PS420 Multiparameter Simulator
Contents
1. ECG AMPL After selecting 8 press ENTER and then use the CHANGE keys A to scroll to the available presets Then press ENTER to set the amplitude This setting remains in effect until changed or until you switch the Simulator off Display Selects ECG amplitude of ECG Rate The Simulator replicates fifteen heart rates with a 1 accuracy of selection These are set by selecting 7 RATE After selecting 7 and pressing ENTER use the CHANGE keys A VY to scroll to the available presets Then press ENTER to set the rate Multiparameter Simulator Simulating Functions reo eoe z2208Pm mone m eca awsrw ene mr eca asospw mone L3E TNNT NNNM LN ECG 300BPM 300 BPM 25 PS420 Users Manual Superimposed Artifacts Pacemaker The Simulator replicates five different artifacts Their The Simulator replicates six paced rhythms signals After purpose is to evaluate the effect of these type artifacts on selecting the required rhythm press ENTER Use the ECG accuracy After selecting the artifact press ENTER CHANGE keys A to scroll through the available to transmit it to the ECG The Simulator deactivates the rhythms artifact when you make another ECG or arrhythmia Display Selects ASYNCHRONO Asynchronous pacemaker rhythm 50 HZ ARTI 50 Hz artifact European lines DEMND FSIN Pacemaker rhythm with frequent sinus beats 54 60 HZ ARTI 60 Hz artifact US lines DEMND OSIN Pacemaker rhyth2. SET BT 36C 36 C 95 9 F When the monitor under test indicates that it is ready to perform a Cardiac Output calculation press ENTER on the Simulator to generate a test The 4 second calibration pulse provides a delta change of 402 Ohms This provides a standard for testing cardiac output units 30 If you select any cardiac output waveform key a second time while a waveform is proceeding the selected waveform will stop The blood temperature will return to 37 C 98 6 F ECG Performance Testing Square Wave 128 2 Hz SQR 2 0 Hz square waveform 129 125 Hz SQ 0 125 Hz square waveform Triangle Wave code ep Seem 196 znzTWAN 2OHzWangewaelom m 2ste Tal 25 He tiange wavelom Pulse Wave 132 PULSE 30 Pulse of 30 BPM width of 60 ms 133 PULSE 60 Pulse of 60 BPM width of 60 ms Multiparameter Simulator Cleaning oine Wave Cleaning Code Display Selects Clean only with a damp lint free cloth using mild me SINESHe soHesmewme A Caution Do not pour fluid onto the Simulator surface l fluid seepage into the electrical circuitry may 138 SINE 40 Hz 40 0 Hz sine wave cause Simulator failure 139 SINE 50 Hz 50 0 Hz sine wave A Caution 140 SINE 60 Hz 60 0 Hz sine wave Do not use spray cleaners on the Simulator EN SINE 100Hz 100 0 Hz sine wave such action may force cleaning fluid into the Simulator and damage electronic components 31 PS420 Us
3. curves Respiration Baseline Impedances 500 1000 1500 2000 Ohms Leads III Lead S6l8GllOll csirresEx trn Era x Xp EETAVEERES Uia e XP ERA RET SA LL or LA Impedance Variations 0 2 0 5 1 0 and 3 0 Ohms Impedance Accuracy 0 cccccceeeeeeeeeeeeeeeeeees 5 Rates E TNT RT 0 apnea 15 20 30 40 60 80 100 120 BPM Apnea oodcdiersinasidesiuviEns diuidi IINE 12 sec 22 sec 32 sec and continuous Rate Accuracy ssssseseeem eee t 2 96 Temperature 30 C 86 F 35 C 95 F 37 C 98 6 F 40 C 104 F 42 C 107 6 F compatible with YSI 400 700 series f vero i ei M PEN c t 0 25 Degree C Multiparameter Simulator Controls and Terminals Controls and Terminals Refer to Figure 1 and Table 2 for descriptions of Simulator controls and terminals Front Panel Top Panel E Diomedical PS420 MULTIPARAMETER SIMULATOR Fo F SCROLL CHANGE SCROLL RATE BASELINE BLOOD PRESSURE i STATIC WAVEFORM Right Panel RATE STATUS A ebtOO1f eps Figure 1 Controls and Terminals PS420 Users Manual Table 2 Controls and Terminals er e GENNMNMNKNKKEE Battery Eliminator For use in operating the Simulator from any standard electrical outlet To ensure safe operation use only the Fluke Biomedical Battery Eliminator PN 2647372 A AWanrning Caution risk of
4. a battery you can power the Simulator with the Fluke Biomedical Battery Eliminator PN 2647372 A AA Warning Caution risk of electric shock Use only the Battery Eliminator specified in this manual or the protection provided may be impaired Note Remove the battery and disconnect the Battery Eliminator if you do not intend to use the Simulator for an extended period of time Operating the Simulator Connect the Simulator to the device under test Use the Simulator s alphanumeric keypad to enter the code presets The Simulator then transmits these values to the device The following steps walk you through a sample procedure 1 Switch the Simulator ON The LCD window displays the program version for about two seconds 13 PS420 Users Manual 14 The window then displays the code entry display The display arrows indicate which SCROLL to use The right SCROLL P increases the preset codes by 1 while the left SCROLL lt 4 decreases the preset codes by 1 For example pressing the right SCROLL once will display the first preset OZ VIEW Key in the required preset code For example to simulate a 30 C 86 F temperature code line 185 press menu keys 1 8 5 Then press the ENTER key This now becomes the preset temperature Press CLEAR to return to the default code entry display To adjust some settings you can use the keypad s two function alphanumeric keys For temperature as an example press
5. all manuals cables accessories etc and in as new and resalable con dition 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 af ter purchase but prior to 90 days are subject to a minimum restocking fee of 20 9o Additional charges for damage and or missing parts and accesso ries 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 m Use a double walled carton of sufficient strength for the weight being shipped Use heavy paper or cardboard to protect a
6. 0 and 3 0 and 2000 delta Ohms Use the LA LL switch on the top panel to select which lead will have the respiration signal on it This will not affect the baseline operation The variation can be set through direct code entry as below by keying the preset code and pressing ENTER You can also use the SCROLL keys gt to cycle through the other presets before pressing ENTER Display Selects respiration delta Ohms 161 R DELTA 2 0 2 Ohms Apnea The Simulator replicates the general apnea types by duration only continuous and 12 22 and 32 seconds Apnea can be set through direct code entry as below by keying the preset code and pressing ENTER You can use the SCROLL keys gt to cycle through the other presets before pressing ENTER Display Selects respiration apnea IN APNEA ON ON Respiration rate of 0 RPM APNEA OFF OFF Respiration reverts to previously selected respiration rate 146 12 SEC APN For 12 seconds 22 SEC APN For 22 seconds 148 32 SEC APN For 32 seconds 162 R DELTA 5 0 5 Ohms 163 RDELTA1 1 0 Ohms 164 RDELTA2 2 00hms 165 RDELTA3 30 Ohms 18 Blood Pressure The Simulator synchronizes dynamic blood pressure waveforms with all NSR rates and tracks all arrhythmia selections Both blood pressure channels BP 1 and 2 can be controlled Each channel can act independently or can be set together for universal settings The Simulator will set the blood pressure channel
7. 1 then ENTER The LCD displays the current preset Note the two additional up and down arrows These indicate which way to increase or decrease the preset Use the menu CHANGE arrows for scrolling through the presets The up CHANGE arrow A increases the preset codes by 1 while the down CHANGE arrow V decreases the preset codes by 1 You can then advance through the temperature settings shown in Table 3 Multiparameter Simulator Operating the Simulator Table 3 Temperature Settings Press ENTER The first parameter setting ECG NSR is then displayed Thereafter each 42 C 107 6 F current settings in the sequence shown in Table 4 40 C 104 F 37 C 98 6 F Table 4 Current Settings 30 C 86 F After reaching the required preset press ENTER eee CAL Se UU DRIN This now becomes the active temperature Press NSR QRS Adult or pediatric waveform CLEAR to return to the default code entry display Toad ECG AMPL ECG amplitude in mV Note RESP RATE Respiration rate in RPM Only use the ENTER key when scrolling through R DELTA Impedance variation in ohms the current settings Using a SCROLL or CHANGE key interrupts the scrolling operation BASELINE Baseline impedance in ohms At any point you can view the Simulator s current TEMPERATURE Temperature in C parameter settings simply by pressing STATUS 0 BP SENS Transducer sensitivity in pV The Simulator then displays O VIEW BP1 BP2 Blood
8. FLUIK E Biomedical PS420 Multiparameter Simulator PN 2631808 April 2006 Rev 1 12 07 2006 2007 Fluke Corporation All rights reserved Specifications are subject to ochange without notice Printed in USA 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 full year from the date of original purchase 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 does not apply if the product has been damaged by accident or misuse or as the result of service or modification by other than Fluke Biomedical IN NO EVENT SHALL FLUKE BIOMEDICAL BE LIABLE FOR CONSEQUENTIAL DAMAGES Only serialized products and their accessory items those products and items bearing a distinct serial number tag are cov ered under this one year warranty PHYSICAL DAMAGE CAUSED BY MISUSE OR PHYSICAL ABUSE IS NOT COVERED UNDER THE WARRANTY Items such as cables and nonserialized modules are not covered under this warranty Recalibration of instruments is not covered under the warranty This warranty gives you specific legal rights and you may also have other rights which vary from state to state province to province or country to country This warranty is limited to repairi
9. are ready to run the appropriate simulation from the Simulator Select the appropriate test code and then press ENTER 7L M 2C 3L M 20C 5L M 20C 3L M 2C 5L M 2C Cardiac output wave of 3 L min for 2 degrees Computational constant is 0 561 Cardiac output wave of 5 L min for 2 degrees Computational constant is 0 561 Cardiac output wave of 7 L min for 2 degrees Computational constant is 0 561 Cardiac output wave of 3 L min for 20 degrees Computational constant is 0 608 Cardiac output wave of 5 L min for 20 degrees Computational constant is 0 608 Multiparameter Simulator Simulating Functions 7L M 20C Cardiac output wave of 3 L min for 20 degrees Computational constant is 0 608 Faulty injection cardiac output wave for 2 degrees Computational constant is 0 561 Left to right shunt cardiac output wave for 2 degrees Computational constant is 0 561 Faulty injection cardiac output wave for 20 degrees Computational constant is 0 608 Left to right shunt cardiac output wave for 20 degrees Computational constant is 0 608 29 PS420 Users Manual 117 CALWAVES Calibrated cardiac output waves NONCAL Uncalibrated cardiac output WVE waves Gives 4 different values per 3 5 and 7 L min waves CAL 1 SEC Calibration pulse of 1 degree for 1 second CAL 4 SEC Calibration pulse of a delta of 402 Ohms for 4 seconds 121 SET BT 37C 37 C 98 6 F 122
10. ccssseseeeeeeeeseeeeeeeeees Channels 1 and 2 Central Venous 15 10 eeeesseessss Channel 2 Pulmonary Artery 25 10 cccccssssseeeeeesseeeeeeeees Channel 2 Pulmonary Wedge 10 2 c cccscceeesseeeeeeeeeeeeees Channel 2 Left Atrium 14 4 eeeeeseeeeeeeeeeees Channel 2 Automatic Swan Ganz eeeeesseeeeee Every 20 seconds Manual Swan Ganz cccccecsseeeeeeeeeeaaeeeeeeeees Changes every time entry is selected Synchronized with all normal sinus rates Physiologically tracks all arrhythmia selections Multiparameter Simulator Specifications PS420 Users Manual Cardiac Output Option Catheter Type aote oap Rb Red Reboot EuS Baxter Edwards 10 cc Blood Temperature sseuesssssss 37 C 98 6 F and 36 C 95 9 F CO for 2 Degrees C eeeeeeeeeeeee 3 5 and 7 L Min CO for 20 Degrees C ssesesseeee 3 5 and 7 L Min Cal PUISE cT Of 1 degree C for 1 second of delta 402 Ohms for 4 seconds PCG UN ACY E E 5 Computational Constant 2 Degrees C aussassetitonttiout aedi divifa innesa 0 561 20 Degre88S Uis i viride D darnia Led cta ona 0 608 Left to Right Shunt suuuueueueessssse 2 and 20 Degrees C Faulty Injectate seeueseeeuesseuusss 2 and 20 Degrees C Note These four CO simulations are examples of defective uncalibrated
11. ching them to corresponding patient leads Labels and their definitions are as follows RA R Right Arm LA L Left Arm RL N Right Leg Reference or grounded LL F Left Leg V1 C1 to V6 C6 V leads US and Canada Also referred to as pericardial precardial or unipolar chest leads and chest leads IEC CO Temp 1 amp 2 8 pin mini DIN plug connector for the Cardiac Output and Temperature cables These cables are available separately from your Fluke Biomedical Sales Agent G B1 8 pin mini DIN connector for BP cable plugs BP 2 RS 232 8 pin mini DIN plug connector for BP cable plugs as above and for connecting an RS 232 12 Powering the Simulator The Simulator uses a 9 V alkaline battery Duracell MN1604 or equivalent It is designed to use as much of the battery as possible When it detects less than about 5 6 volts it goes into a shutdown mode sounds a continuous tone alarm and displays the following message The battery is in the base of the instrument Use a 9 volt alkaline battery Duracell MN1604 or equivalent Do not use mercury air or carbon zinc batteries A Warning The 9 volt alkaline battery provided with the Simulator may explode or leak if recharged inserted improperly disposed of in a fire or mixed with different battery types Dispose of the battery in accordance with any applicable state or local regulations Multiparameter Simulator Powering the Simulator As an alternative to
12. d Pediatric NSR QRS Arrhythmias Premature Beats Arrhythmias Ventricular Arrhythmias Atrial Arrhythmias Conduction Defects ECG Waveform FO Ree o E E E ee ee Seen e ee ee ee eee eee Superimposed Artifacts xce pbcm tC Pacemaker Pulse Amplitudes Lead Il Pacemaker Pulse Width CAPAC CUNO RON E RN UT ECG Performance Testing Cleaning List of Tables Table 1 wj 2 Controls and Terminals 3 Temperature Settings cccccccccsseccceeseecceeseecsesececseeceesecseeeeeuseeceaueeesseseeesegeeeeseseeesseseesseeeeeses 4 euieuigecgd m Figure Title Page 1 COMPOS and E HM i Rm 9 iii PS420 Users Manual PS420 Multiparameter Simulator Introduction e Donotuse in any manner not specified in the Users Manual Otherwise the protection The PS420 Multiparameter Simulator hereafter called the provided by this product may be impaired Simulator is a compact lightweight high performance simulator for use by trained service technicians for patient monitor testing Through settings that you manipulate it simulates various electrocardiogram respiration blood e Always press power off on the Simulator and unplug the Battery Eliminator before cleaning the outer surface pressure temperature and cardiac output conditions e Inspec
13. electric shock Use only the Battery Eliminator specified in this manual or the protection provided may be impaired Power Switch Switches the power on and off 3 LA LL Slide Selects the reference lead either LA left arm or LL left leg The position of the switch Switch must correspond to the type of patient monitor in use ENCIMA 15 mm x 60 mm 58 in x 2 37 in window displaying up to two lines of 20 point font ewe T SCROLL Causes the code line number to increase or decrease The display arrows indicate which SCROLL to use The right SCROLL increases the code lines by 1 while the left SCROLL lt decreases the code lines by 1 10 Multiparameter Simulator Controls and Terminals Table 2 Controls and Terminals cont Dee m emma O 5 CHANGE These keys are functional when the top line in the LCD window displays the up down arrows A V They allow you to increment or decrement the current setting The up CHANGE arrow A increases the preset codes by 1 while the down CHANGE arrow decreases the preset codes by 1 Keypad Soft Keys These keys have two functions numeric and one step selection of Simulator functions 11 PS420 Users Manual Table 2 Controls and Terminals cont le ELLA UE ECG Connectors Ten snap and multi banana connectors for ECG output allowing for connection to any twelve lead ECG These terminals are labeled and on the top panel The labels are AHA IEC color coded to aid in mat
14. ers Manual 32
15. ing 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 1 800 648 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 specifica tions 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 1 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 re turn 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 re fund 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 cus tomer to return the goods and the product must be returned complete meaning with
16. iograph and can accommodate twelve lead configurations with independent outputs for each signal lead referenced to the right leg RL Adult and Pediatric NSR QRS An adult NSR with a QRS width of 80 ms or a pediatric NSR with a QRS width of 40 ms can be set These will remain in effect throughout ECG and arrhythmia selections until changed by reentering the below codes and pressing ENTER PEDIATRIC Pediatric NSR with QRS width of 40 ms ADULT Adult NSR with QRS width of 80 ms NSH The Simulator replicates fifteen normal sinus rhythms or NSHs These NSRs can be set through direct code entry as below or selected and adjusted through first selecting 9 z NSR After selecting 9 press ENTER and then use the CHANGE keys A to scroll to the available presets Code Display Selects NSR rate of 170 NSR 30BPM 30 BPM 171 NSR 40BPM 40 BPM 172 NSR 60BPM 60 BPM 173 NSR 80BPM 80 BPM 174 NSR 100BPM 100 BPM 175 NSR 120BPM 120 BPM 176 NSR 140BPM 140 BPM 7 NSR 160BPM 160 BPM 7 NSR 180BPM 180 BPM 7 NSR 200BPM 200 BPM NSR 220BPM 220 BPM NSR 240BPM 240 BPM NSR 260BPM 260 BPM NSR 280BPM 280 BPM NSR 300BPM 300 BPM N lee m Me NO PS420 Users Manual Arrhythmias Premature Beats PVC1 LVF PVC1 E LVF R ON T LVF PVC2 RVF PVC2 E RVF 22 PVC with left ventricle focus The Simulator then assumes NSR at 80 BPM Early PVC with left ventricle focus The Sim
17. l rhythm MULTI VENT Ventricular tachycardia TACHY 34 VENT FIB 1 Ventricular Ventricular fibrillation 35 VENT FIB 2 Ventricular fibrillation at 1 2 36 ASYSTOLE Asystole No ECG 23 PS420 Users Manual Arrhythmias Conduction Defects 47 RT BNDL BB Right bundle branch block rhythm LT BNDL BB Left bundle branch block rhythm 2a sresmv cSmveeatn axe sresnv 8 mVelevaion 220 sresmv 5 mvelevaton Pme stra mv 4 mVelevaion Fam sresmv 3mVelevaion ase sreenv 2mVelevaion a9 1ST DEG BL 1st degree heart block rhythm 50 2ND DEG BL 2nd degree heart block rhythm 51 3RD DEG BL 3rd degree heart block rhythm ST Elevation and Depression Waves 243 ST 1 mV 1 mV elevation These can be set through direct code entry as below or 24 ST 1mV p adjusted and set through first selecting 52 ST WAVES Cms st 2mv 2mV depression a 142 ST WAVES Afer slectng S2 or 142 press 2 eT amv 3 mv depression the available presets aaa srsmv smveepemon aaa sr emv emVdeweson aso srzmv 7mV depression as sramv 8 mV apresio 24 ECG Waveform The Simulator replicates four ECG waveform amplitudes with a 2 accuracy of selection Lead ll The Simulator uses them as references only during arrhythmia simulations They are set through direct code entry as below or selected and adjusted through first selecting 8
18. ll instrument surfaces Use nonabrasive material around all projecting parts Use at least four inches of tightly packed industry approved shock absorbent material around the instrument 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 or In the U S A Cleveland Calibration Lab Tel 1 800 850 4606 Email globalcal flukebiomedical com Everett Calibration Lab Tel 1 800 850 4606 Email service status fluke com In Europe Middle East and Africa Eindhoven Calibration Lab Tel 3 1 402 675300 Email ServiceDesk fluke com In Asia Everett Calibration Lab Tel 425 446 6945 Email service international fluke com 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 calibra tion standards are measured against in house performance standards using accepted test procedures WARNING Unauthorized user modifications or application beyond the published specifications may result in electrical shock hazards or im
19. ls Channels 1 and 2 can be set through direct code entry as below or selected and adjusted through first selecting 94 P1 2 STAT After selecting 94 press ENTER and then use the CHANGE keys A V to scroll to the available presets Note that this will affect all pressure channels and the Simulator will not display the levels for BP channels 1 and 2 19 PS420 Users Manual Display Sets QR SHARTUR a a Sp LL 10 P2 10 P3 5 P4 78 P1 ARTERIA Arterial waveform 120 80 ind isis a 80 PiLVNT Left ventricle waveform 120 00 meer oe reese tone er rmm inverse waveform 2500 BP STAT L3 BP channel to static level 0 Channel BP 2 e emere ros a meer Bum ul BP STAT L4 BP channel to static level 0 86 P2 ARTERIA Arterial waveform 120 80 pogo ree eee UTD P2 RADIAL Radial waveform 120 80 Ne a P2LVENT Left ventricle waveform 120 00 wi D ES es 10 P2LVENT Left ventricle waveform 120 00 UU DU LIE 89 P2 RVNT Right ventricle waveform 25 00 P1 400 P2 240 P3 100 P2 PULAR Pulmonary arterial waveform P4 100 25 10 Iii P2 PULWDG Pulmonary wedge waveform Cadena 92 P2 L ATRIU Left atrium waveform 14 4 atrium waveform 14 4 P2 CVP Central venous waveform right atrium 15 10 20 ECG Arrhythmia The Simulator replicates 37 different types of arrhythmias from inconsequential types of PNCs to asystole In addition the Simulator can send waveforms to test any electrocard
20. m with occasional sinus beats 55 MUSCLE ART Muscle artifact 56 BASE WANDR Baseline wandering RESP ARTIF Respiration artifact AV SEQUENT Atrial ventricular pacemaker rhythm NONCAPTURE Noncapture event The Simulator then assumes asynchronous pacemaker NON FUNCT Non function pacemaker rhythm 26 Pacemaker Pulse Amplitudes Lead ll When you select any pacemaker waveform you can adjust and set pulse amplitudes in Lead II These can be set through direct code entry as below or selected and adjusted through first selecting 64 PACE AMP After selecting 64 press ENTER and then use the CHANGE keys A to scroll to the available presets amplitude Lead Il of za Pacem amv ms Pacea amv me Pacem few Multiparameter Simulator Simulating Functions Pacemaker Pulse Width When you select any pacemaker waveform you can adjust and set pulse width These can be set through direct code entry as below or selected and adjusted through first selecting 65 PACE WIDTH After selecting 65 press ENTER and then use the CHANGE keys A V to scroll to the available presets Code Display Sets pacemaker pulse width of Fm eroon orm me mackosms oss am Pace tms roms m PACE tsmS 15m 27 PS420 Users Manual Cardiac Output The software detects the cardiac output option when you connect the Simulator to the patient monitor s cardiac output computer using the available acce
21. n Pacer Non Capture Demand Occasional Sinus Demand Frequent Sinus AV Sequential PS420 Users Manual Arrhythmia Selections Sinus Arrhythmia Atrial PAC Missed Beat Atrial Tachycardia Atrial Flutter Nodal PNG Nodal Rhythm Supraventricular Tachycardia PVC1 Left Ventricular Focus PVC1 Early LV Focus PVC1 R on T LV Focus PVC2 Right Ventricular Focus Conduction Defects PVC2 Early RV Focus First Degree PVC2 R on T RV Focus Multifocal PVCs Third Degree Atrial Fibrillation Coarse Fine Right Bundle Branch Block PVCs 6 minute Left Bundle Branch Block PVCs 12 minute EU Blood Pressure Input Output Impedance 350 Ohms Exciter Input Limit ussssssuse t 10V Exciter Input Frequency Range DC to 4000 Hz Transducer Sensitivity ssuss 5 or 40 uV V mmHg Level Accuracy seseeeeeeee t 196 1 mmHg Static Levels 2 m 10 0 80 160 240 320 and 400 mmHg BO 10 0 50 100 150 200 and 240 mmHg Channel Selections Arterial 120 90 consoecossesuk Fuisse REpE pn af Y a nies Edad Ad KO Channels 1 and 2 Radial Artery 120 80 ccccceeceeeeeeeeeeeeeeeeeeeees Channels 1 and 2 Left Ventricle 120 00 sees Channels 1 and 2 Right Ventricle 25 00 cccc
22. ng the instrument to Fluke Biomedical s specifications 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 Bio medical for factory service and calibration especially during the original warranty period Notices All Rights Reserved O 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 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 dam age the instrument when unpack
23. o switches for Respiratory Leads LL LA and Power ON OFF MEN IGE m RS232 bi directional interface Baud rate 9600 ECG Output Connectors 10 AHA IEC color coded connectors accepting ECG snaps and pins POWE osoen debut ndeH PM Nd PUE 9 V alkaline battery or battery eliminator e Q High impact plastic Weight w o battery sseeesssssssss 0 343 kg 12 1 oz Environmental no riui tran oap i aane Indoor use Temperature Operating 15 to 35 C 59 to 95 F Temperature Storage sse 0 to 50 C 32 to 122 F Maximum Humidity Operating 80 relative humidity up to 31 C 88 F decreasing linearly to 50 96 relative humidity at 40 C 104 F Maximum Humidity Storage 95 inr Up to 2000m Dimensions PHS OIG T M 16 0 cm 6 3 in VV o TIA Me PT 9 10 7 cm 4 2 in 5 01 PR cs 3 4 cm 1 4 in PANO PC Tc vr PS420 Multiparameter Simulator PN 2631290 PS420 Users Manual Accessories Part Number Standard Accessories Users Manual CD ROM 2631721 Users Manual printed 2631808 9 VDC Battery Eliminator 2647372 Optional Accessories Cardiac Output Adapter Box 2462200 Temperature Cable Blood Pressure Cable Cardiac Output Cable Contact yo
24. on you can select and adjust settings by first keying 2 RATE If you key 2 press ENTER and use the CHANGE keys A V to cycle through the other presets Then press ENTER to set the rate 1a mesmo omm Des meses isem Hee mese onm Des meses onm De mese anm Dee mese eon De mese won Do mese vom Baseline Impedance The baseline resistance selection of 500 1000 1500 and 2000 Ohms is between leads LA RL RA and LL The resistance for the V leads is 1020 Ohms between any V leads V1 V6 The impedance can be set through direct code entry as below by keying the preset code and pressing ENTER You can also use the SCROLL keys gt to cycle through the other presets before pressing ENTER Multiparameter Simulator Simulating Functions In addition you can select and adjust settings by first keying 3 BASELINE If you key 3 press ENTER and use the CHANGE keys A V to cycle through the other presets Then press ENTER to set the impedance Display Selects baseline resistance of 166 BASEL 500 500 Ohms BASEL 1000 1000 Ohms 168 BASEL 1500 1500 Ohms 169 BASEL 2000 2000 Ohms Note When you switch the Simulator on the baseline impedance is set at 1000 Ohms If changed some monitors check lead impedance and if too high e g 2000 Ohms may revert to their inoperative modes 17 PS420 Users Manual Impedance Variations The Simulator replicates impedance variations of 0 2 0 5 1 0 2
25. pressure channel settings in mmHg 15 PS420 Users Manual Simulating Functions This section describes simulation procedures by function If you are unfamiliar with basic Simulator operation refer to Operating the Simulator Temperature The Simulator replicates normal hypothermic and hyperthermic conditions with five temperature presets All temperature outputs are compatible with YSI 400 700 series probes Temperature can be set through direct code entry as below by keying the preset code and pressing ENTER You can also use the SCROLL keys P to cycle through the other presets before pressing ENTER In addition you can select and adjust settings by first keying 1 TEMPERAT or 190 If you key 1 press ENTER and use the CHANGE keys A V to cycle through the presets Then press ENTER to set the temperature If you key 190 press ENTER and use the SCROLL keys P to cycle through the other presets Then press ENTER to set the temperature 16 Display Selects temperature of 185 TEMP30C 30 C 86 F 186 TEMP35C 35 C 95 F TEMP 37C 37 C 98 6 F TEMP 40C 40 C 104 F 189 TEMP42C 42 C 107 6 F Respiration Respiration Rate The Simulator replicates nine rate settings These can be set through direct code entry as below by keying the preset code and pressing ENTER You can also use the SCROLL keys lt gt to cycle through the other presets before pressing ENTER In additi
26. proper operation Fluke Bio medical 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 PS420 Multiparameter Simulator is manufactured by Fluke Biomedical 6045 Cochran Rd Cleveland Ohio 44139 Table of Contents Title Page Arrhythmia Selections Blood Pressure sesssesssssssesseese eene nennen nennen nne sese raus sese ese rasa isa nsa ranas nnns Cardiac Output Option miscet e Temper Controls and Terminals Powering the Simulator Operating the Simulator Simulating Functions Temperature PS420 Users Manual ROSPO CN P RERO NA Respiration niic m NE ETE TET Baseline Impedance Transducer Sensitivity All Channels Waveform All Channels cccccsescceceeeeeceeeeeeceeeeeeseeeeeesaseeeseaeeeesaeeeesseeeeesaeeeeeas Blood Pressure Artifact All Channels BP Static Levels All Channels Channel BP 1 Channel BP 2 s aI INTRINSIC Adult an
27. s to a zero level on power up This is to allow you to set up the monitoring equipment under test Transducer Sensitivity All Channels Before simulation can begin blood pressure transducer sensitivity must be set to correlate with the monitor manufacturer s specifications 40 uV V mmHg code 76 or 5 uV V mmHg code 77 Simulator accuracy is 1 1 mmHg The sensitivity is set through direct code entry by keying the preset code and pressing ENTER Waveform All Channels The Simulator can set a single waveform for all blood pressure channels This is set by first selecting 5 WAVEFORM After selecting 5 press ENTER The LCD will display BP CHANNELS SET The waveforms will appear only during ECG waveforms where blood Multiparameter Simulator Simulating Functions pressure waveforms occur e g during the asystole selection all pressure channels drop to O level Blood Pressure Artifact All Channels You can insert a respiratory artifact as required into any waveform over all channels Insert artifacts by keying 84 then pressing ENTER Stop insertion by keying 85 and then pressing ENTER BP Static Levels All Channels The blood pressure static level can be set through direct code entry as below or selected and adjusted through first selecting 4 STATIC After selecting 4 press ENTER and then use the CHANGE keys A V to scroll to the available presets BP Static Levels Channels 1 and 2 BP Static Leve
28. ssories Refer to your local Fluke Biomedical representative regarding the available optional Cardiac Output Adapter Box and cables To set up the cardiac output procedure while using the Cardiac Output Adapter Box you must match the computational constant for the injectate temperature required You must then adjust the injectate temperature pot to the required value for the model used Use the following procedure 1 Setthe computational constant on your monitor under test to 0 561 for 2 C or 0 608 for 20 C injectate temperature 2 Connect the cable from the Cardiac Output Adapter Box to the CO Temp1 amp 2 port on the right side of the Simulator 3 Connect the cable for the injectate temperature into the INJEC TEMP port on the Cardiac Output Adapter Box 28 4 Connect the cable for the blood temperature into the BLOOD TEMP port on the Cardiac Output Adapter Box 5 You may also connect other temperature probes through the TEMP 1 amp 2 port on the Cardiac Output Adapter Box 6 Rotate the INJEC TEMP dial on the face of the Cardiac Output Adapter Box until the monitor under test indicates the proper injectate temperature This will be either 2 C or 20 C Note The number value on the INJEC TEMP dial is a relative setting for obtaining the same value on identical monitors It does not indicate a numerical temperature value Once you have the injectate temperature set to either 2 C or 20 C you
29. t the product If the Simulator appears The Simulator offers two channel simulation damaged or appears to operate in a manner not specified in the manual DO NOT Safety CONTINUE USE Return for service A AA Warning Read before using the e Avoid spilling liquids on the Simulator fluid Simulator seepage into internal components creates i a corrosion and a potential shock hazard Do To avoid personal injury follow these not operate the instrument if internal guidelines components are exposed to fluid Do not open this product There are no user replaceable parts PS420 Users Manual A Caution Table 1 Symbols ie Symbol Description Only qualified technical personnel should y P perform troubleshooting and service OA eoe Users Nania procedures on the Simulator Do not expose the Simulator to temperature LA Caution risk of electric shock extremes Ambient operating temperatures should remain between 15 and 35 C Manufacturer s declaration of Simulator performance may be adversely product compliance with applicable affected if temperatures fluctuate above or EU directives below this range Refer to Table 1 for descriptions of symbols found on the Simulator Do not dispose of this product as unsorted municipal waste Go to Fluke s website for recycling information Multiparameter Simulator Specifications Specifications General Display Control eeeeeeeseeseesesese 16 alphanumeric display keys tw
30. ulator then assumes NSR at 80 BPM R on T PVC with left ventricle focus The Simulator then assumes NSR at 80 BPM PVC with right ventricle focus The Simulator then assumes NSR at 80 BPM Early PVC with right ventricle focus The Simulator then assumes NSR at 80 BPM R ON T RVF MULTIFOCAL ATRIAL PAC NODAL PNC H on T PVC with right ventricle focus The Simulator then assumes NSR at 80 BPM Multifocal PVCs The Simulator then assumes NSR at 80 BPM Atrial premature contraction The Simulator then assumes NSR at 80 BPM Nodal premature contraction The Simulator then assumes NSR at 80 BPM Multiparameter Simulator Simulating Functions Arrhythmias Ventricular Arrhythmias Atrial PAIR PVCS Pair of PVCs The Simulator 38 ATRLFIB1 Atrial fibrillation then assumes NSR at 80 BPM 39 ATRLFIB2 Atrial fibrillation 1 2 value ii c ih of 5 E caf LN ATRIAL FLT Atrial flutter en assumes a 41 SINUS ARRH NSR with irregular rate RUN 11 PVC Run of 11 PVCs The Simulator pU EN assumes NSR at 80 BPM iil MISSED Missed beat The Simulator AR assumes NSR at 80 BPM 27 BIGEMINY Bigeminy rhythm rhythm 43 ATRLTACHY Atrial tachycardia 28 TRIGEMINY Trigeminy rhythm eC eer odal r m 29 PVCS 6 M 6 PVCs per minute 4 SUPRAVENT Supraventricular tachycardia 30 PVCS 12 M 12 PVCs per minute 45 SUPRAVENT P y 31 PVCS 24 M 24 PVCs per minute FREQ Frequent multifoca
31. ur local Fluke Biomedical Sales Agent for further details ECG 12 Lead ECG with nine independent outputs referenced to RL Baseline Impedances esseessss 500 1000 1500 or 2000 Ohms for Leads II and Ill High Level Output iiisissieec exer err pat rae ra Le 1000 x Lead Il IBSS PTT E TET OTT 30 40 60 80 100 120 140 160 180 200 220 240 260 280 and 300 BPM Default Rate cccccccccceceseeeeeseeseeeseeeeteneeseeetens 80 BPM Rate FCC UAC 1 of selection Adult or Pediatric Waveform ECG Amplitudes cccccccccccceceseeeeeeseeeeaeeeeens 0 5 1 0 1 5 and 2 0 mV Amplitude Accuracy ccccecsssseeeeeeeeaeeeeeeeeeeaes 2 Lead Il Superimposed Artifact eeeseuuess 50 and 60 Hz muscle baseline wander and respiration Multiparameter Simulator Specifications ECG Performance Square WV cC 0 125 and 2 0 Hz UIS aac tena E nudiasi E A 30 60 and 120 BPM 60 ms pulse width Sine WAVE ccccsecccsececseeeecaeecceesecsuesessueessaueeess 5 5 10 40 50 60 and 100 Hz Triangle Wave vo siiorestnsacininsssnssvsacrinasdndensinvadinvnna si 2 0 and 2 5 Hz ST Segment Analysis Elevated or Depressed 8 mV to 8 mV in 1 mV steps Pacemaker Selections Pacer Spike Amplitude 2 4 6 8 and 10 mV in Lead Il Pacer Spike Duration 0 1 0 5 1 0 1 5 and 2 0 ms Asynchronous Pacemaker Pacer Non Functio
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