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        Ansur QED 6 (Plug-In Module - software Interface)
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1.      To run a Change Time test  take the following actions     l   pA    Connect the defibrillator to the Analyzer     Set the defibrillator to the energy level indicated in the information block on the right  side of the main TEST GUIDE window     Click Start in the TEST GUIDE toolbar to start the test  A progress window  displays    Please wait     while Ansur configures the Analyzer     QED 6 Tests 3  Pacemaker Tests    Once configuration completes its routines  a 5 second countdown starts  Wait for the  countdown to complete before charging the defibrillator     Begin charging the defibrillator when warning    START CHARGE NOW        appears on your computer screen     As soon as charging is complete  discharge the defibrillator  Test results appear in the  Test Results window     Synchronization Tests    Synchronization  Sync  tests determine the ability of the defibrillator to synchronize the  discharge of its output pulse with a simulated ECG waveform being generated from the  Analyzer  Two sync tests are available  the Sync R Peak test measures the cardioversion  delay time from the peak of the R wave and the Sync Q Base test measures the delay  time from the Q wave     To run a Synchronization Test  do the following     l     Connect the defibrillator to the Analyzer and set defibrillator to the energy setting  indicated in the TEST GUIDE settings pane     The Analyzer outputs an ECG waveform to the defibrillator for this test   Click Start in the TEST GUIDE toolbar 
2.     Charge the defibrillator  Ansur configures the Analyzer for the defibrillator test   indicating the status in a Test Results window     Wait for Ansur to finish configuring the Analyzer  When configuration is complete  a  window displays the prompt    Defibrillate now      Discharge the defibrillator  Results of the test appear in the TEST GUIDE results  pane     Pacemaker Tests    Pacemaker tests are used to test the basic operation of external transcutaneous  pacemakers by measuring various pacemaker outputs and timing     Pacer Parameter Test    The pacer parameter test measures peak current and pulses per minute delivered by a  pacemaker     To run a Pacer Parameter test  do the following     l   2     Connect a pacemaker to the Analyzer     On the pacemaker  set the pacer rate and pacer output current  The TEST GUIDE  settings pane indicates the pacemaker current level to be used     Click Start in the TEST GUIDE toolbar     When the Analyzer completes its measurements  Ansur retrieves the results and  displays them in the TEST GUIDE     Click Next in the toolbar to proceed  or click Start to re run the test     Pacer Refractory Test    This test checks the ability of the pacemaker to interact with cardiac activity when the  pacemaker is in demand mode  The Ansur program retrieves the Pulsed Refractory    3 5    Ansur QED 6 Plug In    Users Manual    3 6    Period  PRP  and the Sensed Refractory Period  SRP  timings as measured by the  Analyzer     To run a Pacer Ref
3.   wait time  make adjustments accordingly     Click the Communications tab to set preferences for the timeout threshold  The  timeout threshold is the maximum time allowed for communications to be initiated  before triggering an error     Click OK     Restart Ansur for changes to take effect     Chapter 3  QED 6 Tests    Ansar Test GU Cs an aa GE dada ae ee GE EG  IR EOE et DOSES na donna na tele ai te  Eise eege  Charte Time KE EE re EE EE umo ou  Svnchrontzatioti Tesis a da  PT  Facer Parameter   Est eie    PN Tv  Running ECG Waveform Simulation Tests  Normal Sinus Wave Simulation us   Arrhythmia Wave Advisory Test     Performance Wave Simulation          3 1    Ansur QED 6 Plug In  Users Manual    3 2    QED 6 Tests 3  Ansur Test Guide    Ansur Test Guide    When a test procedure is executed within Ansur  use the TEST GUIDE to step you  through each element in the test procedure     This manual includes tests unique to the plug in for the QED 6 Analyzer  For overall  information on selecting and executing tests with Ansur software  please refer to the  latest version of the Ansur Executive User Manual     When you execute a test with the QED 6 Plug in  the TEST GUIDE window opens   Figure 3 1 shows the TEST GUIDE for an Energy Measurement test  The panes function  as follows     e Left pane     The left pane displays either the default explanation or one entered  when a custom template was created     e Right pane     The right side pane provides step by step directions fo
4.  audible test  the Analyzer takes no measurements during  this test     Table 4 14  Performance Wave Simulation Custom Parameters    ECG Waveform Selects the type of Waveform to use for the test  Choices are   Square  0 125 or 2 Hz  Pulse  30 or 60 BPM  Sine  10  40  50  60  100 Hz    Triangle  2 Hz    Duration How long the simulation should last  Setting can range from 1 to 60  seconds  If checkbox Indefinite selected  duration will be ignored and  user must stop test manually using the TEST GUIDE toolbar        
5.  ei s  Using Pacemaker Test Elements  PAC RAI ADR OP ke AE EE EE es        Pacer K  enaciory Tesi na RE ee NG  Using ECG Waveform Simulation Test Elements  Normal Sinus Wave Simulation sesse sesse ee RR Re ee ee ee  Arrhythmia Wave Advisory Test  Performance Wave Simulation    DS DS DY DS  JO       LE    DS  OO CD Kai        D  CO    D DS    D DS D  eu KR    Ansur QED 6 Plug In  Users Manual    4 2    QED 6 Test Templates     Introduction    Introduction    This chapter introduces the template capabilities of the QED 6 Plug In and provides  guidance for customizing test templates     You can find detailed information on creating Ansur test templates in the Ansur Test  Executive User Manual     Creating Test Templates    Create  modify and review test templates using the Ansur Main Application window as  a template editor  The QED 6 Plug In provides 13 test elements that can be used to build  new test procedures  These are accessible in Test Explorer and are coded as follows     e Light blue icon   the Analyzer automatically provides test result data to Ansur as the  test is completed     e Yellow icon   resultant data must be manually entered into Ansur by the user     To build a test template  take the following actions  beginning from the Main  Application window     1  Drag a test element from the Test Explorer  left pane  into the Test Template   right pane   as displayed in Figure 4 1  Clicking the test element in the Test  Template highlights the test element and its pr
6.  than the  default  be sure you use the same folder for the OED 6 Plug In     6  Click Install to begin the installation  A progress bar indicates the status of the  Ansur QED 6 Plug In installation     After a few minutes  the installation concludes  and the window displays the dialog  box and the Finish button     7  Click Finish  The QED 6 Plug In will load when Ansur is started     Entering License Key    When using the plug in for the first time  you are prompted to enter your software license  key provided by Fluke Biomedical at the time of purchase     Note    You can create test templates without a license key by using the  demonstration mode  Demonstration mode allows many of the tasks  described in this user manual  However  you cannot save or print without  licensing the plug in     1  Start Ansur by doing one of the following   e Double click the Ansur icon on your desktop   e From the Start menu  select Start   Programs   Fluke   Ansur     Note    The license key dialog box shown in Figure 2 1 appears at startup if a  license key has not yet been entered for the plug in     Ansur registration          QED 6 Defibrillator Analyzer           Please enter license key For the QED 6 Defibrillator Analyzer  plug in  This key will be specified on the license agreement  provided with this product        Establishment     License key       pe   ms      Figure 2 1  Ansur Registration Screen License Key       fav001 bmp    2 4    Getting Started  Ansur Main Window    2  Ent
7. 1  Test Template with Selected Test Element     4 2  User Definable Parts of the General Setup Tab     4 3  Expected Results Options for User Input     4 4  Changing the Operand in Expected Results     4 5  Add or Delete Limits Pop up Menu          4 6  Custom Setup Page for Pacer Parameter Test Element    Ansur QED 6 Plug In    Users Manual    vi    Ansur Software          Ansur Plug ins         Chapter 1  Introduction    About This NEE a a nn    QED 6 Plug In             Additional References eis ey eu rev Ge ius Mi he sentent Ge    Software Updates    Terms and Abbreviations               c cccccceccsccccoscscceccececcsceecescscesceeceecscancescecenees    1 1    Ansur QED 6 Plug In  Users Manual    1 2    Introduction 1  Ansur Software    Ansur Software    Ansur Test Automation software is the backbone of all Fluke Biomedical test systems   Ansur manages your test procedures by allowing both manual and visual automated test  seguences     The software works hand in hand with Fluke Biomedical analyzers and simulators   creating a seamless integration for     e Visual inspections   e Preventive maintenance  e Work procedures   e Performance tests    e Safety tests    Ansur Plug ins    Ansur Test Executive software utilizes plug in modules that work with a wide array of  Fluke Biomedical instruments  The plug in module is a software interface that provides  test elements to the Ansur Test Executive program  This scheme lets you use a similar  user interface for all analyzers 
8. Defibrillator Anahyzer  BE VFIB Energy Test     HR vTACH Energy Test  AE Charge Time Test      lE Peak Voltage Test    pE Over Current Test    Di Over Voltage Test    BC sync R   Peak Test    pE Sync G   Base Test    Normal Sinus ECG Test  Arrhythmia Wave Test  Performance Wave Test  m P Pacer Parameter test  ind j Pacer Refractory test       fav004 bmp    Figure 2 4  QED 6 Test Explorer Window    Plug In Preferences    The plug in preferences let you select default settings that best suit your normal  instrument use  Defaults typically handle most performance testing requirements  Use the  following procedures  however  if you need to change any settings     1  Start the Ansur Test Executive program     2  Click Tools   Options to display the Preferences window shown in Figure 2 5     Preferences    QED 6 Defibrillator Analyzer    if or  Sage EEE Ed aer ee Lec E    94h EEE ee AA EP FREE ERA  13 ener  preret BEET    Ansur preferences  QED  amp  Defibrillator    Analyzer    E Set Pacer Refractory Timeout settings to wait during the pacer refractory best  At  lower PPM the value may need to be increased     fav005 bmp       Figure 2 5  Defibrillator Analyzer Preferences    Ansur QED 6 Plug In  Users Manual    2 8    Click the QED 6 Defibrillator Analyzer button  The window opens with the  General tab displayed     In this window  you can change the Pacer Refractory time   the time to wait during  the Pacer Refractory Test  Tests with low pulses per minute may require additional
9. July 2007     2007 Fluke Corporation  All rights reserved   All product names are trademarks of their respective companies          Biomedical    Ansur QED 6    Plug In    Users Manual    Table of Contents    Chapter Title    1 OC ON  A    Ansur ON AE Ee N Ee Ee N GR    E  Ansar PS AS ie BRER ha Be doi  Aboot EMA a De a Ge io dE   FDP   Additional BeterenoeSu ete diarrea ee Ee DR ee Re ee EDU UA  SOL AL BP E  Terms and Abbreviations iii serres ee ee    2 Getting lg                              hold  System Reduiremenis sesse DEd BOG EES eA SR Ee ee BONA DES Re Ee  Installing the QED 6 ie ORE N  Entering Licens KEES ee ge MEINT egg Ge Ge Dee E MISI  Uninstalling th   Plug  Ties eke     Ansur Main Window      ee esse esse ee ee ee ee ee sanis siis sias ns  ke de de  eds AE ON EE EE N EN EE N  FN MER  plae lis    TRCN ee ie te    3 QED 6 ee    TT  D  S ae EE EG T T  2 ales Eeer  CAES Pie Heel    ne ee Oe ee  oynchrontzaton Tests Laon  pre    ee  TNT NG  Pr TE  Running ECG Waveform Simulation Tests  Normal Sinus Wave Simulation issie SA eN nan es Re SN  Arrhythmia Wave Advisory Test      Performance Wave Simulation           Ansur QED 6 Plug In    Users Manual    QED 6 Test Templates               bo  ER ER OE OE EE NUMINI  Creating Test Ke ET    Using Defibrillator Test Elements    RCT EEE EET    Charge Time Test                       Synchronization Time Test        Using Pacemaker Test Elements    Pacer Parameter Test                  Pacer Refractory Test                   Us
10. ab  A screen opens  allowing you to enter a name for the  test  In the example in Figure 4 2  the name shown is    QED 6 VFIB Energy Test      In the space below the name  you can enter the procedures and instructions to be    followed when conducting the test     ra General setup     gt  Apply when   ia Expected results   Custom setup      Name   GED 6 VFIB Energy Test    Procedure     A   X AB BrIU ARS        Measures the energy applied to the load during the discharge  The arrhythmia generated by GED is  Ventricular Fibrillation        fav008 bmp    Figure 4 2  User Definable Parts of the General Setup Tab    3  Click the Apply when tab to assign report levels  standards  and service events to  rest elements  For more information about this feature  see the Ansur Test Executive    User Manual   4  Click the Expected results tab to view or change the measurement limits for tests   as shown in Figure 4 3     Note    The Expected results page is unavailable when test elements do not  return measurement data     QED 6 Test Templates     Creating Test Templates    A General setup    gt  Apply when Mi Expected results    Custom setup        Limit High Low Unit  Operand Reference Measurement    User defined   5 Energy 10 10  HAVE        fav009 bmp    Figure 4 3  Expected Results Options for User Input    5  To define how Ansur calculates the limit values for certain measurements  click the  Operand field to see a drop down menu  as shown in Figure 4 4     F   General setup   E  A
11. and simulators supported by Ansur     When you purchase a new Fluke Biomedical analyzer or simulator  you can update your  existing Ansur software by installing a new plug in  Each plug in module allows you to  work only with the options and capabilities you need for the instrument you are testing     About This Manual    This users manual is designed to assist the reader in using the Ansur QED 6 Plug In with  Ansur software  The manual covers all features specific to the plug in  Familiarity with  both Ansur software and Microsoft Windows and their features will help you design and  use tests for the Ansur QED 6 Analyzer     QED 6 Plug In    The Ansur QED 6 Plug In provides remote access to the QED 6 Defibrillator Analyzer   referred to throughout this document as the    Analyzer     In addition to the general test  plug ins  specialized plug ins address all test requirements for specific instruments     Note  The Ansur QED 6 Analyzer Users Guide explains its capabilities and use   Create and use Ansur test procedures with Ansur QED 6 test elements to incorporate the  capabilities of your Analyzer into your automating testing  You can customize tests to    analyze specific performance requirements  There are unique test elements for each of the  tests and simulations typically run on the Analyzer     1 3    Ansur QED 6 Plug In  Users Manual    Additional References    In addition to this manual  you may find answers to questions using the Analyzer or PC  from the following s
12. ate can also contain instructions on how  to perform service  preventive maintenance  repair and other tasks on a DUT        Introduction    Chapter 2  Getting Started    System RENE  Installing de QED 6 Plug In sasies ee i etta ee E RE ee De Ee AA De  Entering License Key 5    ERES ERI He aN BOE PERI SERRE ERO HOES ERGER EE    Ansur Main    VG    Test 2 0   9     RE D eee eee  KE WEE SE Sonsacie EO haccanin  e  Pie le EE ie RD sens    2 3   2 3   2 3   2 4   Cases ihe ORE OE KON N 2 5    PES  DES  2 6   PER    2 1    Ansur QED 6 Plug In  Users Manual    2 2    Getting Started  Introduction    Introduction    This chapter describes installation of the QED 6 Plug In and its use together with the  Ansur Test Automation software and a OED 6 Analyzer     Note    You do not need an Analyzer to create test templates and experiment with  the functionality available in Ansur and the OED 6 Plug In  However  you  cannot perform any actual tests unless the Analyzer is connected to your  computer     System Requirements    The following are recommended minimum requirements for installation   e Microsoft Windows 2000 or Windows XP operating system  e Fluke Biomedical Ansur V2 4 0 or newer  e 50 MB of available hard drive for software    e Hard drive space  from 100 k to several megabytes  for result and template files    Installing the QED 6 Plug In    The QED 6 Plug In must be installed on your computer before you can use the features  described in this user manual  For information on ob
13. configured at the pacemaker     fav012 bmp  Figure 4 6  Custom Setup Page for Pacer Parameter Test Element    8  If desired  de select  uncheck  either or both of the Test Guide Settings  checkboxes to disable the Skip and N   button options     The Test Guide Settings control whether certain test elements can be skipped  altogether or marked as Not Applicable  NA  while the tests run  The Skip and  NA buttons  shown below  are enabled by default  If a setting is enabled  the  corresponding Skip or N   button is available on the toolbar     ced N   Ba  Skip    eur022 bmp    4 6    QED 6 Test Templates  Using Defibrillator Test Elements    Using Defibrillator Test Elements    The QED 6 Plug In test elements shown in Table 4 1 can be configured by the user   These are discussed below  including units of measurement  setup parameters  and  descriptions     Table 4 1  QED 6 Defibrillator Test Elements    Test Setup Parameter Measurement    VFIB Energy Test Preset Energy Energy  in joules   VTACH Energy Test Preset Energy Energy  in joules   Charge Time Test Preset Energy Charge Time  seconds   Peak Voltage Test Preset Energy Peak Voltage    Over Current Test Preset Energy Over Current    Over Voltage Test Preset Energy Over Voltage  Sync R Peak Test Preset Energy Sync Time  milliseconds     Sync Q Base Test Preset Energy Sync Time  milliseconds     Energy Tests    The QED 6 Plug In has two similar test elements for performing an energy test  the VFIB  Energy Test and the VTACH En
14. ed during the test   Pulse Width Pacer pulse width as measured by the Analyzer   Pulse Voltage millivolts Peak voltage detected during the test     Table 4 9  Pacer Parameter Test Custom Parameters    Pacer Load  PLA  Defines load used for the test  A Pacer Load Adapter  PLA  value can be   ER ieee or the default internal 50 ohm load can be used          Preset Pacer Rate   Pacer Rate   Expected pacer rate  field user prompted to set pacemaker to this rate      pacer rate  field user prompted to set pacemaker to this rate     Preset Pacer Expected pacer amplitude  field user prompted to set the pacemaker output  Amplitude current to this value        Pacer Refractory Test    The Pacer Refractory test checks the ability of the pacemaker to interact with cardiac  activity when the pacemaker is in demand mode  Ansur retrieves the Pulsed Refractory  Period  PRP  and the Sensed Refractory Period  SRP  timings as measured by the  Analyzer  Tables 4 10 and 4 11 list the Pacer Refractory test measurements and custom  parameters     Ansur QED 6 Plug In  Users Manual    Table 4 10  Pacer Refractory Test Measurements    Unit of  Measure    Sensed Rp milliseconds Sensed Refractory Period  Rp   period of time that immediately  follows sensing of cardiac activity during which time the  pacemaker does not sense further cardiac activity  Analyzer  measures SRP from the peak of the first ECG R wave complex  to the next ECG R wave complex following pacemaker pulse     Paced Rp milliseconds Pul
15. er    The left pane of the Main Application window is called the Test Explorer  It displays  the installed plug ins available in Ansur     2 5    Ansur OED 6 Plug In  Users Manual       I Fluke Biomedical Ansur    Template 1  i    ml x   Ej Fle Edit view Test Tools Window Help    8  x      BOEariT Ka FLUKE         Ek General tests  A  QED 6 Defibrillator Analyzer                              HE FIB Energy Test    AE vTACH Energy Test    RE Charge Time Test      ee E Peak Voltage Test  s Over Current Test  ME Over Voltage Test    ME Sync R   Peak Test  ME Sync      Base Test    o Normal Sinus ECG Test   m Arrhythmia Wave Test   i Performance Wave Test  JE Pacer Parameter test    wi Pacer Refractory test       Ha test element selected     Test elements  Fluke Biomedical Ansur Version 2 4 2 FLUKE BIOMEDICAL    d SEE       fav003 bmp    Figure 2 3  QED 6 Main Application Window    Look in the Test Explorer to verify that a plug in has been loaded properly following  installation  If the QED 6 Defibrillator Analyzer is listed  the plug in correctly loaded  during startup     Test Elements    To expand the list and view the available plug in test elements in the Test Explorer  window  you can either click the    plus  symbol to the left of the plug in name or  double click the name itself  in this case QED 6 Defibrillator Analyzer  Expanding  the plug in displays the list of test elements  as shown in Figure 2 4     Getting Started  Plug In Preferences    HE General tests  E QED 6 
16. er the Establishment Name and the plug in license key  If you do not have  a license key  click the Demo button to start Ansur in demonstration mode     Note    Because the license key is derived from the establishment name  both  strings must match the license information provided by Fluke Biomedical   This information is case sensitive and space sensitive  If you already have  entered your establishment name in the past  this field is already filled in    for you  3  Click OK to start Ansur   4  Click Cancel to prevent the plug in from being loaded     Uninstalling the Plug In  To uninstall the QED 6 Plug In  do the following     1  Select Start   Control Panel and double click Add or Remove Programs   2  Locate and select the entry named Ansur QED6 Plug in  as shown in Figure    2 2   Cl Ansur QED 6 Plug in Ge     3 61MB  Click here For support information  Used   rarely  To remove this program From your computer  click Remove  EET      fav002 bmp    Figure 2 2  Removing GED 6 Plug In    3  With the entry highlighted  click the Remove button     4  When asked to verify the removal  click Yes  A dialog box with a progress bar  displays while the QED 6 Plug In is being removed from your computer     When the plug in is no longer listed in the Add or Remove Programs window  it has  been completely removed     Ansur Main Window    At startup  Ansur displays the Main Application window shown in Figure 2 3  You can  create and edit test templates from this window     Test Explor
17. ergy Test  The only difference is the type of ECG  waveform that is simulated during the test  These tests verify the accuracy of the energy  level delivered by the defibrillator  and both include the measurements listed in Table 4 2  and the custom parameters shown in Table 4 3     Table 4 2  Energy Test Measurements       Amount of energy discharged by the defibrillator     Table 4 3  Energy Measurement Test Custom Parameters       Preset Energy The energy  in Joules  that is to be used for the test  The field user will  be prompted to set the defibrillator to this value     A    4 7    Ansur QED 6 Plug In  Users Manual    Charge Time Test    The Change Time test measures how long a defibrillator takes to charge up to a specified  energy level  Typically  this test uses as a parameter the maximum energy level available  to the defibrillator  Table 4 4 lists the measurements taken for this test  Custom  parameters available for the Change Time tests are listed in Table 4 5     Table 4 4  Charge Time Test Measurements       Charge Time seconds How long it took for the defibrillator to charge to the  preset energy that was specified     Table 4 5  Change Time Test Custom Parameters    Preset Energy The energy  in Joules  that is to be used for the test  For this test it is  typically the maximum energy that the defibrillator can generate  The  field user will be prompted to set the defibrillator to this value        Synchronization Time Test    The Synchronization Time test de
18. he Test passed checkbox or the Test failed checkbox to record the  observed result of the test     Arrhythmia Wave Advisory Test    This test typically verifies the shock advisory capability of a defibrillator in response to  various arrhythmia waveforms     l     Connect the device under test  DUT  to the Analyzer  Set up the shock advisory on  the defibrillator  if applicable     Click Start in the TEST GUIDE window  Wait for activity to appear on the ECG  monitor and verify the shock advisory was correct  The test concludes automatically  after a few seconds  as specified by the test procedure     If you set the test to run indefinitely  click Stop at any time to end the test     Click the checkbox Test passed or the checkbox Test failed to record the test  result based on what you observed on the monitor     QED 6 Tests  Running ECG Waveform Simulation Tests    Performance Wave Simulation  The Performance Wave simulation tests the integrity of a defibrillator monitor using a  variety of additional waveform shapes such as square  triangle  sine  and pulse     Refer to the    Normal Sinus Wave Simulation    test earlier in this manual for the  instructions in running this test     3    3 7    Ansur QED 6 Plug In  Users Manual    3 8    Chapter 4  QED 6 Test Templates    IG EGGO os ee Ee a a da ee cout N mou  Creating Test Templates CR  Using Defibrillator Test Elements  LA To ME EN E E E NN  Charne Tue ESS MER SE E DE OE e DII  Synchronization Tite LESC  eaire ie RE ge anus
19. heck box is checked  the duration will be ignored and the test  must be manually stopped by the field user using the test guide toolbar        QED 6 Test Templates     Using ECG Waveform Simulation Test Elements    Arrhythmia Wave Advisory Test    This test is typically used to verify the shock advisory capability of a defibrillator in  response to various arrhythmia waveforms  Table 4 13 lists test custom parameters     Note    This is a visual   audible test  the Analyzer takes no measurements during  this test     Table 4 13  Arrhythmia Wave Advisory Test Custom Parameters    ECG Waveform Selects the type of Arrhythmia waveform to use for the test  Choices are     AFIB  Atrial fibrillation   AFLUT  Atrial flutter   ATACH  Atrial tachycardia   PVC1  Premature Ventricular Contractions  type 1  RUN  Run of PVCs   RonT   RonT PVCs   IDIO  Idioventricular   VTACH  Ventricular tachycardia   VFIB  Ventricular fibrillation    Duration How long the simulation should last  Setting can range from 1 to 60  seconds  With check box Indefinite selected  duration ignored and test  must be manually stopped by field user  Stop in TEST GUIDE toolbar         Ansur QED 6 Plug In  Users Manual    Performance Wave Simulation    The Performance Wave simulation can be used to test the integrity of a defibrillator  monitor with a variety of additional waveform shapes  such as square  triangle  sine and  pulse  Table 4 14 lists the custom parameters for this simulation     Note    This is a visual  
20. ing ECG Waveform Simulation Test Elements     Normal Sinus Wave Simulation     Arrhythmia Wave Advisory Test        Performance Wave Simulation       EN  OO OO WH WH       b       DS DS            D D D DS  Q KO       Table    Terms and Abbreviations    Change Time Test Custom Parameters    Synchronization Time Test Custom Parameters    iii    QED 6 Defibrillator Test Elements                             Energy Test Measurements          sees ses ees ee ee  Energy Measurement Test Custom Parameters          Charge Time Test Measurement                                 Synchronization Time Test Measurements                 Pacer Parameter Test Measurements                          Pacer Parameter Test Custom Parameters                     Pacer Refractory Test Measurements                            Pacer Refractory Test Custom Parameters                    Normal Sinus Wave Simulation Custom Parameters EE Ee ee    Arrhythmia Wave Advisory Test Custom Parameters    Ee ee ee ee    Performance Wave Simulation Custom Parameters    List of Tables    Page       DS DS DS DS  DS          D D D  UO LO LO LO LO       DS       DS DS    SR LE LB  a K EP    Ansur QED 6 Plug In    Users Manual    List of Figures    Figure Title  2 1  Ansur Registration Screen License Key   22  Remo r ne QED 6 Pie ea a ee ie te  2 3  QED 6 Main Application Window     2 4       OED 6 Test Explorer WindO Wei pert darem pu ee de Ge ee nettes Ema d ie the  2 5  Defibrillator Analyzer Preferences     JL MATEN  4 
21. ns  and set the defibrillator to the energy setting displayed in the  information block on the right side of the TEST GUIDE  Figure Error  Reference  source not found  shows an energy setting with both high and low limits  in Joules      Click Start in the TEST GUIDE toolbar   Charge the defibrillator     Ansur software configures the Analyzer for the defibrillator test  indicating the status  in the Test Results window  Wait for Ansur to finish configuring the Analyzer     When configuration is complete  a window displays the prompt    Defibrillate now    Discharge the defibrillator  The TEST GUIDE displays the test results immediately     Peak Voltage Test  The Peak Voltage test is used to measure the maximum voltage of a defibrillator pulse   This test must be performed separately from the Energy Test  but the steps for conducting  this test are the same     Overshoot Tests  Two test elements are included in the plug in to check for irregular voltage or current in  the defib pulse  These tests must be performed separately from the Energy Test  but the  steps for conducting them are the same     Charge Time Test    The Change Time test measures how long it takes to charge the defibrillator to a specified  energy level  This test should use the defibrillator s maximum energy level available     The steps for this test are similar to the Energy test  however  the prompts are different   because the Charge Time test tracks how long it takes to perform the charge and  discharge
22. operties  In this illustration  the  highlighted element is the QED 6 VFIB Energy Test  the first test step to be  performed        IX Fluke Biomedical Ansur    Template 1    d ll x   EI File Edit View Test Tools Window Help sl  x     EIS KIT aag       EYE GED 6 VFIB Energy Test                               H  General tests  CB QED 6 Defibrillator Analyzer  HE vFIB Energy Test    m HE TACH Energy Test          ls Charge Time Test  EE Peak voltage Test    E Over Current Test    BE Over Voltage Test    b Sync R Peak Test   BE Sync a Base Test   pm Hormal Sinus ECG Test    Arrhythmia ave Test    Performance Wave Test  EE Pacer Parameter Test    i Pacer Refractory Test                                  ra General setup   E  Apply when   ki Expected results   ER Custom setup    Name     GED 6 VFIB Energy Test    Procedure     A    BEA BU AG c       Measures the energy applied ta the load during the discharge  The arrhythmia generated by QED is  Ventricular Fibrillation     Test elements    Fluke Biomedical Ansur Version 2 4 2   FLUKE BIOMEDICAL       6 5 00        fav007 bmp  Figure 4 1  Test Template with Selected Test Element    4 3    Ansur QED 6 Plug In    Users Manual    4 4    In the middle of the Test Template window are located the following tabs to let  you define the properties of the highlighted test element     General setup  Apply when  Expected results  Custom setup    Test element properties consist of multiple pages  described below     2  Click the General Setup t
23. ources     e Fluke Biomedical QED 6 Users Guide  e Fluke Biomedical Ansur Test Executive Users Manual    e Microsoft Windows Help and Support Center    Software Updates  Updates for Ansur are published on the Fluke Biomedical website     http   www  flukebiomedical com     Terms and Abbreviations  Table 1 1 lists terms and abbreviations used in this manual     Table 1 1  Terms and Abbreviations    Ansur is a software suite using plug ins to perform test and inspection procedures in  Ansur     l   l    conjunction with several Fluke Biomedical test instruments   Device Under Test the equipment subjected to a test using the Analyzer   QED 6 Defibrillator Analyzer from Fluke Biomedical     Add on software program that extends Ansur so that it can interface with a specific  Plug In Fluke Biomedical test instrument to configure it for a specific test and to automatically  collect the measured data  if applicable      A test element is an Ansur construct that encapsulates test configuration and results   Test Element   A test template is built of several test elements    A test guide is a window displayed by Ansur or any of its plug ins when a test   Test Guide   element is being performed    A test record is an Ansur file containing the results of a performed test template  The  Test Record l   test record can be printed as a test report     A test template is an Ansur file containing a set of test elements defining how a  Test Template particular DUT is to be tested  A test templ
24. pply when a Expected results  a Custom setup            User defined       EE ET       fav010 bmp    Figure 4 4  Changing the Operand in Expected Results    The operand can be set to any of the following   e Y    an absolute value  e X  Y     an offset where the limit is calculated as preset value   specified  limit  e X  X   Y    calculated as a percentage deviance from the preset value    When the operand is not an absolute limit  the e  dynamic  icon appears on the left  column as shown in the preceding illustration  This indicates the limit will be  calculated when the test is run     6  To add or delete limits  right click one of the rows of the Expected results  page and select from the pop up menu  as shown in Figure 4 5     4 5    Ansur QED 6 Plug In  Users Manual       h   General setup    gt  Apply when ki Expected results Ka Custom setup         Ref       User defined    di Hate dek  HET    5 Pulse Current Bx HATE   Pulse width ms            Pulse Voltage  dd mew limit    Delete limit    fav011 bmp    Figure 4 5  Add or Delete Limits Pop up Menu    7  Click the Custom setup tab to view and define the parameters used in tests   Test elements have unique custom setups for the capabilities they provide  An  example is shown in Figure 4 6     Pacer Load  PLA Preset Pacer Rate Test Guide Settings     50 Ohms   g0 PPM Enable Skip button  Enable M   button    Preset Pacer Amplitude    50 m          Select Pacer Load Adapter  PLA   Set Pacer Rate and Pacer Amplitude to be 
25. r the test  being performed     In this example  the screen directs you to set the energy level for the DUT  in this case a  defibrillator  and then press Start to begin the test  Analyzer measurements appear in the  bottom pane       FLUKE BIOMEDICAL TEST GUIDE    QED 6 VFIB Energy Test    Measures the energy applied to the load during the ENT  Set defibrillator to 1000   discharge  The arrhythmia generated by QED is 2  Set range to    High  on the  Ventricular Fibrillation  QED Be    3  Click    start to begin the test        Test results    High limit Low       fav006 bmp    Figure 3 1  Ansur Test Guide Window    3 3    Ansur QED 6 Plug In    Users Manual    3 4    Defibrillator Tests    The QED 6 Plug in lets you test defibrillator performance using a PC running the Ansur  software  At the conclusion of each test procedure  Ansur collects the results of the tests  to display or to store on a PC     Note    The Analyzer must be on Main Menu I before starting any tests  If it is on  any other menu  serial communications cannot be established     Energy Tests    The energy tests verify the accuracy of the energy delivered by the defibrillator  Two  different energy tests are available  VFIB and VTACH  The difference between these two  tests is the type of arrhythmia that is simulated during the test     To run Energy tests  take the following actions     l     4   5     First connect the defibrillator to the Analyzer  refer to the QED 6 Users Guide for  connection instructio
26. ractory test  do the following     l   P      Connect the pacemaker to the Analyzer     On the pacemaker  set the pacer rate and pacer output current using information  specified in the lower right side pane of the TEST GUIDE     Click Start in the TEST GUIDE toolbar  Ansur starts the test  which takes up to two  minutes  120 seconds  to complete  The default duration of 120 seconds can be  changed in the Preferences dialog box     The Test Results window displays the timer countdown     When the Analyzer has completed measurements  Ansur retrieves the results and  displays them in the Test Results window     Click Next in the toolbar to proceed to additional tests  or click Start to repeat this  test     Running ECG Waveform Simulation Tests    The ECG Waveform tests verify the correct operation of an ECG monitor     Normal Sinus Wave Simulation    The Analyzer can generate a normal sinus wave between 30 and 240 beats per minute for  output to a defibrillator ECG monitor     To run a Normal Sinus Wave simulation  take the following actions     l     Follow the directions provided by the ECG equipment manufacturer to connect the  ECG leads from the ECG monitor to the Analyzer     Click Start in the TEST GUIDE toolbar     Wait for activity to appear on the ECG monitor  This short test concludes  automatically after a few seconds  as specified by the test procedure     If the test duration is set to run indefinitely  click Stop  in the toolbar  to conclude  the test     Click t
27. sed Refractory Period  that period of time immediately  following pacemaker pulse during which time the pacemaker  senses no cardiac activity and its output is not inhibited   Analyzer measures PRP from the leading edge of the  pacemaker pulse to the peak of the first ECG R wave complex     Table 4 11  Pacer Refractory Test Custom Parameters    Pacer Load Adapter  PLA  Defines the load used for the test  A Pacer Load Adapter  PLA   value can be selected  or the default internal 50 ohm load can be  used     Preset Pacer Rate The desired pacer rate  The field user will be prompted to set the  pacemaker to this rate     Preset Pacer Amplitude The pacer amplitude for the test  It should be a high enough value  to enable the Analyzer to detect the ECG  The field user will be  prompted to set the pacemaker output current to this value           Using ECG Waveform Simulation Test Elements    Normal Sinus Wave Simulation    The Analyzer can generate a normal sinus wave between 30 and 240 beats per minute for  output to a defibrillator monitor  Table 4 12 lists the custom parameters for this    simulation   Note  This is a visual   audible test  the Analyzer takes no measurements during  this test     Table 4 12  Normal Sinus Wave Simulation Custom Parameters    ECG Waveform Selects the type of Normal Sinus Wave to use for the test  Choices are 30  60   120  and 240 BPM     Duration How long the simulation should last  Setting can range from 1 to 60 seconds   If the    Indefinite    c
28. taining the Ansur software and the  QED 6 Plug In  contact your local Fluke Biomedical representative or visit the Fluke  Biomedical website  http   www flukebiomedical com      Note    You must have installed Ansur version 2 4 0 or newer before you can install  and use the QED 6 Plug In     Download the QED 6 Plug In from the Fluke Biomedical website and follow the steps  below     Note    If you are downloading the QED 6 Plug In from the Fluke Biomedical web  site  you can also select to run the installation without first downloading     1  Open Windows Explorer and browse to the saved the QED 6 Plug In installation  program file  usually named Ansur QED 6 Plug In Vn n n msi  where n n n is the  plug in version number     2  Double click the installation program  The installation extracts the plug in elements  and displays the Welcome dialog box     3  Click Next to display the license agreement     4  Select the checkbox for    I accept the terms in the license agreement   and  click Next to display the default destination folder     5  Take one of the following options     e Click Next to accept the default destination folder in which Ansur was installed     2 3    Ansur OED 6 Plug In  Users Manual    e Click Change if you have installed Ansur in a different folder  In this case  you  must change the destination folder for the plug in so that it resides in the same  directory as the Ansur program     Note    If you have installed Ansur using a different destination folder
29. termines the ability of the defibrillator to synchronize  the discharge of its output pulse with a simulated ECG waveform being generated by the  Analyzer  Synchronization Time test measurements are listed in Table 4 6  The  Synchronization Time test custom parameters are shown in Table 4 7     Table 4 6  Synchronization Time Test Measurements    Sync Time milliseconds Delay between the top of the ECG R wave and the  discharge peak of the defibrillator pulse  For Sync Q   Base Test  this is the delay between the Q Wave and  the discharge peak of the defibrillator pulse     Table 4 7  Synchronization Time Test Custom Parameters    ECG Waveform The ECG waveform the Analyzer should simulate during the test        Preset Energy The energy  in Joules  that is to be used for the test  The field user will  be prompted to set the defibrillator to this value        QED 6 Test Templates     Using Pacemaker Test Elements    Using Pacemaker Test Elements    Pacemaker tests confirm the basic operation of external transcutaneous pacemakers by  measuring various pacemaker outputs and timing     Pacer Parameter Test    The Pacer Parameter test measures peak current delivered by the pacemaker  as well as  the pulse width and pulses per minute  Tables 4 8 and 4 9 list the Pacer Parameter test  measurements and custom parameters     Table 4 8  Pacer Parameter Test Measurements    Pulses minute Number of pacer pulses detected by the Analyzer during  the test     Pulse Current Peak current detect
    
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