MULTI-PARAMETER PATIENT SIMULATOR PS-2200 SERIES USER MANUAL
BC BIOMEDICAL PS-2200 SERIES TABLE OF CONTENTS WARNINGS, CAUTIONS, NOTICES ............................................................................ ii DESCRIPTION ............................................................................................................... 1 LAYOUT ......................................................................................................................... 7 ECG--NORMAL SINUS RHYTHM............................................................................
WARNING - USERS The PS-2200 Series are for use by skilled technical personnel only. WARNING - USE The PS-2200 Series are intended for testing only and should never be used in diagnostics, treatment or any other capacity where they would come in contact with a patient. WARNING - CONNECTIONS All connections to patients must be removed before connecting the DUT to the PS-2200 Series. A serious hazard may occur if the patient is connected when testing with the PS-2200 Series.
CAUTION - CLEANING Do not immerse. The PS-2200 Series should be cleaned by wiping gently with a damp, lint-free cloth. A mild detergent can be used if desired. CAUTION - LIQUIDS Do not submerge or spill liquids on the PS-2200 Series. Do not operate the PS-2200 Series if exposed to fluid. CAUTION - ENVIRONMENT Exposure to environmental conditions outside the specifications can adversely affect the performance of the PS-2200 Series.
NOTICE – CE The PS-2200 Series Simulators bear the mark Based on the following testing standards: ELECTROMAGNETIC COMPATIBILITY DIRECTIVE EMC – Directive 89/336/EEC as amended by 92/31/EEC and 93/68/EEC & Directive 91/263/EEC[TTE/SES] EN 61326-1:1997 + A1:1998 + A2:2001 + A3:2003 “Electrical equipment for measurement, control and laboratory use – EMC requirements” This equipment has been type tested by an independent, accredited testing laboratory and compliance was demonstrated to the above standard to th
NOTICE – SYMBOLS Symbol Description Caution (Consult Manual for Further Information) Center Negative Per European Council Directive 2002/95/EC, do not dispose of this product as unsorted municipal waste.
NOTICE – DISCLAIMER BC GROUP INTERNATIONAL, INC. WILL NOT BE RESPONSIBLE FOR ANY INJURIES SUSTAINED DUE TO UNAUTHORIZED EQUIPMENT MODIFICATIONS OR APPLICATION OF EQUIPMENT OUTSIDE OF THE PUBLISHED INTENDED USE AND SPECIFICATIONS. NOTICE – DISCLAIMER BC GROUP INTERNATIONAL, INC. RESERVES THE RIGHT TO MAKE CHANGES TO ITS PRODUCTS OR SPECIFICATIONS AT ANY TIME, WITHOUT NOTICE, IN ORDER TO IMPROVE THE DESIGN OR PERFORMANCE AND TO SUPPLY THE BEST POSSIBLE PRODUCT.
BC BIOMEDICAL PS-2200 SERIES PATIENT SIMULATOR The PS-2200 Family is a series of high end Microprocessor based Patient Simulators. Each model provides ECG, Blood Pressure, Respiration and Temperature Simulation. Models are available with one, two or four independent blood pressure outputs. All models will support the Fetal/Maternal, SpO2 and Cardiac Output options.
S-T SEGMENT ELEVATION: ± 0, 0.05, 0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.7, 0.8 mV ARTIFACTS: 50 Hz, 60 Hz, MUSCLE, BASELINE WANDER, RESPIRATION QRS INTERVAL: ADULT (80 ms) OR PEDIATRIC (40 ms) AUTOMATIC MODE ARRHYTHMIA FUNCTIONS The unit can simulate 36 different arrhythmias. For ease of selection, they are grouped into four basic categories. Where applicable, both manual and automatic triggering of the waveform is available.
SQUARE: 0.125, 2.0 Hz TRIANGLE: 2.0, 2.5 Hz PULSE: 30, 60, 120 BPM; 60 ms WIDTH AMPLITUDE (Lead II): 0.05, 0.10, 0.15, 0.20, 0.25, 0.30, 0.35, 0.40, 0.45, 0.50, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0 mV AUTOMATIC MODE R WAVE RATE: 30, 60, 80, 120, 200, 250 BPM R WAVE WIDTH: 8, 10, 12, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110, 120, 130, 140, 150, 160, 170, 180, 190, 200 ms R WAVE AMPLITUDE (Lead II): 0.05, 0.10, 0.15, 0.20, 0.25, 0.30, 0.35, 0.40, 0.45, 0.50, 1.0, 1.5, , 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.
A special Swan-Ganz mode is available that will allow Manual or Automatic simulation of that sequence. Each channel has independent settings. STATIC: -10, -5, 0, 20, 40, 50, 60, 80, 100, 150, 160, 200, 240, 250, 300, 320, 400 mmHg AUTOMATIC STATIC PRESSURE MODE 8 DYNAMIC WAVEFORMS RESPIRATION ARTIFACT: 0 to 16 mmHg SENSITIVITY: 5 or 40 µV/V/mmHg SWAN-GANZ SIMULATION 7 PRESET STATIC GROUPS (MODEL PS-2240 ONLY) TEMPERATURE The unit will simulate seven temperatures.
SPO2 SIMULATION (Optional) When used with the MSP-2100 external module and FingerSim family of SpO 2 finger simulators, the system will provide a pulse synchronized SpO2 output for all NSR rates. RATE: 30, 40, 45, 60, 80, 90, 100, 120, 140, 160, 180, 200, 220, 240, 260, 280, 300 BPM SpO2 OUTPUT: 80, 90, 97 % FETAL/MATERNAL (Option) This option provides a combination of fetal and maternal ECG waveforms with and without contractions. Additionally, it provides an Intrauterine-Pressure (IUP) waveform.
OPTIONAL ACCESSORIES BC20-21100 BC20-21101 BC20-02300 BC20-02400 MSP-2100 FingerSim™ KIT FingerSim™ SET BC20-30107 BC20-41337 BC20-41339 BATTERY ELIMINATOR (USA Version) BATTERY ELIMINATOR (Euro Version) FETAL / MATERNAL OPTION CARDIAC OUTPUT OPTION PULSE OXIMETRY MODULE (ALLOWS PS-2200 TO SIMULATE SpO2 OUTPUT WHEN USED WITH FingerSims™) COMPLETE STARTER KIT (INCLUDES 80%, 90% AND 97% FingerSims™, FingerSim™ HOLDER, AND CARRYING CASE) REPLACEMENT KIT (INCLUDES 80%, 90% AND 97% FingerSims™ ONLY) SOFT-SIDED
LAYOUT This section looks at the layout of a PS-2200 and gives descriptions of the elements that are present.
General Operation The unit is controlled by 17 light touch keys. They allow the user to move around within the displayed parameters, select the desired options, choose a specific category and control the setup and power for the unit. When a key is depressed there is an audio click when it is accepted, or a razz tone if the key is invalid. Two graphics LCD displays provide the user with information about the current status of the ECG, Respiration, Temperature and Blood Pressure settings.
The key opens a screen that allows the user to select the unit’s general output settings, as well as setup for the system. Category Keys The The key enters the NSR category. key enters the arrhythmia category and changes the first line in the display to the first arrhythmia choice. The key enters the pacemaker category and changes the first line in the display to the first pacemaker waveform choice.
Power Key The key turns the unit on and off. To turn off the unit, the key must be held for 1 second. Backlight The Graphic LCD display may be viewed with or without the backlight. Depressing any key will activate the backlight. However, since the backlight will drain the battery if left on, it will automatically shut off after a few seconds when running on battery power. (Note: This time is selectable in the System Setup screen).
Respiration Respiration waveforms are provided that have adjustable rates from 15 to 120 BrPM (Breaths Per Minute) as well as an Apnea (0 BrPM) setting. The signal is generated by a variation in the impedance in either the LL or LA lead (selectable). The amplitude is settable from .5 to 3.0 ohms. Blood Pressure There are one, two or four 6-pin mini-DIN plug connectors on the right side of the unit for connection of the Blood Pressure cables.
AHA Label IEC Label Description RA R Right Arm LA L Left Arm RL N Right Leg (reference or ground) LL F Left Leg V1 V2 V3 V4 V5 V6 C1 C2 C3 C4 C5 C6 V Leads (V1-V6) (U.S. and Canada) also referred to as pericardial, precordial or unipolar chest leads Chest Leads (C1-C6) (International) High Level Output (+) A high level ECG output signal (200 x Amplitude Setting) is available in the BP1 6-Pin mini-DIN connector.
continue use of the unit. If the battery is not replaced before the battery reaches a critical level (0 % Battery Life), the unit will shut down. (The percentage of life left in the batteries can be viewed in the System Setup screen.) Battery Eliminator The unit has a 2.1 mm jack for connecting the Battery Eliminator (Optional). Note: The Battery Eliminator will not charge the battery.
ECG – NORMAL SINUS RHYTHM The PS-2200 can send waveforms to ECG machines in 3, 5 or 12 lead configurations. It has independent outputs for each signal lead, referenced to the right leg. Normal Sinus Rhythm (NSR) occurs when the heartbeat is normal, beating at a rate between 50 and 100 BPM with a standard QRS waveform shape and height. The PS-2200 simulates the NSR with a default pulse of 80 BPM, amplitude of 1.0 mV on Lead II, P-R interval of 160 milliseconds, no Artifact and no ST Segment elevation.
The rate, amplitude, adult/pediatric, artifact and ST elevation or depression can be selected by using to highlight the parameter to change and using to scroll to the desired value. Then is used to accept the new setting. Alternately, to see a submenu of all the options for a highlighted parameter, use Use to scroll to the desired option. Then . is used to accept the new setting.
ECG – ARRHYTHMIAS The PS-2200 can send Arrhythmia waveforms to ECG machines in 3, 5 or 12-lead configurations. It has independent outputs for each signal lead, referenced to the right leg. There are 36 Arrhythmias available that model abnormal heartbeats. The PS-2200 is placed into ARRHYTHMIA mode by pressing the 16 category key.
The top portion of the display shows the currently enabled arrhythmia group and selection, selectable from: Premature Atrial PAC - Auto* Atrial PAC - Man Nodal PNC - Auto Nodal PNC - Man PVC 1 - Auto PVC 1 - Man PVC 1 Early - Auto PVC 1 Early - Man PVC 1 R on T - Auto PVC 1 R on T - Man PVC 2 - Auto PVC 2 - Man PVC 2 Early - Auto PVC 2 Early - Man PVC 2 R on T - Auto PVC 2 R on T - Man Multifocal PVCs - Auto Multifocal PVCs - Man Supraventricular Atrial Fib - Coarse Atrial Fib - Fine Atrial Flutter Atrial
The grouping, arrhythmias and amplitude can be selected by using highlight the parameter to change and using Then to to scroll to the desired option. is used to accept the new setting. Alternately, to see a submenu of all the options for a highlighted parameter, use Use to scroll to the desired option. Then is used to accept the new setting. NOTE: While in the Arrhythmia Group choice screen, the key may be used for a second time to jump directly to the arrhythmias choices for that group.
The following is a brief description of how the PS-2200 simulates the available Arrhythmias: Abbreviation PREMATURE Arrhythmia Atrial PAC – Auto Premature Atrial Contraction Atrial PAC – Man Premature Atrial Contraction Nodal PNC – Auto Premature Nodal Contraction Nodal PNC – Man Premature Nodal Contraction PVC 1 – Auto Standard Type 1 Premature Ventricular Contraction PVC 1 – Man Standard Type 1 Premature Ventricular Contraction PVC 1 Early Auto Early Type 1 Premature Ventricular Contractio
PVC 2 – Auto Standard Type 2 Premature Ventricular Contraction PVC 2 – Man Standard Type 2 Premature Ventricular Contraction PVC 2 Early Auto Early Type 2 Premature Ventricular Contraction PVC 2 Early Man Early Type 2 Premature Ventricular Contraction PVC 2 R on T – Auto R on T Type 2 Premature Ventricular Contraction PVC 2 R on T – Man R on T Type 2 Premature Ventricular Contraction Multifocal PVCS – Auto Multifocal Premature Ventricular Contraction Multifocal PVCS – Man Multifocal Premature
Abbreviation SUPRAVENTRICULAR Arrhythmia Description Absence of P-wave, irregular P-R interval rate and a high level signal (Continuous) Absence of P-wave, irregular P-R interval rate and a low level signal (Continuous) Repeating sequence of 5 atrial beats and 1 ventrical beat for twelve seconds, followed by a repeating sequence of 3 atrial beats and 1 ventrical beat for six seconds, followed by a repeating sequence of 2 atrial beats and 1 ventrical beat for six seconds (Continuous) Atrial Fib – Coarse
Abbreviation VENTRICULAR Arrhythmia Pair of PVCs – Auto Pair of Premature Ventricular Contractions Pair of PVCs – Man Pair of Premature Ventricular Contractions Run of 5 PVCs – Auto Run of 5 Premature Ventricular Contractions Run of 5 PVCs – Man Run of 5 Premature Ventricular Contractions Run of 11 PVCs – Auto Run of 11 Premature Ventricular Contractions Run of 11 PVCs – Man Run of 11 Premature Ventricular Contractions 6 PVCs per Min 6 Premature Ventricular Contractions per minute 12 PVCs pe
Vent Tach Ventricular Tachycardia Vent Fib – Coarse Ventricular Fibrillation Vent Fib – Fine Ventricular Fibrillation Asystole Asystole 160 BPM, No P-wave, Beats similar to Type 1 PVC (Continuous) Irregular waveform with no real P-wave or clear R-R interval and a high signal level (Continuous) Irregular waveform with no real P-wave or clear R-R interval and a low signal level (Continuous) Flat line signal (Continuous) 23
Abbreviation CONDUCTION Arrhythmia 1st Deg Heart Block First Degree Heart Block 2nd Deg Heart Block Second Degree Heart Block 3rd Deg Heart Block Third Degree Heart Block Rt Bundle Branch Block Right Bundle Branch Block Lf Bundle Branch Block Left Bundle Branch Block 24 Description 80 BPM with a long P-R interval of 250 ms (Continuous) 80 BPM with increasing P-R interval for four beats (160, 220, 400, 470 ms) followed by a P wave without a QRS (Continuous) 80 BPM with P wave rate of 80 BPM and
ECG – PACEMAKER The PS-2200 can send paced waveforms to ECG machines in 3, 5 or 12 lead configurations. It has independent outputs for each signal lead, referenced to the right leg. There are 7 paced simulation signals available which model when the heartbeat is accompanied by a pacemaker. The PS-2200 is placed into PACEMAKER mode by pressing the category key.
The pacemaker rhythms and signals can be selected by using the parameter to change and using to highlight to scroll to the desired option. Then is used to accept the new setting. Alternately, to see a submenu of all the options for a highlighted parameter, use Use to scroll to the desired option. Then . is used to accept the new setting.
ECG – PERFORMANCE The PS-2200 can send performance waveforms to ECG machines in 3, 5 or 12-lead configurations. It has independent outputs for each signal lead, referenced to the right leg. There are 15 Performance waves and 6 R-waves available for testing and verifying. The PS-2200 is placed into PERFORMANCE mode by pressing the category key. The display will resemble the following: AMPLITUDE T WAVEFORM Square Wave .125 Hz Square Wave 2 Hz* Triangle Wave 2 Hz Triangle Wave 2.5 Hz Sine Wave 0.
R-Wave When one of the 6 R-Wave waveforms is selected, the display changes to allow the setting of the width. WIDTH 8 ms 10 ms* 12 ms 20 ms 30 ms 40 ms 50 ms 60 ms 70 ms 80 ms 90 ms 100 ms 120 ms 130 ms 140 ms 150 ms 160 ms 170 ms 180 ms 190 ms 200 ms ECG/RESPIRATION/TEMPERATURE * Indicates Default Setting (See Power Up Settings) These widths can be selected by using and using to highlight the parameter to change to scroll to the desired option. Then is used to accept the new setting.
Auto Wave If the Performance parameter is set to AUTO, the unit will automatically sequence through all of the performance waves, starting with Square Wave .125 Hz, incrementing at a fixed interval. The interval may be set in the System Setup Menu under “Auto Step Time”. A countdown timer is shown in the display: Displays time (seconds) remaining before advancing to next waveform. The key can be used to exit the Auto Mode during the sequence.
BLOOD PRESSURE NOTE: The Transducer Sensitivity (5 or 40 µV/V/mmHg) must be set to correlate with the monitoring equipment before simulation can begin. (See SETUP for selection information). The PS-2200 series offers one, two or four Blood Pressure Channels and will simulate the set Blood Pressure wave during ECG waveforms where it occurs.
PS-2240 The PS-2240 quad blood pressure display will resemble the following: RESPIRATION ARTIFACT WAVEFORM Arterial 120/80 Radial Artery 120/80 Left Vent 120/0 Right Vent 25/0 Pulm Artery 25/10 CVP 15/10 PAW 10/2 Left Atrium 14/4 Static -10 mmHg Static -5 mmHg Static 0 mmHg* Static 20 mmHg Static 40 mmHg Static 50 mmHg Static 60 mmHg Static 80 mmHg Static 100 mmHg Static 150 mmHg Static 160 mmHg Static 200 mmHg Static 240 mmHg Static 250 mmHg Static 300 mmHg Static 320 mmHg Static 400 mmHg Auto Static Pre
Alternately, to see a submenu of all the options for a highlighted parameter, use Use to scroll to the desired option. Then . is used to accept the new setting. Auto Static Pressure If Auto Static Pressure is selected, the channel will automatically sequence through all of the Static Pressure settings, starting with -10 mmHg, incrementing at a fixed interval. The interval may be set in the System Setup Menu under “Auto Step Time.” NOTE: Each channel can be set independently.
Auto Sets If Auto Preset is selected, the channels will automatically sequence through the static sets, starting with Set 0, incrementing at a fixed interval. The interval may be set in the System Setup Menu under “Auto Step Time”. BLOOD PRESSURE Displays time (seconds) remaining before advancing to next preset. Auto Static All If Auto Static All is selected, all channels will automatically sequence through all of the static pressure settings, starting with -10 mmHg, incrementing at a fixed interval.
PS-2220 The PS-2220 dual blood pressure display will resemble the following: WAVEFORM Arterial 120/80 Radial Artery 120/80 Left Vent 120/0 Right Vent 25/0 Pulm Artery 25/10 CVP 15/10 PAW 10/2 Left Atrium 14/4 Static -10 mmHg Static -5 mmHg Static 0 mmHg* Static 20 mmHg Static 40 mmHg Static 50 mmHg Static 60 mmHg Static 80 mmHg Static 100 mmHg Static 150 mmHg Static 160 mmHg Static 200 mmHg Static 240 mmHg Static 250 mmHg Static 300 mmHg Static 320 mmHg Static 400 mmHg Auto Static Pressure Swan-Ganz – Auto
Alternately, to see a submenu of all the options for a highlighted parameter, use Use to scroll to the desired option. Then . is used to accept the new setting. Auto Static Pressure If Auto Static Pressure is selected, the channel will automatically sequence through all of the Static Pressure settings, starting with -10 mmHg, incrementing at a fixed interval. The interval may be set in the System Setup Menu under “Auto Step Time.” NOTE: Each channel can be set independently.
PS-2210 The PS-2210 single blood pressure display will resemble the following: WAVEFORM Arterial 120/80 Radial Artery 120/80 Left Vent 120/0 Right Vent 25/0 Pulm Artery 25/10 CVP 15/10 PAW 10/2 Left Atrium 14/4 Static -10 mmHg Static -5 mmHg Static 0 mmHg* Static 20 mmHg Static 40 mmHg Static 50 mmHg Static 60 mmHg Static 80 mmHg Static 100 mmHg Static 150 mmHg Static 160 mmHg Static 200 mmHg Static 240 mmHg Static 250 mmHg Static 300 mmHg Static 320 mmHg Static 400 mmHg Auto Static Pressure Swan-Ganz – Au
Alternately, to see a submenu of all the options for a highlighted parameter, use Use to scroll to the desired option. Then . is used to accept the new setting. Auto Static Pressure If Auto Static Pressure is selected, the channel will automatically sequence through all of the Static Pressure settings, starting with -10 mmHg, incrementing at a fixed interval. The interval may be set in the System Setup Menu under “Auto Step Time.
SWAN-GANZ The Swan-Ganz simulation is a special feature that will run the typical sequence for a Swan-Ganz catheter. This can be done either manually, with the user triggering each step, or automatically, with the unit continuously running the sequence with each step at a fixed time interval. The sequence may be run on any channel while in the Normal Sinus Rhythm screen, but only on one channel at a time.
Manual In the Swan-Ganz – Man mode, the user controls the sequence using the keys. (The functions of the keys vary with the steps. The display will indicate the current options on each screen.
Automatic In the Swan-Ganz – Auto mode, the unit continually runs the sequence. The time remaining before proceeding to the next step is counted down in the display. The following is a typical setup screen: RESPIRATION ARTIFACT CHANNEL BLOOD PRESSURE 1 2 3 4 (Dependant upon unit type.) Set time per step.
The following is a typical running screen: BLOOD PRESSURE Counts down time per step. SEQUENCE Right Atrium CVP Right Ventricular Pulmonary Artery Pulmonary Arterial Wedge Right Atrium CVP Right Ventricular Pulmonary Artery 15/10 25/0 25/10 10/2 15/10 25/0 25/10 To pause or exit the Swan-Ganz – Auto Mode during a sequence, use following message box will be displayed: 41 .
RESPIRATION NOTE: The delta ohm Respiration Signal can be inserted in either the LL or LA lead. The Baseline impedance can be set to 500, 1000, 1500 or 2000 Ohms. These must be set to correlate with the monitoring equipment before simulation can begin. (See SETUP for selection information). There are 12 rate settings available (9 BrPM rates, Apnea (0 BrPM) and 3 timed Apneas).
These Rates and Amplitude (Impedance Variations) can be selected by using to highlight the parameter to change and using desired option. Then to scroll to the is used to accept the new setting. Alternately, to see a submenu of all the options for a highlighted parameter, use Use to scroll to the desired option. Then . is used to accept the new setting.
TEMPERATURE The PS-2200 simulates 7 temperatures that are independent from the rest of the functions of the unit. The temperature setting can be selected at any time. The output will simulate both YSI 400 and YSI 700 Temperature probes. (Note: Both outputs are available at the output connector simultaneously.
TRAINING The PS-2200 provides the unique feature of a Training Mode to aid the user in practicing the identification of arrhythmias. The unit will sequence through the arrhythmias, allowing the user to look at the output on their equipment, identify the arrhythmia and then verify their conclusion with the correct name shown on the display. The user can select either manual or timed sequencing, as well as whether the arrhythmias will display in order or randomly.
Alternately, to see a submenu of all the options for a highlighted parameter, use Use to scroll to the desired option. Then . is used to accept the new setting. When ready to begin the Training, use . The appropriate arrhythmia screen will be displayed with Training Mode indicated. ARTIFACT None* 50 Hz 60 Hz Muscle Wander (Baseline) Resp (Respiration) AMPLITUDE .05 mV .10 mV .15 mV .20 mV .25 mV .30 mV .35 mV .40 mV .45 mV .50 mV 1.0 mV 1.5 mV 2.0 mV 2.5 mV 3.0 mV 3.5 mV 4.0 mV 4.5 mV 5.
SUBSET The subset feature allows the user to select specific arrhythmias for a more controlled training. This feature is selected by setting the “Arrhythmias:” parameter to “Subset.” The selection of the subset is done by marking those specific arrhythmias or groups of arrhythmias of interest. After a subset of arrhythmias has been selected, it will remain in memory. It may them be edited at any time prior to starting a training session. The following procedure is used to modify the subset: 1.
3. To select all the arrhythmias in a group, use and use to scroll to the category to toggle the indicator to “ALL”. To select none of the arrhythmias in a group, to toggle the indicator to “NO”. 4. To select some of the arrhythmias in a group, use arrhythmias for a specific group. to display the list of Then use to scroll through the arrhythmias. Any arrhythmia marked with a check ( ) will be included in the subset. Use to toggle the selection of an arrhythmia on and off.
5. When completed selecting the desired arrhythmias from that group, use to return to the Group Submenu. “SOME” will appear to indicate a partial selection of the arrhythmias in that group., Additional groups may be modified in the same manor. When done with all the groups, use again to return to the Training Mode.
SETUP The PS-2200 allows for setup of the Outputs and the System Parameters through the category key. Depress the key multiple times to toggle between the setup screens. The Output Setup screen allows for the setting of the SpO 2 Output, Respiration Baseline Ohms, Respiration Lead and the Blood Pressure Sensitivity parameters. These should be set according to the device under test.
System Setup The System Setup screen allows for the setting of the parameters controlling various function of the unit as well as the viewing of Battery Life and Software information. The display will resemble the following: NOTE: The Software number in this manual is for example purposes only. Specific units may have different software numbers. These settings can be selected by using change and using to highlight the parameter to to scroll to the desired option. Then accept the new setting.
The following is a brief description of the parameters and the available range of settings: Parameter Auto Off Timer Backlight Timed Backlight Intensity Battery Life Top LCD Contrast Bottom LCD Contrast Power up with Auto Step Time Software Description The elapsed time after which the unit will automatically power down. This timer is reset by each key depression. (Setting the value to 0 eliminates this feature.
POWER UP SETTINGS The PS-2200 allows the user to tailor the settings that the unit will have on Power Up. The “Power Up With” parameter in the System Setup Menu allows for the selection of either Default, Last or Custom selections. Default If this option is selected the following settings will be used every time the unit is turned on. ECG – NSR: 80 BPM, 1.0 mV, Adult QRS, 0.0 mV ST Elevation, Artifact - None, SpO2 Output Disabled ECG – Arrhythmia: 1.0 mV, Artifact - None, 0.
SystemSetup: Auto Timer Off 30 min Backlight Time 5 sec Backlight Intensity 100% Contrast Adjust 10 Power Up With Default Auto Step Time 5 sec Swan-Ganz Step Time 15 sec Last If this option is selected, the unit will remember the settings that were being used when it was turned off and bring them back when the power is turned on. Custom If this option is selected, the user may save a unique set of default parameters and the unit will recall them every time the power is turned on.
SpO2 (Option) The PS-2200 has the ability to drive an external SpO2 module. This module (MSP-2100) accepts the FingerSim family of SpO2 finger simulators (fingers are available with SpO2 of 80, 90 and 97 %). The output pulses the fingers at the NSR BPM rate (up to 180 BPM). The output is off in Arrhythmia and Performance Modes. The module plugs directly into the AUX (7 pin mini din) connector and is powered from the PS2200.
FETAL / MATERNAL (Option) The PS-2200 has the ability to simulate a combined Fetal/Maternal ECG. It assumes a Fetal Scalp Electrode and a Maternal Thigh Electrode. Additionally, it produces a pressure waveform to simulate uterine contractions. The waveform may be triggered manually or set to occur periodically. The Intrauterine-Pressure (IUP) curve causes a change in the Fetal Heart Rate (FHR) based on the type of reaction selected.
The display will resemble the following: FETAL HEART RATE MATERNAL HEART RATE 30 BPM 40 BPM 45 BPM 60 BPM 80 BPM* 90 BPM 100 BPM 120 BPM 140 BPM 160 BPM 180 BPM 200 BPM 220 BPM 240 BPM 260 BPM 280 BPM 300 BPM ECG/RESPIRATION/TEMPERATURE BLOOD PRESSURE IUP SIMULATION Uniform Deceleration* Early Deceleration Late Deceleration Uniform Acceleration 60 BPM 90 BPM 120 BPM* 140 BPM 150 BPM 210 BPM 240 BPM NOTE: The FHR is only selectable when not using the IUP Wave Simulation.
IUP Simulation This feature is designed to simulate the IUP and corresponding FHR that might occur during labor. The base 140 BPM FHR will respond to the contractions based on the setting as follows: IUP Simulation Type FHR Response The FHR goes from 140 BPM down to 100 BPM and back again. The rate follows the 90 seconds bell curve of the contraction but is delayed by 30 seconds. The FHR goes from 140 BPM down to 100 BPM and back again. The rate follows the 90 seconds bell curve of the contraction.
CARDIAC OUTPUT (Option) The PS-2200 has the ability to simulate Thermodilution Cardiac Output measurements. Thermodilution allows the calculation of heart volume output by measuring the temperature change of the blood after a specific volume of solution, which is room temperature or cooler (typically 0 °C or 24 °C), is injected into the heart. The blood temperature is measured by a thermistor on the catheter.
Setting Up a Test 1) The DUT (Cardiac Output Monitor) needs to be setup to match the PS-2200. The following settings are required: Injectate Volume Baxter Edwards 93a – 131 – 7f 0.542 for 0 °C Injectate 0.595 for 24 °C Injectate 10 cc Injectate Temperature 0 °C or 24 °C Catheter Calibration Coefficient 2) Connect MCO-2100 Module to the CO/Temp port on the PS-2200. 3) Connect the Blood Temperature Sensor Line (BT Thermistor Cable) from the DUT to the small 4-pin connector on the MCO-2100.
Running a Test 1) Select the desired test. Normal Faulty Injectate Left-to-Right Shunt Temperature Calibration Pulse This test allows the selection of a flow rate (2.5, 5.0 or 10.0 L/min). When run, it will produce the normal temperature curve for the selected injectate temperature (0 °C or 24 °C). The DUT should interpret this as the selected flow rate. This is an abnormal output meant to simulate a condition where the injectate is not delivered in a smooth flow.
OUTPUT CONNECTIONS The following are representations of the socket connectors found on the unit. They are viewed as if looking at the socket in the unit, not the cable pins.
MANUAL REVISIONS Revision # Program # Revisions Made Rev 01 Rev 02 Rev 03 Rev 04 Rev 05 Rev 06 Rev 07 Rev 08 Rev 09 Rev 10 Rev 11 DT7347CA DT7347CA DT7347CA DT7347CA DT7347CB DT7347CB DT7347CE DT7347CE DT7347CG DT7347CG DT7347CG Preliminary Manual Updates to Preliminary Manual Edits to Preliminary Manual Overlay Additions Miscellaneous Edits Battery Eliminator Specifications Updated Pictures Updated Update Address Warning, Cautions, Notices, CE and Misc Edits Cardiac Output Instructions Updated Format
SPECIFICATIONS ECG SIMULATION 30, 40, 45, 60, 80, 90, 100, 120, 140, 160, 180, 200, 220, 240, 260, 280, 300 BPM 0.1, 0.5, 5, 10, 40, SINE 50, 60, 100 Hz NSR RATE PERFORMANCE WAVEFORMS SQUARE 0.125, 2.000 Hz TRIANGLE 2.000, 2.500 Hz PULSE 30, 60, 120 BPM R-WAVE ACCURACY PULSE WIDTH AMPLITUDE HIGH LEVEL 30, 60, 80, 120, 200, 250 BPM ± 1% 60 ms 8, 10, 12, 20, 30, 40, 50, 60, 70, 80, 90, 100, 120, 130, 140, 150, 160, 170, 180, 190, 200 ms 0.05, 0.10, 0.15, 0.20, 0.25, 0.30, 0.35, 0.40, 0.45, 0.
PACEMAKER WAVEFORMS 75 BPM RATE ACCURACY ± 1% 0.1, 0.5, 1.0, 1.5, 2.
TEMPERATURE SIMULATION SELECTION 0, 24, 30, 37, 40 °C (32.0, 75.2, 86.0, 98.6, 104.0 °F) ACCURACY ± 0.
PHYSICAL & ENVIRONMENTAL DISPLAY CONSTRUCTION Two 128 X 64 Pixel Graphical LCDs, White LED Backlight ENCLOSURE ABS Plastic FACE PLATE Lexan, Back printed SIZE 8.97 x 6.04 x 1.72 Inches (227.8 x 153.4 x 43.7 mm) WEIGHT ≤ 2 Lbs (0.
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