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

i

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

iii

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.

1-9

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

1-10

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

1-11

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

2-1

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.

2-3

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

3-2

Operation

Power 3

Power

This is a battery-powered instrument with the option of using a battery eliminator.

The power control is a momentary "ON/OFF" key located on the top panel.

For optimum battery life, turn the instrument off when not in use, or use the battery
eliminator.

In addition, from the UTILITY MENU, you can preset a time interval to automatically
turn off the instrument after the last key has been pressed. The display flashes to indicate
a low battery condition when both batteries are low.

For battery replacement, the battery compartment is located on the bottom side of the
instrument. To access, twist the slotted latch one-quarter turn and lift. Fit a coin into the
slot for increased leverage. Replace both batteries at the same time with two 9-volt
alkaline batteries: Duracell MN1604 or equivalent.

Note

Do not use mercury, air, or carbon-zinc batteries.

Power-On Conditions

Upon power-on, the medSim 300B display shows the model number and the firmware
version.

The "power off time" (unless turned off) is displayed next. Following that, the Function
Select menu is displayed.

The following conditions are present when the power is first turned on:

Parameter Specification

ECG Waveform: Normal sinus rhythm

Baseline BPM: 60

Axis: Normal

Amplitude:1 mV

ST segment deviation: None

PVCs: None

Pacemaker:Off

Respiration Waveform Normal

Rate: 20 BrPM
Ohms: 1.0 e

Ratio: 3/1

Blood pressure All channels: Atmosphere

Temperature 37 °C

3-3

medSim 300B

Operators Manual

Panel Descriptions, Controls and Connectors

Top Panel

LCD Display and Keyboard

Parameter Specification

Artifact All Off

Power-off time Off

Key beep On

Baud rate 2400

Cardiac output baseline 37 °C

Note

These power-on conditions can be changed by utilizing the "save" function
in the UTILITY MENU.

The LCD display-2 lines by 24 characters—displays messages, and provides information
necessary for setting output levels and selecting waveform types.

The keyboard has the following eight pressure-sensitive keys: four function keys (F1, F2,
F3, and F4), three arrow keys (left, up and right), and the "ON/OFF" key.

ECG Leads

Located above the LCD display are ten ECG lead-binding posts that are compatible with
disposable snaps, 3.2 mm or 4 mm electrodes, and banana plugs. All leads have
independently generated signals.

RS232

For remote control of the patient simulator, the RS232 serial port interface is used to
connect the medSim Controller Option to a computer or terminal. For information
regarding the operation of the RS-232 interface, see the RS-232 SERIAL PORT
OPERATION section later in this chapter.

High Level ECG

The "HIGH LEVEL ECG" port is a 1/4" standard phone jack with a Lead II waveform at

0.2 V/mV of the ECG Lead II signal. The "HIGH LEVEL ECG" output is designed for
use with central station monitors or recorders requiring an analog high-level input.

Battery Test

Tests 8.4-volt and 9-volt batteries. The LED illuminates when the battery has more than a

6.2-volt charge.

3-4

Lead Test

Tests continuity of the ECG leads. The LED illuminates when the resistance is less than
1 ke.

Operation

Panel Descriptions, Controls and Connectors 3

Cardiac Output

"CARDIAC OUTPUT" is optional. When installed, refer to the "Cardiac Output" chapter
for operating instructions.

Temperature—Variable and Fixed

For variable temperature selection, set the "CARDIAC OUTPUT/ VAR TEMP" switch to
"VAR TEMP"
to match the monitor probe type-400 or 700

*

, and adjust the temperature from the keyboard. Set the "PROBE" switch

**

.

Note

*

"CARDIAC OUTPUT' is disabled in "VAR TEMP" mode.

**

Temperature connector cables are available from Fluke Biomedical. The
type of probe simulated—either the 400 or 700 series YSI—determines the
type of cable to use.

Fixed temperature ("FIXED TEMP") is 37 °C/98.6 °F.

Blood Pressure

There are four blood pressure channels, labeled as "BP1", "BP2", "BP3" and
"BP4/AUX". Each channel is independently adjustable from the keyboard.

Set the "SENSITIVITY" switch to match the patient monitor's input sensitivity (either 40
or 5 µV/V/mmHg).

To connect to the four blood pressure connectors, cables prewired for many
monitors, as well as an unterminated cable (see illustration "Unterminated
Blood Pressure Output Cable Assembly" at the end of this chapter), are
available from Fluke Biomedical. Refer to the medSim 300B Accessories
section in Chapter 1 and to the Fluke Biomedical Price List.

Respiration

• The respiration signal is output across the ECG leads.

• Corresponding with the type of patient monitor in use, set the "LEAD SELECT"

switch to the lead in use (I or II/RL-LL).

• Use the "BASELINE IMPEDANCE" switch to set the impedance (500, 1000,

1500, or 2000) between any two limb leads.

• Use the keyboard to set the respiration parameters.

Rear Panel

Battery Eliminator

The jack ("BATT ELIM 9 V DC") for the battery eliminator on the medSim 300B rear
panel. Use only a battery eliminator supplied by Fluke Biomedical.

Note

Note

Refer to the medSim 300B Accessories section in Chapter 1 and to the
Fluke Biomedical Price List.

3-5

medSim 300B

Operators Manual

V PACE

SYNC/A PACE

Bottom Panel

Battery Compartment

ROMS and CAL Switch Access

Operating the medSim 300B

This jack is not active.

The jack for input of a pulse from a defibrillator for the interactive defibrillator training
mode, and for use as the Intra-Aortic Balloon Pump (IABP) signal input for arterial
waveform augmentation.

Houses two 9-volt alkaline batteries. For replacement information, refer to instructions
contained in the POWER section at the beginning of this chapter.

The calibration-enable switch and the software ROMs are housed behind this panel.

Initialization

Turn on the instrument by pressing the "ON/OFF" key, and a momentary display of the
firmware version appears, as shown below:

If options are installed, they are indicated on the top line of the display. The
Cardiac Output Option is indicated by "CO" and Option 1 is indicated by
"OP1".

If "power off time" has been manually set from the UTILITY MENU, a momentary
display appears indicating time in hours as shown below:

MEDSIM 300 B 3.00
FLUKE BIOMEDICAL INC

<F1> <F2> <F3> <F4>

Note

POWER OFF TIME IS ## HR

eic002.eps

3-6

<F1> <F2> <F3> <F4>

Note

To set "power off time" refer to the Function Select - Utility Menu section
later in this chapter.

eic003.eps

Operation

Operating the medSim 300B 3

Note

The simulator can also be operated via the optional handheld controller.
Refer to theHHC3 Handheld Controller (PN2645641) manual for operating
instructions.

Menu Overview

Main Menu

The MAIN MENU—"FUNCTION SELECT"—offers eight main function groups, from
which all other selections are made.

The eight main function group menus are discussed in detail in the MENU
SELECTIONS section later in this chapter.

Located at the end of this chapter is a condensed listing of these menus.

Movement through Menus

When a menu choice is made by pressing the function key directly below the displayed
selection (<F1>, <F2>, <F3>, or <F4>), the display changes to show the menu for that
choice.

Using the function keys creates downward movement through the menus, one level at a
time. Pressing the <up arrow> moves back up through the menus, one level at a time.

Executable Parameter Values

At the lowest menu level are the executable parameter values. These executable
parameter values are indicated in lower case letters, such as, "baseline bpm - 30, 60, 80,
120, 160, 200, 240, 300"; while the other menus are presented in upper case letters: for
instance, "ECG - BASE, PERF, ARRH, PVC, PACE, INS".

A flashing display indicates that a selection is active. If an illegal key is pressed, three
quick beeps sound.

Some functions save the values in nonvolatile memory (EEPROM). Such a save is
indicated by a single long beep after a short delay.

Step Menus

Several functions have step menus. Step menus allow for stepping, either manually or
automatically, through the available parameter values.

Setting the parameter for the ECG baseline amplitude exemplifies how a step menu
functions. To illustrate—from the FUNCTION SELECT MENU:

1. Press <F1>-ECG, then press <F1>-BASE, and then press <F2>-AMP.

Your display now appears like this:

ecg amp, lead II: #.## mv

down up exc auto

<F1> <F2> <F3> <F4>

3-7

eic004.eps

medSim 300B

Operators Manual

In the step menu, the top display line indicates the name of the parameter being
modified and a value for it. If the value shown (illustrated above as "#.##") is
active, it flashes.

2. Press <F1>-DOWN or <F2>-UP to decrement or increment the displayed value.

3. Press <F3>-EXC to execute the displayed value.

4. Press <F4>-AUTO and the bottom display line changes as follows:

ecg amp, lead II: #.## mv

down up strt man

<F1> <F2> <F3> <F4>

In this mode, use of the <Fl>-DOWN key and the <F2>-UP key decrements and
increments the displayed value, and immediately executes the selected value
without requiring a separate "execute" key.

Note

Use of the <F4>-MAN key returns to the previous mode.

5. To activate the automatic stepping mode, press the <F3>-STRT key and the

display changes to:

ecg amp, lead II: #.## mv

down up stop

<F1> <F2> <F3> <F4>

At this point, the parameter is automatically stepping at a predetermined rate
(refer to the "Specifications" chapter). Upon reaching either limit, the stepping
switches directions and continues.

eic005.eps

eic006.eps

3-8

6. Choose <F1>-DOWN or <F2>-UP to reverse the incrementing and decrementing

of the values.

7. Press <F3>-STOP to stop the stepping and return to the manual mode.

8. Pressing the <up arrow> also stops automatic stepping and moves you back up

through the menu.

Only one automatic stepping mode can be active at a time.

Operation

Operating the medSim 300B 3

Menu Selections

Main Menu—Function Select

Immediately following the "Initialization" display(s), the MAIN MENU —"FUNCTION
SELECT" is presented.

"FUNCTION SELECT" offers the following eight main function groups:

• ECG

• Respiration

• Blood Pressure

• Temperature

• Artifacts

• Sequences

• Defibrillator Tests

• Utility

All other selections are made from these function groups.

To access the three pages of "FUNCTION SELECT" choices, use the <left arrow> or the
<right arrow> key, as indicated in the displays by "<" or ">". The first page appears as
follows:

FUNCTION SELECT

RESPECG BP TEMP >

<F1> <F2> <F3> <F4>

eic007.eps

To access page 2 of the FUNCTION SELECT MENU, press the <right arrow> key:

FUNCTION SELECT

< ARTF SEQ DEFB >

<F1> <F2> <F3> <F4>

eic008.eps

Note

Illustrations may not match the medSim 300B display when future
additions, options, and expansion modules are installed.

3-9

medSim 300B

Operators Manual

To access page 3, as shown below, press the <right arrow> key again (pressing the <left
arrow> returns you to page 1 of the FUNCTION SELECT MENU):

FUNCTION SELECT

< UTIL

Function Select - ECG Menu

1. To choose the ECG MENU, return to the first page of the FUNCTION SELECT

MENU and press <F1>-ECG.

2. The ECG MENU choices are presented on two pages as illustrated below. Again,

use the <left arrow> and <right arrow> keys to access the six ECG function
selections.

ECG

ECG

< PACE INS

<F1> <F2> <F3> <F4>

PERFBASE ARRH PVC >

<F1> <F2> <F3> <F4>

eic009.eps

eic010.eps

3-10

<F1> <F2> <F3> <F4>

Note

Illustrations may not match your medSim 300B display if additions, options,
or expansion modules have been installed.

eic011.eps

Operation

Operating the medSim 300B 3

Function Select - ECG - Baseline ECG Menu

To access the BASELINE ECG MENU:

1. Press <F1>-BASE from page 1 of the ECG MENU.

The five parameter groups for setting the normal sinus rhythm ECG are displayed
in two pages as shown in the following two illustrations:

BASELINE ECG

BPM AMP AXISST

<F1> <F2> <F3> <F4>

BASELINE ECG

<

NEO

<F1> <F2> <F3> <F4>

>

2. From page 1 of the BASELINE ECG MENU, press <F1>-BPM. The eight

"baseline bpm" parameter values are shown on two pages as follows:

baseline bpm

30 60 80 120

<F1> <F2> <F3> <F4>

>

eic012.eps

eic013.eps

eic014.eps

baseline bpm

<

160 200 240 300

<F1> <F2> <F3> <F4>

eic015.eps

Selections made from this BASELINE BPM MENU set the normal sinus rhythm
rate (canceling arrhythmias and restoring all previously set baseline values).

3-11

medSim 300B

Operators Manual

3. To set the amplitude for all ECG baseline waveforms, press <F2>-AMP from

page 1 of the BASELINE ECG MENU:

ecg amp, lead II: #.## mv

down up exc auto

<F1> <F2> <F3> <F4>

eic016.eps

This is a "step" menu. Refer to Step Menus in the MENU OVERVIEW section
earlier in this chapter for detailed information on automatic and manual step
functions.

4. To adjust the ST segment deviation (elevation and depression), press <F3>-ST

from page 1 of the BASELINE ECG MENU:

st deviation: #.## mv

down up exc auto

<F1> <F2> <F3> <F4>

eic017.eps

This function simulates an adult heart (not neonatal) at rates less than or equal to
160 BPM and with most arrhythmias having an 80 BPM rate.

This is a "step" menu. Refer to Step Menus in the MENU OVERVIEW section
earlier in this chapter for detailed information on automatic and manual step
functions.

5. Press <F4>-AXIS (from page 1 of the BASELINE ECG MENU) to set the axis

of the normal ECG to one of these three heart positions: intermediate, horizontal,
or vertical. The display appears as shown here:

3-12

axis deviation

int horz vert

<F1> <F2> <F3> <F4>

eic018.eps

6. To select "neonatal ECG", press <F1>-NEO from page 2 of the BASELINE ECG

MENU. The display appears as illustrated:

neonatal (bp -> 75%)

off on

<F1> <F2> <F3> <F4>

eic019.eps

Operation

Operating the medSim 300B 3

Neonatal is a narrower ECG with a 40 ms QRS. All dynamic blood pressures are
decreased by 25 % in the neonatal mode.

Function Select - ECG - ECG Performance Menu

ECG performance waveforms are divided into two groups: waveforms and R-wave
detection functions.

To access the ECG PERFORMANCE MENU:

1. Press the <up arrow> key to return to the ECG MENU, and then press <F2>-

PERF:

ECG PERFORMANCE

WAVE RDET

<F1> <F2> <F3> <F4>

eic020.eps

The amplitude of all performance waveforms except R-wave detection is set by
the baseline amplitude.

2. Press <F1>-WAVE to access the following four pages of performance waveform

selections:

performance waveforms

pulszero squ tri >

<F1> <F2> <F3> <F4>

performance waveforms

<>

<F1> <F2> <F3> <F4>

s0.5s.05 s1 s10

eic021.eps

eic022.eps

performance waveforms

<>

<F1> <F2> <F3> <F4>

s30s25 s40 s50

eic023.eps

3-13

medSim 300B

Operators Manual

performance waveforms

<

<F1> <F2> <F3> <F4>

s100s60

3. Press the corresponding function key for the desired performance waveform.

Selections Descriptions

zero Zero output

puls Pulse at 4 s, square

squ Square waveform at 2 Hz

tri Triangle waveform at 2 Hz

s## Sine waveforms at the indicated frequencies

4. To select R-wave detection waveforms, press <F2>-RDET from the ECG

PERFORMANCE MENU:

R WAVE DETECTION

WIDTHAMP

<F1> <F2> <F3> <F4>

eic024.eps

eic025.eps

Note

The R-wave detection waveforms contain only the R-wave.

5. The amplitude and width are variable. Press the appropriate function key, <F1>-

AMP or <F2>-WIDTH, to access either step menu:

R amp, lead II: #.## mv

down up exc auto

<F1> <F2> <F3> <F4>

R wave width: #.## ms

down up exc auto

<F1> <F2> <F3> <F4>

eic026.eps

eic027.eps

3-14

Operation

Operating the medSim 300B 3

To set R-wave amplitude or width parameters, follow step menu instructions as presented
earlier in this chapter.

Upon leaving R-wave detection, the ECG amplitude is equal to the adjusted R-wave
amplitude.

Function Select - ECG - Arrhythmias Menu

To select the ARRHYTHMIA MENU, press the <F3>-ARRH key from the ECG MENU:

ARRHYTHMIAS

SV PREM VNT1 VNT2

<F1> <F2> <F3> <F4>

ARRHYTHMIAS

<

COND

<F1> <F2> <F3> <F4>

>

eic028.eps

eic029.eps

Arrhythmias are divided into these five groups: supraventricular, premature, ventricular
rhythm 1, ventricular rhythm 2 and conduction.

Those that contain normal beats have an 80 BPM rate and unless otherwise stated, the PR
interval is 0.16 seconds.

When an arrhythmia contains one or more abnormal beats within a series of normal beats,
the abnormal beat is the second beat of the total series starting after one normal beat.

Supraventricular is a group of upper heart defect arrhythmias. To select the
supraventricular group, from the ARRHYTHMIAS MENU, press <F1>-SV for the
following three display pages of ten supraventricular waveform selections:

sv arrhythmias

nsr af1 af2 aflt

<F1> <F2> <F3> <F4>

sv arrhythmias

sa mb80 mb120 pat

<F1> <F2> <F3> <F4>

>

><

eic030.eps

eic031.eps

3-15

medSim 300B

Operators Manual

sv arrhythmias

<

nodal svt

<F1> <F2> <F3> <F4>

eic032.eps

The desired waveform selections can be made by pressing the corresponding function
key.

Descriptions of the supraventricular selections follow:

Selections Descriptions

nsr Normal sinus rhythm. Provides a convenient way to return to normal

sinus rhythm.

af1 Atrial fibrillation, coarse. Rapid irregular atrial signal with no real P-

waves. Irregular ventricular rate.

af2 Atrial fibrillation, fine. Rapid irregular atrial signal with no real P-

waves. Irregular ventricular rate.

aflt Atrial flutter. Large regular P-waves at 300 BPM. Ventricular response

at 5:1 for 12 seconds, 13:1 for 6 seconds and 2:1 for 6 seconds; all
repeat.

sa Sinus arrhythmia. Normal beats, but triggered at an irregular interval,

from 60 to 100 BPM.

mb80 Missed beat at 80 BPM. Normal sinus rhythm, but every 10

th

beat is

missing.

mb120 Missed beat at 120 BPM. Normal sinus rhythm, but every 10

th

beat is

missing.

3-16

pat Paroxysmal atrial tachycardia. 160 BPM for 5 seconds alternating with

normal sinus rhythm at 80 BPM for 12 seconds.

nodal Nodal rhythm. Normal sinus rhythm except P-wave originates in the A-

V node. Shortened PR interval of 0.09 seconds.

svt Supraventricular tachycardia. Normal sinus rhythm at 160 BPM.

The second selection of arrhythmia waveforms is the premature group—a group of
arrhythmias that have premature beats mixed in with normal beats.

To select this group, press <F2>-PREM from the ARRHYTHMIAS MENU for the
following two display pages of seven premature arrhythmias:

premature arrhythmias

nsr pac pnc pvc

<F1> <F2> <F3> <F4>

>

eic033.eps

Operation

premature arrhythmias

Operating the medSim 300B 3

<

mf1 mf2 mf3

<F1> <F2> <F3> <F4>

The premature arrhythmia waveform selections can be made by pressing the
corresponding function key.

Descriptions of the premature arrhythmia selections follow:

Selections Descriptions

nsr Normal sinus rhythm. Provides a convenient way to return to normal

sinus rhythm.

pac Premature atrial contraction. Normal sinus rhythm except every 10

beat is premature by 25 %.

pnc Premature nodal contraction. Nodal rhythm except every 10

th

premature by 25 %.

pvc Premature ventricular contraction. Normal sinus rhythm except every

th

10

beat is a PVC.

mf1 Multifocal PVCs. Normal sinus rhythm except 2 of every 15 beats are

PVCs. PVC type alternates between type 1 and type 2.

mf2 Multifocal PVCs. Like "mf1" except PVC types are 2 and 3.

eic034.eps

th

beat is

mf3 Multifocal PVCs. Like "mf1" except PVC types are 3 and 4.

The third group of arrhythmia waveforms is the ventricular rhythm 1 group—a group
with normal sinus rhythm at 80 BPM mixed with PVCs.

To select this group, press <F3>-VNT1 from the ARRHYTHMIAS MENU for the
following two display pages of six ventricular arrhythmia 1 waveforms:

ventricular arrh. 1

nsr big trig pair

<F1> <F2> <F3> <F4>

ventricular arrh. 1

<

run5 run11

<F1> <F2> <F3> <F4>

>

eic035.eps

eic036.eps

3-17

medSim 300B

Operators Manual

Make selections by pressing the corresponding function key.

Descriptions of the ventricular arrhythmia 1 selections follow:

Selections Descriptions

nsr Normal sinus rhythm. Provides a convenient way to return to normal

sinus rhythm.

big Bigeminy. Normal beat followed by a PVC, repeated.

trig Trigeminy. Two normal beats followed by a PVC, repeated.

pair Two PVCs together in a series with 14 normal beats, repeated. Also

called a couplet.

run5 Five PVCs together in a series with eight normal beats, repeated.

run11 Ten PVCs and one with a different focus together in a series with eight

normal beats, repeated.

The fourth group of arrhythmia waveforms is the ventricular rhythm 2 group—a group in
which all activity originates in the ventricles.

To select this group, press <F4>-VNT2 from the ARRHYTHMIAS MENU for the
following two display pages of six ventricular arrhythmia 2 waveforms:

ventricular arrh. 2

nsr vent vtac vfib

<F1> <F2> <F3> <F4>

ventricular arrh. 2

<

emd asys

<F1> <F2> <F3> <F4>

>

Make selections by pressing the corresponding function key.

Descriptions of the ventricular arrhythmia 2 selections follow:

Selections Descriptions

nsr Normal sinus rhythm. Provides a convenient way to return to normal

sinus rhythm.

vent Ventricular rhythm. Similar to left focus PVCs at 120 BPM.

vtac Ventricular tachycardia. Similar to left focus PVCs at 180 BPM.

eic037.eps

eic038.eps

3-18

vfib Ventricular fibrillation. Irregular ventricular waveform.

emd Electromotive disassociation. Irregular weak signal.

asys Asystole. No beats, but very small irregular signal remains.

Operation

Operating the medSim 300B 3

The fifth group of arrhythmia waveforms is the conduction arrhythmia group—a group
that consists of various conduction defects.

To select this group, press <F1>-COND from page 2 of the ARRHYTHMIAS MENU for
the following two display pages of seven conduction arrhythmia waveforms:

conduction arrh.

nsr 1ºbk 2ºb1 2ºb2

<F1> <F2> <F3> <F4>

conduction arrh.

<

<F1> <F2> <F3> <F4>

rbbb3ºbk lbbb

>

Make selections by pressing the corresponding function key.

Descriptions of the conduction arrhythmia selections follow:

Selections Descriptions

nsr Normal sinus rhythm. Provides a convenient way to return to normal

sinus rhythm.

1 °bk First degree A-V block. Normal sinus rhythm except with long PR

interval of 0.25 seconds.

2 °b1 Second degree A-V block, type 1, Wenckebach. Increasing PR

interval from 0.22 to 0.47 seconds, followed by a P-wave only with no
QRS response, repeated. P-waves at 80 BPM.

eic039.eps

eic040.eps

2 °b2 Second degree A-V block, type 2. Waveform similar to right bundle

branch block except PR interval is 0.25 seconds. Eighteen beats at 80
BPM followed by two missed beats; repeated.

3 °bk Third degree A-V block. Normal sinus rhythm waveform except with

a P-wave rate of 80 BPM and a QRS rate of 30 BPM running
independently of each other.

rbbb Right bundle branch block. Wide QRS complexes. An 80 BPM rate

with a PR interval of 0.16 seconds.

lbbb Left bundle branch block. Wide QRS complexes. An 80 BPM rate

with a PR interval of 0.16 seconds.

3-19

medSim 300B

Operators Manual

Function Select - ECG - PVC Parameters Menu

PVCs can be added to normal sinus rhythm waveforms.

Four PVC focuses (types) are available, each with three different timing selections. The
number of PVCs per minute can be set from 0 to 25, and the PVCs can be counted.

"PVCs per minute" and "PVC timing" only affect normal sinus rhythm waveforms 30 to
160 BPM. "PVC type" also selects the PVC for arrhythmias.

To access the PVC PARAMETERS MENU, from page 1 of the ECG MENU:

1. Press <F4>-PVC:

PVC PARAMETERS

TIMETYPE /MIN TOTL

<F1> <F2> <F3> <F4>

2. Press <F1>-TYPE to access the four available PVC focuses as shown:

pvc focus

2134

<F1> <F2> <F3> <F4>

Descriptions of the four PVC focus selections follow:

Selections Descriptionss

1 Left focus with marked left axis deviation and concordant

positiveness in the V-leads.

2 Right focus with right axis deviation and LBBB configuration.

3 Left focus with left axis deviation and RBBB with left anterior

fascicular block.

4 Right focus with left axis deviation and concordant negativity in the

V-leads.

eic041.eps

eic042.eps

3-20

Each focus has three different timing selections. To access:

1. Press <F2>-TIME from the PVC PARAMETERS MENU:

pvc time

earlyRonT std

<F1> <F2> <F3> <F4>

eic043.eps

Operation

Operating the medSim 300B 3

Descriptions of the PVC time selections follow:

Selections Descriptions

RonT 65 % premature (260 ms after R-wave).

early 33 % premature.

std 25 % premature (standard).

2. To set the number of PVCs per minute, press <F3>-/MIN from the PVC

PARAMETERS MENU:

pvc per minute: ##

updown exc auto

<F1> <F2> <F3> <F4>

The number of PVCs per minute can be set from 0 to 25. Zero turns off the
function. To set, follow the instructions for the step menu functions.

3. To count PVCs, press <F4>-TOTL from the PVC PARAMETERS MENU:

PVC: ##,### ET: ##:##.#

strtoff hold clr

<F1> <F2> <F3> <F4>

The TOTL MENU displays the number of PVCs generated and shows the
elapsed time (ET).

Descriptions of the "TOTL" executable selections follow:

Selections Descriptions

off Turns off the counter, and clears the values.

strt Initiates or restarts the counter.

eic044.eps

eic045.eps

hold Stops the counter, but does not clear the values.

clr Clears the values, but does not shut the counter off.

3-21

medSim 300B

Operators Manual

Function Select - ECG - Pacemaker Menu

To access the PACEMAKER MENU:

1. Press <F1>-PACE from page 2 of the ECG MENU.

The three main pacemaker parameter selections are pace wave, atrial pacer, and
ventricle pacer, and are displayed as shown:

PACEMAKER

AT RWAVE VENT

<F1> <F2> <F3> <F4>

eic046.eps

2. Press <F1>-WAVE from the PACEMAKER MENU to access the PACE WAVE

MENU:

pace wave

>

eic047.eps

eic048.eps

<F1> <F2> <F3> <F4>

pace wave

<

<F1> <F2> <F3> <F4>

asncnsr dem1 dem2

noncavsq nonf

In the PACE WAVE MENU, the atrial-ventricular sequential waveform uses
both atrial and ventricular pacemakers. All others use the ventricular pacemaker.
The pacemaker rate is 75 BPM.

3-22

Note

The ventricular pacemaker triggers a wide QRST wave similar to LBBB
since the ventricular pacemaker is in the right ventricle.

Descriptions of the pacemaker waveform selections follow:

Selections Descriptions

nsr Normal sinus rhythm. Provides a convenient way to return to normal

sinus rhythm.

asnc Asynchronous. At 75 BPM, continuously paced.

dem1 Demand 1. Mostly paced. A series of 40 paced beats and 20 normal

beats. Pacemaker kicks in when normal beat is 20 % late and kicks
out when normal beat comes in time for an 80 BPM rate.

Operation

Operating the medSim 300B 3

dem2 Demand 2. Mostly paced. Same as Demand 1 except 20 paced beats

and 40 normal beats.

avsq Atrial-ventricular sequential. Dual pacemaker spikes—first triggers

P-wave, second triggers QRST—0.15 seconds apart.

nonc Non-capture. Asynchronous paced except every 10th beat there is no

QRST response.

nonf Non-function. Pacemaker spikes only. No QRST response.

The ATRIAL PACER and the VENTRICLE PACER can be varied independently—the
amplitude (height) from -700 mV to +700 mV and the width from 0.1 ms to 2 ms.

To set atrial pacemaker parameters:

1. Press <F2>-ATR from the PACEMAKER MENU, to reach the ATRIAL PACER

MENU, and the following display:

ATRIAL PACER

WIDTHAMP

<F1> <F2> <F3> <F4>

2. To set atrial pacemaker amplitude (height) and atrial pacemaker width

parameters, press the corresponding function keys, and then follow instructions
for step menu functions. The displays follow:

atrial height: ### mv

up exc autodown

<F1> <F2> <F3> <F4>

atrial width: #.## ms

up exc autodown

<F1> <F2> <F3> <F4>

eic049.eps

eic050.eps

eic051.eps

3-23

medSim 300B

Operators Manual

To set ventricle pacemaker parameters:

1. Press <F3>-VENT from the PACEMAKER MENU to reach the VENTRICLE

PACER MENU, and the following display appears:

VENTRICLE PACER

WIDTHAMP

<F1> <F2> <F3> <F4>

eic052.eps

2. To set ventricle pacemaker amplitude (height) and ventricle pacemaker width

parameters, once again press the corresponding function keys. The displays
follow:

vent height: ### mv

up exc autodown

<F1> <F2> <F3> <F4>

vent width: #.## ms

up exc autodown

<F1> <F2> <F3> <F4>

eic053.eps

eic054.eps

Follow the instructions for the step menu functions as previously described in
this chapter.

3-24

Function Select - ECG - Insert Premature Beat Menu

To access the INSERT PREMATURE BEAT MENU:

1. Press <F2>-INS from page 2 of the ECG MENU.

insert premature beat

pac pncpvc

<F1> <F2> <F3> <F4>

eic055.eps

Operation

Operating the medSim 300B 3

2. Press the related function key to select a premature beat to be inserted each time

the key is pressed. A description of the premature beats selections is below:

Selections Descriptions

pvc Premature ventricular contraction.

pac Premature atrial contraction.

pnc Premature nodal contraction.

Function Select - Respiration Menu

To choose the RESPIRATION MENU, press <F2>-RESP from page 1 of the
FUNCTION SELECT MENU.

The RESPIRATION MENU executable parameter selections—respiration wave,
respiration rate, respiration ohms, respiration ratio (inspiration/expiration), apnea, and
respiration base shift—are presented on two pages of display as illustrated below:

RESPIRATION

>

<F1> <F2> <F3> <F4>

RESPIRATION

<

<F1> <F2> <F3> <F4>

RATE OHMS RATIOWAVE

SHIFTAPNEA

To choose the RESPIRATION WAVE MENU:

1. Press <F1>-WAVE from page 1 of the RESPIRATION MENU for the following

display:

respiration wave

ventnorm

<F1> <F2> <F3> <F4>

eic056.eps

eic057.eps

eic058.eps

2. Press the corresponding function key for the desired respiration waveform

selection. Descriptions of the respiration waveform selections follow:

Selections Descriptions

norm Normal respiration.

vent Ventilator assisted, 12 seconds.

3-25

medSim 300B

Operators Manual

To set the respiration rate for normal waveform:

1. Press <F2>-RATE from page 1 of the RESPIRATION MENU for the following

two pages of menu display:

respiration rate

>

<F1> <F2> <F3> <F4>

respiration rate

<

<F1> <F2> <F3> <F4>

2 0 3 0 4 01 5

1206 0

2. Select the respiration rate in breaths per minute for a normal waveform by

pressing the corresponding function key.

To set respiration amplitude:

1. Press <F3>-OHMS from page 1 of the RESPIRATION MENU. The following

two pages of the RESPIRATION OHMS MENU are displayed:

respiration ohms

0.1 0.2 0.50.0

>

eic059.eps

eic060.eps

3-26

<F1> <F2> <F3> <F4>

respiration ohms

<

<F1> <F2> <F3> <F4>

3.01.0

2. Select respiration amplitude (impedance variation in ohms) by pressing the

corresponding function key.

eic061.eps

eic062.eps

Operation

Operating the medSim 300B 3

To set the inspiration/expiration ratio on normal respiration only:

1. Press the <F4>-RATIO key from page 1 of the RESPIRATION MENU. Five

ratio settings are available from the following two menu pages:

resp ratio (ins/exp)

>

<F1> <F2> <F3> <F4>

resp ratio (ins/exp)

<

1/1

<F1> <F2> <F3> <F4>

4/1 3/1 2/15/1

2. Select the inspiration/expiration ratio (on normal respiration only) by pressing the

corresponding function key.

To select one of five apnea modes:

1. Press <F1>-APNEA from page 2 of the RESPIRATION MENU. The five modes

are shown in two pages of display as follows:

apnea

off mom cont 12s

>

eic063.eps

eic064.eps

apnea

<

<F1> <F2> <F3> <F4>

32s

<F1> <F2> <F3> <F4>

eic065.eps

eic066.eps

3-27

medSim 300B

Operators Manual

2. Select the desired apnea mode by pressing the corresponding function key.

Apnea mode selections and their descriptions follow:

Selections Descriptions

off Turns off apnea. Resumes breathing.

mom Momentary. Causes apnea while the function key is pressed.

cont Continuous apnea. Disabled by the "off" selection.

12 s Generates 12 seconds of apnea each time the key is pressed.

32 s Generates 32 seconds of apnea each time the key is pressed.

For respiration baseline shift:

1. Press <F2>-SHIFT from page 2 of the RESPIRATION MENU. Three selections

are available as shown:

resp base shift

off pos neg

<F1> <F2> <F3> <F4>

2. A selection of "positive" or "negative" shifts the respiration baseline either

positive or negative and changes the respiration rate to 120 BrPM for 12 of every
60 seconds.

Baseline shift selections and their descriptions follow:

Selections Descriptions

off Turns off baseline shift.

pos Shifts baseline up and decreases delta impedance to 1/6 for 12

seconds.

neg Shifts baseline down and decreases delta impedance to 1/6 for 12

seconds.

Function Select - Blood Pressure Menu

To choose the BLOOD PRESSURE MENU, press <F3>-BP from page 1 of the
FUNCTION SELECT MENU.

The BP CHANNEL SELECT MENU offers the following five selections—1, 2, 3, 4 and
zero—on two pages of display:

eic067.eps

3-28

BP CHANNEL SELECT

1234

<F1> <F2> <F3> <F4>

>

eic068.eps

Operation

BP CHANNEL SELECT

Operating the medSim 300B 3

<

zero

<F1> <F2> <F3> <F4>

eic069.eps

Note

Illustrations may not match your medSim 300B display if additions, options,
or expansion modules have been installed.

There are four blood pressure channels, each programmed separately.

The dynamic blood pressures are specified for their systolic and diastolic values for rates
of 80 BPM and less. For higher rates, the systolic pressure stays the same but the diastolic
pressure increases as the rate increases.

All dynamic pressures are synchronized with all normal sinus rhythm rates, and
physiologically track all arrhythmias.

Note

Select <Fl>-ZERO from the BP SELECT CHANNEL to set all the channels
to "atmosphere".

Press <F1>-1 to access the BP 1 MENU:

BP 1

WAVE STAT

<F1> <F2> <F3> <F4>

BP 1 has both dynamic waveforms and static pressures.

To select a dynamic waveform:

1. Press <F1>-WAVE to access the two menu pages as shown:

bp 1 waveforms

atm art lv cvp

<F1> <F2> <F3> <F4>

bp 1 waveforms

<

rv pa paw

>

eic070.eps

eic071.eps

<F1> <F2> <F3> <F4>

eic072.eps

3-29

medSim 300B

Operators Manual

2. Press the corresponding function key for the desired BP 1 dynamic waveform.

Waveform selections and their descriptions follow.

Selections Descriptions

atm Atmosphere - 0 mmHg.

art Arterial at 120/80 mmHg.

lv Left ventricle at 120/0 mmHg.

cvp Central venous pressure at 15/10 mmHg.

rv Right ventricle at 25/0 mmHg.

pa Pulmonary artery at 25/10 mmHg.

paw Pulmonary artery wedge at 10/2 mmHg.

To select BP 1 static pressures, press <F2>-STAT from the BP 1 MENU for the
following display:

bp 1 static: ## mmHg

down up exc auto

<F1> <F2> <F3> <F4>

eic073.eps005A

Follow the instructions for the step menu functions presented earlier in this chapter.

BP 2 dynamic waveforms and static pressures are identical to BP 1. To select BP 2, press
<F2>-2 from the BP CHANNEL SELECT MENU to access the following menu:

BP 2

WAVE STAT

<F1> <F2> <F3> <F4>

eic074.eps

To select a BP 2 dynamic waveform:

1. Press <F1>-WAVE to access the two menu pages as shown:

bp 2 waveforms

3-30

atm art lv cvp

<F1> <F2> <F3> <F4>

>

eic075.eps

Operation

bp 2 waveforms

Operating the medSim 300B 3

<

rv pa paw

<F1> <F2> <F3> <F4>

2. Press the corresponding function key for the desired BP 2 dynamic waveform

selection. Waveform selections and their descriptions follow:

Selections Descriptions

atm Atmosphere - 0 mmHg.

art Arterial at 120/80 mmHg.

lv Left ventricle at 120/0 mmHg.

cvp Central venous pressure at 15/10 mmHg.

rv Right ventricle at 25/0 mmHg.

pa Pulmonary artery at 25/10 mmHg.

paw Pulmonary artery wedge at 10/2 mmHg.

To select BP 2 static pressures, press <F2>-STAT from the BP 2 MENU for the
following display:

eic076.eps

bp 2 static: ## mmHg

down up exc auto

<F1> <F2> <F3> <F4>

Follow the instructions for the step menu functions presented earlier in this chapter.

To select BP 3, press <F3>-3 from the BP CHANNEL SELECT MENU to access the
following menu:

BP 3

WAVE STAT SWAN

<F1> <F2> <F3> <F4>

eic077.eps

eic078.eps

3-31

medSim 300B

Operators Manual

To select a BP 3 dynamic waveform:

1. Press <F1>-WAVE to access the two menu pages as shown:

bp 3 waveforms

atm cvp rv pa

<F1> <F2> <F3> <F4>

bp 3 waveforms

<

paw

<F1> <F2> <F3> <F4>

>

eic079.eps

eic080.eps

2. Press the corresponding function key for the desired BP 3 dynamic waveform

selection.

BP 3 dynamic waveform selections and their descriptions follow:

Selections Descriptions

atm Atmosphere - 0 mmHg.

cvp Central venous pressure at 15/10 mmHg.

rv Right ventricle at 25/0 mmHg.

pa Pulmonary artery at 25/10 mmHg.

3-32

paw Pulmonary artery wedge at 10/2 mmHg.

To select BP 3 static pressures, press <F2>-STAT from the BP 3 MENU for the
following display:

bp 3 static: ## mmHg

down up exc auto

<F1> <F2> <F3> <F4>

eic081.eps

Operation

Operating the medSim 300B 3

Follow the instructions for the step menu functions as presented earlier in this chapter.

To access the BP 3 SWAN-GANZ MENU, press <F3>-SWAN from the BP 3 MENU for
the following:

bp 3 swan-ganz:

start

<F1> <F2> <F3> <F4>

The descriptions of the function selections and waveform simulations for the SWAN­GANZ MENU are:

Selections Descriptions

start Starts the simulated Swan-Ganz procedure.

ins Insert: advances to the next step.

rem Remove: returns to the beginning.

inf Inflate: inflates the balloon in the pulmonary artery and creates the

pulmonary artery wedge

def Deflate: deflates the pulmonary artery wedge and returns to the

pulmonary artery

atm Atmosphere.

cvp Central venous pressure

rv Right ventricle

pa Pulmonary artery

paw Pulmonary artery wedge

1. Press <F1>-START to begin the simulated Swan-Ganz procedure. The following

menu is displayed:

eic082.eps

bp 3 swan-ganz: atm->cvp

ins

<F1> <F2> <F3> <F4>

eic083.eps

2. To proceed from atmosphere to central venous pressure, press <F1>-INS:

bp 3 swan-ganz: cvp->rv

ins rem

<F1> <F2> <F3> <F4>

3-33

eic084.eps

medSim 300B

Operators Manual

3. To proceed from central venous pressure to right ventricle, press <F1>-INS (or

press <F4>-REM to return to atmosphere):

bp 3 swan-ganz: rv ->pa

ins rem

<F1> <F2> <F3> <F4>

eic085.eps

4. To proceed from right ventricle to pulmonary artery, press <F1>-INS (or press

<F4>-REM to return to atmosphere):

bp 3 swan-ganz: pa ->paw

inf rem

<F1> <F2> <F3> <F4>

eic086.eps

5. Press <F2>-INF to proceed from pulmonary artery to pulmonary artery wedge

(or press <F4>-REM to return to atmosphere):

bp 3 swan-ganz: paw

def

<F1> <F2> <F3> <F4>

eic087.eps

3-34

6. From pulmonary artery wedge, press <F3>-DEF to return to pulmonary artery:

bp 3 swan-ganz: pa ->paw

inf rem

<F1> <F2> <F3> <F4>

eic088.eps

7. As described previously, press <F2>-INF to move to pulmonary artery wedge or

press <F4>-REM to return to atmosphere.

Operation

Operating the medSim 300B 3

8. To select BP 4, press <F4>-4 from the BP CHANNEL SELECT MENU to

access the following menu:

BP 4

WAVE STAT

<F1> <F2> <F3> <F4>

Note

Illustrations may not match your medSim 300B display if additions, options,
or expansion modules have been installed.

To select a dynamic waveform from BP 4:

1. Press <F1>-WAVE to access the two menu pages as shown:

bp 4 waveforms

atm art lv rv

<F1> <F2> <F3> <F4>

bp 4 waveforms

<

pa paw t30 t300

>

eic089.eps

eic090.eps

<F1> <F2> <F3> <F4>

eic091.eps

2. Press the corresponding function key to select a BP 4 dynamic waveform.

Waveform selections and their descriptions follow:

Selections Descriptions

atm Atmosphere - 0 mmHg.

art Arterial at 120/80 mmHg.

lv Left ventricle at 120/0 mmHg.

rv Right ventricle at 25/0 mmHg.

pa Pulmonary artery at 25/10 mmHg.

paw Pulmonary artery wedge at 10/2 mmHg.

t30 Triangle, 30 mmHg, 2 Hz.

t300 Triangle, 300 mmHg, 2 Hz.

3-35

medSim 300B

Operators Manual

To select BP 4 static pressures, press <F2>-STAT from the BP CHANNEL SELECT
MENU for the following display:

bp 4 static: ## mmHg

down up exc auto

<F1> <F2> <F3> <F4>

Follow the instructions for the step menu functions as previously described in this
chapter.

Function Select - Temperature Menu

To access the TEMPERATURE MENU, from the FUNCTION SELECT MENU:

1. Press <F4>-TEMP.

Temperature selections are available only when the "CARDIAC
OUTPUT/VAR TEMP" switch is set to "VAR TEMP". For more
information, refer to the Temperature—Variable and Fixed section in the
PANEL DESCRIPTIONS, CONTROLS, AND CONNECTORS section near
the beginning of this chapter.

TEMPERATURE MENU selections are shown in two pages of display as
follows:

temperature

34º 37º 40º hypr

Note

>

eic092.eps

3-36

<F1> <F2> <F3> <F4>

temperature

<

hypo spike

<F1> <F2> <F3> <F4>

2. Press the corresponding function key for the desired temperature selection.

Temperature selections and their descriptions follow:

Selections Descriptions

34 ° 34 °C fixed temperature.

37 ° 37 °C fixed temperature.

eic093.eps

eic094.eps

Operation

Operating the medSim 300B 3

40 ° 40 °C fixed temperature.

hypr Hyperthermia: starts at 37 °C, then in 20 minutes increases to

40 °C, and holds for 60 minutes; then in 20 minutes decreases
to 37 °C, and holds for 60 minutes; and then starts over.

hypo Hypothermia: starts at 37 °C, then in 20 minutes decreases to

34 °C, and holds for 60 minutes; then in 20 minutes increases
to 37 °C, and holds for 60 minutes; and then starts over.

spike Spike: starts at 37 °C, then in 20 minutes increases to 40 °C;

then in 20 minutes decreases to 37 °C, and holds for
60 minutes; and then starts over.

Function Select - Artifact Menu

To access the ARTIFACT MENU, press <F2>-ARTF from page 2 of the FUNCTION
SELECT MENU.

An artifact can be inserted into ECG or blood pressure. The ARTIFACT MENU appears
as illustrated below:

ARTIFACT

ECG BP/R

<F1> <F2> <F3> <F4>

Function Select - Artifact - ECG Artifact Menu

To access the ECG ARTIFACT MENU, press <F1>-ECG from the ARTIFACT MENU
for the following display:

ECG ARTIFACT

WAVE LEAD SIZE

<F1> <F2> <F3> <F4>

There are four waveform types of ECG artifact.

An ECG artifact waveform type can be added to any limb lead, to the V-leads, or to all
leads, and has three amplitude settings.

eic095.eps

eic096.eps

3-37

medSim 300B

Operators Manual

To select ECG artifact waveform type:

1. Press <F1>-WAVE from the ECG ARTIFACT MENU to access the following

two pages of menu selections:

ecg artifact

off 50hz 60hz mscl

<F1> <F2> <F3> <F4>

ecg artifact

<

wndr

<F1> <F2> <F3> <F4>

>

eic097.eps

eic098.eps

2. Press the corresponding function key for the desired ECG artifact waveform type

selection.

ECG artifact waveform type selections and their descriptions follow:

Selections Descriptions

off Shuts off ECG artifact.

50 Hz 50 Hz artifact.

60 Hz 60 Hz artifact.

mscl Muscular artifact.

3-38

wndr Baseline wander artifact.

To select the lead to which the waveform type is to be added:

1. Press <F2>-LEAD from the ECG ARTIFACT MENU to access the following

two menu pages:

ecg artifact lead

all ra la ll

<F1> <F2> <F3> <F4>

ecg artifact lead

<

v1

<F1> <F2> <F3> <F4>

>

eic099.eps

eic100.eps

Operation

Operating the medSim 300B 3

2. Press the corresponding function key for the desired lead selection.

Lead selections and their descriptions follow:

Selections Descriptions

all All

ra Right arm

la Left arm

11 Left leg

vl Chest

To select ECG artifact size:

1. Press <F3>-SIZE from the ECG ARTIFACT MENU to access the three size

factors as shown in the following menu:

artif size (x LII ampl)

.25 .5 1

<F1> <F2> <F3> <F4>

The ECG artifact size factor multiplied by the ECG Lead II amplitude determines
the size of the ECG artifact. For example, 0.5 (artifact size factor) times 5 mV
(ECG Lead II amplitude) equals 2.5 mV (ECG artifact size).

2. To select the ECG artifact size, press the function key that corresponds to the

desired artifact size factor—0.25, 0.5, or 1.0.

Function Select – Artifact Blood Pressure/Respiration Artifact Menu

To access the BLOOD PRESSURE/RESPIRATION ARTIFACT MENU, press <F2>­BP/R from the ARTIFACT MENU for this display:

bp/resp artif (% or mm)

off 5 10

<F1> <F2> <F3> <F4>

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 %, while all others have a respiration artifact added to them at 5 mmHg or
10 mmHg.

eic101.eps

eic102.eps

Select 5 % or 5 mmHg by pressing <F2>-5, and select 10 % or 10 mmHg by pressing
<F3>-10.

Function Select - Sequences Menu

To access the SEQUENCES MENU, press <F3>-SEQ from page 2 of the FUNCTION
SELECT MENU for the following display:

3-39

medSim 300B

Operators Manual

SEQUENCES

AUTO STEP

<F1> <F2> <F3> <F4>

Sequences are preprogrammed lists of waveform selections that can be stepped through
either automatically or manually.

There are two types of sequences—autosequences and step-sequences.

Autosequences run automatically with no display interaction. There are eight different
selections in the AUTOSEQUENCE MENU.

Step-sequences can be started and stopped manually and involve screen display. In the
STEP-SEQUENCE MENU there are three preprogrammed step-sequences and four user­programmable step-sequences.

Function Select - Sequences - Autosequences Menu

To select the AUTOSEQUENCES MENU:

1. Press <F1>-AUTO from the SEQUENCES MENU:

auto sequences

fail vnt1 cond resp

<F1> <F2> <F3> <F4>

>

eic103.eps

eic104.eps

3-40

auto sequences

<

vnt2 test setup start

<F1> <F2> <F3> <F4>

eic105.eps

2. From these eight selections, choose an autosequence by pressing the

corresponding function key.

Autosequence selections are listed below along with their segments and run times. The
last entry in each list indicates whether the sequence stops, or returns to the first segment
and repeats. An autosequence can be terminated by pressing the <up arrow> key.

Selections Segments Run Times

fail (Cardiac failure)

ECG BPM 80 1.0 min

PVCs 12/min 0.2 min

PVCs 0/min

Operation

Operating the medSim 300B 3

Selections Segments Run Times

Ventricular tachycardia 0.2 min

Ventricular fibrillation II 0.2 min

Asystole Continuous

Stop

vntl (Ventricular
series 1)

ECG BPM 80 1.0 min

PVCs 12/min 0.5 min

PVCs 0/min

Bigeminy 0.2 min

Run 5 PVCs 0.5 min

Repeat

cond (Conduction defect)

ECG BPM 80 0.2 min

1 °block 0.5 min

2 °block type 1 1.0 min

3 °block Continuous

Stop

resp (Respiration
apnea/Cardiovascular
artifact)

Respiration ohms 1.0

ECG BPM 80

Respiration rate 60 1.0 min

ECG BPM 120

Respiration rate 120 1.0 min

ECG BPM 80

Respiration rate 60 1.0 min

Respiration ohms 0.5

Respiration rate 120 0.3 min

Respiration ohms 1.0

Respiration rate 60 1.7 min

Apnea 12 s 1.0 min

Repeat

3-41

medSim 300B

Operators Manual

Selections Segments Run Times

vnt2 (Ventricular series 2)

ECG BPM 80 1.0 min

PVC type 1

PVCs 12/min 1.0 min

PVCs 0/min

PVC type 2

Run 11 PVCs 1.0 min

Multifocal 1 1.0 min

Run 11 PVCs 1.0 min

Repeat

test (Monitor test)

ECG BPM 80

Respiration rate 20

BPI atmosphere

BP2 atmosphere

BP3 atmosphere

BP4 atmosphere 0.2 min

Respiration rate 120

ECG BPM 240

BP1 300

BP2 300

BP3 30

BP4 300 0.5 min

ECG BPM 80

Respiration rate 20

BP1 atmosphere

BP2 atmosphere

BP3 atmosphere

BP4 atmosphere Continuous

3-42

Stop

Operation

Operating the medSim 300B 3

Selections Segments Run Times

setup (Monitor setup)

Blood pressure/artifact off

ECG BPM 80

Respiration rate 20

BP1 atmosphere

BP2 atmosphere

BP3 atmosphere

BP4 atmosphere Continuous

Stop

start (Monitor start)

ECG BPM 80

Respiration rate 20

BP1 artifact

BP2 pulmonary artery

BP3 central venous

pressure

BP3 left ventricle Continuous

Stop

Function Select – Sequences - Step-sequences Menu

Step-sequences, as opposed to autosequences, can be started and stopped manually. To
select the STEP-SEQUENCES MENU, press <F2>-STEP from the SEQUENCES
MENU:

STEP SEQUENCES

FIXD USER MAKE REVU

<F1> <F2> <F3> <F4>

This menu provides:

eic106.eps

• Three preprogrammed (also referred to as "fixed" or "preset") step-sequences that

are accessed by pressing <F1>-FIXD.

• Four user-programmable step-sequences that are accessed—only after being

programmed into the medSim 300B—by pressing <F2>-USER.

• User step-sequences programming that is accessed by pressing <F3>-MAKE.

• User step-sequences review that is accessed by pressing <F4>-REVU.

3-43

medSim 300B

Operators Manual

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

To select the PRESET SEQUENCES MENU, press <F1>-FIXD from the STEP­SEQUENCES MENU:

PRESET SEQUENCES

CCU HOLT PACE

<F1> <F2> <F3> <F4>

eic107.eps

To choose a preprogrammed ("preset" or "fixed") step-sequence series—CCU series,
Holter series, or Pacemaker series—press one of the three corresponding function keys as
illustrated next:

1. Press <F1>-CCU to access the CCU series menu.

ccu 00:00.0 art 00.0

start stop next rset

<F1> <F2> <F3> <F4>

eic108.eps

2. Press <F2>-HOLT to access the Holter series menu.

holt 00:00.0 80 00.0

start stop next rset

<F1> <F2> <F3> <F4>

eic109.eps

3-44

3. Press <F3>-PACE to access the Pacemaker series menu.

pace 00:00.0 dem1 00.0

start stop next rset

<F1> <F2> <F3> <F4>

eic110.eps

In the preceding three illustrations, the top line displays the name of the sequence, the
length of time the sequence has run, the description (abbreviated) of the segment
currently being output, and the length of time the segment has run. Segments that run for
zero time are displayed for one second.

Operation

Operating the medSim 300B 3

Menu selections and their descriptions follow:

Selections Descriptions

strt Starts the sequence running.

stop Stops the sequence.

next Steps to the next segment if running.

rset Reset stops the sequence, returns to the first segment, and clears the

time. Reset does not restart the sequence.

Note

A sequence can also be terminated by pressing the <up arrow> key.

The following are listings of the segments in each preprogrammed step-sequence along
with the run time. The last entry in each list indicates whether the sequence stops, or
returns to the first segment and repeats.

Selections Segments Run Times

CCU (CCU series)

BP1 artifact

BP2 pulmonary artery

BP3 central venous pressure

BP4 left ventricle BP/R
artifact 10

Respiration wave normal

1 min

Respiration rate 20

ECG BPM 80

PVCs 6/min 9 min

PVCs 12/min 10 min

PVCs 24/min 1 min

PVCs 0/min

ECG BPM 80 9 min

Pair PVCs 1 min

ECG BPM 60 19 min

Paroxysmal atrial tachycardia 10 min

Repeat

HOLT (Holter series)

ECG BPM 80 30 min

PVCs 6/min

ECG muscular artifact on 1 min

PVCs 12/min

ECG muscular artifact off 29 min

PVCs 0/min

3-45

medSim 300B

Operators Manual

Selections Segments Run Times

ECG BPM 80 90 min

PVCs 12/min 1 min

PVCs 0/min

ECG BPM 80 89 min

ECG BPM 60 60 min

ECG BPM 60 60 min

ECG BPM 60 60 min

PVCs 6/min 60 min

PVCs 0/min

Pair PVCs 1 min

Run 5 PVCs 1 min

ECG BPM 80 58 min

Repeat

PACE (Pacemaker
Series)

Demand 1 10 min

Non-capture 9 min

Non-function 1 min

Demand 2 10 min

Repeat

Function Select - Sequences -Step-sequences - Make Sequences Menu

To program a user step-sequence:

1. Press <F3>-MAKE from the STEP SEQUENCES MENU and the following

display appears:

sequence to make

SEQ1 SEQ2 SEQ3 SEQ4

<F1> <F2> <F3> <F4>

eic111.eps

3-46

Operation

Operating the medSim 300B 3

2. From this menu, press the function key that corresponds to the user sequence that

is to be programmed.

When a sequence choice is made, the display returns to the FUNCTION
SELECT MENU and an asterisk (*) at each end of the second line indicates that
the "make" sequence mode is running. The menu display looks like this:

FUNCTION SELECT

**

ECG RESP BP TEMP

<F1> <F2> <F3> <F4>

>

eic112.eps

The following example shows how a waveform segment of a user step-sequence is saved
and placed into a sequence. As an illustration, an ECG baseline BPM setting with its run
time is placed into a user step-sequence.

After a sequence (<F1>-SEQ1, <F2>-SEQ2, <F3>-SEQ3, or <F4>-SEQ4) has been
chosen from the SEQUENCE TO MAKE MENU:

1. Press <F1>-ECG from the FUNCTION SELECT MENU:

ECG

**

BASE PERF ARRH PVC

<F1> <F2> <F3> <F4>

>

eic113.eps

2. Press <F1>-BASE:

BASELINE ECG

**

BPM AMP ST AXIS

<F1> <F2> <F3> <F4>

>

eic114.eps

3. Press <F1>-BPM:

baseline bpm

**

30 60 80 120

<F1> <F2> <F3> <F4>

3-47

>

eic115.eps

medSim 300B

Operators Manual

4. At this menu level, the executable parameters for baseline BPM are selected. If,

for instance, a baseline BPM of 60 is desired, press <F2>-60, and the display
changes to:

step time (minutes)

**

000.save

<F1> <F2> <F3> <F4>

eic116.eps

5. From the STEP TIME (MINUTES) MENU, set the desired run time for that

segment. Press the related function key repeatedly to increment the value directly
above that key.

6. Time is adjustable from 10 to 99 minutes using the <F1> and <F2> keys, and

from 0.0 to 9.9 minutes using the <F2> and <F3> keys.

Note

To cancel a setting, or to remove a selection, press the <up arrow> key, an
action that returns you to the previous menu. Then reselect the executable
parameter.

7. To save a desired setting, press <F4>-SAVE. When a time setting is saved, the

segment is placed into the sequence, and you are returned to the previous menu.

8. Continue in the same manner to program any additional segments into the

selected sequence. There can be up to 20 segments in a sequence.

9. After the last segment of a sequence is saved, use the <up arrow> key to return to

the FUNCTION SELECT MENU, page 2, then press <F3>-SEQ, and the
following menu appears:

3-48

save new sequence

**

stop cycl exit

<F1> <F2> <F3> <F4>

From this menu select the sequence ending:

Selections Descriptions

stop Sequence holds at the last segment

cycl Sequence cycles back to the beginning and continues

exit Cancels the entire sequence just programmed and restores the previous

one

Note

An error beep results if an item that cannot be in a sequence (such as
viewing angle) is selected.

eic117.eps

Operation

Operating the medSim 300B 3

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

To select the SEQUENCE TO REVIEW MENU, press <F4>-REVU from the STEP
SEQUENCES MENU and the following display appears:

SEQUENCE TO REVIEW

SEQ1 SEQ2 SEQ3 SEQ4

<F1> <F2> <F3> <F4>

This menu provides for a review of user step-sequences.

Note

If a selected sequence has not yet been programmed, an error beep sounds.

Upon selecting a sequence to review (<Fl>, <F2>, <F3>, or <F4>) the display, as
represented below, provides the following information:

S# ? ##:##.# ???? ##.#

NEXT RSET

<F1> <F2> <F3> <F4>

From the top line of the display:

S# Is the sequence name: "S I", "S2", "S3", or "S4"

? Is the end mode: "s" or "c" (stop or cycle)

##:##.# Is the sequence run time

eic118.eps

eic119.eps

???? Is the segment name (abbreviated)

##.# Is the segment run time

The second line of the display shows the selections as follows:

Selections Descriptions

NEXT Steps through the segments

RSET Reset goes back to the first segment

3-49

medSim 300B

Operators Manual

Function Select - Sequences -Step-sequences - User Sequences Menu

After programming user step-sequences, from the USER SEQUENCES MENU choose
the user step-sequence to run.

To select the USER SEQUENCES MENU:

1. Press <F2>-USER from the STEP SEQUENCES MENU for the following menu

display:

USER SEQUENCES

SEQ1 SEQ2 SEQ3 SEQ4

<F1> <F2> <F3> <F4>

eic120.eps

2. Press the corresponding function key to select the desired sequence.

Note

If a selected sequence has not yet been programmed, an error beep sounds.
To program user step-sequences, follow the instructions that appear in the
Make Sequences Menu section located earlier in this chapter.

Upon pressing a function key related to a previously programmed user step-sequence, the
display, as represented below, provides the following information:

S# ##:##.# ???? ##.#

strt stop next rset

<F1> <F2> <F3> <F4>

eic121.eps

From the top line of the display:

S# Is the sequence name: "S1", "S2", "S3", or "S4"

##:##.# Is the sequence run time

3-50

???? Is the segment name (abbreviated)

##.# Is the segment run time

Menu operations for user step-sequences are the same as for preset (or fixed)
step-sequences.

The user step-sequence selections and descriptions follow:

Selections Descriptions

strt Starts the sequence running

stop Stops the sequence

next Steps to the next segment if running

rset Reset stops the sequence, returns to the first segment, and clears the

time. Reset does not restart the sequence

Operation

Operating the medSim 300B 3

Function Select - Defibrillator Tests Menu

To access the DEFIBRILLATOR MENU, press <F4>-DEFB from page 2 of the
FUNCTION SELECT MENU:

DEFIBRILLATOR TESTS

EM1 EM2 CARD

<F1> <F2> <F3> <F4>

eic122.eps

The DEFIBRILLATOR TESTS MENU contains a series of interactive waveforms in
which the patient simulator outputs a fibrillation waveform that can be "defibrillated"
either by a menu selection ("defib") or by inputting a pulse signal through the "SYNC/A­PACE" jack.

Obtain this pulse signal by discharging a defibrillator into a Fluke Biomedicals
Defibrillator Analyzer that is connected through the Real Time Output to the
medSim 300B through the "SYNC/A PACE" jack.

In the emergency simulations ("EMI" and "EM2"), the pulse signal can be inserted at any
time during ventricular fibrillation for successful defibrillation.

In the cardioversion ("CARD") mode, the pulse must be synchronized with the R-wave
and must come within 100 ms (before or after) the peak of the R-wave. If the pulse signal
is inserted within this time window, the simulator is defibrillated successfully. If the
pulse signal is inserted outside this time window, the ECG waveform changes to
ventricular fibrillation, and the simulator can then be defibrillated back to a normal
waveform.

The successful defibrillation waveform for all series is a negative pulse that takes
3 seconds to recover to a flat line, then 3 nodal beats at 30 BPM, then 6 nodal beats at
60 BPM, and ends with continuous normal beats at 80 BPM.

The waveform for an unsuccessful defibrillation, when in cardioversion, is the same
negative pulse and 3 seconds of recovery followed by ventricular fibrillation.

Function Select - Defibrillator Tests -Emergency 1 Menu

"Emergency 1" generates a series of 10 normal beats, a PVC (R on T), 6 normal beats,
another PVC (R on T), and then a continuous fine ventricular fibrillation.

To access the EMERGENCY 1 MENU:

1. Press <F1>-EM1 from the DEFIBRILLATOR TESTS MENU:

emergency 1:

start hold

<F1> <F2> <F3> <F4>

3-51

eic123.eps

medSim 300B

Operators Manual

Menu selections and their descriptions follow:

Selections Descriptions

start Starts the series

hold Disables the signal from the "SYNC/A PACE" input. When "hold" is

flashing, the signal is disabled

2. Press <F1>-START to start "Emergency I", and the display changes to:

emergency 1: running

start hold

<F1> <F2> <F3> <F4>

When the waveform changes to ventricular fibrillation, the display changes to:

emergency 1: vfib

start hold defib

<F1> <F2> <F3> <F4>

3. Press <F3>-DEBB or input a pulse signal through the rear panel "SYNC/A

PACE" jack to defibrillate the simulator and convert the ECG to normal sinus
rhythm.

Note

For the medSim 300B patient simulator to be able to receive the input
signal, make certain that "hold" is not flashing.

A successful defibrillation is indicaled as the display changes to:

eic124.eps

eic125.eps

3-52

emergency 1: converted

start hold

<F1> <F2> <F3> <F4>

The sequence can be repeated by pressing <F1>-START.

eic126.eps

Operation

Operating the medSim 300B 3

Function Select - Defibrillator Tests -Emergency 2 Menu

"Emergency 2" selects a series with 10 normal beats, 25 beats of ventricular tachycardia
(180 BPM), and then a continuous fine ventricular fibrillation.

To access the EMERGENCY 2 MENU:

1. Press <F2>-EM2 from the DEFIBRILLATOR TESTS MENU:

emergency 2:

start hold

<F1> <F2> <F3> <F4>

Menu selections (same as "EM1") and their descriptions follow:

Selections Descriptions

start Starts the series

hold Disables the signal from the "SYNC/A PACE" input. When "hold" is

flashing, the signal is disabled

2. Press <F1>-START to start "Emergency 2", and the display changes to:

emergency 2: running

start hold

<F1> <F2> <F3> <F4>

When the waveform changes to ventricular fibrillation, the display changes to:

emergency 2: vfib

eic127.eps

eic128.eps

start hold defib

<F1> <F2> <F3> <F4>

eic129.eps

3. Press <F3>-DEFIB or input a pulse signal through the rear panel "SYNC/A

PACE" jack to defibrillate the simulator and convert the ECG to normal sinus
rhythm.

Note

For the medSim 300B patient simulator to be able to receive the input
signal, make certain that "hold" is not flashing.

A successful defibrillation is indicated as the display changes to:

3-53

medSim 300B

Operators Manual

emergency 2: converted

start hold

<F1> <F2> <F3> <F4>

The sequence can be repeated by pressing <F1>-START.

Function Select - Defibrillator Tests -Cardioversion Menu

"Cardioversion" produces a coarse atrial fibrillation waveform that, to be defibrillated,
must be synchronized with the R-wave.

To choose the CARDIOVERSION MENU:

1. Press <F3>-CARD from the DEFIBRILLATOR TESTS MENU:

cardioversion:

start hold

<F1> <F2> <F3> <F4>

Menu selections and their descriptions follow:

Selections Descriptions

start Starts the series

eic130.eps

eic131.eps

hold Disables the signal from the "SYNC/A PACE" input. When "hold" is

flashing, the signal is disabled

2. Press <F1>-START to start atrial fibrillation, and the display changes to:

cardioversion: afib

start hold

<F1> <F2> <F3> <F4>

and then quickly to:

cardioversion: afib

start hold sync late

<F1> <F2> <F3> <F4>

eic132.eps

eic133.eps

3-54

Operation

Operating the medSim 300B 3

At this point, defibrillation can be accomplished either by a defibrillator signal
input or by using the CARDIOVERSION MENU.

3. When defibrillating by a defibrillator pulse signal input through the "SYNC/A

PACE" jack, the timing relationship to the ECG R-wave peak is checked.

If the pulse comes within ±100 ms, defibrillation is successful and the ECG
converts to normal sinus rhythm. The display then shows the following:

cardioversion: sync okay

<F1> <F2> <F3> <F4>

eic134.eps

and, after 3 seconds, changes to:

cardioversion: converted

start hold

<F1> <F2> <F3> <F4>

eic135.eps

This is the end of the sequence. It can be restarted by pressing <Fl>-START.

4. If the pulse signal is outside ±100 ms, defibrillation is late and the ECG changes

to ventricular fibrillation. The display shows:

cardioversion: late

hold

<F1> <F2> <F3> <F4>

eic136.eps

then changes to:

cardioversion: vfib

hold defibstart

<F1> <F2> <F3> <F4>

eic137.eps

5. Press <F3>-DEFIB or input a pulse signal through the rear panel "SYNC/A

PACE" jack to defibrillate the simulator and convert the ECG to normal sinus
rhythm.

3-55

medSim 300B

Operators Manual

Note

For the medSim 300B patient simulator to be able to receive the input
signal, make certain that "hold" is not flashing.

A successful defibrillation is indicated when the display changes to:

cardioversion: converted

holdstart

<F1> <F2> <F3> <F4>

eic138.eps

This is the end of the sequence. It can be restarted by pressing <Fl >-START.

To defibrillate from the CARDIOVERSION MENU, follow the previous illustrations to
start atrial fibrillation.

1. Then press <F3>-SYNC, which defibrillates the waveform at 20 ms after the next

R-wave peak.

As the waveform converts to normal sinus rhythm, the display shows:

cardioversion: sync okay

<F1> <F2> <F3> <F4>

eic139.eps

then, after 3 seconds, changes to:

cardioversion: converted

3-56

start hold

<F1> <F2> <F3> <F4>

eic140.eps

This is the end of the sequence. It can be restarted by pressing <Fl>-START.

2. Press <F4>-LATE to defibrillate the waveform at 200 ms after the R-wave peak

and convert the waveform to ventricular fibrillation.

The display shows:

cardioversion: late

hold

<F1> <F2> <F3> <F4>

eic141.eps

Operation

Operating the medSim 300B 3

then changes to:

cardioversion: vfib

hold defibstart

3. Press <F3>-DEFIB or input a pulse signal through the rear panel "SYNC/A

PACE" jack to defibrillate the simulator and convert the ECG to normal sinus
rhythm.

For the medSim 300B patient simulator to be able to receive the input
signal, make certain that "hold" is not flashing.

A successful defibrillation is indicated as the display changes to:

cardioversion: converted

This is the end of the sequence. It can be restarted by pressing <Fl >-START.

Function Select - Utility Menu

To choose the UTILITY MENU:

<F1> <F2> <F3> <F4>

Note

start hold

<F1> <F2> <F3> <F4>

eic142.eps

eic143.eps

1. Press <Fl>-UTIL from the FUNCTION SELECT MENU, page 3.

The five UTILITY MENU selections are displayed in two pages as shown:

UTILITY

VIEW TIME BEEP BAUD

<F1> <F2> <F3> <F4>

UTILITY

<

save

<F1> <F2> <F3> <F4>

3-57

>

eic144.eps

eic145.eps

medSim 300B

Operators Manual

2. Use the VIEW MENU to adjust the viewing angle of the display for the best

contrast. From the UTILITY MENU, select <F1>-VIEW for the following
display:

view angle

down up save

<F1> <F2> <F3> <F4>

3. Press either <F1>-DOWN or <F2>-up repeatedly to change the viewing angle

and the contrast of the display.

4. Press <F3>-SAVE to save the desired viewing angle permanently in the

EEPROM.

Note

If not saved, the viewing angle returns to the previous setting the next time
the power is turned on.

5. Use the TIME MENU to select a time interval to automatically shut off the

medSim 300B following the last key pressed.

6. From the UTILITY MENU, choose <F2>-TIME:

auto power off time

off 0.5 1.0 2.0

<F1> <F2> <F3> <F4>

>

eic146.eps

eic147.eps

3-58

auto power off time

<

4.0 8.0

<F1> <F2> <F3> <F4>

eic148.eps

7. Press a related function key to select a desired time interval (in hours) after which

the medSim 300B is to automatically shut off. Press <Fl>-OFF to disable this
mode.

The selected value is saved in the EEPROM.

Operation

Operating the medSim 300B 3

8. The BEEP MENU is for turning the key "beep" off and on. From the UTILITY

MENU, choose <F3>-BEEP:

key beep

off on

<F1> <F2> <F3> <F4>

The key beep setting is not saved.

9. The BAUD MENU selects the RS-232 baud rate. From the UTILITY MENU,

choose <F4>-BAUD:

rs232 baud rate

300 600 1200 2400

<F1> <F2> <F3> <F4>

10. Select the function key that relates to the desired baud rate. This setting is saved.

The SAVE MENU:

UTILITY

save

eic149.eps

eic150.eps

<F1> <F2> <F3> <F4>

eic151.eps

Press <F1>-SAVE to save all present settings as power-on settings.

Note

Additional information on "Power-On Conditions" can be found in the
POWER-ON CONDITIONS section at the beginning of this chapter.

3-59

medSim 300B

Operators Manual

RS-232 Serial Port Operation

Overview

All functions, except utilities and switch settings, can be controlled remotely via RS-232
serial port operation.

Note

A specialized cable, available from Fluke Biomedical, is required for RS­232 remote control. Refer to the current Fluke Biomedical Price List for
availability, part number information, and price.

Baud rate is adjustable to 300, 600, 1200, or 2400 from the UTILITY MENU as shown in
the previous section. Parity is off and there are 2 stop bits.

Remote commands can be sent in lower case or in upper case letters and all command
strings must be terminated with a carriage return [CR] and/or a line feed [LF]; that is,
[command][CR][LF]. Illegal entries cause the error message "? CR LF" to be returned,
and legal entries return "

*

CR LF". This process can take up to one second during which

time all other inputs are ignored.

The function entered is displayed on the front panel display of the medSim 300B.

To prevent functional inconsistencies, some commands can cause changes in certain
parameters: for example, entering an arrhythmia turns off PVCs per minute, and starting
Swan-Ganz sets ECG to normal sinus rhythm.

Remote Commands

By category, the following is a list of RS-232 remote commands and their descriptions.

The command is preceded by a bullet (•), which is not part of the command
string.

Normal Sinus Rhythm:

• NSBn BPM n

n = 30, 60, 80, 120, 160, 200, 240, and 300

ECG Amplitude:

• NSAn Amplitude = n

n = 0.05, 0.10, 0.15, 0.20, 0.25, 0.30,

0.35, 0.40, 0.45, 0.50, 0.75, 1.00,

1.25, 1.50, 1.75, 2.00, 2.25, 2.50,

2.75, 3.00, 3.25, 3.50, 3.75, 4.00,

Note

3-60

4.25, 4.50, 4.75, 5.00, 5.25 and 5.50

ST Deviation:

• STDn ST deviation = n

n = 0, ± (0.05, 0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.7 and 0.8.)

Axis Deviation:

• AXNRM Normal axis

Operation

RS-232 Serial Port Operation 3

• AXHRZ Horizontal axis

• AXVER Vertical axis

Neonatal:

• NEOOFF Neonatal, off

• NEOON Neonatal, on

ECG Performance Waveforms:

• ZERO Zero output

• PUL Pulse at 4 s, 1 mV

• SQU Square waveform, 2 Hz at 1 mV.

• TRI Triangle waveform, 2 Hz at 1 mV

• SINn Sine waveform

n = 0.05, 0.5, 1, 10, 25, 30, 40, 50, 60 and 100

R-wave Width:

• RWn Width = n

n = 8, 12, 20, 40, 60, 80, 100, 120, 140, 160, 180 and 200

Supraventricular Arrhythmias:

• AF1 Atrial fibrillation 1

• AF2 Atrial fibrillation 2

• AFL Atrial flutter

• SINA Sinus arrhythmia

• MB80 Missing beat at 80 BPM

• MB120 Missing beat at 120 BPM

• PAT Paroxysmal atrial tachycardia.

• NOD Nodal rhythm

• SVT Supraventricular tachycardia

Premature Arrhythmias:

• PAC Premature atrial contraction

• PNC Premature nodal contraction

• PVC Premature ventricular contraction

• MF1 Multifocal PVCs 1

• MF2 Multifocal PVCs 2

• MF3 Multifocal PVCs 3

Ventricular Arrhythmias:

• BIG Bigeminy

• TRG Trigeminy

• PAIR Pair of PVCs

3-61

medSim 300B

Operators Manual

• RUN5 Run of 5 PVCs

• RUN11 Run of 11 PVCs

• VNT Ventricular rhythm

• VTC Ventricular tachycardia

• VFB Ventricular fibrillation

• EMD Electromotive disassociation

• ASY Asystole

Conduction Arrhythmias:

• 1DB First degree A-V block

• 2DB1 Second degree A-V block, type 1

• 2DB2 Second degree A-V block, type 2

• 3DB Third degree A-V bloc

• RBB Right bundle branch block

• LBB Left bundle branch block

PVC Type (Focus):

• PVCTn Type = n

n = 1, 2, 3 and 4

Note

For descriptions of PVC types 1, 2, 3 and 4, see the Funtion Select
ECG – PVC Parameters Menu section earlier in this chapter.

PVC Timing:

• PVCR R on T

• PVCE Early

• PVCS Standard

PVCs per Minute:

• PVCn PVCs per minute = n

n = 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19,

20, 21, 22, 23, 24, and 25

Pacemaker Waveforms:

• ASN Asynchronous at 75 BPM

• DM1 Demand 1

3-62

• DM2 Demand 2

• AVS Atrial-ventricular sequential

• NCA Non-capture

• NFU Non-function

Operation

RS-232 Serial Port Operation 3

Atrial Pacemaker Amplitude:

• AHn amplitude = n

n = 0, ±(2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 50, 100, 200, 500, and

700.)

Atrial Pacemaker Width:

• AWn width = n

n = 0.1, 0.2, 0.5, 1.0, and 2.0

Ventricular Pacemaker Amplitude:

• VHn amplitude = n

n = 0 ± (2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 50, 100, 200, 500, and

700)

Ventricular Pacemaker Width:

• VWn width = n

n = 0.1, 0.2, 0.5, 1.0, and 2.0

Insert Premature Beat:

• IPVC Insert PVC

• IPAC Insert PAC

• IPNC Insert PNC

Respiration Waveform:

• RNRM Normal respiration

• RVNT Ventilator assisted respiration

Respiration Rate:

• RRn rate = n

n = 15, 20, 30, 40, 60, and 120

Respiration Ohms:

• ROn ohms = n

n = 0.0, 01, 0.2, 0.5, 1.0, and 3.0

Respiration Ratio:

• RATn ratio = n

n = 1/1, 2/1, 3/1, 4/1, and 5/1.

Respiration Apnea:

• AOFF Apnea, off

• AON Apnea, on

• Al2 Apnea, 12 seconds

• A32 Apnea, 32 seconds

3-63

medSim 300B

Operators Manual

Respiration Shift:

• SFTOFF Baseline shift, off

• R+SFT Baseline shift, positive

• R-SFT Baseline shift, negative

Blood Pressure—All Channels:

• ZALL Zero all blood pressure channels

Blood Pressure Channel 1:

• P1ART Arterial

• P1LV Left ventricle

• P1CVP Central venous pressure

• P1RV Right ventricle

• P1PA Pulmonary artery

• P1W Pulmonary artery wedge

• P1Sn Static = n

n = -10, -5, 0, 20, 40, 80, 100, 200, 250, and 300

Blood Pressure Channel 2:

• P2ART Arterial

• P2LV Left ventricle

• P2CVP Central venous pressure

• P2RV Right ventricle

• P2PA Pulmonary artery

• P2W Pulmonary artery wedge

• P2Sn Static = n

n = -10, -5, 0, 20, 40, 80, 100, 200, 250, and 300

Blood Pressure Channel 3:

• P3CVP Central venous pressure

• P3RV Right ventricle

• P3PA Pulmonary artery

• P3W Pulmonary artery wedge

• P3Sn static = n

3-64

n = -10, -5, 0, 5, 10, 20, and 30

• STSG Swan-Ganz, start

• INS Swan-Ganz, insert

• INF Swan-Ganz, inflate

• DEF Swan-Ganz, deflate

• REM Swan-Ganz, remove

Operation

RS-232 Serial Port Operation 3

Blood Pressure Channel 4:

• P4ART Arterial

• P4LV Left ventricle

• P4RV Right ventricle

• P4PA Pulmonary artery

• P4W Pulmonary artery wedge

• P4T30 Triangle, 30 mm

• P4T300 Triangle, 300 mm

• P4Sn Static = n

n = -10, -5, 0, 20, 40, 80, 100, 200, 250, and 300

Temperature:

• T34 Temperature, 34 °C

• T37 Temperature, 37 °C

• T40 Temperature, 40 °C

• THYPO Hypothermia

• THYPR Hyperthermia

• TSPK Spike

ECG Artifact:

• EAOFF ECG artifact, off

• EA50 ECG artifact, 50 Hz

• EA60 ECG artifact, 60 Hz

• EAMSC ECG artifact, muscular

• EAWNDR ECG artifact, baseline-wander

ECG Artifact Lead:

• EALALL ECG artifact, all leads

• EALRA ECG artifact, Lead RA

• EALLA ECG artifact, Lead LA

• EALLL ECG artifact, Lead LL

• EALV1 ECG artifact, Lead Vl

ECG Artifact Size:

• EAAX.25 ECG Lead II amplitude times 0.25

• EAAX.5 5 ECG Lead II amplitude times 0.5

• EAAX1.0 ECG Lead II amplitude times 1.0

Blood Pressure/Respiration Artifact:

• PAOFF BP/R artifact, off

• PA5 BP/R artifact, amplitude 5% or 5 mmHg

3-65

medSim 300B

Operators Manual

• PA10 BP/R artifact, amplitude 10% or 10 mmHg

Autosequences:

• FAIL

• VNT1

• COND

• RESP

• VNT2

• TEST

• SETUP

• STRTUP

Note

For descriptions of the above autosequence remote commands see the
Function Select – Sequences – Autosequences Menu section earlier in this
chapter.

Step-sequences:

• CCU

• HOLT

• PACE

• USEQ1

• USEQ2

• USEQ3

• USEQ4

Note

For descriptions of the above step-sequences remote commands see the
Function Select - Sequences - Step-sequences Menu section earlier in this
chapter.

Defibrillator:

• STDEF1 Start emergency 1 series

• STDEF2 Start emergency 2 series

• STCARD Start elective cardioversion

• DEFIB Simulate a defibrillation

3-66

• LATE Simulate a late defibrillation

• SYNC Simulate a synchronized defibrillation

• DFON Enable defibrillator input

• DFOFF Disable defibrillator input

Miscellaneous:

• IDENT Instrument returns identification

Operation

Menu Structure 3

• KOFF Disable keyboard

• KON Enable keyboard

Menu Structure

All medSim 300B menu choices are made from the MAINMENU "Function Select".

A condensed listing of the menus follows. This listing does not include the executable
parameter value menu levels, as described earlier in this chapter.

Note

An asterisk (*) preceding an item denotes a menu feature option.

ECG

BASELINE ECG: Baseline BPM

ECG amplitude, Lead II

ST deviation

Axis deviation

Neonatal

ECG
PERFORMANCE: Performance waveforms

R-wave detection

ARRHYTHMIAS: Supraventricular

Premature

Ventricular 1

Ventricular 2

Conduction

PVC PARAMETERS: Type (focus)

Time

PVCs per minute

Total

PACEMAKER: Pacemaker waveforms

Atrial pacer

Ventricle pacer

INSERT
PREMATURE BEAT

*

FETAL ECG:

*

BPM

*

Intrauterine Pressure

3-67

medSim 300B

Operators Manual

Respiration

Blood Pressure Channel Select

WAVE

RATE

OHMS

RATIO

APNEA

BASELINE SHIFT

BLOOD PRESSURE 1: BP 1 waveforms

BP 1 static

BLOOD PRESSURE 2: BP 2 waveforms

BP 2 static

BLOOD PRESSURE 3: BP 3 waveforms

BP 3 static

Bp 3 Swan-Ganz

BLOOD PRESSURE 4: BP 4 waveforms

BP 4 static

ZERO

*

CATHETERIZATION: *Aortic valve

Temperature

*Cardiac Output

*

CARDIAC OUTPUT
BASELINE
TEMPERATURE

*

CARDIAC OUTPUT
WAVEFORM

*

CARDIAC OUTPUT
TRENDS:

*

Intra-aortic Balloon Pump

*

Normal sinus rhythm BPM

*

Intra-aortic balloon pump arrhythmias

*

Intra-aortic balloon pump paced

*

Mitral valve

*

Pulmonary valve

*

Normal

*

Interrupted

*

Slow

3-68

Operation

*

ADJUST BASELINE

Menu Structure 3

TEMPERATURE

Artifact

ECG ARTIFACT: ECG Artifact Wave

ECG Artifact Lead

ECG Artifact Size

BLOOD
PRESSURE/RESPIRA
TION ARTIFACT
SIZE:

Sequences

AUTOSEQUENCES

STEP-SEQUENCES Fixed (Preset) Sequences

User Sequences

Sequence to Make

Sequence to Review

Defibrillator Tests

EMERGENCY 1

EMERGENCY 2

CARDIOVERSION

Utility

VIEW ANGLE

AUTOMATIC OFF TIME

KEY BEEP

RS-232 BAUD RATE

SAVE

3-69

medSim 300B

Operators Manual

3

5

2

4

1

Figure 3-1. Unterminated Blood Pressure Output Cable Assembly

eic152.eps

Table 3-1. Wiring Table

Function Color PIN

-OUTPUT RED 1

+OUTPUT BLACK 4

SHIELD BLUE 2

-EXCITER GREEN 5

+EXCITER WHITE 3

3-70

Chapter 4

Option 1

Title Page

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

4-1

medSim 300B

Operators Manual

4-2