BC Biomedical PS-2105 User Manual

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MULTI-PARAMETER
PATIENT SIMULATOR
PS-2105
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BC BIOMEDICAL
PS-2105
TABLE OF CONTENTS
WARNINGS ................................................................................................................. 2
DESCRIPTION............................................................................................................. 3
OVERVIEW.................................................................................................................. 7
ECG--NORMAL SINUS RHYTHM................................................................................ 15
ECG--ARRHYTHMIAS ................................................................................................. 17
ECG--PACEMAKER..................................................................................................... 25
ECG--PERFORMANCE ............................................................................................... 27
TRAINING .................................................................................................................... 29
SETUP ......................................................................................................................... 35
POWER UP SETTINGS............................................................................................... 37
SpO2 (OPTION)............................................................................................................ 39
OUTPUT CONNECTIONS ........................................................................................... 41
MANUAL REVISIONS.................................................................................................. 43
WARRANTY................................................................................................................. 43
SPECIFICATIONS ....................................................................................................... 45
NOTES......................................................................................................................... 47
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All connections to patients must be removed
before connecting the Device Under Test (DUT)
to the Simulator. A serious hazard may occur if
the patient is connected when testing
Do not connect any leads from the patient
directly to the Simulator or DUT.
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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.
THE INFORMATION IN THIS MANUAL HAS BEEN CAREFULLY CHECKED AND IS BELIEVED TO BE ACCURATE. HOWEVER, NO RESPONSIBILITY IS
ASSUMED FOR INACCURACIES.
WARNING
with the Simulator.
N O T I C E
iii
Manual PS-2105 Copyright © 2004
www.bcgroupintl.com Made in the USA
12/04 Rev 03
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BC GROUP
PS-2105
PATIENT SIMULATOR
The Model PS-2105 is a Microprocessor based Patient Simulator. It provides ECG Simulation with 36 arrhythmias, 17 waveforms with constant QRS duration, 15 machine performance-testing waveforms and 7 paced rhythms, plus a unique training mode and an optional SpO2 Output.
The PS-2105 makes viewing and selecting the desired waveforms and parameters quick and intuitive, with all operational information being available at the same time on a cursor­based graphic display, allowing for easy maneuvering through parameters and scrolling through available options.
The following are highlights of some of the main features:
GENERAL
SIMPLE TO OPERATE
NO CODES TO REMEMBER OR ENTER
GRAPHICS DISPLAY WITH SIMULTANEOUS DETAILED STATUS OF
PARAMETERS AND SCROLLING CONTROL OF OPTIONS
DROP DOWN CHOICE SCREENS LIST ALL OPTIONS FOR PARAMETERS
SPECIAL POWER UP FEATURE ALLOWS THE USER TO CHOOSE TO USE
DEFAULT, LAST OR CUSTOM SETTINGS
AUTO SEQUENCES FOR BPM AND PERFORMANCE
10 UNIVERSAL PATIENT LEAD CONNECTORS
9 VOLT BATTERY POWER
% BATTERY LIFE DISPLAY
LOW BATTERY INDICATOR
AVAILABLE BATTERY ELIMINATOR
DISPLAY BACKLIGHT
FLASH PROGRAMMABLE FOR UPGRADES
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PS-2105
ECG FUNCTIONS
The unit can produce a wide variety of ECG simulations. The user simply selects the parameters that match the desired output.
RATE: 30,40,45,60,80,90,100,120,140,160,180,200,220, 240,260,280,300 BPM
AMPLITUDE:
0.5,1.0,1.5,2.0 mV (Lead II)
S-T SEGMENT ELEVATION: +/- 0,.05,.1,.2,.3,.4,.5,.6,.7,.8 mv.
ARTIFACTS: 50 HZ, 60 HZ, MUSCLE, BASELINE WANDER, RESPIRATION
QRS INTERVAL: ADULT (80 ms) OR PEDIATRIC (40 ms)
AUTOMATIC MODE
PACEMAKER FUNCTIONS
Seven different pacemaker waveforms may be simulated. Additionally, the width and amplitude of the pacer pulse may be selected.
WAVEFORMS: ATRIAL PACER, ASYNCHRONOUS, NON-CAPTURE, NON-FUNCTION, DEMAND - OCCASIONAL, DEMAND - FREQUENT, AV - SEQUENTIAL
PULSE HEIGHT: 1,2,5,10 mV
PULSE WIDTH:
0.1, 0.5, 1.0, 1.5, 2.0 ms
ARRHYTHMIA FUNCTIONS
The unit can simulate 36 different arrhythmias. For ease of selection, they are arranged into four basic groups. Where applicable, both manual and automatic triggering of the waveform is available.
36 DIFFERENT ARRHYTHMIAS
FOUR GENERAL GROUPS:
SUPRAVENTRICULAR PREMATURE VENTRICULAR CONDUCTION
MANUAL AND AUTOMATIC TRIGGERING
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Description
ECG-PERFORMANCE FUNCTIONS
The unit will generate Sine, Square, Triangular and Pulse waveforms with adjustable amplitudes for performance testing. A special Automatic mode is available to auto sequence through the entire range of waveforms.
SINE:
0.1, 0.5, 5, 10, 40, 50, 60,100 Hz
SQUARE:
0.125, 2 Hz
TRIANGLE: 2, 2.5 Hz
PULSE: 30,60,120 BPM; 60 ms WIDTH
AMPLITUDE:
0.5,1.0,1.5,2.0 mV (Lead II)
AUTOMATIC MODE
TRAINING
The unit has a special training mode that may be used to aid users in practicing the identification of arrhythmias. A series of settings allows the feature to be customized to fit the exact training requirement.
TIMER: MANUAL,10,15,20,25,30 SEC
RANDOMIZER: OFF,ON
ARRHYTHMIAS: ALL,SUBSET
SPO2 SIMULATION (Option)
When used with the MSP-2100 external module and FingerSim family of SpO2 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
SpO
OUTPUT:
2
80,90,97 %
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OVERVIEW
This section looks at the layout of a PS-2105 and gives descriptions of the elements that
are present.
10 Universal Patient Lead Connectors: RA R LA L RL(-) N LL F V1 C1 V2 C2 V3 C3 V4 C4 V5 C5 V6 C6
7 Light Touch Keys for Selecting Parameters and Settings: LEFT and RIGHT Curved Arrows for Moving through Parameters UP and DOWN Arrows for Scrolling through Options ENTER for Selecting Option CHOICES for Displaying Submenu of All Options for a Given Parameter QUIT for Returning to Previous Status
6 Light Touch Keys for Category Selection: Normal Sinus Rhythm Arrhythmias Pacemaker Performance Training Setup
9V Battery Compartment (Back)
LCD Graphical Display: Shows Parameters for ECG, including BPM, Adult/Pediatric, Amplitude, Artifact and ST Segment
7-Pin Mini-DIN Plug Connector for Aux Functions
AC Adaptor/ Battery Eliminator
Power Key for Turning Unit On and Off
Back Light Key for turning on and off the backlight
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PS-2105
General Operation
The unit is controlled by 15 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.
A graphics LCD display provides the user with information about the current status of the
ECG settings. The keys move the block cursor through the displayed
information; highlighting the parameter available for selection. The keys
change the options for the highlighted parameter. The cursor begins flashing if the
parameter has been changed. The key selects the changed option. The
key returns to the previous state, without any changes being made.
To make option selection even easier and to make memorizing and using codes
unnecessary, the key will bring up a screen that displays all the options for the
selected parameter. The and keys can then be used to quickly
scroll through the available options and select the desired setting.
Five category keys allow for quick setting of output waveforms. The , ,
, and keys move the display directly to the selected category.
The or keys can then be used to scroll through and select the desired
settings.
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Overview
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 key enters the NSR category.
The 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
The key enters the machine performance-testing category and changes the first
line in the display to the first performance waveform choice.
The key opens a screen that allows the user to set the conditions for and start
the special training mode.
Power Key
The key turns the unit on and off. To turn off the unit, the key must be held for 1
second.
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PS-2105
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).
The intensity of the backlight can be adjusted in the System Setup screen to conserve
battery life.
The key is provided to toggle the backlight on or off at any time.
NOTE: The backlight parameter in the System Setup screen may be set to Off, 1-30 sec
Timed or Manual.
ECG Waveforms
The microprocessor has stored in its memory all of the digitalized waveforms. It sends the
individual lead waveforms to D/A converters, which generate accurate analog
representations. The waveforms are then sent through resistor networks, developing the
appropriate signals on the output terminals.
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Overview
Universal Patient Lead Connectors
The 10 Universal Patent Lead Connectors allow for 12-lead ECG simulation with
independent outputs. AHA and IEC color-coded labels are located on the face of the unit to
aid in connecting the corresponding U.S. and International Patient Leads.
AHA Label IEC Label Description
RA R Right Arm
LA L Left Arm
RL N
Right Leg (reference or ground)
LL F Left Leg
V Leads (U.S. Canada),
V1 V2 V3 V4 V5 V6
C1 C2 C3 C4 C5 C6
also referred to as pericardial, precordial or unipolar chest
Chest Leads
leads
(International)
High Level Output (+)
A high level ECG output signal (200 x Amplitude Setting) is available in the Aux 7-Pin mini-
DIN connector.
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PS-2105
Auto Power Off
The unit may be programmed to automatically turn off after a selected number of minutes
of no key activity to conserve the battery. (Note: This time is selectable in the System
Setup screen).
Power Supply
The unit utilizes two 9 Volt Alkaline Batteries in the rear battery compartment. When the
unit detects a LOW BATTERY condition (5% Battery Life), a warning window will appear
once per minute to alert the user. The key may be used to clear this window and
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 micro jack for connecting a 9-Volt AC battery eliminator (Optional).
The adapter will power the unit, but will not charge the battery.
Power Up Settings
The unit may be setup to turn on using either the factory default settings, the same settings
that it had when last turned off or a custom set of parameters as previously saved by the
user (See Power Up Settings section for details).
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Overview
Automatic Modes
The ECG NSR Rate, ECG Performance and Static Blood Pressure Parameters all allow for
an automatic setting. In each of these, the unit will sequence through the full range of
settings automatically at a fixed rate (as selected in the Auto Step Time Parameter). When
in this mode, the time remaining in each step is displayed.
The key may be used to manually advance to the next step. The key is used
to terminate the mode.
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ECG – NORMAL SINUS RHYTHM
The PS-2105 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-2105
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 PS-2105 is placed into NSR mode by pressing the category key.
The display will resemble the following:
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 Auto
ARTIFACT
None* 50 Hz 60 Hz Muscle Wander (Baseline) Resp (Respiration)
ST SEGMENT ELEVATION
-0.8 mV 0.05 mV
-0.7 mV 0.1 mV
-0.6 mV 0.2 mV
-0.5 mV 0.3 mV
-0.4 mV 0.4 mV
-0.3 m V 0.5 mV
-0.2 mV 0.6 mV
-0.1 mV 0.7 mV
PATIENT MODE
Adult* (80 mS QRS) Pediatric (40 mS QRS)
AMPLITUDE
0.5 mv
1.0 mv*
1.5 mv
2.0 mv
* Indicates Default Setting
See Power Up Settings)
-0.05 mV 0.8 mV
0.0 mV*
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PS-2105
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.
Auto Rate
If the BPM parameter is set to AUTO, the unit will automatically sequence through all of the
BPM settings, starting with 30 BPM, incrementing at a fixed interval. The interval may be
set in the System Setup Menu under “Auto Step Time”.
Displays time (seconds) remaining before advancing to next rate.
The key can be used to exit the Auto Mode during the sequence.
NOTE: ST Elevation or Depression is only active in Adult NSR at or below 180 BPM.
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ECG – ARRYTHMIAS
The PS-2105 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-2105 is
placed into ARRHYTHMIA mode by pressing the category key.
The display will resemble the following:
GROUP ARRHYTHMIA
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 Tach Paroxysmal Atrial
Tach Supravent Tach Sinus Arrhythmia Missed Beat - Auto Missed Beat - Man Nodal Rhythm
Ventricular Pair of PVCs - Auto Pair of PVCs - Man Run of 5 PVCs - Auto Run of 5 PVCs - Man Run of 11 PVCs - Auto Run of 11 PVCs - Man 6 PVCs per Min 12 PVCs per Min 24 PVCs per Min Freq Multifocal PVCs Bigeminy Trigeminy Vent Tach Vent Fib – Coarse Vent Fib – Fine Asystole Conduction 1st Deg Heart Block 2 3 Rt Bundle Branch Block Lf Bundle Branch Block
nd
Deg Heart Block
rd
Deg Heart Block
AMPLITUDE
0.5 mV
1.0 mV*
1.5 mV
2.0 mV
ARTIFACT
None* 50 Hz 60 Hz Muscle Baseline Wander Respiration
* Indicates Default Setting (See Power Up Settings)
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PS-2105
The grouping, arrhythmias and amplitude can be selected by using to
highlight the parameter to change and using 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.
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.
Auto/Manual
There are 12 arrhythmias that have both Automatic and Manual versions. Both versions
output the same waveform; however, in the Manual version, the arrhythmia is triggered
each time is depressed. In the Auto versions, the arrhythmia is automatically triggered
periodically.
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Arrhythmias
The following is a brief description of how the PS-2105 simulates the available Arrhythmias:
PREMATURE
Abbreviation Arrhythmia Description
NSR of 80 BPM with Periodic
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
Premature Atrial Contraction
Premature Atrial Contraction
Premature Nodal Contraction
Premature Nodal Contraction
Standard Type 1 Premature Ventricular Contraction
Standard Type 1 Premature Ventricular Contraction
Early Type 1 Premature Ventricular Contraction
Early Type 1 Premature Ventricular Contraction
Abnormal 25 % early P waves (PAC, 7 NSR) (Continuous) NSR of 80 BPM with Periodic Abnormal 25 % early P waves (One-Time event) NSR of 80 BPM with Periodic Abnormal 25 % early Nodal beat (PNC, 7 NSR) (Continuous) NSR of 80 BPM with Periodic Abnormal 25 % early Nodal beat (One-Time event) NSR of 80 BPM with periodic left focus premature ventricular beats with 20% premature timing (PVC Type 1, 9 NSR) (Continuous) NSR of 80 BPM with periodic left focus premature ventricular beats with 20% premature timing (One-Time event) NSR of 80 BPM with periodic left focus premature ventricular beats with 33% premature timing (PVC Type 1, 9 NSR) (Continuous) NSR of 80 BPM with periodic left focus premature ventricular beats with 33% premature timing (One-Time event)
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PS-2105
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
R on T Type 1 Premature Ventricular Contraction
R on T Type 1 Premature Ventricular Contraction
Standard Type 2 Premature Ventricular Contraction
Standard Type 2 Premature Ventricular Contraction
Early Type 2 Premature Ventricular Contraction
Early Type 2 Premature Ventricular Contraction
R on T Type 2 Premature Ventricular Contraction
R on T Type 2 Premature Ventricular Contraction
Multifocal Premature Ventricular Contraction
Multifocal Premature Ventricular Contractions
NSR of 80 BPM with periodic left focus premature ventricular beats with 65% premature timing, placing R on the previous T (PVC Type 1, 9 NSR) (Continuous) NSR of 80 BPM with periodic left focus premature ventricular beats with 65% premature timing, placing R on the previous T (One-Time event) NSR of 80 BPM with periodic right focus premature ventricular beats with 20% premature timing (PVC Type 2, 9 NSR) (Continuous) NSR of 80 BPM with periodic right focus premature ventricular beats with 20% premature timing (One-Time event) NSR of 80 BPM with periodic right focus premature ventricular beats with 33% premature timing (PVC Type 2, 9 NSR) (Continuous) NSR of 80 BPM with periodic right focus premature ventricular beats with 33% premature timing (One-Time event) NSR of 80 BPM with periodic right focus premature ventricular beats with 65% premature timing, placing R on the previous T (PVC Type 2, 9 NSR) (Continuous) NSR of 80 BPM with periodic right focus premature ventricular beats with 65% premature timing, placing R on the previous T (One-Time event) NSR of 80 BPM with Type 1 and Type 2 PVCs (PVC Type 1, 2 NSR, PVC Type 2, 2 NSR) (Continuous) NSR of 80 BPM with Type 1 and Type 2 PVCs (PVC Type 1, 2 NSR, PVC Type 2) (One-Time event)
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Arrhythmias
SUPRAVENTRICULAR
Abbreviation Arrhythmia Description
Atrial Fib – Coarse
Atrial Fib – Fine
Atrial Flutter
Atrial Tach
Paroxysmal Atrial Tach
Supravent Tach
Sinus Arrhythmia
Missed Beat – Auto
Missed Beat – Man
Nodal Rhythm
Artial Fibrillation
Artial Fibrillation
Atrial Flutter
Atrial Tachycardia
Paroxysmal Atrial Tachycardia
Supraventricular Tachycardia
Sinus Arrhythmia
Missed Beat
Missed Beat
Nodal Rhythm
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)
160 BPM (Continuous)
160 BPM for five seconds 80 BPM for ten seconds (Continuous)
200 BPM (Continuous)
Normal beats at a fluctuating rate from 60 BPM to 100 BPM (Continuous) NSR of 80 BPM with a missed beat (Missed Beat, 36 NSR) (Continuous)
NSR of 80 BPM with a missed beat (One-Time Event)
60 BPM with very short P-R interval (Continuous)
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PS-2105
VENTRICULAR
Abbreviation Arrhythmia Description
NSR of 80 BPM with Periodic Group of
Pair of PVCs – Auto
Pair of PVCs – Man
Run of 5 PVCs – Auto
Run of 5 PVCs – Man
Run of 11 PVCs – Auto
Run of 11 PVCs – Man
6 PVCs per Min
12 PVCs per Min
24 PVCs per Min
Freq Multifocal PVCs
Bigeminy
Trigeminy
Pair of Premature Ventricular Contractions
Pair of Premature Ventricular Contractions
Run of 5 Premature Ventricular Contractions
Run of 5 Premature Ventricular Contractions
Run of 11 Premature Ventricular Contractions
Run of 11 Premature Ventricular Contractions
6 Premature Ventricular Contractions per minute
12 Premature Ventricular Contractions per minute
24 Premature Ventricular Contractions per minute
Frequent Multifocal Premature Ventricular Contractions
Bigeminal Rhythm
Trigeminal Rhythm
2 Type 1 PVCs (2 PVC Type 1, 36 NSR) (Continuous) NSR of 80 BPM with Periodic Group of 2 Type 1 PVCs (One-Time Event) NSR of 80 BPM with periodic group of 5 Type 1 PVCs (5 PVC Type 1, 36 NSR) (Continuous) NSR of 80 BPM with periodic group of 5 Type 1 PVCs (One-Time event) NSR of 80 BPM with periodic group of 11 Type 1 PVCs (11 PVC Type 1, 36 NSR) (Continuous) NSR of 80 BPM with periodic group of 11 Type 1 PVCs (One-Time event) NSR of 80 BPM with 6 Type 1 PVCs per minute (Continuous) NSR of 80 BPM with 12 Type 1 PVCs per minute (Continuous) NSR of 80 BPM with 24 Type 1 PVCs per minute (Continuous) NSR of 80 BPM with every fourth beat being an alternating Type 1 and Type 2 PVC (Continuous) NSR of 80 BPM with every other beat a Type 1 PVC (Continuous) NSR of 80 BPM with every third beat a Type 1 PVC (Continuous)
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Vent Tach
Vent Fib – Coarse
Vent Fib – Fine
Asystole
Ventricular Tachycardia
Ventricular Fibrillation
Ventricular Fibrillation
Asystole
Arrhythmias
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)
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CONDUCTION
Abbreviation Arrhythmia Description
1st Deg Heart Block
2nd Deg Heart Block
3rd Deg Heart Block
Rt Bundle Branch Block
Lf Bundle Branch Block
First Degree Heart Block
Second Degree Heart Block
Third Degree Heart Block
Right Bundle Branch Block
Left Bundle Branch Block
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 QRS rate of 30 BPM (Continuous) 80 BPM with Normal P-wave and P-R interval but wider QRS complexes (Continuous) 80 BPM with Normal P-wave and P-R interval but wider QRS complexes (Continuous)
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(
ECG – PACEMAKER
The PS-2105 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 a pacemaker
accompanies the heartbeat. The PS-2105 is placed into PACEMAKER mode by pressing
the category key.
The display will resemble the following:
WAVEFORM
Atrial Pacer* Asynchronous Non-Capture Non-Function Demand – Occasional Demand – Frequent AV – Sequential
* Indicates Default Setting
See Power Up Settings)
PULSE
1 mV 6.mV 2 mV 7 mV 3 mV 8 mV 4 mV 9 mV 5 mV* 10 mV
PULSE
0.1 ms
0.5 ms
1.0 ms*
1.5 ms
2.0 ms
The pacemaker rhythms and signals can be selected by using to highlight
AMPLITUDE
0.5 mV
1.0 mV*
1.5 mV
2.0 mV
ARTIFACT
None* 50 Hz 60 Hz Muscle Baseline Wander Respiration
the parameter to change and using to scroll to the desired option. Then
is used to accept the new setting.
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PS-2105
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.
The following is a brief description of how the PS-2105 simulates the available Pacemaker
Waveforms:
PACEMAKER
Abbreviation Waveform Description
Atrial Pacer
Asynchronous
Non-Capture
Non-Function
Demand – Occasional Demand – Frequent AV – Sequential
Atrial Pacemaker Wave
Asynchronous Pacemaker Wave
Ventricular Pacemaker Wave with Periodic Non-Response Ventricular Pacemaker Wave with no Heart Response Demand Pacemaker Wave with Occasional Sinus Beats
Demand Pacemaker Wave with Frequent Sinus Beats
AV-Sequential Pacemaker Wave
80 BPM with Pacer Pulse at the start of each P wave 75 BPM with Pacer Pulse at the start of each QRS wave and no P wave 75 BPM Ventricular Paced beats with every tenth beat not responding
75 BPM Ventricular Paced beats with no heart response
20 NSR beats followed by 20 Ventricular Paced beats
40 NSR beats followed by 40 Ventricular Paced beats
75 BPM with Pacer Pulse at the start of both the P and QRS waves
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ECG – PERFORMANCE
The PS-2105 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 available for testing and verifying. The PS-2105 is placed
into PERFORMANCE mode by pressing the category key.
The display will resemble the following:
WAVEFORM
Square Wave .125 Hz Square Wave 2 Hz* Triangle Wave 2 Hz Triangle Wave 2.5 Hz Sine Wave 0.1 Hz Sine Wave 0.5 Hz Sine Wave 5 Hz Sine Wave 10 Hz Sine Wave 40 Hz Sine Wave 50 Hz Sine Wave 60 Hz Sine Wave 100 Hz Pulse 30 BPM Pulse 60 BPM Pulse 120 BPM Auto Wave
* Indicates Default Setting
See Power Up Settings)
These waves and amplitudes can be selected by using to highlight the
AMPLITUDE
0.5 mV
1.0 mV*
1.5 mV
2.0 mV
parameter to change and using to scroll to the desired option. Then
is used to accept the new setting.
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PS-2105
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 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.
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Training
(
TRAINING
The PS-2105 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. Subsets of the Arrhythmias can be selected to allow for individualization.
The PS-2105 is placed into TRAINING mode by pressing the category key.
The display will resemble the following:
TIMER
Manual* 10 Sec 15 Sec 20 Sec 25 Sec 30 Sec
* Indicates Default Setting
See Power Up Settings)
RANDOMIZER
On
Off*
GROUPING
All* Subset
The Timer, Randomizer and Arrhythmias can be selected by using to
highlight the parameter to change and using to scroll to the desired option.
Then is used to accept the new setting.
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PS-2105
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)
If in the timed mode, the unit will switch to the next arrhythmia automatically at the set time.
If in the manual mode, use to go to the next arrhythmia when ready.
To pause or exit the Training Mode during a session, use . The following message
box will be displayed:
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Training
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 anytime prior to starting a training session.
The following procedure is used to modify the subset:
1.
From the main screen, highlight Arrhythmias: and use to open the choices
screen.
2.
Highlight Subset and use to open the Arrhythmia Groups Submenu screen.
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PS-2105
3.
To select all the arrhythmias in a group, use to scroll to the category
and to toggle the indicator to “ALL”. To select none of the arrhythmias in a group,
use to toggle the indicator to “NO”.
4.
To select some of the arrhythmias in a group, use to display the list of
arrhythmias for a specific group. 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.
NOTE: If the group is pre-selected with “ALL”, all of the arrhythmias will be checked, thus
making it easy to deselect a few. If the group is pre-selected with “NO”, none of the
arrhythmias will be checked, thus making it easy to select a few.
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Training
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.
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SETUP
The PS-2105 allows for setup of the System Parameters through the category key.
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:
These settings can be selected by using to highlight the parameter to
change and using to scroll to the desired option. Then is used to
accept the new setting.
Use or , , , or to exit from the setup screens.
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PS-2105
The following is a brief description of the parameters and the available range of settings:
Parameter Description Range
SpO2 Output
Sets the ability to drive an external SpO2 module (MSP-2100)
Enabled/Disabled
The elapsed time after which the unit will automatically power down. This
Auto Off Timer
timer is reset by each key depression.
0-30 min (Setting the value to 0 eliminates this feature.) Off – Always off 1-30 sec – The elapsed time after
Backlight Timed
which the backlight will automatically turn off.
Off, 1-30 sec, Manual
Manual – The backlight will be manually controlled by backlight key. Sets the intensity of the backlight.
Backlight Intensity
(Note: Lower intensities extend
0-100% battery life.) Displays current life of the batteries.
Battery Life
At 5%, a warning screen will appear. At 0%, the unit will power down
5-100%
(Read Only)
automatically.
Contrast Adjust
Sets the contrast of the display screen.
0-20
Selects the values that will be used
Power up with
when the unit is first turned on. It is also used to Set the Custom Defaults,
Default/Last/Custom/
Set Custom Defaults if used. (See Power Up Settings). Sets the interval that is used with the
Auto Step Time
Auto increment features in BPM and
1 to 60 sec
Performance.
Software Displays current software program. (Read Only)
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POWER UP SETTINGS
The PS-2105 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, Premature - Atrial PAC - Auto
ECG – Performance: 2 Hz Square Wave, 1.0 mV
ECG – Pacemaker: Artial, 5 mV Amplitude, 1.0 ms Width
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
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PS-2105
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.
Set Current As Custom
To create the set of custom default parameters, this fourth choice is provided in this
parameter. The user simply configures the unit to the desired default conditions, selects
this option and presses . The current configuration is then saved as the Custom
Power up values.
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SpO2 (Option)
The PS-2105 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. 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
PS2050. The output is only functional when the unit is powered from the Battery Eliminator
provided with the MSP-2100 Module, since the batteries do no have enough power to run
this option.
The output is enabled and disabled in the System Setup screen.
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OUTPUT CONNECTIONS
The following is a representation of the socket connector found on the unit. It is viewed
as if looking at the socket in the unit, not the cable pins.
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A
MANUAL REVISIONS
Revision # Program # Revisions Made
Rev 01 DT7347 Preliminary Manual
Rev 02 DT7347 Updates to Preliminary Manual
Rev 03 DT7347 Overlay Additions
WARRANTY
FROM DEFECTS IN MATERIALS AND WORKMANSHIP UNDER THE SERVICE FOR WHICH THEY
RE INTENDED. THIS WARRANTY IS EFFECTIVE FOR TWELVE MONTHS FROM THE DATE OF
SHIPMENT.
EXCLUSIONS: THIS WARRANTY IS IN LIEU OF ANY OTHER WARRANTY EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
BC GROUP INTERNATIONAL, INC. IS NOT LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES.
NO PERSON OTHER THAN AN OFFICER IS AUTHORIZED TO GIVE ANY OTHER WARRANTY OR ASSUME ANY LIABILITY.
REMEDIES: THE PURCHASER'S SOLE AND EXCLUSIVE REMEDY SHALL BE: (1) THE REPAIR OR REPLACEMENT OF DEFECTIVE PARTS OR PRODUCTS, WITHOUT CHARGE. (2) AT THE OPTION OF BC GROUP INTERNATIONAL, INC., THE REFUND OF THE PURCHASE PRICE.
P:\MANUALS\BCGroup\Published Versions\Ps2000\PS2105_UM_Rev03.doc
: BC GROUP INTERNATIONAL, INC. WARRANTS ITS NEW PRODUCTS TO BE FREE
LIMITED WARRANTY
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SPECIFICATIONS
ECG NSR
Rate
Accuracy +/- 1% Amplitude 0.5,1.0,1.5,2.0 mv (Lead II) Accuracy +/- 2% @ Lead II
30,40,45,60,80,90,100,120,140,160,
180,200,220,240,260,280,300 BPM
High Level 200 times Amplitude Accuracy +/- 5% QRS Duration Adult (80ms), Pediatric (40ms) ST Segment (Elevation) +/- 0,.05,.1,.2,.3,.4,.5,.6,.7,.8 mv
Amplitude 1,2,3,4,5,6,7,8,9,10 mV Accuracy +/- 10% Width 0.1,0.5,1.0,1.5,2.0 ms Accuracy +/- 5% Rate 75 BPM Accuracy +/- 1%
Pacemaker Waveforms
Sine Wave 0.1,0.5,5,10,40,50,60,100 Hz Square Wave 0.125, 2.000 Hz Triangle Wave 2.000, 2.500 Hz Pulse Wave 30,60,120 BPM; 60 ms width
Amplitude 0.5,1.0,1.5,2.0 mv (Lead II)
Rate Accuracy +/- 1% Amplitude Accuracy +/- 2% @ Lead II
ECG Performance
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PS-2105
Output
LEAD TO LEAD IMPEDENCE (RL, LL, RA, LA)
LEAD TO LEAD IMPEDENCE (V1-V6)
1000 Ohms
1000 Ohms
Physical
DISPLAY LCD Graphical 128 X 64 Pixels,
Backlight
8.625 x 5.5 x 1.625 Inches
ENCLOSURE
(216 x 140 x 41 mm)
ABS Plastic
WEIGHT
FACE PLATE Lexan, Back printed OPERATING RANGE 15 to 40 C STORAGE RANGE -20 to 65 C
< 2Lbs
(< 0.91 Kg)
Electrical
Battery, 9 VDC (2 required)
POWER
BATTERY ELIMINATOR (Optional)
BATTERY ELIMINATOR (Provided with SpO2 Module MSP-2100)
BE2000PU (120 VAC) – US
BE2000PE (220 VAC) – Euro
BE2100PU (120 VAC) – US
BE2100PE (220 VAC) – Euro
(NEDA 1604)
Alkaline
9V, 200 mA DC
12V, 500 mA DC
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NOTES
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