Fluke HHC3 User Manual

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Hand Held Controller

PN 2671068 July 2006

HHC3

Users Manual

Warranty and Product Support

Fluke Biomedical warrants this instrument against defects in materials and workmanship for one full year from the date of original purchase. 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. 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 Fluke Biomedical. IN NO EVENT SHALL FLUKE BIOMEDICAL BE LIABLE FOR CONSEQUENTIAL DAMAGES.

Only serialized products and their accessory items (those products and items bearing a distinct serial number tag) are covered under this one–year warranty. PHYSICAL DAMAGE CAUSED BY MISUSE OR PHYSICAL ABUSE IS NOT COVERED UNDER THE WARRANTY. Items such as cables and nonserialized modules are not covered under this warranty.

Recalibration of instruments is not covered under the warranty.

This warranty gives you specific legal rights, and you may also have other rights, which vary from state to state, province to province, or country to country. This warranty is limited to repairing the instrument to Fluke Biomedical’s specifications.

Warranty Disclaimer

Should you elect to have your instrument serviced and/or calibrated by someone other than Fluke Biomedical, please be advised that the original warranty covering your product becomes void when the tamper-resistant Quality Seal is removed or broken without proper factory authorization. We strongly recommend, therefore, that you send your instrument to Fluke Biomedical for factory service and calibration, especially during the original warranty period.

Notices

 Copyright 2006, Fluke Biomedical. No part of this publication may be reproduced, transmitted, transcribed, stored in a retrieval system, or translated into any language without the written permission of Fluke Biomedical.

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.

Unpacking and Inspection

Follow standard receiving practices upon receipt of the instrument. Check the shipping carton for damage. If damage is found, stop unpacking the instrument. Notify the carrier and ask for an agent to be present while the instrument is unpacked. There are no special unpacking instructions, but be careful not to damage the instrument when unpacking it. Inspect the instrument for physical damage such as bent or broken parts, dents, or scratches.

Technical Support

For application support or answers to technical questions, either email

techservices@flukebiomedical.com

Claims

Our routine method of shipment is via common carrier, FOB origin. Upon delivery, if physical damage is found, retain all packing materials in their original condition and contact the carrier immediately to file a claim. If the instrument is delivered in good physical condition but does not operate within specifications, or if there are any other problems not caused by shipping damage, please contact Fluke Biomedical or your local sales representative.

or call 1-800- 648-7942 or 1-425-446-6945.

Standard Terms and Conditions

Refunds and Credits

Please note that only serialized products and their accessory items (i.e., products and items bearing a distinct serial number tag) are eligible for partial refund and/or credit. Nonserialized parts and accessory items (e.g., cables, carrying cases, auxiliary modules, etc.) are not eligible for return or refund. Only products returned within 90 days from the date of original purchase are eligible for refund/credit. In order to receive a partial refund/credit of a product purchase price on a serialized product, the product must not have been damaged by the customer or by the carrier chosen by the customer to return the goods, and the product must be returned complete (meaning with all manuals, cables, accessories, etc.) and in “as new” and resalable condition. Products not returned within 90 days of purchase, or products which are not in “as new” and resalable condition, are not eligible for credit return and will be returned to the customer. The Return Procedure (see below) must be followed to assure prompt refund/credit.

Restocking Charges

Products returned within 30 days of original purchase are subject to a minimum restocking fee of 15 %. Products returned in excess of 30 days after purchase, but prior to 90 days, are subject to a minimum restocking fee of 20 %. Additional charges for damage and/or missing parts and accessories will be applied to all returns.

Return Procedure

All items being returned (including all warranty-claim shipments) must be sent freight-prepaid to our factory location. When you return an instrument to Fluke Biomedical, we recommend using United Parcel Service, Federal Express, or Air Parcel Post. We also recommend that you insure your shipment for its actual replacement cost. Fluke Biomedical will not be responsible for lost shipments or instruments that are received in damaged condition due to improper packaging or handling.

Use the original carton and packaging material for shipment. If they are not available, we recommend the following guide for repackaging:

 Use a double-walled carton of sufficient strength for the weight being shipped.  Use heavy paper or cardboard to protect all instrument surfaces. Use nonabrasive

material around all projecting parts.

 Use at least four inches of tightly packed, industry-approved, shock-absorbent

material around the instrument.

Returns for partial refund/credit:

Every product returned for refund/credit must be accompanied by a Return Material Authorization (RMA) number, obtained from our Order Entry Group at 1-800-648-7952 or 1-425-446-

6945.

Repair and calibration:

To find the nearest service center, go to www.flukebiomedical.com/service

In the U.S.A.: Cleveland Calibration Lab Tel: 1-800-850-4606 Email: globalcal@flukebiomedical.com

Everett Calibration Lab Tel: 1-800-850-4606 Email: service.status@fluke.com

In Europe, Middle East, and Africa: Eindhoven Calibration Lab Tel: +31-402-675300 Email: ServiceDesk@fluke.com

In Asia: Everett Calibration Lab Tel: +425-446-6945 Email: service.international@fluke.com

Certification

This instrument was thoroughly tested and inspected. It was found to meet Fluke Biomedical’s manufacturing specifications when it was shipped from the factory. Calibration measurements are traceable to the National Institute of Standards and Technology (NIST). Devices for which there are no NIST calibration standards are measured against in-house performance standards using accepted test procedures.

WARNING

Unauthorized user modifications or application beyond the published specifications may result in electrical shock hazards or improper operation. Fluke Biomedical will not be responsible for any injuries sustained due to unauthorized equipment modifications.

Restrictions and Liabilities

Information in this document is subject to change and does not represent a commitment by Fluke Biomedical. Changes made to the information in this document will be incorporated in new editions of the publication. 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.

Manufacturing Location

The HHC3 Hand Held Controller is manufactured in India for Fluke Biomedical, 6920 Seaway Blvd., Everett, WA, U.S.A.

Chapter Title Page

1 Introduction and Specifications.............................................. 1-1

Introduction .......................................................................................... 1-1

Safety.................................................................................................... 1-1

Specifications........................................................................................ 1-3

2 Using the Controller................................................................. 2-1

Controls and Connectors....................................................................... 2-1

Connecting the Controller to a Simulator ............................................. 2-1

Connecting the Controller to a PC........................................................ 2-1

Powering the Controller........................................................................ 2-7

Adjusting the Beeper Level............................................................... 2-7

Adjusting the Viewing Angle ........................................................... 2-7

Command Types................................................................................... 2-8

Single-Key and Dual-Key Commands.............................................. 2-8

Immediate Commands ...................................................................... 2-10

Stepped Commands .......................................................................... 2-10

Factory Sequences ................................................................................ 2-11

User Sequences..................................................................................... 2-11

Replacing the Batteries ......................................................................... 2-12

3 Programming User Sequences ............................................... 3-1

Entering User Defined Mode................................................................ 3-1

Defining User Sequences...................................................................... 3-2

Specifying the Advance Technique .................................................. 3-5

Viewing and Editing User Sequences............................................... 3-7

Deleting Commands...................................................................... 3-9

Editing Commands........................................................................ 3-10

Skipping Command Editing.......................................................... 3-16

Adding Commands ....................................................................... 3-20

Deleting All User Sequences ............................................................ 3-23

Running a Factory or User Sequence.................................................... 3-24

4 Using the Application Software .............................................. 4-1

Introduction .......................................................................................... 4-1

Installing the HHC-Utility Software..................................................... 4-1

Connecting the Controller to a PC........................................................ 4-5

HHC3

Users Manual

Testing the Connection......................................................................... 4-6

Downloading User Sequences.............................................................. 4-7

Uploading User Sequences................................................................... 4-8

Error Messages..................................................................................... 4-10

Appendices

A Dual-Key Commands ................................................................... A-1

B Factory Sequences........................................................................ B-1

List of Tables

Table Title Page

1-1. Symbols............................................................................ 1-2

2-1. Controls and Connectors .................................................. 2-3

2-2. Start Up Sequence ............................................................ 2-7

2-3. Single-Key Commands..................................................... 2-8

A-1. Dual-Key Commands ....................................................... A-1

B-1. Factory Sequences (medSim 300B) ................................. B-1

B-2. Factory Sequences (MPS450 and Marq III)..................... B-5

List of Figures

Figure Title Page

2-1. Controls and Connectors .................................................. 2-2

2-2. Back Panel........................................................................ 2-3

2-3. Connecting the Controller to a Simulator......................... 2-6

2-4. Replacing the Batteries..................................................... 2-12

4-1. Connecting the Controller to a PC.................................... 4-5

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Chapter 1

Introduction and Specifications

Introduction

The HHC3 Hand-Held Controller (hereafter called the “Controller”) facilitates the direct selection of parameters for the Fluke Biomedical medSim 300B, MPS450, and Marq III simulators. The Controller uses telephone receiver cable for connection to a simulator. The Controller provides for single-key commands, dual-key commands, factory-defined sequences, or easy programming of user-defined sequences. It displays the current waveform selection and the user prompt on the alphanumeric display.

Safety

WXWarning. Read before using the Controller.

To avoid personal injury, follow these guidelines:

• Do not use in any manner not specified in the Users

Manual. Otherwise, the protection provided by this product may be impaired.

• Always press power off on the Controller and unplug the

Battery Eliminator before cleaning the outer surface.

• Inspect the product. If the Controller appears damaged or

appears to operate in a manner not specified in the manual, DO NOT CONTINUE USE. Return for service.

• Avoid spilling liquids on the Controller; fluid seepage into

internal components creates corrosion and a potential shock hazard. Do not operate the instrument if internal components are exposed to fluid.

Do not open this product. There are no user replaceable parts.

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WCaution

Calibrate the Controller annually. Only qualified technical personnel should perform troubleshooting and service procedures on the Controller.

Do not expose the Controller to temperature extremes. Ambient operating temperatures should remain between 15 and 35 °C. Temperature fluctuation above or below this range may adverse affect the Controller.

Refer to Table 1-1 for descriptions of symbols found on the Controller.

Table 1-1. Symbols

Symbol Description

W See Users Manual.

Caution risk of electric shock

Manufacturer’s declaration of product compliance with applicable EU directives

Battery Eliminator Port

Do not mix with solid waste stream. Dispose of using a qualified recycler or hazardous material handler.

1-2

Introduction and Specifications Specifications

Specifications

Size......................................................................... Height: 16.00 cm (6.30 in); Width: 8.10

Weight (with batteries) ......................................... 0.36 kg (0.8 lbs)

Environmental....................................................... Indoor use

Temperature, Operating ....................................... 15 to 35

Temperature, Storage........................................... 0 to 50

Maximum Humidity, Operating ........................... 80 % relative humidity up to 31

Maximum Humidity, Storage .............................. 95 %

Altitude .................................................................. Up to 2000 m

Power

medSim 300B .....................................................RS232 cable supplied

MPS450, Marq III................................................ Four AA Alkaline batteries or battery

Battery Power Supply

Four alkaline AA cells, non-rechargeable

Voltage ............................................................... 1.5 x 4 VDC

Battery Life (continuous use) .............................. 60 hours

Battery Eliminator Supply

Output Voltage ................................................... 9 VDC

Output Current ................................................... 50 mA

Display ................................................................... 2 x 16 LCD, adjustable viewing angle

Controls ................................................................. 20 control keys and ON/OFF power

Interface ................................................................ RS232 bi-directional interface. Auto

cm (3.19 in); Depth: 3.58 cm (1.41 in)

°C (59 to 95 °F)

°C (32 to 122 °F)

°C

°F), decreasing linearly to 50 %

(88 relative humidity at 40

eliminator

switch. Embossed keys in 4x5 matrix

connect to Simulator parameters.

°C (104 °F).

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Standard Accessories

Users Manual ..................................................... PN 2671068

CD (Users Manual, Application SW) .................. PN 2671031

Serial Interface Cable (medSim 300B) ............... PN 2712829

Serial Interface Cable (MPS450, Marq III).......... PN 2702279

Serial Adapter Cable .......................................... PN 2702287

AA Alkaline Batteries (4)..................................... Duracell MN1500 LR8 1.5 Volts (or

Instruction Cards

medSim 300B .................................................. PN 2671046

MPS450 and Marq III....................................... PN 2671022

Optional Accessories

Battery Eliminator ............................................... PN 2720054

Compatible Simulators

medSim 300B Base Model

medSim 300B w/CO Option

medSim 300B w/Option 1 Options

medSim 300B w/CO and Option 1 Options

MPS450 Base Model

MPS450 w/ CO Option

MPS450 w/ Fetal/Maternal ECG/IUP Option

MPS450 w/CO and Fetal/Maternal ECG/IUP Options

Marq III (GE Medical Systems OEM based upon the MPS450)

Modes of Operation

Single Key

Dual Key

Factory Sequence

User Sequence

equivalent)

1-4

Chapter 2

Using the Controller

Controls and Connectors

Refer to Figures 2-1 and 2-2 and Table 2-1 for an introduction to the controls and connectors.

Connecting the Controller to a Simulator

Use the Serial Interface Cable (PN 2712829) for connecting to the medSim 300B simulator. Use the Serial Interface Cable (PN 2702279) for connecting to the MPS450 or Marq III simulator. Refer to Figure 2-3 for a sample view of the connection to the MPS450.

Connecting the Controller to a PC

Chapter 4 describes software installation and hardware connections for uploading and downloading files.

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2-2

ems001f.eps

Figure 2-1. Controls and Connectors

Using the Controller Connecting the Controller to a PC

Figure 2-2. Back Panel

ems034f.eps

Table 2-1. Controls and Connectors

Item Name Description

A A Power on/off key. Press on, press off.

B Battery eliminator connector. For use when connected to the

MPS450 or Marq III simulator.

C RS232 serial port connector. Telephone style connector to attach the

RS232 cable from the simulator.

D Display LCD, 2x16, adjustable viewing angle.

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Table 2-1. Controls and Connectors (cont.)

Item Name Description

E Ventricular Arrhythmias E immediately commands asystole.

N immediately commands a pair of

PVCs.

O immediately commands

ventricular tachycardia.

P immediately commands

ventricular fibrillation.

F Q Initiates selection of dual-key

commands.

G U Stops execution of dual-key command

and returns to the previous menu screen.

STEP keys S moves to the next selection.

R moves to the previous selection.

T sends the stepped command to

the simulator.

I INSERT keys K immediately commands a PAC.

L immediately commands a PVC. M immediately commands a PNC.

J Conduction Arrhythmias H immediately commands a second

degree A-V block, type 1.

I immediately commands a left

bundle branch block.

J immediately commands a third

degree A-V block.

2-4

Using the Controller Connecting the Controller to a PC

Table 2-1. Controls and Connectors (cont.)

Item Name Description

K Supra Ventricular

Arrhythmias

G immediately commands coarse

atrial fibrillation.

F immediately commands atrial

flutter.

L NSR Rate B accesses series of NSR rates.

Press

R or S to navigate, T to

send command.

C immediately commands an NSR

rate of 160 BPM (Sinus Tachycardia)

D immediately commands an NSR

rate of 30 BPM (Sinus Bradycardia)

M Instruction Cards Lists of dual-key selections. One list

documents dual-key commands sent to the medSim 300B. A second list documents commands sent to the MPS450 and Marq III.

N Battery Compartment Four AA alkaline batteries.

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HHC3

MPS450

2-6

Figure 2-3. Connecting the Controller to a Simulator

ems032f.eps

Using the Controller Powering the Controller

Powering the Controller

With the medSim 300B, the Controller receives power via the RS232 cable. With the MPS450 and Marq III, use four alkaline batteries or the Battery Eliminator (PN 2720054).

Press A to power on the Controller. Refer to Table 2-2 for the sequence of keys and display screens you will encounter during the power-on process.

Table 2-2. Start Up Sequence

Press Display Notes

2 second delay

Firmware number,

2 second delay

Adjusting the Beeper Level

The Controller emits a single beep at power on and after any valid key press. An invalid key press yields a double beep. Begin adjusting the Controller beeper level by pressing Q I N. Then press R or S to select a new level.

Adjusting the Viewing Angle

Begin adjusting the Controller viewing angle by pressing Q I E. Then press R or S to select a new angle.

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Command Types

Single-Key and Dual-Key Commands

There are 15 single-digit keys (0-E) on the Controller. Each command appears on its respective key. Most single-digit keys act immediately: the Controller sends the command when you press the key. However, the B key requires that you also take at least one more step with the Sor R key, and then press T.

Key

Refer to Table 2-3 for descriptions of the single-key commands.

Table 2-3. Single-Key Commands

Description NSR Rate (Stepped)

NSR Rate 30 BPM NSB30 NSR30 NSR30 NSR Rate 40 BPM NSR40 NSR40 NSR Rate 45 BPM NSR45 NSR45 NSR Rate 60 BPM NSB60 NSR60 NSR60 NSR Rate 80 BPM NSB80 NSR80 NSR80 NSR Rate 90 BPM NSR90 NSR90 NSR Rate 100 BPM NSR100 NSR100 NSR Rate 120 BPM NSB120 NSR120 NSR120 NSR Rate 140 BPM NSR140 NSR140 NSR Rate 160 BPM NSB160 NSR160 NSR160 NSR Rate 180 BPM NSR180 NSR180 NSR Rate 200 BPM NSB20 NSR200 NSR200 NSR Rate 220 BPM NSR220 NSR220 NSR Rate 240 BPM NSB240 NSR240 NSR240 NSR Rate 260 BPM NSR260 NSR260 NSR Rate 280 BPM NSR280 NSR280 NSR Rate 300 BPM NSB300 NSR300 NSR300

NSR Rate 160 BPM Sinus Tachycardia

NSR Rate 30 BPM Sinus Bradycardia

NSB160

NSB30

Command Sent on Serial Port to Simulator

medSim

300B

MPS450

NSR160

NSR30

Marq III

NSR160

NSR30

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Using the Controller Command Types

Table 2-3. Single-Key Commands (cont.)

Key

Description Supra Ventricular Arrhythmias

Atrial Fibrillation, coarse

Atrial Flutter

Ventricular Arrhythmias

Ventricular Tachycardia VTC

Ventricular Fibrillation VFB1

Asystole

Pair of PVCs

Conduction Arrhythmias

Second degree A-V block, type1

Left Bundle Branch Block

Third degree A-V block

Premature Beat

Insert PAC

Insert PVC

Insert PNC

Command Sent on Serial Port to Simulator

medSim

300B

AF1

AFL

ASYS

PAIR

2DB1

LBB

3DB

IPAC

IPVC

IPNC

MPS450

AF1

AFL

VTC

VFB1

ASY

PAIR

2DB1

LBB

3DB

PAC

PVC1S, PVC2S PVC1S, PVC2S

PNC

AF1

AFL

VTC

VFB1

ASY

PAIR

2DB1

LBB

3DB

PAC

PNC

Marq III

Start a dual-key command by pressing Q, followed by the two keys for the command (for example, B and C.) If this dual-key command offers no further selections, the Controller sends it to the simulator immediately. With other dual-key commands, you will need to take at least one more step by pressing S or R to make a selection from a list of commands. Send the selected command by pressing T. Refer to Appendix A for descriptions of dual-key commands.

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Immediate Commands

The Controller will act upon single-key and dual-key commands either immediately or after you complete at least one additional step.

The Controller sends many commands as soon as you press a single key or complete a dual-key sequence. These are immediate commands: no other selection is necessary. The Controller display identifies each immediate command.

All single-digit commands except B are immediate. For a dual-key immediate command example, press Q B K, which yields the following display:

The Controller sends this command to the simulator without further action.

Stepped Commands

Pressing a single-key or selecting the second key in a dual-key sequence can require a secondary selection. These are stepped commands: additional selections may be required. The display identifies such a command with up and down arrow symbols. You press R or S to make the stepped command selection. For example, pressing Q C G yields the following display:

Pressing R at this point accesses the next selection for this stepped command, as follows:

With the required selection displayed, press T to send the command to the simulator.

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Using the Controller Factory Sequences

Factory Sequences

The Controller features several pre-programmed common test sequences referred to as factory sequences. Start a factory sequence by pressing Q, followed by the two keys for the sequence. Access factory sequences for the medSim 300B by using dual keys G J through H E. Access factory sequences for the MPS450 or Marq III by using dual keys L G through M D. Factory sequences are immediate commands. The display changes to identify each part of the sequence.

Note

With the Controller connected to the medSim 300B, you can also access four user-defined sequences programmed on that simulator. Access these sequences with keys H F through H I.

Refer to Appendix B for descriptions of factory sequences for the medSim 300B and MPS450/Marq III simulators.

User Sequences

User sequences allow you to set up test programs using the Controller’s keypad. You will be able to program the user-defined command by selecting up to 100 steps involving existing single- or dual-key commands and userentered delay times and termination techniques. You can set up user sequences for dual keys K B through L F. Refer to Chapter 3 for a detailed discussion of these user sequences.

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Replacing the Batteries

If you are using the Controller with the MPS450 or Marq III simulator, either a battery or a battery eliminator will be required. Refer to Figure 2-4 when removing and installing the batteries. The battery eliminator connects at the top of the Controller.

Note

Use the battery eliminator whenever possible, especially when running long-term test sequences.

2-12

Figure 2-4. Replacing the Batteries

ems002f.eps

Chapter 3

Programming User Sequences

Entering User Defined Mode

You can define user sequences for the dual keys from 90 to A4. These user sequences form a set of dual-key commands existing for each simulator. You can define these sequences with different types of intermediate delays between each command in the sequence.

Note

Press U to go to the previous menu.

Use these steps to define user sequences:

1. Turn off the Simulator and the Controller.

2. Connect the Controller and any one of the simulators (medSim 300B,

MPS450, Marq III) and then switch the Simulator on.

3. While holding down the T on the Controller, switch ON the Controller.

4. Continue to hold T until the display shows WAIT. After the Power up

display appears, the Controller displays the menu for the Start up mode:

5. You have three choices for defining user sequences at this point:

DEFINE

VIEW/EDIT (allows for Deleting, Editing, Skipping Editing, and Adding)

DELETE ALL

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Press T to enter Define, or press S for View/Edit; the display shows:

Press R for Define or press S for Delete All; the display shows:

Defining User Sequences

1. Press T at the DEFINE menu. The display shows:

2. Press T to confirm. The display shows:

3. Press the first digit of the user-programmable dual keys (from K B to L F). The display shows:

3-2

Programming User Sequences Defining User Sequences

4. Press the second digit of the user-programmable dual keys. The display

shows:

5. Press Q to begin entering the dual key command. The display shows:

6. Press the first digit (from B to J) of the chosen two-digit waveform.

The display shows:

7. Press the second digit (from B to P) for the chosen two-digit

waveform. If the two-digit waveform number just entered is an immediate command, the display shows the corresponding command description. For example, if you pressed the dual keys C B, the display changes to:

8. Press T to define the new user sequence. The display changes to:

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9. After two seconds, the display changes to:

10. If the two-digit waveform number just entered is a stepped command, the display shows the corresponding command description of the selection value along with the arrows. For example, if you pressed the dual keys D P, the display changes to:

11. Press R or S to select one of the values, and then press T. The display shows:

12. Press S to scroll through the menu. The display shows:

If you press T at the DEFINE AS IMMEDIATE menu, the Controller defines the new selection as an immediate command with the selected value of the stepped command.

3-4

Programming User Sequences Defining User Sequences

Specifying the Advance Technique

Alternatively, if you press T at the DEFINE AS STEPPED menu, the C

ontroller defines the new user command as a stepped command. The display

en shows:

After two seconds, the display changes to:

Press R or S to scroll through the menu for selecting the type of

delay. Press S, and the display changes to:

Press S, and the display changes to:

At this point, you can select any of these types of delay and press T. If

the delay type selected is DEFINE TIMING DELAY, the display changes to:

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4. Enter the time delay after the command in hours, minutes, seconds (HH MM SS) format. For example:

5. Press T, even if the delay type is DEFINE TIMING IMMEDIATE or DEFINE TIMING MANUAL. The display shows:

6. Press R or S to scroll through the menu to define more commands, or to end the command definition and define the ACTION AFTER LAST COMMAND, as shown below:

7. Press T at the DEFINE MORE COMMANDS menu to define the next command and its corresponding delay. The display then returns to:

8. Alternatively, press T at the ACTION AFTER LAST COMMAND menu to end the defining of commands for that user sequence and define the ACTION AFTER LAST CMD. The display then shows the menu:

3-6

Programming User Sequences Defining User Sequences

9. Press S or R to scroll through the menu. The display then shows:

10. Press T at ACTION AFTER LAST CMD - STOP. The Controller then

defines the action after executing the last command in the sequence as STOP; the execution stops. Alternatively, if you press T at ACTION AFTER LAST CMD - RPT, the Controller defines the action after executing the last command in the sequence as REPEAT; the sequence execution repeats again from the first command in the sequence. The display then shows:

Viewing and Editing User Sequences

1. Press T at the VIEW/EDIT menu. The display then shows:

2. Press T to confirm. The display changes to:

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3. Press the first digit of the user-programmed dual keys (from K B to L F). The display shows:

4. Press the second digit of the user-programmed dual keys. The display shows:

5. Press T to select that user-programmed dual keys, which then displays the command defined for those keys. For example, if you pressed the dual keys K B, the display changes to:

Press R or S to scroll for any of the commands defined for that key.

6. Press T to select any of the commands, and the display changes to:

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Programming User Sequences Defining User Sequences

7. Press R or S to scroll through the menu for the following options:

Deleting Commands

1. Press T to select one of the options. If you press T when DELETE

COMMAND displays, the Controller deletes the selected command, and the display shows:

2. Press T; the display now shows the next existing command defined for

that sequence. For example:

From here forward, the same procedure follows with the options for deleting or editing the command if you press T.

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Editing Commands

1. If you press T when EDIT COMMAND displays, you can edit the selected command; the display then shows:

2. Press the first digit (from B to J) of the chosen two-digit waveform.

3. Press the second digit (from B to P) of the chosen two-digit waveform. If the two-digit waveform number just entered is an immediate command, the display shows the corresponding command description. For example, if you press the dual keys C B, the display shows:

4. Press T to edit one of the selected user commands. The display changes to:

3-10

Programming User Sequences Defining User Sequences

After two seconds, the display changes to display the type of delay defined previously for that command. If DELAY was IMMEDIATE, the display shows:

If DELAY was MANUAL, the display shows:

If you defined the Delay as Timed, the display shows:

5. If the two-digit waveform number just entered is a stepped command, the

display shows the corresponding command description of the default selection value along with the arrows. For example, if you press the dual keys D P, the display shows:

6. Press R or S to select one of the values, and then press T. The

display then shows this menu:

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7. Press S to scroll through the menu:

8. At this point, two choices are available. If you press T at the DEFINE AS IMMEDIATE menu, the Controller defines the new user sequence as an immediate command with the selected value of the stepped command. Alternatively, if you press T at the DEFINE AS STEPPED menu, the Controller defines the new user sequence as a stepped command. The display then shows:

After two seconds, the display changes to show the type of delay defined previously for that command.

If the defined DELAY was IMMEDIATE, the display shows:

If the defined DELAY was MANUAL, the display shows:

If you defined the DELAY as TIMED, the display shows:

3-12

Programming User Sequences Defining User Sequences

9. Press T to proceed with the next display, which shows:

10. Press S to scroll through the menu for the next option, which displays:

11. Press T to select one of the options. If you press T at EDIT

DELAY, the display changes to:

12. Press R or S to scroll through the delay selection menu. Press S,

and the display changes to:

13. Press S, and the display changes to:

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14. At this point, you can select any of these types of delay and press T. If the delay type selected is DEFINE TIMING DELAY, the display changes to:

15. Enter the time delay after the command in hours, minutes, seconds (HH MM SS) format. For example:

16. Press T after you define the delay. The display changes to:

After 2 seconds (if the defined ACTION was STOP), the display shows:

If you press T at the SKIP EDIT DELAY option, the Controller also shows the following display:

3-14

Programming User Sequences Defining User Sequences

Alternatively, if the defined Action was REPEAT, the display shows:

17. Press T to proceed with the next display, which shows:

18. Press S to scroll the menu for the next option, which displays:

19. Press T to select the option. If you press T at EDIT ACTION

AFTER LAST CMD, the display changes to:

20. Press S to scroll to the next option, which displays:

21. Press T to select any of the above options. The display changes to:

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After two seconds, the display returns to:

22. If you press T at SKIP ACTION AFTER LAST CMD, the display changes to:

After two seconds, the display returns to:

Skipping Command Editing

If you press T at SKIP EDIT COMMAND, you cannot edit the selected command. However, you can edit the corresponding defined delay for that command with the new type of delay. If the defined DELAY was IMMEDIATE, the display shows:

If the defined DELAY was MANUAL, the display shows:

3-16

Programming User Sequences Defining User Sequences

If you defined the DELAY as TIMED, the display shows:

1. Press T to proceed with the next display, which shows:

2. Press S to scroll through the menu for the next option, which displays:

3. Press T to select one of the options. If you press T at EDIT

DELAY, the display changes to:

4. Press R or S to scroll through the menu for selecting the type of delay. Press S, and the display changes to:

3-17

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5. Press S, and the display changes to:

6. At this point, you can select any of these types of delay and press T. If

the delay type selected is DEFINE TIMING DELAY, the display changes to:

7. Enter the time delay to execute after the command in hours, minutes,

seconds (HH MM SS) format. For example:

8. Press T after you define the delay. The display changes to display the

type of action after the last command that was previously defined for that command.

After 2 seconds (if the defined Action was STOP), the display shows:

If you pressed T at SKIP EDIT DELAY, the Controller also shows the above display.

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Programming User Sequences Defining User Sequences

Alternatively, if the defined Action was REPEAT, the display shows:

9. Press T to proceed with the next display, which shows:

10. Press S to scroll through the menu for the next option, which displays:

11. Press T to select the option. If you press T at EDIT ACTION AFTER LAST CMD, the display changes to:

12. Press S to scroll to the next option, which displays:

13. Press T to select any of the above options. The display changes to:

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After two seconds, the display returns to:

14. If you press T at SKIP ACTION AFTER LAST CMD, the display

changes to:

After two seconds, the display returns to:

Adding Commands

If you pressed T at ADD COMMAND, the Controller adds a new command at the end of all the commands in the sequence. You will be defining the new command and the corresponding delay. The display shows:

1. Press the first digit (from B to J) of the chosen two-digit waveform.

2. Press the second digit (from B to P) of the chosen two-digit

waveform. If the two-digit waveform number just entered is an immediate

3-20

Programming User Sequences Defining User Sequences

command, the display shows the corresponding command description. For example, if you press the dual keys C B, the display changes to:

3. Press T to add the command for the existing user sequence. The display changes to:

After two seconds, the display changes to:

4. If the two-digit waveform number just entered is a stepped command, the display shows the corresponding command description of the default selection value along with the arrows. For example, if you pressed the dual keys D P, the display changes to:

5. Press R or S to select one of the values, and then press T. The display then shows this menu:

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6. Press S to scroll through the menu:

7. At this point, two choices are available. If you pressed T at the

DEFINE AS IMMEDIATE menu, the Controller defines the command as a stepped command and adds it to the existing sequence. Alternatively, if you pressed T at the DEFINE AS STEPPED menu, the Controller defines the new user sequence as a stepped command. The display then shows:

After two seconds, the display changes to:

8. Press R or S to scroll through the menu for selecting the type of delay. Press S, and the display changes to:

9. At this point, you can select any of these types of delay and press T. If the delay type selected is DEFINE TIMING DELAY, the display changes to:

3-22

Programming User Sequences Defining User Sequences

10. Enter the time delay after the command in hours, minutes, seconds (HH

MM SS) format. For example:

11. Press T after you define the delay. The display returns to the initial

display, which again repeats in the same way as for other user-defined sequences. The display shows:

After 2 seconds, the display returns to the initial screen:

Deleting All User Sequences

1. Press T to select DELETE ALL, which deletes the commands defined

for all the user sequences. Then the Controller display shows:

2. If you press T at this display, the Controller deletes all the user

sequences and shows:

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3. Press T to return to the Start-up mode, which displays:

Running a Factory or User Sequence

Invoking Factory or User sequences resembles dual-key operation.

There are 13 Factory sequences, corresponding to the dual keys from L G to M D. There can be up to 20 User sequences, corresponding to the dual keys from K B to L F.

These sequences consist of a set of commands that execute one after the other in the order defined by the user, with an intermediate delay between commands. These delays can be immediate (with a default minimum delay of 2 seconds), timed (where the user defines the specific time), or manual (where you have to use S to proceed to the next command in the sequence.)

If the delay is immediate, the Controller executes the command, waits for the default 2-second delay, and automatically proceeds to the next command. If the delay is timed, the Controller executes the command, waits for the defined delay, and proceeds to the next command automatically.

If you defined the timed delay for an immediate command, the Controller displays the corresponding command description. After two seconds, the Controller shows the following display until the defined delay elapses:

3-24

Programming User Sequences Running a Factory or User Sequence

If the delay type is manual, the Controller sends the command to the simulator immediately. The Controller displays the command description. After two seconds, the display shows:

Press S to exit this command and proceed with the next command in the sequence.

For stepped commands, you can scroll through the stepped command selection values and press T to execute that command. At this stage, you can press R or S to select any other selection value and execute or you can press and hold S to exit this stepped command and proceed with the next command in the sequence.

At the end of the sequence execution, if you defined the action after last command as STOP, the Controller displays:

Alternatively, if you defined the action after last command as REPEAT, the Controller continues executing the same sequence from the beginning.

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3-26 4-1

Chapter 4

Using the Application Software

Introduction

Use the HHC-Utility software to upload and download user-defined sequences from and to a PC. Upload gets the user-defined sequences defined in the Controller and saves them in a text file on the PC. Download sends the userdefined sequences saved in a text file on the PC to the Controller.

Installing the HHC-Utility Software

Note

Install the software prior to connecting the hardware.

Select Start | Run | SetUp.exe to install the HHC-Utility software. Soon after the installation starts, click the Next > button; a window appears as follows:

ems027s.bmp

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1. Enter the user name and the organization name. Next, click “Anyone who uses this computer (all users)” or “Only for me.” Then click the Next > button. The following window now appears:

ems028s.bmp

4-2

Using the Application Software Installing the HHC-Utility Software

2. Next, select the path for installing the application on the PC. The default

path is C:\Program Files\FLUKE\HHC-Utility Software. To proceed, click the Next > button. The software displays all the details you require for installation as follows:

ems029s.bmp

3. Click the Next > button in the preceding window: installation of the HHC

– PC Utility software will now proceed.

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4. When installation is complete, a window appears as follows:

ems031s.bmp

5. Uncheck the box if you do not want to launch the application immediately. Then click the Finish button.

6. To run the application, go to Start → Programs → FLUKE → HHC-Utility Software and select HHC-Utility Software. A short cut for the executable file will appear on the desktop with the name "HHC-Utility Software." Run the application by double clicking on the short cut.

7. To uninstall the software, go to Start → Programs→ FLUKE → HHC-Utility Software and select Uninstall HHC-Utility Software.

4-4

Using the Application Software Connecting the Controller to a PC

Connecting the Controller to a PC

Note

Install the software prior to connecting the hardware.

Connect the Controller to a PC using the MPS450/Marq III Serial Interface Cable (PN 2702279) and the Serial Adapter Cable (2702287.) Refer to Figure 4-1 for a view of Controller-to-PC connections.

HHC3

Figure 4-1. Connecting the Controller to a PC

4-5

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Testing the Connection

Soon after the application starts, the HHC–Utility software displays:

ems006s.bmp

Launch the HHC-Utility software and select the Serial Port or USB Port to which the Controller is connected.

Select the Serial Port radio button if the Controller connects to the PC via an RS232 cable, and then select the appropriate COM Port. Select USB if the Controller connects to the PC via a USB-to-RS-232 converter cable. Select the appropriate COM Port.

4-6

Using the Application Software Downloading User Sequences

Click the CONNECTION button. If the connection is successful, the software enables all controls on the PC Utility screen except the CONNECTION button and the Communication Port section, as shown below:

ems007s.bmp

Downloading User Sequences

During this process, the text files from the PC will automatically download into the Controller. The DOWNLOAD button and other controls go active after the connection between the Controller and the PC is successful.

Follow the procedure mentioned earlier to successfully connect and communicate between the Controller and the PC.

Select the type of simulator to receive a text file download. The text file contains the user-defined sequences.

Double click on the required directory; this in turn will display the available text files of that directory in a file list box.

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You can select a text file from the list box by clicking on the corresponding text file. The selected file appears in the text box.

Then click the DOWNLOAD button. The following message appears if the download process is successful:

ems008s.bmp

Uploading User Sequences

During this process, user-defined sequences upload from the Controller into the PC.

Follow the procedure mentioned earlier to connect the Controller and the PC.

Select the type of simulator to upload the user-defined sequences.

Click the UPLOAD button. If the PC receives all the user-defined sequences, an Upload success message appears as follows:

Note

The PC creates the folder “HHC Commands Back Up” in the application folder. Text file name will contain the simulator name.

ems009s.bmp

The received data automatically saves to a folder named “HHC Commands Back Up.”

4-8

Using the Application Software Uploading User Sequences

Note

If you upload and download the same file several times between the PC and the attached HHC3, the program will create duplicate files. While this condition does not cause any damage to the program, it makes it difficult to both locate the original files and easily manage the required files.

To delete duplicate files from the HHC3 Program installed on your PC, you must directly access the files via the My Computer icon. To perform this task, open the HHC-Utility software and proceed as follows:

1. Double-click on the displayed folder: HHC Commands Back Up

2. Double click on and then copy the entire displayed file path in the above

window. A default setting example is as follows:

c:\Program Files\FLUKE\HHC - Utility Software\HHC Commands Back Up

3. Double click on the My Computer icon on your PC screen.

4. Copy the file on to the Address line and then click Go.

5. Highlight and then delete the duplicated files created by the multiple

uploads and downloads.

6. Return to the HHC-Utility software.

7. Refresh the displayed "Select Data Base File" by double clicking the

above "HHC- Utility Folder" and then return to the HHC Commands Back Up folder by double clicking on it. The deleted files are now removed from the list.

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Error Messages

If you have not selected and clicked one of the ports on the CONNECTION button, an error message appears as follows:

ems010s.bmp

Click the OK button and select a serial or USB port.

A warning message appears as follows soon after USB port selection.

ems011s.bmp

Click the OK button and select the COM port allocated for USB.

If you have clicked the CONNECTION button but have not selected a COM port, an error message appears as follows:

ems012s.bmp

Click the OK button and select the COM port.

4-10

Using the Application Software Error Messages

The last available COM port will be the port allocated to USB. If you have not selected the last port, an error message appears as follows:

Click the OK button and select the last COM port.

If the connection between the Controller and the PC is not successful, a message appears on the PC Utility screen as follows:

Click the OK button, restart the Controller, select the appropriate COM port, and click the CONNECTION button again.

If you have clicked the DOWNLOAD button but have not selected the required parameters, an error message appears as follows:

ems013s.bmp

ems014s.bmp

Click the OK button and select the required parameters.

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If there is any problem with accessing the user-selected port, an error message appears as follows:

ems016s.bmp

Click the OK button and select a valid COM port.

If there is any mismatch between the text file and the simulator selected, an error message appears as follows:

ems017s.bmp

The same error message appears if the received data does not match with the simulator selected. Click the OK button and try uploading and downloading files again.

If there is any error in accessing the user-selected text file, a message appears as follows:

Click the OK button and select a valid file.

4-12

ems018s.bmp

Using the Application Software Error Messages

If the “Number of packets“ value read from the file or port is more than the “Maximum packets” or equal to zero, an error message appears as follows:

Click the OK button and try uploading and downloading files again.

If the software does not receive a positive acknowledgement for the download or upload process initialization, an error message appears as follows:

Click the OK button and try uploading and downloading files again.

If the software does not receive a positive acknowledgement for the packet transmitted during download, an error message appears as follows:

ems019s.bmp

ems020s.bmp

Click the OK button and try downloading again.

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If you have clicked the UPLOAD button but have not selected the required parameters, an error message appears as follows:

ems022s.bmp

Click the OK button and select the required parameters.

If the software does not receive the “number of packets” value or a complete packet within the given time, an error message appears as follows:

ems023s.bmp

Click the OK button and try uploading again.

If data read from the port is not of the valid format, an error message appears as follows:

Click the OK button and try uploading again.

4-14

ems024s.bmp

Using the Application Software Error Messages

If the Packet Size received is more than the “Maximum packet Size” or equal to zero, an error message appears as follows:

Click the OK button and try uploading again.

If there is a checksum error even after re-reception of the same packet twice from the Controller, an error message appears as follows:

Click the OK button and try uploading again.

ems025s.bmp

ems026s.bmp

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4-16

Appendix A

Dual-Key Commands

Introduction

BP1, BP2, BP3, or BP4 are set to normal values by sending command P1LV, P2ART, P3PA, or P4RV, respectively, for all three simulators. Follow this with one of the commands shown in Table A-1.

Table A-1. Dual-Key Commands

Keys Command Description medSim 300B MPS450 Marq III

B B

B C

NSR

NSR Rate

Normal sinus ECG at 30 BPM NSB30 (Step) NSR30 (Step) NSR30 (Step) Normal sinus ECG at 40 BPM NSR40 NSR40 Normal sinus ECG at 45 BPM NSR45 NSR45 Normal sinus ECG at 60 BPM NSB60 NSR60 NSR60 Normal sinus ECG at 80 BPM NSB80 NSR80 NSR80 Normal sinus ECG at 90 BPM NSR90 NSR90 Normal sinus ECG at 100 BPM NSR100 NSR100 Normal sinus ECG at 120 BPM NSB120 NSR120 NSR120 Normal sinus ECG at 140 BPM NSR140 NSR140 Normal sinus ECG at 160 BPM NSB160 NSR160 NSR160 Normal sinus ECG at 180 BPM NSR180 NSR180 Normal sinus ECG at 200 BPM NSB200 NSR200 NSR200 Normal sinus ECG at 220 BPM NSR220 NSR220 Normal sinus ECG at 240 BPM NSB240 NSR240 NSR240 Normal sinus ECG at 260 BPM NSR260 NSR260 Normal sinus ECG at 280 BPM NSR280 NSR280 Normal sinus ECG at 300 BPM NSB300 NSR300 NSR300

NSR

A-1

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Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

B D

J B

ECG Amplitude

ECG Amplitude 0.05 mV NSA0.05 (Step) NSA0.05 (Step) NSA0.05 (Step) ECG Amplitude 0.10 mV NSA0.10 NSA0.10 NSA0.10 ECG Amplitude 0.15 mV NSA0.15 NSA0.15 NSA0.15 ECG Amplitude 0.20 mV NSA0.20 NSA0.20 NSA0.20 ECG Amplitude 0.25 mV NSA0.25 NSA0.25 NSA0.25 ECG Amplitude 0.30 mV NSA0.30 NSA0.30 NSA0.30 ECG Amplitude 0.35 mV NSA0.35 NSA0.35 NSA0.35 ECG Amplitude 0.40 mV NSA0.40 NSA0.40 NSA0.40 ECG Amplitude 0.45 mV NSA0.45 NSA0.45 NSA0.45 ECG Amplitude 0.50 mV NSA0.50 NSA0.50 NSA0.50 ECG Amplitude 0.75 mV NSA0.75 ECG Amplitude 1.00 mV NSA1.00 NSA1.00 NSA1.00 ECG Amplitude 1.25 mV NSA1.25 ECG Amplitude 1.50 mV NSA1.50 NSA1.50 NSA1.50 ECG Amplitude 1.75 mV NSA1.75 ECG Amplitude 2.00 mV NSA2.00 NSA2.00 NSA2.00 ECG Amplitude 2.25 mV NSA2.25 ECG Amplitude 2.50 mV NSA2.50 NSA2.50 NSA2.50 ECG Amplitude 2.75 mV NSA2.75 ECG Amplitude 3.00 mV NSA3.00 NSA3.00 NSA3.00 ECG Amplitude 3.25 mV NSA3.25 ECG Amplitude 3.50 mV NSA3.50 NSA3.50 NSA3.50 ECG Amplitude 3.75 mV NSA3.75 ECG Amplitude 4.00 mV NSA4.00 NSA4.00 NSA4.00 ECG Amplitude 4.25 mV NSA4.25 ECG Amplitude 4.50 mV NSA4.50 NSA4.50 NSA4.50 ECG Amplitude 4.75 mV NSA4.75 ECG Amplitude 5.00 mV NSA5.00 NSA5.00 NSA5.00 ECG Amplitude 5.25 mV NSA5.25 ECG Amplitude 5.50 mV NSA5.50 NSA5.50 NSA5.50

Patient type

Set patient type to Adult ADULT (Step) ADULT (Step) Set patient type to Pediatric PEDS PEDS

A-2

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

B E

B F

B G B

S-T Segment deviation

S-T Segment deviation -0.8 mV STD-0.8 (Step) STD-0.8

S-T Segment deviation -0.7 mV STD-0.7 STD-0.7 STD-0.7 S-T Segment deviation -0.6 mV STD-0.6 STD-0.6 STD-0.6 S-T Segment deviation -0.5 mV STD-0.5 STD-0.5 STD-0.5 S-T Segment deviation -0.4 mV STD-0.4 STD-0.4 STD-0.4 S-T Segment deviation -0.3 mV STD-0.3 STD-0.3 STD-0.3 S-T Segment deviation -0.2 mV STD-0.2 STD-0.2 STD-0.2 S-T Segment deviation -0.1 mV STD-0.1 STD-0.1 STD-0.1 S-T Segment deviation -0.05 mV STD-0.05 STD-0.05 STD-0.05 S-T Segment deviation 0.0 mV STD0 STD0.0 STD0.0 S-T Segment deviation +0.05 mV STD+0.05 STD+0.05 STD+0.05 S-T Segment deviation +0.1 mV STD+0.1 STD+0.1 STD+0.1 S-T Segment deviation +0.2 mV STD+0.2 STD+0.2 STD+0.2 S-T Segment deviation +0.3 mV STD+0.3 STD+0.3 STD+0.3 S-T Segment deviation +0.4 mV STD+0.4 STD+0.4 STD+0.4 S-T Segment deviation +0.5 mV STD+0.5 STD+0.5 STD+0.5 S-T Segment deviation +0.6 mV STD+0.6 STD+0.6 STD+0.6 S-T Segment deviation +0.7 mV STD+0.7 STD+0.7 STD+0.7 S-T Segment deviation +0.8 mV STD+0.8 STD+0.8 STD+0.8

Axis deviation

Normal AXNRM (Step) Horizontal AXHRZ Vertical AXVER

Neonatal ECG

Neonatal ECG OFF NEOOFF

Neonatal ECG ON NEOON

(Immed)

(Step)

STD-0.8 (Step)

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Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

B I

B J

Performance waveform

Zero o/p performance waveform ZERO (Step) Pulse 4 sec performance waveform PUL 2 Hz square performance wave

0.125 Hz square performance wave 2 Hz triangle performance wave

2.5 Hz triangle performance wave 30 BPM pulse performance waveform 60 BPM pulse performance waveform

0.05 Hz sine performance wave

0.5 Hz sine performance wave 1 Hz sine performance wave 5 Hz sine performance wave 10 Hz sine performance wave 25 Hz sine performance wave 30 Hz sine performance wave 40 Hz sine performance wave 50 Hz sine performance wave 60 Hz sine performance wave 100 Hz sine performance wave

R wave detection width

R wave detection width 8 ms RW8 (Step) R wave detection width 12 ms RW12 R wave detection width 20 ms RW20 R wave detection width 40 ms RW40 R wave detection width 80 ms RW80 R wave detection width 100 ms R wave detection width 120 ms R wave detection width 140 ms R wave detection width 160 ms R wave detection width 200 ms

SQU

TRI

SIN0.05 SIN0.5 SIN1

SIN10 SIN25 SIN30 SIN40 SIN50 SIN60 SIN100

RW100 RW120 RW140 RW160 RW200

SQU2 (Step) SQU2 (Step) SQU0.125 SQU0.125 TRI2 TRI2 TRI2.5 TRI2.5 PUL30 PUL30 PUL60 PUL60

SIN0.5 SIN0.5

SIN5 SIN5 SIN10 SIN10

SIN40 SIN40 SIN50 SIN50 SIN60 SIN60 SIN100 SIN100

A-4

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

R wave detection width

J I

R wave detection width 8 ms RWW8 (Step) RWW8 (Step) R wave detection width 10 ms RWW10 RWW10 R wave detection width 12 ms RWW12 RWW12 R wave detection width 20 ms RWW20 RWW20 R wave detection width 30 ms RWW30 RWW30 R wave detection width 40 ms RWW40 RWW40 R wave detection width 50 ms RWW50 RWW50 R wave detection width 60 ms RWW60 RWW60 R wave detection width 70 ms RWW70 RWW70 R wave detection width 80 ms RWW80 RWW80 R wave detection width 90 ms RWW90 RWW90 R wave detection width 100 ms RWW100 RWW100 R wave detection width 110 ms RWW110 RWW110 R wave detection width 120 ms RWW120 RWW120 R wave detection width 130 ms RWW130 RWW130 R wave detection width 140 ms RWW140 RWW140 R wave detection width 150 ms RWW150 RWW150 R wave detection width 160 ms RWW160 RWW160 R wave detection width 170 ms RWW170 RWW170 R wave detection width 180 ms RWW180 RWW180 R wave detection width 190 ms RWW190 RWW190 R wave detection width 200 ms RWW200 RWW200

Supra ventricular Arrhythmias

Atrial Fibrillation, coarse AF1 (Immed) AF1 (Immed) AF1 (Immed)

K B

L B

M B

Atrial Fibrillation, fine AF2 (Immed) AF2 (Immed) AF2 (Immed)

Atrial Flutter AFL (Immed) AFL (Immed) AFL (Immed)

Sinus Arrhythmia SINA (Immed) SINA (Immed) SINA (Immed)

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Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

Missed Beat at 80 BPM MB80 (Immed) MB80 (Immed) MB80 (Immed)

O B

Missed Beat at 120 BPM MB120

(Immed)

P C

Paroxysmal Atrial Tachycardia PAT (Immed) PAT (Immed) PAT (Immed)

B C

Nodal rhythm NOD (Immed) NOD (Immed) NOD (Immed)

C C

Supra ventricular tachycardia SVT (Immed) SVT (Immed) SVT (Immed)

Premature contraction

Premature Atrial contraction PAC (Immed) PAC PAC

E C

Premature nodal contraction PNC (Immed) PNC (Immed) PNC (Immed)

F C G

C H

A-6

Premature ventricular contraction left, standard

Premature ventricular contraction left, early

Premature ventricular contraction left, R onT

Premature ventricular contraction right, standard

Premature ventricular contraction right, early

Premature ventricular contraction right, R onT

Multi focal PVCs (medSim 300B) Multi focal PVCs 1 (MPS 450)

PVC (Immed) PVC1S (Step) PVC1S (Step)

PVC1E PVC1E

PVC1R PVC1R

PVC2S PVC2S

PVC2E PVC2E

PVC2R PVC2R

MF1 (Step) MF (Immed) MF (Immed)

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

Multi focal PVCs 2 MF2

I C J

Multi focal PVCs 3

MF3

Ventricular Arrhythmias

Ventricular rhythm VNT (Immed)

K C

Ventricular Tachycardia VTC (Immed) VTC (Immed) VTC (Immed)

L C M C

Ventricular Fibrillation VFB1 (Immed) VFB1 (Step) VFB1 (Step) VFB2 VFB2

Atrial Tachycardia ATC (Immed) ATC (Immed)

N C

Electromotive disassociation EMD (Immed)

O C P D B D C D D D E

Asystole ASY (Immed) ASY (Immed) ASY (Immed)

Bigeminy BIG (Immed) BIG (Immed) BIG (Immed)

Trigeminy TRG (Immed) TRG (Immed) TRG (Immed)

Pair of PVCs PAIR (Immed) PAIR (Immed) PAIR (Immed)

5 PVCs RUN5 (Immed) RUN5

(Immed)

RUN5 (Immed)

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Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

D F

11 PVCs RUN11 (Immed) RUN11 (Step) RUN11 (Step) PVCs 6 per minute PVC6 PVC6 PVCs 12 per minute PVC12 PVC12 PVCs 24 per minute PVC24 PVC24 Frequent multifocal PVCs FMF FMF

Conduction Arrhythmias

First degree A-V block 1DB (Immed) 1DB (Immed) 1DB (Immed)

G D

Second degree A-V block, type1 2DB1 (Immed) 2DB1 (Immed) 2DB1 (Immed)

H D

Second degree A-V block, type2 2DB2 (Immed)

I D

Third degree A-V block 3DB (Immed) 3DB (Immed) 3DB (Immed)

J D

Right bundle branch block RBB (Immed) RBB (Immed) RBB (Immed)

K D L D M

D N

A-8

Left bundle branch block LBB (Immed) LBB (Immed) LBB (Immed)

PVC Parameters PVC Type

PVC Parameters PVC Type 1 PVCT1 (Step) PVC Parameters PVC Type 2 PVCT2 PVC Parameters PVC Type 3 PVCT3 PVC Parameters PVC Type 4 PVCT4

PVC Parameters PVC Timing

PVC Timing R on T wave PVCR (Step) PVC Timing Early PVC PVCE PVC Timing Standard PVC PVCS

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

PVC Parameters PVCs per minute

PVC Parameters PVC/MIN: 0 PVC0 (Step) PVC Parameters PVC/MIN: 1 PVC1 PVC Parameters PVC/MIN: 2 PVC2 PVC Parameters PVC/MIN: 3 PVC3

PVC Parameters PVC/MIN: 4 PVC4 PVC Parameters PVC/MIN: 5 PVC5 PVC Parameters PVC/MIN: 6 PVC6

PVC Parameters PVC/MIN: 7 PVC7 PVC Parameters PVC/MIN: 8 PVC8 PVC Parameters PVC/MIN: 9 PVC9 PVC Parameters PVC/MIN: 10 PVC10 PVC Parameters PVC/MIN: 11 PVC11 PVC Parameters PVC/MIN: 12 PVC12 PVC Parameters PVC/MIN: 13 PVC13 PVC Parameters PVC/MIN: 14 PVC14 PVC Parameters PVC/MIN: 15 PVC15 PVC Parameters PVC/MIN: 16 PVC16 PVC Parameters PVC/MIN: 17 PVC17 PVC Parameters PVC/MIN: 18 PVC18 PVC Parameters PVC/MIN: 19 PVC19 PVC Parameters PVC/MIN: 20 PVC20 PVC Parameters PVC/MIN: 21 PVC21 PVC Parameters PVC/MIN: 22 PVC22 PVC Parameters PVC/MIN: 23 PVC23 PVC Parameters PVC/MIN: 24 PVC24 PVC Parameters PVC/MIN: 25 PVC25

Pacemaker wave

Atrial Pacer wave ATR (Step) ATR (Step) Asynchronous at 75 BPM ASN (Step) ASN ASN Demand 1 DM1 DFS DFS Demand 2 DM2 DOS DOS Atrial-ventricular sequential AVS AVS AVS Non-capture pacer NCA NCA NCA Non-function pacer NFU NFU NFU

A-9

HHC3

Users Manual

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

E B

Pacemaker atrial amplitude Pacemaker atrial amplitude -700 mV AH-700 (Step) Pacemaker atrial amplitude -500 mV AH-500 Pacemaker atrial amplitude -200 mV AH-200 Pacemaker atrial amplitude -100 mV AH-100 Pacemaker atrial amplitude -50 mV AH-50 Pacemaker atrial amplitude -20 mV AH-20 Pacemaker atrial amplitude -18 mV AH-18 Pacemaker atrial amplitude -16 mV AH-16 Pacemaker atrial amplitude -14 mV AH-14 Pacemaker atrial amplitude -12 mV AH-12 Pacemaker atrial amplitude -10 mV AH-10 Pacemaker atrial amplitude -8 mV AH-8 Pacemaker atrial amplitude -6 mV AH-6 Pacemaker atrial amplitude -4 mV AH-4 Pacemaker atrial amplitude -2 mV AH-2 Pacemaker atrial amplitude 0 mV AH0 Pacemaker atrial amplitude +1 mV Pacemaker atrial amplitude +2 mV Pacemaker atrial amplitude +4 mV Pacemaker atrial amplitude +5 mV Pacemaker atrial amplitude +6 mV Pacemaker atrial amplitude +8 mV Pacemaker atrial amplitude +10 mV Pacemaker atrial amplitude +12 mV Pacemaker atrial amplitude +14 mV Pacemaker atrial amplitude +16 mV Pacemaker atrial amplitude +18 mV Pacemaker atrial amplitude +20 mV Pacemaker atrial amplitude +50 mV Pacemaker atrial amplitude +100 mV Pacemaker atrial amplitude +200 mV Pacemaker atrial amplitude +500 mV Pacemaker atrial amplitude +700 mV

AH+2 AH+4

AH+6 AH+8 AH+10 AH+12 AH+14 AH+16 AH+18 AH+20 AH+50 AH+100 AH+200 AH+500 AH+700

PA1 (Step) PA1 (Step) PA2 PA2

PA5 PA5

PA10 PA10

A-10

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

E C

E D

Pacemaker Atrial width

Pacemaker Atrial width 0.1 ms AW0.1 (Step) PW0.1 (Step) PW0.1 (Step) Pacemaker Atrial width 0.2 ms AW0.2 Pacemaker Atrial width 0.5 ms AW0.5 PW0.5 PW0.5 Pacemaker Atrial width 1.0 ms AW1.0 PW1.0 PW1.0 Pacemaker Atrial width 1.5 ms PW1.5 PW1.5 Pacemaker Atrial width 2.0 ms AW2.0 PW2.0 PW2.0

Pacemaker ventricular amplitude

Pacemaker ventricular amplitude -700 mV

Pacemaker ventricular amplitude -500 mV

Pacemaker ventricular amplitude -200 mV

Pacemaker ventricular amplitude -100 mV

Pacemaker ventricular amplitude -50 mV VH-50 Pacemaker ventricular amplitude -20 mV VH-20 Pacemaker ventricular amplitude -18 mV VH-18 Pacemaker ventricular amplitude -16 mV VH-16 Pacemaker ventricular amplitude -14 mV VH-14 Pacemaker ventricular amplitude -12 mV VH-12 Pacemaker ventricular amplitude -10 mV VH-10 Pacemaker ventricular amplitude -8 mV VH-8 Pacemaker ventricular amplitude -6 mV VH-6 Pacemaker ventricular amplitude -4 mV VH-4 Pacemaker ventricular amplitude -2 mV VH-2 Pacemaker ventricular amplitude 0 mV VH0 Pacemaker ventricular amplitude +2 mV Pacemaker ventricular amplitude +4 mV

VH-700 (Step)

VH-500

VH-200

VH-100

VH+2 VH+4

A-11

HHC3

Users Manual

Keys Command Description medSim 300B MPS450 Marq III

E E

Table A-1. Dual-Key Commands (cont.)

Pacemaker ventricular amplitude +6 mV VH+6

Pacemaker ventricular amplitude +8 mV VH+8

Pacemaker ventricular amplitude +10 mV VH+10

Pacemaker ventricular amplitude +12 mV

Pacemaker ventricular amplitude +14 mV VH+14

Pacemaker ventricular amplitude +16 mV VH+16

Pacemaker ventricular amplitude +18 mV

Pacemaker ventricular amplitude +20 mV VH+20

Pacemaker ventricular amplitude +50 mV VH+50

Pacemaker ventricular amplitude +100 mV

Pacemaker ventricular amplitude +200 mV VH+200

Pacemaker ventricular amplitude +500 mV VH+500

Pacemaker ventricular amplitude +700 mV

Pacemaker ventricular width

Pacemaker ventricular width 0.1 ms VW0.1 (Step)

Pacemaker ventricular width 0.2 ms VW0.2

Pacemaker ventricular width 0.5 ms

Pacemaker ventricular width 1.0 ms VW1.0

Pacemaker ventricular width 2.0 ms VW2.0

Premature beat Insert PVC IPVC (Immed)

VH+12

VH+18

VH+100

VH+700

VW0.5

A-12

Dual-Key Commands Introduction

Keys Command Description medSim 300B MPS450 Marq III

Insert PAC IPAC (Immed)

Table A-1. Dual-Key Commands (cont.)

G E

Insert PNC IPNC (Immed)

E I

E J

J C

E K

Respiration

Respiration waveform normal RNRM (Step) Respiration waveform ventilator

assisted

Delta impedance (Ohms)

delta impedance (Ohms) 0.0 RO0.0 (Step) delta impedance (Ohms) 0.1 RO0.1 delta impedance (Ohms) 0.2 RO0.2 delta impedance (Ohms) 0.5 RO0.5 delta impedance (Ohms) 1.0 RO1.0 delta impedance (Ohms) 3.0 RO3.0

Respiration baseline impedance

Baseline impedance 500 ohms RB500 (Step) RB500 (Step) Baseline impedance 1000 ohms RB1000 RB1000 Baseline impedance 1500 ohms RB1500 RB1500 Baseline impedance 2000 ohms RB2000 RB2000 Store Baseline impedance 500 ohms

Store Baseline impedance 1000 ohms

Store Baseline impedance 1500 ohms

Store Baseline impedance 2000 ohms Store respiration base RBSTORE RBSTORE

Respiration rate

Respiration rate 0 BrPM RR0 (Step) RR0 (Step) Respiration rate 15 BrPM RR15 (Step) RR15 RR15 Respiration rate 20 BrPM RR20 RR20 RR20 Respiration rate 30 BrPM RR30 RR30 RR30 Respiration rate 40 BrPM RR40 RR40 RR40 Respiration rate 60 BrPM RR60 RR60 RR60 Respiration rate 80 BrPM RR80 RR80

RVNT

RB500, RBSTORE

RB1000, RBSTORE

RB1500, RBSTORE

RB2000, RBSTORE

RB500, RBSTORE

RB1000, RBSTORE

RB1500, RBSTORE

RB2000, RBSTORE

A-13

HHC3

Users Manual

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

J D

E L

E M

E N

Respiration rate 100 BrPM RR100 RR100 Respiration rate 120 BrPM RR120 RR120 RR120

Respiration Amplitude

Respiration Amplitude 0.2 ohms RO0.2 (Step) RO0.2 (Step) Respiration Amplitude 0.5 ohms RO0.5 RO0.5 Respiration Amplitude 1.0 ohms RO1.0 RO1.0 Respiration Amplitude 3.0 ohms RO3.0 RO3.0

Respiration ratio

Respiration ratio 1/1 Respiration ratio 2/1 Respiration ratio 3/1 Respiration ratio 4/1 Respiration ratio 5/1

Respiration apnea

Respiration apnea OFF AOFF (Step) OFF (Step) OFF (Step) Respiration apnea ON AON ON ON start Respiration apnea at 12 secs A12 A12 A12 start Respiration apnea at 22 secs A22 A22 start Respiration apnea at 32 secs A32 A32 A32

Respiration baseline

Respiration baseline OFF SFTOFF (Step) Respiration baseline shift positive Respiration baseline shift negative R-SFT Blood pressure channel 1 BP1 atmosphere

RAT1/1 (Step) RAT2/1 RAT3/1 RAT4/1 RAT5/1

R+SFT

O E P

A-14

P1S0 (Immed)

BP1 waveform

atmosphere 0.0 mmHg arterial 120/80 mmHg P1ART P1ART (Step) P1ART (Step)

P1S0 (Step)

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

BP1 radial art dynamic wave 120/80 Left ventricle 120/0 mmHg

F B

Blood pressure channel 2

right ventricle 25/0 mmHg Pulmonary artery 25/10 mmHg Pulmonary artery wedge 10/2 mmHg Central venous pressure 15/10 mmHg

BP1 static pressure

BP1 -10mm Hg P1S-10 (Step) P1S-10 (Step) P1S-10 (Step) BP1 -5mm Hg P1S-5 BP1 0mm Hg P1S0 P1S0 P1S0 BP1 20mm Hg P1S20 BP1 40mm Hg P1S40 BP1 80mm Hg P1S80 P1S80 P1S80 BP1 100mm Hg P1S100 BP1 160mm Hg P1S160 P1S160 BP1 200mm Hg P1S200 BP1 240mm Hg P1S240 P1S240 BP1 250mm Hg P1S250 BP1 300mm Hg P1S300 BP1 320mm Hg P1S320 P1S320 BP1 400mm Hg P1S400 P1S400

BP2 atmosphere P2S0 (Immed)

P1LV P1RV P1PA P1W P1CVP

P1RART P1RART P1LV P1LV P1RV P1RV

C F D

BP2 waveform atmosphere 0.0 mmHg arterial 120/80 mmHg BP2 radial art dynamic wave 120/80 Left ventricle 120/0 mmHg right ventricle 25/0 mmHg Pulmonary artery 25/10 mmHg Pulmonary artery wedge 10/2 mmHg BP2 left atrium dynamic wave 14/4

P2S0 (Step) P2ART

P2LV P2RV P2PA P2W

P2ART (Step) P2ART (Step) P2RART P2RART P2LV P2LV P2RV P2RV P2PA P2PA P2W P2W P2LA P2LA

A-15

HHC3

Users Manual

Keys

F E

Central venous pressure 15/10 mmHg

BP2 static pressure BP2 -10mm Hg P2S-10 (Step) P2S-10 (Step) P2S-10 (Step) BP2 -5mm Hg BP2 0mm Hg BP2 20mm Hg BP2 40mm Hg BP2 50mm Hg BP2 80mm Hg BP2 100mm Hg BP2 150mm Hg BP2 200mm Hg BP2 240mm Hg BP2 250mm Hg BP2 300mm Hg

Blood pressure channel 3

BP3 atmosphere P3SO (Immed)

Table A-1. Dual-Key Commands (cont.)

Command Description medSim 300B MPS450 Marq III

P2CVP P2CVP P2CVP

P2S-5 P2S0 P2S20 P2S40

P2S80 P2S100

P2S200

P2S250 P2S300

P2S0 P2S0

P2S50 P2S50

P2S100 P2S100 P2S150 P2S150 P2S200 P2S200 P2S240 P2S240

F F G

A-16

BP3 waveform atmosphere 0.0 mmHg P3SO (Step) BP3 arterial dynamic wave 120/80 P3ART (Step) P3ART (Step) BP3 radial art dynamic wave 120/80 BP3 left vent dynamic wave 120/0 BP3 right vent dynamic wave 25/0 P3RV P3RV P3RV BP3 pulmonary art dynamic wave

25/10 BP3 pulmonary art wedge dynamic

wave 10/2 BP3 left atrium dynamic wave 14/4

BP3 right atrium CVP dynamic wave 15/10

P3PA P3PA P3PA

P3W P3W P3W

P3CVP P3CVP P3CVP

P3RART P3RART P3LV P3LV

P3LA P3LA

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

F H

F I

BP3 static pressure BP3 -10mm Hg BP3 -5mm Hg BP3 0mm Hg BP3 5mm Hg BP3 10mm Hg BP3 20mm Hg BP3 30mm Hg BP3 40mm Hg P3S40 P3S40 BP3 60mm Hg P3S60 P3S60 BP3 80mm Hg P3S80 P3S80 BP3 100mm Hg P3S100 P3S100 BP3 Swan- Ganz procedure Start STSG (Step) Insert INS Inflate INF Deflate DEF Remove REM

Blood pressure channel 4

BP4 atmosphere P4S0 (Immed)

P3S-10 (Step) P3S-5 P3S0 P3S5 P3S10 P3S20 P3S30

P3S-5 (Step) P3S-5 (Step) P3S0 P3S0

P3S20 P3S20

J F K

BP4 waveform atmosphere 0.0 mmHg arterial 120/80 mmHg Left ventricle 120/0 mmHg right ventricle 25/0 mmHg Pulmonary artery 25/10 mmHg Pulmonary artery wedge 10/2 mmHg Triangle 30 mmHg Triangle 300 mmHg BP4 right atrium CVP dynamic wave

15/10 Start Swan-Ganz auto STSGAUTO STSGAUTO

P4S0 (Step) P4ART P4LV P4RV P4PA P4W P4T30 P4T300

P4CVP P4CVP

P4RV (Step) P4RV (Step) P4PA P4PA P4W P4W

A-17

HHC3

Users Manual

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

F L

F M

Start Swan-Ganz manual STSG STSG Insert INS INS Inflate INF INF Deflate DEF DEF pullback PLBK PLBK BP4 static pressure BP4 -10mm Hg BP4 -5mm Hg BP4 0mm Hg BP4 20mm Hg BP4 40mm Hg BP4 60mm Hg BP4 80mm Hg BP4 100mm Hg BP4 200mm Hg BP4 250mm Hg BP4 300mm Hg

Temperature variable

0 deg C T0 (Step) T0 (Step) 24 deg C T24 T24 34 deg C fixed 37 deg C fixed 40 deg C fixed Hyperthermia Hypothermia Spike

Cardiac output

Wave form/ blood temperature reset CRSET

P4S-10 (Step) P4S-5 P4S0 P4S20 P4S40

P4S80 P4S100 P4S200 P4S250 P4S300

T34 (Step) T37 T40 THYPR THYPO TSPK

(Immed)

P4S-5 (Step) P4S-5 (Step) P4S0 P4S0 P4S20 P4S20 P4S40 P4S40 P4S60 P4S60 P4S80 P4S80 P4S100 P4S100

T34 T34

T40 T40

A-18

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

F O

F P

G B

J P

Cardiac output Baseline temperature

36 deg C

37 deg C

38 deg C

User adjusted

Cardiac output Waveform

Reset

3 L/M flow rate

5 L/M flow rate

7 L/M flow rate

Interrupted injectate

Left ventricular shunt

Slow injectate

Cardiac output Trend

Start sequence thru selected trend Normal sequence

Sequence with interrupted injectate

Sequence with slow injectate

Cardiac Output Injectate / Wave Form

Turn CO wave off.

Run CO wave 0 degrees C at (2.5l/min) 2.7 l/min.

Run CO wave 0 degrees C at 5.0 l/min.

Run CO wave 0 degrees C (10.0l/min) 9.9 l/min.

Run CO wave 24 degrees C at 2.5 l/min.

Run CO wave 24 degrees C at 5.0 l/min.

Run CO wave 24 degrees C at (10.0l/min) 10.4 l/min.

Run CO wave faulty injectate 0 degrees C.

Run CO wave faulty injectate 24 degrees C.

Run CO wave left/right shunt 0 degrees C.

Run CO wave left/right shunt 24 degrees C.

Run CO wave cal pulse 0 degrees C.

Run CO wave cal pulse 24 degrees C.

COB36 (Step)

COB37

COB38

COBUSR

CRSET (Step)

COW3

COW5

COW7

COWINT

COWLVS

COWSLW

COTSTRT (Step)

COTNRM

COTINT

COTSLO

CRSET CRSET

COI0, COW2.5 (Step)

COI0, COW5.0 COI0, COW5.0

COI0, COW10.0 COI0, COW10.0

COI24, COW2.5 COI24, COW2.5

COI24, COW5.0 COI24, COW5.0

COI24, COW10.0 COI24, COW10.0

COI0, COWFLT COI0, COWFLT

COI24, COWFLT COI24, COWFLT

COI0, COWLRS COI0, COWLRS

COI24, COWLRS COI24, COWLRS

COI0, COWCAL COI0, COWCAL

COI24, COWCAL COI24, COWCAL

COI0, COW2.5 (Step)

A-19

HHC3

Users Manual

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

Start sequence thru selected trend

COTSTRT (Immed)

C G

D G E

ECG artifact

ECG artifact OFF

ECG artifact Wave Form

ECG artifact OFF ECG artifact 50Hz Sine EA50 EA50 EA50 ECG artifact 60Hz Sine EA60 EA60 EA60 ECG artifact muscular EAMSC EAMSC EAMSC ECG artifact baseline wander EAWNDR EAWNDR EAWNDR ECG artifact respiration EARESP EARESP ECG artifact lead All Leads RA only LA only LL only V1 only Lead size Lead size 0.25 Lead size 0.5 Lead size 1.0

BP/R artifact OFF

BP/R artifact amplitude

BP/R artifact amplitude off BP/R artifact amplitude 5% or

5mmHg PA5 BP/R artifact amplitude 10% or

10mmHg PA10

EAOFF (Immed)

EAOFF (Step)

EALALL (Step) EALRA EALLA EALLL EALV1

EAAX.25 (Step) EAAX.50 EAAX1.0

PAOFF (Immed)

PAOFF (Step)

EAOFF (Immed)

EAOFF (Step)

EAOFF (Immed)

EAOFF (Step)

A-20

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

J E

J F

J G

J H

BP1 Artifact

BP1 artifact OFF P1AOFF (Step) P1AOFF (Step) BP1 artifact ON P1AON P1AON

BP2 Artifact

BP2 artifact OFF BP2 artifact ON P2AON P2AON

BP3 Artifact

BP3 artifact OFF P3AOFF (Step) P3AOFF (Step) BP3 artifact ON P3AON P3AON

BP4 Artifact

BP4 artifact OFF P4AOFF (Step) P4AOFF (Step) BP4 artifact ON P4AON P4AON Sequences Cardiac failure series FAIL (Immed)

P2AOFF (Step) P2AOFF (Step)

J G

Ventricular series VNT1 (Immed)

K G

Conduction defect series COND (Immed)

L G

Respiration apnea/ cardiovascular series

RESP (Immed)

M G

Ventricular series 2 VNT2 (Immed)

N G

Monitor test series TEST (Immed)

O G

Monitor setup series SETUP

(Immed)

A-21

HHC3

Users Manual

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

Monitor start series STRTUP (Immed)

B H

CCU series CCU (Immed)

C H

Holter series HOLT (Immed)

D H

Pacemaker series PACE (Immed)

E H

User sequence series 1 USEQ1 (Immed)

F H

User sequence series 2 USEQ2 (Immed)

G H

User sequence series 3 USEQ3 (Immed)

H H I

H J H K H L H M

A-22

User sequence series 4 USEQ4 (Immed)

Defibrillator

Start emergency 1 series STDEF1 (Immed)

Start emergency 2 series STDEF2 (Immed)

Start electro cardio version STCARD (Immed)

Simulate a defibrillation DEFIB (Immed)

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

Simulate a late defibrillation LATE (Immed)

N H

Simulate a synchronized defibrillation

SYNC (Immed)

O H

Disable defibrillator input DFOFF (Immed)

P I

Enable defibrillator input DFON (Immed)

Miscellaneous

Disable keyboard KOFF (Immed)

C I

Enable keyboard KON (Immed)

D I E I F I G

Adjust controller display viewing angle

Toggle between standard keys and user sequences

Zero all blood pressure levels ZALL (Immed) ZALL (Immed) ZALL (Immed)

N/A (Immed)

A-23

HHC3

Users Manual

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

Fetal/ Maternal ECG with intrauterine pressure

Fetal Heart rate OFF Fetal Heart rate 60 BPM Fetal Heart rate 90 BPM Fetal Heart rate 120 BPM Fetal Heart rate 140 BPM Fetal Heart rate 150 BPM Fetal Heart rate 210 BPM Fetal Heart rate 240 BPM IUP wave OFF IUPOFF IUPOFF Early deceleration FEDEC FEDEC FEDEC Late deceleration FLDEC FLDEC FLDEC Uniform deceleration FUDEC FUDEC FUDEC Uniform acceleration FUACC FUACC FUACC

Intrauterine pressure

IUP wave OFF P4S0 (Step) One IUP waveform at key press IUP1 IUP1 (Step) IUP1 (Step) Two IUP waveform per minute IUP2M IUP2M IUP2M Three IUP waveform per minute IUP3M IUP3M IUP3M Five IUP waveforms per minute IUP5M IUP5M IUP5M

Cardiac catheterization

Aortic valve simulation CAORT (Step) Catheter pull back Catheter

insertion Catheter Insertion LV pressure-120/0 mmHg CA120 LV pressure-126/0 mmHg CA126 LV pressure-132/0 mmHg CA132 LV pressure-138/0 mmHg CA138 LV pressure-144/0 mmHg CA144

FOFF (Step) F60 F90 F120 F140 F150 F210 F240

CPLBK

CINS

F60 (Step) F60 (Step) F90 F90 F120 F120 F140 F140 F150 F150 F210 F210 F240 F240

A-24

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

LV pressure-180/0 mmHg CA180

I K

I L

I M

Mitral valve simulation

PAW pressure =10/2 mmHg CMPAW (Step) PAW pressure =25/10 mmHg CMPA PAW pressure =10/2 mmHg CM10 PAW pressure =26/18 mmHg CM26 PAW pressure =29/19 mmHg CM29 PAW pressure =31/21 mmHg CM31 PAW pressure =34/22 mmHg CM34 PAW pressure =36/24 mmHg CM36

Pulmonary valve simulation

Catheter pullback CPLBK (Step) Catheter insertion CINS RV pressure 25/0 mmHg CP25 RV pressure 26/0 mmHg CP26 RV pressure 27.5/0 mmHg CP27.5 RV pressure 29/0 mmHg CP29 RV pressure 30/0 mmHg CP30 RV pressure 37.5/0 mmHg CP37.5

Intra aortic balloon pump simulation

NSR at 30 BPM NSR at 60 BPM NSR at 80 BPM NSR at 120 BPM Atrial fibrillation 6 PVCs per minute 5 PVCs 11 PVCs Asynchronous pacer at 75 BPM Paced on demand

IABP30 (Step) IABP60 IABP80 IABP120 IABPAFB IABP6/M IABPR5 IABPR11 IABPASN IABPD1

A-25

HHC3

Users Manual

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim 300B MPS450 Marq III

J J

J K

J L

R-wave rate

R-wave rate 30 BPM RWR30 (Step) RWR30 (Step) R-wave rate 60 BPM RWR60 RWR60 R-wave rate 80 BPM RWR80 RWR80 R-wave rate 120 BPM RWR120 RWR120 R-wave rate 200 BPM RWR200 RWR200 R-wave rate 250 BPM RWR250 RWR250

R- wave Amplitude

R- wave Amplitude 0.05 mV RWA0.05 (Step) RWA0.05 (Step) R- wave Amplitude 0.10 mV RWA0.10 RWA0.10 R- wave Amplitude 0.15 mV RWA0.15 RWA0.15 R- wave Amplitude 0.20 mV RWA0.20 RWA0.20 R- wave Amplitude 0.25 mV RWA0.25 RWA0.25 R- wave Amplitude 0.30 mV RWA0.30 RWA0.30 R- wave Amplitude 035 mV RWA0.35 RWA0.35 R- wave Amplitude 0.40 mV RWA0.40 RWA0.40 R- wave Amplitude 0.45 mV RWA0.45 RWA0.45 R- wave Amplitude 0.50 mV RWA0.50 RWA0.50 R- wave Amplitude 1.0 mV RWA1.0 RWA1.0 R- wave Amplitude 1.5 mV RWA1.5 RWA1.5 R- wave Amplitude 2.0 mV RWA2.0 RWA2.0 R- wave Amplitude 2.5 mV RWA2.5 RWA2.5 R- wave Amplitude 3.0 mV RWA3.0 RWA3.0 R- wave Amplitude 3.5 mV RWA3.5 RWA3.5 R- wave Amplitude 4.0 mV RWA4.0 RWA4.0 R- wave Amplitude 4.5 mV RWA4.5 RWA4.5 R- wave Amplitude 5.0 mV RWA5.0 RWA5.0 R- wave Amplitude 5.5 mV RWA5.5 RWA5.5

Respiration Lead

Store the Respiration Lead RLSTORE (Step) RLSTORE (Step) Respiration Lead- LA RLLA RLLA Respiration Lead- LL RLLL RLLL Store Respiration Lead- LA RLLA RLLA Store Respiration Lead- LL RLLL RLLL

A-26

Dual-Key Commands Introduction

Table A-1. Dual-Key Commands (cont.)

Keys Command Description medSim

J M

J N

J O

Blood pressure sensitivity

Blood pressure sensitivity- 5uv/v mmHg BPSNS5 (Step) BPSNS5 (Step) Blood pressure sensitivity- 40uv/v mmHg BPSNS40 BPSNS40 Store Blood pressure sensitivity- 5uv/v

mmHg Store Blood pressure sensitivity- 40uv/v

mmHg Store Blood pressure sensitivity BPSNSSTRORE BPSNSSTRORE

View angle

Set viewing angle 1 V1 (Step) V1 (Step) Set viewing angle 2 V2 V2 Set viewing angle 3 V3 V3 Set viewing angle 4 V4 V4 Set viewing angle 5 V5 V5 Set viewing angle 6 V6 V6 Set viewing angle 7 V7 V7 Set viewing angle 8 V8 V8 Store viewing angle VSTORE VSTORE

Beeper

Beep the Beeper BEEP (Step) BEEP (Step) Set Beeper OFF BEEPOFF BEEPOFF Set Beeper short BEEPSHORT BEEPSHORT Set Beeper long BEEPLONG BEEPLONG Store Beeper BEEPSTORE BEEPSTORE

300B

BPSNS5,

BPSNS40,

BPSNSSTRORE

MPS450 Marq III

BPSNS5, BPSNSSTRORE

BPSNS40, BPSNSSTRORE

A-27

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Users Manual

A-28

Appendix B

Factory Sequences

Introduction

This Appendix discusses factory-set procedures (factory sequences). Sequences available for the medSim 300B Simulator appear in Table B-1. Sequences available for the MPS450 and Marq III simulators appear in Table B-2.

Table B-1. Factory Sequences (medSim 300B)

Dual Keys Sequence

Cardiac Failure

G J

Ventricular Series 1

G K

Conduction Defects

G L

Segments/Selections

ECG BPM 80 0:01:00 FAIL PVCs 12/min 0:00:12 PVCs 0/min 0:00:00 Ventricular tachycardia 0:00:12 Ventricular fibrillation II 0:00:12 Asystole continuous STOP ECG BPM 80 0:01:00 VNT1 PVCs 12/min 0:00:30 PVCs 0/min 0:00:00 Bigeminy 0:00:30 REPEAT ECG BPM 80 0:00:12 COND 1° block 0:00:30 2° block type 1 0:01:00 3° block continuous STOP

Run Times Serial Command

B-1

HHC3

Users Manual

Table B-1. Factory Sequences (medSim 300B) (cont.)

Dual Keys Sequence

Respiration Series

G M

Ventricular Series 2

G N

Monitor Test

G O

Segments/Selections

Respiration ohms 1.0 ECG BPM 80 Respiration rate 60

ECG BPM 120 Respiration rate 120

ECG BPM 80 Respiration rate 60

Respiration ohms 0.5 Respiration rate 120

Respiration ohms 1.0 Respiration rate 60

Apnea 12 s 0:01:00 REPEAT ECG BPM 80 0:01:00 VNT2 PVC type 1

PVCs 12/min PVCs 0/min

PVC type 2 Run 11 PVCs

Multifocal 1 0:01:00 Run 11 PVCs 0:01:00 REPEAT ECG BPM 80

Respiration rate 20 BP1 atmosphere BP2 atmosphere BP3 atmosphere BP4 atmosphere

Respiration rate 120 ECG BPM 240 BP1 300 BP2 300 BP3 30 BP4 300

Run Times Serial Command

0:01:00 RESP

0:01:00

0:00:18

0:01:42

0:01:00

0:00:12 TEST

0:00:30

B-2

Factory Sequences Introduction

Table B-1. Factory Sequences (medSim 300B) (cont.)

Dual Keys Sequence

Monitor Setup

G P

Monitor Start

H B

CCU Series

H C

Segments/Selections

ECG BPM 80 Respiration rate 20 BP1 atmosphere BP2 atmosphere BP3 atmosphere BP4 atmosphere

STOP Blood pressure/artifact off

ECG BPM 80 Respiration rate 20 BP1 atmosphere BP2 atmosphere BP3 atmosphere BP4 atmosphere

STOP ECG BPM 80

Respiration rate 20 BP1 artifact BP2 pulmonary artery BP3 central venous pressure BP3 left ventricle

STOP BP1 artifact

BP2 pulmonary artery BP3 central venous pressure BP4 left ventricle BP/R artifact 10 Respiration wave normal Respiration rate 20 ECG BPM 80

PVCs 6/min 0:09:00 PVCs 12/min 0:10:00 PVCs 24/min 0:01:00 PVCs 0/min

ECG BPM 80 Pair PVCs 0:01:00 ECG BPM 60 0:19:00 Paroxysmal atrial tachycardia 0:10:00 REPEAT

Run Times Serial Command

continuous

continuous SETUP

continuous STRTUP

0:01:00 CCU

0:09:00

B-3

HHC3

Users Manual

Table B-1. Factory Sequences (medSim 300B) (cont.)

Dual Keys Sequence

Holter ECG

Series

H D

Pacemaker

Series

H E

User 1 Programmed using the medSim

Q H

Segments/Selections

ECG BPM 80 0:30:00 HOLT PVCs 6/min

ECG muscular artifact on PVCs 12/min

ECG muscular artifact off PVCs 0/min

ECG BPM 80 PVCs 12/min 0:01:00 PVCs 0/min

ECG BPM 80 ECG BPM 60 1:00:00 ECG BPM 60 1:00:00 ECG BPM 60 1:00:00 PVCs 6/min 1:00:00 PVCs 0/min

Pair PVCs Run 5 PVCs 0:01:00 ECG BPM 80 0:58:00 REPEAT Demand 1 0:10:00 PACE Non-capture 0:09:00 Non-function 0:01:00 Demand 2 0:10:00 REPEAT

300B

Run Times Serial Command

0:01:00

0:29:00

1:30:00

1:29:00

0:01:00

USEQ1

User 2 Programmed using the medSim

300B

USEQ2

H G

B-4

Fluke HHC3 User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Warranty and Product Support

Table of Contents

List of Tables

List of Figures

Introduction and Specifications

Introduction

Safety

Specifications

Using the Controller

Controls and Connectors

Connecting the Controller to a Simulator

Connecting the Controller to a PC

Powering the Controller

Adjusting the Beeper Level

Adjusting the Viewing Angle

Command Types

Single-Key and Dual-Key Commands

Immediate Commands

Stepped Commands

Factory Sequences

User Sequences

Replacing the Batteries

Programming User Sequences

Entering User Defined Mode

Defining User Sequences

Specifying the Advance Technique

Viewing and Editing User Sequences

Deleting Commands

Editing Commands

Skipping Command Editing

Adding Commands

Deleting All User Sequences

Running a Factory or User Sequence

Using the Application Software

Introduction

Installing the HHC-Utility Software

Connecting the Controller to a PC

Testing the Connection

Downloading User Sequences

Uploading User Sequences

Error Messages

Introduction

Introduction