Fluke-biomedical MPS450 Uživatelský manuál

PN 2243350 June 2010, Rev. 2, 3/11 © 2010-2011 Fluke Corporation. All rights reserved. Printed in USA. Specifications are subject to change without n

MPS450 Operators Manual iv BP Channel 4: Respiration Artifact... 4-21 Other Functions ...

MPS450 Operators Manual 4-18 Table 4-29. Numeric Codes for BP Channel 3: Static-Pressure Levels Actions (cont.) Numeric Control Code Action Remote Con

Remote Operations Codes and Actions 4 4-19 Table 4-32. Numeric Codes for BP Channel 2: Dynamic Waveforms Actions Numeric Control Code Action Remo

MPS450 Operators Manual 4-20 BP Channel 4: Dynamic Waveforms Table 4-34 lists the numeric control codes for the BP channel 4: dynamic waveforms functi

Remote Operations Codes and Actions 4 4-21 BP Channel 2: Respiration Artifact Table 4-36 lists the numeric control codes for the BP channel 2: re

MPS450 Operators Manual 4-22 Cardiac-Output Wave / Injectate Table 4-40 lists the numeric control codes for the BP cardiac-output wave / injectate fun

Remote Operations Codes and Actions 4 4-23 Table 4-41. Numeric Codes for FHR Rate (Fixed) Actions (cont.) Numeric Control Code Action Remote Cont

MPS450 Operators Manual 4-24 Table 4-44. Numeric Codes for View Angle Actions (cont.) Numeric Control Code Action Remote Control Entry (N/A) Set view

A-1 Appendix A Troubleshooting Introduction Table A-1 lists some possible problems and their solution for repair. Table A-1. Problem vs. Solution Pro

MPS450 Operators Manual A-2 Table A-1. Problem vs. Solution (cont.) Problem Probable Cause Solution Respiration Respiration lead not selected corr

B-1 Appendix B Remote Commands Introduction Table B-1 lists the remote commands for the MPS450 Analyzer in numerical order. Table B-1. Remote Command

v List of Tables Table Title Page 1-1. MPS450 Functions ...

MPS450 Operators Manual B-2 Table B-1. Remote Commands (cont.) Number Selection 019 SUPRAVENT TACH 020 021 PVCs 6/MIN 022 PVCs 12/MIN 023 PVCs 24/M

Remote Commands Introduction B B-3 Table B-1. Remote Commands (cont.) Number Selection 052 053 054 055 056 057 058 059 060 P1 ART 120/80

MPS450 Operators Manual B-4 Table B-1. Remote Commands (cont.) Number Selection 085 P3 PUL WDG 10/2 086 P3 L ATR 14/4 087 P3 R VENT 25/0 088 P4 SW

Remote Commands Introduction B B-5 Table B-1. Remote Commands (cont.) Number Selection 118 119 120 PERF 2 HZ SQUARE 121 PERF 0.125 HZ SQUARE

MPS450 Operators Manual B-6 Table B-1. Remote Commands (cont.) Number Selection 151 APNEA OFF 152 APNEA 12 SECONDS 153 APNEA 22 SECONDS 154 APNEA 3

Remote Commands Introduction B B-7 Table B-1. Remote Commands (cont.) Number Selection 184 ECG AMPL 0.5 MV 185 ECG AMPL 1.0 MV 186 ECG AMPL 1.

MPS450 Operators Manual B-8 Table B-1. Remote Commands (cont.) Number Selection 217 218 219 ST +0.05 MV 220 ST 0 MV 221 ST -0.05 MV 222 S

Remote Commands Introduction B B-9 Table B-1. Remote Commands (cont.) Number Selection 250 NSR RATE 45 BPM 251 NSR RATE 90 BPM 252 ECG AMPL

MPS450 Operators Manual B-10 Table B-1. Remote Commands (cont.) Number Selection 283 PERF AMPL 1.50 MV 284 PERF AMPL 2.00 MV 285 PERF AMPL 2.50 MV

Remote Commands Introduction B B-11 Table B-1. Remote Commands (cont.) Number Selection 316 R WAVE RATE 200 BPM 317 R WAVE RATE 250 BPM 318 R

MPS450 Operators Manual vi 2-32. Numeric Codes for Heart-Rate Settings... 2-40 2-33.

MPS450 Operators Manual B-12 Table B-1. Remote Commands (cont.) Number Selection 349 P1 ARTF OFF 350 P1 ARTF ON 351 P2 ST -10 MMHG 352 P2 ST 0

Remote Commands Introduction B B-13 Table B-1. Remote Commands (cont.) Number Selection 382 PAROXYSMAL ATR TACH 383 PACER ATRIAL 384 PACER AMPL

MPS450 Operators Manual B-14 Table B-1. Remote Commands (cont.) Number Selection 415 FETAL RATE 240 416 P4 SWAN-GANZ MAN 417 P4 S-G INSERT 418 P4 S

C-1 Appendix C Glossary Introduction This glossary presents certain medical, electronic, and MPS450-specific terms, the understanding of which may ai

MPS450 Operators Manual C-2 Table C-1. Glossary (cont.) Term Definition AV JUNCTION A junction consisting of the AV node and the bundle of His. Condu

Glossary Introduction C C-3 Table C-1. Glossary (cont.) Term Definition MILLIVOLT One-thousandth of a volt. MYOCARDIUM The thick muscular layer

MPS450 Operators Manual C-4 Table C-1. Glossary (cont.) Term Definition THERMODILUTION The measuring of temperature change, enabled by the injection

vii List of Figures Figure Title Page 1-1. MPS450 Patient Simulator...

MPS450 Operators Manual viii

1-1 Chapter 1 Introduction and Specifications Title Page Introduction...

MPS450 Operators Manual 1-2

Introduction and Specifications Introduction 1 1-3 Introduction When the term “simulation” is used in connection with ECG, Respiration, Temperatur

MPS450 Operators Manual 1-4 Table 1-1. MPS450 Functions Function Category Function Description Normal sinus rhythm ECG rate and amplitude Adult / pe

Introduction and Specifications MPS450 Package Contents 1 1-5 Table 1-1. MPS450 Functions (cont.) Function Category Function Description Injecta

Warranty and Product Support Fluke Biomedical warrants this instrument against defects in materials and workmanship for one year from the date of orig

MPS450 Operators Manual 1-6 • Universal injectate-temperature adapter (P/N 2226800) • RS-232 cable (P/N 2238659) • Service Manual (P/N 2243361) •

Introduction and Specifications Powering Up the MPS450 1 1-7 Powering Up the MPS450 1. Power up the system by pressing the power-on/off key (the

MPS450 Operators Manual 1-8 Connection the MPS450 gje041.eps Figure 1-1. MPS450 Patient Simulator The right side of the MPS450 features connections f

Introduction and Specifications Using the MPS450 1 1-9 Using the MPS450 The MPS450 offers a wide array of simulations, functions, and adjustments

MPS450 Operators Manual 1-10 Table 1-3. MPS450 Button Description (cont.) Number Key / Key Menu Label Menu Functions SETUP Set respiration lead and

Introduction and Specifications Viewing Current MPS450 Parameters 1 1-11 Table 1-4. Parameter Viewing List View Page Wave/Function Current Parame

MPS450 Operators Manual 1-12 Setting the MPS450 View Angle The MPS450 offers eight preconfigured settings to customize the preferred degree of contras

Introduction and Specifications Navigation in the MPS450 1 1-13 gje009.eps 3. Select BEEP to scroll to the LCD screen SET BEEPER MODE, which dis

MPS450 Operators Manual 1-14 6. Some simulations run continuously until terminated; others run as one-time events and must be selected again to repea

Introduction and Specifications General Specifications 1 1-15 General Specifications Power ...

Contents (continued) Notices All Rights Reserved © Copyright 2010, Fluke Biomedical. No part of this publication may be reproduced, transmitted,

MPS450 Operators Manual 1-16 Ventricular Arrhythmia... PVCs 6, 12, or 24 per minute; frequent multifocal PVCs; b

Introduction and Specifications Detailed Specifications 1 1-17 Right atrium (central venous or CVP): 15/10 Right ventricle: 25/00 Pulmonary artery

MPS450 Operators Manual 1-18

2-1 Chapter 2 Cardiac Functions Title Page Introduction...

MPS450 Operators Manual 2-2 Setting R-Wave Width ... 2-25 Setting R-

Cardiac Functions Introduction 2 2-3 Introduction This chapter covers the MPS450 functions that are related to the heart: ECG, Arrhythmia, ECG Te

MPS450 Operators Manual 2-4 3. The heart-rate setting identified on the LCD screen is active when displayed and remains active until the setting is c

Cardiac Functions ECG Functions 2 2-5 Alternatively, in the Numeric-Control Mode, press the number keys for an ECG-amplitude setting according to

MPS450 Operators Manual 2-6 Table 2-3. Numeric Codes for Patient-Type Settings Patient-Type Setting Numeric Code ADULT 010 PEDS 011 Adjusting the S

Cardiac Functions ECG Functions 2 2-7 Table 2-4. Numeric Code for ST-Segment Settings (cont.) ST-Segment Setting Numeric code -0.4 mV 233 -0.5

Repair and calibration: To find the nearest service center, go to www.flukebiomedical.com/service, or In the U.S.A.: Cleveland Calibration Lab Te

MPS450 Operators Manual 2-8 Table 2-5. Numeric Code for ECG Artifact Settings ECG-Artifact Setting Numeric Code ECG ARTIFACT OFF 104 60 HZ 105 50 H

Cardiac Functions ECG Functions 2 2-9 Alternatively, in the Numeric-Control Mode, press the number keys for a pacemaker-type wave according to Ta

MPS450 Operators Manual 2-10 Table 2-8. Numeric Codes for Pacemaker-Width Settings Pacemaker-Width Setting Numeric Code 0.1 ms 243 0.5 ms 244 1.0

Cardiac Functions Arrhythmia Functions 2 2-11 gje016.eps 3. Scroll to the LCD screen for the desired condition: ATRIAL FIB COARSE or ATRIAL FIB

MPS450 Operators Manual 2-12 condition most commonly found in young children and the elderly). The MPS450 simulates a sinus arrhythmia condition with

Cardiac Functions Arrhythmia Functions 2 2-13 Alternatively, in the Numeric-Control Mode, press the number keys 017, and select RUN. Paroxysmal A

MPS450 Operators Manual 2-14 3. Scroll to the LCD screen SUPRAVENT TACH. 4. Select RUN. The supraventricular-tachycardia simulation runs continuousl

Cardiac Functions Arrhythmia Functions 2 2-15 3. Scroll to the LCD screen NODAL PAC. 4. Select RUN. On the LCD screen, RUN flashes to indicate

MPS450 Operators Manual 2-16 Table 2-10. Numeric Codes for PVC-Waveform Settings PVC-Waveform Setting Numeric Code PVC1 LEFT VENT 037 PVC1 LV EARL

Cardiac Functions Arrhythmia Functions 2 2-17 gje018.eps 3. Scroll to the LCD screen for the desired PVC simulation: PVCs 6/MIN; PVCs 12/MIN; o

Contents (continued) manufacturer could void the user’s authority to operate the equipment. This equipment has been tested and found to comply wi

MPS450 Operators Manual 2-18 The MPS450 simulates either bigeminy or trigeminy incorporated within a normal sinus rhythm (80 BPM), using type-1 (left-

Cardiac Functions Arrhythmia Functions 2 2-19 Table 2-13. Numeric Codes for Multiple-PVC Settings Multiple-PVC Setting Numeric Code PAIR PVCs

MPS450 Operators Manual 2-20 Alternatively, in the Numeric-Control Mode, press the number keys for the desired simulation according to Table 2-14, and

Cardiac Functions Arrhythmia Functions 2 2-21 Action in the Menu-Control Mode 1. Press the top-menu key labeled ARRHY. 2. Select COND to displ

MPS450 Operators Manual 2-22 Alternatively, in the Numeric-Control Mode, press the number keys for the bundle-branch-block simulation according to Tab

Cardiac Functions ECG Testing 2 2-23 4. The performance wave identified on the LCD screen is active when displayed and remains active until anot

MPS450 Operators Manual 2-24 Table 2-18. Numeric Code for Wave Amplitude Settings (cont.) Wave Amplitude Setting Numeric Code 0.25 mV 276 0.30 mV

Cardiac Functions ECG Testing 2 2-25 screen is active when displayed and remains active until the setting is changed. Alternatively, in the Numer

MPS450 Operators Manual 2-26 Table 2-20. Numeric Code R-Wave Width Settings (cont.) R-Wave-Width Setting Numeric Code 100 ms 329 110 ms 330 120 m

Cardiac Functions Blood Pressure Function 2 2-27 Table 2-21. Numeric Codes for R-Wave-Amplitude Settings (cont.) R-Wave-Amplitude Setting Nume

MPS450 Operators Manual 2-28 gje025.eps 2. Select BP SENSE to display the BP SENSITIVITY screen. If the setting has not been changed, the LCD screen

Cardiac Functions Blood Pressure Function 2 2-29 gje027.eps 2. To display the screen for BP channel 3, select BP3: gje028.eps 3. To reset BP

MPS450 Operators Manual 2-30 5. Select DOWN or UP to scroll to a different static-level setting. 6. Select RUN. On the LCD screen, RUN flashes to i

Cardiac Functions Blood Pressure Function 2 2-31 Running a Dynamic Waveform The MPS450 simulates dynamic waves to represent the pressures in var

MPS450 Operators Manual 2-32 gje031.eps Alternatively, in the Numeric-Control Mode, press the number keys for a dynamic-wave setting according to Tab

Cardiac Functions Blood Pressure Function 2 2-33 • for BP channel 1, a delta change from 0 to 16; • for BP channel 2, a delta change from 0 to

MPS450 Operators Manual 2-34 Table 2-26. Numeric Codes for Respiration-Artifact Settings (cont.) Respiration-Artifact Setting Numeric Code BP3 Respir

Cardiac Functions Blood Pressure Function 2 2-35 4. As the automatic simulation proceeds, the LCD screen continues to indicate which wave in the

MPS450 Operators Manual 2-36 Cardiac Output Cardiac output is a term encompassing blood flow, pulse rate, and other vascular-related elements. Of the

Cardiac Functions Cardiac Output 2 2-37 reads “0” or “24” on the CO monitor. (To get a reading, the trimpot may have to be turned all the way in

i Table of Contents Chapter Title Page 1 Introduction and Specifications... 1-1 Introduct

MPS450 Operators Manual 2-38 the systemic (body) circulation to the pulmonary (lung-related) circulation. In other words, the blood has been shunted f

Cardiac Functions Fetal / Maternal ECG (Option) 2 2-39 Table 2-31. Numeric Code for Calibration Setting Calibration Setting Numeric Code CAL PUL

MPS450 Operators Manual 2-40 gje040.eps 3. Select FHR repeatedly to scroll to a different fetal heart rate. The FHR setting identified on the LCD sc

Cardiac Functions Fetal / Maternal ECG (Option) 2 2-41 Action in the Menu-Control Mode 1. Press the top-menu key labeled MORE. 2. Select FETAL

MPS450 Operators Manual 2-42

3-1 Chapter 3 Other Functions Title Page Introduction...

MPS450 Operators Manual 3-2

Other Functions Introduction 3 3-3 Introduction The MPS450 also simulates to other bodily functions: Respiration and Temperature. This chapter ex

MPS450 Operators Manual 3-4 Alternatively, in the Numeric-Control Mode, press the number keys for a respiration-lead setting according to Table 3-1, a

Other Functions Respiration 3 3-5 2. To adjust the respiration rate, select DOWN or UP. The rate identified on the LCD screen is active when dis

MPS450 Operators Manual ii Adjusting the ECG Heart Rate ... 2-3 Adjusting the ECG

MPS450 Operators Manual 3-6 Simulating Apnea (Respiration Standstill) Apnea is described as the cessation of breathing. In general there are three typ

Other Functions Temperature (Adjusting Body Temperature) 3 3-7 within ±0.40 °C: freezing (0 °C / 32 °F); hypothermic (24 °C / 75.2 °F); normal (3

MPS450 Operators Manual 3-8

4-1 Chapter 4 Remote Operations Title Page Introduction...

MPS450 Operators Manual 4-2 BP Channel 3: Static-Pressure Levels... 4-17 BP Channel 4: Static-P

Remote Operations Introduction 4 4-3 Introduction MPS450 features include a built-in RS-232 serial port running at 9600 baud—configured so that i

MPS450 Operators Manual 4-4 • The MPS450 executes a command upon a carriage return and/or a line feed. • Alphabetic characters in commands are case-

Remote Operations Codes and Actions 4 4-5 The code numbers used in the numeric-control mode range from 000 to 420, with most of the numbers from

MPS450 Operators Manual 4-6 Table 4-4. Numeric Codes for ECG Amplitude Actions (cont.) Numeric Control Code Action Remote Control Entry 253 Set ECG a

Remote Operations Codes and Actions 4 4-7 Table 4-6. Numeric Codes for STE Elevation Action (cont.) Numeric Control Code Action Remote Control En

Contents (continued) iii Respiration ... 3

MPS450 Operators Manual 4-8 Pacemaker Waveform Table 4-8 lists the numeric control codes for the pacemaker waveform functions. Table 4-8. Numeric Code

Remote Operations Codes and Actions 4 4-9 Arrhythmia Functions The Arrhythmia Functions category consists of Supraventricular Arrhythmia, Prematu

MPS450 Operators Manual 4-10 Ventricular Arrhythmia Table 4-13 lists the numeric control codes for the ventricular arrhythmia functions. Table 4-13. N

Remote Operations Codes and Actions 4 4-11 Performance Waves Table 4-15 lists the numeric control codes for the performance waves functions. Tabl

MPS450 Operators Manual 4-12 Table 4-16. Numeric Codes for Performance Wave Amplitude Actions (cont.) Numeric Control Code Action Remote Control Entry

Remote Operations Codes and Actions 4 4-13 Table 4-18. Numeric Codes for R-Wave Width Actions (cont.) Numeric Control Code Action Remote Control

MPS450 Operators Manual 4-14 Table 4-19. Numeric Codes for R-Wave Amplitude Actions (cont.) Numeric Control Code Action Remote Control Entry 302 Set

Remote Operations Codes and Actions 4 4-15 Table 4-21. Numeric Codes for Respiration Baseline (Impedance) Actions (cont.) Numeric Control Code Ac

MPS450 Operators Manual 4-16 Apnea Simulation Table 4-24 lists the numeric control codes for the apnea simulation functions. Table 4-24. Numeric Codes

Remote Operations Codes and Actions 4 4-17 Table 4-27. Numeric Codes for BP Channel 1: Static-Pressure Levels Actions Numeric Control Code Action