HeartSim 200 Directions for Use Rev E

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 3

Laerdal is responsible for the effects of safety, reliability and performance of its product(s) only if:

ENGLISH

– Service, repair, readjustment or modification is carried out by Laerdal or persons authorized by Laerdal. – The electrical installation of the room where the product is used complies with pertinent national requirements. – The product is used in the proper manner in strict compliance with its Directions for Use. Laerdal shall not be liable under this warranty for incidental or consequential damages or in the event any unauthorized repairs or modifications have been made or attempted or when the product, or any part thereof, has been damaged by accident, misuse or abuse. This warranty does not cover batteries, fuses, normal wear and tear, staining, discoloration or other cosmetic irregularity which does not impede or degrade product performance. Some states in the USA do not allow the exclusion or limitation of incidental or consequential damages, so those limitations or exclusions may not apply to you. There are no other express or implied warranties, whether of merchantability, fitness or purpose, or otherwise, on the product, its parts and accessories.

Cautions and Warnings When using the Heartsim 200 together with a training manikin and defibrillator, the warnings and cautions given in their respective Directions for Use must be followed. Do not open the Heartsim 200 case, there are no user serviceable parts. Refer the unit to a qualified service technician. This device generates, uses and can radiate radio frequency energy. If it is not installed and used in accordance with the instructions, it may cause harmful interference to radio communications. In that case the user is encouraged to try to correct the interference by: - Reorienting or relocating the receiving antenna. - Increasing the distance between the device and the receiver. - Connecting the device into an outlet on a circuit different from that to which the receiver is connected. - Consulting the dealer or an experienced radio/TV technician for help.

3

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 4

1.Introduction The Heartsim 200 is a battery powered ECG rhythm simulator which provides simulation of basic, modified and pediatric rhythms with the applicable pulse rate and strength. Dedicated controls and indicators for each function make the Heartsim 200 simple to use. The Heartsim 200 has been designed to be used with the ALS Skilltrainer and ALS Baby Trainer. However, by using the Heartsim 200 link cable (cat. No. 29 20 21) the following manikins can also be used with the Heartsim 200, although no pulse is generated: - Skillmeter Arrhythmia Trainer - Early Defibrillation Trainer - Basic ALS Trainer. The Heartsim 200 can also be used as a stand-alone unit to provide ECG signals for display on any standard 3-lead ECG monitor. This Directions for Use provides all the information to fully utilise the Heartsim 200 but does not aim to provide related medical knowledge. Note: The training manikins are supplied with their own Directions for Use. 2.Description The Heartsim 200 is a hand held unit with the function keys incorporated on the top panel. Every key (with the exception of the Paroxysmal and Change rhythm keys) has an associated LED to indicate the status of its function. The unit connects to the manikin by plugging the cable into the top end of the unit or via the ECG mounts on the top of the control panel. The rear of the unit contains the battery compartment.

4

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 5

3.Getting Started

ENGLISH

3.1 Unpacking Remove the Heartsim 200 from its packaging. If there is any obvious sign of damage, immediately notify Laerdal Medical and the carrier. Remove the battery cover and then remove the battery tag that is temporarily installed to prevent discharge of the batteries. 3.2 Connecting the Heartsim 200

3.2.1 Connecting the Manikin To connect the ALS Skilltrainer to the Heartsim 200, connect the cable from the side of the manikin to the connector on the top end of the Heartsim 200. This port also accepts the Heartsim 200 link cable plug. Note: The plug will only enter the receptacle with the correct orientation.

3.2.2 Connecting the ALS Baby Trainer Connect the manikin's three connectors onto the ECG mounts on the top of the control panel. These mounts can also connect directly to an ECG monitor for rhythm recognition training.

5

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 6

4.Operation 4.1 General 4.1.1 Power On/Off To switch on the Heartsim 200, simply press the On/Off key. To switch off the Heartsim 200, press the On/Off key a second time. To conserve battery power, the Heartsim 200 automatically switches off after approximately 10 minutes if there has been no user activity.

6427 rev A

200

HEARTSI HEARTSIM M

®

Sinus

VTslow

VTfast

VFcoarse

VFfine

Asystole

Sin.Brad

Sin.Tach

Torsade

Atr.Flutt.

Atr.Fibr.

Atr.Tach

1°AVB

2°AVB#1

2°AVB#2

3°AVB

Junctional

Junc.Tach

Unif.PVC

Multif.PVC

Coupl.PVC

PAC

PJC

Sin.Tach

SVT

VT

INFANT RHYTHMS

Sinus

Sin.Brad

VF

Asystole

Battery low ON/ Off

Ignore shock

Pulse

Paroxysmal

Change rhythm

normal weak absent

4.1.2 Battery Low Indication The yellow Battery low LED switches on to indicate that battery power is low and that the batteries should be replaced. See section 5.2.1 for battery removal/replacement. The Heartsim 200 will operate after the battery low LED is lit, but when the battery voltage is too low, the unit will switch automatically off. Note: The amplitude of the ECG and pulse strength may be affected when the Battery low LED is lit.

6

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 7

4.2 ECG Rhythms

ENGLISH

The ECG rhythms can be selected from their own dedicated controls on the keyboard. Each rhythm has its own key and green LED indicator that tells you which rhythm has been selected and its status. The Heartsim 200 has keys for the following rhythms:

Basic Rhythms Key Marking Sinus VT slow VT fast VF coarse VF fine Asystole

Rate 80 120 220 -

Descriptive Name Normal Sinus Rhythm (NSR) Ventricular Tachycardia, slow Ventricular Tachycardia, fast Ventricular Fibrillation, coarse Ventricular Fibrillation, fine Asystole.

6427 rev A

200

HEARTSI HEARTSIM M

®

Sinus

VTslow

VTfast

VFcoarse

VFfine

Asystole

Sin.Brad

Sin.Tach

Torsade

Atr.Flutt.

Atr.Fibr.

Atr.Tach

1°AVB

2°AVB#1

2°AVB#2

3°AVB

Junctional

Junc.Tach

Unif.PVC

Multif.PVC

Coupl.PVC

PAC

PJC

Sin.Tach

SVT

VT

INFANT RHYTHMS

Sinus

Sin.Brad

VF

Asystole

Battery low ON/ Off

Ignore shock

Pulse

Paroxysmal

Change rhythm

normal weak absent

7

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 8

Modified Rhythms Key Marking Sin. Brad Sin. Tach Torsade Atr. Flutt Atr. Fibr Atr. Tach 1°AVB 2°AVB #1 2°AVB #2 3°AVB Junctional Junc. Tach Unif. PVC Multif. PVC Coupl. PVC PAC

Rate 40 140 150 140 210 60 80, 4:3 80, 2:1/3:1 50 50 120 80 80 80 80

PJC

80

Descriptive Name Sinus Bradycardia Sinus Tachycardia Torsade des Pointes Atrial Flutter Atrial Fibrillation Atrial Tachycardia 1st Degr. AV Block 2nd Degr. AV Block #1 2nd Degr. AV Block #2 3rd Degr. AV Block Junctional Rhythm Junctional Tachycardia NSR with Unifocal PVCs NSR with Multifocal PVCs Sinus with Coupled PVCs Sinus with PACs (Premature Atrial Complex) Sinus with PJCs (Premature Junctional Complex)

6427 rev A

200

HEARTSI HEARTSIM M

®

Sinus

VTslow

VTfast

VFcoarse

VFfine

Asystole

Sin.Brad

Sin.Tach

Torsade

Atr.Flutt.

Atr.Fibr.

Atr.Tach

1°AVB

2°AVB#1

2°AVB#2

3°AVB

Junctional

Junc.Tach

Unif.PVC

Multif.PVC

Coupl.PVC

PAC

PJC

Sin.Tach

SVT

VT

INFANT RHYTHMS

Sinus

Sin.Brad

VF

Asystole

Battery low ON/ Off

Ignore shock

Pulse normal weak absent

8

Paroxysmal

Change rhythm

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 9

Infant Rhythms Rate 130 80 180 280 210 -

Descriptive Name Normal Sinus Rhythm (NSR) Sinus Bradycardia Sinus Tachycardia Supraventricular Tachycardia Ventricular Tachycardia Ventricular Fibrillation Asystole

ENGLISH

Key Marking Sinus Sin. Brad Sin. Tach SVT VT VF Asystole 6427 rev A

200

HEARTSI HEARTSIM M

®

Sinus

VTslow

VTfast

VFcoarse

VFfine

Asystole

Sin.Brad

Sin.Tach

Torsade

Atr.Flutt.

Atr.Fibr.

Atr.Tach

1°AVB

2°AVB#1

2°AVB#2

3°AVB

Junctional

Junc.Tach

Unif.PVC

Multif.PVC

Coupl.PVC

PAC

PJC

Sin.Tach

SVT

VT

INFANT RHYTHMS

Sinus

Sin.Brad

VF

Asystole

Battery low ON/ Off

Ignore shock

Pulse

Paroxysmal

Change rhythm

normal weak absent

4.2.1 Running/Waiting Rhythm Indication The green LED indicator next to the key shows you which rhythm has been selected and its status. A flashing LED denotes a waiting rhythm and a steady LED denotes a running rhythm. 4.2.2 Default Rhythm The default running rhythm when you switch on the Heartsim 200 is the Normal Sinus Rhythm (NSR). 4.2.3 Selecting a New Rhythm To select a new rhythm simply press the key of the new rhythm you require. Your new selection is indicated as a waiting rhythm. To activate, see next page.

9

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 10

4.3 Activation of a New Rhythm There are three methods to activate a new rhythm: 4.3.1 Use the Change Rhythm Key When you push the Change rhythm key the present selected running rhythm is deactivated and the selected waiting rhythm becomes the new running rhythm.

200

HEARTSI HEARTSIM M

®

Sinus

VTslow

VTfast

VFcoarse

VFfine

Asystole

Sin.Brad

Sin.Tach

Torsade

Atr.Flutt.

Atr.Fibr.

Atr.Tach

1°AVB

2°AVB#1

2°AVB#2

3°AVB

Junctional

Junc.Tach

Unif.PVC

Multif.PVC

Coupl.PVC

PAC

PJC

Sin.Tach

SVT

VT

INFANT RHYTHMS

Sinus

Sin.Brad

VF

Asystole

Battery low ON/ Off

Ignore shock

Pulse

Paroxysmal

Change rhythm

normal weak absent

4.3.2 Defibrillation of the Manikin Defibrillation of the manikin deactivates the selected running rhythm and the selected waiting rhythm becomes the new running rhythm, unless the Ignore Shock button is on. 4.3.3 Paroxysmal Function When you push the Paroxysmal Function key you can alternate between a running rhythm and a waiting rhythm.

10

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 11

4.4 Ignore Shock Function

ENGLISH

When you push the Ignore shock key, the detection of the shock is ignored and the status of the ECG rhythm stays the same. This function is engaged until you push the Ignore shock key again.

6427 rev A

200

HEARTSI HEARTSIM M

®

Sinus

VTslow

VTfast

VFcoarse

VFfine

Asystole

Sin.Brad

Sin.Tach

Torsade

Atr.Flutt.

Atr.Fibr.

Atr.Tach

1°AVB

2°AVB#1

2°AVB#2

3°AVB

Junctional

Junc.Tach

Unif.PVC

Multif.PVC

Coupl.PVC

PAC

PJC

Sin.Tach

SVT

VT

INFANT RHYTHMS

Sinus

Sin.Brad

VF

Asystole

Battery low ON/ Off

Ignore shock

Pulse

Paroxysmal

Change rhythm

normal weak absent

11

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 12

4.5 Pulse Function 4.5.1 Default Pulse Strength The default pulse strength when you switch on the Heartsim 200 is Normal. Since the default rythm is NSR, the pulse strength that will be felt on the manikin will be similar to the normal pulse on a healthy individual. 4.5.2 Pulse Strength Selection You can select three different pulse strengths: - Normal - Weak - Absent. A single push of the Pulse key changes the pulse strength selection from the default strength (Normal) to Absent. The next push changes the pulse strength to Weak, and the next returns it to Normal. Further pushes of the Pulse key change the selection sequentially. The pulse rates simulated in the Normal and Weak settings will depend upon selected rhythm. 4.5.3 Indication Each pulse strength has its own green LED that comes on to show you which pulse strength has been selected. 6427 rev A

200

HEARTSI HEARTSIM M

®

Sinus

VTslow

VTfast

VFcoarse

VFfine

Asystole

Sin.Brad

Sin.Tach

Torsade

Atr.Flutt.

Atr.Fibr.

Atr.Tach

1°AVB

2°AVB#1

2°AVB#2

3°AVB

Junctional

Junc.Tach

Unif.PVC

Multif.PVC

Coupl.PVC

PAC

PJC

Sin.Tach

SVT

VT

INFANT RHYTHMS

Sinus

Sin.Brad

VF

Asystole

Battery low ON/ Off

Ignore shock

Pulse normal weak absent

Note: The ALS Baby Trainer has a manually operated pulse.

12

Paroxysmal

Change rhythm

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 13

5.Maintenance 5.1 Trouble Shooting

Problem

Correction

Battery Low LED is on

- Replace batteries

No ECG signals displayed

- Check all connections

No pulse simulation

- Check to see if battery low LED is on. - Check manikin cable connection. - Check type of manikin (see page 4). - ALS Skilltrainer only: Pulse is pressed down on both sides simultaneously.

ENGLISH

The Heartsim 200 is designed to be a reliable unit requiring a minimum of maintenance. With this in mind, there are only a few faults the user can rectify. In all other cases contact Laerdal Medical, or your Laerdal dealer for authorized servicing or repair.

5.2 Servicing 5.2.1 Battery Removal/Replacement To remove and replace the batteries: - Remove the battery cover on the rear of the Heartsim 200. - Remove and safely discard the old batteries. - Install the new batteries, AA size (R6) 1.5V, in the correct orientation as shown on the cabinet bottom. - Re-fit the battery cover.

5.3 Cleaning 5.3.1 General Cleaning of the Heartsim 200 is restricted to general cleaning of the keyboard and case: - Moisten a cloth with a suitable cleaning agent. Use a mild soap or cleaner. - Gently wipe the surface of the keyboard and case. - Remove any excess liquid with a dry cloth. - Do not immerse the unit in water.

13

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 14

6.Parts List 26 00 10 26 10 00 26 10 20 26 04 20

Heartsim 200 Soft pack Battery case lid Directions for use Heartsim 200

Extra Equipment 29 20 21 Heartsim 200 link cable

If increased battery life is needed, there is an extra battery pack available which is mounted in ALS Skilltrainer. See ALS Skilltrainer Directions for Use. Product specifications are subject to change without notice.

14

HS 200 DfU 02-15EN.qxd

12.11.03

13:25

Page 15

7.Technical Data

Power Supplies - Power supply - Batteries - Number of batteries - Capacity - Battery life time

10°C to 40°C 15 to 90% RH (non - condensing) 70 kPa to 106 kPa

- Battery low indicator operation

9V from internal batteries AA size (R6) 1.5V 6 2500 mAh Approx. 12.5 hours until the unit switches automatically off. This is under the following conditions: Normal Sinus Rhythm Pulse active max. 10 sec./min. 20°C 6.6 +/- 0.2 VDC

Storage - Temperature - Humidity

- 15 to + 50°C 15 to 90% RH (non - condensing)

Physical Dimensions - Size - Weight incl. batteries

233 x 132 x 63 mm 0.5 kg

ENGLISH

Environmental Data - Temperature - Humidity - Atmospheric pressure

Symbols used

Type B in accordance with IEC-601.

Standards/Approvals

The product is in compliance with essential requirements of council directive 89 / 366 / EEC; EMC - directive. Limit B of EN 55011/1991 (CISPR 11/1990) Limit B of VDE 0871 / 6.78 with amendments of Amtsblatt no 163 / 1984 Vfg. 1046 Limit B of FCC rules and regulations part 15, subpart B. EN 50082 -1 / 1992 (IEC 801-2, -3, -4). IEC 601-1

15

HS 200 DfU 58-71FR.qxd

12.11.03

13:49

Page 64

Rythmes modifiés Touche Sin Brad Sin Tach Torsade Atr Flutt Atr. Fib Atr.tach 1°AVB 2°AVB #1

Fréquence 40 140 150 140 210 60 80, 4:3

Nom Bradycardie sinusale Tachycardie sinusale Torsade de pointe Flutter auriculaire Fibrillation auriculaire Tachycardie auriculaire Bloc Auriculo Ventriculaire 1° Degré Bloc Auriculo Ventriculaire 2° Degré Mobitz 1 80, 2:1/3:1 Bloc Auriculo Ventriculaire 2° Degré Mobitz 2 50 Bloc Auriculo Ventriculaire 3° Degré 50 Jonctionnel 120 Tachycardie jonctionnelle 80 RSN avec extrasystole unifocale 80 RSN avec extrasystole ventriculaire multifocale 80 RSN avec extrasystole en couplet 80 RSN avec extrasystole auriculaire 80 RSN avec extrasystole jonctionnelle

2°AVB #2 3°AVB Junctional Junc Tach Unif PVC Mutlif PVC Coupl.pvc PAC PJC

6427 rev A

200

HEARTSI HEARTSIM M

®

Sinus

VTslow

VTfast

VFcoarse

VFfine

Asystole

Sin.Brad

Sin.Tach

Torsade

Atr.Flutt.

Atr.Fibr.

Atr.Tach

1°AVB

2°AVB#1

2°AVB#2

3°AVB

Junctional

Junc.Tach

Unif.PVC

Multif.PVC

Coupl.PVC

PAC

PJC

Sin.Tach

SVT

VT

INFANT RHYTHMS

Sinus

Sin.Brad

VF

Asystole

Battery low ON/ Off

Ignore shock

Pulse normal weak absent

64

Paroxysmal

Change rhythm

HS 200 DfU 02-15EN.qxd

14.11.03

12:23

Page 16

Norway: LAERDAL MEDICAL AS P.O. Box 377, N-4002 Stavanger Tel. +47 51 51 17 00, Fax +47 51 52 35 57 E-mail: [email protected]

Italy: LAERDAL ITALIA s.r.l. Via Piero Gobetti 52/2 int.Z, 40129 Bologna Tel. +39 051-355587, Fax +39 051-355598 E-mail: [email protected]

Australia: LAERDAL Pty. Ltd. (ABN 47 003 817 490) 23 Edward Street, Oakleigh, Victoria 3166 Tel. +61 3 9569 4055, Toll free 1800 331 565 Fax +61 3 9569 4028, Toll free 1800 635 835 E-mail: [email protected]

Japan: LAERDAL MEDICAL JAPAN K..K.. Shinjuku IS Bldg.. 8F 2-13-12, Shinjuku, Shinjuku-ku, Tokyo 160-0022 Tel. 81-3-5919-2121, Fax: 81-3-5919-2122 E-mail: [email protected]

Benelux: "The Laerdal BeNeLux House" Dijkstraat 54, NL-5554 PS VALKENSWAARD Tel. +31 40 208 58 00, Fax +31 40 208 58 02 E-mail: [email protected]

Malaysia: LAERDAL HOSPILINE Sdn Bhd 12 Jalan Titir 33/25, Section 33, Shah Alam Technology Park, 40400 Shah Alam, Selangor Darul Ehsan, Tel +60 (3) 5122-7002, Fax +60 (3) 5122-5650 E-mail: [email protected]

Canada and Latin America: LAERDAL MEDICAL CANADA LTD. 151 Nashdene Rd., Unit #45 Toronto, ON, Canada, M1V 4C3 Tel. +1 (416) 298-9600, Toll free 888/LAERDAL (523-7325) ou en français (800) 567-9987 Fax +1 (416) 298-8016 E-mail: [email protected] Denmark: LAERDAL DANMARK Esplanaden 18, 1 DK-1263 Copenhagen K Tel. +45 80 333 112, Fax +45 80 333 555 E-mail: [email protected] Eastern Europe: LAERDAL C.E. EUROPE A-1060 Vienna, Mariahilferstr. 1d/1/3 Tel-Fax +43 15877140, Tel. +43 15815927 E-mail: [email protected] Far East: LAERDAL Singapore Pte Ltd No 1 Marine Parade Central #13-05, Parkway Centre Singapore 449408 Tel. +65 63464259, Fax +65 63467523 E-mail: [email protected] Finland: LAERDAL OY Vattuniemenranta 2, 00210 HELSINKI Puhelin +358 (0)9-612 99 80, Fax +358 (0)9-692 77 99 E-mail: [email protected] France: LAERDAL MEDICAL FRANCE 1 rue des Vergers - Bâtiment n° 5 - 69578 Limonest Cedex Tel. +33 (0)4 72 52 02 52, Fax +33 (0)4 78 35 38 45 E-mail: [email protected]

New Zealand: LAERDAL NEW ZEALAND Ltd (GST Number 79-403-636) Po Box 36339, Merivale, Christchurch Tel. +61 3 9564 4066, Toll free 0800 523 732 Fax +61 3 9563 3368, Toll free 0800 528 852 E-mail: [email protected] Portugal: LAERDAL ESPANA, Sucursal em Portugal Rua da Bela Vista à Graca, no.31 A. Escritorio 9, 1170-054 Lisboa Tel. (+351)-21-816-6567, Fax (+351)-21-816-6568, Mob. (+351)-918765367 Spain: LAERDAL ESPANA, S.L. Manuel Tovar 19, 28034 Madrid Tel. (+34) 902-291110, Fax (+34) (91)-7291125 E-mail: [email protected] Sweden: LAERDAL MEDICAL AB Box 2064, Paviljongvägen 5, 132 02 Saltsjö-Boo Tel. +46 (0)8-55614610, Fax +46 (0)8-55614619 E-mail: [email protected] United Kingdom: LAERDAL MEDICAL LTD. Laerdal House, Goodmead Road, Orpington, Kent BR6 0HX Tel. +44 (0)1689 876634, Fax +44 (0)1689 873800 E-mail: [email protected] USA: LAERDAL MEDICAL CORPORATION 167 Myers Corners Road, P.O. Box 1840 Wappingers Falls, New York 12590-8840 Tel. (800) 431-1055, +1 (845) 297-7770 Fax (800) 227-1143, +1 (845) 298-4545 E-mail: [email protected] LAERDAL TEXAS P.O. Box 38, 226 FM 116 South Gatesville, Texas 76528-0038 Tel. (800) 433-5539, (254) 865-7221 Fax (254) 865-8011 E-mail: [email protected]

SPEC 1670 rev O

Benelux: Belgium and Luxembourg LAERDAL BeNeLux nv Mechelsesteenweg 277, B-1800 VILVOORDE Tel. +32 2 253 36 96, Fax + 32 2 253 36 90 E-mail: [email protected]

Germany: LAERDAL MEDICAL DEUTSCHLAND GmbH Am Loferfeld 56, 81249 München Tel. +49 (0)89 / 864 954-0, Fax +49 (0)89 / 864 34 84 E-mail: [email protected]

6446 rev E

Printed in Norway