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DS7A (including DS7AH) OPERATOR’S MANUAL 0120 The DS7A/DS7AH has been Listed for human use in Europe, USA, Canada and other Countries. Caution: Federal law restricts this device to sale by or on the order of a physician. ‘Digitimer’ is a registered Trade Mark of Digitimer Limited...
Operator's Manual DS7A - Constant Current Stimulator Warning & Caution WARNING For Patient and Operator safety, this manual should be fully read and understood before use of this product. CAUTION Please note that where “Percutaneous Stimulation” is referred to in this document, it means “Electrical Stimulation Through the Skin”...
Operator's Manual DS7A - Constant Current Stimulator Purchase Information A record of salient information, on this page, will aid the Operator should this information become necessary in the future. Date of Purchase: ____________________________________________________________ Dealer: ____________________________________________________________ Dealers Tel. Number: ____________________________________________________________ Dealers Fax Number:...
E-mail is kept to a minimum and list membership is kept in the strictest confidence. Only Digitimer Limited can send mail to members of our e- mailing lists.
Unpacking your DS7A Stimulator..............15 Accessories......................15 Precautions & Warnings..................15 Product Intended Usage..................18 Indications for Use.....................18 Explanation of Symbols Used on DS7A..............19 Front Panel Controls..................21 Notes on Front Panel Controls..............22 Rear Panel Controls...................23 Insertion of DS7A Stimulus Output Connector..........24 Installation & Initial Check................25 Stimulus Control....................26...
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Input trigger...................34 Output trigger..................34 Explanation of Symbols Used on Accessories............35 D185-HB1......................36 D185-HB4......................37 D185-TCx - Trigger Cables.................38 D185-FS1......................39 Connection of DS7A to an EMG System.............40 Introduction.....................40 Modes......................40 DS7A - Trigger-Out.................40 DS7A - Trigger-In...................40 Setting up the EMG system................41 Artefact Rejection.....................41 Making Trigger Connections to the DS7A............42 Symbols used in connection with the Trigger.............42...
Short pulse durations have been made available to minimise any discomfort to the subject. The pulse duration range can be varied from 50 microseconds to 2 milliseconds in six steps. The DS7A now incorporates a stimulus polarity control which allows the operator to select between normal, reverse and alternating polarity modes.
Unpacking your DS7A Stimulator Your DS7A Stimulator was delivered in a carton which was carefully designed to protect the DS7A case against damage in shipment. It would be advisable to keep the carton in case you need to relocate or return your DS7A some time in the future.
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DS7A - Constant Current Stimulator Continued... b) Explosion and Fire. The DS7A must not be used in an explosive atmosphere or in the presence of flammable anaesthetic gases. c) High voltages Dangerous voltages are present within this unit. Do not remove covers, and refer servicing to qualified personnel.
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Operation of the DS7A in close proximity (e.g. 1m) to a shortwave or microwave therapy equipment may produce instability in the stimulator output. q) DS7A and MRI scanners The DS7A is not suitable for use in close proximity to extreme magnetic fields, such as those generated by MRI scanners. DS7A and Defibrillators...
Product Intended Usage The Digitimer DS7A Stimulator is intended for use as shown in the “Indications for Use” section that follows. It is intended to be used by persons trained in its use. Users are expected to be able to properly operate the DS7A Stimulator and associated instruments.
Operator's Manual DS7A - Constant Current Stimulator Explanation of Symbols Used on DS7A The majority of these symbols comply with and are documented in ISO 15223: 2012. Front Panel Output Enabled with switch in Plus; positive connection of this position...
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Operator's Manual DS7A - Constant Current Stimulator Rear Panel Digitimer have declared that this equipment complies with the Medical Equipotentiality Connector Device Directive under the supervision 0120 of Notified Body 0120 (SGS UK Ltd.) Trigger Input - signal input connector.
7. x1 and x10 RANGE selection switch. For the DS7A this gives either an output range of 0 - 10 mA, as indicated in the window of the Current Amplitude Control or 0 - 100 mA by multiplying Current Amplitude Control display by a factor of ten.
12. * A FAULT is indicated by an amber LED. When lit this indicates that the unit has detected a possible internal fault and should not be used. This LED will also illuminate if the DS7A is triggered “too fast” (i.e. <10ms repetition interval) in Alternating Polarity Mode. NB: As a test, this indicator will illuminate at power-on for a few seconds.
Operator's Manual DS7A - Constant Current Stimulator Rear Panel Controls 1. Mains inlet. Connect only to correct mains supply using supplied lead with moulded mains plug. THIS UNIT MUST BE EARTHED. The mains lead must contain the PROTECTIVE EARTH CONDUCTOR.
Please note that there are two levels of force needed to insert the Stimulus Output connector into the Stimulus Output Sockets on the DS7A. Note, the pictures show a D185 which has the same sockets. This photograph shows the correct orientation.
EMG-system acquires a sweep of data. - or - If the Triggering is set for the DS7A to be triggered by the EMG-system - check that when the EMG- System sends a trigger pulse the DS7A TRIGGER indicator flashes.
“Too-fast” Warning and Cut-out If the trigger signal applied to the DS7A is in excess of 100Hz (10ms repetition), the amber “Too-fast” LED will illuminate. This LED will stay on for the duration of the excessive trigger rate, and for 1 second afterwards.
Operator's Manual DS7A - Constant Current Stimulator 'Volts max.' control This control sets the maximum voltage, available from which the stimulation current is generated. The User may wish to limit the maximum voltage that could appear on the electrode terminals by setting this control less than the maximum of 400 Volts.
The DS7A has internal fuses that limit the amount of power that is supplied to the patient. This results in a restriction on the stimulus Repetition Rate - vs - Pulse Duration - vs - Stimulus Intensity which is shown on the graph on the following page .
Selected by 10 turn dial and x1/x10 switch Dial reading 0.00 to 9.99 – DS7A giving 0 to 10 mA (9.99 mA) for x1 setting – DS7A and 0 to 100 mA (99.9 mA) for x10 setting - DS7A Dial reading 0.00 to 99.9 – DS7AH giving 0 to 100 mA (99.9 mA) for x1 setting –...
Operator's Manual DS7A - Constant Current Stimulator FAULT LED - Amber, illuminated on (i) sensed over-current internally (ii) over- current to the patient or (iii) Trigger frequency “Too-fast” in alternating polarity mode. The unit is latched in this condition until reset by the Output On/Off switch being placed in the OFF position.
DS7A - Constant Current Stimulator Stimulating Electrodes The choice of electrodes to use with the DS7A is dependant upon the specific application and should be determined by the clinician in charge of the procedure. A wide variety of proprietary electrodes are available...
DS7A - Constant Current Stimulator Mains Connection The DS7A is shipped complete with a safety tested mains lead (fitted with a suitable moulded mains plug) to most countries. If the mains plug supplied is not suitable please advise Digitimer Ltd of the correct plug for your country.
Instructions are available from the company to Qualified Personnel only. Input trigger The DS7A is factory set to trigger from the positive going edge of an applied external signal which should be between TTL (+5V) and +15V in amplitude and of at least 5 µs duration.
Operator's Manual DS7A - Constant Current Stimulator Explanation of Symbols Used on Accessories The majority of these symbols comply with and are documented in ISO 15223: 2012. Accessories Plus; positive connection of Minus; negative connection of connection to patient (Anode) connection to patient (Cathode) Output - signal output connector.
The moulded twin shrouded 4 mm connector (not shown) should be inserted into the pair of DS7A Stimulus Output sockets with a Red-to-Red and Black-to-Black mating.
DIN 42 802-1 style “TouchProof” sockets that are colour coded to the original sockets. The moulded twin shrouded 4 mm connector (shown above, centre) should be inserted into the pair of DS7A Stimulus Output sockets with a Red-to-Red and Black-to-Black mating.
A number of Trigger cables are offered. These will be increased as and when necessary. Please refer to the “Connection of the DS7A to an EMG System” section of this manual for more details of the cable required and connection details.
The foot switch should only be inserted into the DS7A “Foot Switch” socket (rear panel) when the DS7A Output Enable switch is in the Disabled (down) position.
Precise methods will vary with manufacturer and model. Depending on the particular set-up used, the DS7A can often produce large amplitude stimulus artefacts. These can produce a “reject” of the recorded sweep. If this is the case the Artefact Rejection should either be turned-off (disabled) or set to ignore the large transients (stimulus artefacts) in the first part of the sweep.
Operator's Manual DS7A - Constant Current Stimulator Making Trigger Connections to the DS7A All Trigger connections to the DS7A will be made to the rear panel, shown below. Symbols used in connection with the Trigger. Output - signal output Active "high" square wave connector.
Operator's Manual DS7A - Constant Current Stimulator Electrical characteristics of Triggers Input options Manual front panel mounted push button. Foot switch via rear panel socket. Note that only Medical grade switches should be used, such as the D185-FS1. Logic signal (+3 to +15 V) +ve edge, TTL compatible (-ve edge by internal change).
Operator's Manual DS7A - Constant Current Stimulator Bibliography 1. Agnew WF, McCreery DB: Considerations for safety in the use of extracranial stimulation for motor evoked potentials. J. Neurosurg 20:143-147, 1987. 2. Barker AT: Basic principles of magnetic stimulation of the central and peripheral nervous system.
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Evidence favouring presynaptic inhibition of Ia fibres due to the activation of group III tendon afferents. Brain 121: 373-380. Numerous papers, abstracts and booklets are available from Digitimer - please see the website www.digitimer.com for the current list and request form. Digitimer Ltd.
DS7A - Constant Current Stimulator Appendix 1 .. DS7A Modification Record Status The DS7A has a "MOD RECORD" label fixed to its rear panel. This indicates which modifications have been performed to that unit and all numbers may NOT be struck through.
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Operator's Manual DS7A - Constant Current Stimulator Case changed to UL94 V-0 Flame Retardant material in Ivory with Brown trim. Handle assembly is removed. (CN.1982/1992) Internal circuitry added to inhibit excessive pulses due to o.c. Pulse Duration switch (CN.2002) Changed the two internal fuse holders from “clips”, which are prone to weakening over time to a “board mounted”...
100 mA on the x1 range and 1000 mA on the x10 range compared to 10 mA and 100 mA for the standard DS7A. The current output of the DS7AH can be checked on a resistance load of maximum value 3.5k ohms for the x1 range and 350 ohms for the x10 range.
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1. With SW1 open set voltage control to 400V, pulse duration 1000 microseconds and current control to 100 mA (maximum CW, x10 range). Trigger DS7A and record stimulus output potential generated across the 100R resistor - should be 10 volts peak, 1 ms wide. Check that the amber "Trigger"...
The DS7A is a Class 1 device with Type BF applied parts. There is no requirement, in any of these tests, to open the case of the DS7A. All repair procedures should be referred to Digitimer or a local distributor.
Leakage Currents - Connect the DS7A to the test equipment according to the instructions for a Class 1 device with Type BF applied parts. The applied parts of the DS7A are the red and black output terminals on the front panel. As they are Type BF they may be tested as one part.
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Compatibility Electromagnetic Emissions (Table 1) The Digitimer DS7A is intended for use in the electromagnetic environment specified below. The customer or the user of the Digitimer DS7A should assure that it is used in such an environment. Emissions test Compliance...
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Electromagnetic Immunity (Table 2) The Digitimer DS7A is intended for use in the electromagnetic environment specified below. The customer or the user of the Digitimer DS7A should assure that it is used in such an environment. IEC 60601 test Compliance...
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DS7A - Constant Current Stimulator Electromagnetic Immunity (Table 4) The Digitimer DS7A is intended for use in the electromagnetic environment specified below. The customer or the user of the Digitimer DS7A should assure that it is used in such an environment. Immunity IEC 60601 Compliance Electromagnetic environment –...
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Recommended separation distances between portable & mobile RF communications equipment & the Digitimer DS7A (Table 6) The Digitimer DS7A is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Digitimer DS7A can help prevent...
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4. Never use multiple socket outlets plugged into one another (a “daisy chain” or from an extension lead. Should you be in any doubt over the correct steps to take when connecting the DS7A into a system, obtain advice from your orginisations Bio-engineering / Medical Physics / E.B.M.E. department. Advice may also be obtained from Digitimer Ltd.
Warranty Information Limited Warranty Digitimer Limited warrants to the first purchaser, for a period of one year from the date of purchase, that this Digitimer Instrument (hereafter referred to as the “Product”) will be free from defective workmanship and materials, and agrees that it will, at its option, either repair the defect or replace the defective Product or part thereof at no charge to the purchaser for parts and labour.
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