Fluke 300B User Manual

medSim 300B

Patient Simulator

PN 2243039
December 2006

© 2006 Fluke Corporation, All rights reserved. Printed in USA
All product names are trademarks of their respective companies.

Operators Manual

LIMITED WARRANTY AND LIMITATION OF LIABILITY

Each Fluke product is warranted to be free from defects in material and workmanship under normal use and
service. The warranty period is one year and begins on the date of shipment. Parts, product repairs, and
services are warranted for 90 days. This warranty extends only to the original buyer or end-user customer of
a Fluke authorized reseller, and does not apply to fuses, disposable batteries, or to any product which, in
Fluke's opinion, has been misused, altered, neglected, contaminated, or damaged by accident or abnormal
conditions of operation or handling. Fluke warrants that software will operate substantially in accordance
with its functional specifications for 90 days and that it has been properly recorded on non-defective media.
Fluke does not warrant that software will be error free or operate without interruption.

Fluke authorized resellers shall extend this warranty on new and unused products to end-user customers
only but have no authority to extend a greater or different warranty on behalf of Fluke. Warranty support is
available only if product is purchased through a Fluke authorized sales outlet or Buyer has paid the
applicable international price. Fluke reserves the right to invoice Buyer for importation costs of
repair/replacement parts when product purchased in one country is submitted for repair in another country.

Fluke's warranty obligation is limited, at Fluke's option, to refund of the purchase price, free of charge repair,
or replacement of a defective product which is returned to a Fluke authorized service center within the
warranty period.

To obtain warranty service, contact your nearest Fluke authorized service center to obtain return
authorization information, then send the product to that service center, with a description of the difficulty,
postage and insurance prepaid (FOB Destination). Fluke assumes no risk for damage in transit. Following
warranty repair, the product will be returned to Buyer, transportation prepaid (FOB Destination). If Fluke
determines that failure was caused by neglect, misuse, contamination, alteration, accident, or abnormal
condition of operation or handling, including overvoltage failures caused by use outside the product’s
specified rating, or normal wear and tear of mechanical components, Fluke will provide an estimate of repair
costs and obtain authorization before commencing the work. Following repair, the product will be returned to
the Buyer transportation prepaid and the Buyer will be billed for the repair and return transportation charges
(FOB Shipping Point).

THIS WARRANTY IS BUYER'S SOLE AND EXCLUSIVE REMEDY AND IS IN LIEU OF ALL OTHER
WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTY
OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. FLUKE SHALL NOT BE LIABLE
FOR ANY SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL DAMAGES OR LOSSES,
INCLUDING LOSS OF DATA, ARISING FROM ANY CAUSE OR THEORY.

Since some countries or states do not allow limitation of the term of an implied warranty, or exclusion or
limitation of incidental or consequential damages, the limitations and exclusions of this warranty may not
apply to every buyer. If any provision of this Warranty is held invalid or unenforceable by a court or other
decision-maker of competent jurisdiction, such holding will not affect the validity or enforceability of any other
provision.

Fluke Corporation
P.O. Box 9090
Everett, WA 98206-9090
U.S.A.

Fluke Europe B.V.
P.O. Box 1186
5602 BD Eindhoven
The Netherlands

11/99

To register your product online, visit register.fluke.com

Warranty Disclaimer

Should you elect to have your instrument serviced and/or calibrated by someone other than Fluke
Biomedical, please be advised that the original warranty covering your product becomes void when the
tamper-resistant Quality Seal is removed or broken without proper factory authorization. We strongly
recommend, therefore, that you send your instrument to Fluke Biomedical for factory service and calibration,
especially during the original warranty period.

In all cases, breaking the tamper-resistant Quality Seal should be avoided at all cost, as this seal is the key
to your original instrument warranty. In the event that the seal must be broken to gain internal access to the
instrument (e.g., in the case of a customer-installed firmware upgrade), you must first contact Fluke
Biomedical’s technical support department at 702-883-3400. You will be required to provide us with the
serial number for your instrument as well as a valid reason for breaking the Quality Seal. You should break
this seal only after you have received factory authorization. Do not break the Quality Seal before you have
contacted us! Following these steps will help ensure that you will retain the original warranty on your
instrument without interruption.

Notices

Fluke Biomedical

6920 Seaway Blvd.
Everett, WA 98203
USA

Customer Support and Sales

USA and Canada: 800.648.7952
Outside the USA: 775.883.3400
E-Mail: [e-mail]
Internet: www.flukebiomedical.com

Service

Service: 888.993.5853
Outside the USA: 425.446.5560
E-Mail: [e-mail]

For additional sales or service information, contact your local Fluke Biomedical
Distributor or Fluke Electronics office

All Rights Reserved

Copyright 2006, Fluke Biomedical. No part of this publication may be reproduced,
transmitted, transcribed, stored in a retrieval system, or translated into any language
without the written permission of Fluke Biomedical.

Restrictions and Liabilities

Information in this document is subject to change and does not represent a commitment
by Fluke Biomedical. Changes made to the information in this document will be
incorporated in new editions of the publication. No responsibility is assumed by Fluke
Biomedical for the use or reliability of software or equipment that is not supplied by
Fluke Biomedical, or its affiliated dealers.

Claims

Our routine method of shipment is via common carrier, FOB origin. Upon delivery, if
physical damage is found, retain all packing materials in their original condition and
contact the carrier immediately to file a claim.

If the instrument is delivered in good physical condition but does not operate within
specifications, or if there are any other problems not caused by shipping damage, please
contact Fluke Biomedical or your local sales representative.

Certification

This instrument was thoroughly tested and inspected. It was found to meet Fluke
Biomedical’s manufacturing specifications when it was shipped from the factory.
Calibration measurements are traceable to the National Institute of Standards and
Technology (NIST). Devices for which there are no NIST calibration standards are
measured against in-house performance standards using accepted test procedures.

Obtaining Assistance

If you have trouble operating the equipment, or just need some clarification on its
operation, contact Fluke Biomedical’s Technical Assistance Center at 800-648-7952.

Returning the Instrument to Fluke

If it becomes necessary to return your instrument to Fluke, proceed as follows:

1. Every product returned to Fluke must have a Return Material Authorization (RMA)

number. To obtain an RMA, contact Fluke through one of the following methods:

Phone: 888-99FLUKE (888-993-5853) or 425-446-5560
Email: [e-mail]

2. Pack the instrument carefully, using the original packing materials if available.

Failure to pack the instrument properly could void your warranty and result in you
paying for the instrument’s repair.

3. Insure the unit for full retail value and ship to the address specified by Fluke.

Table of Contents

Chapter Title Page

1 Chapter Title ........................................................................................ 1-1

Introduction........................................................................................................ 1-3

Safety Considerations ........................................................................................ 1-3

General .......................................................................................................... 1-3

Safety Symbols.............................................................................................. 1-3

medSim 300B Instrument Specifications........................................................... 1-4

ECG Section .................................................................................................. 1-4

Normal Sinus Rhythm ECG Waveform Selections .................................. 1-4

ECG Performance Waveform Selections.................................................. 1-5

Arrhythmia Selections............................................................................... 1-5

Premature Ventricular Contraction (PVC) Parameter Selections ............. 1-6

Insertion Selections ................................................................................... 1-6

Pacemaker Selections................................................................................ 1-6

Defibrillator Section ...................................................................................... 1-7

Respiration Section........................................................................................ 1-7

Blood Pressure Section.................................................................................. 1-8

Temperature Section...................................................................................... 1-9

Cardiac Output Section.................................................................................. 1-9

Artifact Section.............................................................................................. 1-10

ECG Artifact ............................................................................................. 1-10

Blood Pressure/Respiration Artifact.......................................................... 1-10

Sequences Section ......................................................................................... 1-10

Utility Functions Section............................................................................... 1-10

RS-232 Serial Port Interface.......................................................................... 1-10

General Specifications for medSim 300B ..................................................... 1-11

medSim 300B, Options, and Accessories...................................................... 1-11

300B Base Model...................................................................................... 1-11

Optional Features ...................................................................................... 1-11

medSim 300B Accessories........................................................................ 1-11

2 Installation ........................................................................................... 2-1

Unpacking and Inspection.................................................................................. 2-3

Claims ................................................................................................................ 2-3

Warranty Repair................................................................................................. 2-3

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medSim 300B

Operators Manual

3 Operation ............................................................................................. 3-1

Power ................................................................................................................. 3-3

Power-On Conditions ........................................................................................ 3-3

Panel Descriptions, Controls and Connectors.................................................... 3-4

Top Panel....................................................................................................... 3-4

LCD Display and Keyboard...................................................................... 3-4

ECG Leads ................................................................................................ 3-4

RS232........................................................................................................ 3-4

High Level ECG........................................................................................ 3-4

Battery Test ............................................................................................... 3-4

Lead Test................................................................................................... 3-4

Cardiac Output .......................................................................................... 3-5

Temperature—Variable and Fixed............................................................ 3-5

Blood Pressure .......................................................................................... 3-5

Respiration ................................................................................................ 3-5

Rear Panel...................................................................................................... 3-5

Battery Eliminator..................................................................................... 3-5

V PACE..................................................................................................... 3-6

SYNC/A PACE......................................................................................... 3-6

Bottom Panel ................................................................................................. 3-6

Battery Compartment ................................................................................ 3-6

ROMS and CAL Switch Access ............................................................... 3-6

Operating the medSim 300B.............................................................................. 3-6

Initialization................................................................................................... 3-6

Menu Overview ............................................................................................. 3-7

Main Menu................................................................................................ 3-7

Movement through Menus ........................................................................ 3-7

Executable Parameter Values.................................................................... 3-7

Step Menus................................................................................................ 3-7

Menu Selections ............................................................................................ 3-9

Main Menu—Function Select ................................................................... 3-9

Function Select - ECG Menu .................................................................... 3-10

Function Select - ECG - Baseline ECG Menu .......................................... 3-11

Function Select - ECG - ECG Performance Menu.................................... 3-13

Function Select - ECG - Arrhythmias Menu............................................. 3-15

Function Select - ECG - PVC Parameters Menu ...................................... 3-20

Function Select - ECG - Pacemaker Menu ............................................... 3-22

Function Select - ECG - Insert Premature Beat Menu .............................. 3-24

Function Select - Respiration Menu.......................................................... 3-25

Function Select - Blood Pressure Menu.................................................... 3-28

Function Select - Temperature Menu........................................................ 3-36

Function Select - Artifact Menu................................................................ 3-37

Function Select - Artifact - ECG Artifact Menu ....................................... 3-37

Function Select – Artifact Blood Pressure/Respiration Artifact Menu..... 3-39

Function Select - Sequences Menu ........................................................... 3-39

Function Select - Sequences - Autosequences Menu................................ 3-40

Function Select – Sequences - Step-sequences Menu............................... 3-43

Function Select - Sequences - Step-sequences - Preset Sequences Menu. 3-44

Function Select - Sequences -Step-sequences - Make Sequences Menu .. 3-46

Function Select - Sequences -Step-sequences - Sequence to Review

Menu ......................................................................................................... 3-49

Function Select - Sequences -Step-sequences - User Sequences Menu.... 3-50

Function Select - Defibrillator Tests Menu............................................... 3-51

Function Select - Defibrillator Tests -Emergency 1 Menu ....................... 3-51

ii

Contents (continued)

Function Select - Defibrillator Tests -Emergency 2 Menu ....................... 3-53

Function Select - Defibrillator Tests -Cardioversion Menu...................... 3-54

Function Select - Utility Menu.................................................................. 3-57

RS-232 Serial Port Operation ............................................................................ 3-60

Overview ....................................................................................................... 3-60

Remote Commands ....................................................................................... 3-60

Menu Structure .................................................................................................. 3-67

ECG ............................................................................................................... 3-67

Respiration..................................................................................................... 3-68

Blood Pressure Channel Select...................................................................... 3-68

Temperature................................................................................................... 3-68

*Cardiac Output............................................................................................. 3-68

Artifact........................................................................................................... 3-69

Sequences ...................................................................................................... 3-69

Defibrillator Tests.......................................................................................... 3-69

Utility............................................................................................................. 3-69

4 Option 1................................................................................................ 4-1

Overview............................................................................................................ 4-3

Cardiac Catheterization...................................................................................... 4-3

Pressure Gradients across Aortic and Pulmonary Valves.............................. 4-3

Aortic Valve Simulation ........................................................................... 4-5

Single and Dual Lumen Catheter Simulation............................................ 4-7

Pulmonary Valve Simulation .................................................................... 4-10

Single and Dual Lumen Catheter Simulation............................................ 4-12

Pressure Gradients across the Mitral Valve................................................... 4-15

Mitral Valve Simulation............................................................................ 4-16

Catheter Simulation................................................................................... 4-19

Fetal/Maternal ECG with Intrauterine Pressure................................................. 4-21

Intrapartum Fetal and Maternal Heart Rate................................................... 4-22

Fetal Heart Rate (FHR) Simulation........................................................... 4-24

Intrauterine Pressure (IUP) Simulation ..................................................... 4-28

Intra-Aortic Balloon Pump (IABP) Augmentation............................................ 4-30

Intra-Aortic Balloon Timing.......................................................................... 4-31

Normal Inflation........................................................................................ 4-31

Early Inflation ........................................................................................... 4-31

Late Inflation............................................................................................. 4-32

Early Deflation .......................................................................................... 4-32

Late Deflation............................................................................................ 4-33

Normal Sinus Rhythm Simulation................................................................. 4-33

Arrhythmia Simulation.................................................................................. 4-34

Pacemaker Waveform Simulation................................................................. 4-34

Option I RS-232 Serial Port Operation.............................................................. 4-35

5 Cardiac Output .................................................................................... 5-1

Overview............................................................................................................ 5-3

Specifications..................................................................................................... 5-3

Accessories.................................................................................................... 5-4

Standard .................................................................................................... 5-4

Optional..................................................................................................... 5-4

Cardiac Output Simulation ................................................................................ 5-4

Introduction ................................................................................................... 5-4

Function Select - Cardiac Output Menu ........................................................ 5-6

Cardiac Output RS-232 Serial Port Operation................................................... 5-9

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medSim 300B

Operators Manual

6 Performance Checks/Calibration....................................................... 6-1

Introduction........................................................................................................ 6-3

Performance Check............................................................................................ 6-3

Overview ....................................................................................................... 6-3

Equipment Required for Performance Check ........................................... 6-3

Performance Check Procedure.................................................................. 6-3

Calibration ......................................................................................................... 6-5

Calibration and Maintenance......................................................................... 6-5

Calibration On-Site ................................................................................... 6-5

Equipment Required for Calibration......................................................... 6-6

Calibration Setup....................................................................................... 6-6

Calibration Procedure................................................................................ 6-7

Tolerances ................................................................................................. 6-8

iv

List of Tables

Table Title Page

3-1. Wiring Table .......................................................................................................... 3-70

v

medSim 300B

Operators Manual

vi

List of Figures

Figure Title Page

3-1. Unterminated Blood Pressure Output Cable Assembly ......................................... 3-70

4-1. medSim 300B Simulated Waveforms for Normal Blood Pressure Relationships

across the Aortic Valve .......................................................................................... 4-4

4-2. medSim 300B Simulated Systolic Pressure Gradients Indicating a Defective

Aortic Valve........................................................................................................... 4-4

4-3. medSim 300B Simulated Waveforms for Normal Blood Pressure Relationships

across the Pulmonary Valve................................................................................... 4-4

4-4. medSim 300B Simulated Systolic Pressure Gradients Indicating a Defective

Pulmonary Valve.................................................................................................... 4-5

4-5. Cardiac Catheterization Connections for Aortic Valve Simulation ....................... 4-5

4-6. Aortic Dual and Single Lumen Catheter Insertion................................................. 4-8

4-7. Aortic Single Lumen Catheter Pullback................................................................. 4-9

4-8. Cardiac Catheterization Connections for Pulmonary Valve Simulation................ 4-11

4-9. Pulmonary Dual and Single Lumen Catheter Insertion.......................................... 4-13

4-10. Pulmonary Artery Single Lumen Catheter Pullback .............................................. 4-14

4-11. medSim 300B Simulated Waveforms for Normal Blood Pressure Relationships
between the Left Atrial Pressure and the Left Ventricular End Diastolic

Pressure .................................................................................................................. 4-16

4-12. medSim 3008 Simulated Systolic Pressure Gradients a Defective Mitral Valve... 4-16

4-13. Cardiac Catheterization Connections for Mitral Valve Simulation ....................... 4-17

4-14. Catheter in the Pulmonary Artery (PA).................................................................. 4-19

4-15. Catheter wedged in the Pulmonary Artery (PA) .................................................... 4-20

4-16. medSim 300B Simulated Maternal ECG ............................................................... 4-22

4-17. medSim 300B Simulated Maternal ECG with Fetal ECG Added.......................... 4-22

4-18. medSim 3008 Connections for Fetal Heart Rate Simulation ................................. 4-23

4-19. medSim 300B Simulated Early Deceleration......................................................... 4-26

4-20. medSim 300B Simulated Uniform Deceleration.................................................... 4-26

4-21. medSim 300B Simulated Late Deceleration .......................................................... 4-27

4-22. medSim 300B Simulated Uniform Acceleration.................................................... 4-27

4-23. medSim 300B Simulated Intrauterine Pressure Waveform.................................... 4-28

4-24. Connections for Intra-Aortic Balloon Pump (IABP) Simulation ........................... 4-30

4-25. medSim 300B Simulated Normal Waveform with the IABP Properly Set............ 4-31

4-26. medSim 3008 Simulated Early Balloon Inflation .................................................. 4-31

4-27. medSim 300B Simulated Late Balloon Inflation ................................................... 4-32

4-28. medSim 30013 Simulated Early Balloon Deflation ............................................... 4-32

vii

medSim 300B

Operators Manual

4-29. medSim 300B Simulated Late Balloon Deflation .................................................. 4-33

5-1. Cardiac Output Injectate Cable Modification ........................................................ 5-11

viii

Chapter 1

Chapter Title

Title Page

Introduction........................................................................................................ 1-3

Safety Considerations ........................................................................................ 1-3

General .......................................................................................................... 1-3

Safety Symbols.............................................................................................. 1-3

medSim 300B Instrument Specifications........................................................... 1-4

ECG Section .................................................................................................. 1-4

Normal Sinus Rhythm ECG Waveform Selections .................................. 1-4

ECG Performance Waveform Selections.................................................. 1-5

Arrhythmia Selections............................................................................... 1-5

Premature Ventricular Contraction (PVC) Parameter Selections ............. 1-6

Insertion Selections ................................................................................... 1-6

Pacemaker Selections................................................................................ 1-6

Defibrillator Section ...................................................................................... 1-7

Respiration Section........................................................................................ 1-7

Blood Pressure Section.................................................................................. 1-8

Temperature Section...................................................................................... 1-9

Cardiac Output Section.................................................................................. 1-9

Artifact Section.............................................................................................. 1-10

ECG Artifact ............................................................................................. 1-10

Blood Pressure/Respiration Artifact.......................................................... 1-10

Sequences Section ......................................................................................... 1-10

Utility Functions Section............................................................................... 1-10

RS-232 Serial Port Interface.......................................................................... 1-10

General Specifications for medSim 300B ..................................................... 1-11

medSim 300B, Options, and Accessories...................................................... 1-11

300B Base Model...................................................................................... 1-11

Optional Features ...................................................................................... 1-11

medSim 300B Accessories........................................................................ 1-11

1-1

medSim 300B

Operators Manual

1-2

Chapter Title

Introduction 1

Introduction

The medSim 300B is a high performance patient simulator that generates the following
physiological simulations:

• ECG waveforms

• Respiration

• Four dynamic blood pressure channels

• Dynamic and static temperature

All functions are set from a 2-line by 24-character LCD display and a keyboard with
seven keys.

The medSim 300B has three electrically isolated sections for the simulation circuitry:

• ECG and respiration

• Blood pressure

• Temperature

Functions can be controlled remotely using the RS-232 serial port interface.

Two optional features are available:

• Option 1 (Cardiac Catheterization, Fetal/Maternal ECG with Intrauterine

Pressure and Intra-aortic Balloon Pump)

• Cardiac Output Option

Safety Considerations

General

This instrument and related documentation must be reviewed for familiarization with
safety markings and instructions before operation.

Safety Symbols

The warning sign denotes a hazard. It calls attention to a procedure, practice, or the like,
which, if not correctly performed or adhered to, could result in personal injury. Do not
proceed beyond a warning sign until the indicated conditions are fully understood and
met.

The caution sign denotes a hazard. It calls attention to a procedure, practice, or the like,
which, if not correctly performed or adhered to, could result in damage to or destruction
of part or all of the instrument. Do not proceed beyond a caution sign until the indicated
conditions are fully understood and met.

XW Warning

WCaution

1-3

medSim 300B

Operators Manual

medSim 300B Instrument Specifications

ECG Section

Normal Sinus Rhythm ECG Waveform Selections

The ECG configuration is 12-lead with independent outputs for each signal lead
referenced to RL, and provides:

• A "High Level ECG" output.

• Selectable parameters including rate, amplitude, ST segment deviation, axis

deviation, neonatal waveforms, performance waveforms, R-wave detection, PVC
focus, PVC timing, PVCs per minute, arrhythmias (32), pacemaker amplitude,
and pacemaker width.

• Input for interactive defibrillator training and simulation.

Rate: 30, 60, 80, 120, 160, 200, 240, and 300 BPM

Accuracy: 1 %

Amplitude: Lead II

0.05 mV to 0.5 mV in 0.05 mV steps

0.50 mV to 5.5 mV in 0.25 mV steps

The high level output is approximately 0.2 V per mV of

the low level output. Selection is either manual or
automatic at stepped intervals of 6 seconds

Accuracy: 5 % on Lead II into a 100 Hz low pass filter

Impedance to the RL Lead: Limb leads are selectable at 500 e, 1000 e, 1500 e and

2000 e. The V-leads are 1000 e

Accuracy: 5%

ST Segment Deviation
(Elevation and Depression): Lead II at 1 mV

+0.8 mV to -0.8 mV in 0.1 mV steps, also +0.05 mV and

-0.05 mV

Both manual and auto-stepping modes. Auto-step time

interval is 12 seconds

Operates at ECG rates from 30 to 160 BPM

Axis Deviation: Horizontal, vertical and intermediate heart positions

1-4

Chapter Title

medSim 300B Instrument Specifications 1

ECG Performance Waveform Selections

Amplitudes are set by "Baseline ECG Amplitude". Amplitude applies to Lead II and
V-leads. Lead I is 0.7 times Lead II; Lead III is 0.3 times Lead II. The V-leads are the
same as Lead II.

Performance Waveforms Rates

Zero Zero output

Pulse 4 seconds

Square 2 Hz

Triangle 2 Hz

Sine 0.05, 0.5, 1, 10, 25, 30, 40, 50, 60, and 100 Hz

R-Wave Detection Width: 20 ms increments from 20 to 200 ms and

two smaller widths of 8 and 12 ms. Auto-step time
interval is 6 seconds.

Amplitude: 0.05 mV to 0.5 mV in 0.05 mV steps;

0.5 mV to 5.5 mV in 0.25 mV steps. Auto-step
time interval is 6 seconds.

R-Wave Rate: 60 BPM

Arrhythmia Selections

Supraventricular Atrial fibrillation (1 and 2)

Atrial flutter

Sinus arrhythmia

Missed beat at 80 BPM

Missed beat at 120 BPM

Paroxysmal atrial tachycardia (PAT)

Nodal rhythm

Supraventricular tachycardia (SVT)

Premature Premature atrial contraction (PAC)

Premature nodal contraction (PNC)

Premature ventricular contraction (PVC)

Multifocal 1

Multifocal 2

Multifocal 3

Ventricular Rhythm Bigeminy

Trigeminy

Couplet (pair of PVCs)

Run of 5 PVCs

Run of 11 PVCs

1-5

medSim 300B

Operators Manual

Premature Ventricular Contraction (PVC) Parameter Selections

Ventricular Rhythm 2 Ventricular

Ventricular tachycardia

Ventricular fibrillation

Electromotive disassociation

Asystole

Conduction First degree A-V block

Second degree A-V block, type 1

Second degree A-V block, type 2

Third degree A-V block

Right bundle branch block

Left bundle branch block

PVC Type 1, 2, 3 and 4

See the "Operation" chapter for descriptions.

PVC Timing R on T, early and standard

See the "Operation" chapter for descriptions.

PVC per Minute 0 to 25. Manual and auto-stepping modes. Auto-step time

PVC Total Counts number of PVCs generated. Maximum count is 65535.

Insertion Selections

PVCs, PACs, and PNCs can be inserted one at a time by pushing a button. Operates on
normal sinus waveforms only and at ECG rates from 30 to 160 BPM.

Pacemaker Selections

Pacemaker Waveforms Asynchronous at 75 BPM, continuously paced

Demand 1

Demand 2

Atrial-ventricular sequential

Note

Note

interval is 60 seconds.

1-6

Non-capture

Non-function

Atrial and ventricular pacemaker pulses are set up

independently

Chapter Title

medSim 300B Instrument Specifications 1

Pacemaker Amplitude 2 mV steps from -20 mV to +20 mV and settings of ±50,

±100, ±200, ±500, and ±700 mV

Accuracy is 10 % of setting ±0.2 mV

Pacemaker Width 0.1, 0.2, 0.5, 1.0, and 2.0 ms

Accuracy is 5 %

Both "amplitude" and "width" have manual and auto-

stepping modes. Auto-step time interval is 6 seconds.

Pacemaker Input The minimum pulse amplitude is ±0.1 mA or ±1.5 V

The input impedance is 15 ke

Defibrillator Section

The simulator has three training scenarios each with a preprogrammed series of ECG
waveforms that require clinical intervention with a cardiac defibrillator. The operator
interacts with these scenarios by either manually selecting functions on the simulator
keyboard, or inputting an attenuated defibrillator discharge signal through the "SYNC"
input. This stimulus can be generated by discharging a defibrillator into a Fluke
Biomedical defibrillator analyzer. Just connect the analyzer's 1000:1 oscilloscope output
to the simulator's "SYNC" input to automatically sequence the ECG waveforms.

Emergency 1: ECG starts normally, then after 2 PVCs (R on T) it

Emergency 2: ECG starts normally, then changes to ventricular

Elective Cardioversion: ECG shows atrial fibrillation. A properly timed

"SYNC/A PACE" Input Level: A positive voltage transition through ±0.4 V triggers

Respiration Section

Output Configuration: The output configuration is Lead I or II/RL-LL
Baseline Impedance: 500, 1000, 1500, and 2000 e

Accuracy is 5 %
Delta Impedance: 0, 0.1, 0.2, 0.5, 1.0, and 3.0 e.

Accuracy is 10 %

Normal Physiological Rate: 15, 20, 30, 40, 60, and 120 BrPM

Accuracy is 5 %

Apnea: Off, momentary, continuous, 12 s and 32 s

Ratio: 5/1, 4/1, 3/1, 2/1 and 1/1 (inspiration/expiration)

Baseline Shift: The delta impedance is reduced to 1/6 and shifted to

changes to ventricular fibrillation. Defibrillation
converts back to normal.

tachycardia, and then to ventricular fibrillation.
Defibrillation converts back to normal.

defibrillation pulse converts back to normal. A late
defibrillation pulse causes ventricular fibrillation. The
cardioversion time window is ±100 ms from the R­wave peak.

this input. Maximum voltage is ±35 V and input
impedance is approximately 15 ke.

1-7

medSim 300B

Operators Manual

Blood Pressure Section

either "positive" or "negative". The rate is shifted to
120 BrPM for 12 seconds each minute.

Ventilator Simulation: 40 BrPM at fixed ratio, other parameters variable as in

"normal"

Input/Output Impedance: 300 e

Exciter Input Voltage Range: 2 to 16 V

Exciter Input Frequency Range: DC to 4 kHz
Output Sensitivity: 5 or 40 μV/V/mmHg

Output Range: -10 to +300 mmHg on BP1, BP2 and BP4

-10 to +30 mmHg on BP3
Accuracy: ±(1 % of full range + 1 mmHg) at 80 BPM, normal sinus

rhythm ECG only

Rate: All dynamic pressures track all normal sinus rhythm rates

and track all arrhythmias

Isolation: Blood pressure circuitry is electrically isolated from all

other medSim 300B outputs

Channel 1 (mmHg): Atmosphere (0)

Arterial = 120/80

Left ventricle = 120/0

Central venous pressure = 15/10

Right ventricle = 25/0

Pulmonary artery = 25/10

Pulmonary artery wedge = 10/2

Static: -10, -5, 0, 20, 40, 80, 100, 200, 250, and 300

Manual or auto-stepping at 12 second intervals

Channel 2 (mmHg): Atmosphere (0)

Arterial = 120/80

Left ventricle = 120/0

Central venous pressure = 15/10

Right ventricle = 25/0

Pulmonary artery = 25/10

1-8

Pulmonary artery wedge = 10/2

Static: -10, -5, 0, 20, 40, 80, 100, 200, 250 and 300

Manual or auto-stepping at 12 second intervals

Chapter Title

medSim 300B Instrument Specifications 1

Channel 3 (mmHg): Atmosphere (0)

Central venous pressure = 15/10

Right ventricle = 25/0

Pulmonary artery = 25/10

Pulmonary artery wedge = 10/2

Static: -10, -5, 0, 5, 10, 20 and 30

Manual or auto-stepping at 12 second intervals

Swan-Ganz: start, insert, inflate, deflate and remove

Channel 4 (mmHg): Atmosphere (0)

Arterial = 120/80

Left ventricle = 120/0

Right ventricle = 25/0

Pulmonary artery = 25/10

Pulmonary artery wedge = 10/2

Triangle = 30, 2 Hz

Triangle = 300, 2 Hz

Static: -10, -5, 0, 20, 40, 80, 100, 200, 250 and 300

Manual or auto-stepping at 12 second intervals

Temperature Section

Variable Temperature: 34 °C, 37 °C, 40 °C, hyperthermia, hypothermia, and spike

Note

See the "Operation" chapter for descriptions of waveforms.

Note

"VAR TEMP" is inoperative during the Cardiac Output simulation.

Fixed Temperature: Fixed at 37 °C

Channel 2's accuracy is 0.1 °C

Probe Compatibility: 400 and 700 series YSI types

Isolation: Variable temperature is electrically isolated from the rest of the

instrument except Cardiac Output. Fixed temperature is isolated from
all other outputs.

Cardiac Output Section

See the "Cardiac Output" option chapter in this manual.

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medSim 300B

Operators Manual

Artifact Section

ECG Artifact

Blood Pressure/Respiration Artifact

Sequences Section

Wave Type: 50 Hz, 60 Hz, muscle, or baseline-wander

Leads: Any wave type can be added to any limb lead, or to the V-leads, or to all leads

Size: 0.25, 0.5, and 1.0 times the Lead II ECG amplitude setting

Respiration artifact can be injected into any blood pressure waveform. Arterial and left
ventricle waveforms are modulated by the selected respiration rate at 5 % or 10 %. All
others have respiration added to them at 5 mmHg or 10 mmHg.

Sequences step through a series of preprogrammed selections.

There are two types of sequences—autosequences and step-sequences. Autosequences
run automatically with no display interaction; step-sequences can be started and stopped
by the operator. There are three preprogrammed step-sequences and four
user-programmable step sequences.

See the "Operation" chapter for more information and a list of the
sequences.

Utility Functions Section

View Angle: Down, up and save; saved permanently

Auto Power Off Time: 0.5, 1.0, 2.0, 4.0 and 8.0 hours; and off.

This is reset each time a key is pressed; saved permanently

Key Beep: On and off; not saved

RS-232 Baud Rate: 300, 600, 1200, and 2400 baud; saved permanently

Save: Saves all current settings as power-on conditions

RS-232 Serial Port Interface

The medSim 300B can be interfaced to a personal computer or to the Fluke Biomedical
medTester 5000B. Most functions can be controlled remotely except for slide switch
controlled functions.

A special cable is required and is available from Fluke Biomedical. Refer
to the current Fluke Biomedical Price List for availability, part number
information and price.

Note

Note

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Baud rates are 300, 600, 1200, and 2400.

Chapter Title

medSim 300B Instrument Specifications 1

General Specifications for medSim 300B

Parameter Specification

Power Requirements Two 9-volt batteries for 20-hour life or the 9-volt battery

eliminator

Temperature Range Operating: 59 °F to 95 °F; 15 °C to 35 °C

Storage: 32 °F to 131 °F; 0 °C to 55 °C

Display 2 line x 24 character LCD display

Weight 3.5 lb; 1.6 kg

Dimensions 7" L x 10" W x 3" H;

17.78 cm Lx 25.40 cm W x 7.62 cm H

medSim 300B, Options, and Accessories

Part No.

300B Base Model

ECG waveforms, blood pressure, respiration and temperature
simulations.

Optional Features

Option 1* 2399546

Cardiac Catheterization; Fetal/Maternal ECG with Intrauterine
Pressure; Intra-aortic Balloon Pump

Cardiac Output Option* 2399638

Provides cardiac output simulations

medSim Controller Option (HHC3 Handheld Controller) 2645641

Provides direct push-button access to the medSim 300B

Combined Cardiac Output and Option 1* 2399728

medSim 300B Accessories

Standard

9-volt Battery Eliminator 115-230 VAC 2183983

Soft Vinyl Carrying Case 2392826

2247184

Operating and Service Manual 2243039

Two 9-volt alkaline batteries

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medSim 300B

Operators Manual

Optional

**

Blood Pressure Cables

Temperature Cables

RS-232 Interface Cables

Option 1 Cables

Note

See the "Option 1" chapter also.

Cardiac Output Option Cables

Note

See the "Cardiac Output" chapter also.

Note

See the HHC3 Handheld Controller (PN2645641) Users Manual for all
information regarding the controller’s operation.

Note

*

These part numbers to be used at original time of order only. Contact

Fluke Biomedical for field upgrade kits covering these options.

**

Refer to the current Fluke Biomedical Price List for availability, part

number information and price.

1-12

Chapter 2

Installation

Title Page

Unpacking and Inspection.................................................................................. 2-3

Claims ................................................................................................................ 2-3

Warranty Repair................................................................................................. 2-3

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medSim 300B

Operators Manual

2-2

Installation

Unpacking and Inspection 2

Unpacking and Inspection

Standard receiving practices should be followed upon receipt of the medSim 300B
Patient Simulator. The shipping carton should be checked for damage. If damage is
found, stop unpacking the instrument. Notify the carrier and ask for an agent to be
present while the instrument is unpacked. There are no special unpacking instructions,
but care should be taken not to damage the unit. Inspect the instrument for physical
damage, such as bent or broken parts, dents, or scratches.

Claims

Our routine method of shipment is via common carrier, FOB origin. Upon delivery, if
physical damage is found, retain all packing materials in their original condition and
contact the carrier immediately to file a claim.

If delivered in good physical condition but instrument does not operate within
specifications, or if there are any other problems not caused by shipping damage, please
contact Fluke Biomedical or your local sales representative.

Warranty Repair

The warranty statement for this Fluke Biomedical product is printed at the front of this
manual.

Use the original carton and packaging material for shipment. If they are not available, we
recommend the following guide for repackaging:

• Use a double-walled carton of sufficient strength for the weight being shipped.

• Use heavy paper or cardboard to protect all instrument surfaces. Use a

nonabrasive material around all projecting parts.

• Use at least four inches of tightly packed, industrial-approved, shock-absorbent

material around the instrument.

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medSim 300B

Operators Manual

2-4 3-1

Chapter 3

Operation

Title Page

Power ................................................................................................................. 3-3

Power-On Conditions ........................................................................................ 3-3

Panel Descriptions, Controls and Connectors.................................................... 3-4

Top Panel....................................................................................................... 3-4

LCD Display and Keyboard...................................................................... 3-4

ECG Leads ................................................................................................ 3-4

RS232........................................................................................................ 3-4

High Level ECG........................................................................................ 3-4

Battery Test ............................................................................................... 3-4

Lead Test................................................................................................... 3-4

Cardiac Output .......................................................................................... 3-5

Temperature—Variable and Fixed............................................................ 3-5

Blood Pressure .......................................................................................... 3-5

Respiration ................................................................................................ 3-5

Rear Panel...................................................................................................... 3-5

Battery Eliminator..................................................................................... 3-5

V PACE..................................................................................................... 3-6

SYNC/A PACE......................................................................................... 3-6

Bottom Panel ................................................................................................. 3-6

Battery Compartment ................................................................................ 3-6

ROMS and CAL Switch Access ............................................................... 3-6

Operating the medSim 300B.............................................................................. 3-6

Initialization................................................................................................... 3-6

Menu Overview ............................................................................................. 3-7

Main Menu................................................................................................ 3-7

Movement through Menus ........................................................................ 3-7

Executable Parameter Values.................................................................... 3-7

Step Menus................................................................................................ 3-7

Menu Selections ............................................................................................ 3-9

Main Menu—Function Select ................................................................... 3-9

Function Select - ECG Menu .................................................................... 3-10

Function Select - ECG - Baseline ECG Menu .......................................... 3-11

Function Select - ECG - ECG Performance Menu.................................... 3-13

Function Select - ECG - Arrhythmias Menu............................................. 3-15

Function Select - ECG - PVC Parameters Menu ...................................... 3-20

medSim 300B

Operators Manual

Function Select - ECG - Pacemaker Menu ............................................... 3-22

Function Select - ECG - Insert Premature Beat Menu .............................. 3-24

Function Select - Respiration Menu.......................................................... 3-25

Function Select - Blood Pressure Menu.................................................... 3-28

Function Select - Temperature Menu........................................................ 3-36

Function Select - Artifact Menu................................................................ 3-37

Function Select - Artifact - ECG Artifact Menu ....................................... 3-37

Function Select – Artifact Blood Pressure/Respiration Artifact Menu..... 3-39

Function Select - Sequences Menu ........................................................... 3-39

Function Select - Sequences - Autosequences Menu................................ 3-40

Function Select – Sequences - Step-sequences Menu............................... 3-43

Function Select - Sequences - Step-sequences - Preset Sequences Menu. 3-44

Function Select - Sequences -Step-sequences - Make Sequences Menu .. 3-46

Function Select - Sequences -Step-sequences - Sequence to Review

Menu ......................................................................................................... 3-49

Function Select - Sequences -Step-sequences - User Sequences Menu.... 3-50

Function Select - Defibrillator Tests Menu............................................... 3-51

Function Select - Defibrillator Tests -Emergency 1 Menu ....................... 3-51

Function Select - Defibrillator Tests -Emergency 2 Menu ....................... 3-53

Function Select - Defibrillator Tests -Cardioversion Menu...................... 3-54

Function Select - Utility Menu.................................................................. 3-57

RS-232 Serial Port Operation ............................................................................ 3-60

Overview ....................................................................................................... 3-60

Remote Commands ....................................................................................... 3-60

Menu Structure .................................................................................................. 3-67

ECG ............................................................................................................... 3-67

Respiration..................................................................................................... 3-68

Blood Pressure Channel Select...................................................................... 3-68

Temperature................................................................................................... 3-68

*Cardiac Output............................................................................................. 3-68

Artifact........................................................................................................... 3-69

Sequences ...................................................................................................... 3-69

Defibrillator Tests.......................................................................................... 3-69

Utility............................................................................................................. 3-69

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