Fluke PS320 User Manual

Users Manual
PN 2631693 April 2006, Rev. 1, 12/07
© 2006, 2007 Fluke Corporation, All rights reserved. Specifications are subject to change without notice. Printed in USA All product names are trademarks of their respective companies.
PS320
Fetal Simulator
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

All Rights Reserved
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.
Copyright Release
Fluke Biomedical agrees to a limited copyright release that allows you to reproduce manuals and other printed materials for use in service training programs and other technical publications. If you would like other reproductions or distributions, submit a written request to Fluke Biomedical.
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 or call 1-800- 648-7952 or 1-425-446-6945.
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.
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, goto 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
or
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 PS320 Fetal Simulator is manufactured by Fluke Biomedical, Everett WA.

Table of Contents

Title Page
Introduction .................................................................................................................... 1
Safety............................................................................................................................. 2
Specifications ................................................................................................................. 3
General...................................................................................................................... 3
Accessories ............................................................................................................... 4
Fetal ECG.................................................................................................................. 4
Fetal Patterns ............................................................................................................ 5
Maternal ECG............................................................................................................ 6
Uterine Activity........................................................................................................... 7
Controls, Indicators, and Connectors ............................................................................. 8
Powering the Simulator .................................................................................................. 11
Operating the Simulator ................................................................................................. 12
Operating the MFH-1...................................................................................................... 13
Simulating Functions...................................................................................................... 14
i

List of Tables

Table Title Page
1. Fetal ECG Patterns............................................................................................................... 5
2. Uterine Activity...................................................................................................................... 7
3. Controls, Indicators, and Connectors.................................................................................... 9
4. Simulating Functions............................................................................................................. 14

List of Figures

Figure Title Page
1. Controls, Indicators, and Connectors.................................................................................... 8
2. Mechanical Fetal Heart (MFH-1)........................................................................................... 13
ii
PS320 Fetal Simulator

Introduction

The PS320 Fetal Simulator (hereafter called the Simulator) is a compact, lightweight, high-performance simulator for use by trained service technicians in fetal monitor testing.
Cardiotocographs or Electronic Fetal Monitoring (EFM) is a diagnostic tool used to identify a fetus at risk for neurological injury or death. The trained clinician can then carry out timely and appropriate intervention before the underlying condition causes irreversible damage. The goal of EFM is to detect fetal hypoxia at its earliest stage and to attempt to prevent asphyxia resulting from prolonged and severe hypoxia.
To gain a better overview of these clinical conditions, please refer your available clinical references, or as a suggested source, go to the Family Practice Notebook website: http://www.fpnotebook.com. This website clearly explains these clinical terms in Book: Obstetrics, Chapter: Fetus, Page: Fetus Index.
The Simulator provides comprehensive simulation of fetal and maternal ECG as well as uterine activity. It can simulate several fetal parameters, including twins, via such monitor modes as DECG and ultrasound. The Simulator offers an easy user interface providing a 2 x 16­character LCD display with adjustable contrast.
The Simulator runs on
line operated via a battery eliminator.
indication when the battery is low prior to shutting down. It also supplies RS-232 two-way data communication to control Simulator selections.
an internal 9-volt battery or is
It provides an
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Safety

WXWarning. Read before using.
To avoid personal injury: Do not use the Simulator in any
manner not specified in the Users Manual. Otherwise, the protection provided by this product may be impaired.
Always switch power Off and unplug
the battery eliminator before cleaning.
Inspect the product. If the Simulator
appears damaged or appears to operate in a manner not specified in the manual, DO NOT CONTINUE USE. Return the product for service.
Avoid spilling liquids on the
Simulator; fluid seepage into internal components creates corrosion and a potential shock hazard. Do not operate if there is exposure of internal components to fluid.
Do not open this product. There are
no user replaceable parts.
WCaution
Calibrate the Simulator annually. Only qualified technical personnel should perform troubleshooting and service procedures on the Simulator. Do not expose the Simulator to temperature extremes. Ambient operating temperatures should remain between 15 and 35 °C. Simulator performance may degrade if temperatures fluctuate above or below this range. Clean only with a damp, lint-free cloth, using a mild detergent; wipe down gently.
Symbol Description
W
X
P
~
See Users Manual.
Caution risk of electric shock
Manufacturer’s declaration of product compliance with applicable EU directives
Battery Eliminator Port
Do not dispose of this product as unsorted municipal waste. Go to Fluke’s website for recycling information.
2
Fetal Simulator Specifications

Specifications

General

Display....................................................................2 x16 alphanumeric characters
Interface .................................................................RS232 bi-directional interface. Baud rate 9600
Power......................................................................9-V alkaline battery or battery eliminator
Case........................................................................High impact plastic
Weight ....................................................................0.4 kg / 0.9 lb.
Dimensions
Height ..................................................................15.6 cm / 6.1 in.
Width ..................................................................9.4 cm / 3.7 in.
Depth................................................................... 3.4 cm / 1.3 in.
Temperature, Operating........................................15 °C to 35 °C (59 °F to 95 °F)
Temperature, Storage ...........................................0 °C to 50 °C (32 °F to 122 °F)
Maximum Humidity, Operating ...........................80 % relative humidity up to 31
relative humidity at 40
Maximum Humidity, Storage ............................... 95 %
Altitude ...................................................................Up to 2000 m
Part No....................................................................PS320 Fetal Simulator (PN 2583030)
°C (104 °F).
°C (88 °F), decreasing linearly to 50 %
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Accessories

Item Part Number
Standard Accessories
Users Manual CD-ROM 2631717
Users Manual (printed) 2631693
9 VDC Battery Eliminator 2647372
Optional Accessories
Mechanical Fetal Heart (MFH-1). Includes interconnecting MFH-1 Cable (PN 2462123)
Interface cables are available for various brands of electronic fetal monitors:
Ultrasound (Fetal ECG) Simulation Cables *
External TOCO (Uterine Pressure) Simulation Cables *
IUP (Intrauterine Pressure) Simulation Cables *
* Contact your local Fluke Biomedical Sales Agent for further details
2462114

Fetal ECG

Primary fetal cardiac activity is presented simultaneously in both direct/internal scalp-electrode-derived and indirect/external, ultrasound-derived (US-1) signal formats. Another indirect/external, ultrasound-derived (US-2) signal provides secondary fetal cardiac activity for
The US-1 channel also provides the electrical drive signal to operate the Mechanical Fetal Heart (MFH-1). The MFH-1 mimics the physical movement of the fetal heart and tests the indirect/external ultrasound transducer and the electronic fetal monitor.
either independent "normal" or "twins" simulation.
Fetal ECG static rates ......................................... 30, 60, 90, 120, 150, 180, 210, 240 BPM
Fetal ECG sensitivity (amplitude)........................ 50 μV, 100 μV, 200 μV, 500 μV, 1 mV, 2 mV
US-1 .................................................................... Tracks the primary direct fetal activity
US-2 .................................................................... Secondary fetal cardiac activity for either independent “normal” or “twins” simulation.
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Fetal Simulator Specifications

Fetal Patterns

The dynamic fetal ECG patterns listed in Table 1 are interactive with uterine activities described in Table 2 and represent a wide range of clinical conditions encountered during the labor and delivery process. These selections illustrate the fetal response to the uterine pressure. To gain a better overview of these clinical conditions, please
refer to your available clinical references, or as a suggested source, go to the Family Practice Notebook website: http://www.fpnotebook.com
. This website clearly explains these clinical terms in Book: Obstetrics, Chapter: Fetus, Page: Fetus Index.
Table 1. Fetal ECG Patterns
Pattern Description
TREND#1 – TWIN FETAL PATTERNS
NORMAL Normal pattern
TACHYCARDIA Tachycardia pattern
BRADYCARDIA Bradycardia pattern
ARRHYTHMIAS Arrhythmia pattern
LATE DECELERATION Late deceleration
EARLY DECELERATION Early deceleration
MODERATE DECELER. Moderate variable deceleration
ACCELERATION #1 Acceleration wave #1
ACCELERATION #2 Acceleration wave #2
SINUSOIDAL (HIGH) Sinusoidal pattern, large change
SINUSOIDAL (LOW) Sinusoidal pattern, small change
SEVERE VAR. DEC. #1 Severe deceleration wave #1
SEVERE VAR. DEC. #2 Severe deceleration wave #2
PROLONGED DECELER. Prolonged deceleration
BIPHASIC DECELERAT. Biphasic deceleration
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Table -1. Fetal ECG Patterns (cont.)
Pattern Description
EXAGGERATED DECELE. Exaggerated deceleration
NON_UNIFORM DECELE. Non-uniform deceleration (2 different shapes)
VAR. DECELERATION (U) Variable deceleration “U” shaped
VAR. DECELER. TACH Variable deceleration with high rate BPM
VAR. DECELER (V) Variable deceleration “V” shaped
VAR. DECEL. (POST) Variable deceleration post exaggerated
VAR. DECELERATION Variable deceleration
DECELER. (POSITION) Variable deceleration with position changes
LONG DECELERATION Long deceleration
COMPENSATORY ACCEL. Compensatory acceleration

Maternal ECG

Maternal ECG static rates..................................... 60, 80, 100, 120, 140, 160 BPM
Maternal ECG sensitivity (amplitude).................. 0.5 mV, 1 mV, and 2 mV
Select pattern during Trend #1 selection
6
Fetal Simulator Specifications

Uterine Activity

Note
TOCO waveform selection is not available during TREND #1.
Table 2. Uterine Activity
Activity Description
EXECUTE WAVEFORM Start TOCO waveform
UTERINE WAVE OFF Stop TOCO waveform
ANALOG 0 TO +1 VOLT Analog range 0 to +1 V (1 V=100 mmHg)
ANALOG 0 TO -1 VOLT Analog range 0 to -1 V (-1 V=100 mmHg)
UTERINE WAVE 0-25 Range of TOCO waveform
UTERINE WAVE 0-50 Range of TOCO waveform
UTERINE WAVE 0-100 Range of TOCO waveform
SHORT DURATION TOCO waveform of short duration
NORMAL DURATION Normal duration of TOCO waveform
INCREASED DURATION Long duration of TOCO waveform
UTERINE LEVEL =ZERO Zero TOCO channel (automatic on power up)
UTERINE STATIC +20 Increase TOCO static level by 20 mmHg (0-100 mmHg)
INCR. RESTING TONE Resting tone increases
COUPLING 2 close TOCO waves
TRIPLING 3 close TOCO waves
UTERINE PRESSURE SENSIVITY 5 or 40 μV on power up
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Controls, Indicators, and Connectors

Refer to Figure 1 and Table 3 for views and descriptions of Simulator
features.
8
1
Top Panel
Batt. elim.
9V DC
US 2 US 1 Toco RS-232
2
Off On
Left Panel
6
Right Panel
9
78
Figure 1. Controls, Indicators, and Connectors
Front Panel
FETAL SIMULATOR
PS320
MAIN SUB SCROLL VIEW
DISPLAY
FETAL
FETAL
MATERNAL
TOCO
5 µV 40 µV
AMPL.
ENTER
FETAL
MAT. AMPL.MAT.
TOCO
LCD LCD
3
4
5
4
ebv001f.eps
Fetal Simulator Controls, Indicators, and Connectors
Table 3. Controls, Indicators, and Connectors
Item Name Description
A Battery Eliminator
Connection
For use in operating the Simulator from any standard electrical outlet. To ensure safe operation, use only the Fluke Biomedical Battery Eliminator (PN 2647372).
WXWarning
Caution risk of electric shock, use only the battery eliminator specified in this manual or the protection provided may be impaired.
B Power Switch Switches the power On and Off.
C LCD Display 15 mm x 60 mm (0.58 in. x 2.37 in.) window displaying up to two lines of 20-point font.
D
9
Control Keys
ENTER Enters the selected code line value into memory.
MAIN Selects the main headings or groupings.
SUB Selects the functions within the main menu.
SCROLL Scrolls selections back whether within the main menu or sub menu.
VIEW Pressing VIEW scrolls through the currently active functions.
LCD / LCD Changes the contrast of the display.
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Table 3. Controls, Indicators, and Connectors (cont.)
Item Name Description
E
Soft Keys These keys provide one-step selection of Simulator functions.
FETAL / FETAL Scrolls through available fetal heart rate parameters.
MAT. / MAT. Scrolls through available maternal heart rate parameters.
AMPL Scrolls through available amplitude parameters.
TOCO Scrolls through available TOCO parameters.
5 μV Selects sensitivity of 5 μV.
40 μV Selects sensitivity of 40 μV.
F ECG Connectors
10
Five snap and multi-banana connectors for ECG output, allowing for connection to any ECG. These labeled terminals and on the left side panel. Labels and their definitions are as follows:
Label Definition
Fetal Fetal ECG signal
Fet/Mat Fetal and Maternal ECG signal. Fetal signal is approximately ½ of the
maternal amplitude selected.
Fetal Simulator Powering the Simulator
Table 3. Controls, Indicators, and Connectors (cont.)
Item Name Description
Maternal Maternal ECG signal F ECG Connectors
Reference Ground reference lead
G RS-232 6-pin mini-DIN plug connector for the serial connection.
H Toco 6-pin mini-DIN connector for the Toco signal cable.
I US 1 & US 2 8-pin mini-DIN plug connector for ultrasound cable plugs.

Powering the Simulator

The Simulator uses a 9-V alkaline battery. When it detects less than about 5.6 volts, it goes into a shutdown mode, sounds a continuous tone alarm, and displays the following message:
The battery resides in the base of the instrument. Use a 9-volt alkaline battery (Duracell Do not use mercury, air, or carbon-zinc batteries.
®
MN1604 or equivalent).
W Warning
The 9-volt alkaline battery provided with the Simulator may explode or leak if recharged, inserted improperly, or disposed of in a fire. Dispose of the battery in accordance with any applicable state or local regulations.
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As an alternative to a battery, you can power the Simulator with the supplied battery eliminator. Use only the Fluke Biomedical Battery Eliminator (PN 2647372) to ensure safe operation.
WXWarning
Caution risk of electric shock, use only the battery eliminator specified in this manual or the protection provided may be impaired.
Note
Remove the 9-V battery and disconnect the Battery Eliminator if you do not intend to use the Simulator for an extended period.
You must use the Battery Eliminator when using the Mechanical Fetal Heart (MFH-1).

Operating the Simulator

Connect the Simulator to the device-under-test. First, connect the ECG leads. The active lead goes on the Fetal, Fet/Mat, or Maternal points as appropriate. The reference lead connects to the reference point.
1. Switch the Simulator On. The LCD window displays the program version for about two seconds. The window then displays the default code entry display.
2. Use the keypad to increase or decrease fetal ECG rate and amplitude, increase or decrease maternal ECG rate and amplitude, select TOCO level and amplitude, and adjust display contrast. Then press ENTER.
3. To select a simulation, repeatedly press MAIN to select FETAL ECG, MATERNAL ECG, UTERINE ACTIVITY, FETAL PATTERNS, or AUXILIARY. Then press SUB to access the next level of available selections. Press SCROLL to move through these selections. Press ENTER to activate the selection.
4. At any point, you can view the Simulator’s current parameter settings by pressing VIEW. Repeatedly press VIEW to scroll through all of the settings.
Note
Only use the ENTER key when scrolling through the current settings. Using a menu scroll or change key interrupts the scrolling operation.
12
Fetal Simulator Operating the MFH-1
5. The first parameter setting is “TOCO=00 5µV”. Thereafter, each time you press VIEW, current settings appear in the following sequence:
TOCO=00 5µV
MAT SENS. @ 1mV
FET SENS. @ 1mV
US1=150 US2=NORM
FETHR=150 STATIC
MATERNAL HR=100

Operating the MFH-1

The Mechanical Fetal Heart (MFH-1) is an accessory to the Simulator. Connect the MFH-1 to the US 1 port on the Simulator via the cable supplied with the MFH-1. Set the rate and rhythm of the mechanical heart by adjusting the US 1 output on the Simulator. For the MFH-1 to function, you must power the Simulator through the Battery Eliminator. The MFH-1 will not function on battery power.
Place the ultrasound transducer face up on your work surface and coat it with an appropriate ultrasound conductive gel. The MFH-1 outputs the mechanical signal via the simulation window. Place this window over each
transducer crystal in turn to verify each crystal’s function. See Figure 2.
THIS SIDE UP
MFH-1
FOR USE WITH PS320
MECHANICAL FETAL HEART
PROBE
SIMULATION POINT
Ultrasound Transducer
Connected to US 1
output on PS320
Gel applied between
transducer and
mechanical heart
ebv002f.eps
Figure 2. Mechanical Fetal Heart (MFH-1)
When you are finished, clean the MFH-1 with normal soap and water, and then dry.
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Simulating Functions

Refer to Table 4 for a list of simulating functions. An arrow indicates a main menu grouping of selections. An asterisk (*) indicates a sub menu selection.
Table 4. Simulating Functions
Main Menu Sub Menu Function
FETAL ECG
14
FETAL RATE +30 Increases fetal rate up by 30 bpm
*FETAL RATE -30 Decreases fetal rate up by 30 bpm
*FET SEN. 50μV Sets fetal ECG amplitude to 50 μV
*FET SEN. 100μV Sets fetal ECG amplitude to 100 μV
*FET SEN. 200μV Sets fetal ECG amplitude to 200 μV
*FET SEN. 0.5mV Sets fetal ECG amplitude to 0.5 mV
*FET SEN. 1 mV Sets fetal ECG amplitude to 1 mV
*FET SEN. 2 mV Sets fetal ECG amplitude to 2 mV
Fetal Simulator Simulating Functions
Table 4. Simulating Functions (cont.)
Main Menu Sub Menu Function
MATERNAL ECG
UTERINE ACTIVITY
*MAT SEN. 0.5mV Sets maternal ECG amplitude to 0.5 mV
*MAT SEN. 1 mV Sets maternal ECG amplitude to 1 mV
*MAT SEN. 2 mV Sets maternal ECG amplitude to 2 mV
*MAT RATE +20 Increases maternal rate by 20 bpm
*MAT RATE –20 Decreases maternal rate by 20 bpm
*SENS @ 5μV mmHg Sets pressure sensitivity to 5 μV
*SENS @40μV mmHg Sets pressure sensitivity to 40 μV
*UTERINE LVL =0 Sets uterine level to 0 (zero)
*ANALOG TO +1 V Sets analog uterine output from 0 to +1V. 1V=100 mmHg
*ANALOG TO –1V Sets analog uterine output from 0 to –1V. -1V = 100 mmHg
*UTERINE STATIC Sets uterine output in steps of 20 mmHg
*EXECUTE TOCO WA Starts a TOCO wave, not valid during trend selection
*UTERINE WVF OFF Stops TOCO wave, not valid during trend selection
*UTERINE WV 0-25 Sets standard TOCO wave from 0 to 25 units
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Main Menu Sub Menu Function
Table 4. Simulating Functions (cont.)
UTERINE ACTIVITY
FETAL PATTERNS
16
*UTERINE WV 0-50 Sets standard TOCO wave from 0 to 50 units
*UTERINE WV 0-100 Sets standard TOCO wave from 0 to 100 units
*SHORT DURATION Selects short duration TOCO waveform, not valid during trend
*NORMAL DURATION Selects norm duration TOCO waveform, not valid during trend
*INCREASED DURAT Selects long duration TOCO waveform, not valid during trend
*TRIPLING Selects tripling TOCO waveform, not valid during trend
*INCR. REST TONE Selects TOCO waveform with increased baseline level, not valid
during trend
*COUPLING Selects coupling TOCO waveform, not valid during trend
*TRIPLING Selects tripling TOCO waveform, not valid during trend
*TREND #1 Selects real patient trend of fetal heart rate and TOCO, other
TOCO selections not valid during this selection
*NORMAL Selects normal pattern
*BRADYCARDIA Selects bradycardia pattern
*TACHYCARDIA Selects tachycardia pattern
Fetal Simulator Simulating Functions
Table 4. Simulating Functions (cont.)
Main Menu Sub Menu Function
FETAL PATTERNS
*ARRHYTHMIAS Selects arrhythmia pattern
*LATE DECELERATI Selects late deceleration pattern
*EARLY DECELERAT Selects early deceleration pattern
*MODERATE DECELE Selects moderate deceleration pattern
*ACCELERATION #1 Selects acceleration pattern #1
*ACCELERATION #2 Selects acceleration pattern #2
*SINUSOIDAL, HIGH Selects high level sinusoidal pattern
*SINUSOIDAL, LOW Selects low level sinusoidal pattern
*COMPENS ACCEL. Selects compensatory acceleration pattern
*LONG DECELERATI Selects long deceleration pattern
*PROLONGED DEC. Selects prolonged deceleration pattern
*DEC. (POSITION) Selects position deceleration pattern
*VAR. DECELERATI Selects variable deceleration pattern
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Main Menu Sub Menu Function
Table 4. Simulating Functions (cont.)
FETAL PATTERNS
18
*VAR. DEC. (POST) Selects post variable deceleration
*VAR. DECEL. (V) Selects “v” shaped variable deceleration pattern
*SEV VAR. DEC.#1 Selects severe variable deceleration pattern
*VAR. DECEL TACH Selects variable deceleration tachycardia pattern
*VAR. DECEL. (U) Selects “u” shaped variable deceleration pattern
*NON-UNIFORM DEC Selects non-uniform deceleration pattern
*EXAGGERATED DEC Selects exaggerated deceleration pattern
*BIPHASIC DECEL. Selects biphasic deceleration pattern
*ABSENT VARIABIL Selects no variability in the fetal heart rate pattern
*LOW VARIABILITY Selects low variability in the fetal heart rate pattern
*MILD VARIABILIT Selects mild variability in the fetal heart rate pattern
*HIGH VARIABILIT Selects high variability in the fetal heart rate pattern
*SEVERE VARIABIL Selects severe variability in the fetal heart rate pattern
*LONG TERM VARIB Selects long term variability in the fetal heart rate pattern
Fetal Simulator Simulating Functions
Table 4. Simulating Functions (cont.)
Main Menu Sub Menu Function
AUXILIARY
*REVISION n.nn Displays software revision
*POWER ON 40μV Enables 40 μV uterine pressure on power up
*POWER ON 5μV Enables 5 μV uterine pressure on power up
*LCD ADJUST+ Adjusts LCD contrast high
*LCD ADJUST- Adjusts LCD contrast low
*ECG SQ .125Hz Selects .125 Hz ECG square wave
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