Fluke Biomedical ProSim 2 User Manual

Vital signs simulator

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Page 1 Artisan Technology Group is your source for quality new and certified-used/pre-owned equipment SERVICE CENTER REPAIRS WE BUY USED EQUIPMENT • FAST SHIPPING AND DELIVERY Experienced engineers and technicians on staff Sell your excess, underutilized, and idle used equipment at our full-service, in-house repair center We also offer credit for buy-backs and trade-ins •...
Page 2 ProSim™ 2/3 Vital Signs Simulator Users Manual FBC 0038 January 2013, Rev. 1 © 2013 Fluke Corporation. All rights reserved. Specifications are subject to change without notice. All product names are trademarks of their respective companies.
Page 3 Fluke Biomedical warrants this instrument against defects in materials and workmanship for one year from the date of original purchase OR two years if at the end of your first year you send the instrument to a Fluke Biomedical service center for calibration.
Page 4 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.
Page 5 To ensure the accuracy of the Product is maintained at a high level, Fluke Biomedical recommends the product be calibrated at least once every 12 months. Calibration must be done by qualified personnel. Contact your local Fluke Biomedical representative for calibration.
Page 6 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.
Page 8: Table Of Contents
Table of Contents Title Page Introduction ........................1 Safety Information ......................1 Accessories ........................4 Product Familiarization ....................5 Battery Eliminator ......................8 How to Turn On the Product ..................8 Operation ........................9 Cardiac Functions ......................10 ECG Functions ......................10 Pacemaker Signals ....................
Page 9 ProSim™ 2/3 Users Manual Cardiac-Output Test Set Up ................. 17 How to Simulate Injectate Failure and Left-to-Right Shunt Fault ......19 How to Simulate Output from a Calibrated Pulse Signal ........19 Fetal/Maternal Function .................... 21 Simulate Fixed Fetal Heart Rate (FHR) ..............21 How to Simulate a Periodic FHR with Intrauterine Pressure (IUP) .......
Page 10 List of Tables Table Title Page Symbols ..........................3 Standard Accessories ......................4 Optional Accessories ......................4 Front-Panel Controls and Connectors .................. 6 Top-Panel Connectors ......................7 Product Functions ......................... 9 Dynamic BP Waveforms by BP Channel ................16 Error Codes .......................... 27 Product Control States and Modes ..................
Page 11 ProSim™ 2/3 Users Manual...
Page 12 List of Figures Figure Title Page Front-Panel Controls and Connectors .................. 5 Top-Panel Connectors ......................7 Battery Eliminator Connections ..................... 8 Power-Up Screen ......................... 8 Home Screen ........................9 Home Screen – Cardiac Function ..................9 Cardiac Output Screen ......................10 ECG Screen ..........................
Page 13 ProSim™ 2/3 Users Manual...
Page 14: Introduction
Introduction Table 1 is a list of symbols used on the Product and in this manual.  Warning  Warning To prevent possible electrical shock, fire, or To prevent possible electrical shock, fire, or personal injury, read all safety information personal injury: before you use the Product.
Page 15 ProSim™ 2/3 Users Manual • Carefully read all instructions. • Do not use the Product around explosive gas, vapor, or in damp or wet environments. • Do not use and disable the Product if it is damaged. • Do not use the Product if it operates incorrectly.
Page 16 Vital Signs Simulator Safety Information Table 1. Symbols Symbol Description Symbol Description Important information. Refer to manual. Hazardous Voltage   Conforms to relevant North American Safety  Conforms to European Union directives  Standards. Conforms to relevant Australian EMC Battery ...
Page 17: Accessories
Available Product Accessories are shown in Tables 2 and 3. Table 2. Standard Accessories Item Fluke Biomedical Part Number ProSim 2/3 Safety Information 4308669 ProSim 2/3 Users Manual CD 4253822 IBP Cable, Unterminated 2392173 ProSim 2/3 Carrying Case 2248623 CI-3 Cable Assembly (Cardiac Output Box), 3010-0289FG...
Page 18: Product Familiarization
Vital Signs Simulator Product Familiarization Product Familiarization Table 4 is a list of controls and connectors on the Product shown in Figure 1. hal001.eps Figure 1. Front-Panel Controls and Connectors...
Page 19 ProSim™ 2/3 Users Manual Table 4. Front-Panel Controls and Connectors Item Name Description Display LCD Display  Navigation buttons Cursor control buttons for navigating menus and lists.  Enter button Sets the highlighted function.  Power button Turns on and off the Product. ...
Page 20 Vital Signs Simulator Product Familiarization Table 5 is a list of connectors on the top-panel of the Product shown in Figure 2. hal006.eps Figure 2. Top-Panel Connectors Table 5. Top-Panel Connectors Item Name Description ECG Posts Connection posts for ECG leads from the patient monitor. ...
Page 21: Battery Eliminator
ProSim™ 2/3 Users Manual How to Turn On the Product Battery Eliminator Push on the front panel to turn on the Product. The The Product can operate on its two 9-Volt batteries or from power-up screen shows in the display (Figure 4 ). mains power.
Page 22: Operation
Vital Signs Simulator Operation Table 6. Product Functions ICON Description ICON Description ECG Waveform PACE Pacemaker RESP Respiration TEMP Temperature Blood Pressure Cardiac Output ARRY Arrhythmia FE/MA Fetal/Maternal PERF Performance Wave SETUP Setup To set a parameter of a function: hal002.eps 1.
Page 23: Cardiac Functions
ProSim™ 2/3 Users Manual 2. Push . The cardiac output screen in Figure 7 highlight to Home and push . The home screen shows in the display. shows all the Product functions. See Figure 5. An alternative to the Home screen is to use the Prev and Next selections.
Page 24 Vital Signs Simulator Cardiac Functions hal004.bmp Figure 8. ECG Screen See the Function Navigation and Parameter Selection section to learn how to set parameter values. See the detailed specifications for the range of parameter values. These parameters change the waveform that appears on the ECG posts along the top of the Product.
Page 25 ProSim™ 2/3 Users Manual Patient ProSim 2/3 Monitor Cable hal030.eps Figure 9. ECG Test Connections...
Page 26: Pacemaker Signals
Vital Signs Simulator Cardiac Functions Pacemaker Signals The Product can simulate heart signals with pacemaker control signals. To set the waveform, amplitude, and width of the pacemaker signal: 1. In the Home screen, push the navigation buttons to highlight PACE 2.
Page 27: Ecg Tests
ProSim™ 2/3 Users Manual To stop an arrhythmia simulation: 3. Use the parameter selection procedure described in the Operation section to set the frequency, shape, and 1. Highlight one of the group icons. amplitude of the performance waveform. 2. Push . See the detailed specifications for the range of parameter values.
Page 28: Blood Pressure Function
Vital Signs Simulator Cardiac Functions 5. Before you start the BP simulation, you must set the Blood Pressure Function simulated pressure to 0 mmHg. Push the navigation The Product simulates dynamic Blood Pressure (BP) buttons to highlight ZERO waveforms that synchronize with all normal sinus rhythm rates and track all simulated arrhythmias.
Page 29 ProSim™ 2/3 Users Manual Table 7. Dynamic BP Waveforms by BP Channel Dynamic Waveform Name Pressures √ √ √ Arterial 120/80 √ √ √ Radial Artery 120/80 √ √ √ Left Ventricle 120/00 √ √ Left Atrium 14/4 √ √ √...
Page 30: How To Add A Respiration Artifact To The Bp Waveform
Vital Signs Simulator Cardiac Functions connector is for catheter blood temperature (BT) and is How to Add a Respiration Artifact to the BP standard on most monitors. Waveform Note When the dynamic parameter for a blood pressure channel is set to a value other than off, the Product will let you This 3-pin catheter BT connector is compatible move the highlight to the artifact parameter.
Page 31 ProSim™ 2/3 Users Manual CI-3 Module/Cable Assembly of the General Purpose Connector Injectate temperature (IT) thermistor connector FUNCTION INJECTATE THERMISTOR CONNECTION A NO CONNECTION INJECTATE THERMISTOR CONNECTION B NO CONNECTION Blood temperature (BT) connector Viewed from Injectate temperature (IT) the top thermistor connector of the C1-3 Injectate temperature (IT)
Page 32: How To Simulate Injectate Failure And Left-To-Right Shunt Fault
Vital Signs Simulator Cardiac Functions 3. Set up the patient monitor to: 4. Push  to start the test. • Catheter size: 7 F How to Simulate Output from a Calibrated Pulse • Injectate volume: 10 cc Signal • Injectate temperature: 0 °C or 24 °C The Product sources a waveform that simulates an •...
Page 33 ProSim™ 2/3 Users Manual Patient Monitor ProSim 2/3 Blood Temperature Connection Cardiac Output Injectate Adapter Temperature Connection hal057.eps Figure 12. Cardiac Output Connections...
Page 34: Fetal/Maternal Function
Vital Signs Simulator Cardiac Functions The frequency of contractions can be set to manual, 2, 3 Fetal/Maternal Function or 5 minutes. The Product can simulate fetal and maternal electrocardiograms (ECG) that occur while in labor. The fetal heart rate starts at 140 bpm and changes with Pressure waveforms of uterine contractions can also be blood pressure.
Page 35 ProSim™ 2/3 Users Manual To set a periodic FHR with IUP: 4. Push the navigation buttons to highlight START 1. If the Fetal Maternal screen shows in the display, go to 5. Push  to start the test. If the Period parameter is step 3.
Page 36 Vital Signs Simulator Cardiac Functions Fetal Monitor IBP Channel 4 ProSim 2/3 Fetal ECG Input Intrauterine Blood Pressure Input BP Cable Jumper Wires Maternal Thigh Reference Plate Fetal Scalp Electrode hal058.eps Figure 13. Fetal/Maternal Connections...
Page 37: Other Functions
ProSim™ 2/3 Users Manual Other Functions Temperature Temperatures simulated by the Product are compatible The Product also simulates respiration and temperature. with Yellow Springs, Inc. (YSI) Series 400 and 700 probes. This section contains the procedures to set up the Product The type of cable connected to the temperature jack sets for these two functions.
Page 38 Vital Signs Simulator Other Functions ProSim 2/3 Temperature Cable Patient Monitor hal038.eps Figure 14. Temperature Simulation Connections...
Page 39: Remote Operation
To operate the Product from the PC, connect it to the PC as shown in Figure 15. the Product from a PC, connect the USB to a USB port on the PC. The PC must have the Windows XP, Vista, or ProSim 2/3 USB Port Mini Series B Connector hal060.eps...
Page 40: Remote Commands
Vital Signs Simulator Remote Operation When connected to a PC with a Windows operating command is not accepted by the Product, an error code system, the Product will communicate through a PC COM shown in Table 8 is sent to the PC. port.
Page 41: General Commands
ProSim™ 2/3 Users Manual General Commands Function Commands Table 9 is list of the modes and their description. The function commands are grouped by the function they support. Table 9. Product Control States and Modes ECG Functions Mode Type Description Tables 11 and 12 are lists of commands that control the LOCAL Local...
Page 42 Vital Signs Simulator Remote Operation Table 11. ECG Function Commands (cont.) 0.35 mV NAS0.35 Action Command 0.40 mV NAS0.40 Normal Sinus (cont.) 0.45 mV NAS0.45 120 bpm NSR120 0.50 mV NAS0.50 140 bpm NSR140 1.00 mV NAS1.00 160 bpm NSR160 1.50 mV NAS1.50 180 bpm...
Page 43 ProSim™ 2/3 Users Manual Table 11. ECG Function Commands (cont.) +0.7 mV STD+0.7 Action Command +0.8 mV STD+0.8 ST Elevation Artifact Simulation -0.8 mV STD-0.8 EAOFF -0.7 mV STD-0.7 50 Hz EA50 -0.6 mV STD-0.6 60 Hz EA60 -0.5 mV STD-0.5 Muscle EAMSC...
Page 44: Arrhythmia Functions
Vital Signs Simulator Remote Operation Table 12. Pacemaker Waveform Commands (cont.) Table 13. Arrhythmia Function Commands Action Command Action Command Amplitude Supraventricular 1 mV Atrial fibrillation, coarse 2 mV Atrial fibrillation, fine 5 mV Atrial flutter 10 mV PA10 Sinus arrhythmia SINA Width Missed beat...
Page 45: Ecg Test Functions
ProSim™ 2/3 Users Manual Table 13. Arrhythmia Function Commands (cont.) 5 PVCs RUN5 Action Command 11 PVCs RUN11 Premature (cont.) Ventricular tachycardia Premature vent contraction left Ventricular fibrillation, coarse VFB1 PVC1E (PVC1), early Ventricular fibrillation, fine VFB2 Premature vent contraction left PVC1R (PVC1), R on T Asystole...
Page 46 Vital Signs Simulator Remote Operation Table 14. ECG Test Commands 0.20 mV PFA0.20 Action Command 0.25 mV PFA0.25 Performance Waves 0.30 mV PFA0.30 2 Hz square wave SQU2 0.35 mV PFA0.35 0.125 Hz square wave SQU.125 0.40 mV PFA0.40 2 Hz triangle wave TRI2 0.45 mV PFA0.45...
Page 47 ProSim™ 2/3 Users Manual Table 14. ECG Test Commands (cont.) R-Wave width at 90 ms RWW90 Action Command R-Wave width at 100 ms RWW100 R-Wave Rate R-Wave width at 110 ms RWW110 R-wave at 30 bpm RWR30 R-Wave width at 120 ms RWW120 R-wave at 60 bpm RWR60...
Page 48: Respiration Function Commands
Vital Signs Simulator Remote Operation Table 14. ECG Test Commands (cont.) Table 15. Respiration Function Commands Action Command Action Command R-Wave Amplitude (cont.) Lead 0.40 mV RWA0.40 Lead LA RLLA 0.45 mV RWA0.45 Lead LL RLLL 0.50 mV RWA0.50 Baseline 500 Ω...
Page 49: Blood Pressure Function Commands
ProSim™ 2/3 Users Manual Table 15. Respiration Function Commands (cont.) Blood Pressure Function Commands Action Command Table 16 is a list of blood pressure function commands. These commands are grouped by static pressure, dynamic Amplitude pressure, and respiration artifact. 0.2 Ω RO0.5 0.5 Ω...
Page 50 Vital Signs Simulator Remote Operation Table 16. Blood Pressure Function Commands Command Action Channel 1 Channel 2 Channel 3 Channel 4 BP sensitivity to 5 μV/V/mmHg BPSNS5 BP sensitivity to 40 μV/V/mmHg BPSNS40 Zero each channel P1S0 P2S0 P3S0 P4S0 Zero all channels ZALL Static Pressure Levels...
Page 51 ProSim™ 2/3 Users Manual Table 16. Blood Pressure Function Commands (cont.) Command Action Channel 1 Channel 2 Channel 3 Channel 4 Static Pressure Levels (cont.) 240 mmHg static P1S240 P2S240 320 mmHg static P1S320 400 mmHg static P1S400 Dynamic Waveforms Arterial at 120/80 P1ART P2ART...
Page 52 Vital Signs Simulator Remote Operation Table 16. Blood Pressure Function Commands (cont.) Command Action Channel 1 Channel 1 Channel 1 Channel 1 Dynamic Waveforms (cont.) Start auto STSGAUTO Start manual STSG Insert (manual) Inflate (manual) Deflate (manual) Pull back (manual) PLBK Respiration Artifact Artifact on...
Page 53: Other Function Commands
ProSim™ 2/3 Users Manual Other Function Commands Injectate to 24 °C COI24 Table 17 is a list of commands for other Product functions. Fetal Heart Rate The other functions are temperature, cardiac-output wave/injectate, fetal heart rate, intrauterine-pressure wave, 60 bpm intrauterine-pressure period, and beeper.
Page 54: Maintenance
Vital Signs Simulator Maintenance • Repair the Product before use if the battery Maintenance leaks.  Warning • Be sure that the battery polarity is correct To prevent possible electrical shock, fire, or to prevent battery leakage. personal injury: • Do not keep cells or batteries in a •...
Page 55: Battery Replacement
ProSim™ 2/3 Users Manual Battery Replacement  Warning To prevent possible electrical shock, fire, or personal injury: • Remove batteries to prevent battery leakage and damage to the Product if it is not used for an extended period. • Be sure that the battery polarity is correct to prevent battery leakage.
Page 56: General Specifications
Vital Signs Simulator General Specifications General Specifications Power ................. Two 9-V alkaline batteries (IEC 6LR61, NEDA 1604A). Optional battery eliminator: 15 Vdc, 1.5 mA Battery Life ..............8 hours minimum Display ............... LCD Greyscale Display Size ................14.0 cm x 20.6 cm x 4.5 cm (5.5 in x 8.2 in x 1.8 in) Weight ................
Page 57: Pacemaker Waveform
ProSim™ 2/3 Users Manual Lead V6 .............. 80 % Normal Sinus Rhythm ..........12-lead configuration with independent outputs referenced to right leg (RL). Output to 10 Universal ECG Jacks, color-coded to AHA and IEC Standards. Amplitude ..............0.05 mV to 0.45 mV (0.05 mV steps), 0.5 mV to 5.5 mV (0.5 mV steps) Amplitude Accuracy ..........
Page 58: Ecg-Performance-Tests
Vital Signs Simulator Detailed Specifications Ventricular Arrhythmia ..........PVCs (6, 12, or 24 per minute), frequent multifocal PVCs, bigeminy, trigeminy, multiple PVCs (one-time run of 2, 5, or 11 PVCs), ventricular tachycardia, ventricular fibrillation (coarse or fine), and asystole Conduction Defect ............ First-, second-, or third-degree AV block and right- or left-bundle-branch block Power-On Default............
Page 59 ProSim™ 2/3 Users Manual Exciter-Input Frequency Range ......DC to 5000 Hz Transducer Sensitivity ..........5 μV/V/mmHg or 40 μV/V/mmHg Pressure Accuracy ..........±(2 % of setting + 2 mmHg) (Valid for dc excitation only) Static Levels, Channel 1 .......... -10, 0, 80, 160, 240, 320, 400 mmHg Static Levels, Channel 2 ..........
Page 60: Temperature
Vital Signs Simulator Detailed Specifications Temperature Temperature .............. 0 °C (32 °F), 24 °C (75.2 °F), 37 °C (98.6 °F), and 40 °C (104 °F) Accuracy ..............±0.1 °C Compatibility ............. Yellow Springs, Inc. (YSI) Series 400 and 700 Output Connector ............. DIN 4-pin Power-On Default............
Page 61: Computer Setup
ProSim™ 2/3 Users Manual Computer Setup USB Device Upstream Port ........Mini-B connector for control by a computer Baud Rate ..............9600 Parity ................. None Stop Bits ..............1 Data Bits ..............8...
Page 62 Artisan Technology Group is your source for quality new and certified-used/pre-owned equipment SERVICE CENTER REPAIRS WE BUY USED EQUIPMENT • FAST SHIPPING AND DELIVERY Experienced engineers and technicians on staff Sell your excess, underutilized, and idle used equipment at our full-service, in-house repair center We also offer credit for buy-backs and trade-ins •...

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