St. Jude Medical Merlin EX3100 User manual

Merlin™ Patient Care System

Merlin™ PCS, Model 3650

Merlin™ Antenna, Model 3638

Merlin™ PSA, Model EX3100

User's Manual

Unless otherwise noted, ™ indicates that the name is a trademark of, or licensed to, St. Jude Medical or one of

its subsidiaries. ST

. JUDE MEDICAL and the nine-squares symbol are trademarks and service marks of St.

Jude

Medical, LLC and its related companies.

Pat.

http://patents.sjm.com

©

i

Contents

Introduction .............................................................................................................. 1

Technical Support ..................................................................................................... 1

Features ................................................................................................................... 3

Setup Instructions ..................................................................................................... 7

Merlin™ PCS Setup ............................................................................................................. 7

Shut Down ......................................................................................................................... 10

Merlin™ PSA Model EX3100 Setup .................................................................................... 10

PSA Wand Model 3150 Setup ............................................................................................ 14

RF Communication Setup .................................................................................................. 14

Bluetooth Wireless Communication Setup ........................................................................... 17

Network Hardware Connection ........................................................................................... 18

Emergency Operation ......................................................................................................... 22

External Device Connection ................................................................................................ 23

Printer Paper ..................................................................................................................... 24

Maintenance and Troubleshooting ........................................................................... 25

Maintenance ...................................................................................................................... 25

Programmer Self Test/Preventive Maintenance ................................................................... 25

Troubleshooting ................................................................................................................. 25

Technical Data ........................................................................................................ 29

Merlin™ PCS Specifications ............................................................................................... 29

Merlin™ Antenna Specifications ......................................................................................... 30

Essential Performance ........................................................................................................ 30

Electromagnetic Compatibility ............................................................................................. 30

Storage and Operating Conditions ....................................................................................... 36

Disposal ............................................................................................................................. 37

Accessories ........................................................................................................................ 37

Symbols .................................................................................................................. 39

1

Introduction

The Merlin™ Patient Care System (Merlin™ PCS) Model 3650 is a portable, dedicated

programming system designed to interrogate, program, display data, and test St. Jude Medical™

implantable devices and leads.

This manual describes the components, setup, maintenance, accessories, and technical data of

the Merlin PCS. For information on St. Jude Medical implantable devices, select the ? button from

any device session screen.

The Merlin™ Antenna Model 3638 is a dedicated radio antenna accessory designed to enable

radio frequency (RF) communication between the Merlin PCS and St. Jude Medical implantable

devices with RF communication capability. This manual describes the components, setup,

maintenance, and technical data of the Merlin Antenna together with Merlin PCS.

The Merlin™ PSA Model EX3100 and the PSA Wand Model 3150 are pacing system analyzers

designed for use with the Merlin PCS to evaluate St. Jude Medical implantable devices and leads.

More information on these devices can be found in the on-screen help.

Technical Support

St. Jude Medical maintains 24-hour phone lines for technical questions and support:

 1 818 362 6822

 1 800 722 3774 (toll-free within North America)

 + 46 8 474 4147 (Sweden)

 + 61 2 9936 1200 (Australia)

 manuals.sjm.com

For additional assistance, call your local St. Jude Medical representative.

3

Features

Figure 1. Merlin™ Patient Care System

4

1. Telemetry Strength Indicators. For the Merlin™ PCS and Merlin™ Antenna. See

Merlin™ PCS Setup (page 7) and RF Communication Setup (page 14).

2. Flash Drive Compartment (USB Port 1). See External Device Connection (page 23) and

Bluetooth Wireless Communication Setup (page 17).

3. Storage Compartment. Connect ECG cable and inductive telemetry wand. Install the

Merlin™ PSA Model EX3100 (page 10) or connect the Merlin Antenna (page 14).

4. Carrying Strap Loops.

5. Touchscreen. Use the pad of your finger to activate the screen. Do not use pencils,

pens, fingernails, or other sharp objects.

6. Rhythm Strip Print Buttons. Select one of these buttons to begin continuous printing of

markers and ECG and EGM waveforms.

7. Paper Tray Door. See Printer Paper (page 24).

8. Display Latch.

9. Shock Button. Select this button to display the Shock screen. See Emergency Operation

(page 22).

10. VVI Button. Select this button to reprogram a device to high-output Emergency VVI

settings. See Emergency Operation (page 22).

11. Merlin Antenna. See RF Communication Setup (page 14).

12. Inductive Telemetry Wand.

13. Bluetooth®1 Wireless Communication USB dongle. See Bluetooth Wireless

Communication Setup (page 17).

Figure 2. Right side

1. Wi-Fi2 port

2. Ethernet port

3. PSA port. Connect the PSA Wand Model 3150 or an additional telemetry wand here. Do

NOT connect the Merlin PSA Model EX3100 here. See Setup Instructions (page 7).

1 Bluetooth® is a registered trademark of Bluetooth SIG, Inc.

2 Wi-Fi is a trademark of the Wi-Fi Alliance.

5

Figure 3. Left side

1. On/Off switch

2. Display Out port. Connect an external video monitor here. See External Device

Connection (page 23).

3. Two USB ports. Connect an external floppy drive, keyboard, mouse, Merlin Antenna, or

connectivity accessory here. Top port is Port 2; bottom port is Port 3. See External

Device Connection (page 23), RF Communication Setup (page 14), and Bluetooth

Wireless Communication Setup (page 17).

Figure 4. Storage compartment connectors (with Merlin PSA not installed)3

1. Telemetry wand (inductive) port. For inductive telemetry devices. See Merlin PCS

Setup (page 7).

2. RF telemetry port. For connection to the Merlin Antenna. See RF Communication Setup

(page 14).

3. ECG In port. See Merlin PCS Setup (page 7).

3 See Merlin™ PSA Model EX3100 Setup for connections with the Merlin PSA installed.

7

Setup Instructions

Merlin™ PCS Setup

To set up the Merlin™ PCS to communicate with a device that uses inductive telemetry, follow

these instructions. For instructions to setup the Merlin PCS with devices that use

RF communication, see RF Communication Setup (page 14). For instructions to setup the Merlin

PCS with devices that use Bluetooth® 4 Low Energy wireless communication, see Bluetooth

Wireless Communication Setup (page 17).

1. Remove cables from storage compartment.

2. Plug the power cord into the power receptacle and then into grounded mains outlet.

CAUTION: The Merlin PCS must be connected to a grounded mains outlet with a

hospital-grade cable.

Figure 5. The power receptacle, the fuse holder, and the On/Off switch

1. Power receptacle

2. Fuse holder

3. On/Off switch

3. You can attach a 5-lead or 3-lead ECG to the Merlin PCS. With the 5-lead ECG cable, attach

up to five ECG electrodes to the patient: Right Arm, Left Arm, Right Leg, and Left Leg. For

the fifth or chest electrode, choose one C location.

With the 3-lead ECG cable, attach electrodes to the Right Arm, Left Arm, and Right Leg.

CAUTION: Use only the ECG cables listed in the Accessories section (page 37) of

this manual to protect the Merlin PCS against possible damage from defibrillator

shock.

NOTE: With the 3-lead ECG cable, only the Lead I vector is displayed on the Merlin PCS

programmer screen.

4. Attach the ECG leads to the appropriate electrodes.

4 Bluetooth® is a registered trademark of Bluetooth SIG, Inc.

8

Figure 6. Color codes and positions of ECG cable connections for 5-lead ECG (left) and 3-lead

ECG (right)

1. R (Red)

2. L (Yellow)

3. N (Black)

4. F (Green)

5. C (White)

WARNING: Do not allow conductive parts of electrodes or connectors to come into

contact with other conductive parts, including Earth ground.

5. Turn on the power.

6. Open the screen display.

7. On the Merlin PCS screen, select the Adjust Display button to configure the ECG waveform.

For more information, select the ? button at the top of the screen when the Adjust Display

window appears.

9

Figure 7. The Adjust Display button, the Interrogate button, the Interrogate Monitors button, and

the Tools Menu

1. Adjust Display button

2. Interrogate button

3. Interrogate Monitors button

4. Tools menu

8. Place the inductive telemetry wand over the patient's device. Do not insert the magnet into

the wand.

NOTE: For devices that use inductive telemetry, use only the Model 3630 wand with

the Merlin PCS. The Model 3530 telemetry wand, used with the Model 3510/3500

programmer, cannot be used with the Merlin PCS.

The telemetry wand can be connected to a wand extension cord, see Accessories (page

37). However, use of more than one wand extension cord may degrade the telemetry

signals and range.

Do not place the inductive wand on top of the Merlin™ PSA Model EX3100.

9. Select the Interrogate button for pacemakers, ICDs, and CRTs, or select the Interrogate

Monitors button for cardiac monitors. Use the telemetry strength indicators above the screen

and on the telemetry wand to position the wand over the device. A single lighted LED

indicates telemetry is established. A greater number of lighted LEDs indicates greater signal

strength.

CAUTION: Telemetry may be compromised if the wand and device are less than

0.3 m from the Merlin PCS.

10. If the interrogated device requires a magnet, a message suggests that you insert the magnet

into the telemetry wand. Insert the magnet so that it is flush with the wand.

10

Shut Down

To power down the Merlin™ PCS:

1. Remove any cables connecting the Merlin PCS to the patient.

2. Either:

- Move the On/Off switch to the Off position, or

- Detach the power cable from the unit.

The Merlin PCS has a power switch that, when shut off, isolates both conductors of the supply

mains simultaneously.

Merlin™ PSA Model EX3100 Setup

The Merlin™ PSA Model EX3100 must be inserted into the Merlin™ PCS storage compartment. It

contains ports for the Merlin PSA patient cables or patient-cable adapters, the ECG input, and the

inductive telemetry wand. The items previously stored in the compartment can be stored in the

Merlin PCS storage pouch, see Accessories (page 37).

When the Merlin PSA is placed in the Merlin PCS, the Merlin™ Antenna can no longer be

connected through the storage compartment. Instead, the Merlin Antenna can be connected to

the USB port on the side of the Merlin PCS by connecting the antenna to the Merlin Antenna

adapter (Model EX3190). See connection instructions (page 14).

For more information on the Merlin PSA Model EX3100, including connection of the patient

cables and patient-cable adapters, refer to the on-screen help on the Merlin PCS.

11

Figure 8. Merlin PSA Model EX3100

1. Functional Status LEDs

2. Pace and Sense LEDs

3. Receptacle for patient cable or patient-cable adapter

4. Receptacle for inductive telemetry wand

5. Receptacle for ECG input

6. Connectors to Merlin PCS

To place the Merlin PSA into the storage compartment, follow the steps below. To remove the

Merlin PSA from storage compartment, reverse the steps.

1. Turn off the Merlin PCS.

2. Remove the Merlin PCS storage compartment door by raising it at a 90 degree angle.

3. Grip the lid so you can pull on one side and push on the other side.

4. Loosen the lid from the hinge on one side.

12

Figure 9. Storage compartment door removal

5. Loosen the hinge on the other side and pull the hinge and lid free.

Save the lid and hinge for future use.

6. Disconnect all cables and remove them from the storage compartment.

7. On the back of the Merlin PSA, locate the gray Merlin PSA connector and connect it to the

gray RF Telemetry port in the storage compartment.

8. Locate the blue telemetry wand connector on the back of the Merlin PSA and connect it to

the blue telemetry wand port in the storage compartment.

9. Locate the black ECG cable on the back of the Merlin PSA and connect it to the black ECG

port in the storage compartment.

10. Orient the Merlin PSA over the storage compartment so its ports and LEDs are facing up and

the ports are facing away from the Merlin PCS screen. Gently lower the Merlin PSA into the

storage compartment.

11. Facing the back of the programmer, tilt the right side of the Merlin PSA into the

compartment so that the hinge hooks grip inside the storage compartment.

12. Push down on the Merlin PSA to snap it into place. It should fit securely and flush with the

surface of the Merlin PCS.

13

Figure 10. Insertion of the Merlin PSA

13. Connect the inductive telemetry wand into the blue port on the Merlin PSA and the ECG into

the black port.

14. Connect the Merlin Antenna to a USB port on the left side of the programmer using the

Merlin Antenna cable adapter (Model EX3190). See RF Communication Setup (page 14).

15. Turn on the Merlin PCS.

The blue LED on the Merlin PSA should be illuminated within 10 seconds, indicating the unit

is powered and operational. If it is not on, the PSA has not been placed correctly or the

Merlin PSA is not functioning properly.

16. Select Tools > PSA.

You are now ready to begin a PSA session. Consult the Merlin PSA on-screen help for

instructions on the Merlin PSA operation and maintenance, backup battery replacement,

and connections between the PSA, the patient cables, and the implanted leads.

NOTE: The Merlin PCS operates only one pacing system analyzer at a time. If both the

Merlin PSA Model EX3100 and the PSA Wand Model 3150 are connected to the Merlin

PCS, the Merlin will only operate the Merlin PSA, and the PSA Wand will not function.

14

Figure 11. Connection between the Merlin PCS and the PSA Wand Model 3150 using the PSA

Wand adapter Model 3615

1. Merlin PCS

2. PSA Wand Model 3150

3. PSA Wand adapter Model 3615

PSA Wand Model 3150 Setup

1. Connect the PSA Wand adapter Model 3615 to the PSA Wand Model 3150.5

2. Insert the adapter into the PSA port on the right side or into the inductive telemetry port

inside the storage compartment.

3. When the Start-Up screen appears, select the Tools button, and then select the PSA button.

The Merlin™ PCS detects the presence of the PSA Wand Model 3150 and starts the

program.

NOTE: The Merlin PCS operates only one pacing system analyzer at a time. If both the

Merlin™ PSA Model EX3100 and the PSA Wand Model 3150 are connected to the

Merlin PCS, the Merlin will only operate the Merlin PSA, and the PSA Wand will not

function.

CAUTION: Do not plug the PSA Wand directly into the PSA port on the right side

of the Merlin PCS without first connecting it to the PSA Wand adapter

Model 3615.

Do not plug the PSA Wand into the PSA port on the Merlin PSA.

RF Communication Setup

Some St. Jude Medical™ implantable devices can communicate with the Merlin™ PCS via radio

frequency (RF), which allows a greater distance between the device and the Merlin PCS. To

establish RF communication, follow the instructions below.

1. Turn off the Merlin PCS.

5 For information, consult the PSA Model 3150 Reference Manual or press the ? button from the PSA program.

15

2. If the Merlin™ PSA Model EX3100 is not in place in the storage compartment, open the

storage compartment door and locate the RF Telemetry port. Connect the cable from the

Merlin™ Antenna to the RF Telemetry port.

3. If the Merlin PSA Model EX3100 is already placed in the storage compartment, locate the

Merlin Antenna USB adapter (Model EX3190) provided with the Merlin PSA. Connect the

USB connector on the adapter to one of the USB ports on the left side of the Merlin PCS.

Then, connect the Merlin Antenna to the remaining connector on the adapter.

NOTE: Connect the Merlin Antenna only to the USB ports on the left side of the

programmer. Do not connect the Merlin Antenna to the USB port in the flash drive

compartment.

Figure 12. Connection between the Merlin Antenna and the Merlin PCS using the Model EX3190

cable adapter

1. Merlin Antenna

2. Merlin PCS

3. Model EX3190 cable adapter

4. Place the Merlin Antenna on a flat surface approximately 1 – 2 m (2 – 6 ft) from the

implanted device. The front panel should face the device.

5. Follow steps 1 through 7 in the Merlin PCS Setup (page 7).

6. When the Merlin PCS is turned on, the telemetry strength indicator LEDs and the status

LEDs on the Merlin Antenna will light, indicating the unit is powered and operational.

16

Figure 13. Merlin Antenna, showing the antenna cable, the green telemetry strength indicator

LEDs, and the blue status LEDs

1. Antenna cable

2. Green telemetry strength indicator LEDs

3. Blue status LEDs

7. When the programmer startup screen appears, the "Ready to Connect to Device" icon

appears under the Tools menu button. See RF Telemetry Icons (page 16).

8. Place the inductive telemetry wand over the patient's device.

9. On the programmer, select the Interrogate button. After the interrogation is complete, the

Merlin PCS displays the FastPath™ Summary Screen. The "Active RF Telemetry connection"

icon appears under the Tools menu button. See RF Telemetry Icons (page 16).

10. The telemetry strength indicators on the Merlin Antenna and the Merlin PCS indicate RF

telemetry communication between the Merlin Antenna and the device. A single lighted LED

indicates telemetry is established. A greater number of lighted LEDs indicates greater signal

strength. If necessary, relocate the Merlin Antenna for better communication. See

Suboptimal RF Communication (page 27).

11. Once RF telemetry is established, you may remove the inductive telemetry wand from the

patient. Begin the programming session.

CAUTION: Position the Merlin Antenna at least 20 cm (8 in) from the patient and

from any device connected to the Merlin PCS wireless port.

Do not use the Merlin Antenna if its enclosure is damaged.

Do not connect the Merlin Antenna to any device other than the Merlin PCS.

RF Telemetry Icons

Table 1. RF telemetry icons for tachycardia devices

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