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Fluke Biomedical MPS450 Operator's Manual

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MPS450
Multiparameter Simulator
Operators Manual
PN 2243350
June 2010, Rev. 1
© 2010 Fluke Corporation. All rights reserved. Printed in USA. Specifications are subject to change without notice.
All product names are trademarks of their respective companies.

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Summary of Contents for Fluke Biomedical MPS450

  • Page 1 MPS450 Multiparameter Simulator Operators Manual PN 2243350 June 2010, Rev. 1 © 2010 Fluke Corporation. All rights reserved. Printed in USA. Specifications are subject to change without notice. All product names are trademarks of their respective companies.
  • Page 2 OR two years if at the end of your first year you send the instrument to a Fluke Biomedical service center for calibration. You will be charged our customary fee for such calibration. During the warranty period, we will repair or at our option replace, at no charge, a product that proves to be defective, provided you return the product, shipping prepaid, to Fluke Biomedical.

  • Page 3: Unpacking And Inspection

    Copyright Release Fluke Biomedical 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 Fluke Biomedical.

  • Page 4: Safety Requirements

    No responsibility is assumed by Fluke Biomedical for the use or reliability of software or equipment that is not supplied by Fluke Biomedical, or by its affiliated dealers.
  • Page 5 Contents (continued) manufacturer could void the user’s authority to operate the equipment. This equipment has been tested and found to comply with the limits for a Class A digital device. These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment.

  • Page 7: Table Of Contents

    Table of Contents Chapter Title Page Introduction and Specifications............1-1 Introduction......................1-3 MPS450 Features....................1-3 MPS450 Package Contents ................1-5 Standard Equipment ..................1-5 Standard Accessories..................1-5 Optional Accessories ..................1-5 Date of Manufacture ..................1-6 Unpacking the MPS450 ..................1-6 Storage and Maintenance...................
  • Page 8 MPS450 Operators Manual Adjusting the ECG Amplitude ..............2-4 Adult and Pediatric ECG ................2-5 Adjusting the ST Segment................2-6 Simulating ECG Artifact ................2-7 Pacemaker Waveforms .................. 2-8 Adjusting Pacemaker–Spike Amplitude............2-9 Adjusting Pacemaker–Spike Width............... 2-9 Arrhythmia Functions ..................2-10 Atrial Fibrillation...................
  • Page 9 Contents (continued) Setting the Respiration Lead and Baseline ............ 3-3 Adjusting the Respiration Rate..............3-4 Adjusting the Respiration Amplitude (Impedance Variation)....... 3-5 Simulating Apnea (Respiration Standstill) ............ 3-6 Temperature (Adjusting Body Temperature)............. 3-6 Remote Operations ................4-1 Introduction......................4-3 Remote Connection.................... 4-3 Entering Remote Commands ................
  • Page 10 MPS450 Operators Manual Other Functions ..................... 4-21 Temperature ....................4-21 Cardiac-Output Wave / Injectate............... 4-22 FHR Rate (Fixed)..................4-22 Intrauterine-Pressure (-) Wave ..............4-23 Intrauterine-Pressure (IUP) Period............4-23 View Angle ....................4-23 Beeper ....................... 4-24 Appendices A Troubleshooting ..................A-1 B Glossary.......................
  • Page 11 List of Tables Table Title Page 1-1. MPS450 Functions ....................1-3 1-2. ECG Jack Labeling ....................1-8 1-3. MPS450 Button Description .................. 1-9 1-4. Parameter Viewing List..................1-11 2-1. Numeric Codes for BPM Settings................2-4 2-2. Numeric Codes for ECG Amplitude Settings ............2-5 2-3.
  • Page 12 MPS450 Operators Manual 2-32. Numeric Codes for Heart-Rate Settings..............2-40 2-33. Numeric Codes for IUP Wave Settings..............2-41 2-34. Numeric Codes for IUP Contraction Period Settings..........2-41 3-1. Numeric Codes for Respiration-Lead Settings............3-4 3-2. Numeric Codes for Respiration-Baseline Settings..........3-4 3-3.
  • Page 13 Contents (continued) List of Figures Figure Title Page 1-1. MPS450 Patient Simulator ..................1-8...
  • Page 14 MPS450 Operators Manual viii...

  • Page 15: Title

    Chapter 1 Introduction and Specifications Title Page Introduction......................1-3 MPS450 Features....................1-3 MPS450 Package Contents .................. 1-5 Standard Equipment ..................1-5 Standard Accessories..................1-5 Optional Accessories ..................1-5 Date of Manufacture .................... 1-6 Unpacking the MPS450 ..................1-6 Storage and Maintenance..................1-6 Powering Up the MPS450 ...................

  • Page 17: Introduction

    Introduction and Specifications Introduction Introduction Fluke Biomedical's MPS450 Multiparameter Simulator (hereafter referred to as the MPS450) provides a basis to train, evaluate, and perform preventive maintenance for virtually all patient monitors found in the healthcare industry. This is accomplished with multiple physiological simulations for ECG, blood pressure, respiration, temperature, pacemaker, artifact, and arrhythmia conditions.
  • Page 18 MPS450 Operators Manual Table 1-1. MPS450 Functions (cont.) Function Category Function Description Arrhythmia Functions Supraventricular The MPS450 simulates 36 types of arrhythmia arrhythmias, such as systole PVCs, systole, systole, tachycardia, fibrillation, flutter, and Premature arrhythmia systole. Simulated conduction defects include first-, second-, and third-degree heart block;...

  • Page 19: Mps450 Package Contents

    Cardiac-output adapter box (P/N 2226608, standard with Cardiac-Output Option) Optional Accessories Carrying case (P/N 2248623) Blood-pressure cables (See your local Fluke Biomedical Representative for availability) Temperature cables (YSI 400 Series: P/N 2391976; 700 Series: P/N 2391983) High-level-output cable (P/N 2226958)

  • Page 20: Date Of Manufacture

    Inspect the unit carefully for damage, such as cracks, dents, scratches, or bent parts. If any physical damage is apparent, please call Fluke Biomedical for assistance, and notify the carrier if the damage appears to be the result of a shipping mishap.

  • Page 21: Powering Up The Mps450

    After one short beep, the LCD screen displays the following startup message: gje001.eps 2. After a three-second display test, the following top menu displays: gje002.eps Note Once you have the MPS450 up and running, please fill out the Registration Card and mail it to Fluke Biomedical.

  • Page 22: Connection The Mps450

    MPS450 Operators Manual Connection the MPS450 gje041.eps Figure 1-1. MPS450 Patient Simulator The right side of the MPS450 features connections for linking to blood-pressure, cardiac- output, and temperature monitors. In addition, there is an auxiliary connection for future expansion. The bottom of the MPS450 features an RS-232 serial port and a connection for a battery eliminator.

  • Page 23: Using The Mps450

    Introduction and Specifications Using the MPS450 Using the MPS450 The MPS450 offers a wide array of simulations, functions, and adjustments that are easy to use. During operation, press the MODE key (the yellow key located on the keypad near the bottom of the unit) to enable either the menu-control or numeric-control mode. In menu mode, simply press the top-menu key for a function group (labeled in yellow just above the corresponding number key as shown in the Table 1-3), and then press one of the four function keys (the blue keys located on the keypad just beneath the LCD) to...

  • Page 24: Viewing Current Mps450 Parameters

    MPS450 Operators Manual Table 1-3. MPS450 Button Description (cont.) Number Key / Menu Label Menu Functions Set respiration lead and baseline (impedance). Set blood-pressure sensitivity. SETUP Adjust viewing angle (contrast) for LCD screen. Set beeper mode. Switch between menu control and numeric control. View current parameters.

  • Page 25: Parameter Viewing List

    Introduction and Specifications Viewing Current MPS450 Parameters Table 1-4. Parameter Viewing List View Wave/Function Current Parameters Displayed Page ECG NSR NSR rate, patient type, ST-segment elevation, NSR amplitude, and ECG artifact. ECG performance Performance wave and amplitude ECG R-wave detection R-wave rate, width, and amplitude ECG Arrhythmia Arrhythmia and ECG artifact...

  • Page 26: Setting The Mps450 View Angle

    MPS450 Operators Manual viewing before changing modes. Setting the MPS450 View Angle The MPS450 offers eight preconfigured settings to customize the preferred degree of contrast (brightness) for the angle at which the LCD screen is being viewed. Action in the Menu-Control Mode 1.

  • Page 27: Navigation In The Mps450

    Introduction and Specifications Navigation in the MPS450 gje009.eps 3. Select BEEP to scroll to the LCD screen SET BEEPER MODE, which displays the current setting (in this example, SHORT gje010.eps 4. Scroll to the desired beeper mode. The setting is active when displayed and remains active until the setting is changed.

  • Page 28: General Specifications

    MPS450 Operators Manual 6. Some simulations run continuously until terminated; others run as one-time events and must be selected again to repeat. (Again, instructions are provided for each function.) Action in the Numeric-Control Mode 1. To navigate in numeric-control mode, press the number keys to enter the three-digit numeric code for the desired function.

  • Page 29: Detailed Specifications

    Introduction and Specifications Detailed Specifications Detailed Specifications Normal-Sinus-Rhythm Waveform ECG Reference............The ECG amplitudes specified are for Lead II (calibration), from the baseline to the peak of the R wave. All other leads are proportional. Normal Sinus Rhythm .......... 12-lead configuration with independent outputs referenced to right leg (RL).

  • Page 30: Respiration

    MPS450 Operators Manual R-wave Rate............30, 60, 80, 120, 200, and 250 BPM R-wave Width ............20 to 200 ms (10 ms steps) Additional Steps: 8, 10, and 12 ms Rate Accuracy ............1 % Amplitude Accuracy ..........2 %, Lead II (Exception: 5 % for R waves 20 ms) Power-On Default ..........

  • Page 31: Cardiac Output

    Introduction and Specifications Detailed Specifications Accuracy..............0.1 C Compatibility ............Yellow Springs, Inc. (YSI) Series 400 and 700 Output ..............mini DIN 7-pin Power-On Default..........0 C (42 F) Cardiac Output Catheter Type ............Baxter Edwards, 93a-131-7f Calibration Coefficient.......... 0.542 (0 C injectate), 0.595 (24 C injectate) Blood Temperature ..........
  • Page 32 MPS450 Operators Manual 1-18...

  • Page 33: Cardiac Functions

    Chapter 2 Cardiac Functions Title Page Introduction......................2-3 ECG Functions..................... 2-3 Normal Sinus Rhythm (NSR)................2-3 Adjusting the ECG Heart Rate ................ 2-3 Adjusting the ECG Amplitude ................ 2-4 Adult and Pediatric ECG ................. 2-5 Adjusting the ST Segment................2-6 Simulating ECG Artifact .................
  • Page 34 MPS450 Operators Manual Setting R-Wave Width ..................2-25 Setting R-Wave Amplitude ................2-26 Blood Pressure Function ..................2-27 Setting BP Sensitivity..................2-27 Zeroing BP Channels..................2-28 Setting Static-Pressure Levels ................. 2-29 Running a Dynamic Waveform............... 2-31 Adding Respiration Artifact to the BP Signal ..........2-32 Simulating the Swan-Ganz Procedure.............

  • Page 35: Introduction

    Cardiac Functions Introduction Introduction This chapter covers the MPS450 functions that are related to the heart: ECG, Arrhythmia, ECG Testing, Blood Pressure, and Cardiac Output. ECG Functions An electrocardiogram (ECG) is a recording of the electrical activity of the muscles of the heart—the depolarization and repolarization of the myocardium.

  • Page 36: Adjusting The Ecg Amplitude

    MPS450 Operators Manual 3. The heart-rate setting identified on the LCD screen is active when displayed and remains active until the setting is changed. (Adjusting the BPM rate does not affect simulations for arrhythmias, which set their own rates.) Alternatively, in the Numeric-Control Mode, press the number keys for a heart-rate setting according to Table 2-1, and select RUN: Table 2-1.

  • Page 37: Adult And Pediatric Ecg

    Cardiac Functions ECG Functions Alternatively, in the Numeric-Control Mode, press the number keys for an ECG- amplitude setting according to Table 2-2, and select RUN: Table 2-2. Numeric Codes for ECG Amplitude Settings Amplitude setting Numeric code 0.05 mV 0.10 mV 0.15 mV 0.20 mV 0.25 mV...

  • Page 38: Adjusting The St Segment

    MPS450 Operators Manual Table 2-3. Numeric Codes for Patient-Type Settings Patient-Type Setting Numeric Code ADULT PEDS Adjusting the ST Segment On the ECG output, the ST segment is that portion of line between the end of the QRS complex and the T wave. The T wave is caused by the return of the ventricular mass of the heart to a state of electrical rest (repolarization).

  • Page 39: Simulating Ecg Artifact

    Cardiac Functions ECG Functions Table 2-4. Numeric Code for ST-Segment Settings (cont.) ST-Segment Setting Numeric code -0.4 mV -0.5 mV -0.6 mV -0.7 mV -0.8 mV Simulating ECG Artifact Depolarization is the process by which all muscles of the body contract, and the electrical charges generated by any muscle (electromyographic signals) can be detected to a degree by an electrocardiogram.

  • Page 40: Pacemaker Waveforms

    MPS450 Operators Manual Table 2-5. Numeric Code for ECG Artifact Settings ECG-Artifact Setting Numeric Code ECG ARTIFACT OFF 60 HZ 50 HZ MUSCLE WANDER RESPIRATION Pacemaker Waveforms When the heart beats erratically, or not at all, it may need to be stimulated by artificial means, that is, by either an internal (permanent) or an external (temporary) artificial pacemaker.

  • Page 41: Adjusting Pacemaker-Spike Amplitude

    Cardiac Functions ECG Functions Alternatively, in the Numeric-Control Mode, press the number keys for a pacemaker-type wave according to Table 2-6, and select RUN: Table 2-6. Numeric Code for Pacemaker-Waveform Settings Pacemaker-Waveform Setting Numeric Code ATRIAL 80 BPM ASYNC 75 BPM DEMAND FREQ SINUS DEMAND OCC SINUS AV SEQUENTIAL...

  • Page 42: Arrhythmia Functions

    MPS450 Operators Manual Table 2-8. Numeric Codes for Pacemaker-Width Settings Pacemaker-Width Setting Numeric Code 0.1 ms 0.5 ms 1.0 ms 1.5 ms 2.0 ms Arrhythmia Functions Departures from the normal height, shape, or length (of time) of the PQRST-waveform patterns suggest specific illnesses, making the ECG very valuable when used in conjunction with other diagnostic tests.

  • Page 43: Atrial Flutter

    Cardiac Functions Arrhythmia Functions gje016.eps 3. Scroll to the LCD screen for the desired condition: ATRIAL FIB COARSE or ATRIAL FIB FINE. 4. Select RUN. The selected simulation runs continuously (repeats) until another arrhythmia selection is made. Alternatively, in the Numeric-Control Mode, press the number keys for atrial-fibrillation amplitude according to Table 2-9, and select RUN: Table 2-9.

  • Page 44: Missed Beat

    MPS450 Operators Manual condition most commonly found in young children and the elderly). The MPS450 simulates a sinus arrhythmia condition with normal beats triggered at an irregular rate, from 60 to 100 BPM. Action in the Menu-Control Mode 1. Press the top-menu key labeled ARRHY. 2.

  • Page 45: Paroxysmal Atrial Tachycardia (Pat)

    Cardiac Functions Arrhythmia Functions RUN. Paroxysmal Atrial Tachycardia (PAT) Normal rhythm at alternating rates. When atrial tachycardia occurs as a seizure-like spasmodic event, it is called paroxysmal atrial tachycardia or PAT. PATs typically start and stop suddenly, initiated by a premature atrial contraction (PAC).

  • Page 46: Premature Atrial Contraction (Pac)

    MPS450 Operators Manual 3. Scroll to the LCD screen SUPRAVENT TACH. 4. Select RUN. The supraventricular-tachycardia simulation runs continuously (repeats) until another arrhythmia selection is made. Alternatively, in the Numeric-Control Mode, press the number keys 019, and select RUN. Premature Atrial Contraction (PAC) A beat that is 25 % premature but otherwise normal.

  • Page 47: Premature Ventricular Contractions

    Cardiac Functions Arrhythmia Functions 3. Scroll to the LCD screen NODAL PAC. 4. Select RUN. On the LCD screen, RUN flashes to indicate that the PNC simulation is running as a one-time event. When the simulation completes, the command INSRT displays on the screen.

  • Page 48: Multifocal Pvcs

    MPS450 Operators Manual Table 2-10. Numeric Codes for PVC-Waveform Settings PVC-Waveform Setting Numeric Code PVC1 LEFT VENT PVC1 LV EARLY PVC1 LV R ON T RIGHT VENT PVC2 RV EARLY PVC2 RV R ON T Multifocal PVCS A sequence that includes a left-focus PVC, followed by two normal beats, followed by a right-focus PVC, followed by a normal rhythm at 80 BPM Multifocal PVCs are premature ventricular contractions that originate in different ectopic-pacemaker sites throughout the ventricles.

  • Page 49: Frequent Multifocal Pvcs

    Cardiac Functions Arrhythmia Functions gje018.eps 3. Scroll to the LCD screen for the desired PVC simulation: PVCs 6/MIN; PVCs 12/MIN; or PVCs 24/MIN. 4. Select RUN. The PVCs-per-minute waveform runs continuously (repeats) until another arrhythmia selection is made. Alternatively, in the Numeric-Control Mode, press the number keys for a PVCs-per- minute waveform according to Table 2-11, and select RUN: Table 2-11.

  • Page 50: Multiple Pvcs: Paired Pvcs; Run 5 Pvcs; Run 11 Pvcs

    MPS450 Operators Manual The MPS450 simulates either bigeminy or trigeminy incorporated within a normal sinus rhythm (80 BPM), using type-1 (left-focus) PVCs. Action in the Menu-Control Mode 1. Press the top-menu key labeled ARRHY. 2. Select VENT. 3. Scroll to the LCD screen for the desired simulation: BIGEMINY or TRIGEMINY. 4.

  • Page 51: Ventricular Tachycardia

    Cardiac Functions Arrhythmia Functions Table 2-13. Numeric Codes for Multiple-PVC Settings Multiple-PVC Setting Numeric Code PAIR PVCs RUN 5 PVCs RUN 11 PVCs Ventricular Tachycardia A faster-than-normal rhythm of beats (160 BPM) originating in the ventricles, similar to type-1 (left-focus) PVCs. Ventricular tachycardia is a life-threatening arrhythmia in which one or multiple, ectopic, ventricular pacemakers in the bundle branches, Purkinje network, or ventricular myocardium are firing in a heart beating more frequently than 110 times a minute.

  • Page 52: Asystole (Cardiac Standstill)

    MPS450 Operators Manual simulation according to Table 2-14, and select RUN. Table 2-14. Numeric Codes for Ventricular-Fibrillation-Amplitude Settings Ventricular-Fibrillation-Amplitude Setting Numeric Code VENT FIB COARSE VENT FIB FINE Asystole (Cardiac Standstill) No ECG activity whatsoever. Ventricular asystole is a critical condition characterized by the absence of a heartbeat either in the ventricles or in the entire heart.

  • Page 53: Bundle-Branch Block

    Cardiac Functions Arrhythmia Functions Action in the Menu-Control Mode 1. Press the top-menu key labeled ARRHY. 2. Select COND to display the following LCDC screen: gje019.eps 3. Scroll to the LCD screen for the desired heart-block simulation: 1ST DEG BLOCK; 2ND DEG BLOCK;...

  • Page 54: Ecg Testing

    MPS450 Operators Manual Alternatively, in the Numeric-Control Mode, press the number keys for the bundle- branch-block simulation according to Table 2-16, and select RUN: Table 2-16. Numeric Code for Bundle Branch-Block Settings Bundle Branch-Block Setting Numeric Code R BNDL BR BLOCK L BNDL BR BLOCK ECG Testing The MPS450 sends a number of ECG waveforms to test and verify an ECG machine and...

  • Page 55: Adjusting Performance-Wave Amplitude

    Cardiac Functions ECG Testing Alternatively, in the Numeric-Control Mode, press the number keys for a performance wave according to Table 2-17, and select RUN: Table 2-17. Numeric Codes for Wave/Rate Settings Wave/Rate Setting Numeric Code 2 HZ SQUARE 0.125 HZ SQUARE 2.0 HZ TRIANGLE 2.5 HZ TRIANGLE 30 BPM PULSE...

  • Page 56: R-Wave Detection

    MPS450 Operators Manual Table 2-18. Numeric Code for Wave Amplitude Settings (cont.) Wave Amplitude Setting Numeric Code 0.25 mV 0.30 mV 0.35 mV 0.40 mV 0.45 mV 0.50 mV 1.00 mV 1.50 mV 2.00 mV 2.50 mV 3.00 mV 3.50 mV 4.00 mV 4.50 mV 5.00 mV...

  • Page 57: Setting R-Wave Width

    Cardiac Functions ECG Testing screen is active when displayed and remains active until the setting is changed. Alternatively, in the Numeric-Control Mode, press the number keys for R-wave rate according to Table 2-19, and select RUN: Table 2-19. Numeric Codes for R-Wave-Rate Settings R-Wave-Rate Setting Numeric Code 30 BPM...

  • Page 58: Setting R-Wave Amplitude

    MPS450 Operators Manual Table 2-20. Numeric Code R-Wave Width Settings (cont.) R-Wave-Width Setting Numeric Code 100 ms 110 ms 120 ms 130 ms 140 ms 150 ms 160 ms 170 ms 180 ms 190 ms 200 ms Setting R-Wave Amplitude The MPS450 offers twenty preconfigured settings (mV) for R-wave amplitude on Lead II: 0.05 to 0.50 (0.05 steps) and 0.50 to 5.50 (0.50 steps).

  • Page 59: Blood Pressure Function

    Also, respiration artifact can be injected into any BP waveform for each of the channels. Cables (available from Fluke Biomedical) to attach to the BP connectors of the MPS450 are available both prewired and unterminated, for both types of monitors.

  • Page 60: Zeroing Bp Channels

    MPS450 Operators Manual gje025.eps 2. Select BP SENSE to display the BP SENSITIVITY screen. If the setting has not been changed, the LCD screen displays the default BP-sensitivity setting (5 V/V/mmHg): gje026.eps 3. To change the BP-sensitivity setting, select 40. The setting identified on the LCD screen is active when displayed and remains active until the setting is changed.

  • Page 61: Setting Static-Pressure Levels

    Cardiac Functions Blood Pressure Function gje027.eps 2. To display the screen for BP channel 3, select BP3: gje028.eps 3. To reset BP channel 3 to zero, select ZERO. 4. Press the ESC key to return to the top menu BLOOD PRESSURE. 5.

  • Page 62: Numeric Codes For Static-Pressure-Level Settings

    MPS450 Operators Manual 5. Select DOWN or UP to scroll to a different static-level setting. 6. Select RUN. On the LCD screen, RUN flashes to indicate the setting is active. This value remains active until the setting is changed. 7. Press the ESC key to return to the previous screen. 8.

  • Page 63: Running A Dynamic Waveform

    Cardiac Functions Blood Pressure Function Running a Dynamic Waveform The MPS450 simulates dynamic waves to represent the pressures in various places in the heart or blood vessels. Waves are specified for a normal sinus rhythm at 80 BPM, with systolic pressure over diastolic pressure, e.g., 120/80, etc. Available dynamic waves (not all available on all channels) are listed Table 2-24.

  • Page 64: Adding Respiration Artifact To The Bp Signal

    MPS450 Operators Manual gje031.eps Alternatively, in the Numeric-Control Mode, press the number keys for a dynamic-wave setting according to Table 2-25, and select RUN: Table 2-25. Numeric Codes for Dynamic-Wave Settings Dynamic-Wave Setting NumericCode BP1 Arterial 120/80 BP1 Radial Art 120/80 BP1 Left Vent 120/00 BP1 Right Vent 25/00 BP2 Arterial 120/80...

  • Page 65: Numeric Codes For Respiration-Artifact Settings

    Cardiac Functions Blood Pressure Function for BP channel 2, a delta change from 0 to 12; for BP channel 3, a delta change from 0 to 5; and for BP channel 4, a delta change from 0 to 3. Action in the Menu-Control Mode 1.

  • Page 66: Simulating The Swan-Ganz Procedure

    MPS450 Operators Manual Table 2-26. Numeric Codes for Respiration-Artifact Settings (cont.) Respiration-Artifact Setting Numeric Code BP3 Respiration Artifact On BP4 Respiration Artifact Off BP4 Respiration Artifact On Simulating the Swan-Ganz Procedure The MPS450 reserves BP channel 4 exclusively for simulating the effect on the blood pressure of a Swan-Ganz procedure.

  • Page 67: Numeric Codes For Swan-Ganz-Simulation Settings

    Cardiac Functions Blood Pressure Function 4. As the automatic simulation proceeds, the LCD screen continues to indicate which wave in the cycle is currently running: RIGHT ATR CVP 15/10; RIGHT VENT 25/00; PULM ARTERY 25/10; or PULM WEDGE 10/2. 5. To terminate the automatic Swan-Ganz simulation, press the ESC key. 6.

  • Page 68: Cardiac Output

    MPS450 Operators Manual Cardiac Output Cardiac output is a term encompassing blood flow, pulse rate, and other vascular-related elements. Of the entire circulatory system, cardiac output is arguably the most important single factor for health since it controls the degree of blood being received by every other tissue in the body.

  • Page 69: Simulating A Cardiac-Output Test

    Note Fluke Biomedical supplies adapters to connect to some nonstandard catheters. (Please consult the cable price list.) For manufacturers that are not listed, a “pigtail” may be ordered and wired to cut-off catheters.

  • Page 70: Simulating Output From A Calibrated Pulse Signal

    MPS450 Operators Manual the systemic (body) circulation to the pulmonary (lung-related) circulation. In other words, the blood has been shunted from the left side of the heart to the right side, through an abnormal aperture, such as a defect in the septum of the heart, or patient ductus arteriosus (the persistence after birth of the open lumen between the aorta and the pulmonary artery).

  • Page 71: Numeric Code For Calibration Setting

    Cardiac Functions Fetal / Maternal ECG (Option) Table 2-31. Numeric Code for Calibration Setting Calibration Setting Numeric Code CAL PULSE 0 DEG CAL PULSE 24 DEG Fetal / Maternal ECG (Option) The MPS450 simulates a combined fetal and maternal electrocardiogram (ECG) occurring during labor, as well as a selection of pressure waveforms produced by uterine contractions.

  • Page 72: Numeric Codes For Heart-Rate Settings

    MPS450 Operators Manual 3. Select FHR repeatedly to scroll to a different fetal heart rate. The FHR setting identified on the LCD screen is active when displayed and remains active until the setting is changed. (Fixed settings do not affect IUP simulations, since they set their own rates.) Alternatively, in the Numeric-Control Mode, press the number keys for a fixed fetal- heart-rate setting listed in Table 2-32, and select RUN:...

  • Page 73: Numeric Codes For Iup Wave Settings

    Cardiac Functions Fetal / Maternal ECG (Option) UNIF ACC (uniform acceleration). 5. Select RUN. On the LCD screen, RUNNING flashes while the simulation is active. 6. A manually generated IUP ends after one contraction. To repeat the simulation, select RUN again. 7.
  • Page 74 MPS450 Operators Manual 2-42...

  • Page 75: Other Functions

    Chapter 3 Other Functions Title Page Introduction......................3-3 Respiration ......................3-3 Setting the Respiration Lead and Baseline ............3-3 Adjusting the Respiration Rate................ 3-4 Adjusting the Respiration Amplitude (Impedance Variation)......3-5 Simulating Apnea (Respiration Standstill) ............3-6 Temperature (Adjusting Body Temperature)............3-6...
  • Page 76 MPS450 Operators Manual...

  • Page 77: Introduction

    Other Functions Introduction Introduction The MPS450 also simulates to other bodily functions: Respiration and Temperature. This chapter explains how to simulate these functions through the front-panel controls and Numeric-Control mode. Respiration The MPS450 sets the respiration lead as either left arm or left leg. Respiration rate, baseline (impedance, between two limb leads), and amplitude (impedance variation) are adjustable to preconfigured settings.

  • Page 78: Adjusting The Respiration Rate

    MPS450 Operators Manual Alternatively, in the Numeric-Control Mode, press the number keys for a respiration-lead setting according to Table 3-1, and select RUN: Table 3-1. Numeric Codes for Respiration-Lead Settings Respiration-Lead Setting Numeric Code RESP LEAD LA RESP LEAD LA STORED RESP LEAD LL RESP LEAD LL STORED For baseline impedance, press the number keys for a respiration-baseline setting...

  • Page 79: Numeric Codes For Respiration-Rate Settings

    Other Functions Respiration 2. To adjust the respiration rate, select DOWN or UP. The rate identified on the LCD screen is active when displayed and remains active until the setting is changed. Alternatively, in the Numeric-Control Mode, press the number keys for a respiration-rate setting according to Table 3-3, and select RUN: Table 3-3.

  • Page 80: Numeric Codes For Apnea Simulation Settings

    Series 400 and 700 probes. The type of probe simulated is based on the type of cable connected to the MPS450 and/or the input used. (Cables for connection to the 400 or 700 are available directly from Fluke Biomedical.) The MPS450 simulates four preconfigured body temperatures, which can be applied at any time while operating the instrument.

  • Page 81: Numeric Codes For Temperature-Celsius Settings

    Other Functions Temperature (Adjusting Body Temperature) 98.6 F); or pyretic (40 C / 104 F). Action in the Menu-Control Mode 1. Press the top-menu key labeled TEMP to display the following LCD screen: gje037.eps 2. To adjust the simulated temperature to the desired setting, select DOWN or UP. 3.
  • Page 82 MPS450 Operators Manual...

  • Page 83: Remote Operations

    Chapter 4 Remote Operations Title Page Introduction......................4-3 Remote Connection....................4-3 Entering Remote Commands ................4-3 Using Remote Entry to Operate In Numeric-Control Mode........ 4-4 General Remote Commands ................4-4 Error Messages ....................4-4 Codes and Actions ....................4-4 ECG Functions ....................4-5 Normal-Sinus ECG ..................
  • Page 84 MPS450 Operators Manual BP Channel 3: Static-Pressure Levels............4-17 BP Channel 4: Static-Pressure Levels............4-18 BP Channel 1: Dynamic Waveforms ............4-18 BP Channel 2: Dynamic Waveforms ............4-18 BP Channel 3: Dynamic Waveforms ............4-19 BP Channel 4: Dynamic Waveforms ............4-20 BP Channel 1: Respiration Artifact.............

  • Page 85: Introduction

    Remote Operations Introduction Introduction MPS450 features include a built-in RS-232 serial port running at 9600 baud—configured so that it can be connected to a standard PC serial port with a straight-through cable— that enables instrument control through remote commands. (See the “Entering Remote Commands”...

  • Page 86: Using Remote Entry To Operate In Numeric-Control Mode

    MPS450 Operators Manual The MPS450 executes a command upon a carriage return and/or a line feed. Alphabetic characters in commands are case-insensitive. When entering commands, the BACKSPACE key operates normally (that is, deletes the previously recorded character). When entering commands, the ESCAPE key discards the entire command. When a command is completed, a message is sent back (usually “OK”).

  • Page 87: Ecg Functions

    Remote Operations Codes and Actions Lionheart 3. Both active and inactive numeric-control codes are listed; when operating in the numeric-control mode, selecting DOWN or UP on the LCD screen automatically skips the inactive codes. For more information about using the remote-control-entry codes (including how to use one specific remote-control command to operate the MPS450 in the numeric-control mode), see the “Remote Operations”...

  • Page 88: Adult / Pediatric

    MPS450 Operators Manual Table 4-4. Numeric Codes for ECG Amplitude Actions (cont.) Numeric Remote Control Action Control Code Entry Set ECG amplitude to 0.10 mV. NSA0.10 Set ECG amplitude to 0.15 mV. NSA0.15 Set ECG amplitude to 0.20 mV. NSA0.20 Set ECG amplitude to 0.25 mV.

  • Page 89: Ecg Artifact Stimulation

    Remote Operations Codes and Actions Table 4-6. Numeric Codes for STE Elevation Action (cont.) Numeric Remote Control Action Control Code Entry Set ST elevation to -0.7 mV. STD-0.7 Set ST elevation to -0.6 mV. STD-0.6 Set ST elevation to -0.5 mV. STD-0.5 Set ST elevation to -0.4 mV.

  • Page 90: Pacemaker Waveform

    MPS450 Operators Manual Pacemaker Waveform Table 4-8 lists the numeric control codes for the pacemaker waveform functions. Table 4-8. Numeric Codes for Pacemaker Waveform Actions Numeric Remote Control Action Control Code Entry Run atrial pacer wave. Run asynchronous pacer wave. Run demand frequent sinus pacer wave.

  • Page 91: Arrhythmia Functions

    Remote Operations Codes and Actions Arrhythmia Functions The Arrhythmia Functions category consists of Supraventricular Arrhythmia, Premature Arrhythmia, Ventricular Arrhythmia, and Conduction Defect. Supraventricular Arrhythmia Table 4-11 lists the numeric control codes for the supraventricular arrhythmia functions. Table 4-11. Numeric Codes for Supraventricular Arrhythmia Actions Numeric Remote Control Action...

  • Page 92: Ventricular Arrhythmia

    MPS450 Operators Manual Ventricular Arrhythmia Table 4-13 lists the numeric control codes for the ventricular arrhythmia functions. Table 4-13. Numeric Codes for Ventricular Arrhythmia Actions Numeric Remote Control Action Control Code Entry Run PVCs 6 per minute. PVC6 Run PVCs 12 per minute. PVC12 Run PVCs 24 per minute.

  • Page 93: Performance Waves

    Remote Operations Codes and Actions Performance Waves Table 4-15 lists the numeric control codes for the performance waves functions. Table 4-15. Numeric Codes for Performance Waves Actions Numeric Remote Control Action Control Code Entry Run 2 Hz square performance wave. SQU2 Run .125 Hz square performance wave.

  • Page 94: R-Wave Rate

    MPS450 Operators Manual Table 4-16. Numeric Codes for Performance Wave Amplitude Actions (cont.) Numeric Remote Control Action Control Code Entry Set performance amplitude to 0.50 mV. PFA0.50 Set performance amplitude to 1.00 mV. PFA1.00 Set performance amplitude to 1.50 mV. PFA1.50 Set performance amplitude to 2.00 mV.

  • Page 95: R-Wave Amplitude

    Remote Operations Codes and Actions Table 4-18. Numeric Codes for R-Wave Width Actions (cont.) Numeric Remote Control Action Control Code Entry Set R-wave width to 40 ms RWW40 Set R-wave width to 50 ms RWW50 Set R-wave width to 60 ms RWW60 Set R-wave width to 70 ms RWW70...

  • Page 96: Respiration Functions

    MPS450 Operators Manual Table 4-19. Numeric Codes for R-Wave Amplitude Actions (cont.) Numeric Remote Control Action Control Code Entry Set R-wave amplitude to 1.00 mV. RWA1.00 Set R-wave amplitude to 1.50 mV. RWA1.50 Set R-wave amplitude to 2 mV. RWA2.00 Set R-wave amplitude to 2.50 mV.

  • Page 97: Respiration Rate

    Remote Operations Codes and Actions Table 4-21. Numeric Codes for Respiration Baseline (Impedance) Actions (cont.) Numeric Remote Control Action Control Code Entry Store respiration base 500 ohms. (N/A) Store respiration base 1000 ohms. (N/A) Store respiration base 1500 ohms. (N/A) Store respiration base 2000 ohms.

  • Page 98: Apnea Simulation

    MPS450 Operators Manual Apnea Simulation Table 4-24 lists the numeric control codes for the apnea simulation functions. Table 4-24. Numeric Codes for Apnea Simulation Actions Numeric Remote Control Action Control Code Entry Start apnea for 12 seconds. Start apnea for 22 seconds. Start apnea for 32 seconds.

  • Page 99: Bp Channel 2: Static-Pressure Levels

    Remote Operations Codes and Actions Table 4-27. Numeric Codes for BP Channel 1: Static-Pressure Levels Actions Numeric Remote Control Action Control Code Entry Set BP1 to -10 mmHg static. P1S-10 Set BP1 to zero. P1S0 Set BP1 to 80 mmHg static. P1S80 Set BP1 to 160 mmHg static.

  • Page 100: Bp Channel 4: Static-Pressure Levels

    MPS450 Operators Manual Table 4-29. Numeric Codes for BP Channel 3: Static-Pressure Levels Actions (cont.) Numeric Remote Control Action Control Code Entry Set BP3 to 60 mmHg static. P3S60 Set BP3 to 80 mmHg static. P3S80 Set BP3 to 100 mmHg static. P3S100 BP Channel 4: Static-Pressure Levels Table 4-30 lists the numeric control codes for the BP channel 4: static-pressure levels...

  • Page 101: Bp Channel 3: Dynamic Waveforms

    Remote Operations Codes and Actions Table 4-32. Numeric Codes for BP Channel 2: Dynamic Waveforms Actions Numeric Remote Control Action Control Code Entry Run BP2 arterial dynamic wave 120/80. P2ART Run BP2 radial art dynamic wave 120/80. P2RART Run BP2 left vent dynamic wave 120/0. P2LV Run BP2 right vent dynamic wave 25/0.

  • Page 102: Bp Channel 4: Dynamic Waveforms

    MPS450 Operators Manual BP Channel 4: Dynamic Waveforms Table 4-34 lists the numeric control codes for the BP channel 4: dynamic waveforms functions. Table 4-34. Numeric Codes for BP Channel 4: Dynamic Waveforms Actions Numeric Remote Control Action Control Code Entry Run BP3 arterial dynamic wave 120/80.

  • Page 103: Bp Channel 2: Respiration Artifact

    Remote Operations Codes and Actions BP Channel 2: Respiration Artifact Table 4-36 lists the numeric control codes for the BP channel 2: respiration artifact functions. Table 4-36. Numeric Codes for BP Channel 2: Respiration Artifact Actions Numeric Remote Control Action Control Code Entry Set BP2 respiration artifact off.

  • Page 104: Cardiac-Output Wave / Injectate

    MPS450 Operators Manual Cardiac-Output Wave / Injectate Table 4-40 lists the numeric control codes for the BP cardiac-output wave / injectate functions. Table 4-40. Numeric Codes for Cardiac-Output Wave / Injectate Actions Numeric Remote Control Action Control Code Entry (N/A) Run CO wave 2.5 l/min.

  • Page 105: Intrauterine-Pressure (-) Wave

    Remote Operations Codes and Actions Table 4-41. Numeric Codes for FHR Rate (Fixed) Actions (cont.) Numeric Remote Control Action Control Code Entry Run fetal ECG at 150 BPM. F150 Run fetal ECG at 210 BPM. F210 Run fetal ECG at 240 BPM. F240 Intrauterine-Pressure (-) Wave Table 4-42 lists the numeric control codes for the intrauterine-pressure (-) wave...

  • Page 106: Beeper

    MPS450 Operators Manual Table 4-44. Numeric Codes for View Angle Actions (cont.) Numeric Remote Control Action Control Code Entry (N/A) Set view angle to 5. (N/A) Set view angle to 6. (N/A) Set view angle to 7. (N/A) Set view angle to 8. (N/A) Store view angle.

  • Page 107: A Troubleshooting

    Appendix A Troubleshooting Introduction Table A-1 lists some possible problems and their solution for repair. Table A-1. Problem vs. Solution Problem Probable Cause Solution Monitor filters There will be a slight loss of amplitude when simulating NSR. Use a pulse wave to verify amplitude more accurately.
  • Page 108 Temperature Wrong series Check manufacturer’s series for thermistor No temperature reading temperature cable used used. Choose the correct Fluke Biomedical temperature cable for 700 or 400 Series. Cardiac Output Selected Injectate Injectate temperature must match expected temperature not set temperature: 24 C or 0 C.

  • Page 109: B Glossary

    Appendix B Glossary Introduction This glossary presents certain medical, electronic, and MPS450-specific terms, the understanding of which may aid in operating the instrument. Words that appear in boldface in a definition are themselves defined elsewhere in this glossary. Table B-1. Glossary Term Definition AAMI...
  • Page 110 MPS450 Operators Manual Table B-1. Glossary (cont.) Term Definition AV node bundle of His AV JUNCTION A junction consisting of the and the SA node Conducts the electrical impulse sent from the from the atria ventricles into the atrium AV NODE Also called the atrioventricular node.
  • Page 111 Glossary Introduction Table B-1. Glossary (cont.) Term Definition volt MILLIVOLT One-thousandth of a MYOCARDIUM The thick muscular layer of the heart, located between the endocardium at the inside and the epicardium at the outside walls of the heart. meter NANOMETER One-billionth (109) of a NANOSECOND One billionth (109) of a second (one thousand-millionth of a second).
  • Page 112 MPS450 Operators Manual Table B-1. Glossary (cont.) Term Definition THERMODILUTION The measuring of temperature change, enabled by the injection of a cold or room-temperature solution (such as saline) into the right atrium Swan-Ganz by means of a procedure. VENOUS (1) Of or pertaining to a vein or veins. (2) Returning to the heart through the great veins.

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