POSSIBLE PRODUCT. THE INFORMATION IN THIS MANUAL HAS BEEN CAREFULLY CHECKED AND IS BELIEVED TO BE ACCURATE. HOWEVER, NO RESPONSIBILITY IS ASSUMED FOR INACCURACIES. CONTACT INFORMATION BC BIOMEDICAL BC GROUP INTERNATIONAL, INC. PO BOX 25125 9415 GENTRY AVE ST. LOUIS, MO 63125...
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BC GROUP PS-2200 PATIENT SIMULATOR The PS-2200 Family is a series of high end Microprocessor based Patient Simulators. Each model provides ECG, Blood Pressure, Respiration and Temperature Simulation. Models are available with one, two or four independent blood pressure outputs. All models will support the Fetal/Maternal, SpO and Cardiac Output options.
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PS-2200 The following are highlights of some of the main features: GENERAL • SIMPLE TO OPERATE • NO CODES TO REMEMBER OR ENTER • GRAPHICS DISPLAY WITH SIMULTANEOUS DETAILED STATUS OF PARAMETERS AND SCROLLING CONTROL OF OPTIONS • DROP DOWN CHOICE SCREENS LIST ALL OPTIONS FOR PARAMETERS •...
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Description ARRHYTHMIA FUNCTIONS The unit can simulate 36 different arrhythmias. For ease of selection, they are grouped into four basic categories. Where applicable, both manual and automatic triggering of the waveform is available. • 36 DIFFERENT ARRHYTHMIAS • FOUR GENERAL GROUPS: SUPRAVENTRICULAR PREMATURE VENTRICULAR...
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PS-2200 ECG-PERFORMANCE FUNCTIONS The unit will generate Sine, Square, Triangular and Pulse waveforms with adjustable amplitudes for performance testing. A special Automatic mode is available to auto sequence through the entire range of waveforms. Also, a R-Wave (Havertriangle) waveform may be selected with separate amplitude and width settings. •...
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Description BLOOD PRESSURE Blood pressure simulation varies between the members of the PS-2200 Family. There are models with 1,2 and 4 blood pressure outputs. Both static and dynamic invasive pressures are simulated. In the static mode, the BP outputs are fixed at the selected level or sequenced through the list using the Automatic mode selection.
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PS-2200 TRAINING The unit has a special training mode that may be used to aid users in practicing the identification of arrhythmias. A series of settings allows the feature to be customized to fit the exact training requirement. • TIMER: MANUAL,10,15,20,25,30 SEC •...
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FINGERSIM INTERFACE WITH BC20 - 21103 HEAVIER DUTY BATTERY ELIMINATOR (US) BC20 - 30107 BC BIOMEDICAL MEDIUM SOFT SIDED CARRYING CASE BC20 - 41337 COMMUNICATION CABLE (MINI DIN M TO DB 9 F) BC20 - 41339 COMMUNICATION CABLE (USB TO DB 9 M)
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OVERVIEW This section looks at the layout of a PS-2200 and gives descriptions of the elements that are present. LCD Graphical Display: Shows Parameters for ECG, 10 Universal Respiration and Temperature Patient Lead Connectors: LCD Graphical Display: Lead Continuity Shows Parameters for Blood Test Connections RL(-) N Pressure...
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PS-2200 General Operation The unit is controlled by 17 light touch keys. They allow the user to move around within the displayed parameters, select the desired options, choose a specific category and control the setup and power for the unit. When a key is depressed there is an audio click when it is accepted, or a razz tone if the key is invalid.
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Overview key opens a screen that allows the user to select the unit’s general output settings, as well as setup for the system. Category Keys key enters the NSR category. key enters the arrhythmia category and changes the first line in the display to the first arrhythmia choice.
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PS-2200 Power Key key turns the unit on and off. To turn off the unit, the key must be held for 1 second. Backlight The Graphic LCD display may be viewed with or without the backlight. Depressing any key will activate the backlight. However, since the backlight will drain the battery if left on, it will automatically shut off after a few seconds when running on battery power.
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Overview ECG Waveforms The microprocessor has stored in its memory all of the digitalized waveforms. It sends the individual lead waveforms to D/A converters, which generate accurate analog representations. The waveforms are then sent through resistor networks, developing the appropriate signals on the output terminals. Respiration Respiration waveforms are provided that have adjustable rates from 15 to 120 BrPM (Breaths Per Minute) as well as an Apnea (0 BrPM) setting.
PS-2200 Temperature There is an 8-pin mini-DIN plug connector on the right side of the unit for connection of a Temperature cable. Temperatures are simulated for both YSI 400 and YSI 700 probe types. There are seven different temperatures selectable for each. Universal Patient Lead Connectors The 10 Universal Patent Lead Connectors allow for 12 lead ECG simulation with independent outputs.
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Overview Auto Power Off The unit may be programmed to automatically turn off after a selected number of minutes of no key activity to conserve the battery. (Note: This time is selectable in the System Setup screen). Power Supply The unit utilizes two 9 Volt Alkaline Batteries in the rear battery compartment. When the unit detects a LOW BATTERY condition (5% Battery Life), a warning window will appear once per minute to alert the user.
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PS-2200 Automatic Modes The ECG NSR Rate, ECG Performance and Static Blood Pressure Parameters all allow for an automatic setting. In each of these, the unit will sequence through the full range of settings automatically at a fixed rate (as selected in the Auto Step Time Parameter). When in this mode, the time remaining in each step is displayed.
ECG – NORMAL SINUS RHYTHM The PS-2200 can send waveforms to ECG machines in 3, 5 or 12 lead configurations. It has independent outputs for each signal lead, referenced to the right leg. Normal Sinus Rhythm (NSR) occurs when the heartbeat is normal, beating at a rate between 50 and 100 BPM with a standard QRS waveform shape and height.
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PS-2200 The rate, amplitude, adult/pediatric, artifact and ST elevation or depression can be selected using highlight parameter change using to scroll to the desired value. Then is used to accept the new setting. Alternately, to see a submenu of all the options for a highlighted parameter, use to scroll to the desired option.
ECG – ARRHYTHMIAS The PS-2200 can send Arrhythmia waveforms to ECG machines in 3, 5 or 12-lead configurations. It has independent outputs for each signal lead, referenced to the right leg. There are 35 Arrhythmias available that model abnormal heartbeats. The PS-2200 is placed into ARRHYTHMIA mode by pressing the category key.
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PS-2200 The display will resemble the following: ARTIFACT None* 50 Hz GROUP ARRHYTHMIA Premature Atrial PAC - Auto* 60 Hz Atrial PAC - Man Muscle Nodal PNC - Auto Wander Nodal PNC - Man (Baseline) PVC 1 - Auto Resp PVC 1 - Man (Respiration) PVC 1 Early - Auto...
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Arrhythmias The grouping, arrhythmias and amplitude can be selected by using highlight the parameter to change and using to scroll to the desired option. Then is used to accept the new setting. Alternately, to see a submenu of all the options for a highlighted parameter, use to scroll to the desired option.
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PS-2200 The following is a brief description of how the PS-2200 simulates the available Arrhythmias: PREMATURE Abbreviation Arrhythmia Description NSR of 80 BPM with Periodic Atrial PAC Abnormal 25 % early P waves Premature Atrial Contraction (PAC, 7 NSR) – Auto (Continuous) NSR of 80 BPM with Periodic Atrial PAC...
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Arrhythmias NSR of 80 BPM with periodic right focus premature ventricular beats Standard Type 2 PVC 2 – Auto with 20% premature timing Premature Ventricular Contraction (PVC Type 2, 9 NSR) (Continuous) NSR of 80 BPM with periodic right Standard Type 2 focus premature ventricular beats PVC 2 –...
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PS-2200 SUPRAVENTRICULAR Abbreviation Arrhythmia Description Absence of P-wave, irregular P-R Atrial Fib – Artial Fibrillation interval rate and a high level signal Coarse (Continuous) Absence of P-wave, irregular P-R Atrial Fib – Artial Fibrillation interval rate and a low level signal Fine (Continuous) Repeating sequence of 5 atrial beats...
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Arrhythmias VENTRICULAR Abbreviation Arrhythmia Description NSR of 80 BPM with Periodic Group Pair of PVCs Pair of Premature Ventricular of 2 Type 1 PVCs Contractions (2 PVC Type 1, 36 NSR) – Auto (Continuous) NSR of 80 BPM with Periodic Group Pair of PVCs Pair of Premature Ventricular of 2 Type 1 PVCs...
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PS-2200 160 BPM, No P-wave, Ventricular Tachycardia Vent Tach Beats similar to Type 1 PVC (Continuous) Irregular waveform with no real Vent Fib – P-wave or clear R-R interval and a Ventricular Fibrillation high signal level Coarse (Continuous) Irregular waveform with no real Vent Fib –...
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Arrhythmias CONDUCTION Abbreviation Arrhythmia Description 80 BPM with a long P-R interval of Deg Heart First Degree Heart Block 250 ms Block (Continuous) 80 BPM with increasing P-R interval for four beats Deg Heart Second Degree Heart Block (160, 220, 400, 470 ms) Block followed by a P wave without a QRS (Continuous)
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ECG – PACEMAKER The PS-2200 can send paced waveforms to ECG machines in 3, 5 or 12 lead configurations. It has independent outputs for each signal lead, referenced to the right leg. There are 7 paced simulation signals available which model when the heartbeat is accompanied by a pacemaker.
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PS-2200 The pacemaker rhythms and signals can be selected by using to highlight the parameter to change and using to scroll to the desired option. Then is used to accept the new setting. Alternately, to see a submenu of all the options for a highlighted parameter, use to scroll to the desired option.
ECG – PERFORMANCE The PS-2200 can send performance waveforms to ECG machines in 3, 5 or 12-lead configurations. It has independent outputs for each signal lead, referenced to the right leg. There are 15 Performance waves and 6 R-waves available for testing and verifying. The PS-2200 is placed into PERFORMANCE mode by pressing the category key.
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PS-2200 R-Wave When one of the 6 R-Wave waveforms is selected, the display changes to allow the setting of the width. WIDTH 8 ms 10 ms* ECG/RESPIRATION/TEMPERATURE 12 ms 20 ms 30 ms 40 ms 50 ms 60 ms 70 ms 80 ms 90 ms 100 ms...
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Performance Auto Wave If the Performance parameter is set to AUTO, the unit will automatically sequence through all of the performance waves, starting with Square Wave .125 Hz, incrementing at a fixed interval. The interval may be set in the System Setup Menu under “Auto Step Time”. A countdown timer is shown in the display: Displays time (seconds) remaining before...
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(See SETUP for selection information). The PS-2200 series offers one, two or four Blood Pressure Channels and will simulate the set Blood Pressure wave during ECG waveforms where it occurs. Model Number...
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PS-2200 PS-2240 The PS-2240 quad blood pressure display will resemble the following: RESPIRATION ARTIFACT WAVEFORM Arterial 120/80 0 mmHg* BLOOD PRESSURE Radial Artery 120/80 1 mmHg Left Vent 120/0 2 mmHg Right Vent 25/0 3 mmHg Pulm Artery 25/10 4 mmHg 15/10 5 mmHg 10/2...
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Blood Pressure Alternately, to see a submenu of all the options for a highlighted parameter, use to scroll to the desired option. Then is used to accept the new setting. Auto Static Pressure If Auto Static Pressure is selected, the channel will automatically sequence through all of the Static Pressure settings, starting with -10 mmHg, incrementing at a fixed interval.
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PS-2200 Auto Sets If Auto Preset is selected, the channels will automatically sequence through the static sets, starting with Set 0, incrementing at a fixed interval. The interval may be set in the System Setup Menu under “Auto Step Time”. BLOOD PRESSURE Displays time (seconds) remaining before...
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Blood Pressure PS-2220 The PS-2220 dual blood pressure display will resemble the following: RESPIRATION WAVEFORM ARTIFACT Arterial 120/80 0 mmHg* BLOOD PRESSURE Radial Artery 120/80 1 mmHg Left Vent 120/0 2 mmHg Right Vent 25/0 3 mmHg Pulm Artery 25/10 4 mmHg 15/10 5 mmHg...
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PS-2200 Alternately, to see a submenu of all the options for a highlighted parameter, use to scroll to the desired option. Then is used to accept the new setting. Auto Static Pressure If Auto Static Pressure is selected, the channel will automatically sequence through all of the Static Pressure settings, starting with -10 mmHg, incrementing at a fixed interval.
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Blood Pressure PS-2210 The PS-2210 single blood pressure display will resemble the following: WAVEFORM RESPIRATION Arterial 120/80 ARTIFACT Radial Artery 120/80 0 mmHg* BLOOD PRESSURE Left Vent 120/0 1 mmHg Right Vent 25/0 2 mmHg Pulm Artery 25/10 3 mmHg 15/10 4 mmHg 10/2...
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PS-2200 Alternately, to see a submenu of all the options for a highlighted parameter, use to scroll to the desired option. Then is used to accept the new setting. Auto Static Pressure If Auto Static Pressure is selected, the channel will automatically sequence through all of the Static Pressure settings, starting with -10 mmHg, incrementing at a fixed interval.
Blood Pressure SWAN-GANZ The Swan-Ganz simulation is a special feature that will run the typical sequence for a Swan-Ganz catheter. This can be done either manually, with the user triggering each step, or automatically, with the unit continuously running the sequence with each step at a fixed time interval.
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PS-2200 Manual In the Swan-Ganz – Man mode, the user controls the sequence using the keys. (The functions of the keys vary with the steps. The display will indicate the current options on each screen.) The following is a typical screen: CHANNEL BLOOD PRESSURE RESPIRATION...
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Blood Pressure Automatic In the Swan-Ganz – Auto mode, the unit continually runs the sequence. The time remaining before proceeding to the next step is counted down in the display. The following is a typical setup screen: RESPIRATION ARTIFACT CHANNEL 0 mmHg* BLOOD PRESSURE 1 mmHg...
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PS-2200 The following is a typical running screen: BLOOD PRESSURE SEQUENCE Counts down time per step. Right Atrium CVP 15/10 Right Ventricular 25/0 Pulmonary Artery 25/10 Pulmonary Arterial Wedge 10/2 Right Atrium CVP 15/10 Right Ventricular 25/0 Pulmonary Artery 25/10 To pause or exit the Swan-Ganz –...
RESPIRATION NOTE: The delta ohm Respiration Signal can be inserted in either the LL or LA lead. The Baseline impedance can be set to 500, 1000, 1500 or 2000 Ohms. These must be set to correlate with the monitoring equipment before simulation can begin. (See SETUP for selection information).
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PS-2200 These Rates and Amplitude (Impedance Variations) can be selected by using to highlight the parameter to change and using to scroll to the desired option. Then is used to accept the new setting. Alternately, to see a submenu of all the options for a highlighted parameter, use to scroll to the desired option.
TEMPERATURE The PS-2200 simulates 7 temperatures that are independent from the rest of the functions of the unit. The temperature setting can be selected at any time. The output will simulate both YSI 400 and YSI 700 Temperature probes. (Note: Both outputs are available at the output connector simultaneously.) The display will resemble the following: ECG/RESPIRATION/TEMPERATURE TEMPERATURE...
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TRAINING The PS-2200 provides the unique feature of a Training Mode to aid the user in practicing the identification of arrhythmias. The unit will sequence through the arrhythmias, allowing the user to look at the output on their equipment, identify the arrhythmia and then verify their conclusion with the correct name shown on the display.
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PS-2200 Alternately, to see a submenu of all the options for a highlighted parameter, use to scroll to the desired option. Then is used to accept the new setting. When ready to begin the Training, use . The appropriate arrhythmia screen will be displayed with Training Mode indicated.
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Training SUBSET The subset feature allows the user to select specific arrhythmias for a more controlled training. This feature is selected by setting the “Arrhythmias:” parameter to “Subset.” The selection of the subset is done by marking those specific arrhythmias or groups of arrhythmias of interest.
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PS-2200 To select all the arrhythmias in a group, use to scroll to the category to toggle the indicator to “ALL”. To select none of the arrhythmias in a group, to toggle the indicator to “NO”. To select some of the arrhythmias in a group, use to display the list of arrhythmias for a specific group.
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Training When completed selecting the desired arrhythmias from that group, use return to the Group Submenu. “SOME” will appear to indicate a partial selection of the arrhythmias in that group., Additional groups may be modified in the same manor. When done with all the groups, use again to return to the Training Mode.
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SETUP The PS-2200 allows for setup of the Outputs and the System Parameters through the category key. Depress the key multiple times to toggle between the setup screens. The Output Setup screen allows for the setting of the SpO Output, Respiration Baseline Ohms, Respiration Lead and the Blood Pressure Sensitivity parameters.
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PS-2200 System Setup The System Setup screen allows for the setting of the parameters controlling various function of the unit as well as the viewing of Battery Life and Software information. The display will resemble the following: NOTE: The Software number in this manual is for example purposes only.
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Setup The following is a brief description of the parameters and the available range of settings: Parameter Description Range The elapsed time after which the unit will automatically power down. This Auto Off Timer timer reset each 0-30 min depression. (Setting the value to 0 eliminates this feature.) Off –...
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POWER UP SETTINGS The PS-2200 allows the user to tailor the settings that the unit will have on Power Up. The “Power Up With” parameter in the System Setup Menu allows for the selection of either Default, Last or Custom selections. Default If this option is selected the following settings will be used every time the unit is turned on.
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PS-2200 SystemSetup: Auto Timer Off 30 min Backlight Time 5 sec Backlight Intensity 100% Contrast Adjust Power Up With Default Auto Step Time 5 sec Swan-Ganz Step Time 15 sec Last If this option is selected, the unit will remember the settings that were being used when it was turned off and bring them back when the power is turned on.
(Option) The PS-2200 has the ability to drive an external SpO module. This module (MSP-2100) accepts the FingerSim family of SpO finger simulators (fingers are available with SpO 80, 90 and 97 %). The output pulses the fingers at the NSR BPM rate. The output is off in Arrhythmia and Performance Modes.
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FETAL / MATERNAL (Option) The PS-2200 has the ability to simulate a combined Fetal/Maternal ECG. It assumes a Fetal Scalp Electrode and a Maternal Thigh Electrode. Additionally, it produces a pressure waveform to simulate uterine contractions. The waveform may be triggered manually or set to occur periodically.
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PS-2200 The display will resemble the following: FETAL HEART RATE 60 BPM 90 BPM 120 BPM* MATERNAL ECG/RESPIRATION/TEMPERATURE 140 BPM HEART RATE 150 BPM 210 BPM 30 BPM 240 BPM 40 BPM 45 BPM 60 BPM NOTE: The FHR is only 80 BPM* selectable when not using 90 BPM...
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Fetal/Maternal IUP Simulation This feature is designed to simulate the IUP and corresponding FHR that might occur during labor. The base 140 BPM FHR will respond to the contractions based on the setting as follows: IUP Simulation Type FHR Response The FHR goes from 140 BPM down to 100 BPM and back again.
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CARDIAC OUTPUT (Option) The PS-2200 has the ability to simulate Thermodilution Cardiac Output measurements. Thermodilution allows the calculation of heart volume output by measuring the temperature change of the blood after a specific volume of solution, which is room temperature or cooler (typically 0 °C or 24 °C), is injected into the heart.
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PS-2200 Setting Up a Test 1) The Device Under Test (DUT, Cardiac Output Monitor) needs to be setup to match the PS-2200. The following settings are required: Catheter Baxter Edwards 93a – 131 – 7f 0.542 for 0 °C Injectate Calibration Coefficient 0.595 for 24 °C Injectate Injectate Volume...
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Cardiac Output Running a Test 1) Select the desired test. This test allows the selection of a flow rate (2.5, 5.0 or 10.0 l/min). When run, it will produce the normal Normal temperature curve for the selected injectate temperature (0 °C or 24 °C). The DUT should interpret this as the selected flow rate.
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OUTPUT CONNECTIONS The following are representations of the socket connectors found on the unit. They are viewed as if looking at the socket in the unit, not the cable pins.
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Specifications Temperature 0,24,30,37,40 C (32.0, Temperature 75.2,86.0,98.6,104.0 F) Accuracy +/- 0.1 C Type YSI Series 400 and 700 Fetal / Maternal Fetal Heart Rate 60,90,120,140,150,210,240 BPM Uniform Deceleration Inter Uterine Pressure Early Deceleration Response Types Late Deceleration Uniform Acceleration Bell Curve with 90 mmHg Peak and IUP Wave 90 Sec Width Manual...
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PS-2200 Output LEAD TO LEAD IMPEDENCE 500,1000,1500,2000 Ohms (RL, LL, RA, LA) LEAD TO LEAD IMPEDENCE 1000 Ohms (V1-V6) Physical DISPLAYS Two, LCD Graphical 128 X 64 Pixels, Backlit 8.625 x 5.5 x 1.625 Inches ENCLOSURE (216 x 140 x 41 mm) ABS Plastic <...
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