BC Biomedical PS-2240 User Manual

MULTI-PARAMETER
PATIENT SIMULATOR
PS-2200 SERIES
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
1
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
2
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.
2
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.
3
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
4
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
5
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
6
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.
7
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
8
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
9
PS-2200
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10
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)
11
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.
12
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.
13
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.
14
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.
15
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.
16
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).
17
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.
18
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
19
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.
20
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.
21
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)
22
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.
23
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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