Datrend FMS-3 Operating Manual
Datrend FMS-3 Operating Manual
Datrend FMS-3 Operating Manual
Operating Manual
FMS-3
Fetal Monitor Simulator
Operating Manual
R evision H istory
R evision D escription Date
B C orrections 2012-Aug-09
Copyright
Datrend System s Inc. (“DSI”) agrees to a lim ited copyright release that allows you to reproduce m anuals and other
printed m aterials for use in service training program s and other technical publications. If you would like other
reproductions or distributions, subm it a written request to Datrend System s Inc.
Claims
Our routine m ethod of shipm ent is via com m on carrier. Upon delivery, if physical dam age is found, retain all packing
m aterials in their original condition and contact the carrier im m ediately to file a claim . If the instrum ent is delivered in
good physical condition but does not operate within specifications, or if there are any other problem s not caused by
shipping dam age, please contact your local sales representative or Datrend System s im m ediately.
Return Procedure
Every product returned for refund/credit m ust be accom panied by a Return Material Authorization (RMA) num ber,
obtained from Datrend Custom er Service. All item s being returned m ust be sent prepaid (freight, duty, brokerage,
and taxes) to our factory location.
Restocking Charges
Products returned within 30 days of original purchase are subject to a m inim um restocking fee of 15%. Products
returned in excess of 30 days after purchase, but prior to 90 days, are subject to a m inim um restocking fee of 20%.
Additional charges for dam age and/or m issing parts and accessories will be applied to all returns. Products which
are not in “as new” and resalable condition, are not eligible for credit return and will be returned to the custom er at
their expense.
Certification
This instrum ent was thoroughly tested and inspected and found to m eet DSI’s m anufacturing specifications when it
was shipped from the factory. Calibration m easurem ents are traceable to the National Research Council of Canada
(NRC) and/or the National Institute of Standards and Technology (NIST). Devices for which there are no NRC/NIST
calibration standards are m easured against in-house perform ance standards using accepted test procedures.
W ARRANTY
No warranty shall apply when dam age is caused by any of the following:
! Misuse or abuse of any form ;
! Discharge of a defibrillator or transcutaneous pacem aker into any term inal, interface connection or port not
intended for that specific use;
! Use of an AC power supply adapter other than the AC adapter specified for the instrum ent;
! Power failure, surges, or spikes;
! Dam age in transit or when m oving the instrum ent;
! Im proper power supply such as low voltage, incorrect voltage, defective wiring or inadequate fuses;
! Accident, alteration, abuse or m isuse of the instrum ent;
! Fire, water dam age, theft, war, riot, hostility, acts of God, such as hurricanes, floods, etc.
Only serialized products (those item s bearing a distinct serial num ber tag) and their accessory item s are covered
under this warranty. PHYSICAL DAMAGE CAUSED BY MISUSE OR PHYSICAL ABUSE IS NOT COVERED
UNDER THE W ARRANTY. Item s such as cables and non-serialized m odules are not covered under this warranty.
This warranty gives you specific legal rights and you m ay have other rights, which vary from province to province,
state to state, or country to country. This warranty is lim ited to repairing the instrum ent to DSI's specifications.
W hen you return an instrum ent to DSI for service, repair or calibration, we recom m end shipm ent using the original
shipping foam and container. If the original packing m aterials are not available, we recom m end 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 instrum ent surfaces. Use non-abrasive m aterial around all projecting
parts.
! Use at least four inches of tightly packed, industrial-approved, shock-absorbent m aterial all around the
instrum ent.
DSI will not be responsible for lost shipm ents or instrum ents received in dam aged condition due to im proper
packaging or handling. All warranty claim shipm ents m ust be m ade on a prepaid basis (freight, duty, brokerage, and
taxes). No returns will be accepted without a Return Materials Authorization ("RMA”) num ber. Please contact
Datrend System s to obtain a Return Materials Authorization (RMA) num ber and receive help with shipping/custom s
docum entation (Refer to Chapter 15 for contact inform ation).
W arranty Disclaimer
Should you elect to have your instrum ent serviced and/or calibrated by som eone other than Datrend System s,
please be advised that the original warranty covering your product becom es void when the tam per-resistant Quality
Seal is rem oved or broken without proper factory authorization. W e strongly recom m end, therefore, that you send
your instrum ent to Datrend System s for service and calibration, especially during the original warranty period.
In all cases, breaking the tam per-resistant Quality Seal should be avoided at all cost, as this seal is the key to your
original instrum ent warranty. In the event that the seal m ust be broken to gain internal access to the instrum ent (e.g.,
in the case of a custom er-installed firm ware upgrade), you m ust first contact Datrend System s. You will be required
to provide us with the serial num ber for your instrum ent as well as a valid reason for breaking the Quality Seal. You
should break this seal only after you have received factory authorization. Do not break the Quality Seal before you
have contacted us! Following these steps will help ensure that you will retain the original warranty on your instrum ent
without interruption.
W ARNING
Unauthorized user m odifications or application beyond the published specifications m ay result in electrical shock
hazards or im proper operation. Datrend System s will not be responsible for any injuries sustained due to
unauthorized equipm ent m odifications.
DSI DISCLAIM S ALL OTHER W ARRANTIES, EXPRESSED OR IM PLIED, INCLUDING ANY W ARRANTY OF
M ERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OR APPLICATION.
Table of Contents
1 Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.1 General Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
1.2 Simulation Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 General Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.2 Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.3 Main Functions of FMS-3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.4 Powering up FMS-3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
2.5 MENU and NUMERIC Modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.6 Power-On Defaults. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
2.6.1 Menu Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.6.2 Numeric Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2.7 Connecting to FMS-3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2.8 Navigating FMS-3 Menus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
5 Performance W aveforms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5.2 Available Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
5.3 ECG Performance Function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
6 TOCO/Uterine Pressure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
6.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
6.2 Available Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
6.3 Pressure Function.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
FMS-3 OPERATING MANUAL
7 Fetal1 W aveforms.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
7.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
7.2 Available Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
7.3 W aveform Function.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
8 Ultrasound. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
8.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
8.2 Available Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
8.3 Optional Mechanical Fetal Heart. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
9 Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
9.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
9.2 Available Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
9.3 Trends Function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
10 Variability. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
10.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
10.2 Available Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
10.3 Variability Function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
11 Automated Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
11.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
11.2 Choosing an Auto Setting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
13 SETUP Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
13.1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
13.2 Choosing a Configuration Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Appendix B - Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
FMS-3 OPERATING MANUAL
mV millivolt
NSR Normal Sinus Rhythm
Ω ohm
Pacer A transvenous or implanted pacemaker
PAC Premature Atrial Contraction
PNC Premature Nodal Contraction
PVC Premature Ventricular Contraction
QRS complex A specific segment of the electrocardiogram signal, comprising the
Q, R and S waves, which corresponds to the heart systole.
RA Right arm ECG connection or electrode
RL Right leg ECG connection or electrode
RV Right Ventricular
TEMP Temperature
V volt
V1-V6 Chest electrodes 1 through 6 of the ECG
VERT Vertical
W watt
Style Definition
Example
1 Specifications
1.1 General Specifications
Environment:
• Operating Temperature 15°C to 35°C (59°F to 95°F)
• Storage Temperature 0°C to 50°C (32°F to 122°F)
• 10% to 90% Relative Humidity
• Indoor Use Only
Power Supply:
• 9V Alkaline battery, or
• Optional Battery Eliminator, 9 VDC / 500 mA
(region specific, as noted in Appendix B)
Electrical Interfaces:
• 10 standard ECG snap leads
(5 lead Maternal, 2 lead Maternal/Fetal, 2 lead Fetal 1, 2 lead Fetal 2)
• 10 ECG jacks, as above (accepts 3 mm or 4 mm plugs)
• IUP/TOCO: proprietary USB
• 3 - 8pin mini-DIN for Ultrasound 1/2/3
• High-level ECG Out: 2.5mm stereo phono jack
• DC IN: EIAJ-3, center-positive (9 VDC, 500 mA)
• RS-232 Serial Port: proprietary RJ-12
User Interface:
FMS-3 is controlled through 10 keys on the front panel keypad, allowing the user to easily
access all functions of the simulator.
As individual functions are activated, they remain active unless turned off, allowing numerous
simulations to be enabled concurrently, with all appropriate signals synchronized.
Display:
20 character by 8 line alphanumeric/128 x 64 graphic LCD
ECG General:
• Simulation Type: 5-Lead Maternal ECG with independent outputs for
each signal lead, referenced to RL
2 lead Maternal/Fetal1 combined ECG
2 lead Fetal1
2 lead Fetal2
• Output Impedance: 750 ohms to RL (nominal)
• High Level Output: Maternal, Lead II amplitude x 500 (0.5V per Lead II
millivolt)
• Amplitude Accuracy: ± 1% (Lead II, 2 Hz Square Wave)
Fetal 1 Waveforms/Patterns:
• Normal @ 140 bpm
• Tachycardia @ 180 bpm
• Bradycardia @ 90 bpm
• Arrythmia
• Late Deceleration
• Early Deceleration
• Moderate Variable Deceleration
• Acceleration 1
• Acceleration 2
• Sinusoidal - high (large change)
• Sinusoidal - low (small change)
• Severe Variable Deceleration 1
• Severe Variable Deceleration 2
• Prolonged Deceleration
• Biphasic Deceleration
• Exaggerated Deceleration
• Non-uniform Deceleration
• Variable ‘U’ Deceleration
• Variable High BPM Deceleration
• Variable ‘V’ Deceleration
• Variable Deceleration with Position Changes
• Long Deceleration
• Compensatory Acceleration
Fetal 2:
•Fetal 2 Rates: 60, 80, 100, 140, 160, 200 BPM
• Fetal 2 Amplitudes: 0.5, 1, 2, 3, 4 and 5 mV (tracks Maternal)
• Rate Accuracy: ± 1BPM
• Fetal 2 Waveforms: Normal
Tachycardia
Bradycardia
• Fetal 2 Trends: Pattern 1
Pattern 2
Pattern 3
Ultrasound:
• Channel 1: tracks Fetal 1 rate
• Channel 2: tracks Fetal 2 rate; or,
Separate Wave Mode (155 bpm + variability)
• Channel 3: rate approximately 140 bpm
Auto Presets:
Ten user-defined simulation setups can be programmed and uploaded to FMS-3 using PC
based software (Hyperterminal, or equivalent).
2 General Information
2.1 Overview
The FMS-3 Fetal Monitor Simulator is a simulation platform designed to expedite and simplify
the testing of many fetal monitoring devices.
The wide range of simulations available for Maternal ECG, Fetal ECG, Ultrasound, artifacts,
waveforms and patterns, performance tests, and Intra Uterine/TOCO pressures make FMS-3
suitable for testing most of the functions of many Fetal Monitors.
2.2 Features
The compact and portable FMS-3 measures just 9.2cm x 14.5cm x 3.3 cm (3.6" x 5.6" x 1.3"),
weighs less than 330 grams (11.5 ounces), and operates for approximately 20 hours continuous
use when powered by a single 9 Volt alkaline battery.
FMS-3 is controlled through 10 keys on the front panel keypad, allowing the user to easily
access all functions of the simulator. As individual functions are activated, they remain active
unless turned off, allowing numerous simulations to be enabled concurrently, with all
appropriate signals synchronized.
FMS-3 includes an RS-232 communication port to allow control through serial commands.
This allows FMS-3 to be integrated with Datrend’s ES601 Plus Automated Safety Analyzer, and
to communicate with a personal computer (PC), allowing the user to create Auto Settings (i.e.
combinations of simulator settings) using suitable terminal emulation software applications
such as Hyperterminal, or equivalent.
Details and specifications of each function are described in the chapters to follow.
To power up, press the POWER button on the right side of FMS-3.
The Power-On screen, which shows the firmware version number, will appear briefly and then
be replaced by the Main Menu screen, Figure 1.
ECG, Pressures, Ultrasound, waveforms and other simulation parameters are automatically
initialized to default values when FMS-3 is powered up. These settings are the "Power-On"
defaults for FMS-3. As described in section 2.6, up to eight FMS-3 parameters can be
programmed by the user to configure the default simulator operation which takes effect at
power-on.
Selection of the operating Functions in FMS-3 is accomplished through a menu list which
consists of four lines with three function selections on each line. One of the four menu lines
will be displayed on the bottom line of the LCD screen. Each function selection is placed
above an unlabeled ‘soft-key’ which, when pressed, will select the Function above it (eg. MAT,
FETAL1, PERF).
Pressing the MAIN key will scroll through the Menu lines repeatedly until a Function is
selected with a ‘soft-key’. Pressing MAIN will also return to the Menu screen above, from
within any other screen.
At power-on, FMS-3 operates in a menu mode. In this mode, a three function menu line
appears at the bottom of the screen (eg. MAT, FETAL1, PERF). There are four menu lines
available which can be accessed by pressing the MAIN key. The three un-named keys below
the screen are ‘soft-keys’ which will activate the functional menu of the function above it on the
menu line. Each ‘soft-key’ button (MAT; FETAL1; PERF; and so on) enters a menu
corresponding to the label on the button face. The scroll keys (t; u; ; ) are then used to
navigate the selected menu. When a desired setting is shown on the LCD display, the ENTER
button is pressed to activate the setting.
A NUMERIC mode is available through the RS-232 port. In NUMERIC mode, code numbers
can be input via the RS-232 port which will then activate corresponding simulation functions or
settings. Code numbers used in NUMERIC mode are listed in Appendix A of this manual.
A range of simulation parameters are automatically initialized to default values when FMS-3 is
powered up. These settings are the "Power-On" defaults for FMS-3.
Immediately after applying power to FMS-3, pressing the VIEW button, then the ENTER
button repeatedly will scroll through the current settings for the "Power- On" defaults, as
shown in Chapter 11.
There are two methods to change power-on default settings: via menu mode and via the
RS-232 port.
Press the desired menu keypad button to open the corresponding functional menu.
Using the Arrow buttons (t; u; ; )to select any of following simulator parameters listed in
the table below. After making a selection, press the ENTER button to enable the change.
Continue until the above parameters are configured to your preferences. Remember to press
ENTER after making each selection to enable the change.
When you are finished changing the settings, press the ‘soft-key’ SAVE selection to store the
settings as the power-on defaults in FMS-3 memory.
After powering up FMS-3 connect the simulator to an RS-232 port on a PC. If your PC does
not have a serial port a suitable USB - RS-232 adapter may be required. Contact Datrend if one
is not available locally.
Referring to the table in the preceding section, and to the numeric codes listed in Appendix A,
find the numeric code for the setting you wish to apply as a power-on default. Input the
appropriate code following the instructions for RS-232 control in Chapter 13. To change
another power-on setting in NUMERIC mode, repeat these steps.
When you are finished changing settings or selections, select the SAVE function from the
Menu.
As shown in Figure 2, the lower half of the enclosure, on the left and right sides and the
bottom edge of FMS-3 features a full set of universal ECG snaps and jacks, enabling
connection of any 3, or 5 lead ECG device. AHA and IEC colour-coded rings surrounding
each post and jack aid in connection of corresponding U.S. or international patient leads to the
proper ECG signals. Alternating snaps and jacks make connecting easy and conveniently keep
leads out of the way. The ECG jacks accommodate standard 3 mm or 4 mm plugs. In addition
to the Maternal ECG connections, there are connections for an Maternal/Fetal 1 combined
signal, a Fetal 1 only signal and a Fetal 2 signal.
The left side on the upper half of the enclosure of FMS-3 provides connections for 3
Ultrasound (US1, US2, US3) signals, 1 Intra Uterine Pressure(IUP)/TOCO channel.
A variety of IUP and US cables are available and are listed in Appendix B of this manual.
The right side on the upper half of the enclosure of FMS-3 provides interfaces for DC adapter
plug, Power On/Off button, a RS-232 communications port and a stereo phono jack provides
a high-level ECG output on the tip connection.
The menus of FMS-3 have been arranged to minimize, as much as possible, the keystrokes
needed to select a particular setting.
The three blank keys below the display screen are associated with a high level function. The
functions are provided in four lines with three functions per line. For example: MAT,
FETAL1, PERF are on line one, and so on. The key labeled MAIN will scroll through the four
menu lines. At any time, pressing MAIN will either cycle through the menu lines, or return to
the Menu if you are in some other function. Each time a function key is pressed, you are taken
to a menu which allows you to change the simulation settings for that function.
In Figure 3 below, MAT has been selected. The screen now displays the status of the Maternal
ECG parameters, along with the standard functional selection menu on the bottom two lines of
the screen.
MATERNAL SETTINGS:
MAT ECG= NSR 60 BPM
MAT ECG AML= 1mV
________________________
MAT ECG RATE/TYPE
AMPL: 1mV
The upper of these two lines of the LCD screen will show a p aram e te r for the selected
function. For example, parameters associated with the MECG function are: Rate and
Amplitude. LEFT (t) and RIGHT (u) arrow keys in the lower center of the FMS-3 keypad,
under the LCD, allow you to scroll through the available parameters. UP () and DOWN ()
arrow keys, on the lower of the two functional menu lines, are used to modify the s e ttin g for
the displayed parameter. Settings may be numeric (e.g., AMPL: 0.5mv), or descriptive (e.g.,
MAT ECG RATE/TYPE:VARIABLE). After a selection is made, ENTER is pressed to
activate the selection. When in this mode, no change will be made to the p aram e te r , or
s e ttin g unless the ENTER key is pressed.
After selecting any simulator setting, the setting w ill n o t take e ffe c t until
the ENTER key is pressed. This prevents inadvertent changes of
waveform during the menu-scrolling process.
In addition to the MAIN button on the FMS-3 keypad, there is an AMPLITUDE button. At any
time, the amplitude of the FETAL1ECG waveform can be advanced to the next setting, without
pressing the ENTER button.
In a normal heart rhythm, the sinus (SA) node generates an electrical impulse which travels
through the right and left atrial muscles producing electrical changes which are represented on
the electrocardiogram (ECG) by the P wave. The electrical impulse then continues to travel
through specialized tissue known as the atrioventricular (AV) node, which conducts electricity
at a slower pace. This creates a pause (PR interval) before the ventricles are stimulated. This
pause is helpful since it allows blood to be emptied into the ventricles from the atriums prior to
ventricular contraction to propel blood out into the body. The ventricular contraction is
represented electrically on the ECG by the QRS complex of waves as depicted in Figure 4.
This is followed by the T wave which represents the electrical changes in the ventricles as they
are relaxing. The cardiac cycle, after a short pause, repeats itself.
Figure 4 : Q R S C om plex
After selecting a parameter, use and to change the setting value. Press ENTER to
activate that setting.
Press the MAIN key, until the MAT/FETAL1/PERF line is displayed on the bottom line of
the screen. Press the ‘soft-key’ below the MAT menu label to change the LCD display to that
of Figure 5, the MAT ECG RATE Menu.
MATERNAL SETTINGS:
MAT ECG= NSR 60 BPM
MAT ECG AMPL= 1mV
________________________
MAT ECG RATE/TYPE
RATE: 80 BPM
Press the UP () or DOWN() arrow button to scroll through the settings provided for the
ECG rate: 60, 80, 100, 120, 140 and 160 BPM.
The SINUS setting under RATE provides a maternal rate of approximately 80 BPM, with a
random variability of +/- 10%.
The VARIABLE setting under RATE provides a maternal rate of approximately 80 BPM, with
a variability influenced by the TOCO contraction signal.
Press the ENTER button to activate the desired rate. The change in rate can be observed via a
cardiotocograph monitor if such a monitor is connected.
While viewing the display of Figure 5, pressing the RIGHT (u) arrow button once will
change the display to that of Figure 6, the maternal ECG Amplitude Menu.
MATERNAL SETTINGS:
MAT ECG= NSR 60 BPM
MAT ECG AMPL= 1mV
________________________
MAT ECG AMPLITUDE
MAT AMPL: 1mV
Press the UP () or DOWN() arrow button to scroll through the settings provided for the
maternal ECG amplitude: 0.5, 1, 2, 3, 4 and 5mV. This amplitude setting will remain in effect
in the maternal ECG setting until another AMPLitude is selected.
Press the ENTER button to activate the desired amplitude. The cardiotocograph monitor
should show an immediate change in signal amplitude.
Pressing the RIGHT (u) arrow button once again will return you to the Rate menu.
There are two direct fetal heart signals available from FMS-3 in addition to a combined
maternal/fetal heart signal. FMS-3 can output specific rates for each, including variability and a
number of patterns and trends. The abdominal pressure generated during a contraction is
output in sync with the heart rates.
Press MAIN until either FETAL1 or FETAL2 appears on the menu line. Press the softkey
below the appropriate parameter of interest.
When on the FETAL1 screen, the current settings will be displayed on the top 5 lines of the
screen. As settings are changed for one of the displayed parameters, the setting will be updated
on the screen. Use the t and u keys to change between the parameters. After selecting a
parameter, use and to change the setting value. Press ENTER to activate that setting.
Press the MAIN key, until the MAT/FETAL1/PERF line is displayed on the bottom line of
the screen. Press the ‘soft-key’ below the FETAL1 menu label to change the LCD display to
that of Figure 7, the FETAL1 ECG RATE Menu.
FETAL1 SETTINGS
FETAL1 = 60 BPM
FET1 AMPL= 1mV
FET1 VAR= ABSENT
FET1=LONG TERM OFF
________________________
FETAL1 ECG RATE
FECG RATE: 80 BPM
Press the UP () or DOWN() arrow button to scroll through the settings provided for the
ECG rate: 30, 60, 80, 90, 100, 120, 140, 150, 160, 180, 200, 210 and 220 BPM.
While viewing the display , pressing the RIGHT (u) arrow button once will change the display
to that of Figure 8, the FETAL1 ECG Amplitude Menu.
FETAL1 SETTINGS:
FETAL1 = 60 BPM
FET1 AMPL= 1mV
FET1 VAR= ABSENT
FET1= LONG TERM OFF
________________________
FETAL1 ECG AMPLITUDE
FETAL AMP: 1mV
Press the UP () or DOWN() arrow button to scroll through the settings provided for the
FECG amplitude: 0.05, 0.1, 0.2, 0.5, 1 and 2mV. Pres ENTER to activate. This amplitude
setting will remain in effect in the FECG setting until another AMPLitude is selected.
Press the ENTER button to activate the desired amplitude. The cardiotocograph monitor
should show an immediate change in signal amplitude.
Pressing the RIGHT (u) arrow button once again will return you to the Rate menu.
Note: In the combination signal Maternal/Fetal1 the Fetal signal is 1/4 the size of the Fetal1
signal. For instance, if the Maternal signal is 1mV and the Featl1 signal is 0.5mV, the Fetal
signal in the combined output will be 0.125mV. The Maternal and Fetal1 signal amplitudes can
be changed independently.
Note: The Ultrasound1 (US1) channel simulates a fetal heart rate which tracks the FETAL1
heart rate.
When on the FETAL2 screen, the current settings will be displayed on the top 4 lines of the
screen. As settings are changed for one of the displayed parameters, the setting will be updated
on the screen. Use the and to change the parameter/setting value. Press ENTER to
activate that parameter/setting.
Note: the FETAL2 amplitude is linked to the maternal amplitude. If you change the MAT
amplitude you also change the FET2 amplitude, as noted from the Settings information
displayed on the screen. FET2 amplitude is not changed from within the FETAL2 settings
screen.
Parameters provided for the FECG2 function are: Ultrasound Tracking, Trends, Patterns, Rate
and US Width.
Press the Menu key, until the VAR/FETAL2/VIEW line is displayed on the bottom line of the
screen. Press the ‘soft-key’ below the FETAL2 menu label to change the LCD display to that
of Figure 9, the FETAL2 Menu.
FETAL2 SETTINGS:
FET2ECG= 140 BPM
FET2 AMPL= 3mV
US2= TRACKS FETAL2
________________________
FETAL 2
US2 TRACKS FETAL2
Press the UP () or DOWN() arrow button to scroll through the settings provided for the
FETAL2 parameter/settings: US2 TRACKS FETAL2, US2 SEPARATE WAVE, FETAL2
PATTERN1, FETAL2 PATTERN2, FETAL2 PATTERN3, FETAL2 NORMAL, FETAL2
TACHY, FETAL2 BRADY, FETAL2 RATE = 60BPM, FETAL2 RATE = 80BPM, FETAL2
RATE = 100BPM, FETAL2 RATE = 140BPM, FETAL2 RATE = 160BPM, FETAL2 RATE
= 200BPM, US PULSE WIDTH1 and US PULSE WIDTH2
Note: If US2 TRACKS FETAL2 is selected, US2 is linked to FETAL2 with regard to the rate,
whether the rate is static or if it is variable.
Note: FETAL2 is not linked with the ultrasound channel US2 with regard to the rate if US2
SEPARATE RATE is selected. In this case, US2 will have a rate of approximately 155 BPM
with moderate variability.
The FETAL TRENDx, NORMAL, TACHY and BRADY settings provide specific patterns of
the fetal rate FETAL2.
Note: The US PULSE WIDTH setting provides an option to double the width of the US pulse
train simulation (WIDTH2). It may increase the detection reliability for some monitors.
5 Performance Waveforms
5.1 Overview
FMS-3 offers several performance waveforms to evaluate some basic aspects of the
performance of the cardiotachograph monitor.
5.2.2 Pulse
• 80 msec, 1 Hz (60BPM)
Parameters provided for the ECG performance function are: Square and Pulse waveforms.
When selected, the performance waveforms affect all ECG signals (Maternal, Fetal1 and Fetal2)
Press the MAIN key, until the MAT, FETAL1, PERF line is displayed on the bottom line of
the screen. Press the ‘soft-key’ below the PERF menu label to change the LCD display to that
of Figure 10, the PERFORMANCE main menu.
FETAL 1 SETTINGS:
FETAL1 = 150BPM
FET1 AMPL= 1mV
FET1VAR=ABSENT
FET1= LONG TERM OFF
________________________
PERFORMANCE SHAPE
SHAPE: SQUARE 2 Hz
Press the UP () or DOWN() arrow button to scroll through the waveshapes provided:
SQUARE 2Hz, SQR 0.125Hz and PUL 1 Hz 80ms.
6 TOCO/Uterine Pressure
6.1 Overview
FMS-3 provides a single pressure simulation output port. This output can be connected to
either the Intra Uterine Pressure (IUP) or the TOCO input of a cardiotocograph monitor. The
settings for this pressure channel can be found in the UA (uterine activity) selection on the
MAIN menu. The uterine pressure is measured in one of two ways: directly using an intra
uterine catheter (IUP), or indirectly using a pressure sensing transducer on the maternal
abdomen (normally termed TOCO).
The pressure waveform generated will depend on the SHAPE selection chosen in the UA
parameter screen. The pressure waveform will be generated in in synchronization with the
Fetal1 heart rate patterns selected under F1WAVES. A pressure waveform will not be
generated when the Fetal1 rate is set to a STATIC value. When a waveform pattern is selected
from the F1WAVES screen, the pressure waveform will generally start within 30 seconds of the
selection being made. Re-selecting the waveform (pressing ENTER again) or changing the
waveform will restart the sequence and start the presure waveform again within 30 seconds.
Press the MAIN key, until the UA, F1WAVES, TREND line is displayed on the bottom line of
the screen. Press the ‘soft-key’ below the UA menu label to change the LCD display to that of
Figure 12, the UA/TOCO main menu.
TOCO SETTINGS:
STATIC: 0 mmHg
TOCO AMP: 50 UNITS
IU SENS: 5µV/V/mmHg
ELEVATED BASE: OFF
______________________
TOCO AMP/SENS
SENS: 5uV/V/mmHg
With FMS-3 displaying the menu of Figure 12, press the UP () or DOWN() arrow button
to scroll through settings provided for the TOCO/SENS parameter:
5 or 40 µV/V/mmHg (temporary), 5 or 40 µV/V/mmHg (power ON setting), 25, 40,
50, 60, 80, 100, 300 and 400 Units
Note: when used with an abdominal contraction transducer (TOCO) the pressure is expressed
in the arbitrary term: UNITS. In FMS-3 this is actually mmHg, however, some fetal monitors
may use a TOCO transducer which is equivalent to a 5uV/V/mmHg transducer, while others
may use a force gauge which is set up to be equivalent to grams of force. It may be necessary
to check a monitor when it is new to determine which setting makes the most sense for your
monitor. For instance, the Sonicaid , requires a sensitivity of 40uV/V/mmHg and an
amplitude of 400 Units to give a 80 percent output on the graphic display.
Pressing the RIGHT (u)arrow button will change the menu screen to that of Figure 13.
TOCO SETTINGS:
TOCO DURATION: 40S
TOCO AMP: 50 UNITS
IU SENS: 5uV/V/mmHg
ELEVATED BASE= OFF
_______________________
TOCO SHAPE
TOCO: NORMAL 40S
Press the UP () or DOWN() arrow button to scroll through the simulations of the TOCO
SHAPE:
Normal (40, 80, 90, 110 Seconds), Coupling, Tripling, Dynamometer, Picket Fence, Irregular
Acme, Hypertonic, Hypertonus, Hypotonic, and ‘V’ Spikes.
The TOCO SHAPE describes timing or shape of the uterine contractions. A NORMAL
contraction is bell shaped and the timing between contractions can be set to a specific time.
The remaining setting describe particular shapes of the contraction waveform:
• Coupling: contractions occurring in pairs
• Tripling: contractions occurring in threes
• Dynamometer
• Picket Fence: contractions occurring with spikes resembling a picket fence
• Irregular Acme: contractions occurring with variable time between peaks
• Hypertonic
• Hypertonus
• Hypotonic
• ‘V’ Spikes
The SHAPE chosen here will be the pressure shape output when a waveform pattern is chosen
in F1WAVES. This will be over-ridden by a TREND selection.
Pressing the RIGHT (u) arrow button will change the menu screen to that of Figure 14.
TOCO SETTINGS:
RESP DELTA: OFF
RESP RATE: VARIABLE
BASE WANDER: OFF
BASE WANDER: 3 MIN
_______________________
TOCO ARTIFACT
ELEVATED BASE 5
Pressing the UP () or DOWN () button to scroll through the available TOCO ARTIFACT
settings:
• Elevated Baseline (5 mmHg, 10mmHg, 20mmHg, OFF)
• Respiration Delta (3 mmHg, 5 mmHg)
• Respiration Rate (15, 20, 30, Variable Breaths Per Minute[Br/M], OFF)
• Baseline Wander Mild (5 mmHg)
• Baseline Wander Mod (10 mmHg)
• Baseline Wander (3, 5, 10, 20, 30 Minutes, OFF)
If RESP DELTA is OFF, both RESP DELTA and RESP RATE are inactive. If RESP
DELTA has a value, there will be change in the TOCO output of 3 or 5 mmHg occurring at a
rate set by the number of breaths per minute in the RATE setting.
If either BASE WANDER line is set to OFF, then the wandering setting in mmHg and the
wandering time in minutes are both inactive. If the second line BASE WANDER setting in
minutes is active, the top setting of BASE WANDER of 5 or 10 mmHg will also be active, and
the pressure signal will wander by 5 or 10 mmHg over the time set on the second line.
Pressing the RIGHT (u) button will change the screen to that of Figure 15.
TOCO SETTINGS:
TOCO DURATION: 40S
TOCO AMP: 50 UNITS
IU SENS: 5uV/V/mmHg
ELEVATED BASE= OFF
_______________________
TOCO STATIC
TOCO: NORMAL 40S
Pressing the UP () or DOWN () button to scroll through the available TOCO STATIC
pressure values:
These settings are intended to work with the Intra Uterine Pressure channel of a
cardiotocograph, showing values in mmHg.
Pressing the RIGHT (u) arrow button again will restore the LCD display to the initial menu
screen of Figure 12.
Press the LEFT (t) arrow button to scroll the display through the above simulator parameters
in reverse order.
7 Fetal1 Waveforms
7.1 Overview
FMS-3 provides a number of commonly encountered waveforms on the Fetal1 output. These
waveforms show fetal heart rate patterns with the corresponding contraction pressure
waveform of the shape chosen in the UA section. Explanation of these waveforms is outside
of the scope of this manual, however, information on these types of waveforms is available on
the Internet. Several websites that were available at the time of issuing this manual are listed at
the end of this chapter, and can be visited for more information.
Press the MAIN key, until the UA, F1WAVES, TREND line is displayed on the bottom line
of the screen. Press the ‘soft-key’ below the F1WAVES menu label to change the LCD display
to that of Figure 16, the RESP main menu.
Selecting a Fetal Waveform will choose the way in which the fetal rate will be presented. The
TOCO output will be synchronized with the fetal rate and will start within 30 seconds of
selecting the waveform (pressing ENTER). Pressing ENTER again or making another
waveform selection will reset both the rate and the pressure waveform, and the pressure will
begin within 30 seconds using the SHAPE defined in the UA section.
FETAL SETTINGS:
FETAL1= NORMAL WAVE
FET1 AMPL= 1mV
FET1VAR= ABSENT
FET1= LONGTERM OFF
_______________________
FETAL1 WAVES
NORMAL
Press the UP () or DOWN() arrow button to scroll through the settings provided for the
FETAL1 Waveforms.
The following websites may provide useful information on the waveforms provided by FMS-3:
- http://www.registerednursern.com/studying-fetal-heart-tone-monitoring-decelerations-nclex-hesi/
- http://www.fetalmonitorstrips.com/learn_more.html
- http://www.perifacts.eu/cases/Case_680_Fetal_Heart_Rate_Interpretation.php
- http://www.brooksidepress.org/Products/Military_OBGYN/Textbook/
LaborandDelivery/electronic_fetal_heart_monitoring.htm
- http://www.medicallecturenotes.com/2010/07/10-intra-partum-monitoring.html
- https://e-edcredits.com/nursingcredits/article.asp?TestID=54
- http://www.aafp.org/afp/1999/0501/p2487.html
Datrend does not warrant that any information on these sites is valid or correct, and warns the user
that any such information should be confirmed with an expert on the topic, before using it for any
sort of waveform interpretation or diagnosis.
8 Ultrasound
8.1 Overview
FMS-3 provides 3 ultrasound outputs that can be connected to a monitor’s ultrasound input,
stimulating the ultrasound amplifier at rates corresponding to one of the fetal heart rates.
The Mechanical Fetal Heart (MFH, P/N: 8000-455), an o p tio n al accessory for FMS-3,
provides a mechanical impulse to test the crystal function of an ultrasound transducer. The
mechanical impulse is very small and travels through a liquid column inside the unit. The
ultrasound wave exits the MFH through ‘stimulation window’ at the end of the unit. Internally,
the pulse makes a very soft ‘swish’ each time it is activated by a heart beat signal. The sound
made by the MFH can only be heard if it is placed next to the ear.
Stim ulation
W indow
Interface cable
to FM S-3
Figure 17- M echanical Fetal H eart
Connect the Mechanical Fetal Heart accessory to any o n e of the US outputs of FMS-3 using
the 8-pin mini-DIN cable supplied with the accessory.
The ultrasound transducer should be placed face up on a stable work surface and coated with
ultrasound conductive gel.
The Mechanical Fetal Heart outputs a periodic impulse via the stimulation window. This
window must be placed over each crystal of the transducer in turn to verify each crystal’s
function.
After use, the unit must be cleaned with a mild soap solution and warm water, then dried with a
soft, absorbent cloth.
9 Trends
9.1 Overview
FMS-3 provides a number of trends which are clinically relevant and can be used for teaching.
9.2.1 Tends:
There are 10 actual clinical recordings available as demonstration tracings. These tracings are:
Trend 1: General
Trend 2: FHR: 135 BPM, absent variability, mixed deceleration; UA: 3-4 minutes, 30-45
mmHg, tonus 15 mmHg
Trend 3: FHR: Tachycardia, average to decreased variability, late deceleration; UA: every 2-
3 minutes, pushing, tonus 15-30 mmHg
Trend 4: FHR: 160 BPM, absent variability, mixed variable and late decelerations; UA 2-4
minutes
Trend 5: FHR: 160-165 BPM, decreased variability, late decelerations; UA: 2-3 minutes, 70-
90 mmHg, tonus 10-15 mmHg
Trend 6: FHR: baseline 195 BPM, variable decelerations; UA: 60-90 mmHg, tonus 30 - 40
mmHg
Trend 7: FHR: baseline 140 BPM, moderate variability, accelerations; UA: 1.5 - 2.5
minutes, 65 - 80 mmHg, coupling
Trend 8: FHR: baseline 150 - 160 BPM, sinusoidal variability, variable decelerations
followed by accelerations; UA: 3-4 minutes, 90 mmHg, tonus 15 mmHg
Trend 9: FHR: baseline 150, decreased variability, mixed variable and late decelerations;
UA: 2-3 minutes, 35-50 mmHg, tonus 0 mmHg
Trend 10: FHR: baseline 155-160, variable deceleration followed by early decels; UA: 2-2.5
minutes, 55 - 65 mmHg, tonus 5 - 15 mmHg
Press the MAIN key, until the UA, F1WAVES, TREND line is displayed on the bottom line
of the screen. Press the ‘soft-key’ below the F1WAVES menu label to change the LCD display
to that of Figure 18, the TREND main menu.
The selected TREND will provide both the Fetal Rate and the TOCO shape corresponding to
an actual clinical output.
FETAL 1 SETTINGS:
FETAL1= TREND3
FET1 AMPL= 1mV
FET1VAR= ABSENT
FET1= LONGTERM OFF
_______________________
TRENDS
FETAL1 TREND3
Press the UP () or DOWN() arrow button to scroll through the settings provided for the
FETAL1 Trends.
10 Variability
10.1 Overview
FMS-3 provides a number of settings which introduce variability to the Fetal1 static heart rate.
10.2.1 Variability:
• Absent
• Low Variability
• Minimal Variability
• Average Variability
• Moderate Variability
• Marked Variability
• Long Term Variability
Press the MAIN key, until the VAR, FETAL2, VIEW line is displayed on the bottom line of
the screen. Press the ‘soft-key’ below the VAR menu label to change the LCD display to that
of Figure 19, the TREND main menu.
FETAL 1 SETTINGS:
FETAL1= TREND3
FET1 AMPL= 1mV
FET1VAR= ABSENT
FET1= LONGTERM OFF
_______________________
VARIABILITY FETAL1
LOW VARIABILITY
Press the UP () or DOWN() arrow button to scroll through the settings provided for the
FETAL1 Variability.
11 Automated Settings
11.1 Overview
The Automated Settings of FMS-3 provide ten fetal simulation setups, 9 of which are user-
programmable. These setups allow multiple simulation parameters to be simultaneously
modified in as little as two keystrokes, without affecting the power-on default settings of the
simulator.
The Auto setups are created or modified using terminal emulation software via the RS-232 port.
Programs such as Hyperterminal may be used. Contact Datrend for more details to implement
your programmable settings.
Press the MAIN key, until the AUTO, SAVE, SETUP line is displayed on the bottom line of
the screen. Press the ‘soft-key’ below the AUTO menu label to change the LCD display to that
of Figure 20, the AUTO SELECTIONS main menu.
AUTO SELECTIONS
AUTO1 SELECTIONS
In AUTO SELECTIONS mode, the only adjustment is the selection of a different AUTO
SELECTION, therefore, the LEFT and RIGHT arrows are not displayed. Pressing them will
have no effect on the FMS-3.
Pressing the UP () arrow button repeatedly will scroll through the available AUTO1 -
AUTO10 values.
Pressing the MENU button will change the screen back to the Main Menu .
Once an AUTO SELECTION has been chosen, the simulator parameters configured by that
selection will remain in effect until one or more of the parameters are modified via the various
menus provided by FMS-3, or until FMS-3 is powered down.
The FMS-3 provides the capability of determining the state of each of the
function/parameter/setting currently active on the unit. The VIEW function will display a
number of screens, each of which will display the parameter settings of a particular function.
Each press of ENTER when VIEW has been selected will advance through the VIEW screens,
function by function to display the status of all the parameter settings.
Press the MAIN key, until the VAR, FETAL2, VIEW line is displayed on the bottom line of the
screen. Press the ‘soft-key’ below the VIEW menu label to change the LCD display to that of
Figure 21, the VIEW main menu.
The VIEW screen displays the SETTINGS on several separate screens, providing information
for each of the Functions and Parameters currently in use.
VIEW SELECTIONS
VIEW CURRENT SETTING
The VIEW screens can be stepped through by pressing the ENTER key multiple times. To
exit the VIEW, press the MENU key. When you re-enter the VIEW menu, you will enter on
the screen following the last one that was viewed.
FETAL 1 SETTINGS:
FET1 ECG= 150BPM MATERNAL SETTINGS:
FET1 AMPL= 1mV MAT ECG= NSR 60 BPM
FET1 VAR=ABSENT MAT ECG AMPL= 1mV
FET1= LONG TERM OFF
_____________________ _____________________
VIEW SETTINGS VIEW SETTINGS
VIEW CURRENT VIEW CURRENT
SETTINGS SETTINGS
Figure 22: FM S-3 Fetal1 VIEW screen Figure 23: FM S-3 M aternal VIEW Screen
TOCO SETTINGS:
FETAL2 SETTINGS:M STATIC: 0 mmHg
FETAL2 ECG= 140 BPM TOCO AMP: 50 UNITS
FET2 AMPL= 1mV IU SENS: 5uV/V/mmHg
US2= TRACKS FETAL2 ELEVATED BASE: OFF
_____________________ ______________________
VIEW SETTINGS VIEW SETTINGS
VIEW CURRENT VIEW CURRENT
SETTINGS SETTINGS
Figure 24: FM S-3 FETAL2 VIEW Screen Figure 25: FM S-3 TO C O VIEW Screen #1
TOCO SETTINGS:
RESP DELTA: OFF BATTERY >9V OK
RESP RATE: VARIABL REVISION= 1.06
BASE WANDER: OFF
BASE WANDER: 3 MIN
_____________________ ______________________
VIEW SETTINGS VIEW SETTINGS
VIEW CURRENT VIEW CURRENT
SETTINGS SETTINGS
Figure 26: FM S-3 TO C O VIEW Screen #2 Figure 27: FM S-3 Final VIEW Screen
Pressing any of the ARROW keys will change the screen back to that of Figure 21.
Pressing the MENU button will change the screen back to that of Figure 1.
13 SETUP Configuration
13.1 Overview
FMS-3 has a number of configuration options for the display, the beeper and assorted other
system variables.
Press the MAIN key, until the AUTO, SAVE, SETUP line is displayed on the bottom line of
the screen. Press the ‘soft-key’ below the SETUP menu label to change the LCD display to
that of Figure 28, the Setup menu.
SETUP
BACKGROUND LIGHT
Figure 28: FM S-3 SETU P M enu
The AMPL KEY setting configures the AMPLITUDE key on the front keypad to affect either
the FETAL1 amplitude or the MATERNAL amplitude setting. Pressing the AMPLITUDE
button will display the FETAL1 SETTINGS screen if the AMPL KEY is set to FETAL1, and
the FETAL1 ECG amplitude will be set to the next setting in the circular buffer. Similarly, if
the AMPL KEY is set to MATERNAL, the MATERNAL SETTINGS screen will be shown
and the MAT AMPL setting will change.
The CONTRAST UP, CONTRAST DOWN selections will adjust the darkness of the text on
the background.
The BACKGROUND LIGHT, BACKGROUND DARK selections will change the display
from dark text on a light background to light text on a dark background (reverse video).
The BEEPER OFF, BEEPER ON, BEEP TEST selections are self explanatory.
The DISPLAY LIGHT OFF, DISPLAY 5 SEC, DISPLAY 8 SEC, DISPLAY 10 SEC
selections will determine if the display will be back lit and for how long before it turns off
automatically. If the DISPLAY LIGHT is set to 8 seconds, when a keypress is detected, the
backlight will turn on for 8 seconds and then turn off unless another keypress is detected. The
backlight will turn off at 5, 8 or 10 seconds after the last keypress detected.
Pressing the MENU button will change the screen back to that of Figure 1.
FMS-3 may be controlled directly from a personal computer via RS-232. Control is effected by
sending 3 digit numeric codes to FMS-3. The numeric codes can be found in Appendix A.
Connect the serial communications cable (P/N 3140-429) to the DB9/RJ12 adapter (P/N
3140-426) provided with FMS-3 .
Connect the DB9 of the adapter to a serial communications port ("COM Port") on your PC,
and insert the other end of the cable into RS-232 port of FMS-3.
Power up FMS-3 by pressing the POWER pushbutton. There is no need to set FMS-3 to a
particular mode for computer communications, it is ready to accept control commands as soon
as it is powered ON.
The serial protocol used by FMS-3 is 9600,N,8,1 (9600 baud; no parity; 8 data bits; 1 stop bit).
Any serial communications program, such as Hyperterminal, that allows characters to be sent
one at a time will work to send the control commands.
The remote commands which control FMS-3 are listed in section 14.4 of this operating manual.
Remote commands comprise one, two, or three ASCII numerals (character set '0' to '9'),
terminated by the ASCII 'E' character. Carriage return, line feed, and similar ASCII control
characters m u s t n o t b e s e n t by the controlling device to FMS-3.
Command examples:
Description Command
Set MECG to NSR, 80BPM 4
Set F1ECG to 60 BPM 26
Set US2 TO TRACK FETAL2 60
Set TOCO to ‘V’ SPIKES 193
FMS-3 has special requirements for remote control via RS-232. Characters sent to FMS-3 by a
controlling device must be separated by a delay of at least two-tenths of a second.
For example, considering the F1 ECG = 60BPM command listed above, the sending device
will require at least 0.8 seconds to send this message to FMS-3. After the first ASCII character
'2' is sent, there needs to be a 0.2 second pause to allow the FMS-3 to recognize the character.
After the pause, the second ASCII character '6' may be sent, etc. Sending the ASCII character
'E' is equivalent to pressing the ENTER key on the keypad.
Syntax: XXX
Description: The NUMERIC Setting command prepares to initiate a specific Parameter
of a Function at a specific Setting. Each Function/Parameter/ Setting has
an assigned numeric code for reference (see Appendix A). For instance,
F1ECG/RATE/240BPM has a numeric code of "037". Type the
numeric code, the leading 0's are optional.
Example: "037" prepare to initiate F1ECG/RATE/240BPM
Returns: If there are too many characters received, FMS-3 will sound a double
beep.
Syntax: E
Description: The E character acts as an Enter keystroke, activating the numeric entry
Example: “037E"prepares to initiate F1ECG/RATE/240BPM, then activates or
‘E’nters the command
Returns: 2 beeps if an error occurs
Refer to the Calibration Decal applied on the back of the unit to determine calibration status of your
FMS-3.
For calibration or service assistance, contact Datrend for a Return Materials Authorization (RMA)
number or the location of the nearest Service Facility.
FMS-3 should be cleaned with a soft, lint free, damp cloth. Use of cleaning agents may result in
scratching, discoloration, or streaking.
The table on the following page(s) list the numeric codes for all FMS-3 settings. Find the
desired setting in the table, send the corresponding 1, 2 or 3 digit code via RS-232, followed by
the E character, to activate that setting.
CODE= 0 NO SELECTION
CODE= 1 NO SELECTION
CODE= 2 NO SELECTION
CODE= 3 MAT NSR 60 BPM
CODE= 4 MAT NSR 80 BPM
CODE= 5 MAT NSR 100 BPM
CODE= 6 MAT NSR 120 BPM
CODE= 7 MAT NSR 140 BPM
CODE= 8 MAT NSR 160 BPM
CODE= 9 MECG RATE: SINUS
CODE= 10 MECG RATE: VARIABLE
CODE= 11 NO SELECTION
CODE= 12 NO SELECTION
CODE= 13 NO SELECTION
CODE= 14 NO SELECTION
CODE= 15 NO SELECTION
CODE= 16 MAT ECG SENS LII AT 0.5 MV
CODE= 17 MAT ECG SENS LII AT 1 MV
CODE= 18 MAT ECG SENS LII AT 2 MV
CODE= 19 MAT ECG SENS LII AT 3 MV
CODE= 20 MAT ECG SENS LII AT 4 MV
CODE= 21 MAT ECG SENS LII AT 5 MV
CODE= 22 NO SELECTION
CODE= 23 NO SELECTION
A ppendix A # P age 51
FMS-3 OPERATING MANUAL
CODE= 24 NO SELECTION
CODE= 25 FECG RATE: 30BPM
CODE= 26 FECG RATE: 60BPM
CODE= 27 FECG RATE: 80BPM
CODE= 28 FECG RATE: 90BPM
CODE= 29 FECG RATE: 100BPM
CODE= 30 FECG RATE: 120BPM
CODE= 31 FECG RATE: 140BPM
CODE= 32 FECG RATE: 150BPM
CODE= 33 FECG RATE: 160BPM
CODE= 34 FECG RATE: 180BPM
CODE= 35 FECG RATE: 200BPM
CODE= 36 FECG RATE: 210BPM
CODE= 37 FECG RATE: 240BPM
CODE= 38 NO SELECTION
CODE= 39 NO SELECTION
CODE= 40 FETAL1 AMP: 50uV
CODE= 41 FETAL1 AMP: 100uV
CODE= 42 FETAL1 AMP: 200uV
CODE= 43 FETAL1 AMP: 0.5mV
CODE= 44 FETAL1 AMP: 1mV
CODE= 45 FETAL1 AMP: 2mV
CODE= 46 NO SELECTION
CODE= 47 NO SELECTION
CODE= 48 NO SELECTION
CODE= 49 FETAL1 ABSENT VARIABILITY 0 BPM
CODE= 50 FETAL1 LOW VARIABILITY 0-2 BPM
CODE= 51 FETAL1 MINIMAL VARIABILITY 3-5 BPM
CODE= 52 FETAL1 AVERAGE VARIABILITY 6-10 BPM
CODE= 53 FETAL1 MODERATE VARIABILITY 11-25 BPM
CODE= 54 FETAL1 MARKED VARIABILITY <25 BPM
CODE= 55 FETAL1 LONG TERM VARIABILITY ON
CODE= 56 FETAL1 LONG TERM VARIABILITY OFF
CODE= 57 NO SELECTION
CODE= 58 NO SELECTION
CODE= 59 US2 TRACKS FETAL2 ECG
CODE= 60 US2 IN SEPARATE WAVE MODE
CODE= 61 FETAL2 TREND1
CODE= 62 FETAL2 TREND2
CODE= 63 FETAL2 TREND3
CODE= 64 FETAL2 NORMAL
CODE= 65 FETAL2 TACHY
CODE= 66 FETAL2 BRADY
CODE= 67 FETAL2 60BPM
CODE= 68 FETAL2 80BPM
CODE= 69 FETAL2 100BPM
CODE= 70 FETAL2 140BPM
A ppendix A # P age 52
FMS-3 OPERATING MANUAL
A ppendix A # P age 53
FMS-3 OPERATING MANUAL
A ppendix A # P age 54
FMS-3 OPERATING MANUAL
A ppendix A # P age 55
FMS-3 OPERATING MANUAL
A ppendix A # P age 56
FMS-3 OPERATING MANUAL
Numbers between 1 - 511 which are not listed are reserved for later use.
A ppendix A # P age 57
FMS-3 OPERATING MANUAL
Appendix B - Accessories
Standard Accessories:
3310-004: 9 Volt Alkaline Battery
6100-485: Operating Manual
3140-429: RJ-12 communication cable
3140-426: RJ-12 to DB-9 adapter
Optional Accessories:
AC Adapters:
3000-445: North America/Japan
3000-446: Euro-Schuko/China
3000-447: UK
Ultrasound Cables:
7200-499: Philips/Series 50
7200-521: Philips/HP 8040A)
7200-512: Corometrics 116 (5700)
7200-514: Huntleigh/Sonicaid 2MHz
7200-515: Huntleigh/Sonicaid 1.5MHz
A ppendix B # P age 58
FMS-3 OPERATING MANUAL
A ppendix B # P age 59