User Manual
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PS420
Multiparameter Simulator Users Manual
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 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 repairing 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 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 double–walled carton of sufficient strength for the weight being shipped. Use heavy paper or cardboard to protect all instrument surfaces. Use nonabrasive material around all projecting parts. Use at least four inches of tightly packed, industry-approved, shock-absorbent material around the 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 Biomedical’s manufacturing specifications when it was shipped from the factory. Calibration measurements are traceable to the National Institute of Standards and Technology (NIST). Devices for which there are no NIST calibration standards are measured against in-house performance standards using accepted test procedures.
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 by Fluke Biomedical, 6045 Cochran Rd. Cleveland, Ohio 44139.
Table of Contents
Title
Page
Introduction ... 1 Safety ... 1 Specifications ... 3 General... 3 Accessories ... 4 ECG... 4 Pacemaker Selections ... 5 Arrhythmia Selections... 6 Blood Pressure ... 7 Cardiac Output Option... 8 Respiration ... 8 Temperature ... 8 Controls and Terminals ... 9 Powering the Simulator ... 13 Operating the Simulator ... 13 Simulating Functions ... 16 Temperature ... 16
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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...
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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
List of Tables Table 1. 2. 3. 4.
Title
Page
Symbols... 2 Controls and Terminals ... 10 Temperature Settings ... 15 Current Settings ... 15
List of Figures Figure
Title
1.
Controls and Terminals ... 9
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Page
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.
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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.
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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.
Safety WXWarning. Read before using the Simulator. To avoid personal injury, follow these guidelines:
Do not open this product. There are no user replaceable parts.
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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.
Table 1. Symbols Symbol
W
See Users Manual.
X
Caution risk of electric shock
P
Manufacturer’s declaration of product compliance with applicable EU directives
…
~
2
Description
Battery Eliminator Port 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...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)
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PS420 Users Manual
Accessories Item Standard Accessories Users Manual CD-ROM
Part Number 2631721
Users Manual (printed) 9 VDC Battery Eliminator Optional Accessories Cardiac Output Adapter Box Temperature Cable Blood Pressure Cable
2631808 2647372 2462200 * *
Cardiac Output Cable
*
* Contact your local Fluke Biomedical Sales Agent for further details
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
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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
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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
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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 µV/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
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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
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Multiparameter Simulator Controls and Terminals
Controls and Terminals Refer to Figure 1 and Table 2 for descriptions of Simulator controls and terminals. 2
1
Front Panel
3 RA R
Top Panel
LA L
PS420 MULTIPARAMETER SIMULATOR
4 RL N
Left Panel
LL
7
SCROLL
CHANGE
SCROLL
5
F V1
7
C1 V2
RESPIRATION
TEMP
1
C2
2
3
RATE
BASELINE
6
BLOOD PRESSURE
8
9
10 Right Panel
V3
4
5
6
C3
STATIC
WAVEFORM
ZERO
ECG
V4 C4 V5 C5 V6 C6
7
8
9
RATE
SIZE
NSR
CLEAR
ENTER
STATUS
0
5
ebt001f.eps
Figure 1. Controls and Terminals
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PS420 Users Manual Table 2. Controls and Terminals Item
Name
A
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.
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B
Power Switch
Switches the power on and off.
C
LA - LL Slide Switch
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.
D
LCD Display
15 mm x 60 mm (.58 in. x 2.37 in.) window displaying up to two lines of 20-point font.
E
Control Keys ENTER
Enters the selected code line value into memory.
CLEAR
Clears the code line value from the LCD window.
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 decreases the code lines by 1.
Multiparameter Simulator Controls and Terminals Table 2. Controls and Terminals (cont.) Item
Name
Description
E
CHANGE
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.
F
Keypad Soft Keys
These keys have two functions: numeric and one-step selection of Simulator functions.
0 / STATUS
Enters a numeric 0 to code line. Displays current parameter settings.
1 / TEMP
Enters a numeric 1 to code line. Changes temperature.
2 / RATE
Enters a numeric 2 to code line. Changes respiration rate.
3 / BASELINE
Enters a numeric 3 to code line. Changes baseline resistance.
4 / STATIC
Enters a numeric 4 to code line. Sets BP channels static levels.
5 / WAVEFORM
Enters a numeric 5 to code line. Sets BP channels to BP waveforms.
6 / ZERO
Enters a numeric 6 to code line. Sets BP channels to zero level.
7 / RATE
Enters a numeric 7 to code line. Changes ECG rate for NSR.
8 / SIZE
Enters a numeric 8 to code line. Changes ECG amplitude (lead II).
9 / NSR
Enters a numeric 9 to code line. Selects Normal Sinus Rhythm (80 BPM).
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