Multiparameter Simulator

Users Manual

PS420

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 covered under this oneyear 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 repairing the instrument to Fluke Biomedicals 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 Biomedical for factory service and calibration, especially during the original warranty period.

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

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 [email protected] 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 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 doublewalled 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 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: [email protected] Everett Calibration Lab Tel: 1-800-850-4606 Email: [email protected] In Europe, Middle East, and Africa: Eindhoven Calibration Lab Tel: +31-402-675300 Email: [email protected] In Asia: Everett Calibration Lab Tel: +425-446-6945 Email: [email protected]

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

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 PS420 Multiparameter Simulator is manufactured in Everett, WA, USA.

Table of Contents

Title
Introduction .................................................................................................................... Safety ............................................................................................................................. Specifications ................................................................................................................. General...................................................................................................................... Accessories ............................................................................................................... ECG........................................................................................................................... Pacemaker Selections ............................................................................................... Arrhythmia Selections................................................................................................ Blood Pressure .......................................................................................................... Cardiac Output Option............................................................................................... Respiration ................................................................................................................ Temperature .............................................................................................................. Controls and Terminals .................................................................................................. Powering the Simulator .................................................................................................. Operating the Simulator ................................................................................................. Simulating Functions ...................................................................................................... Temperature ..............................................................................................................

Page
1 1 3 3 4 4 5 6 7 8 8 8 9 13 13 16 16

PS420
Users Manual Respiration................................................................................................................ Respiration Rate................................................................................................... Baseline Impedance............................................................................................. Impedance Variations........................................................................................... Apnea................................................................................................................... Blood Pressure ......................................................................................................... Transducer Sensitivity (All Channels)................................................................... Waveform (All Channels) ..................................................................................... Blood Pressure Artifact (All Channels) ................................................................. BP Static Levels (All Channels)............................................................................ Channel BP-1 ....................................................................................................... Channel BP-2 ....................................................................................................... ECG/Arrhythmia ........................................................................................................ Adult and Pediatric NSR QRS .............................................................................. NSR...................................................................................................................... Arrhythmias: Premature Beats ............................................................................. Arrhythmias: Ventricular ....................................................................................... Arrhythmias: Atrial ................................................................................................ Arrhythmias: Conduction Defects ......................................................................... ECG Waveform .................................................................................................... ECG Rate............................................................................................................. Superimposed Artifacts ........................................................................................ Pacemaker ........................................................................................................... Pacemaker Pulse Amplitudes, Lead II.................................................................. Pacemaker Pulse Width ....................................................................................... Cardiac Output .......................................................................................................... ECG Performance Testing ................................................................................... Cleaning......................................................................................................................... 16 16 17 18 18 19 19 19 19 19 20 20 21 21 21 22 23 23 24 25 25 26 26 27 27 28 30 31

ii

List of Tables
Table
1. 2. 3. 4.

Title
Symbols................................................................................................................................. Controls and Terminals ......................................................................................................... Temperature Settings ............................................................................................................ Current Settings ....................................................................................................................

Page
2 10 15 15

List of Figures
Figure
1.

Title

Page

Controls and Terminals ......................................................................................................... 9

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PS420
Users Manual

iv

PS420 Multiparameter Simulator

Introduction
The PS420 Multiparameter Simulator (hereafter called the 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 pressure, temperature, and cardiac output conditions. The Simulator offers two-channel simulation. Do not use in any manner not specified in the Users Manual. Otherwise, the protection provided by this product may be impaired. Always press power off on the Simulator and unplug the Battery Eliminator before cleaning the outer surface. Inspect the product. If the Simulator appears damaged or appears to operate in a manner not specified in the manual, DO NOT CONTINUE USE. Return for service. Avoid spilling liquids on the Simulator; fluid seepage into internal components creates corrosion and a potential shock hazard. Do not operate the instrument if internal components are exposed to fluid. Do not open this product. There are no user replaceable parts.

Safety
WXWarning. Read before using the Simulator.
To avoid personal injury, follow these guidelines:

PS420 Users Manual WCaution The Simulator should be calibrated annually. Only qualified technical personnel should perform troubleshooting and service procedures on the Simulator. Do not expose the Simulator to temperature extremes. Ambient operating temperatures should remain between 15 and 35 C. Simulator performance may be adversely affected if temperatures fluctuate above or below this range. Refer to Table 1 for descriptions of symbols found on the Simulator. Symbol Table 1. Symbols Description See Users Manual. Caution risk of electric shock Manufacturers declaration of product compliance with applicable EU directives Battery Eliminator Port Do not dispose of this product as unsorted municipal waste. Go to Flukes website for recycling information.

W X
P

Multiparameter Simulator Specifications

Specifications
General
Display/Control......................................................16 alphanumeric display keys; two switches for Respiratory Leads LL/LA and Power ON/OFF Interface .................................................................RS232 bi-directional interface. Baud rate: 9600 ECG Output Connectors.......................................10 AHA/IEC color-coded connectors accepting ECG snaps and pins. Power......................................................................9 V alkaline battery or battery eliminator Case........................................................................High impact plastic Weight (w/o battery) ..............................................0.343 kg / 12.1 oz. Environmental .......................................................Indoor use Temperature, Operating........................................15 to 35 C (59 to 95 F) Temperature, Storage ...........................................0 to 50 C (32 to 122 F) Maximum Humidity, Operating ...........................80 % relative humidity up to 31 C (88 F), decreasing linearly to 50 % relative humidity at 40 C (104 F). Maximum Humidity, Storage ...............................95 % Altitude ...................................................................Up to 2000m Dimensions Height ..................................................................16.0 cm (6.3 in.) Width ..................................................................10.7 cm (4.2 in.) Depth...................................................................3.4 cm (1.4 in.) Part No....................................................................PS420 Multiparameter Simulator (PN 2631290)

PS420 Users Manual

Accessories
Item Standard Accessories Users Manual CD-ROM Users Manual (printed) 9 VDC Battery Eliminator Optional Accessories Cardiac Output Adapter Box Temperature Cable Blood Pressure Cable Cardiac Output Cable
* Contact your local Fluke Biomedical Sales Agent for further details

Part Number 2631721 2631808 2647372 2462200 * * *

ECG
12 Lead ECG with nine independent outputs referenced to RL Baseline Impedances..........................................500, 1000, 1500 or 2000 Ohms for Leads I, II, and III High Level Output ...............................................1000 x (Lead II) Rates...................................................................30, 40, 60, 80, 100, 120, 140, 160, 180, 200, 220, 240, 260, 280, and 300 BPM Default Rate ........................................................80 BPM. Rate Accuracy..................................................... 1% of selection Adult or Pediatric Waveform ECG Amplitudes..................................................0.5, 1.0, 1.5, and 2.0 mV Amplitude Accuracy ............................................ 2 %. (Lead II) Superimposed Artifact.........................................50 and 60 Hz, muscle, baseline wander, and respiration

Multiparameter Simulator Specifications

ECG Performance Square Wave.......................................................0.125 and 2.0 Hz Pulse ...................................................................30, 60, and 120 BPM 60 ms pulse width Sine Wave ............................................................5, 5, 10, 40, 50, 60, and 100 Hz Triangle Wave .....................................................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 II) Pacer Spike Duration (0.1, 0.5, 1.0, 1.5, and 2.0 ms) Asynchronous Pacemaker Pacer Non-Function 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 (PNC) * Nodal Rhythm Supraventricular Tachycardia PVC1 Left Ventricular Focus * PVC1 Early, LV Focus * PVC1 R on T, LV Focus * PVC2 Right Ventricular Focus * PVC2 Early, RV Focus * PVC2 R on T, RV Focus * Multifocal PVCs * Atrial Fibrillation Coarse/Fine PVCs 6 / minute PVCs 12 / minute
* Will go to NSR ECG @ 80 BPM after completion

Base Rate of 80 BPM PVCs 24 / minute Frequent Multifocal PVCs Bigeminy Trigeminy Pair PVCs * Run 5 PVCs * Run 11 PVCs * Ventricular Tachycardia Ventricular Fibrillation (Coarse) Ventricular Fibrillation (Fine) Asystole Conduction Defects First Degree Second Degree Third Degree Right Bundle Branch Block Left Bundle Branch Block

Multiparameter Simulator Specifications

Blood Pressure
Input/Output Impedance .......................................350 Ohms Exciter Input Limit ................................................. 10 V Exciter Input Frequency Range ...........................DC to 4000 Hz Transducer Sensitivity..........................................5 or 40 V/V/mmHg Level Accuracy ...................................................... 1% 1 mmHg Static Levels BP 1.....................................................................-10, 0, 80, 160, 240, 320, and 400 mmHg BP 2.....................................................................-10, 0, 50, 100, 150, 200, and 240 mmHg Channel Selections Arterial 120/80 .....................................................Channels 1 and 2 Radial Artery 120/80............................................Channels 1 and 2 Left Ventricle 120/00 ...........................................Channels 1 and 2 Right Ventricle 25/00 ...........................................Channels 1 and 2 Central Venous 15/10..........................................Channel 2 Pulmonary Artery 25/10.......................................Channel 2 Pulmonary Wedge 10/2.......................................Channel 2 Left Atrium 14/4 ...................................................Channel 2 Automatic Swan/Ganz......................................... Every 20 seconds Manual Swan/Ganz ............................................ Changes every time entry is selected
Synchronized with all normal sinus rates Physiologically tracks all arrhythmia selections

PS420 Users Manual

Cardiac Output Option

Catheter Type ........................................................Baxter-Edwards, 10 cc Blood Temperature ...............................................37 C (98.6 F) and 36 C (95.9 F) CO for 2 Degrees C ...............................................3, 5, and 7 L/Min CO for 20 Degrees C .............................................3, 5, and 7 L/Min Cal Pulse ................................................................Of 1 degree C for 1 second; of delta 402 Ohms for 4 seconds Accuracy ................................................................ 5 % Computational Constant 2 Degrees C ........................................................0.561 20 Degrees C ......................................................0.608 Left to Right Shunt * .............................................2 and 20 Degrees C Faulty Injectate *....................................................2 and 20 Degrees C
*Note: These four CO simulations are examples of defective (uncalibrated) curves.

Respiration
Baseline Impedances............................................500, 1000, 1500, 2000 Ohms (Leads I - III) Lead Selection.......................................................LL or LA Impedance Variations ...........................................0.2, 0.5, 1.0, and 3.0 Ohms Impedance Accuracy ............................................ 5 % Rates ......................................................................0 (apnea), 15, 20, 30, 40, 60, 80, 100, 120 BPM Apnea .....................................................................12 sec, 22 sec, 32 sec, and continuous Rate Accuracy ....................................................... 2 %

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 Accuracy ................................................................ 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.
2

3
RA R

Front Panel

Top Panel

LA L RL N

PS420

MULTIPARAMETER SIMULATOR

Left Panel
7

LL F V1

SCROLL

CHANGE

SCROLL

5
TEMP RESPIRATION

C1 V2 C2 V3 C3

2
RATE BLOOD PRESSURE

3
BASELINE

4
STATIC

5
WAVEFORM ECG

6
ZERO

10 Right Panel

V4 C4 V5 C5 V6 C6

7
RATE STATUS

8
SIZE

9
NSR

CLEAR

ENTER

ebt001f.eps

Figure 1. Controls and Terminals

PS420 Users Manual Table 2. Controls and Terminals Item Name Battery Eliminator Description For use in operating the Simulator from any standard electrical outlet. To ensure safe operation, use only the Fluke Biomedical Battery Eliminator (PN 2647372).

WXWarning
Caution risk of electric shock. Use only the Battery Eliminator specified in this manual or the protection provided may be impaired.

B C D E

Power Switch LA - LL Slide Switch LCD Display Control Keys ENTER CLEAR SCROLL

Switches the power on and off. Selects the reference lead, either LA (left arm) or LL (left leg). The position of the switch must correspond to the type of patient monitor in use. 15 mm x 60 mm (.58 in. x 2.37 in.) window displaying up to two lines of 20-point font.

Enters the selected code line value into memory. Clears the code line value from the LCD window. 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 decreases the code lines by 1.

10

Multiparameter Simulator Controls and Terminals Table 2. Controls and Terminals (cont.) Item Name CHANGE Description These keys are functional when the top line in the LCD window displays the up/down arrows . They allow you to increment or decrement the current setting. The up CHANGE arrow increases the preset codes by 1, while the down CHANGE arrow decreases the preset codes by 1. These keys have two functions: numeric and one-step selection of Simulator functions. Enters a numeric 0 to code line. Displays current parameter settings. Enters a numeric 1 to code line. Changes temperature. Enters a numeric 2 to code line. Changes respiration rate. Enters a numeric 3 to code line. Changes baseline resistance. Enters a numeric 4 to code line. Sets BP channels static levels. Enters a numeric 5 to code line. Sets BP channels to BP waveforms. Enters a numeric 6 to code line. Sets BP channels to zero level. Enters a numeric 7 to code line. Changes ECG rate for NSR. Enters a numeric 8 to code line. Changes ECG amplitude (lead II). Enters a numeric 9 to code line. Selects Normal Sinus Rhythm (80 BPM).

Keypad Soft Keys 0 / STATUS 1 / TEMP 2 / RATE 3 / BASELINE 4 / STATIC 5 / WAVEFORM 6 / ZERO 7 / RATE 8 / SIZE 9 / NSR

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PS420 Users Manual Table 2. Controls and Terminals (cont.) Item Name ECG Connectors Description 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 matching them to corresponding patient leads. Labels and their definitions are as follows: Label RA / R LA / L RL / N LL / F V1 / C1 to V6 / C6 Definition Right Arm Left Arm Right Leg (Reference or grounded) Left Leg V leads (US and Canada). Also referred to as pericardial, precardial or unipolar chest leads, and chest leads (IEC)

H I J

CO / Temp 1& 2 BP 1 BP 2 / RS-232

8-pin mini-DIN plug connector for the Cardiac Output and Temperature cables. These cables are available separately from your Fluke Biomedical Sales Agent. 8-pin mini-DIN connector for BP cable plugs. 8-pin mini-DIN plug connector for BP cable plugs, as above, and for connecting an RS-232.

12

Multiparameter Simulator Powering the Simulator

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:

As an alternative to a battery, you can power the Simulator with the Fluke Biomedical Battery Eliminator, PN 2647372.

WXWarning
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.

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.

Operating the Simulator

Connect the Simulator to the device under test. Use the Simulators 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.

W 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.

13

PS420 Users Manual

The window then displays the code entry display.

3.

To adjust some settings you can use the keypads two-function alphanumeric keys. For temperature, as an example, press 1, then ENTER. The LCD displays the current preset.

The display arrows indicate which SCROLL to use. The right SCROLL increases the preset codes by 1, while the left SCROLL decreases the preset codes by 1. For example, pressing the right SCROLL once will display the first preset, 0=VIEW. 2. 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.

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 increases the preset codes by 1, while the down decreases the preset codes by CHANGE arrow 1. You can then advance through the temperature settings shown in Table 3.

14

Multiparameter Simulator Operating the Simulator Table 3. Temperature Settings Code 189 188 187 186 185 Temperature 42 C (107.6 F) 40 C (104 F) 37 C (98.6 F) 35 C (95 F) 30 C (86 F) Press ENTER. The first parameter setting (ECG=NSR) is then displayed. Thereafter, each time you press ENTER, the Simulator displays current settings in the sequence shown in Table 4. Table 4. Current Settings Display ECG NSR NSR QRS ECG AMPL RESP RATE R DELTA BASELINE Description Normal sinus rhythm in BPM. Adult or pediatric waveform. ECG amplitude in mV. Respiration rate in RPM. Impedance variation in ohms. Baseline impedance in ohms.

After reaching the required preset, press ENTER. This now becomes the active temperature. Press CLEAR to return to the default code entry display. Note Only use the ENTER key when scrolling through the current settings. Using a SCROLL or CHANGE key interrupts the scrolling operation. At any point, you can view the Simulators current parameter settings simply by pressing STATUS (0). The Simulator then displays 0=VIEW.

TEMPERATURE Temperature in C. BP SENS BP1, BP2 Transducer sensitivity in V. Blood pressure channel settings in mmHg.

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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.

Code 185 186 187 188 189

Display TEMP 30C TEMP 35C TEMP 37C TEMP 40C TEMP 42C

Selects temperature of: 30 C (86 F) 35 C (95 F) 37 C (98.6 F) 40 C (104 F) 42 C (107.6 F)

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 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 to cycle through the presets. Then press ENTER to set the temperature. If you key 190, press ENTER and use the SCROLL keys to cycle through the other presets. Then press ENTER to set the temperature.

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 to cycle through the other presets SCROLL keys before pressing ENTER. In addition, you can select and adjust settings by first keying 2 RATE. If you key 2, press to cycle through ENTER and use the CHANGE keys the other presets. Then press ENTER to set the rate.

16

Multiparameter Simulator Simulating Functions In addition, you can select and adjust settings by first keying 3 = BASELINE. If you key 3, press ENTER and to cycle through the other use the CHANGE keys presets. Then press ENTER to set the impedance. Code 166 167 168 169 Display BASEL 500 Selects baseline resistance of: 500 Ohms

Code 152 153 154 155 156 157 158 159 160

Display RESPPM 0 RESPPM 15 RESPPM 20 RESPPM 30 RESPPM 40 RESPPM 60 RESPPM 80 RESPPM 100 RESPPM 120

Selects respiration rate of: 0 RPM 15 RPM 20 RPM 30 RPM 40 RPM 60 RPM 80 RPM 100 RPM 120 RPM

BASEL 1000 1000 Ohms BASEL 1500 1500 Ohms BASEL 2000 2000 Ohms Note

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. to cycle You can also use the SCROLL keys through the other presets before pressing ENTER.

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.

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PS420 Users Manual

Impedance Variations
The Simulator replicates impedance variations of 0.2, 0.5, 1.0, 2.0, 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. to cycle You can also use the SCROLL keys through the other presets before pressing ENTER. Code 161 162 163 164 165 Display R DELTA .2 R DELTA .5 R DELTA 1 R DELTA 2 R DELTA 3 Selects respiration delta Ohms: 0.2 Ohms 0.5 Ohms 1.0 Ohms 2.0 Ohms 3.0 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 to cycle through the other use the SCROLL keys presets before pressing ENTER. Code 144 145 Display APNEA ON APNEA OFF Selects respiration apnea: ON. Respiration rate of 0 RPM. OFF. Respiration reverts to previously selected respiration rate. For 12 seconds. For 22 seconds. For 32 seconds.

146 147 148

12 SEC APN 22 SEC APN 32 SEC APN

18

Multiparameter Simulator Simulating Functions

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 channels to a zero level on power up. This is to allow you to set up the monitoring equipment under test.

pressure waveforms occur (e.g., during the asystole selection, all pressure channels drop to 0 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 to scroll to ENTER, and then use the CHANGE keys the available presets.

Transducer Sensitivity (All Channels)

Before simulation can begin, blood pressure transducer sensitivity must be set to correlate with the monitor manufacturers specifications: 40 V/V/mmHg (code 76) or 5 V/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.

BP Static Levels, Channels 1 and 2

BP Static Levels, 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, to press ENTER, and then use the CHANGE keys 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.

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

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PS420 Users Manual

Code 207 208 209 210 211 212 213

Display BP STAT L0 BP STAT L1 BP STAT L2 BP STAT L3 BP STAT L4 BP STAT L5 BP STAT L6

Sets BP channel to static level 0.P1= 10 P2= -10 P3= -5 P4= -5 BP channel to static level 0.P1=0 P2=0 P3=0 P4=0 BP channel to static level 0.P1=80 P2=50 P3=20 P4=20 BP channel to static level 0. P1=160 P2=100 P3=40 P4=40 BP channel to static level 0. P1=240 P2=150 P3=60 P4=60 BP channel to static level 0. P1=320 P2=200 P3=80 P4=80 BP channel to static level 0. P1=400 P2=240 P3=100 P4=100

Channel BP-1
Code 78 79 80 81 Display P1 ARTERIA P1 RADIAL P1 LVNT P1 RVNT Selects: Arterial waveform, 120/80. Radial waveform, 120/80. Left ventricle waveform, 120/00. Right ventricle waveform, 25/00

Channel BP-2
Code 86 87 88 89 90 91 92 93 Display P2 ARTERIA P2 RADIAL P2 LVENT P2 RVNT P2 PULAR P2 PULWDG P2 L ATRIU P2 CVP Selects: Arterial waveform, 120/80. Radial waveform, 120/80. Left ventricle waveform, 120/00. Right ventricle waveform, 25/00. Pulmonary arterial waveform, 25/10. Pulmonary wedge waveform, 10/2. Left atrium waveform, 14/4. Central venous waveform (right atrium), 15/10.

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Multiparameter Simulator Simulating Functions

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 electrocardiograph, and can accommodate twelve-lead configurations with independent outputs for each signal lead referenced to the right leg (RL).

9 = NSR. After selecting 9, press ENTER, and then use to scroll to the available presets. the CHANGE keys Code 170 171 172 Display NSR 30BPM NSR 40BPM NSR 60BPM NSR 80BPM NSR 100BPM NSR 120BPM NSR 140BPM NSR 160BPM NSR 180BPM NSR 200BPM NSR 220BPM NSR 240BPM NSR 260BPM NSR 280BPM NSR 300BPM Selects NSR rate of: 30 BPM 40 BPM 60 BPM 80 BPM 100 BPM 120 BPM 140 BPM 160 BPM 180 BPM 200 BPM 220 BPM 240 BPM 260 BPM 280 BPM 300 BPM

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. Code 11 12 Display PEDIATRIC ADULT Selects: Pediatric NSR with QRS width of 40 ms. Adult NSR with QRS width of 80 ms.

173 174 175 176 177 178 179 180 181 182 183 184

NSR
The Simulator replicates fifteen normal sinus rhythms, or NSRs. These NSRs can be set through direct code entry, as below, or selected and adjusted through first selecting

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Arrhythmias: Premature Beats

Code 13 Display PVC1 LVF Selects: PVC with left ventricle focus. The Simulator then assumes NSR at 80 BPM. Early PVC with left ventricle focus. The Simulator 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.

Code 18

Display R ON T RVF

Selects: R on T PVC with right ventricle focus. The Simulator then assumes NSR at 80 BPM.

14

PVC1 E LVF

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MULTIFOCAL Multifocal PVCs. The Simulator then assumes NSR at 80 BPM. ATRIAL PAC Atrial premature contraction. The Simulator then assumes NSR at 80 BPM. Nodal premature contraction. The Simulator then assumes NSR at 80 BPM.

15

R ON T LVF

20

21

NODAL PNC

16

PVC2 RVF

17

PVC2 E RVF

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Multiparameter Simulator Simulating Functions

Arrhythmias: Ventricular
Code 24 25 26 27 28 29 30 31 32 33 34 35 36 Display PAIR PVCS RUN 5 PVCS Selects: Pair of PVCs. The Simulator then assumes NSR at 80 BPM. Run of 5 PVCs. The Simulator then assumes NSR at 80 BPM.

Arrhythmias: Atrial
Code 38 39 40 41 42 43 44 45 Display ATRL FIB1 ATRL FIB2 ATRIAL FLT SINUS ARRH MISSED ATRL TACHY Selects: Atrial fibrillation. Atrial fibrillation 1/2 value. Atrial flutter. NSR with irregular rate. Missed beat. The Simulator then assumes NSR at 80 BPM. Atrial tachycardia.

RUN 11 PVC Run of 11 PVCs. The Simulator then assumes NSR at 80 BPM. BIGEMINY TRIGEMINY PVCS 6/M PVCS 12/M PVCS 24/M FREQ MULTI VENT TACHY VENT FIB 1 VENT FIB 2 ASYSTOLE Bigeminy rhythm. Trigeminy rhythm. 6 PVCs per minute. 12 PVCs per minute. 24 PVCs per minute. Frequent multifocal rhythm. Ventricular tachycardia. Ventricular fibrillation. Ventricular fibrillation at 1/2. Asystole. No ECG.

NODAL RHYT Nodal rhythm. SUPRAVENT Supraventricular tachycardia.

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Arrhythmias: Conduction Defects

Code 47 48 49 50 51 Display RT BNDL BB LT BNDL BB 1ST DEG BL 2ND DEG BL 3RD DEG BL Selects: Right bundle branch block rhythm. Left bundle branch block rhythm. 1st degree heart block rhythm. 2nd degree heart block rhythm. 3rd degree heart block rhythm.

Code 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251

Display ST +.8 mV ST +.7 mV ST +.6 mV ST +.5 mV ST +.4 mV ST +.3 mV ST +.2 mV ST +.1 mV ST - .1 mV ST - .2 mV ST - .3 mV ST - .4 mV ST - .5 mV ST - .6 mV ST - .7 mV ST - .8 mV

Selects ST wave of: +.8 mV elevation +.7 mV elevation +.6 mV elevation +.5 mV elevation +.4 mV elevation +.3 mV elevation +.2 mV elevation +.1 mV elevation -.1 mV depression -.2 mV depression -.3 mV depression -.4 mV depression -.5 mV depression -.6 mV depression -.7 mV depression -.8 mV depression

ST Elevation and Depression Waves

These can be set through direct code entry, as below, or adjusted and set through first selecting 52 = ST WAVES or 142 = ST WAVES. After selecting 52 or 142, press to scroll to ENTER, and then use the CHANGE keys the available presets.

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Multiparameter Simulator Simulating Functions

ECG Waveform
The Simulator replicates four ECG waveform amplitudes, with a 2% accuracy of selection (Lead II). 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 = ECG AMPL. After selecting 8, press ENTER, and then to scroll to the available use the CHANGE keys presets. Then, press ENTER to set the amplitude. This setting remains in effect until changed, or until you switch the Simulator off. Code 191 192 193 194 Display ECGSEN .5 ECGSEN 1 ECGSEN 1.5 ECGSEN 2 Selects ECG amplitude of: 0.5 mV 1.0 mV 1.5 mV 2.0 mV

Code 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184

Display ECG = 30BPM ECG = 40BPM ECG = 60BPM ECG = 80BPM ECG = 100BPM ECG = 120BPM ECG = 140BPM ECG = 160BPM ECG = 180BPM ECG = 200BPM ECG = 220BPM ECG = 240BPM ECG = 260BPM ECG = 280BPM ECG = 300BPM

Selects ECG rate of: 30 BPM 40 BPM 60 BPM 80 BPM 100 BPM 120 BPM 140 BPM 160 BPM 180 BPM 200 BPM 220 BPM 240 BPM 260 BPM 280 BPM 300 BPM

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 to scroll to the available presets. CHANGE keys Then press ENTER to set the rate.

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PS420 Users Manual

Superimposed Artifacts
The Simulator replicates five different artifacts. Their purpose is to evaluate the effect of these type artifacts on ECG accuracy. After selecting the artifact, press ENTER to transmit it to the ECG. The Simulator deactivates the artifact when you make another ECG or arrhythmia selection. Code 53 54 55 56 57 Display 50 HZ ARTI 60 HZ ARTI MUSCLE ART BASE WANDR RESP ARTIF Selects: 50 Hz artifact (European lines). 60 Hz artifact (US lines). Muscle artifact. Baseline wandering. Respiration artifact.

Pacemaker
The Simulator replicates six paced rhythms/signals. After selecting the required rhythm, press ENTER. Use the CHANGE keys to scroll through the available rhythms. Code 58 59 60 61 62 Display Selects:

ASYNCHRONO Asynchronous pacemaker rhythm. DEMND FSIN DEMND OSIN AV SEQUENT Pacemaker rhythm with frequent sinus beats. Pacemaker rhythm with occasional sinus beats. Atrial ventricular pacemaker rhythm.

NONCAPTURE Noncapture event. The Simulator then assumes asynchronous pacemaker. NON FUNCT Non-function pacemaker rhythm.

63

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Multiparameter Simulator Simulating Functions

Pacemaker Pulse Amplitudes, Lead II

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 to scroll to the available presets. keys Code 224 225 226 227 228 Display PACE 2 mV PACE 4 mV PACE 6 mV PACE 8 mV PACE 10 mV Sets pacemaker pulse amplitude (Lead II) of: 2 mV 4 mV 6 mV 8 mV 10 mV

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 to scroll to the available presets. Code 229 230 231 232 233 Display PACE 0.1mS PACE 0.5mS PACE 1 mS PACE 1.5mS PACE 2 mS Sets pacemaker pulse width of: 0.1 ms 0.5 ms 1.0 ms 1.5 ms 2.0 ms

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PS420 Users Manual

Cardiac Output
The software detects the cardiac output option when you connect the Simulator to the patient monitors cardiacoutput computer using the available accessories. 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. Set the computational constant on your monitor under test to 0.561 for 2 C, or 0.608 for 20 C injectate temperature. Connect the cable from the Cardiac Output Adapter Box to the CO/Temp1&2 port on the right side of the Simulator. Connect the cable for the injectate temperature into the INJEC. TEMP. port on the Cardiac Output Adapter Box.

4.

Connect the cable for the blood temperature into the BLOOD TEMP. port on the Cardiac Output Adapter Box. You may also connect other temperature probes through the TEMP. 1&2 port on the Cardiac Output Adapter Box. 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.

5.

6.

2.

3.

Once you have the injectate temperature set to either 2 C or 20 C, you are ready to run the appropriate simulation from the Simulator. Select the appropriate test code and then press ENTER.

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Multiparameter Simulator Simulating Functions

Code 107

Display 3L/M @ 2C

Selects: 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.

Code 112

Display 7L/M @ 20C

Selects: 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.

108

5L/M @ 2C

113

FLT INJ 2

109

7L/M @ 2C

114

L- T SHT 2

110

3L/M @ 20C

115

FLT INJ 20

111

5L/M @ 20C

116

L- R SHT 20

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PS420 Users Manual 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.)

Code 117 118

Display

Selects:

CAL WAVES Calibrated cardiac output waves. NONCAL WVE Uncalibrated cardiac output waves. Gives 4 different values per 3, 5, and 7 L/min waves. Calibration pulse of 1 degree for 1 second. Calibration pulse of a delta of 402 Ohms for 4 seconds. 37 C (98.6 F) 36 C (95.9 F)

ECG Performance Testing Square Wave

Code 128 129 Display 2 Hz SQR .125 Hz SQ Selects: 2.0 Hz square waveform. 0.125 Hz square waveform.

119 120 121 122

CAL 1 SEC CAL 4 SEC SET BT 37C SET BT 36C

Triangle Wave
Code 130 131 Display 2 Hz TRIAN 2.5 Hz TRI Selects: 2.0 Hz triangle waveform. 2.5 Hz triangle waveform

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.

Pulse Wave
Code 132 133 Display PULSE 30 PULSE 60 Selects: Pulse of 30 BPM, width of 60 ms. Pulse of 60 BPM, width of 60 ms.

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Multiparameter Simulator Cleaning

Sine Wave
Code 135 136 137 138 139 140 141 Display SINE .5 Hz SINE 5 Hz SINE 10 Hz SINE 40 Hz SINE 50 Hz SINE 60 Hz SINE 100Hz Selects: 0.5 Hz sine wave. 5.0 Hz sine wave. 10.0 Hz sine wave. 40.0 Hz sine wave. 50.0 Hz sine wave. 60.0 Hz sine wave. 100.0 Hz sine wave.

Cleaning
Clean only with a damp, lint-free cloth, using mild detergent, and wipe down gently. W Caution Do not pour fluid onto the Simulator surface; fluid seepage into the electrical circuitry may cause Simulator failure. W Caution Do not use spray cleaners on the Simulator; such action may force cleaning fluid into the Simulator and damage electronic components.

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