCTIONAL
22 ACCELERATED JUNCTIONAL - Regular rhythm with
inverted P wave and short PR interval.
23 JUNCTIONAL - Slow regular rhythm with inverted P wave
and short PR interval.
24 FREQUENT PICs - Irregular rhythm with frequent, premature PJCs
followed by a pause. Inverted P wave and short PR interval.
VENTRICULAR
26 IDIOVENTRICULAR - Slow reg. rhythm, no P waves, wide QRS.
27 BIGEMINY - Irregular rhythm alternates between PVC and
normal beat.
28 UNIFOCAL PVCs - Frequent, premature unifocal PVCs
followed by pause. PVC has wide QRS.
12 DS 6100 Operating and Service Manual
Operation
29
MULTIFOCAL PVCs - Regular rhythm with frequent PVCs
that alternate between type 1 and type 2. Pause follows PVCs.
30 TRIPLET - Frequent runs of 3 consecutive PVCs.
PACEMAKER
31 VENTRICULAR - Pacer artifact precedes QRS. Regular
rhythm, no P waves, wide QRS.
32 ATRIAL - Normal rhythm, pacer artifact precedes P wave.
33 AV SEQUENTIAL - Prolonged PR interval. Pacemaker
artifact precedes P and QRS waves. Wide QRS.
34 SENSE & CAPTURE FAIL - Frequent loss of capture, low
amplitude escape beat, sensing failure of escape beat.
35 FAILURE TO CAPTURE - No capture. Pacer artifact
amplitude is 8mV with 1 msec duration.
MISC ECG
38 CARDIAC FAILURE - Intermittent PVCs and couplet
followed by ventricular tachycardia, followed by ventricular
fibrillation, followed by asystole.
39 ST ELEVATION - Regular rhythm with ST Elevation at 2
mm 80 msec after J point.
40 ST DEPRESSION - Regular rhythm with ST Depression at 3
mm 80 msec after J point.
41 AGONAL - No P waves; wide complexes with periods of
asystole.
42 VENTRICULAR ASYSTOLE - No QRS; regular atrial
rhythm.
43
CONVERSION
-
Vfib
with
CPR
followed
by
Vfib
without
CPR for 2 seconds prior to defib. Defib artifact, Brady
thythm
with
CPR,
Brady
rhythm
without
CPR,
followed
by
NSR.
DS
6100
Operating
and
Service
Manual
13

Operation
ECG ARTIFACT
46
DEFIBRILLATION - Positive and negative baseline satura-
tion. Artifact is automatically followed by preselected rhythm.
See #59 below.
47 60 CYCLE ARTIFACT - Artifact amplitudes 0.1, 0.4, and 0.7
mV p-p. Use INC and DEC keys, or eliminate with STD key.
48 ECG/RESP ARTIFACT - Artifact amplitudes 0.4, 0.6, and
1.0 mV peak to peak. Use INC, DEC keys. STD will eliminate.
49 MUSCLE ARTIFACT - Artifact amplitudes 0.4, 0.6, and 1.0
mV peak to peak. Use INC & DEC keys. STD will eliminate.
50 CPR - CPR artifact at 70/min.
ADJUST
53 ECG RATE ADJUST - Increase or decreases rate in 10%
increments. STD returns to standard rate.
S4 SIZE ADJUST - Increases and decreases ECG, BP, and
respiration waveforms, or returns them to standard size. Use
after selecting desired channel.
55 AUTO TREND - Automatically varies NSR heart and
respiration rates, and blood pressures. Vtach episode 4 every
1 hour; trend repeats every 2 hours.
DEFIB CONVERSION
59 RHYTHM SELECT - Permits selection of post defib rhythm,
which is then automatically inserted after defib artifact.
60 DEFIB DISABLE - Disables auto defib sequence.
RESPIRATION
71 APNEA - Thoracic impedance is simulated via ECG output snaps.
72 RESP AT 10 BPM
73 RESP AT 20 BPM
74 RESP AT 40 BPM
75 RESP AT 80 BPM
14 DS 6100 Operating and Service Manual
m
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Operation
76 CVA COINCIDENCE - ECG and respiration are synchro-
nized and timed appropriately for cardiovascular artifact.
Impedance drops immediately after each R wave.
77 PEDIATRIC APNEA/BRADY - Intermittent apnea periods.
Heart rate drops from 140 BPM tp 70 BPM each apnea
period.
CALIBRATION
78 HEART RATE CALIBRATION - Calibrated heart rates from
30 to 300 BPM.
81 | LINEARITY/SPEED - 2.5 Hz triangular ECG waveform.
82 ECG SIZE CALIBRATION - Cal pulse amplitudes from .25
mV to 2.5 mV.
83 ARRHYTHMIA SEQUENCE - Automatic sequence of
arrhythmias over 3 minute period of time. NSR, Dropped
Beat, AV Pace, V Pace, Atrial Tach, Couplet, RBBB, Triplet,
Bigeminy (3 Foci), VTach.
84
RESPIRATION
SIZE
CAL
-
Respiratory
depth
ranging from
0.25 to 2.5 ohm; calibrated for RA-LA lead.
BLOOD PRESSURE
62
ZERO
PRESSURE
-
Zeroes
all
three
pressure
channels
as
well as auxiliary CO2 channel.
63
PATENT
LINE
-
Outputs
a
30
mmHg
flush
waveform
on
PA
channel.
PA
waveform
follows
flush.
Trailing
edge
of
flush
and
PA
pressure
waveforms
demonstrate
ideal
frequency
characteristics of pressure line.
64
RESONANT
LINE
-
Outputs
a
50
mmHg
flush
waveform
on
PA
channel.
PA
waveform
follows
flush.
Trailing
edge
of
flush
and
PA
pressure
waveforms
demonstrate
resonant
frequency
characteristics
of
pressure
line.
DS
6100
Operating
and
Service
Manual
15

Operation
65
DAMPED
LINE
-
Ouputs
a
50
mmHg
flush
waveform
on
PA
channel.
PA
waveform
follows
flush.
Trailing
edge
of
flush
and
PA
pressure
waveforms
demonstrate
damped
frequency
characteristics
of
pressure
line.
|
66
CATHETER
WHIP
-
Pressure
artifact
caused
by
motion
of
catheter.
On
PA
channel.
ーー
|
67
PRES/RESP
ARTIFACT
-
Varies
level
of
respiration
artifact
on
pressures.
PROCEDURES
68
IABP-
Arterial
pressure
with
cardiac
assist
pressure
pulse.
2:1
augmentation.
Simulation
only;
not
interactive
with
the
IABP.
Output on arterial channel.
69
PA
WEDGE
-
Outputs
a
PAW
waveform.
70
SWAN-GANZ
INSERTION
-
Output
on
PA
channel.
Right
atrium
to
right
ventricle;
right
ventricle
to
pulmonary
artery;
pulmonary
artery
to
wedged
pulmonary
artery;
wedged
pulmonary
artery
to
pulmonary
artery.
16
DS
6100
Operating
and
Service
Manual
Modifier/Cal Mode
MODIFIER/CAL MODE
The bottom row of the keypad has three dual function keys: CPLT/up
arrow, VTACH/down arrow, and VFIB/STD. These keys can be used
in conjunction with the SPEC FUNC keys listed in Figure 4 to
increase, decrease, or reset the standard value for parameters such as
rate, waveform amplitude, or artifact level. When selected, these
functions will display one of the following prompts: INC, DEC, or
STD. See following pages for operating instructions.
INC (Up Arrow): Increases parameter value. Momentarily displays “at
max” when maximum value is reached.
DEC (Down arrow): Decreases parameter value. Momentarily displays
“at min” when minimum value is reached.
STD: Resets parameter value. All of the remaining keys exit the
Modifier/Cal function, retain parameter level, and simulate rhythm
selected. (i.e. NSR, Bradycardia, etc.)
53 Rate Adjust
54 Size
78 Heart Rate Cal 70 BPM
82 ECG Size Cal
84 Resp Size Cal
47 60 Cycle Artifact
48 ECG/Resp Artifact
49 ECG/Muscle Artifact
FIGURE 4: Special Functions used in the Modifier/Cal Mode
DS 6100 Operating and Service Manual 17

Modifier/Cal Mode
SIZE ADJUSTMENTS: SPEC FUNC 54
The Size Adjust function, SPEC FUNC 54, allows you to adjust the
waveform size up or down from the STD level. Figure 9 lists
waveform amplitudes for each channel. To adjust the size of a
waveform channel:
STEP 1: Select SPEC FUNC 54 (SIZE)
STEP 2: DS 6100: Enter desired channel number, 1 - 6.
ECG = channel 1, ART = 2, PA =3, RA =4, AUX =S5,
RESP = 6
STEP 3: Press INC to increase, DEC to decrease, STD to reset to
standard level. The size adjust function is intended for inservice and
demonstration applications when size adjustments may be helpful in
demonstrating a clinical situation i.e. Increasing the PA Wedge
pressure to simulate LV heart failure.
NOTE:
Pressure
and
R
wave
values
are
defined
for
normal
sinus beats
only.
To
obtain
nonvarying
pressure
values,
select
SPEC
FUNC
67
and
decrease
minimum
level.
For
calibration
or
performance
check
applications,
use
SPEC
FUNC
78
(Heart
Rate
Cal),
SPEC
FUNC
81
(Linearity/Speed),
SPEC
FUNC
82
(ECG
Size
Cal),
and
SPEC
FUNC
84
(Resp
Size
Cal).
18
DS
6100
Operating
and
Service
Manual
EEE
EEE
ES
EE
NEN
Modifier/Cal Mode
DS 6100 SIZE ADJUST LEVEL - SPEC FUNC 54
CH/PARAMETER |-3 -2 -1 STD | +1 +2 +3 +4
1 ECG R WAVE 25 1.50 1.75 | Imv [1.25 [1.50 [1.75 | 2.0
AMPLITUDE (mV)
À
2 ART SYS/DIAS 116/62 [123/66 [130/70 | 137/73 1143/76 [150/80 [157/84 [164/88
MEAN (mmHg) 80 85 90 95 100 1105 {110 | 115
3 PA SYS/DIAS 14/6 |21/9 127/12133/15 | 41/19] 48/22] 55/25 61/28
MEAN (mmHg) 8 13 17 22.127 32 37 | 42
4 RA MEAN (mmHg) 4 le 8 10 112 [14 | 16
5 AUX (CO, CO2) Not Adjustable
6 RESP(RA-LA)
(ohms) 25 |.50 |175 |1.0 |125 | 1.50 |1.75 | 2.0
FIGURE 5. Size Adjust Special Function
DS
6100
Operating
and
Service
Manual
19

Modifier/Cal Mode
CALIBRATION FUNCTION LEVELS:
SPEC FUNC 78, 82, & 84
Special function keys 78, 82, and 84 allow you to adjust
calibration levels for heart rate, linearity/speed, ECG size, and
respiration size as follows:
ADJUSTMENT LEVELS
-4-3 -2 -1 [STD[+1 +2 +3 +4 +5 +6 +7 +8 +9 +10 +11 +12
SPEC FUNC 78:
HRCAL
30 40 50 60|70 180 90 100 121 142 163 183 203 227 250 268 300
SPEC FUNC 82:
ECG/SIZE/CAL
25 50 75) 1 11.25 1.5 1.75 20 25 mV
SPEC FUNC 84:
RESP SIZE CAL
25 50 75] 1 [1.25 15 1.75 20 2.5 Ohm
FIGURE 6: Calibration Functions
20 DS 6100 Operating and Service Manual
Modifier/Cal Mode
HEART RATE ADJUSTMENT: SPEC FUNC 53
The Rate Adjust function, SPEC FUNC 53, offers you the option of
adjusting rates up or down in 10% increments. Figure 7 lists the heart rates
which can be obtained for the various rhythms. On Power-up, each rhythm
has the standard heart rate (STD) listed below. For performance check
applications, the Heart Rate Calibration, SPEC FUNC 78 (ECG RATE),
provides calibrated heart rates from 30 to 300 BPM. See Fig 6.
RHYTHM
-40%
-30% -20%
-10%
STD
+10%
+20%
+30%
Bradycarda
21
24
28
31
35
38
42
45
Ventricular
21
24 28
31
35
38
42
45
Junctional
24
28
32
36
40
44
48
52
Normal
Sinus
42
49
56
63
70
77
84
91
Sinus
Tach
84 98
112
126
140
154
168 182
Atrial
Tach
90
105
120
135
150
165
180
195
Atrial
Fib
60
70
80
90
100
110
‘120
130
FIGURE
7:
Heart
Rates
Obtained
via
Rate
Adjust
Spec
Func
53
ARTIFACT
SIMULATION:
SPEC
FUNC
47,
48,
&
49
Various
types
of
artifact
can
be
superimposed
on
the
ECG.
The
type
and
level
of
artifact
is
selected
via
the
Special
Function
keys
47,
48,
and
49.
To
enable
artifact,
select
the
desired
function,
increase
or
decrease
the
level
of
artifact
via
the
INC,
DEC
keys.
The
STD
key
returns
the
simulator
to
the
standard
level
of
artifact.
FUNC
o
TYPE
STD
+]
+2
+3
47
ECG
60
Hz
0
그
.4
-7
mV
48
ECG
RESP
0
4
.6
1.0
mV
49
ECG
MUSCLE
|
0
4
6
1.0mV
FIGURE
8:
Artifact
Modifier
Functions
DS
6100
Operating
and
Service
Manual
21

Respiration
RESPIRATION
The DS 6100 provides a varying thoracic impedance signal via all 10
ECG electrode output snaps. Several respiration rates from apnea to 80
BPM can be selected. Once a respiration rate has been selected, the
respiration rate remains fixed during subsequent rhythm selections or
until a new respiration rate is selected.
The amplitude of the thoracic impedance signal (R) can be varied
using Size Adjust, SPEC FUNC 54 and selecting Channel #6. Use the
INC, DEC, and STD keys to vary the impedance amplitude. Respira-
tion amplitudes will differ depending upon the lead that is monitored.
Figures 5 & 6 list amplitudes for the RA-LA lead.
NOTE: For calibration applications, use the Respiration Size Cal
Function, SPEC FUNC 84 (Figure 6). This function displays
impedance amplitudes.
Pressure waveforms are modulated by the respiration waveforms to
simulate respiration artifact. The respiration artifact level can be varied
using Pressure/Respiration Artifact, SPEC FUNC 67.
Cardiovascular artifact or ECG/respiration coincidence can be simu-
lated by selecting the CVA Coincidence, SPEC FUNC 76. The
impedance signal is synchronized with the ECG. Impedance decreases
after each R wave, simulating a decrease in impedance due to an
increase in pulmonary blood volume during systole.
22 DS 6100 Operating and Service Manual
Defib Training
DEFIBRILLATION TRAINING
In
the
Defib
Training
Mode,
you
can
interface
the
DS
6100
with
the
Laerdal
“Arrhythmia
Anne”
and
the
Armstrong
“Chris
Clean”
mani-
kins
for
realistic
defibrillation
and
ECG
paddle
monitoring
training.
Follow
the
guidelines
provided
by
your
training
manikin
for
proper
cable
connection.
STEP
1:
Connect
the
torso
skin
cable
into
the
Defib
Training
Connec-
tor.
Turn
the
DS
6100
on.
STEP
2:
Select
life
threatening
arrhythmia.
i.e.
VFIB.
STEP
3:
To
enable
the
automatic
defib
conversion
feature
and
select
the
post
defib
rhythm:
a.)
Press
and
release
the
red
Special
Function
key
b.)
Enter
code
number
59
to
initiate
the
Defib
Rhythm
Select
function.
c.)
Select
the
desired
post-defib
rhythm
by
pressing
a
direct
function
key,
or
by
pressing
the
red
Special
Function
key
followed
by
the
two
digit
code
number
of
the
desired
rhythm.
Ifa
post
defib
rhythm
is
not
programmed,
the
defib
artifact
will
be
followed
by
asystole
until
another
rhythm
is
manually
selected.
STEP
4:
To
initiate
the
defibrillation
sequence:
Defibs
equipped
with
apex/sternum
paddles
-
F
irmly
place
the
paddles
on
the
electrodes
located
on
the
manikin
chest
skin
or
torso
cover.
Charge
the
defib
to
25
joules
for
Arrhythmia
Anne
or
up
to
400
joules
for
Chris
Clean,
and
defibrillate.
DS
6100
Operating
and
Service
Manual
23

Defib Training
Defibs
equipped
with
disposable
electrodes
-
Plug
in
adapters
and
connect
cables
from
defib
to
adapter
snaps.
Charge
defib
to
desired
energy
level
and
discharge
the
defibrillator.
CAUTION:
See
the
Arrhythmia
Anne
and
“Chris
Clean”
instruction
manuals
for
the
proper
procedures
and
use
of
the
defibrillator
on
the
manikin.
Under
no
circumstances
should
a
defibrillator
be
discharged
directly
into
the
DS
6100.
After
defibrillation
of
the
manikin,
the
DS
6100
will
simulate
defibrillation
artifact
followed
by
your
preselected
rhythm.
The
programmed
post
defibrillation
rhythm
can
be
changed
at
any
time
by
repeating
STEP
2.
STEP
5:
To
repeat
a
sequence,
select
another
life
threatening
rhythm
and
defibrillate.
The
defib
conversion
feature
can
be
disabled
at
any
time
by
selecting
SPEC
FUNC
60
(NO
DEFIB).
MANUALLY
INITIATING
A
DEFIB
SEQUENCE
Use
the
defib
switch
on
the
DS
6100”s
front
panel,
or
SPEC
FUNC
46
(DEFIB).
When
the
Defib
Artifact
Function
is
selected,
defib
artifact
will
be
simulated.
If
a
post
defib
rhythm
has
been
programmed,
the
defib
artifact
will
be
automatically
followed
by
the
programmed
rhythm.
24
DS
6100
Operating
and
Service
Manual
BP Simulation
BLOOD PRESSURE SIMULATION
If you want to check the calibration of your invasive pressure monitor,
it is important to first zero each pressure channel of the monitor.
Connect BP cables from the simulator to your monitor, then:
1. Zero monitor before turning the DS 6100 on. When you do turn the
DS 6100 on, it will automatically output an NSR ECG waveform and
the normal BP waveforms.
OR
2. Тат the DS 6100 on and select SPEC FUNC 62 (0 mmHg). Up to
three pressure channels can be zeroed simultaneously via channels 2-4.
Use the pressure monitor manufacturer’s suggested procedure to
obtain a 0 mmHg pressure baseline for each pressure channel.
After successfully adjusting the monitor’s zero point, select SPEC
FUNC 79 to check calibration of the pressure monitor. Then select the
desired pressure waveform via special function or direct function keys
to output dynamic BP waveforms on all three channels. Pressure
cables (listed on page 33) are available to connect the DS 6100 to most
pressure monitors.
NOTE. Figure 5 defines systolic, diastolic, and mean values of the dynamic pressure
waveforms for normal sinus beats. If your monitor or recorder does not closely agree with
these pressure values, any of the following may be true:
1) The monitor or recorder is not calibrated or properly zeroed.
2) The interconnect cable is not supplying an excitation reference voltage required
by DS 6100.
3) The interconnect cable is wired to the wrong signal output pin.
4) Respiration artifact on the pressures modulate the pressure values in sync with the
respiration cycle. This artifact significantly alters the systolic/diastolic values. To
remove respiration artifact, select SPEC FUNC 67, (PRES RESP) and decrease to the
minimum level.
DS 6100 Operating and Service Manual 25

Personality Modules
PERSONALITY MODULES:
OPTIONAL
SPECIAL
FUNCTIONS
Optional
Personality
Modules
can
be
plugged
into
the
front
panel
connector
to
increase
the
number
of
special
functions
available.
It
is
necessary
to
turn
the
simulator
power
off
before
inserting
or
removing
a
Personality
Module.
Each
Module
has
a
function
menu
listing the
functions
and
code
numbers
6070-03
Pediatric ECG 6070-08
Sinus Arrhythmia
Junctional
Junctional Escape
Wandering Pacer
Hyperkalemia
Enlarged Atrium
CPR Artifact
Sinus Tachycardia
6070-09
Advanced Pacer
Undersensing
Oversensing Muscle Artifact
Oversensing Tall T Waves
Fusion
Pseudo Fusion
Runaway Pacer
PAC with DVI Pacer
Retrograde VA Conduction
6070-10
MCLI Atrials
Normal Sinus Rhythm
Bradycardia
Sinus Arrest 6070-13
Atrial Tach
Atrial Flutter
Atrial Fib
PAC
PAT
within
the
Module's
memory.
These
functions
will
be
assigned
code
numbers
between
89
and
99.
Personality
Modules
currently
available
are
listed
below.
DS6100
00
00000000000000000000000000000:00
MCL Blocks
Normal Sinus Rhythm
Ist degree AV block
2nd degree AV block Type I
2nd degree AV block Type II
3rd degree AV block
RBBB
LBBB
MCLI Ectopy/Aberrancy
Normal Sinus Rhythm
Right PVC
Left PVC
Multifocal PVCs
RonT
Bigeminy
Atrial Fib w/Aberrancy
Cardiac Failure Sequence
MCLI Set (07, 08, 09)
Includes the three MCLI
modules listed above.
12 Lead Set
Includes modules 6070-14,
6070-15, and 6070-16.
DS 6100 Operating and Service Manual
등등
도도
도
도
이
여도
여여
이
어겨
Personality Modules
6070-14 12 Lead Normal ECG
6070-15 12 Lead Anterior Infarct
6070-16 12 Lead Infertor Infarct
Leads I, II, HE
AVR, AVL, AVF, V1
6070-01 IABP
Early Inflation
Late Inflation
Early Deflation
Late Deflation
Proper Timing
6070-05 = Intra-Cranial Pressures
Normal ICP
Normal with Resp Artifact
Damped with Resp Artifact
Cough Artifact
Hypercapnia
B Wave & A Wave
Jugular Comp
6070-11 Left Heart Pressures
Pressure Zero
Normal AO, LV, LA
AO to LV Insertion
LV to AO Pullback
AO, LV, and LA with PVCs
6070-12 Valve Disease
Mitral Stenosis
Mitral Regurgitation
Aortic Stenosis
Aortic Regurgitation
LV/AO Pullback with AS
LV/AO Pullback with AR
6070-17
6070-18
6070-20
6070-22
6070-23
6070-25
6070-26
6070-29
6070-30
ST Segments
2.5mm Horizontal ST Depression
2.5mm Horizontal ST Elevation
ST Downslope Depression
ST Upslope Elevation
ST Upslope Depression 45°
ST Upslope Depression 30°
ST Upslope Depression 20°
CO Dilution Curve 0°C
Injectate temp for use w/6070-23
CO Dilution Curve 25° C
Injectate temp for use w/6070-22
CO2/Cardiac Output 25° C
CO2/Cardiac Output 0° C
CO at 5L/4L/3L per minute
Left to right shunt
Prolonged Curve
Interrupted Injectate
Normal Respiration
Embolism
Cheyne Stokes -
Deep Sigh
CO2 Zero
IABP Interactive Kontron*
(7, 10, K2000, KAAT)
IABP Interactive Datascope*
(System 80)
IABP Interact Datascope 90*
(System 90)
IABP Interact Aries*
Early Inflation
Late Inflation
Early Deflation
Late Deflation
Proper Timing
*See description on the following pages
DS 6100 Operating and Service Manual
27

Personality Modules
INTERACTIVE IABP PERSONALITY MODULES
The Interactive Intra-Aortic Balloon Pump personality modules are
used with the DS 6100 simulator and Kontron, Datascope System 80,
Datascope System 90, and Aries monitors. Invasive arterial BP and
sync timing cables are included with each module. To generate the
special waveforms:
Step 1: Determine the need for a balloon according to monitor used.
Datascope 90: It is essential that a balloon (or suitable replace-
ment) be connected to the Balloon Output connector for proper
operation of the Datascope 90 pump.
Datascope 80, Kontron, Aries: It may be necessary to defeat
the alarm by connecting a balloon or suitable replacement to
the Balloon Output Connector.
Step 2: Connect Datascope/Kontron/Aries ECG cable to the DS 6100
ECG snap connectors.
Step 3: Insert the Interactive IABP module into the DS 6100’s Person-
ality Module connector. Turn the DS 6100 on.
Step 4: Connect the following cables to their respective monitors:
Datascope 90: connect cable #3010-0314 (GE 3100/Datascope 6F
cable) from the Datascope Pressure Transducer input connector
to the DS 6100’s ART connector
Datascope 80: cable #3013-0314 (GE 3100/Datascope 6F cable)
from the Datascope ART PRES input connector to the DS 6100’s
ART connector.
28 DS 6100 Operating and Service Manual
HEBEI
Personality
Modules
Kontron
7,
10,
2000,
KAAT:
cable
#3010-0354
(Kontron
High
Level
cable)
from
the
KONTRON
AUX
input
connector
to
the
DS
6100’s
ART
connector
(Kontron
2000
ART
input)
Aries:
cable
#3010-0315
(4100-9
SpaceLabs
6M
cable)
from
the
ARIES
ART
PRES
input
connector
to'the
DS
6100’s
ART
connector.
Step
5:
Remember
to
zero
the
arterial
pressure
channel
on
the
pump.
To
simulate
atmospheric
pressure,
select
SPEC
FUNC
62
(OmmHg).
Use
the
module’s
suggested
procedure
to
obtain
a
OmmHg
pressure
reading.
When
zeroed,
select
any
cardiac
thythm
to
bring
the
arterial
waveform
on
the
screen.
Step
6:
Connect
the
following
IABP
cable
assemblies
to
the
DS
6100’s
AUX
connector:
Datascope
90:
3010-0352
from
the
DATA
COM
output
connector
Datascope
80:
3010-0351
from
the
System
INTERFACE
output
connector
Kontron:
3010-0353
from
the
ASSIST
INTERVAL
output
connector
Aries:
3010-0353
from
the
ASSIST
INTERVAL
output
connector
Step
7
:
Tum
the
balloon
pump
on
and
follow
normal
procedures
for
initializing
the
pump.
Select
a2
to
1
assist
ratio.
Step
8:
The
DS
6100
will
respond
to
the
balloon
pump’s
inflation/
deflation
signal
with
the
appropriate
augmented
arterial
pressure
waveform.
Change
ECG
rhythms
using
the
DS
6100’s
keypad.
DS
6100
Operating
and
Service
Manual
29

Personality Modules
CARDIAC OUTPUT PERSONALITY MODULES
The DS 6100 can be used with either of two Cardiac Output Personal-
ity Modules, 0 Degrees C injectate temperature (model 6070-18) and
25 Degrees C injectate temperature (model 6070-20). Both simulate
the Edwards style blood temperature catheter in generating several
dilution curves.
The dilution curve at 0 degrees C injectate temperature assumes the
following conditions:
10cc Injectate volume
Edwards 93-131-7F Catheter
Injectate Bath Probe, 90.22 k ohms (compatible with Switchcraft
connector SL-40-47F)
Computation Coefficient .542*
The dilution curve at 25 degrees C injectate temperature assumes
the following conditions:
10cc Injectate volume
Edwards 93-131-7F Catheter
Injectate Bath Probe, 62.34 k ohms (compatible with Switchcraft
connector SL40-47F)
Computation Coefficient .595*
*The use of other computation LM10 coefficients could result in CO
values other than specified.
30 DS 6100 Operating and Service Manual
Personality Modules
Follow these steps when using the CO module:
Step 1: Insert the Cardiac Ouput Module into the DS 6100’s Personal-
ity Module connector. Turn on the DS 6100.
Step 2: Connect the CO computer’s BT (blood temperature) cable to
the CO Module’s 3 pin connector. (The BT cable in the clinical setting
is attached to the thermistor on the Swan-Ganz catheter.)
Step 3: Connect the CO computer’s injectate temperature cable to the
black injectate temperature box which simulates 0 or 25 degrees C
temperature.*
Step 4: Set up CO computer per the manufacturer’s instructions.
When ready to inject select SPEC FUNC and number for CO curve
desired. (Curves listed on module)
*
The
internal
resistor
value
is
selected
to
meet
the
input
requirements
of
the
American
Edwards
or
SpaceLabs
bath
probe
injectate
temperature.
We
suggest
using
the
actual
bath
probe
and
bath
to
meet
the
input
requirements
for
other
desired
cardiac
output
computer
systems
or
modules.
Some
patient
monitoring
systems
will
default
to
an
iced
injectate
(0°
C)
ifno
bath
probe
is
attached
to
the
system.
DS
6100
Operating
and
Service
Manual
31

Personality
Modules
CAPNOGRAPHY
PERSONALITY
MODULE
The
DS
6100’s
Capnography
Personality
Module
is
available
in
combination
with
Cardiac
Output
Models
6070-22
and
6070-23.
The
capnography
function
simulates
the
graphic
portrayal
of
the
varying
CO?
levels
during
the
respiratory
cycle.
Capnography
simulation
is
possible
only with
selected
patient
monitors.
Compatible
monitors
(see
list
below)
require
the
following
interconnect
cables:
MONITOR
CO2
Cable
to
order
Spacelabs
Alpha
9,
14,
PC
#6085-03,
P/N
3010-0333
Spacelabs
500,
600
#6085-04,
P/N
3010-0334
Mennen
#6085-05,
P/N
3010-0335
NOTE:
The
Capnography
option
is
not
compatible
with
other
manufacturers’
CO2
monitors
because
they
lack
analog
CO2
input.
Step
1:
Insert
the
CO/CO2
personality
module
into
the
DS
6100
personality
module
connector.
Turn
the
DS
6100
on.
Step
2:
Connect
the
CO2
cable
from
CO2
monitor
Auxiliary
Input
to
the
DS
6100
AUX
channel.
Step
3:
Remember
to
calibrate
the
CO2
line.
Select
SPEC
FUNC
99
(OmmHg).
Use
the
CO2
monitor
manufacturer’s
suggested
procedure
for
calibration.
Step
4:
Select
SPEC
FUNC
95
through
98
to
obtain
the
specific
capnography
waveform
desired.
32
DS
6100
Operating
and
Service
Manual
Нанна
BP Cables
BLOOD PRESSURE CABLES
To ensure proper operation, be sure the interface cables you are
using between simulator pressure outputs and your equipment include
the proper connectors and wiring. If you wish to assemble cables,
please refer to the list below. Figures 9 through 13 on the following
page show the proper wiring for cables connecting channels 2-4 to
most pressure monitors. For assistance in wiring pressure cables,
please contact DNI.
NOTE: A special interface cable is not necessary for either ECG or
respiration since the simulator’s ECG snap outputs are directly compatible
with most standard patient cable lead wires.
MODEL ITEM MODEL ITEM
4100-01 Unterminated 4100-20 Kontron/Rouche (6M)
4100-02 HP SuV (SF) 4100-23 Marquette (8M)
4100-03 HP 40uV (SF) 4100-24 Burdick DataSim
4100-04 HP 5uV (12M) 4100-25 Nihon/Kohden (5M)
4100-05 HP 40uV (12M) 4100-37 Honeywell/Meddars(9M)
4100-06 SpaceLabs (5M) - 4100-40 Fukuda Denshi (8M)
(700, Alpha 9,14) 4100-42 Siemens Mingo 7 (15M)
4100-08 GE 3100/Datascope (6F) 4100-50 Armstrong High Level
4100-09 SpaceLabs Output
(400,500,600,PC) 4100-60 Marquette Eagle Series
4100-09 Physiocontrol (6M) 4100-61 Fukuda Denshi (12M)
4100-09 MDE Escort (6M)
4100-09 Mennen (6M)
4100-09 Ivy (6M)
4100-11 EforM/Honeywell (6F)
4100-12 BD/Datamedix/Ohio (9M)
4100-14 Abbott (7M)
4100-15 Gould/Care (SM)
4100-18 Litton (4M)
4100-19 Siemens (10M)
DS 6100 Operating and Service Manual 33

Wiring Charts
150 ohm 1% red
EXC REF PIN 4 V GND REF
150 ohm 1% white
+SIG PIN 1 | + SIG
black pair
SIG GND PIN 6 | - SIG
white
+EXC
PIN
5
+
EXC
FIGURE
9:
Pressure
Cable
Wiring
for
Monitor
with
SuV/VmmHg
sensitivity
150 ohm 1% red
EXC
REF
PIN
4
AMW-
GND
REF
$
150
ohm
1%
|
white
+SIG
PIN
2
|
+SIG
black
pair
SIG
GND
PIN
6
-
SIG
white
+EXC
PINS
+EXC
FIGURE 10: Pressure Cable Wiring for Monitor with 40uV/VmmHg sensitivity
NOTE: To minimize noise, the +/- SIG wires should be a twisted pair, as
should the +/- EXC wires.
34
DS
6100
Operating
and
Service
Manual
Connector Interface
CONNECTOR INTERFACE PIN DEFINITIONS
PIN#* Function
N/C
N/C
HIGH LEVEL OUT
+9V
DEFIB IN
GND
PACER FLAG (5V, 10msec)
JO
Aa
YN
r
Figure 11: ECG Connector
PIN #* Function
+ Signal Out (SuV/VmmHg)
+ Signal Out (40uV/VmmHg)
+ High Level Out
_ EXC REF
+ Excitation In
- Signal
+7,15 V. REF
SI
OO
D
BUN
=
Figure 12: Pressure Connectors
*Cable connector is #2710-0278 or Switchcraft #15GM7M
1 4
2
5/69 90
Figure 13: Connector 0 5
Pin Assignments
oY
DS
6100
Operating
and
Service
Manual
35

Battery Care
CHARGING THE BATTERY
The rechargeable battery used by the DS 6100 is a 1.9 AH sealed lead
acid battery which powers the unit for up to 20 hours. The integrated
charger requires up to 10 hours to charge the battery if its charge is
significantly depleted. A Low Bat message is displayed when the
battery needs to be recharged.
To charge the battery, plug the DS 6100’s battery charger into the unit
and an AC line power source.
CAUTION: The battery should never be discharged completely.
Repeated complete discharging can result in damage to the battery.
To avoid this situation:
*Recharge the battery every 6 months if the unit has not been used
*Immediately begin charging when the battery level is LOW. A fully
charged battery will retain at least 95% of its charge for 7 days with
the unit turned OFF. The maximum charge time to reach 95% battery
capacity is approximately 10 hours.
REPLACING THE BATTERY
Only qualified service personnel should be permitted to replace the
battery. When replacing the battery follow these instructions:
1. Turn power off and disconnect unit from AC line power.
2. Remove the 6 front panel screws.
3. Remove the front panel assembly exposing the battery.
4. Detach the battery wires and remove the battery bracket.
5. Replace with 1.9 AH 12 Volt sealed lead acid battery, part #1001-
4004 or equivalent.
36 DS 6100 Operating and Service Manual
USERRA oo
Parts List
Ref.
Des.
Part
No.
Description
Qty
DS
6100
Shipping
System
(#203301,
Rev
A)
ZZ01
9519-0313
DS
6100
FINAL
ASSY
1
2202
9508-0213
DS
6100
OPERATOR
MANUAL
1
ZZ03
1201-0088
BATTERY
CHARGER
1
DS
6100
Final
Assembly
(#203305,
Rev
A)
2201
1001-4004
|
12V
BATTERY
DATASIM
ZZ02 3010-0347
CABLE
SPIRAL
25FT
DS2000
ZZ03
4704-2435
SCRW
PPH
6-32
X
3/8
2204
4709-0017
SCRW
PBH
46-1/4
SELF
TAP
2205
4709-0026
SCRW
SLF
TP
(PENDANT
RL.)
ZZ06
4709-0027
SCRW
SLF
TP
(PANEL
MT.)
ZZ07 4711-9720
NUT,
KEP
6-32
X
1/4
ZZ08
4720-0013
RIVET
BLACK
ANODIZED.
ZZ09
5001-0426
DS
6100
TOP
DATA
PANEL
ZZ10
5001-0434
DS
6100
SERIAL
NO.
LABEL
2211
5001-0435
DS
6100
SERIAL
NO.
TAG
2712
5001-0437
DS
6100
CASE
LABEL
2213
5008-0418
DS
6100
PCB
SHIELD
BASE
ZZ14
5023-0138
DATASIM
PENDANT
RAIL
ZZ15 5027-0205
DS
6100
CASE
MODIF
ZZ16
5205-0294
DS
6100
MAIN
PCB
ASSY
ZZ17
5210-0240
PARTIAL
PENDANT
ASSY
ZZ18
5008-0400
DATASIM
BATTERY
BRACKET
ZZ19
5215-0298
DS6100
TOP
PANEL
MECH
ASSY
2220
5215-0299
DS6100
BATTERY
PLATE
ASSY
2221
5215-0300
DS6100
PCB
SHLD
TOP
ASSY
ZZ22
9530-0037
DATASIM
ACCESS
POUCH
Z223
2719-0213
PWRJACK
PLASTIC
PANEL
MT.
ZZ24
4910-0150
SPACER
#6
CLR
X
.485
LONG
DS
6100
Operating
and
Service
Manual
TR
He
HH
E
RH
ee
EAU
DO
A
Qu
mm
いっ
>
NI