BC Biomedical PS-2200 User Manual

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MULTI-PARAMETER
PATIENT SIMULATOR
PS-2200 SERIES
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BC BIOMEDICAL
PS-2200
TABLE OF CONTENTS
WARNING.................................................................................................................... 2
DESCRIPTION............................................................................................................. 3
OVERVIEW................................................................................................................ 11
ECG--NORMAL SINUS RHYTHM................................................................................ 19
ECG--ARRHYTHMIAS ................................................................................................. 21
ECG--PACEMAKER..................................................................................................... 31
ECG--PERFORMACE.................................................................................................. 33
BLOOD PRESSURE .................................................................................................... 37
SWAN-GANZ .................................................................................................. 45
RESPIRATION............................................................................................................. 49
TEMPERATURE .......................................................................................................... 51
TRAINING .................................................................................................................... 53
SETUP ......................................................................................................................... 59
POWER UP SETTINGS............................................................................................... 63
SpO2 (OPTION)............................................................................................................ 65
FETAL/MATERNAL (OPTION) .................................................................................... 67
CARDIAC OUTPUT (OPTION) .................................................................................... 71
OUTPUT CONNECTIONS ........................................................................................... 75
MANUAL REVISIONS.................................................................................................. 77
WARRANTY................................................................................................................. 77
SPECIFICATIONS ....................................................................................................... 79
NOTES......................................................................................................................... 83
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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.
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
CONTACT INFORMATION
BC GROUP INTERNATIONAL, INC.
WARNING
with the Simulator.
NOTICE
FOR INACCURACIES.
BC BIOMEDICAL
PO BOX 25125
9415 GENTRY AVE
ST. LOUIS, MO 63125
USA
1-800-242-8428
314-638-3800
www.bcgroupintl.com
sales@bcgroupintl.com
Manual PS-2200 Copyright © 2006
www.bcgroupintl.com Made in the USA
8/06 Rev 07
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BC GROUP
PS-2200
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, SpO
The PS-2200 Family makes viewing and selecting the desired waveforms and parameters quick and intuitive, with all operational information being available at the same time on two cursor-based graphic displays, allowing for easy maneuvering through parameters and scrolling through available options.
Model Number Blood Pressure Channels
and Cardiac Output options.
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PS-2210 1 Blood Pressure Output
PS-2220 2 Blood Pressure Outputs
PS-2240 4 Blood Pressure Outputs
NOTE: All settings are available on each output.
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PS-2200
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, STATIC-PRESSURE LEVELS AND PERFORMANCE
10 UNIVERSAL PATIENT LEAD CONNECTORS
MINI-DIN CONNECTORS FOR BP CABLES
9 VOLT BATTERY POWER
% BATTERY LIFE DISPLAY
LOW BATTERY INDICATOR
AVAILABLE BATTERY ELIMINATOR
DISPLAY BACKLIGHT
FULL REMOTE OPERATION VIA RS-232
FLASH PROGRAMMABLE FOR UPGRADES
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: .05,.10,.15,.20,.25,.30,.35,.40,.45,.50,1.0,1.5,2.0,2.5,3.0,3.5,
4.0,4.5,5.0 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
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Description
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.
36 DIFFERENT ARRHYTHMIAS
FOUR GENERAL GROUPS:
SUPRAVENTRICULAR PREMATURE VENTRICULAR CONDUCTION
MANUAL AND AUTOMATIC TRIGGERING
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, 3, 4, 5, 6, 7, 8, 9, 10 mV
PULSE WIDTH:
0.1, 0.5, 1.0, 1.5, 2.0 ms
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PS-2200
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. Also, a R-Wave (Havertriangle) waveform may be selected with separate amplitude and width settings.
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: .05,.10,.15,.20,.25,.30,.35,.40,.45,.50,
1.0,1.5,2.0,2.5,3.0,3.5,4.0,4.5,5.0 mV (Lead II)
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: .05,.10,.15,.20,.25,.30,.35,.40,.45,.50,1.0,1.5,2.0,2.5,3.0,3.5,
4.0,4.5,5.0 mV (Lead II)
RESPIRATION
Respiration is simulated at 8 different rates, with the ability to select from 4 Baseline Impedances, the Lead in which it will appear, and the Delta Ohms (amplitude) of the signal. Additionally, an Apnea period may be selected.
RATE: 15,20,30,40,60,80,100,120 BrPM
BASELINE IMPEDANCE: 500,1000,1500,2000 OHMS
LEAD: LA or LL
DELTA IMPEDANCE:
0.1,0.2,0.5,1.0,2.0,3.0 OHMS
APNEA: 12, 22 and 32 SECONDS PLUS CONTINUOUS
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Description
BLOOD PRESSURE
Blood pressure simulation varies between the members of the PS-2200 Family. There are models with 1,2 and 4 blood pressure outputs.
Both static and dynamic invasive pressures are simulated. In the static mode, the BP outputs are fixed at the selected level or sequenced through the list using the Automatic mode selection.
In the Dynamic mode, the selected waveform is synchronized with the ECG and provides a continuous output. Additionally, a Respiration Artifact may be added.
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: 5uV/V/mmHg and 40uV/V/mmHg
SWAN-GANZ SIMULATION
7 PRESET STATIC GROUPS (MODEL PS-2240 ONLY)
TEMPERATURE
The unit will simulate seven temperatures. This is done by providing the necessary ohmic levels for both the YSI 400 and 700 Series thermistors.
YSI 400 SERIES and 700 SERIES SIMULATION
SELECTIONS:
0,24,30,35,37,40,42 °C (32.0,75.2,86.0,95.0,98.6,104.0,107.6 °F)
LEAD TEST FUNCTION
The unit provides a set of test terminals to quick check leads. It will determine if a lead has less than 1000 Ohms resistance.
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PS-2200
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 %
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.
FETAL HEART RATE: 60,90,120,140,150,210,240 BPM
IUP PERIOD: SINGLE CONTRACTION (MANUAL) 2,3,5,MIN (AUTO)
FHR (DURING CONTRACTION): UNIFORM DECELERATION EARLY DECELERATION LATE DECELERATION UNIFORM ACCELERATION
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Description
CARDIAC OUTPUT (Option)
When used with the MCO-2100 External Module, this option provides both the hardware and software to simulate Cardiac Output waveforms for testing devices that utilize Baxter – Edwards type catheters.
INJECTATE TEMPERATURE: 0,24°C
INJECTATE FLOW:
2.5,5.0,10.0 L/MIN
OTHER OUTPUTS: FAULTY – INJECTATE LEFT-TO-RIGHT SHUNT CALIBRATED TEMPERATURE PULSE
ACCESSORIES
BC20 - 21100 BATTERY ELIMINATOR (US Version) BC20 - 21101 BATTERY ELIMINATOR (Euro Version)
OPTIONAL ACCESSORIES
BC20 - 02300 FETAL / MATERNAL OPTION BC20 - 02400 CARDIAC OUTPUT OPTION MSP - 2100E FINGERSIM INTERFACE WITH
BC20 - 21101 BATTERY ELIMINATOR (EURO)
MSP - 2100U FINGERSIM INTERFACE WITH
BC20 - 21103 HEAVIER DUTY BATTERY ELIMINATOR (US)
BC20 - 30107 BC BIOMEDICAL MEDIUM SOFT SIDED CARRYING CASE BC20 - 41337 COMMUNICATION CABLE (MINI DIN M TO DB 9 F) BC20 - 41339 COMMUNICATION CABLE (USB TO DB 9 M)
INVASIVE BLOOD PRESSURE CABLES FOR A COMPLETE LIST CONSULT THE BC GROUP WEBSITE AT WWW.BCGROUPINTL.COM
TEMPERATURE CABLES BC20 - 41333 UT-1 YSI-400 BC20 - 41334 UT-2 YSI-700
CARDIO OUTPUT CABLES BC20 - 41335 HP INJECTATE CABLE ASSEMBLY BC20 - 41336 HP TEMP CABLE
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PS-2200
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A
A
A
A
OVERVIEW
This section looks at the layout of a PS-2200 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
ll Options for a Given Parameter QUIT for Returning to Previous Status
8 Light Touch Keys for Category Selection: Normal Sinus Rhythm
rrhythmias Pacemaker Performance Fetal/Maternal Cardiac Output Training Setup
Lead Continuity Test Connections
LCD Graphical Display: Shows Parameters for ECG, Respiration and Temperature
LCD Graphical Display: Shows Parameters for Blood Pressure
6-Pin Mini-DIN Plug Connectors for Blood Pressure Cables
8-Pin Mini-DIN Plug Connector for Temperature/CO Cable
7-Pin Mini-DIN Plug Connector for
ux Functions
Back Light Key for turning on and off the backlight
C Adaptor/ Battery Eliminator
Power Key for Turning Unit On and Off
9V Battery Compartment (Back)
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PS-2200
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 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.
Seven 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
optional Fetal/Maternal mode. (Optional)
The key opens a screen that allows the user to set the conditions for and start
the optional Cardiac Output mode. (Optional)
The key opens a screen that allows the user to set the conditions for and start
the special training mode.
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PS-2200
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).
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.
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Overview
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.
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. Full blood pressure simulation is available
through these connectors. The circuits are totally isolated.
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PS-2200
Temperature
There is an 8-pin mini-DIN plug connector on the right side of the unit for connection of
a Temperature cable. Temperatures are simulated for both YSI 400 and YSI 700 probe
types. There are seven different temperatures selectable for each.
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 (V1-V6)
V1 V2 V3 V4 V5 V6
C1 C2 C3 C4 C5 C6
(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.
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Overview
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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PS-2200
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-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 PS-2200 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
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 mV 0.5 mV
-0.2 mV 0.6 mV
-0.1 mV 0.7 mV
-0.05 mV 0.8 mV
0.0 mV*
ECG/RESPIRATION/TEMPERATURE
PATIENT
MODE
Adult* (80 mS QRS) Ped (Pediatric) (40 mS QRS)
ARTIFACT
None* 50 Hz 60 Hz Muscle Wander (Baseline) Resp (Respiration)
* Indicates Default Setting (See Power Up Settings)
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
5.0 mV
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PS-2200
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 – 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 35 Arrhythmias available that model abnormal heartbeats. The PS-2200 is
placed into ARRHYTHMIA mode by pressing the category key.
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PS-2200
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 -
Multifocal PVCs -
Supraventricular Atrial Fib - Coarse
Atrial Fib - Fine Atrial Flutter Atrial Tach Paroxysmal Atrial
Supravent Tach Sinus Arrhythmia Missed Beat - Auto Missed Beat - Man Nodal Rhythm
Auto
Man
Tach
* Indicates Default Setting (See Power Up Settings)
AMPLITUDE
.05 mV 1.0 mV* .10 mV 1.5 mV .15 mV 2.0 mV .20 mV 2.5 mV .25 mV 3.0 mV .30 mV 3.5 mV .35 mV 4.0 mV .40 mV 4.5 mV .45 mV 5.0 mV .50 mV
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
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
-0.05 mV 0.8 mV
0.0 mV*
ARTIFACT
None* 50 Hz 60 Hz Muscle Wander (Baseline) Resp (Respiration)
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Arrhythmias
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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PS-2200
The following is a brief description of how the PS-2200 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
PVC 1 R on T – Auto
PVC 1 R on T – 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
R on T Type 1 Premature Ventricular Contraction
R on T 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)
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)
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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
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
Arrhythmias
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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PS-2200
SUPRAVENTRICULAR
Abbreviation Arrhythmia Description
Atrial Fib – Coarse
Atrial Fib – Fine
Atrial Flutter
Artial Fibrillation
Artial Fibrillation
Atrial Flutter
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 Tach
Paroxysmal Atrial Tach
Supravent Tach
Sinus Arrhythmia
Missed Beat – Auto
Missed Beat – Man
Nodal Rhythm
Atrial Tachycardia
Paroxysmal Atrial Tachycardia
Supraventricular Tachycardia
Sinus Arrhythmia
Missed Beat
Missed Beat
Nodal Rhythm
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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Arrhythmias
VENTRICULAR
Abbreviation Arrhythmia Description
NSR of 80 BPM with Periodic Group
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
of 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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PS-2200
Vent Tach
Vent Fib – Coarse
Vent Fib – Fine
Ventricular Tachycardia
Ventricular Fibrillation
Ventricular Fibrillation
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)
Asystole
Asystole
Flat line signal (Continuous)
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Arrhythmias
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 P­R interval but wider QRS complexes (Continuous)
80 BPM with Normal P-wave and P­R interval but wider QRS complexes (Continuous)
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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 display will resemble the following:
WAVEFORM
Atrial (80 BPM)*
ECG/RESPIRATION/TEMPERATURE
Async (75 BPM) Non-Capture Non-Function Demand – Occasional Demand – Frequent AV – Sequential
AMPLITUDE
.05 mV 1.0 mV* .10 mV 1.5 mV .15 mV 2.0 mV .20 mV 2.5 mV .25 mV 3.0 mV .30 mV 3.5 mV
1 mV 6.mV 2 mV 7 mV 3 mV 8 mV 4 mV 9 mV 5 mV* 10 mV
.35 mV 4.0 mV .40 mV 4.5 mV .45 mV 5.0 mV .50 mV
PULSE
0.1 ms
0.5 ms
1.0 ms*
1.5 ms
2.0 ms
* Indicates Default Setting
See Power Up Settings
PULSE
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
-0.05 mV 0.8 mV
0.0 mV*
ARTIFACT
None* 50 Hz 60 Hz Muscle Wander (Baseline) Resp (Respiration)
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PS-2200
The pacemaker rhythms and signals 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.
The following is a brief description of how the PS-2200 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-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:
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 R-Wave 30 BPM R-Wave 60 BPM R-Wave 80 BPM R-Wave 120 BPM R-Wave 200 BPM R-Wave 250 BPM
ECG/RESPIRATION/TEMPERATURE
* Indicates Default Setting
See Power Up Settings
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
5.0 mV
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PS-2200
(
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
ECG/RESPIRATION/TEMPERATURE
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
* Indicates Default Setting
See Power Up Settings)
180 ms 190 ms 200 ms
These widths 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.
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Performance
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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BLOOD PRESSURE
NOTE: The Transducer Sensitivity (5 mV/V/mmHg or 40 mV/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.
Model Number Blood Pressure Channels
PS-2210 1 Blood Pressure Output
PS-2220 2 Blood Pressure Outputs
PS-2240 4 Blood Pressure Outputs
NOTE: All settings are available on each output.
There are 16 Blood Pressure settings available, 17 static and 8 dynamic. Each of the
dynamic waveforms will synchronize with the NSR rate or arrhythmia selection.
Both an automatic and manual Swan-Ganz simulation are also available.
Each of the models has a slightly different display to optimize the individual features.
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PS-2200
PS-2240
The PS-2240 quad 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 Swan-Ganz – Man+
GROUP SETTINGS
Off* Set 0 (0/0/0/0) Set 1 (-10/-10/-5/-5) Set 2 (80/50/20/20) Set 3 (160/100/20/20) Set 4 (240/150/60/60) Set 5 (320/200/80/80) Set 6 (400/240/100/100) Auto Sets Auto Static All
BLOOD PRESSURE
RESPIRATION
ARTIFACT
0 mmHg* 1 mmHg 2 mmHg 3 mmHg 4 mmHg 5 mmHg 6 mmHg 7 mmHg 8 mmHg 9 mmHg 10 mmHg 11 mmHg 12 mmHg 13 mmHg 14 mmHg 15 mmHg 16 mmHg
* Indicates Default Setting (See Power Up Settings)
+
Available in NSR Only
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.
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Blood Pressure
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.
BLOOD PRESSURE
Displays time (seconds) remaining before advancing to next static pressure.
The key can be used to exit the Auto Mode during the sequence.
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PS-2200
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. 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.
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Blood Pressure
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
BLOOD PRESSURE
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
* Indicates Default Setting (See Power Up Settings)
+
Available in NSR Only
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 Swan-Ganz – Man+
+
RESPIRATION
ARTIFACT
0 mmHg* 1 mmHg 2 mmHg 3 mmHg 4 mmHg 5 mmHg 6 mmHg 7 mmHg 8 mmHg 9 mmHg 10 mmHg 11 mmHg 12 mmHg 13 mmHg 14 mmHg 15 mmHg 16 mmHg
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.
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PS-2200
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.
BLOOD PRESSURE
Displays time (seconds) remaining before advancing to next static pressure.
The key can be used to exit the Auto Mode during the sequence.
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Blood Pressure
PS-2210
The PS-2210 single blood pressure display will resemble the following:
Arterial 120/80 Radial Artery 120/80 Left Vent 120/0
or
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+ Swan-Ganz – Man+
WAVEFORM
BLOOD PRESSURE
* Indicates Default Setting (See Power Up Settings)
+
Available in NSR Only
RESPIRATION
ARTIFACT
0 mmHg* 1 mmHg 2 mmHg 3 mmHg 4 mmHg 5 mmHg 6 mmHg 7 mmHg 8 mmHg 9 mmHg 10 mmHg 11 mmHg 12 mmHg 13 mmHg 14 mmHg 15 mmHg 16 mmHg
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.
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PS-2200
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.”
BLOOD PRESSURE
Displays time (seconds) remaining before advancing to next static pressure.
The key can be used to exit the Auto Mode during the sequence.
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Blood Pressure
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. The sequence can be activated by using to
highlight the appropriate channel then using to scroll to the desired option.
Then is used to select the Swan-Ganz – Man or Swan-Ganz – Auto waveform.
When either of these waveforms is selected, a special screen will be displayed to step
through the specific Swan-Ganz information.
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PS-2200
A
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.)
The following is a typical screen:
CHANNEL
BLOOD PRESSURE
1 2 3 4
RESPIRATION
ARTIFACT
0 mmHg* 1 mmHg 2 mmHg 3 mmHg 4 mmHg
WAVEFORM SEQUENCE
OPTION
OPTION
Right Atrium CVP 15/10 Insert -­Right Ventricular 25/0 Insert Pull Back Pulmonary Artery 25/10 Inflate Pull Back Pulmonary –Arterial Wedge 10/2 Deflate --
5 mmHg 6 mmHg 7 mmHg 8 mmHg 9 mmHg 10 mmHg 11 mmHg 12 mmHg
NOTE: In models 2220 and 2240, the unit will auto select BP based on the channel that was used to enter the mode. However, it may be changed before beginning a sequence.
NOTE: The Up and Down Option keys will not be visible when the BP or Resp
rtf Parameters are selected for change.
13 mmHg 14 mmHg 15 mmHg 16 mmHg
The key can be used to exit the Manual Mode during the sequence.
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Blood Pressure
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:
CHANNEL
1 2 3 4
(Dependant
upon
unit type.)
BLOOD PRESSURE
Set time per step.
1-30 sec
RESPIRATION
ARTIFACT
0 mmHg* 1 mmHg 2 mmHg 3 mmHg 4 mmHg 5 mmHg 6 mmHg 7 mmHg 8 mmHg 9 mmHg 10 mmHg 11 mmHg 12 mmHg 13 mmHg 14 mmHg 15 mmHg 16 mmHg
NOTE: In models 2220 and 2240, the unit will auto select BP based on the channel that was used to enter the mode. However, it may be changed before beginning a sequence.
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PS-2200
The following is a typical running screen:
BLOOD PRESSURE
Right Atrium CVP 15/10
SEQUENCE
Counts down time per step.
Right Ventricular 25/0 Pulmonary Artery 25/10 Pulmonary Arterial Wedge 10/2 Right Atrium CVP 15/10 Right Ventricular 25/0 Pulmonary Artery 25/10
To pause or exit the Swan-Ganz – Auto Mode during a sequence, use . The
following message box will be displayed:
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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).
The display will resemble the following:
12 sec Apnea 22 sec Apnea 32 sec Apnea Apnea 15 BrPM 20 BrPM* 30 BrPM 40 BrPM 60 BrPM 80 BrPM 100 BrPM 120 BrPM
RATE
ECG/RESPIRATION/TEMPERATURE
* Indicates Default Setting
See Power Up Settings
AMPLITUDE
0.1
0.2
0.5
1.0 *
2.0
3.0
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PS-2200
These Rates and Amplitude (Impedance Variations) 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.
Timed Apnea
To trigger a one time event Apnea for one of the specific periods (12, 22 or 32 seconds),
simply highlight the desired period and press .
The Respiration display will change as shown in the following typical display:
ECG/RESPIRATION/TEMPERATURE
The display will count down the Apnea period and then revert to the previous BrPM setting,
display and output.
The countdown may be manually cancelled with the key.
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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.)
The display will resemble the following:
ECG/RESPIRATION/TEMPERATURE
* Indicates Default Setting
See Power Up Settings
TEMPERATURE
0˚C 32.0˚F 24˚C 75.2˚F 30˚C 86.0˚F 35˚C 95.0˚F 37˚C 98.6˚F* 40˚C 104.0˚F 42˚C 107.6˚F
These temperatures 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
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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. Subsets of the Arrhythmias can be selected to allow for individualization.
The PS-2200 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-2200
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.
AMPLITUDE
.05 mV 1.0 mV .10 mV 1.5 mV .15 mV 2.0 mV .20 mV 2.5 mV .25 mV 3.0 mV .30 mV 3.5 mV .35 mV 4.0 mV .40 mV 4.5 mV .45 mV 5.0 mV .50 mV
ARTIFACT
None* 50 Hz
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
-0.05 mV 0.8 mV
0.0 mV
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 any time 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-2200
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-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 SpO2 Output, Respiration Baseline
Ohms, Respiration Lead and the Blood Pressure Sensitivity parameters. These should be
set according to the device under test.
Output Setup
The Output Setup screen allows for the setting of the parameters that control the placement
and level of the outputs.
The display will resemble the following:
Enabled Disabled*
500 1000 * 1500 2000
5 mV/V/mmHg*
Left Arm* Left Leg
40 mV/V/mmHg
* Indicates Default Setting
See Power Up Settings)
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PS-2200
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 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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Setup
The following is a brief description of the parameters and the available range of settings:
Parameter Description Range
The elapsed time after which the unit will automatically power down. This
Auto Off Timer
timer is reset by each key
0-30 min depression. (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)
Backlight Intensity
Sets the intensity of the backlight. (Note: Lower intensities extend battery life.)
0-100%
Displays current life of the batteries.
Battery Life
At 5%, a warning screen will appear. At 10%, the unit will power down
5-100%
(Read Only)
automatically.
Top LCD Contrast
Bottom LCD Contrast
Power up with
Sets the contrast of the upper display screen.
Sets the contrast of the lower display screen.
Selects the values that will be used when the unit is first turned on. It is also used to Set the Custom Defaults, if used. (See Power Up Settings).
0-20
0-20
Default/Last/
Custom/
Set Custom
Defaults
Sets the interval that is used with the
Auto Step Time
Auto increment features in BPM, BP
1 to 60 sec
Rate and Performance.
Software Displays current software program. (Read Only)
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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,
SpO
Output Disabled
2
ECG – Arrhythmia: 1.0 mV, Artifact - None, 0.0 mV ST Elevation,
Premature - Atrial PAC - Auto
ECG – Pacemaker: Pulse Amplitude 5 mV, Pulse Width 1.0 ms, Atrial Waveform,
1.0 mV, 0.0 mV ST Elevation, Artifact - None,
ECG – Performance: 2 Hz Square Wave, 1.0 mV,
R-Wave Width 10 ms, R-Wave Rate 60 BPM
Respiration: 20 BrPM, delta 1.0 ohms, 1000 ohms baseline, LA lead
Blood Pressure: 0 mmHg, 5 uV/V/mmHg sensitivity, 0 mmHg Respiration Artifact
Temperature: 37 C (98.6 F)
Fetal/Maternal: Fhr 120 BPM, Mhr 80 BPM, Manual, Uniform Deceleration
Cardiac Output: Test – Normal, Rate - 2.5 l/min, Injectate- 0 °C
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PS-2200
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.
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-2200 has the ability to drive an external SpO2 module. This module (MSP-2100)
accepts the FingerSim family of SpO
finger simulators (fingers are available with SpO2 of
2
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
PS2200. 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 Setup Output screen.
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PS-2200
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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 IUP waveform is on Blood
Pressure Channel 1 (BP1) and simulates an Intra-Amniotic catheter connected to a
pressure transducer.
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PS-2200
(
)
The display will resemble the following:
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
IUP SIMULATION
ECG/RESPIRATION/TEMPERATURE
BLOOD PRESSURE
300 BPM
Uniform Deceleration* Early Deceleration Late Deceleration Uniform Acceleration
Next Contraction shows time remaining in mm:ss until the next contraction begins. NOTE: The time is only displayed while running an IUP simulation with an automatic trigger.
FETAL
HEART
RATE
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. When IUP Simulation is active, FHR is fixed at a base rate of 140 BPM and then varies based on the IUP wave.
TRIGGER
Manual* 2 Min 3 Min 5 Min
* Indicates Default Setting
See Power Up Settings
NOTE: The Transducer Sensitivity (5 mV/V/mmHg or 40 mV/V/mmHg) must be set to
correlate with the monitoring equipment before simulation can begin. (See SETUP for
selection information).
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Fetal/Maternal
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
Uniform Deceleration
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
Early Deceleration
BPM and back again. The rate follows the 90 seconds bell curve of the contraction. The FHR goes from 140 BPM down to 100
Late Deceleration
BPM and back again. The rate follows the 90 seconds bell curve of the contraction but is delayed by 45 seconds. The FHR goes from 140 BPM up to 175
Uniform Acceleration
BPM and back again. The rate follows the 90 seconds bell curve of the contraction.
The IUP Wave is a bell-shaped curve with a peak of 90 mmHg and duration of 90 seconds.
When active, the FHR and IUP displays continuously update to show the current output
values. The Trigger is set by selecting Manual, 2, 3 or 5 minutes.
If Manual is selecting, the key is used to start one contraction.
If a Time is selected, the key is used to start a continuous cycle with a contraction
IUP wave starting every 2, 3 or 5 minutes.
The key may be used at any point to cancel the simulation run.
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PS-2200
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(
)
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. The PS-2200 simulation provides an output curve that the
Device Under Test (DUT, Cardiac Output Monitor) takes as a blood temperature input.
The PS-2200 drives an external Cardiac Output module. This module (MCO-2100)
provides both a common connection point for the cabling and a manual simulation setting
for the injectate temperature. Abnormal waveforms are provided to simulate Injectate
Failure and Left-to-Right Shunt conditions. A special Calibration Pulse that puts out a
1.5 °C drop in the temperature is also provided.
The display will resemble the following:
TEST TYPE
ECG/RESPIRATION/TEMPERATURE
INJECTATE
TEMPERATURE
2.5 l/min*
5.0 l/min
10.0 l/min Faulty Injection L to R Shunt Temp Cal Pulse
O °C*
24 °C
* Indicates Default Setting
See Power Up Settings
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PS-2200
Setting Up a Test
1) The Device Under Test (DUT, Cardiac Output Monitor) needs to be setup to match the
PS-2200. The following settings are required:
Catheter Baxter Edwards 93a – 131 – 7f
Calibration Coefficient
0.542 for 0 °C Injectate
0.595 for 24 °C Injectate
Injectate Volume 10 cc
Injectate Temperature 0 °C or 24 °C
2) Connect Com2100 Module to the CO/Temp input 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 COM2100.
4) Connect the Injectate Temperature Sensor Line for the DUT to the larger 4 pin
connector on the MCO-2100.
5) Turn on the DUT and the PS-2200. The DUT should show a blood temperature of
about 37 °C.
6) Adjust the trim pot on the MCO-2100 Module until the DUT shows the desired injectate
temperature (0 °C or 24 °C)
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Cardiac Output
Running a Test
1) Select the desired test.
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
Normal
temperature curve for the selected injectate temperature (0 °C or 24 °C). The DUT should interpret this as the selected flow rate.
Faulty Injectate
This is an abnormal output meant to simulate a condition where the injectate is not delivered in a smooth flow. This is an abnormal output meant to simulate a
Left-to-Right Shunt
physiological condition where the blood is shunted across the heart rather than to the lungs. This is a calibration output waveform that drops the
Temperature Calibration Pulse
normal 37 °C temperature output to 35.5 °C for 1 second.
2) Select the injectate temperature (0 °C or 24 °C).
NOTE: This is different than the selection made on the MCO-2100, which sets
the injectate temperature on the DUT. This tells the PS-2200 which
injectate temperature to simulate.
3) Select the desired flow for simulation (Normal Test only).
4) Use the key to start the test.
5) The test will run one complete cycle. Use the key to repeat as often as desired.
The key may be used at any point to terminate the cycle.
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PS-2200
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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.
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PS-2200
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A
A
MANUAL REVISIONS
Revision #
Rev 01 DT7347CA Preliminary Manual
Rev 02 DT7347CA Updates to Preliminary Manual
Rev 03 DT7347CA Edits to Preliminary Manual
Rev 04 DT7347CA Overlay Additions
Rev 05 DT7347CB Miscellaneous Edits
Rev 06 DT7347CB Battery Eliminator Specifications Updated
Rev 07 DT7347CE Pictures Updated
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
SSUME 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\…\PS2000\PS2200_UM_rev07.doc
Program # Revisions Made
LIMITED WARRANTY
: BC GROUP INTERNATIONAL, INC. WARRANTS ITS NEW PRODUCTS TO BE FREE
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PS-2200
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SPECIFICATIONS
Rate
Accuracy +/- 1%
Amplitude
Accuracy +/- 2% @ Lead II High Level 200 times Amplitude Accuracy +/- 5% QRS Interval Adult (80ms), Pediatric (40ms) ST Segment (Elevation) +/- 0,.05,.1,.2,.3,.4,.5,.6,.7,.8 mv
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
Amplitude
R-Wave (Havertriangle) Rate 30,60,80,120,200,250 BPM
ECG NSR
30,40,45,60,80,90,100,120,140,160,
180,200,220,240,260,280,300 BPM
.05,.10,.15,.20,.25,.30,.35,.40,.45,.50,
1.0,1.5,2.0,2.5,3.0,3.5,4.0,4.5,5.0 mV
ECG Performance
.05,.10,.15,.20,.25,.30,.35,.40,.45,.50,
1.0,1.5,2.0,2.5,3.0,3.5,4.0,4.5,5.0 mV
Width
Amplitude
Rate Accuracy +/- 1% Amplitude Accuracy +/- 2% @ Lead II R-Wave </= 20 ms +/- 5% @ Lead II
8,10,12,20,30,40,50,60,70,80,90,100,
120,130,140,150,160,170,
180,190,200 ms
.05,.10,.15,.20,.25,.30,.35,.40,.45,.50,
1.0,1.5,2.0,2.5,3.0,3.5,4.0,4.5,5.0 mV
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PS-2200
Pacemaker Waveforms
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%
Blood Pressure
1 – PS-2210
Channels
Static Pressure
Accuracy +/- (2% of Reading + 2 mmHg) Impedance 300 ohms Accuracy +/- 10% Excitation Range 2 to 16 V RMS Excitation Frequency DC to 5 KHz Sensitivity 5 or 40 uV/V/mmHg Respiration Artifact 0 to 16 mmHg
-10,-5,0,20,40,50,60,80,100,150,
160,200,240,250,300,320,400 mmHg
2 – PS-2220 4 – PS-2240
Respiration
Rate
Accuracy +/- 1% Impedance delta 0.1,0.2,0.5,1.0,2.0,3.0 ohms Accuracy +/- 10% Baseline 500,1000,1500,2000 ohms Accuracy +/- 5% Lead LA or LL
Apnea,15,20,30,40,60,80,100,120
BrPM
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Specifications
Temperature
Accuracy +/- 0.1 C Type YSI Series 400 and 700
Temperature
0,24,30,37,40 C (32.0,
75.2,86.0,98.6,104.0 F)
Fetal Heart Rate 60,90,120,140,150,210,240 BPM
Inter Uterine Pressure Response Types
IUP Wave
IUP Trigger
Injectate Volume 10 cc Injectate Temperature 0 °C or 24 °C , +/- 2% Calibration Coefficient 0.542 (0 °C Inj), 0.595 (24 °C Inj) Blood Temperature 37 °C (98.6 °F), +/- 2% Cardiac Output 2.5,5.0,10.0 l/min, +/- 5%
Simulations
Fetal / Maternal
Uniform Deceleration
Early Deceleration
Late Deceleration
Uniform Acceleration
Bell Curve with 90 mmHg Peak and
90 Sec Width
Manual
Auto: 2,3,5 Minute
Cardiac Output
Normal Flow
Faulty Injectate
Left-to-Right Shunt
Temperature Calibration Pulse
Temperature Calibration Pulse
Catheter Type Baxter Edwards, 93a-131-7f
1.5 °C Down for 1 sec, +/- 1%
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PS-2200
-
Output
LEAD TO LEAD IMPEDENCE
500,1000,1500,2000 Ohms
(RL, LL, RA, LA) LEAD TO LEAD
IMPEDENCE
1000 Ohms
(V1-V6)
Physical
DISPLAYS Two, LCD Graphical 128 X 64 Pixels,
Backlit
8.625 x 5.5 x 1.625 Inches
ENCLOSURE
(216 x 140 x 41 mm)
ABS Plastic
WEIGHT
< 2 Lbs
(< 0.91 Kg) FACE PLATE Lexan, Back printed OPERATING RANGE 15 to 40 C STORAGE RANGE -20 to 65 C
Electrical
Battery, 9 VDC (2 required)
POWER
BATTERY ELIMINATOR (Optional)
BATTERY ELIMINATOR (Provided with SpO
2
Module MSP-2100)
BE2000PU (120 VAC) – US
BE2000PE (220 VAC) – Euro
BE2100PU (120 VAC) – US
BE2100PE (220 VAC) – Euro
10V, 500 mA DC, Regulated
(NEDA 1604)
Alkaline
9V, 200 mA DC
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NOTES
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