Fluke ProSim 6 User Manual
ProSim™ 6/8
Vital Signs Simulator
Users Manual
January 2011, Rev. 2, 9/11
© 2011 Fluke Corporation. All rights reserved. Specifications are subject to change without notice.
All product names are trademarks of their respective companies.
Warranty and Product Support
Fluke Biomedical warrants this instrument against defects in materials and workmanship
for one year from the date of original purchase OR two years if at the end of your first
year you send the instrument to a Fluke Biomedical service center for calibration. You
will be charged our customary fee for such calibration. During the warranty period, we
will repair or at our option replace, at no charge, a product that proves to be defective,
provided you return the product, shipping prepaid, to Fluke Biomedical. This warranty
covers the original purchaser only and is not transferable. The warranty does not apply if
the product has been damaged by accident or misuse or has been serviced or modified by
anyone other than an authorized Fluke Biomedical service facility. NO OTHER
WARRANTIES, SUCH AS FITNESS FOR A PARTICULAR PURPOSE, ARE
EXPRESSED OR IMPLIED. 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.
This warranty covers only serialized products and their accessory items that bear a
distinct serial number tag. Recalibration of instruments is not covered under the warranty.
This warranty gives you specific legal rights and you may also have other rights that vary
in different jurisdictions. Since some jurisdictions do not allow the exclusion or limitation
of an implied warranty or of incidental or consequential damages, this limitation of
liability may not apply to you. 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.
7/07
Notices
All Rights Reserved
Copyright 2010, 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.
Copyright Release
Fluke Biomedical agrees to a limited copyright release that allows you to reproduce manuals and other printed materials
for use in service training programs and other technical publications. If you would like other reproductions or distributions,
submit a written request to Fluke Biomedical.
Unpacking and Inspection
Follow standard receiving practices upon receipt of the instrument. Check the shipping carton 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 be careful not to damage the instrument when unpacking it.
Inspect the instrument for physical damage such as bent or broken parts, dents, or scratches.
Technical Support
For application support or answers to technical questions, either email techservices@flukebiomedical.com or call 1-800648-7952 or 1-425-446-6945.
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.
Standard Terms and Conditions
Refunds and Credits
Please note that only serialized products and their accessory items (i.e., products and items bearing a distinct
serial number tag) are eligible for partial refund and/or credit. Nonserialized parts and accessory items (e.g.,
cables, carrying cases, auxiliary modules, etc.) are not eligible for return or refund. Only products returned within 90
days from the date of original purchase are eligible for refund/credit. In order to receive a partial refund/credit of a product
purchase price on a serialized product, the product must not have been damaged by the customer or by the carrier
chosen by the customer to return the goods, and the product must be returned complete (meaning with all manuals,
cables, accessories, etc.) and in “as new” and resalable condition. Products not returned within 90 days of purchase, or
products which are not in “as new” and resalable condition, are not eligible for credit return and will be returned to the
customer. The Return Procedure (see below) must be followed to assure prompt refund/credit.
Restocking Charges
Products returned within 30 days of original purchase are subject to a minimum restocking fee of 15 %. Products
returned in excess of 30 days after purchase, but prior to 90 days, are subject to a minimum restocking fee of 20
%. Additional charges for damage and/or missing parts and accessories will be applied to all returns.
Return Procedure
All items being returned (including all warranty-claim shipments) must be sent freight-prepaid to our factory location. When
you return an instrument to Fluke Biomedical, we recommend using United Parcel Service, Federal Express, or Air Parcel
Post. We also recommend that you insure your shipment for its actual replacement cost. Fluke Biomedical will not be
responsible for lost shipments or instruments that are received in damaged condition due to improper packaging or
handling.
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 nonabrasive material around all
projecting parts.
Use at least four inches of tightly packed, industry-approved, shock-absorbent material around the
Returns for partial refund/credit:
Every product returned for refund/credit must be accompanied by a Return Material Authorization (RMA) number,
obtained from our Order Entry Group at 1-800-648-7952 or 1-425-446-6945.
Repair and calibration:
To find the nearest service center, go to www.flukebiomedical.com/service
In the U.S.A.:
Cleveland Calibration Lab
Tel: 1-800-850-4606
Email: globalcal@flukebiomedical.com
instrument.
or
Everett Calibration Lab
Tel: 1-888-99 FLUKE (1-888-993-5853)
Email: service.status@fluke.com
In Europe, Middle East, and Africa:
Eindhoven Calibration Lab
Tel: +31-402-675300
Email: ServiceDesk@fluke.com
In Asia:
Everett Calibration Lab
Tel: +425-446-6945
Email: service.international@fluke.com
To ensure the accuracy of the Product is maintained at a high level, Fluke Biomedical recommends the product
be calibrated at least once every 12 months. Calibration must be done by qualified personnel. Contact your local
Fluke Biomedical representative for calibration.
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 inhouse performance standards using accepted test procedures.
WARNING
Unauthorized user modifications or application beyond the published specifications may result in electrical shock hazards
or improper operation. Fluke Biomedical will not be responsible for any injuries sustained due to unauthorized equipment
modifications.
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 by its affiliated dealers.
Manufacturing Location
The ProSim™ 6/8 Vital Signs Simulator is manufactured at Fluke Biomedical, 6920 Seaway Blvd., Everett, WA, U.S.A.
Table of Contents
Title Page
Introduction........................................................................................................ 1
Intended Use ...................................................................................................... 1
Safety Information ............................................................................................. 2
Symbols ............................................................................................................. 2
Unpack the Product............................................................................................ 3
Accessories ........................................................................................................ 3
Instrument Familiarization................................................................................. 5
How to Turn the Product On.............................................................................. 7
How to Connect a PC to the Product ................................................................. 7
Pre-Defined Simulations.................................................................................... 8
ECG Function .................................................................................................... 11
How to Set the ECG Parameters.................................................................... 11
How to View the ECG Waveform................................................................. 13
How to Simulate an ECG Artifact................................................................. 14
How to Simulate Arrhythmias....................................................................... 14
Supraventricular Arrhythmias................................................................... 16
Premature Arrhythmias ............................................................................. 17
Ventricular Arrhythmias ........................................................................... 17
Conduction Arrhythmias........................................................................... 18
Pacemaker Waveforms.................................................................................. 19
Advance Cardiac Life Support (ACLS) Waveforms (ProSim 8 only) .......... 20
ECG Performance Tests ................................................................................ 21
How to Set a Performance Wave .............................................................. 21
How to Set R Wave Detection Values (ProSim 8 only)............................ 22
How to Set QRS Detection Test Values (ProSim 8 only)......................... 23
How to Set Tall T Wave Rejection Test Values (ProSim 8 only)............. 24
Fetal Simulation (ProSim 8 only) ...................................................................... 25
How to Set Fetal Heart Values ...................................................................... 25
How to Simulate Intrauterine Pressure (IUP)................................................ 26
How to Set the Fetal Heart Rate Response ............................................... 28
How to Set the Intrauterine Contraction Simulation................................. 28
Invasive Blood Pressure Simulation and Tests.................................................. 29
How to Set the Invasive Blood Pressure Variables ....................................... 29
How to Simulate Invasive Blood Pressure Tests........................................... 31
How to Simulate a Swan-Ganz Procedure ................................................ 31
How to Simulate a Cardiac Catheterization Procedure (ProSim 8 only) .. 32
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Users Manual
How to Simulate Temperature........................................................................... 35
How to Simulate Respiration............................................................................. 36
How to Simulate Cardiac Output....................................................................... 38
How to Set the Cardiac Output Waveform.................................................... 41
How to Set the Baseline Temperature ........................................................... 41
How to Set Injectate Temperature ................................................................. 41
How to Start a Cardiac Output Simulation.................................................... 41
Non-Invasive Blood Pressure Simulation and Tests.......................................... 41
How to Set the Non-Invasive Blood Pressure Variables ............................... 42
How to Do an NIBP Monitor Test................................................................. 45
How to Do a Pressure Leak Test ................................................................... 46
How to Do a Pressure Relief Test ................................................................. 48
How to Do a Pressure Source Test ................................................................ 49
How to Check a Manometer.......................................................................... 51
Oximeter SpO2 Optical Emitter and Detector ................................................... 52
How to Set the SpO2 Parameters .................................................................. 55
How to Test a Masimo Rainbow SpO2......................................................... 57
How to Perform an Oximeter Limits Test..................................................... 57
Oxygen Limits Test................................................................................... 57
Pulse Rate Test.......................................................................................... 58
Pulse Amplitude Test ................................................................................ 58
Autosequences ................................................................................................... 58
Table 14. Autosequences (cont.) ................................................................... 61
How to View the Steps of an Autosequence ................................................. 61
How to Do an Autosequence......................................................................... 62
How to Save and View Test Results (ProSim 8 only) ....................................... 62
How to Make an Operator ID........................................................................ 63
How to Make a Test ID ................................................................................. 64
How to Save Test Results.............................................................................. 65
How to View Test Results............................................................................. 66
How to Print Test Results.............................................................................. 68
How to Delete Saved Data ............................................................................ 68
Setup Features.................................................................................................... 69
How to Set the Time and Date....................................................................... 69
How to Set the Backlight Intensity................................................................ 70
How to Set the Beeper................................................................................... 70
How to Set the Pressure Units and IBP Sensitivity ....................................... 70
How to Set Battery Settings .......................................................................... 71
How to Set the Display Language ................................................................. 71
How to Control the Product Remotely............................................................... 72
Maintenance....................................................................................................... 72
How to Clean the Product.............................................................................. 73
Battery Maintenance...................................................................................... 73
How to Charge the Battery........................................................................ 73
Battery Removal........................................................................................ 74
General Specifications ....................................................................................... 75
Detailed Specifications ...................................................................................... 76
Normal-Sinus-Rhythm Waveform ................................................................ 76
Pacemaker Waveform ................................................................................... 76
Arrhythmia .................................................................................................... 76
ECG-Performance-Testing ............................................................................ 77
ECG Artifact.................................................................................................. 78
Fetal / Maternal-ECG (ProSim 8 only).......................................................... 78
Invasive Blood Pressure ................................................................................ 78
Respiration..................................................................................................... 79
ii
Contents (continued)
Temperature................................................................................................... 79
Cardiac Output............................................................................................... 79
Non-Invasive Blood Pressure ........................................................................ 79
Oximeter SpO2 Optical Emitter and Detector (optional) .............................. 80
Pre-Defined Simulations ............................................................................... 81
Autosequences (default) ................................................................................ 81
Glossary ............................................................................................... A1
Introduction........................................................................................................ A1
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ProSim™ 6/8
Users Manual
iv
List of Tables
Table Title Page
1. Simulation Types ................................................................................................... 1
2. Symbols.................................................................................................................. 2
3. Standard Accessories ............................................................................................. 3
4. Optional Accessories.............................................................................................. 4
5. Top-Panel Controls and Connections..................................................................... 5
6. Back, Front, and Side-Panel Connections.............................................................. 6
7. Pre-Defined Patient Simulations ............................................................................ 9
8. ECG Wave Groups................................................................................................. 12
9. ECG Lead Amplitudes ........................................................................................... 13
10. Arrhythmias by Wave Group ................................................................................. 14
11. Pacemaker Waveforms........................................................................................... 19
12. Performance Wave Rates ....................................................................................... 22
13. Cardiac Output Waveforms.................................................................................... 41
14. Autosequences........................................................................................................ 58
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ProSim™ 6/8
Users Manual
vi
List of Figures
Figure Title Page
1. Top-Panel Controls and Connections..................................................................... 5
2. Back, Front, and Side-Panel Connections.............................................................. 6
3. Power-Up Screen ................................................................................................... 7
4. Home Screen .......................................................................................................... 7
5. Laptop to PC Connection ....................................................................................... 8
6. ECG Connections................................................................................................... 11
7. ECG Screen............................................................................................................ 11
8. ECG Graph Screen................................................................................................. 13
9. ECG NSR Adult Screen ......................................................................................... 14
10. Performance Wave Screen ..................................................................................... 21
11. R-Wave Detection Screen ...................................................................................... 22
12. QRS Detection Screen............................................................................................ 23
13. Tall T Wave Rejection Screen ............................................................................... 25
14. Fetal ECG Screen................................................................................................... 26
15. Fetal Monitor Connections for Intrauterine Pressure Simulation........................... 27
16. Intrauterine Pressure Contractions Screen ............................................................. 28
17. Fetal ECG Intrauterine Pressure Screen................................................................. 29
18. Invasive Blood Pressure Screen ............................................................................. 29
19. IBP with Chambers Screen .................................................................................... 30
20. Invasive Blood Pressure Connections .................................................................... 31
21. Initial Swan-Ganz Procedure Simulation Screen ................................................... 32
22. Insert Step in Swan-Ganz Procedure Simulation ................................................... 32
23. Aortic Valve Catheterization Simulation Screen ................................................... 33
24. Pulmonary Valve Catheterization Simulation Screen ............................................ 34
25. Mitral Valve Catheterization Simulation Screen.................................................... 35
26. Temperature Simulation Connection ..................................................................... 35
27. Respiration Screen ................................................................................................. 36
28. Cardiac Output Injectate Cable Modification ........................................................ 39
29. Cardiac Output Connections .................................................................................. 40
30. Cardiac Output Screen ........................................................................................... 40
31. Non-Invasive Blood Pressure Test Connections .................................................... 42
32. Adjustments for Adult Blood Pressure Cuff Mandrel............................................ 42
33. Neonatal Blood Pressure Cuff Mandrel ................................................................. 43
34. Non-Invasive Blood Pressure Screen..................................................................... 43
35. Blood Pressure Measurement Graph...................................................................... 45
36. NIBP Summary Screen .......................................................................................... 46
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ProSim™ 6/8
Users Manual
37. Pressure Leak Test Connections ............................................................................ 46
38. Leak Test Screen .................................................................................................... 47
39. Leak Test Pumping Screen..................................................................................... 47
40. Example Leak Test Result Screen.......................................................................... 48
41. Pressure Relief Valve Test Results Screen............................................................. 49
42. Pressure Source Connection................................................................................... 50
43. Pressure Source Pumping Screen........................................................................... 50
44. Manometer Connections ........................................................................................ 51
45. Manometer Screen ................................................................................................. 51
46. Oximeter SpO2 Optical Emitter and Detector Screen............................................ 52
47. Oximeter SpO2 Optical Emitter and Detector Connections .................................. 53
48. SpO2 Sensor Placement ......................................................................................... 54
49. Magnetic Holder for SpO2 Artificial Finger.......................................................... 55
50. Autosequence Start Screen..................................................................................... 61
51. Autosequence Step Screen ..................................................................................... 62
52. Memory Organization of Test Results ................................................................... 63
53. Operator ID Screen ................................................................................................ 63
54. Change Operator ID Screen ................................................................................... 64
55. Save Screen ............................................................................................................ 65
56. Observed Results Screen........................................................................................ 66
57. Saving Screen......................................................................................................... 66
58. Test ID Screen........................................................................................................ 67
59. Test Results Screen ................................................................................................ 67
60. Test Results Data Screen........................................................................................ 67
61. Setup Screen........................................................................................................... 69
62. External Battery Charging Connections................................................................. 74
63. Battery Removal..................................................................................................... 75
viii
Introduction
The Fluke Biomedical ProSim™ 6 and ProSim™ 8 Vital Signs Simulators (hereafter the
Product) are full-featured, compact, portable simulators, used to measure the performance
of patient monitors. The Fluke Biomedical ProSim™ 8 is shown in all illustrations.
The Product simulates:
• ECG Functions
• Respiration
• Invasive and Non-Invasive Blood Pressure
• Temperature
• Cardiac Output
When the term simulation is used in connection with ECG, respiration, temperature, IBP,
NIBP, cardiac output, or SpO2, the simulation type shown in Table 1 is used in this
Product. Additionally, the Devices provide an optical signal to verify that the electronics
within the pulse oximeter probe are functional.
Table 1. Simulation Types
Parameter Simulation Type
ECG Electrical
Respiration Electrical
Temperature Electrical
IBP Electrical
NIBP Pneumatic
Cardiac Output Electrical
SpO2 Light Emission
Intended Use
The Product is intended to be used to test and verify the basic operation of patient
monitoring devices or systems used to monitor various physiological parameters of a
patient, including ECG, Respiration, Invasive blood pressure, Non-invasive blood
pressure, Temperature, and Cardiac output. Additionally, the Devices provide an optical
signal to verify that the electronics within the pulse oximeter probe are functional.
The intended user is a trained biomedical equipment technician who performs periodic
preventative maintenance checks on patient monitors in service. Users can be associated
with hospitals, clinics, original equipment manufacturers and independent service
companies that repair and service medical equipment. The end user is an individual,
trained in medical instrumentation technology.
This Product is intended to be used in the laboratory environment, outside of the patient
1
ProSim 6/8
Users Manual
Safety Information
care area, and is not intended for use on patients, or to test devices while connected to
patients. This Product is not intended to be used to calibrate medical equipment. It is
inteneded for over the counter use.
In this manual, a Warning identifies hazardous conditions and actions that could cause
bodily harm or death. A Caution identifies conditions and actions that could damage the
Product, the equipment under test, or cause permanent loss of data.
WX Warnings
To prevent personal injury, use the Product only as specified,
or the protection supplied by the Product can be compromised.
To prevent possible electrical shock, fire, or personal injury:
• Do not use and disable the Product if it is damaged.
• The battery door must be closed and locked before you
operate the Product.
• Remove all probes, test leads, and accessories that are not
necessary for the measurement.
• Do not use the Product around explosive gas, vapor, or in
damp or wet environments.
• Do not use the Product if it operates incorrectly.
• Do not connect the Product to a patient or equipment
connected to a patient. The Product is intended for
equipment evaluation only and should never be used in
diagnostics, treatment, or any other capacity where the
Product would come in contact with a patient.
• Read all safety Information before you use the Product.
• Examine the case before you use the Product. Look for
cracks or missing plastic. Carefully look at the insulation
around the terminals.
• Carefully read all instructions.
2
Symbols
Table 2 describes symbols used in association with the Product.
Table 2. Symbols
Symbol Description Symbol Description
W
/
Risk of danger. Important information.
See manual.
This Product contains a Lithium-ion
battery. Do not mix with solid waste
stream. Spent batteries should be
disposed of by a qualified recycler or
hazardous materials handler per local
regulations. Contact your authorized
Fluke Service Center for recycling
information.
X
~
Magnetic Field. P Conforms to European Union directives.
Hazardous voltage. Risk of electric
shock.
Do not dispose of this Product as
unsorted municipal waste. Go to Fluke’s
website for recycling information.
Vital Signs Simulator
Unpack the Product
Unpack the Product
Carefully unpack all items from the box and check that you have these items:
• ProSim™ 8 or ProSim™ 6
• Getting Started Manual
• Users Manual CD
• Carrying Case
• Power Cord
• AC/DC Power Supply
After you unpack and inspect the Product, fully charge the battery before the first use.
Afterwards, charge the battery when the Product shows the low battery message. See the
How to Maintain the Battery section in this manual.
Accessories
Available Product accessories are shown in Tables 3 and 4.
Item Fluke Biomedical Part Number
ProSim™ 6/8 Getting Started Manual
ProSim™ 6/8 Users Manual CD
AC/DC Power Supply
• USB Cable
• IBP Cable (unterminated)
• NIBP Cuff Mandrel set (adult and
neonate)
• NIBP Cuff Adapters
• Ansur Demostration Disk
Table 3. Standard Accessories
US
Schuko
3984515
3984526
2184298
2201455
2201437
AC Power Cord
USB Cable
IBP Cable, unterminated
Carrying Case
Set of NIBP Cuff Mandrels
Neonatal Cuff Mandrel
Set of NIBP Cuff Adapters
Ansur Demonstration CD-ROM
UK
Japan
Australia
Brazil
End blocks (2 required) 2392370
Space blocks (3 required) 2392381
2201428
2201419
2201443
3930831
4034393
2392173
4034597
2392328
2391882
2795488
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ProSim 6/8
Users Manual
Table 4. Optional Accessories
Item Fluke Biomedical Part Number
SpO2 Finger Module with cable
SpO2 Masimo RAINBOW cable
Battery pack
NIBP Test 500 mL rigid chamber
Simulation Cables:
IBP
Temperature
Cardiac Output Interface Box
Upgrade kit to ProSim™ 8
USB Wireless Dongle
Mini-DIN to DIN IBP Adapter
3985658
4034609
4021085
4034611
See your Fluke Biomedical Distributor
2392199
3987196
3341333
3408564
4
Vital Signs Simulator
Instrument Familiarization
Instrument Familiarization
Table 5 is a list of Product top-panel controls and connections shown in Figure 1.
To p
1
2
3
18
17
16
4
5
15
F1 F2 F3 F4 F5
14
12
13 10
11
9
8
6
7
glh034.eps
Figure 1. Top-Panel Controls and Connections
Table 5. Top-Panel Controls and Connections
Item Name Description
1 ECG Posts Connection posts for Device Under Test (DUT) ECG leads.
2 ECG Function Accesses the ECG waveforms (adult, pediatric, and
arrhythmias), and ECG test functions (performance waves,
QRS detection, Tall T wave rejection, and R wave detection).
3 NIBP Button Accesses the Non-Invasive Blood Pressure (NIBP) functions.
4 Special Functions Accesses the temperature, respiration, cardiac output, fetal
simulation, autosequences, and view memory functions.
5 SETUP Button Accesses the setup controls.
6 IBP Button Accesses the Invasive Blood Pressure (IBP) functions.
7 Navigation Buttons Cursor control buttons for navigating menus and lists.
8 Enter Button Sets the highlighted function.
9 Backlight Button Turns the display backlight on and off.
10 Power Button Turns the Product on and off.
11 SpO2 Button Accesses the SpO2 functions.
12
Function Softkeys
Keys F1 through F5 are used to select from a number of
selections that appear in the LCD display above each function
softkey.
13 LCD Display Color display.
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ProSim 6/8
Users Manual
Table 5. Top-Panel Controls and Connections (cont.)
Item Name Description
14 SpO2 Connector Connector to the SpO2 accessory.
15 IBP Channel 2 Connector Connector to an IBP input of the patient monitor.
16 Cardiac Output Connector Connector to the Cardiac input of the patient monitor.
17 IBP Channel 1 Connector Connector to the IBP input of the patient monitor.
18 Temperature Connector Connector to the Temperature input of the patient monitor.
Back
1
2
3
Front
7 8
4
5 6
Right
glh035.eps
Figure 2. Back, Front, and Side-Panel Connections
Table 6. Back, Front, and Side-Panel Connections
Item Name Description
1 AC/DC Supply Connector Input jack for the DC output of the AC/DC supply connector.
2 Battery Charge LED Battery charges when LED shows red. Green shows battery
charge is complete.
3 Battery Latch Locks the battery pack into the Product. Push down to remove
the battery pack.
6
4 Mini B USB Device Port Used to connect to a PC for remote control or download test
results data to a PC.
5 USB A Controller Port For external keyboard, barcode reader, or printer.
6 ECG BNC Connector High-level output of ECG signal.
7 Air Port Connector Pressure port for NIBP cuff and monitor.
8 Magnetic Holder for SpO2 Finger
Module
Holds the SpO2 Optical Emitter and Detector finger module in
two orientations.
Vital Signs Simulator
How to Turn the Product On
How to Turn the Product On
Push on the front panel to turn the Product on. The screen shown in Figure 3 shows
the power-up screen.
Figure 3. Power-Up Screen
glh002.bmp
When the self test is complete and no errors are sensed, the home screen in Figure 4
shows in the display.
Figure 4. Home Screen
glh001.bmp
From the home screen, a number of pre-defined patient simulations can be used to set all
the simulation functions at one time. See Pre-Defined Simulations to learn more on how
to use simulations. Waveform and ECG rate parameters are set through the ECG
function. See the ECG Function section to learn more on how to set these variables. The
respiration rate (Resp Rate), temperature parameter, cardiac output, and fetal simulation
are set through the special functions menu. The two Invasive Blood Pressure (IBP)
channels are set through the IBP function. The Non-Invasive Blood Pressure variables are
set through the NIBP function. See the Blood Pressure Simulations and Tests section to
learn more on how to set IBP and NIBP variables. The SpO2 variable is set through the
SpO2 function. See the Oximeter SpO2 Optical Emitter and Detector section to learn
more on how to set this variable.
How to Connect a PC to the Product
You can use a PC to store presets, auto sequences, and test results from the Product. You
must use the ProSim Mini Plug-In on the PC to communicate with the Product.
Note
You must have Ansur Test Executive version 2.9.6 on your PC to
communicate with the Product.
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ProSim 6/8
Users Manual
To connect the Product to a PC:
Connect a USB port on your PC or laptop to the Mini B USB device port of the
Simulator.
Or
For the ProSim 8 only, plug in an XStick USB dongle to your PC USB port. See
Figure 5.
8
Figure 5. Laptop to PC Connection
Pre-Defined Simulations
The pre-defined simulations are set through the softkeys along the bottom of the home
screen. See Figure 4. There are seven factory pre-defined simulations: normal,
hypertensive, hypotensive, tachycardic, bradycardic, heart attack, and asystole. A More
softkey shows in the display for more simulations. Table 7 lists the parameter values for
each pre-defined simulation.
gjp070.eps
Vital Signs Simulator
Pre-Defined Simulations
Table 7. Pre-Defined Patient Simulations
Simulation Name Parameter Pre-Set Value
Wave Form NSR (Adult)
ECG Rate 60 bpm
Respiration Rate 20 brpm
Normal
Hypertensive
Temperature 37.0 °C
IBP Channel 1 120/80 mmHg (Art)
IBP Channel 2 28/15 mmHg (PA)
NIBP 120/80 (93) mmHg
SpO2 97 %
Wave Form NSR (Adult)
ECG Rate 130 bpm
Respiration Rate 40 brpm
Temperature 37.0 °C
IBP Channel 1 200/150 mmHg (Art)
IBP Channel 2 45/25 mmHg (PA)
NIBP 200/150 (166) mmHg
SpO2 94 %
Wave Form NSR (Adult)
ECG Rate 40 bpm
Respiration Rate 15 brpm
Hypotensive
Tachycardia
Temperature 37.0 °C
IBP Channel 1 60/30 mmHg (Art)
IBP Channel 2 15/10 mmHg (PA)
NIBP 60/30 (40) mmHg
SpO2 95 %
Wave Form NSR (Adult)
ECG Rate 180 bpm
Respiration Rate 50 brpm
Temperature 40.0 °C
IBP Channel 1 80/50 mmHg (Art)
IBP Channel 2 25/10 mmHg (PA)
NIBP 80/50 (60) mmHg
SpO2 88 %
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ProSim 6/8
Users Manual
Table 7. Pre-Defined Patient Simulations (cont.)
Simulation Name Parameter Pre-Set Value
Wave Form NSR (Adult)
ECG Rate 30 bpm
Respiration Rate 15 brpm
Bradycardic
Ventricular Fibrillition
Temperature 35.0 °C
IBP Channel 1 100/65 mmHg (Art)
IBP Channel 2 25/10 mmHg (PA)
NIBP 100/65 (77) mmHg
SpO2 85%
Wave Form Atrial Fibrillation (Coarse)
ECG Rate No bpm
Respiration Rate 70 brpm
Temperature 34.0 °C
IBP Channel 1 35/15 mmHg (Art)
IBP Channel 2 35/0 mmHg (LV)
NIBP 35/15 (22) mmHg
SpO2 80 %
Wave Form Asystole
ECG Rate 0 bpm
Respiration Rate 0 brpm
10
Asystole
Temperature 33.0 °C
IBP Channel 1 0 mmHg
IBP Channel 2 0 mmHg
NIBP 0/0 mmHg
SpO2 50 %
After you set one of the pre-defined simulations, you can change the parameters of one or
all of the vital signs. Changes are not kept in the Product. The pre-defined simulation
parameters can not be changed through the front panel.
There are seven custom pre-defined simulations in the Product. To set a custom
simulation:
1. From the Home screen, push the More softkey.
2. Push the Custom softkey.
Four custom simulation names show above the first four softkeys. The names are
Custom1, Custom2, Custom3, and Custom4. To show the next three names,
push the More softkey.
3. Push the softkey for a custom pre-defined simulation.
Vital Signs Simulator
ECG Function
All the vital sign simulation parameters are set to the values contained in the pre-defined
simulation.
You can customize the seven factory simulations and seven custom simulations through
the Ansur functionality.
ECG Function
The Product simulates normal heart signals (ECG) as well as heart signals for a variety of
arrhythmias. Heart rate (beats per minute), signal amplitude, and ST segment elevation
are all controlled by the Product through the user interface. Artifacts can also be
simulated.
To measure the ECG performance of a monitor, connect the Product to the monitor as
shown in Figure 6. A maximum of ten ECG leads can be connected to Product.
Patient
Monitor
ECG
Cable
Figure 6. ECG Connections
How to Set the ECG Parameters
Whenever the Product is turned on, the display shows the defaults for heart rate
(60 BPM) with a patient type of Adult. Although not shown on the initial display, the
signal amplitude is 1 mV. To set any of the ECG parameters, push . The ECG
screen shown in Figure 7 shows in the display.
ProSim 8
Figure 7. ECG Screen
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11
ProSim 6/8
Users Manual
To change the ECG waveform:
1. Push or to move the highlight to the Wave Group value.
2. Push .
3. Push or to move the highlight to a waveform group name. Table 8 is a list of
the wave groups available in the Product.
Table 8. ECG Wave Groups
Wave group
NSR (Adult) Adult Normal Sinus Rhythm
NSR (Pediatric) Child Normal Sinus Rhythm
Performance
R-Wave Detection (ProSim 8 only)
QRS Detection (ProSim 8 only)
Tall T Wave Rejection (ProSim 8 only)
Supraventricular
Premature
Ventricular
Conduction
TV Paced
ACLS (ProSim 8 only)
4. When the waveform group value is highlighted, push .
To change the heart rate:
1. Push or to move the highlight in the display to the Heart Rate value.
2. Push .
3. Push or to adjust the heart rate. Each push of a key moves the heart rate one
beat in the direction of the key pushed. The ProSim 8 simulates a heart rate of 10 to
360 beats/minute (BPM) set in 1 BPM intervals. The ProSim 6 simulates a heart rate
of 30 to 360 beats/minute (BPM) set in 10 BPM intervals.
Special waveforms for monitor tests. See the ECG
Tests section.
Arrhythmia waveforms. See the How to Simulate
Arrhythmias section.
12
4. Push to set the heart rate and go back to the ECG screen.
To change the axis:
1. Push or to move the highlight to the Axis value.
2. Push .
3. Push or to highlight Intermediate, Horizontal, or Vertical.
4. Push .
To set the ST Deviation:
1. Push or to move the highlight to the ST Deviation value.
2. Push .
Vital Signs Simulator
ECG Function
3. Push or to adjust the deviation. Each push of a key moves the deviation 0.05 or
0.1 mV in the direction of the key pushed. The deviation range is ±0.80 mV
Note
When the ST Deviation value is set to 0.00 mV, the value in ECG screen
will show as Off.
4. Push to set the deviation and go back to the ECG screen.
To set the ECG signal amplitude:
1. Push or to move the highlight in the display to the Amplitude value.
2. Push .
3. Push or to adjust the amplitude. Each push of a key increases or decreases the
amplitude 0.05 mV between 0.05 and 0.50 mV and 0.25 mV above 0.50 mV to
5.00 mV in the direction of the key pushed.
4. Push to set the signal amplitude and go back to the ECG screen.
Table 9 shows the percentage of the signal amplitude value that is put on each ECG lead.
Table 9. ECG Lead Amplitudes
Waveform I II III V1 V2 V3 V4 V5 V6
Performance
Normal Sinus 70 % 100 % 30 % 24 % 48 % 100 % 120 % 112 % 80 %
Normal Sinus,
Horizontal Axis
Normal Sinus,
Vertical Axis
[1] Includes R-Wave Detection, QRS Detection, and Tall T-Wave Rejection waves.
[1]
70 % 100 % 30 % 100 % 100 % 100 % 100 % 100 % 100 %
100 % 30 % -70 % 20 % 40 % 70 % 100 % 80 % 50 %
30 % 130 % 100 % 20 % 30 % 40 % 60 % 80 % 100 %
How to View the ECG Waveform
As you adjust the ECG signal, you can see the signal in the display. To see the ECG
signal, from the ECG screen, push the Graph softkey. The graph screen in Figure 8
shows in the display.
Figure 8. ECG Graph Screen
The ECG signal is shown in the display in real time.
Push the Back softkey to go back to the ECG screen.
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13
ProSim 6/8
Users Manual
How to Simulate an ECG Artifact
The Product simulates a number of different ECG artifacts that can change the accuracy
of an ECG indication. ECG artifact simulations, which can be added to an ECG wave,
include line-frequency artifacts of 60 Hz (U.S. lines) and 50 Hz (European lines), as well
as artifacts for muscle movement, wandering baseline, and respiration.
All simulated ECG signals can have an artifact added to the ECG signal. To add an
artifact:
1. Push to show the ECG screen in Figure 9 in the display.
Figure 9. ECG NSR Adult Screen
2. Push or to highlight the Artifact Type value.
3. Push or to highlight 50 Hz, 60 Hz, Muscular, Baseline Wander, or
Respiration.
4. Push to enable the artifact and go back to the ECG screen.
To change the size of the artifact:
1. From the ECG screen, push or to highlight the Artifact Size value.
2. Push or to highlight 100%, 50%, or 25%.
3. Push to set the artifact size and go back to the ECG screen.
The artifact signal can be made to one ECG lead or all leads. To change which lead the
artifact is on:
1. From the ECG screen, push or to highlight the Artifact Lead value.
2. Push or to highlight RA, LL, LA, V1 – V6, or All Leads in the lead list.
3. Push to set the artifact lead and go back to the ECG screen.
How to Simulate Arrhythmias
All arrhythmia simulations are grouped into related wave groups. These arrhythmia wave
groups are Supraventricular, Premature, Ventricular, Conduction, TV Paced, and ACLS.
Table 10 shows all the arrhythmias the Product can simulate and identifies in which wave
group they can be found. The table also identifies which model can simulate the
arrhythmia.
Table 10. Arrhythmias by Wave Group
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14
Arrhythmia Wave Group Available in
Asynchronous 75 BPM TV Paced ProSim 6 and 8
Asystole ACLS, Ventricular ProSim 6 and 8
Vital Signs Simulator
ECG Function
Table 10. Arrhythmias by Wave Group (cont.)
Arrhythmia Wave Group Available in
Atr-Vent Sequential TV Paced ProSim 6 and 8
Atrial Fibrillation Supraventricular ProSim 6 and 8
Atrial Flutter Supraventricular ProSim 8 only
Atrial PAC Premature ProSim 6 and 8
Atrial Tach Supraventricular ProSim 8 only
Atrial 80 BPM TV Paced ProSim 6 and 8
Bigeminy Ventricular ProSim 6 and 8
Bradycardia ACLS ProSim 8 only
Demand Freq Sinus TV Paced ProSim 6 and 8
Demand Occ Sinus TV Paced ProSim 6 and 8
Freq Multi-focal PVCs Ventricular ProSim 8 only
Ischemic Chest Pain ACLS ProSim 8 only
Lt Bndl Branch Block Conduction ProSim 8 only
MIs with LBBB ACLS ProSim 8 only
MIs with RBBB ACLS ProSim 8 only
Missed Beat at 80 BPM Supraventricular ProSim 8 only
Missed Beat at 120 BPM Supraventricular ProSim 8 only
Mono V Tach Ventricular ProSim 6 and 8
Multi-focal PVCs Premature ProSim 6 and 8
Myocardial Infarctions ACLS ProSim 8 only
Narrow Complex Tach ACLS ProSim 8 only
Nodal PNC Premature ProSim 8 only
Nodal Rhythm Supraventricular ProSim 8 only
Non-Capture TV Paced ProSim 6 and 8
Non-Function TV Paced ProSim 6 and 8
Paroxysmal ATach Supraventricular ProSim 8 only
Poly V Tach Ventricular ProSim 6 and 8
Poly V Tach (unstable) ACLS ProSim 8 only
Pulseless Vent Tach ACLS ProSim 8 only
Pulseless Elect Tach ACLS ProSim 8 only
PVCs Ventricular ProSim 8 only
PVC1 Left Vent Premature ProSim 8 only
PVC1 LV Early Premature ProSim 8 only
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ProSim 6/8
Users Manual
Table 10. Arrhythmias by Wave Group (cont.)
Arrhythmia Wave Group Available in
PVC1 LV R on T Premature ProSim 8 only
PVC2 Right Vent Premature ProSim 8 only
PVC2 RV Early Premature ProSim 8 only
PVC2 RV R on T Premature ProSim 8 only
Rt Bndl Branch Block Conduction ProSim 6 and 8
Run of PVCs Ventricular ProSim 8 only
Sinus Arrhythmia Supraventricular ProSim 6 and 8
Stable Tachycardias ACLS ProSim 8 only
Supra VTach Supraventricular ProSim 8 only
Trigeminy Ventricular ProSim 8 only
Unstable Tachycardias ACLS ProSim 8 only
Ventricular Fibrillation Ventricular ProSim 6 and 8
Wide Complex Tach ACLS ProSim 8 only
1st Deg AV Block Conduction ProSim 8 only
2nd Deg AV Block T1 Conduction ProSim 6 and 8
2nd Deg AV Block T2 Conduction ProSim 8 only
3rd Deg AV Block Conduction ProSim 8 only
Supraventricular Arrhythmias
To set a supraventricular arrhythmia:
1. From the ECG screen, push or to highlight the Wave Group value.
2. Push .
3. Push or to highlight Supraventricular in the wave group list.
4. Push .
5. Push or to highlight the Waveform value.
6. Push .
7. Push or to highlight a waveform in the list.
8. Push to set the arrhythmia waveform and go back to the ECG:
Supraventricular screen.
16
The amplitude of all supraventricular arrhythmia waveforms can be adjusted. See the
How to Set the ECG Parameters section above. ECG signal artifacts can also be added to
each arrhythmia signal. See the How to Simulate an ECG Artifact section above.
The atrial fibrillation arrhythmia has one variable not available on the other
supraventricular arrhythmias. The type variable can be set to coarse or fine. To change
the type variable with the atrial fibrillation waveform set:
1. Push or to highlight the Type value.
2. Push .
Vital Signs Simulator
ECG Function
3. Push or to highlight Coarse or Fine from the list.
4. Push to set the arrhythmia type and go back to the ECG: Supraventricular
screen.
Premature Arrhythmias
The premature wave group arrhythmias simulate premature contraction of muscle at
different nodes of the heart. To do a premature arrhythmia:
1. From the ECG screen, push or to highlight the Wave Group value.
2. Push .
3. Push or to highlight Premature in the wave group list.
4. Push .
5. Push or to highlight the Waveform value.
6. Push .
7. Push or to highlight a waveform in the list.
8. Push to set the arrhythmia waveform and go back to the ECG:
Supraventricular screen.
The amplitude of all premature arrhythmia waveforms can be adjusted. See the How
to Set the ECG Parameters section above. ECG signal artifacts can also be added to
each arrhythmia signal. See the How to Simulate an ECG Artifact section above.
Ventricular Arrhythmias
Ventricular arrhythmias are arrhythmias in the lower chambers of the heart, or ventricles.
To do a ventricular arrhythmia:
1. From the ECG screen, push or to highlight the Wave Group value.
2. Push
.
3. Push or to highlight Ventricular in the wave group list.
4. Push .
5. Push or to highlight the Waveform value.
6. Push .
7. Push or to highlight a waveform in the list.
8. Push to set the arrhythmia waveform and go back to the ECG: Ventricular
screen.
The amplitude of all ventricular arrhythmia waveforms can be adjusted. See the How to
Set the ECG Parameters section above. ECG signal artifacts can also be added to each
arrhythmia signal. See the How to Simulate an ECG Artifact section above.
The ventricular fibrillation and poly V tach arrhythmias have a variable not available on
the other ventricular arrhythmias. To change the type variable for the ventricular
fibrillation and poly v tach waveform set:
1. Push or to highlight the Type value.
2. Push .
3. Push or to highlight Coarse or Fine from the list.
4. Push to set the arrhythmia type and go back to the ECG: Ventricular screen.
17
ProSim 6/8
Users Manual
The mono v tach arrhythmia has a heart rate variable. To change the heart rate:
1. Push or to highlight the Heart Rate value.
2. Push .
3. Push or to adjust the heart rate. Each push of a key moves the heart rate one
beat in the direction of the key pushed. A heart rate of 120 to 300 beats/minute
(BPM) can be set in 5 BPM intervals for this arrhythmia.
4. When the heart rate is set, push to set the arrhythmia heart rate and go back to
the ECG: Ventricular screen.
The PVCs arrhythmia has a rate variable to set the number of PVCs in a minute. To
change the rate of PVCs:
1. Push or to highlight the Rate value.
2. Push .
3. Push or to highlight 6/min, 12/min, or 24/min in the list.
4. Push to set the arrhythmia rate and go back to the ECG: Ventricular screen.
The Run of PVCs arrhythmia has a number variable to set the number of PVCs in a run.
To change the number of PVCs in a run:
1. Push or to highlight the Number value.
2. Push .
3. Push or to highlight 2 PVCs, 5 PVCs, or 11 PVCs.
4. Push
to set the arrhythmia number and go back to the ECG: Ventricular
screen.
Conduction Arrhythmias
Conduction arrhythmias are caused when conduction of electrical impulses are stopped or
blocked from their usual pathways around the heart. To simulate a conduction
arrhythmia:
1. From the ECG screen, push or to highlight the Wave Group value.
2. Push .
3. Push or to highlight Conduction in the wave group list.
4. Push .
5. Push or to highlight the Waveform value.
6. Push .
7. Push or to highlight a waveform in the list.
8. Push to set the arrhythmia waveform and go back to the ECG: Conduction
screen.
18
The amplitude of all conduction arrhythmia waveforms can be adjusted. See the How to
Set the ECG Parameters section above. ECG signal artifacts can also be added to each
arrhythmia signal. See the How to Simulate an ECG Artifact section above.
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