User Manual - BC Group International Inc.
Contents
1. 2 Joule of reading for lt 20 Joules 20 volts 1 mV 200 V Lead Approx 4 Joules 50 ohms 1 non inductive 1 uH 0 1 Joules 100 ms 6000 volts 100 ms Measured time delay 2 ms 1000 1 amplitude attenuated 200 1 amplitude attenuated Discharge can be viewed via ECG outputs and paddles Output 200 1 Time Base expansion Sync Time Measurements Timing window Test waveforms Delay time accuracy Charge Time Measurement From 0 1 seconds to 99 9 seconds 2 ECG Wave ECG General Lead configuration Output impedance Starts 40 ms at each R wave peak All waveform simulations available 1ms 12 lead simulation RL RA LA LL V1 6 Limb leads 1000 ohms to RL V Leads 1000 ohms to RL BC Biomedical DA 2003 User Manual 11 04 other signals in relative proportion to Lead amplitude as follows The amplitudes are shown for a Lead amplitude by 1 mV Lead Lead Il Lead Ill V Lead High Level Output ECG Jack 1 0 mV LA RA 1 5 mV LL RA 0 5 mV LL LA 1 5 mV V 1 3 LL LA RA 1 4 standard phone jack with an amplitude of 1V mV of low level Lead Il signal Defibrillator Contact Plates Same amplitude as Lead low level ECG 1 mV between contact surfaces Playback 200 to 1 time base expansion of defibrillator pulse by playback to ECG Leads Manual ECG Performance Test DC Pulse Square wave Triangular wave Sine Amplitude Accuracy ECG Performance Test Gain Damp2. 10 pack Snap to banana adapter DA 2003 User Manual 3 If you note physical damage or if the unit fails to function according to specification inform the supplier immediately When BC Biomedical or the company s representative is informed measures will be taken to either repair the unit or dispatch a replacement The customer will not have to wait for a claim to be investigated by the supplier The customer should place a new purchase order to ensure delivery 4 When returning an instrument to BC Biomedical or the company representative fill out the address label describe what is wrong with the instrument and provide the model and serial numbers If possible use the original packaging material for return shipping Otherwise repack the unit using e A reinforced cardboard box strong enough to carry the weight of the unit e At least 5 cm of shock absorbing material around the unit Nonabrasive dust free material for the other parts Repack the unit in a manner to ensure that it cannot shift in the box during shipment BC Biomedical s product warranty is on page 26 of this manual The warranty does not cover freight charges C O D will not be accepted without authorization from BC Biomedical or its representative 4 2 Set up 1 Equipment connection is as shown in the typical setup below For direct communication to printer attach the printer cable to the 25 pin outlet port on the DA 2003 Printer i Batte
3. 2 Switch the DA 2003 on The following will be displayed in the LCD display for about two seconds DA 2003 DEFIBRILLATOR ANALYZER Revision x xx 3 The following main menu will then appear It will Show LOCAL STATUS RESULT off 0 0 JOULES 0 0 VOLTS 50 OHMS Peak 0 0 AMPS LOCAL ChargeT MS PERF CHARGE PRINT WAVE TIME HEADER 2 13 BC Biomedical DA 2003 User Manual 11 04 6 3 Energy Test 1 Select a suitable energy range using the mode switch e Use the HIGH range for normal adult testing Use the LOW range for low energy testing where the energy does not exceed 50 Joule and the peak voltage does not exceed 1200 volts 2 Securely place the defibrillator paddles on the DA 2003 contact plates and discharge the defibrillator The APEX pad should be connected to the right hand plate and the STERNUM pad to the left plate This ensures correct signal polarity for the oscilloscope output A reversal of this configuration will not damage the DA 2003 nor will it give incorrect energy readings However the polarity of the oscilloscope output will simply be reversed The discharge from the defibrillator is transferred to the DA 2003 s load resistance 3 DA 2003 calculates the energy delivered over the load resistance and displays the result in joules under RESULT STATUS RESULT off 0 0 JOULES Peak U 0 0 VOLTS APEX pad gt right plate 50 O
4. Manual 11 04 7 WAVE AMPL Wave Amplitude F1 To change ECG 2 0 mV amplitude 1 5 mV move arrow 1 0mV press SELECT 0 5 mV DOWN SELECT CANCEL UNE A Choose desired amplitude by pressing UP F2 or DOWN F3 Save this under in the STATUS field by pressing SELECT F 4 Press CANCEL F5 to cancel selection 8 PLAY PULSE F2 enables playback of the last discharge See the discussion on playback of energy wave on page 4 3 9 SYSTEM TEST F1 Move ECGO arrow ECG and ECG press A D read SELECT Memory TEST PULSE DOWN SELECT CANCEL ame a SERT Choose a test variant by pressing UP F2 or DOWN F3 or TEST PULSE F1 Press CANCEL F5 to cancel selection Also Chapter 5 Control and Calibration for additional information on ECGO ECG and ECG paragraphs 5 4 10 12 and A D read paragraph 5 4 20 Memory is for factory testing 10 REMOTE CONTR Remote Control F4 enables communication with a PC with test automation software Note DA 2003 has an internally generated test pulse The control pulse is set at 1 2 Joules in the Low range and 28 5 Joules in the High range The test pulse is not a calibration pulse and should not be used as an indication of the general accuracy of the instrument The test pulse is a good control for testing functions 5 4 Test Result Printouts DA 2003 automatically prints out the te
5. and 4 30 PM Central Standard Time CST Monday through Friday except holidays Whichever method of contact you choose please provide the following information e Product name and serial number e Revision level of your software e The specific steps which reproduce your problem e Any error codes displayed on screen Adaytime phone number fax number and or email address if available Your name company 17 BC Biomedical DA 2003 User Manual 11 04
6. HMS Peak 0 0 AMPS STERNUM pad gt left plate LOCAL ChargeT MS Note If the maximum voltage for a selected range is exceeded the LCD display will show WARNING Overload PERF CHARGE PRINT WAVE TIME HEADER 2 DA 2003 also shows the energy measured the maximum voltage and the maximum current in the energy wave Following the discharge from the defibrillator DA 2003 shows a playback of the wave from the ECG output A new pulse can be generated when the LCD display shows LOCAL 4 Following a discharge from the defibrillator the instrument shows a playback of the wave from the ECG output The display will thus be in playback mode When this is shown in one line DA 2003 automatically prints out the result 5 The discharged pulse can be repeated To do this press more 2 F5 to advance to page 2 of the main menu WAVE PLAY SYSTEM REMOTE AMPL PULSE TEST CONTR more 1 A A A A Press PLAY PULSE F2 The display will show Oper Playback and displays the result in joules under RESULT STATUS RESULT off 0 0 JOULES 0 0 VOLTS 50 OHMS 0 0 AMPS LOCAL ChargeT MS PERF CHARGE PRINT WAVE TIME HEADER 2 Following playback the apparatus is ready to receive a new discharge from the defibrillator The display will show LOCAL 14 BC Biomedical DA 2003 User Manual 11 04 6 When testing automatic defibrillators it is quite common t
7. User Manual DA 2003 Defibrillator Analyzer BC Biomedical of Greug l VI VII Vill TECHNICAL SUPPORT CONTENTS MANUAL REVISION RECORD INTRODUCTION 7322 car rir 2 1 Features 2 2 General Information SPECIFICATIONS ori ea cn INSTALLATION eeeeernn nnn 4 1 Receipt Inspection and Return 4 2 Setup 4 3 Power 4 4 Internal Paddles 4 5 Special Contacts 2 5 1 Control Switches and Connections 5 2 Menu and Function Keys 5 3 Menu and Messages 5 4 Test Result Printouts TESTIN cse 6 1 Introduction 6 2 Test Preparation 6 3 Energy Test 6 4 Cardioversion Test 6 5 Maximum Energy Charging Time Test WARRANTY sc ipee D l MANUAL REVISION RECORD This record page is for recording revisions to your DA 2003 User Manual that have been published by BC Biomedical or its authorized representatives We recommend that only the management or facility representative authorized to process changes and revisions to publications e Make the pen changes or insert the revised pages e Ensure that obsolete pages are withdrawn and either disposed of immediately or marked as superseded and placed in a superseded document file and Enter the information below reflecting that the revisions have been entered RevNo Date Entered Reason Signature
8. V 1 5 mV and 2 0 mV To change wave amplitude select more 2 on the main menu to advance to page 2 Select WAVE AMPL F1 WAVE AMPL PLAY PULSE SYSTEM REMOTE TEST CONTR more 1 A A A A A BC Biomedical DA 2003 User Manual 11 04 Wave Amplitude Menu appears To change ECG 2 0 mV amplitude 1 5 mV move arrow 1 0mV press SELECT 0 5mV DOWN SELECT CANCEL MEE ER TREY Select the desired amplitude by pressing UP F2 or DOWN Save this under in the STATUS field by pressing SELECT F4 Press CANCEL F5 to cancel selection 4 Setthe defibrillator to synchronized cardioversion mode Discharge the defibrillator over the instrument s load resistance 5 DA 2003 measures the time delay in milliseconds ms between the top of the R wave and the discharging of the defibrillator pulse This delay will be shown in the LCD display as Delay xxx ms DA 2003 also shows the energy measured the maximum voltage and the maximum current in the energy wave Following the discharge from the defibrillator DA 2003 shows a playback of the wave from the ECG output A new pulse can be generated when the LCD display shows LOCAL 6 5 Maximum Energy Charging Time Test 1 The charge time function is used to test the battery and the charging capacitor in the defibrillator 2 Setthe defibrillator to maximum energy 3 Securely place the defibrillator paddles on the DA 2003 contact plates a
9. efib mode and that the pacer signal passes through the instrument with a fixed 50 ohm load in the PACE mode 10 color coded 4 mm safety terminals with snap to banana adapters BC Biomedical DA 2003 User Manual 11 04 Rear Panel Scope Output Printer 7 High Level Jack 1 4 standard phone jack for amplitude of 1 V mV of low level Lead 1 signal 8 Oscilloscope Output BNC contact for attenuated signal in real time 9 RS 232 Serial Port 9 pin D sub 10 Printer Outlet Port 14 25 pin D sub 11 Location of Batteries 2 compartments in the base of the instrument can be opened to replace the batteries 12 Battery Eliminator Battery contact for connecting 9V 30 mA battery Socket eliminator 5 2 Menu and Function Keys The DA 2003 uses display and programmable function keys to provide flexibility and control over the operations The upper part of the screen displays messages status and results The menu bar is at the bottom of the display The function keys are numbered from FI to F5 A function is selected by pressing the key located directly under the Menu Item displayed in the menu bar A menu unit is written in capital letters The menu has two pages The next pages of the menu are selected by pressing more 2 or more 1 5 3 Menu and Messages 1 Startup Screen The following screen will be displayed for 2 seconds after the DA 2003 has been switched on DA 2003 DEFIBRILLATOR ANALYZER Re
10. elve 12 months from date of purchase replace or repair any defective analyzer if the fault is due to a manufacturing defect In no event will BC Biomedical or its local representatives be liable for direct indirect special incidental or consequential damages arising out of the use of or inability to use the DA 2003 Defibrillator Analyzer even if advised of the possibility of such damages BC Biomedical or its local representatives are not responsible for any costs loss of profits loss of data or claims by third parties due to use of or inability to use the DA 2003 Defibrillator Analyzer Neither BC Biomedical nor its local representatives will accept nor be bound by any other form of guarantee concerning the DA 2003 Defibrillator Analyzer other than this guarantee Some jurisdictions do not allow disclaimers of expressed or implied warranties in certain transactions therefore this statement may not apply to you X TECHNICAL SUPPORT BC Biomedical s DA 2003 Defibrillator Analyzer is backed by a superior support staff If the DA 2003 ever fails to work perfectly please contact the Technical Support Staff Written Communications You may write a letter with your comments and send it to BC Biomedical BC Group International Inc 3081 Elm Point Industrial Dr St Charles MO USA 63301 OR E mail salesebcgroupintl com Phone Support You can telephone the Technical Assistance Center at 314 638 3800 or 1 800 242 8428 between 8 00 AM
11. in Width 24 8 cm 9 8 in Depth 28 0 cm 11 0 in Weight 1 85 kg with battery 4 1 Ibs Printer Port Centronics Interface Standard Accessories 110 V or 220 V AC Adapter P N BC20 00429 Internal paddle contact adapter P N BC20 00430 Snap to banana adapters 10 pk P N BC20 17024 DA 2003 User Manual Protective Cover P N BC20 00427 Additional Accessories Defib paddle adapter specify defibrillator type Soft Carrying Case P N BC20 30108 Storage Store in the carrying case in dry surroundings within the temperature range specified without battery There are no other storage requirements Periodic Inspection The unit should be calibrated every 12 months 3 BC Biomedical DA 2003 User Manual 11 04 Ill SPECIFICATIONS 1 Energy Output Measurement High Range Voltage Maximum current Maximum energy Accuracy Trigger level Playback amplitude Test pulse Low Range Voltage Maximum current Maximum energy Accuracy Trigger level Playback amplitude Test pulse Load Resistance Display Resolution Measurement Time Window Abs Max Peak Voltage Pulse Width Cardioversion Oscilloscope Output High measure range Low measure range Waveform Storage And Playback 5000 volts 120 amperes 1000 Joules t 2 of reading for gt 100 Joules 2 Joule of reading for 100 Joules 100 volts 1 mV 1000 V Lead 100 4 Joules lt 1000 volts 24 amperes 50 Joules 2 of reading for gt 20 Joules
12. ing Frequency Response Low Frequency Band Pass Monitor Power Line Notch Filter Linearity Normal Sinus Rates Accuracy Amplitudes Accuracy Automatic ECG Rate Test Arrhythmia Selections vfib afib blk II RBBB PAC PVC E 4 seconds 1 0 mV 2 Hz 1 0 mV p p biphasic 2 Hz 1 0 mV 0 1 0 2 0 5 10 40 50 60 and 100 Hz 0 5 1 0 1 5 2 0 mV Lead II 5 Lead 1 1 0 mV 2 Hz square wave 4 second DC pulse 10 Hz sine 3dB point 40 Hz sine 50 Hz sine 2 Hz triangle wave 30 60 80 120 180 240 and 300 BPM t 196 of selection 0 5 1 0 1 5 and 2 0 mV Lead II 5 Lead 1 1 0 mV Ventricular Fibrillation Atrial Fibrillation Second degree A V block Right Bundle Branch Block Premature Atrial Contraction Early PVC BC Biomedical DA 2003 User Manual 11 04 PVC STD PVCRonT mfPVC bigeminy runbPVC vtach PVC R on T PVC Multifocal PVC Bigeminy Bigeminy Run of 5 PVCs Ventricular Tachycardia Shock Advisory Test Algorithms Asystole Supraventricular Tachycardia Course Ventricular Fibrillation Fine Ventricular Fibrillation 6 BC Biomedical DA 2003 User Manual 11 04 INSTALLATION 4 1 Receipt Inspection and Return 1 Inspect the outer box for damage 2 Carefully unpack all items from the box and check to see that you have the following items e DA 2003 Defibrillator Analyzer 110 V 220 V AC Adapter e Internal paddle contact adapter Ground contact adapter e
13. nd discharge the defibrillator The APEX pad should be connected to the right hand plate and the STERNUM pad to the left plate This ensures correct signal polarity for the oscilloscope output A reversal of this configuration will not damage the DA 2003 nor will it give incorrect energy readings However the polarity of the oscilloscope output will simply be reversed The discharge from the defibrillator is transferred to the DA 2003 s load resistance 4 Select CHARGE TIME F3 from the main menu and the charge button on the defibrillator simultaneously STATUS RESULT off Energy 0 0 JOULES Peak U 0 0 VOLTS 50 OHMS Peak 0 0 AMPS LOCAL ChargeT MS APEX gt right plate STERNUM pad gt left plate PERF CHARGE PRINT WAVE TIME HEADER 2 A A A A A When the defibrillator is charged discharge it through the instrument 5 Charging time will be shown in the display as Chrg T xx x MS under RESULT STATUS RESULT off 0 0 JOULES 0 0 VOLTS 50 OHMS Peak 0 0 AMPS LOCAL ChargeT XX XMS PERF CHARGE PRINT WAVE TIME HEADER 2 BC Biomedical DA 2003 User Manual 11 04 WARRANTY BC Biomedical warrants that the DA 2003 Defibrillator Analyzer will substantially conform to published specifications and to the documentation provided that it is used for the purpose for which it was designed BC Biomedical will for a period of tw
14. o have to select vfib from the ECG menu ECG WAVE for the ventricular fibrillation wave Automatic defibrillators typically do not fire without seeing v fib 6 4 Cardioversion Test 1 Select ECG WAVE F1 from the main menu STATUS PERF WAVE off 50 OHMS LOCAL RESUL 0 0 JOULES 0 0 VOLTS 0 0 AMPS MS Energy Peak U Peak ChargeT CHARGE TIME PRINT HEADER more 2 2 The ECG Wave menu opens DA 2003 includes the following ECG wave selection for cardioversion tests or for the testing of electrocardiograph monitors Normal Sine Rates 30 60 80 120 180 240 and 300 Arrhythmia types as follows vfib afib blk Il RBBB PAC PVC E PVC STD PVCRonT mfPVC bigeminy runbPVC vtach off vfib 30 BPM 60 BPM 80 BPM 120 BPM Ventricular Fibrillation Atrial Fibrillation Second degree A V block Right Bundle Branch Block Premature Atrial Contraction Early PVC PVC R on T PVC Multifocal PVC Bigeminy Bigeminy Run of 5 PVCs Ventricular Tachycardia 180 BPM 240 BPM 300 BPM afib bik Il RBBB PAC PVC E PVC STD PVCRonT mfPVC bigeminy SELECT 5 vtach DOWN A A A CANCEL Select a desired wave by pressing UP F2 or DOWN F3 Save this under Wave in the STATUS field by pressing SELECT F4 Press CANCEL F5 to cancel selection DA 2003 includes the following ECG wave amplitude options 0 5 mV 1 0 m
15. of Person Entering Change Patumehmms RB o oo 44 oo 44 44 44 44 p a a 44 E pee 2 BC Biomedical DA 2003 User Manual 11 04 ll INTRODUCTION 2 1 Features The DA 2003 Defibrillator Analyzer is a precision instrument for testing defibrillators and is designed to be used by trained service technicians It measures the energy output and ensures that the defibrillator complies with specified requirements DA 2003 has a built in load resistance of 50 ohm which roughly corresponds to the impedance of the human body The defibrillator pads are placed on the DA 2003 contact plates Thus the defibrillator is connected through the load resistance When the defibrillator is discharged DA 2003 calculates and displays the energy delivered 2 2 General Information Temperature Requirements 15 C to 35 C when operating 0 C to 50 C in storage Display Type LCD graphic display Alphanumeric format 6 lines 40 characters Data Input Output 2 Parallel printer port 1 Bi directional RS 232C 1 for Computer control Power 2 x 9 volt alkaline Battery Duracell MN1604 or equivalent for 20 25 operational hours or 240 VAC Battery Eliminator 115 VAC for US Mechanical Specifications Housing High impact plastic case Height 9 8 cm 3 9
16. rnal paddles an internal paddle adapter has to be used These contacts have a banana plug that is attached to the standard paddle contact and which is protected by a plastic insulation washer 4 5 Special Contacts Certain defibrillators automatic models and those with pacer options have special contacts that are fastened to the electrodes attached to the patient BC Biomedical has special adapters to suit the majority of these defibrillators These are available as accessories They are more or less the same as the internal pad adapter except that they have a special adapter on the top which matches the contact on the defibrillator Defibrillator paddle adapter specify defibrillator type 8 BC Biomedical DA 2003 User Manual 11 04 V 5 1 Control Switches and Connections Front Panel DA 2003 gt c DEFIBRILLATOR ANALYZER RELISION Sterum 1 Power Switch 2 Range Switch 3 LCD Display 4 Function Keys 5 Contact Surfaces 6 Low Level ECG Connectors Apex Turns the power on and off Switches between Low and High ranges of defibrillator energy Shows messages test results and function menus Fl F5 are used to select the functions shown on the bottom line of the LCD display i e for selecting the function that is directly above the key The defibrillators paddles are placed on these so that the discharged energy passes through the instrument in d
17. ry 1 Eliminator Optional Biomedical DA 2003 User Manual 11 04 4 3 Do not use mercury air or carbon zinc batteries NOTE Remove the batteries and disconnect the AC Adapter if you do not intend to use the DA 2003 for an extended period of time 4 4 Internal Paddles 1 Main On Off Switch DA 2003 should remain off for at least 5 seconds before switching on again in order to allow the test circuits to discharge fully 2 Low Battery Power If battery power falls below 6 9 volts 0 3 volts the display will show Change battery and reset system This means that the battery should either be replaced or the instrument should be connected to a battery eliminator The main switch has to be switched off and then on again in order to use the instrument 3 Changing Batteries Open the compartments in the base of the instrument replace the old batteries with new ones and close the compartment covers Use 9 volt alkaline batteries Duracell MN1604 or similar 4 Battery Eliminator BC Biomedical s AC Adapter plug in power supply transformer allows you to use the DA 2003 anywhere a standard electrical outlet is available To attach the AC Adapter insert the adapter s small connector into the micro jack labeled Batt Elim 9V DC on the right rear of the unit Plug the large connector into the nearest standard electrical outlet To be able to test defibrillators with inte
18. st results via the printer output after each discharge generated Select PRINT HEADER F4 if you want to print out a page with a new header 12 BC Biomedical DA 2003 User Manual 11 04 VI TESTING 6 1 Introduction DA 2003 measures the energy output and ensures that the defibrillator complies with specified requirements It has a built in load resistance of 50 ohms which roughly corresponds to the impedance of the human body The defibrillator pads are placed on the DA 2003 contact plates Thus the defibrillator is connected through the load resistance When the defibrillator is discharged DA 2003 will calculate and display the energy delivered Defibrillator energy is defined as an integral of the moment of the discharged energy from the defibrillator The energy is equal to the square of the voltage divided by the load resistance 2 pdt Q V Rdt U V dt R DA 2003 measures and records the voltage pulse every 100 us 1000 times for a total time of 100 ms The squares of the voltages are then summed multiplied by 100 us and divided by the load resistance 50 ohms 1000 1000 E 5 V dt R 2 2 100 us 50 ohms 0 0 The unit for energy is joule which is equal to Ws Watt second 6 2 Test Preparation 1 If checking ECG monitoring prompting or triggering from the ECG connect the low level or high level ECG connectors to the ten 4 mm AHA color coded safety terminals or standard phone jack as appropriate
19. vision x xx 10 BC Biomedical DA 2003 User Manual 11 04 N Main Menu a Main Menu Bar Page 1 Mode switch in Low or High position STATUS off 50 OHMS LOCAL RESULT Energy 0 0 JOULES Peak U 0 0 VOLTS Peak 0 0 AMPS ChargeT MS PERF CHARGE PRINT WAVE TIME HEADER more 2 b Second Menu Bar Page 2 WAVE PLAY SYSTEM REMOTE AMPL PULSE TEST CONTR more 1 A A AAA ECG WAVES F1 off 180 BPM vfib 240 BPM 30 BPM 300 BPM 60 BPM 80 afib BPM bik II 120 BPM RBBB DOWN PAC run5PVC PVC E vtach PVC STD PVCRonT mfPVC bigeminy SELECT CANCEL DES Ens A A Choose desired wave by pressing UP F2 or DOWN F3 Save this under Wave in the STATUS field by pressing SELECT F4 Press CANCEL F5 to cancel selection PERF WAVE Performance ECG F2 off Sine 0 5 Pulse Sine 10 Square Sine 40 Triang Sine 50 Sine 0 1 Sine 60 Sine 0 2 Sine 100 DOWN TA A Choose desired selection by pressing UP F2 SELECT CANCEL A A or DOWN F3 Save this under Wave in the STATUS field by pressing SELECT F 4 Press CANCEL F5 to cancel selection CHARGE TIME F3 Used to test the battery and charging capacitor in the defibrillator It changes the text Delay to Chrg T xx x S in the RESULT field in the main menu PRINT HEADER F4 Automatically writes a 11 heading for the new test protocol BC Biomedical DA 2003 User
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