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.
• 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.
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.
• 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.
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.
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
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
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 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)
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
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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