Manual - Netech
Contents
1. 2000 EXPMT 2000 User Manual 5 GENERAL OVERVIEW Section 1 1 1 Introduction The EXPMT 2000 pacemaker analyzer is an advanced microprocessor based test instrument designed to accurately measure the output parameters of all external pacemakers including both transthoracic and transcutaneous devices The instrument is easy to use via the menu structure presented on alarge four line LCD display Resulting measurements of the tests performed are simultaneously shown on the LCD display The EXPMT 2000 is compact lightweight and rugged It may be operated with one 9 volt battery or with an optional AC adapter A standard RS232 serial port allows for printing and storage of results with optional printers and PDAs 1 1 1 Pacemaker Test Functions The EXPMT 2000 makes several measurements of external transthoracic transvenous and AV pacemakers 1 1 1 1 Transthoracic Pacers Test load 50 Ohms or 12 user selectable loads from 100 to 1000 Ohms using the plug in test load selector Measures Peak current pulse width pulse rate paced refractory period sensed refractory period and pulse energy 1 1 1 2 Transvenous Pacers Measures Peak current pulse width pulse rate paced refractory period sensed refractory period immunity test 50H2 60 Hz A V interval and pulse energy Measures the current drain of the pacemaker using the optional adapter PN 652 BATT 1 2 Safety Considerations Before using the EXPMT 20002. 12 2 5 2 Selecting 50 Ohm Test Load 12 2 5 3 Selecting Variable Test Loads 13 2 5 4 Measuring Pulse Parameters 13 2 5 5 Measuring Refractory Periods 13 2 5 6 Demand Sensitivity Tests 14 20 IMMUNITY Tests i nace reece see teadeee 15 2 9 8 Measuring Energy s s 2se sc ees ee tee ese ae ss 16 2 6 Testing External Transvenous Pacers AV 16 2 6 1 Measuring Pulse Parameters 16 2 6 2 Measuring Refractory Periods 17 2 6 3 Demand Sensitivity Tests 18 2 6 4 Immunity Tests 19 2 6 5 Measuring AV Interval 20 2 6 6 Measuring Energy s rardecsn iai 20 2 6 7 Pacemaker Type Selection 20 2 7 Printing Pacer Measurements 21 2 7 1 Printing Without a Header 21 2 7 2 Printing With a Header 21 2 8 Automatic Pacer Testing 22 2 9 Printer Functions sss ssetenee ste cee eet 23 2 10 Auxiliary Functions saiki 24 2 10 1 AV Pacer Test Function 25 EXPMT 2000 User Manual 2 10 2 Transcutaneous Pacer Test Function 25 2 10 3 Calibration Check 26 2 10 4 Printer Format Selection 27 2 10 5 Pacemaker Battery Current Test 2
3. F4 key for Energy measurement D Energy will be displayed on the top line of the display Energy will be measured continuously and updated while in the Energy menu Energy Measurement Menu E Press the ESC key to return to the previous Level 2 menu Tir in Ea tie ARE Sie n s mm AVD E n r F1 F2 F3 F4 2 6 Testing External Transvenous Pacers AV The EXPMT 2000 will test both atrial and ventricular transvenous pacemakers Before performing any tests connect the pacemaker to be tested to either the ATR Atrial or VENT Ventricular A V INPUT connectors on the top of the instrument A Move the Pacer Input Selector switch to the A V INPUT position B Turn the EXPMT 2000 on C Select the pacer type by pressing the Atrial F1 key or the Ventricular F2 key D Perform the measurements in section 2 6 1 2 6 1 Measuring Pulse Parameters Rate Width and Amplitude A Press the PPM Key F1 to measure the Rate EXPMT 2000 User Manual 16 B Press the Wath Key F2 to measure the Width C Press the Amp Key F3 to measure the Amplitude Note The EXPMT 2000 pacer will continuously measure the parameters and update the display with the new values Press the F1 F2 or F3 key to select the measurement priority The parameter selected will be updated first followed by the others Rate Menu PPM F1 Key Pressed Alt ir Rallt e Alt ir Widjit h A t ir Amp I
4. P P M Wdit h A mip Ref F1 F2 F3 F4 2 6 2 Measuring Refractory Periods A Select Level 1 in Pacer Test Main Menu B Press the Ref L key for the refractory period measurement C Press the Pace F1 key for paced refractory period measurement D Press the Sense F4 key for sensed refractory period measurement Refractory Menu F4 Key Pressed Rie fijrjaje tio rfy T ime P ace Sie nse F1 F2 F3 F4 E STBY will flash on the top line of the display until the new refractory period is measured Note The pacemaker pulse rate must be limited to a maximum of 180 PPM during the refractory period measurement Each time a function is selected the measurement will start immediately and the STBY message will flash until the measurement is completed EXPMT 2000 User Manual 17 Press the ESC key at any time to cancel a measurement or to go back to a previous menu 2 6 3 Demand Sensitivity Tests A Select Level 2 in the Main Pacer Test Menu B Press the Sens F1 key for the demand sensitivity measurement Sensitivity Menu Sens F1 Key Pressed Sal ag A adh ee A Ev dina Rs alli Siqir 4 0m S S F1 F2 F3 F4 A The default waveform is a square wave with a sensitivity of 40 milliseconds B Press the F1 key to select a different waveform Sqr square Tri triangle or SSQ waveform C Press the F2 key to select a different sensitivity 100 200 10 25 and 40 msec are
5. ATR or VENT connectors of the A V INPUT section on the side The EXPMT 2000 will measure and display this voltage Calibration Check Cal F2 Key Pressed Cail C h ec k F eled sue Voi iti s DC Calibration Check Caram Cihie flc k Mie ja is u r je d 1 8 V Note If the reading measured is not within 5 of the Input voltage the EXPMT 2000 should be recalibrated EXPMT 2000 User Manual 26 2 10 4 Printer Format Selection Different print formats may be selected Press the PrSF F3 key to select a different format Press the lt and keys to move through the selections The selections are listed TAB Fix horizontal space LE Line feed FF Form feed CR Carriage return DW Double width print DCLR Reset double width print HW Condensed print HCLR Reset condensed print EMP Emphasize print ECLR Reset emphasize print DST Double strike CLR Reset double strike MarR Right margin set BS Back space RST Reset to power on mode MarL Left margin set PRT Print 16 characters 2 10 5 Pacemaker Battery Current Test The EXPMT 2000 will measure the battery current of the pacemaker to be tested The Netech 652 Battery Adapter is required to perform this measurement A Connect the battery adapter to the pacemaker and a 9 Volt battery B Connect the banana jacks of the battery adapter to the VENT connectors of the A V INPUT section on the side of the EXPMT 2000 C Press the Bat F4 key to perfo
6. will now display the measured parameters Press either the lt or gt key to reach Level 2 and Level 3 menus EXPMT 2000 User Manual 12 2 5 3 Selecting Variable Test Loads A Connect the variable test load adapter into the TRANS input of the EXPMT 2000 B Connect the transcutaneous pacer to the input of EXPMT Test Load Adapter C Rotate the LOAD SELECTOR switch to the desired test load for the measurement 12 selections from 100 to 1000 Ohms Turn the EXPMT 2000 on Turn the pacer on Select the desired pacer manufacturer Select the desired parameter and begin measurements 0 mm Oo 2 5 4 Measuring Pulse Parameters Rate Width and Amplitude A Press the PPM F1 key to measure the Rate B Press the Wath F2 key to measure the Width C Press the Amp F3 key to measure the Amplitude Note The EXPMT 2000 pacer will continuously measure the parameters and update the display with the new values Pressing the F1 F2 or F3 key will select the measurement priority The parameter selected will be updated first followed by the others 2 5 5 Measuring Refractory Periods A Select Level 1 in the Pacer Test Main Menu B Press the Ref L4 key for the refractory period measurement Refractory Menu Ref F4 Key Pressed Rie f r jajc t joirfy T i me P ace Sie nse F1 F4 C Press the Pace F1 key for paced refractory period measurement EXPMT 20
7. 00 User Manual 13 D Press the Sense F4 key for sensed refractory period measurement E STBY will flash on the top line of the display until the new refractory period is measured Note Some transthoracic pacemakers require a separate ECG input during measurement of the refractory period The 5 ECG leads should be used for this purpose A 100 mV 40msec square wave is output at the jacks and must be connected to the EKG input leads of the pacemaker before the measurement is made Note The pacemaker pulse rate must be limited to a maximum of 180 PPM during the refractory period measurement Each time a function is selected the measurement will start instantaneously and the STBY message is flashed until the measurement is completed Press the ESC key at any time to cancel the measurement or go back to the previous menu 2 5 6 Demand Sensitivity Tests A Select Level 2 in the Main Pacer Test Menu B Press the Sens F1 key for the demand sensitivity measurement Sensitivity Menu Sens F1 Key Pressed Sie inis t vit jy S T IB Y Siq r 4 0 ms F1 F2 F3 F4 C The default waveform is a square wave with a sensitivity of 40 milliseconds D Press the F1 key to select a different waveform Sqr square Tri triangle or SSQ waveform E Press the F2 key to select a different sensitivity 100 200 10 25 and 40 msec are available F STBY will flash on the top line until a measurement i
8. 7 3 Palm Pilot Interface 3 1 Introduction 28 3 2 Netech PalmSoft Set Up Procedure 28 3 3 Receiving and Saving Data 28 4 Troubleshooting EXPMT 2000 29 5 Appendix 31 This Manual is provided to explain the operation of the EXPMT 2000 External Pacemaker Analyzer It is intended for the biomedical engineering or clinical engineering technician involved in the testing of external pacemakers The operator must be familiar with and follow the safety protocols recommended by the device manufacturer EXPMT 2000 User Manual 4 Safety Notes 1 Before using the EXPMT 2000 read the instruction manual and become familiar with the functions and controls Do not discharge a defibrillator into any connectors of the EXPMT 2000 The operating instructions of the manufacturers of all combination defibrillator pacer instruments and transvenous pacemakers being tested must be followed Do not connect transthoracic and transvenous pacemakers simultaneously Test only one type at a time Do not connect the pacer input before the EXPMT 2000 is turned ON Do not change the variable pacer test load while a transthoracic pacemaker is turned on Turn the pacemaker off before selecting a test load Do not discharge the output of a defibrillator into the EXPMT
9. 9 connector and in the Modem setup option of Quick Link select the COM port Select the file option to Receive File 2 ASCII and enter a file name to which the EXPMT 2000 results are to be stored 3 Once the above selections have been made press PRI in the main menu of the EXPMT 2000 and press the PC F2 key for the results to be stored in the given file name 4 The file can be printed out or edited using any text editor 5 Press the PrH F3 key to print a header 6 Press the NO F4 key to return to the Level 3 Menu 4 Note Additional Printer Function instructions are being revised and will be supplied later 2 10 Auxiliary Functions The EXPMT 2000 has four Auxiliary Operating Functions Test Calibration Print Format Pacemaker Battery Test Press the Aux F key in the Level 3 Main Pacer Menu lt P Va bee lr Tie ls it l I gt T Y ple Au t Pelr i Alu x F1 F2 F3 F4 Auxiliary Functions A ux Fiuijinicj t i o n s Ale Sut Cla I Pir IF S B a t EXPMT 2000 User Manual 24 2 10 1 AV Pacer Test Function In the AV Pacer Test Mode the EXPMT 2000 inputs a DC output voltage of 100 millivolts 5 and displays both the input and the measured values Select the AV Pacer Mode Select the Level 2 Main Menu Press the Aux F4 key Press the Tst F1 key Place the Pacer Select Switch in the AV Input position Disconnect the input to the EXPMT 2000 G Press the E
10. EXPMT 2000 External Pacemaker Analyzer Operating Manual NETECH 110 Toledo Street Farmingdale NY 11735 Phone 631 531 0100 Fax 631 531 0101 www netech org EXPMT 2000 User Manual Copyright Copyright 2003 by Netech Corporation All rights reserved No part of this publication may be reproduced or transmitted in any form other than for the purchaser s personal use without written permission from Netech Corporation Quality Assurance Netech is ISO 9001 2000 Registered This instrument was thoroughly tested and inspected according to Netech s ISO 9001 2000 quality standards and test procedures and found to meet those specifications when it was shipped from the factory Warranty Netech warrants the EXPMT 2000 against defects in materials and workmanship for one year from the date of original purchase The standard warranty is extended for a second year if the instrument is returned to Netech for its recommended annual recalibration 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 Netech Corporation This warranty does not apply if the product has been damaged by accident or misuse or as the result of service or modification by other than Netech Corporation or if its serial number is defaced or removed Netech reserves the right to discontinue the EXPMT 2000 at any time and change its specifi
11. SC key moO T AV Pacer Test Se bes IL ben ten te sd 9 9 18 mv M e a is u Ir e d 1 0 O 1 mv Note If the measured reading is not within 5 of the selected reading the EXPMT 2000 should be recalibrated 2 10 2 Transcutaneous Pacer Test Function In the Transcutaneous Pacer Test Mode the EXPMT 2000 outputs a voltage of 10 millivolts 0 5 This voltage may be checked with a voltmeter connected to the Vent jacks of the A V Intput connectors Select the Level 2 Main Menu Press the Aux F4 key Select the Transcutaneous Pacer Mode Press the Tst F1 key Place the Pacer Select Switch in the TRANS Input position Disconnect the input to the EXPMT 2000 Connect the voltmeter to the Vent jacks of the A V Intput connectors Press the ESC key Read the measurement in mV on the voltmeter display ToOQdW AS zr EXPMT 2000 User Manual 25 Transcutaneous Pacer Test S ie I e c t e d T FOA a Ca oo AY Note If the reading measured with the voltmeter is not within 5 of the selected reading the EXPMT 2000 should be recalibrated 2 10 3 Calibration Check The EXPMT 2000 can be configured as a DC voltmeter and used to check the amplitude calibration A Select Level 2 in the Main Menu B Press the Aux F4 key C Press the Cal F2 key to perform the amplitude calibration check D Select Atr or Vtr as the Pacer Type E Input less than 2 volts into the
12. The Service Return Form may be obtained at our web site www GoNetech com or from the Netech Customer Service Department 2 2 Instrument Familiarity Before proceeding to use the EXPMT 2000 make sure you read this manual and become familiar with the functions the controls and the menu operation EXPMT 2000 EXPMT 2000 O lt Mir Rates m tr Wdth tr Amel Om eerie rat 7 ki G oa O EXPMT LOAD gt nerecn DO SELECTOR EXPMT 2000 User Manual 9 1 On Off Switch 6 Pacer Input Selector 2 Serial Port 7 Trancutaneous Inputs 3 Five ECG Leads 8 Function Keys 4 LCD Display 9 DC Power Input 5 Transvenous Inputs 10 Transcutaneous Load Selector 2 3 Power Up and Initialization The EXPMT 2000 is battery powered The power On Off switch is located on the right hand side of the instrument When the instrument is turned on the model and the software revision level are displayed for about 5 seconds 2 3 1 RS 232 Setup The EXPMT 2000 can be connected to a printer PC or a Palm Pilot via the RS 232C SERIAL PORT located on the side of the instrument The default settings for the serial communication are Baud Rate 9600 Data Bits 8 Parity None Stop Bit 1 These settings must be the same for the PC or the Printer To retrieve the data into a Palm Pilot use the optional interface cable for the Palm Pilot 2 4 Menu Structure The EXPMT 2000 is easily operated via a menu system utilizing an eig
13. atic Pacer Test instructions are being revised and will be supplied later 2 9 Printer Functions In the Level 3 Main Pacer Menu the Pri F3 key will access various printer options A Press the Prtr F1 key to select either the Citizen or Seiko printer Seiko DPU411 type II thermal printer To print the test measurement results on the Seiko DPU 411 thermal printer follow these steps 1 Set the dip switches at the bottom of the printer to the following Dip switch 1 4 5 7 and 8 ON Dip switch 2 1 and 2 ON The remaining switches should be in the OFF position 2 Connect the printer cable from the EXPMT 2000 to the serial input connector DB 25 connector of the printer DPU 411 3 Turn the printer ON and press the ON LINE switch on the printer online LED lights up Now the printer is ready to receive data from the EXPMT 2000 Select PRI in the main menu of the EXPMT 2000 and press the F1 key The Select Printer menu is now displayed showing the printer options Now select F4 Seiko key to print the results B Press the PC F2 key to save the test measurements EXPMT 2000 User Manual 23 PC Quick Link Software To store the results in a PC using Quick Link or PC wedge or other communications software follow these steps 1 Using the line setting option select Baud Rate 9600 Data Bits 8 Parity None Stop Bits 1 2 Connect the RS232 cable from the EXPMT 2000 to the serial port of the PC DB
14. available D STBY will flash on the top line until a measurement is made During the sensitivity measurement the pacemaker pulse rate selection depends on the waveform and the width selected For certain widths and pacer rates the waveform may fall within the refractory period of the pacemaker and will not be sensed This may produce an erroneous reading Hence the maximum pacer rate must be set using the table below EXPMT 2000 User Manual Waveform Refractory Maximum Width Period Pacer Rate msec msec ppm 200 lt 300 110 lt 400 90 100 lt 300 140 lt 400 110 40 25 10 lt 250 180 lt 300 170 lt 350 140 lt 400 110 2 6 4 Immunity Tests A B Press the ESC key to return to the Level 2 Main Pacer Test Menu Press the Imm F2 key for the noise immunity test Immunity Menu Imm F2 Key Pressed N o i sie I mmuni t y 6 0 Hz 5 0 H z F1 F2 F3 F4 Press the 60Hz F1 key for a sine wave of 60Hz Press the 50Hz F4 key for a sine wave of 50Hz The peak amplitude is displayed from 0 to 101 9 mV and may be increased or decreased The default setting is 54 3 mV Each time the gt key is pressed the amplitude increases by 6 8 mV Each time the key is pressed the amplitude decreases by 6 8 mV EXPMT 2000 User Manual 2 6 5 Measuring AV Interval A Press the ESC key to return to the Level 2 Main Pacer Test Menu B Press the AV D F3 key from the main men
15. cations price or design without notice and without incurring any obligation Netech guarantees availability of service parts for 5 years after the manufacture of the unit is discontinued The warranty is void if you elect to have the unit serviced and or calibrated by someone other than Netech The purchaser assumes all liability for any damages or bodily injury that may result from the use or misuse of the unit by the purchaser his employees agents or customers In no event shall Netech Corporation be liable for consequential damages Trademarks Netech and EXPMT 2000 are trademarks of Netech Corporation Any other trademark names used in this manual are only for editorial purposes and the benefit of the respective trademark owner with no intention of improperly using that trademark EXPMT 2000 User Manual 2 Table of Contents 1 General Overview 1 1 Introduction 06 1 2 Safety Considerations 06 1 3 Specifications 07 1 4 Accessories 08 2 Operating Instructions 2 1 Getting Started 5r iiie 09 2 2 Instrument Familiarity 09 2 3 Power Up and Initialization 10 2 4 M n StruUctUre se e 10 2 5 Testing Transthoracic Pacers 11 2 5 1 Selecting Pacer Manufacturer
16. f during an Atrial or Ventricular measurement the pacer input selector switch is changed from AV to Trans then any function key stroke will prompt the user to select the appropriate transcutaneous pacemaker by displaying the available choices The load will be changed to 50 ohms On selection of a particular pacemaker the display reverts back to the previous menu Moving the switch position back to A V would go back to Ventricular measurements 500 ohms load and the display will be updated on any function key 2 8 Printing Pacer Measurements Pacer test measurement results may be printed with or without a header 2 8 1 Printing Without a Header A Press the PRN key on the Keypad to print the measured test data from the EXPMT 2000 in the Pacer Test mode B The EXPMT 2000 will send data to the printer port each time the display updates with current parameter measurements C Press the PRN key again to stop the continuous printing of parameter measurements 2 8 2 Printing a Header A Press the ESC key to return to the Level 2 Pacer Menu B Press the Pri F3 key EXPMT 2000 User Manual 21 C Press either the Prtr F1 key or the PrH F3 key to print the header NETECH PACEMAKER TESTER EXPMT 2000 Date Control No Model No Serial No Mant Hospital BMET Remarks Pass Fail VENTRICULAR TESTS ATRIAL TESTS TRANSTHORACIC TESTS D Return to the Pacer measurement p
17. ht key keypad located on the front of the instrument below the display Menus appear on the display above the four keys labeled F1 F2 F3 and F4 The four lower keys are labeled lt lt ESC PRN and Follow the instructions on the display and press the appropriate key to use the instrument The ESC key will change the display to the previous menu and in some situations it will confirm the menu selection The PRN key activates an optional printer The arrow keys lt and gt move the display forward or backward within a group of possible selections EXPMT 2000 User Manual 10 The following menu displays momentarily on Power up E X P M T 2 0 0 0 Current Software Version Pacer Main Menu A V If the Input selector Switch is in A V Sie l je jc i Pace T y pe Pir e is Is F 1 or F 4 Ait r i al Vieinit ir i F1 F2 F3 F4 Pacer Transthoracic Menu If the Input selector Switch is in TRANS XiTihiotlr j ajicli e T y pe S ie I e c t ma n u f lt m P R N H e a derr o S Z VON VE H P M D E LI FE F1 F2 F3 F4 2 5 Testing Transthoracic Pacers The EXPMT 2000 will test all transthoracic pacemakers The brand of transthoracic pacemaker to be tested must be selected through the menu system The EXPMT 2000 provides a choice of utilizing either a fixed 50 Ohm test load or a variable test load using the plug in adapter for testing transthoracic pace
18. lues for the instrument to be tested see Fig B above E Save the file F The file is now available for printing or transferring to a PC TROUBLESHOOTING 5 1 Troubleshooting Chart Section 5 The following chart is provided for basic troubleshooting Problems other than those listed should be addressed to the Netech Technical Service Department at 631 531 0100 Description Cause Action On Power up the Display is blank The Battery Voltage may be low or the Replace with new battery or use AC EXPMT 2000 User Manual 29 display contrast is set low adapter The display shows non ASCI Characters Memory corruption Turn Unit off and then turn it On Low battery warning Battery is low Replace battery EXPMT 2000 User Manual 30 Appendix A Section 6 This Page is left blank intentionally for future updates EXPMT 2000 User Manual 31
19. makers Before performing any tests connect the pacemaker to be tested directly to the EXPMT 2000 or to the variable test load input adapter EXPMT 2000 User Manual 11 There are three levels of soft key menus in the Main Pacer Test Menu Level1 PPM Wdth Amp Ref Level 2 Sens Imm AV D Enr Level 3 Type Aut Pri Aux Press either the lt or key to move between the three soft key menu Levels 2 5 1 Selecting Pacemaker Manufacturer A U OW Move the PACER INPUT SELECTOR switch on the side to the TRANS INPUT position Turn the EXPMT 2000 instrument on Press the ZOLL F1 HP F2 MDE F3 or LIFE F4 key Press either the or gt key to move to the next menu level and then press the LF 12 key to select LifePak 12 models or the Others key to select all other manufacturers A test function is selected using F1 F2 F3 or F keys Press either the or gt key to reach Level 2 and Level 3 menus 2 5 2 Selecting 50 Ohm Fixed Test Load A mod ww 7 Connect the transcutaneous pacer to the TRANS INPUT fixed 50 OHMS input connectors see the next section for variable loads Turn the EXPMT 2000 on Turn the pacer on Select the desired pacer manufacturer Select the desired parameter to be measured PPM Wath Amp Ref using F1 F2 F3 or F4 keys The EXPMT 2000
20. rm the measurement EXPMT 2000 User Manual 27 Battery Test Biait jt je jrfy C ju Ir ir je in jt M e a s u r e 0 0 mA Palm Pilot Interface Section 3 3 11 Introduction Optional Netech software PalmSoft allows the EXPMT 2000 to Interface to a Palm Pilot Test measurements may be downloaded into the Palm Pilot for display storage editing and later transfer to a PC Equipment files may be entered and edited 3 12 Netech PalmSoft Set Up Procedure D Load the Netech PalmSoft software into the Palm Pilot E Connect the Palm Pilot to the EXPMT 2000 using the Netech serial interface cable 650 Palm Cable F Activate the Netech PalmSoft software G Set Up 1 Baud rate 9600 2 Data bits 8 bit 3 Parity None 4 Stop bits 1 5 Flow control None H Enter the file name to be saved into the Palm Pilot If no file name is entered the default name is test 3 13 Receiving and Saving Data The Palm Pilot is now ready to receive measurement data from the EXPMT 2000 A Press the receive key of the Palm Pilot B Press the PRN key on the EXPMT 2000 C Edit the equipment profile on the Palm Pilot display see Fig A below EXPMT 2000 User Manual 28 NETECH DEFIB TESTER EXPMT 2000 Date Control No Model No Serial No Mant Hospital BMET Remarks Pass Fal 7 Energy set a Energy 103 Joules Peak Voltage 1739 Volts Peak Current 34 Amp Fig A Fig B D Set the test va
21. rogram to perform tests 2 9 Automatic Pacer Testing In the Automatic Pacer Testing Mode measurements are performed semi automatically on seven parameters pacer rate pacer width pacer amplitude pacing refractory interval sensing refractory interval sensitivity and A V delay The pacer width measurement is combined with the PPM measurement For each parameter being measured 10 different test values are preprogrammed The user has the option of running all 10 of the tests using default values running one or more tests with user selected values or eliminating any of the tests User modified values may be saved for use in subsequent tests as long as the EXPMT 2000 is not turned off The user can leave the modified value unsaved so that the original default values will be output during subsequent tests The test sequence continues until all of the parameters are tested EXPMT 2000 User Manual 22 The EXPMT 2000 stores the measured values of each test performed in memory At the completion of the automatic test sequence the results may be sent to a printer or to a PC through the RS232 interface The set and measured values are compared If there is a deviation of more than 10 a comment to that effect is printed Note Test results are saved in the memory during an auto test sequence until the instrument is switched off This permits multiple copies of the results to be made on the printers and or PC Note Comprehensive Autom
22. s made EXPMT 2000 User Manual 14 During the sensitivity measurement the pacemaker pulse rate selection depends on the waveform and the width selected For certain widths and pacer rates the waveform may fall within the refractory period of the pacemaker and will not be sensed This may produce an erroneous reading Hence the maximum pacer rate must be set using the table below Waveform Refractory Maximum Width Period Pacer Rate msec msec ppm 200 lt 300 110 lt 400 90 100 lt 300 140 lt 400 110 40 25 10 lt 250 180 lt 300 170 lt 350 140 lt 400 110 2 5 7 Immunity Tests A Press the ESC key to return to the previous menu B Select Level 2 in the Main Pacer Test Menu C Press the Imm F2 key for the noise immunity test Immunity Menu Imm F2 Key Pressed N o i sie I mmuni t y 6 0 H z 5 0 Hz F1 F2 F3 F4 D Press the 60Hz F1 key for a sine wave of 60Hz E Press the 50Hz F4 key for a sine wave of 50Hz G The peak amplitude is displayed from 0 to 10 mV and may be increased or decreased The default setting is 5 7 mV Each EXPMT 2000 User Manual 15 time the gt key is pressed the amplitude increases by 0 7 mV Each time the key is pressed the amplitude decreases by 0 7 mV 2 5 8 Measuring Energy A Press the ESC key to return to the previous menu B Press key to go to Pacer Test Menu soft key Level 2 where energy may be selected C Press ENR
23. the operator must follow the safety precautions listed in this manual EXPMT 2000 User Manual 6 1 2 1 Defibrillator Pacer Combination Instruments Defibrillators deliver high voltage shocks to a patient in order to stop a heart attack The defibrillator discharge pulse is potentially dangerous 1 3 Specifications 1 3 1 External Pacer Analyzer 1 3 1 1 Transthoracic Test Load Fixed 50 Ohms or 12 user selectable loads from 100 to 1000 Ohms with EXPMT load selector Current 1 to 200 mA Accuracy t5 5 mA Pulse Width 0 5 to 80 ms Accuracy 1 1 ms Refractory 20 500 ms Accuracy 2 or 10ms 1 3 1 2 Transvenous Atrial and Ventricular Test Load 500 Ohms 1 Current 1 to 25 mA Accuracy 5 5 mA Pulse Rate 30 to 800 ppm Pulse Width 0 5 to 80 ms Accuracy 1 1 ms Refractory 20 500 ms Accuracy 2 or 10ms Immunity Test 50 60 Hz 1 3 2 RS 232 Output A computer interface is available to print test results or to save them on a PC The test results can be saved directly to a Palm Pilot using Netech s optional palm software 1 3 3 Power Requirements One 9 Volt Alkaline Battery or optional AC adapter EXPMT 2000 User Manual 7 1 3 4 Physical Characteristics 1 3 4 1 Dimensions 7 75X4xX 1 5 in 19 7 x 10 2 x 3 8 cm 1 3 4 2 Weight 1 Ib 0 9 Kg 1 3 5 Environmental Operating Specifications Storage Temperature 25 to 50 C Operating temperature 15 to 40 C Maximum H
24. u for A V Delay measurements Note The select switch must be in the A V position and inputs must be connected to both the ATR and VENT input jacks on the EXPMT 2000 The amplitude values for both atrial and ventricular output on the pacemaker must be set to 0 1mA or higher AV Interval Menu AV D F3 Key Pressed A V Dei l a y m m AVD E n F1 F2 F3 F4 2 6 6 Measuring Energy A Press the ESC key to return to the Level 2 Main Pacer Test Menu B Press the Enr F4 key for Energy measurements Energy Measurement Menu Enr F4 Key Pressed A t fr ESMANE S eon iss mm AVD E n F1 F2 F3 F4 2 6 7 Pacemaker Type Selection During measurements the atrial and ventricular inputs may be changed or a different pacemaker may be tested This is done using the Type function key in the Pacer Test Main Menu EXPMT 2000 User Manual 20 Press the Esc Key to back up one menu Press the lt or to move to Level 2 Main Pacer Menu Press the Type F1 Key Press the Atr F1 or Vtr F2 to make a change Press the TrX F4 Key to select Transthoracic and then select the pacer manufacturer mOoOOW LY The pacemaker type select switch should be in the position marked A V INPUT to make atrial and ventricular measurements of invasive pacemakers and in the position marked TRANS INPUT to make measurements of transthroracic pacemakers Note 1 I
25. umidity 95 Relative Humidity 1 4 Accessories 1 4 1 Standard Accessories AC Adapter 110 VAC AC Adapter 220 VAC Operating Manual Service Manual Carrying Case Universal Pacer Adapters set of 2 Unterminated Banana Plug set of 2 1 4 2 Optional Accessories Printer Serial Printer Interface Cable Software for PC Palm Pilot Interface Software Transthoracic Cable Adapters HP Zoll PhysioControl Marquette Universal A V Pacer Adapter Cable Pacemaker Battery Test Adapter EXPMT 2000 User Manual 301 110VAC 301 220 220 VAC 950 USER MANUAL 950 SERV MANUAL 950 CASE 953 6383 02 DPM 441 903 650 PC SOFT 650 PALM SOFT 951 HP 951 Zoll 951 Physio 951 MARQ 652 652 BATT OPERATING INSTRUCTIONS Section 2 2 1 Getting Started Before unpacking the EXPMT 2000 inspect the shipping box for any visual damage If damage is found do not unpack the unit and immediately notify the shipping carrier If no damage is found to the shipping box open the box and perform a visual inspection of the EXPMT 2000 If any damage to the unit is observed please contact Netech Customer Service The Netech warranty statement is listed in the warranty section of this manual When shipping an instrument to Netech for repair or calibration make sure that the instrument is properly packed A completed Service Return Form must be included with the returned instrument to ensure the timely repair and return of your instrument
Download Pdf Manuals
Related Search