Dynatech DS6100 Service manual

+

UES
ae
dns
cot
oR
à
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
> ‘ RQ RE so amet ce gg

Front Panel
© Tea DS 6 100
nevacane Patient Simulat 2
| | ㆍ
一 一 一 | <
ECG © 3
mーー of
ART vi
Gİ
PA PE
+ №3 4*
9 | |
一
个
一
RA
~
+ KEYPAD ČT
İl vs
> 5
Ve
PERSONALITY ©
MODULE
SIMULATE 6
DFE
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
DYNATECH
NEVADA inc
(__)
Patient Simulator
X
r
“
NSR
E
2AVBI
o
A-FU
4
JAVB
E
РМС1
CPLT VTAC
y
da
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
με
μα
μα
μα
ya
m
μι
na
m
pe
m
pa
m
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