BC Biomedical PS-2110 User manual

MULTI-PARAMETER
PATIENT SIMULATOR
PS-2110
USER MANUAL

1
WARNINGS ................................................................................................................. 2
DESCRIPTION............................................................................................................. 3
OVERVIEW.................................................................................................................. 7
ECG--NORMAL SINUS RHYTHM................................................................................ 15
ECG--ARRHYTHMIAS ................................................................................................. 17
ECG--PERFORMACE.................................................................................................. 21
BLOOD PRESSURE .................................................................................................... 23
RESPIRATION............................................................................................................. 25
TEMPERATURE .......................................................................................................... 27
SETUP ......................................................................................................................... 29
POWER UP SETTINGS............................................................................................... 33
SpO2(OPTION)............................................................................................................ 35
OUTPUT CONNECTIONS ........................................................................................... 37
MANUAL REVISIONS.................................................................................................. 39
WARRANTY................................................................................................................. 39
SPECIFICATIONS ....................................................................................................... 41
NOTES......................................................................................................................... 45
BC BIOMEDICAL
PS-2110
TABLE OF CONTENTS

2
Manual PS-2110 Copyright © 2004
www.bcgroupintl.com Made in the USA
12/04 Rev04
iii N O T I C E iii
BC GROUP INTERNATIONAL, INC. RESERVES THE RIGHT TO MAKE
CHANGES TO ITS PRODUCTS OR SPECIFICATIONS AT ANY TIME,
WITHOUT NOTICE, IN ORDER TO IMPROVE THE DESIGN OR
PERFORMANCE AND TO SUPPLY THE BEST POSSIBLE PRODUCT.
THE INFORMATION IN THIS MANUAL HAS BEEN CAREFULLY CHECKED
AND IS BELIEVED TO BE ACCURATE. HOWEVER, NO RESPONSIBILITY IS
ASSUMED FOR INACCURACIES.
WARNING
All connections to patients must be removed
before connecting the Device Under Test (DUT)
to the Simulator. A serious hazard may occur if
the patient is connected when testing
with the Simulator.
Do not connect any leads from the patient
directly to the Simulator or DUT.

3
The Model PS-2110 is a Microprocessor based Patient Simulator. It provides ECG, Blood
Pressure, Respiration and Temperature Simulation. There are 12 arrhythmias, a
pacemaker rhythm, a Fetal/Maternal rhythm, seven waveforms with constant QRS duration
and 12 machine performance testing waveforms.
The PS-2110 makes viewing and selecting the desired waveforms and parameters quick
and intuitive, with all operational information being available at one time on a cursor-based
graphic display, allowing for easy maneuvering through parameters and scrolling through
available options.
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
• SPECIAL POWER UP FEATURE ALLOWS THE USER TO CHOOSE TO USE
DEFAULT, LAST OR CUSTOM SETTINGS
• AUTO SEQUENCES FOR BPM, STATIC-PRESSURE LEVELS AND
PERFORMANCE
• 10 UNIVERSAL PATIENT LEAD CONNECTORS
• MINI-DIN CONNECTOR FOR BP CABLES
• 9 VOLT BATTERY POWER
• % BATTERY LIFE DISPLAY
• LOW BATTERY INDICATOR
• AVAILABLE BATTERY ELIMINATOR
• DISPLAY BACKLIGHT
• FLASH PROGRAMMABLE FOR UPGRADES
BC BIOMEDICAL
PS-2110
PATIENT SIMULATOR

PS-2110
4
ECG FUNCTIONS
The unit can produce a wide variety of ECG simulations. The user simply selects the
parameters that match the desired output.
• RATE:
30,60,80,120,180,240,300 BPM
• AMPLITUDE:
0.5,1.0,1.5,2.0 mV (Lead II)
• AUTOMATIC MODE
PACEMAKER FUNCTION
A pacemaker waveform may be simulated.
• WAVEFORM:
ASYNCHRONOUS
• PULSE HEIGHT:
1.0 mV
• PULSE WIDTH:
1.0 ms
FETAL/MATERNAL
A combination of fetal and maternal ECG waveforms may be simulated.
• FETAL HEARTRATE:
120 BPM
ARRHYTHMIA FUNCTIONS
The unit can simulate 12 different arrhythmias. Where applicable, both manual and
automatic triggering of the waveform is available.
• 12 DIFFERENT ARRHYTHMIAS
• MANUAL AND AUTOMATIC TRIGGERING

Description
5
ECG-PERFORMANCE FUNCTIONS
The unit will generate Sine, Square and Triangular waveforms with adjustable
amplitudes for performance testing. A special Automatic mode is available to auto
sequence through the entire range of waveforms.
• SINE:
0.1, 0.5, 5, 10, 40, 50, 60,100 Hz
• SQUARE:
0.125, 2 Hz
• TRIANGLE:
2 Hz
• AMPLITUDE:
0.5,1.0,1.5,2.0 mV (Lead II)
• AUTOMATIC MODE
RESPIRATION
Respiration is simulated at 8 different rates plus apnea, with the ability to select from 2
Baseline Impedances, the Lead in which it will appear, and the Delta Ohms (amplitude) of
the signal.
• RATE:
15,20,30,40,60,80,100,120 BrPM
• BASELINE IMPEDANCE:
500,1000 OHMS
• LEAD:
LA or LL
• DELTA IMPEDANCE:
0.1,0.2,0.5,1.0,2.0,3.0 OHMS
• APNEA: CONTINUOUS (0 BrPM)

PS-2110
6
BLOOD PRESSURE
Both static and dynamic invasive pressures are simulated. In the static mode the BP
output is fixed at the selected level or sequenced through the list using the Automatic
mode selection. In the Dynamic mode the selected waveform is synchronized with the
ECG and provides a continuous output.
• STATIC:
0,20,40,80,100,200,250,300 mmHg
• AUTOMATIC STATIC PRESSURE MODE
• 6 DYNAMIC WAVEFORMS
• SENSITIVITY:
5uV/V/mmHg and 40uV/V/mmHg
TEMPERATURE
The unit will simulate three temperatures. This is done by providing the necessary ohmic
levels for both the YSI 400 and 700 Series thermistors.
• YSI SERIES 400 and 700 SIMULATION
• SELECTIONS:
30,37,40 °C (86.0,98.6,104.0 °F)
LEAD TEST FUNCTION
The unit provides a set of test terminals to quick check leads. It will determine if a lead has
less than 1000 Ohms resistance.
SPO2 SIMULATION (Option)
When used with the MSP-2100 external module and FingerSim family of SpO2finger
simulators, the system will provide a pulse synchronized SpO2output for all NSR rates.
• RATE:
30,60,80,120,180,240,300 BPM
• SpO2 OUTPUT:
80,90,97 %

7
This section looks at the layout of a PS-2110 and gives descriptions of the elements that
are present.
4 Light Touch Keys for
Category Selection:
Normal Sinus Rhythm
Arrhythmias
Performance
Setup
LCD Graphical
Display:
Shows Parameters for
ECG,
Respiration,
Blood Pressure and
Temperature
Lead Continuity
Test Connections
Power Key for
Turning Unit
On and Off
10 Universal
Patient Lead
Connectors:
RA R
LA L
RL(-) N
LL F
V1 C1
V2 C2
V3 C3
V4 C4
V5 C5
V6 C6
9V Battery
Compartment
(Back)
7 Light Touch Keys for
Selecting Parameters
and Settings:
LEFT and RIGHT
Curved Arrows for
Moving through
Parameters
UP and DOWN Arrows
for Scrolling through
Options
ENTER for Selecting
Option
CHOICES for
Displaying Submenu of
All Options for a Given
Parameter
QUIT for Returning to
Previous Status
6-Pin Mini-DIN
Plug Connector
for Blood
Pressure Cable
8-Pin Mini-DIN
Plug Connector
for Temperature
Cable
AC Adaptor/
Battery
Eliminator
Back Light Key for
turning on and off
the backlight
7-Pin Mini-DIN
Plug Connector
for Aux
Functions
OVERVIEW

PS-2110
8
General Operation
The unit is controlled by 13 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.
A graphics LCD display provides the user with information about the current status of the
ECG, Respiration, Blood Pressure and Temperature settings. The keys
move the block cursor through the displayed information; highlighting the parameter
available for selection. The keys change the options for the highlighted
parameter. The cursor begins flashing if the parameter has been changed. The
key selects the changed option. The key returns to the previous state,
without any changes being made.
To make option selection even easier and to make memorizing and using codes
unnecessary, the key will bring up a screen that displays all the options for the
selected parameter. The and keys can then be used to quickly
scroll through the available options and select the desired setting.
Three category keys allow for quick setting of output waveforms. The , and
keys move the display directly to the selected category. The or
keys can then be used to scroll through and select the desired
settings.

Overview
9
The 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
The category, and keys can be used to select ECG waveforms.
The key enters the NSR category and gives access to the seven BPM (Beats Per
Minute) settings with constant QRS duration.
The key enters the arrhythmia category and changes the first line in the display to
the first arrhythmia choice.
The key enters the machine performance testing category and changes the first
line in the display to the first performance waveform choice.
Power Key
The key turns the unit on and off. To turn off the unit, the key must be held for 1
second.

PS-2110
10
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. (Note: This time
is selectable in the System Setup screen).
The intensity of the backlight can be adjusted in the System Setup screen to conserve
battery life.
The key is provided to toggle the backlight on or off at any time.
NOTE: The backlight parameter in the System Setup screen may be set to Off, 1-30 sec
Timed or Manual.
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.

Overview
11
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. The signal is generated by
a variation in the impedance in either the LL or LA lead (selectable). The amplitude is
settable from .5 to 3.0 ohms.
Blood Pressure
There is a 6-pin mini-DIN plug connector on the right side of the unit for connection of a
Blood Pressure cable. Full blood pressure simulation is available through this
connector. The circuit is totally isolated.
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 three different temperatures selectable for each.

PS-2110
12
Universal Patient Lead Connectors
The 10 Universal Patent Lead Connectors allow for 12 lead ECG simulation with
independent outputs. AHA and IEC color-coded labels are located on the face of the unit to
aid in connecting the corresponding U.S. and International Patient Leads.
AHA Label IEC Label Description
RA R Right Arm
LA L Left Arm
RL N
Right Leg
(reference or ground)
LL F Left Leg
V1
V2
V3
V4
V5
V6
C1
C2
C3
C4
C5
C6
V Leads (U.S. Canada),
also referred to as
pericardial,
precordial or
unipolar
chest
leads Chest Leads
(International)
High Level Output (+)
A high level ECG output signal (200 x Amplitude Setting) is available in the BP 6-Pin
mini-DIN connector.
Lead Test Terminals
There are two test terminals on the top of the unit that allow for a quick test of the
continuity of the lead cables. Connecting one end of the cable to one terminal and the
other end to the other terminal will test the cable. If the cable is OK (less than 1000
ohms), the LEAD TEST ACTIVE screen will be displayed.

Overview
13
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. The key may be used to clear this window and
continue use of the unit. If the battery is not replaced before the battery reaches a critical
level (0 % Battery Life), the unit will shut down. (The percentage of life left in the batteries
can be viewed in the System Setup screen.)
Battery Eliminator
The unit has a 2.1 mm micro jack for connecting a 9-Volt AC battery eliminator (Optional).
The adapter will power the unit, but will not charge the battery.
Power Up Settings
The unit may be setup to turn on using either the factory default settings, the same settings
that it had when last turned off or a custom set of parameters as previously saved by the
user (See Power Up Settings section for details).

PS-2110
14
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.
The key may be used to manually advance to the next step. The key is used
to terminate the mode.

15
The PS-2110 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. The PS-2110
simulates the NSR with a default pulse of 80 BPM, amplitude of 1.0 mV on Lead II and P-R
interval of 160 milliseconds.
The PS-2110 is placed into NSR mode by pressing the category key.
The display will resemble the following:
The rates and amplitudes can be selected by using to highlight the
parameter to change and using to scroll to the desired value. Then
is used to accept the new setting.
30 BPM
60 BPM
80 BPM*
120 BPM
180 BPM
240 BPM
300 BPM
Auto
0.5 mV
1.0 mV*
1.5 mV
2.0 mV
Adult
(
80 mS QRS
)
*
* Indicates Default Setting
(
See Power U
p
Settin
g
s
)
RATE
PATIENT MODE
AMPLITUDE
ECG – NORMAL SINUS RHYTHM

PS-2110
16
Alternately, to see a submenu of all the options for a highlighted parameter, use .
Use to scroll to the desired option. Then is used to accept the new
setting.
Auto Rate
If the BPM parameter is set to AUTO, the unit will automatically sequence through all of the
BPM settings, starting with 30 BPM, incrementing at a fixed interval. The interval may be
set in the System Setup Menu under “Auto Step Time”.
The key can be used to exit the Auto Mode during the sequence.
Displays time (seconds)
remaining before
advancing to next rate.

17
The PS-2110 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 12 Arrhythmias available that model abnormal heartbeats, plus Paced and
Fetal/Maternal. The PS-2110 is placed into ARRHYTHMIA mode by pressing the
category key.
The display will resemble the following:
Atrial Fib – Coarse
2nd Deg Heart Block
RT Bundle Branch Block
Atrial PAC – Auto
Atrial PAC – Man
PVC 1 – Auto
PVC 1 – Man
PVC 1 Early – Auto
PVC 1 Early – Man
PVC 1 R on T – Auto
PVC 1 R on T – Man
Multifocal PVCs – Auto
Multifocal PVCs – Man
Bigeminy
Run of 5 PVCs – Auto
Run of 5 PVCs – Man
Vent Tach
Vent Fib – Coarse
Paced
Fetal/Maternal
0.5 mV
1.0 mV*
1.5 mV
2.0 mV
* Indicates Default Setting
(
See Power U
p
Settin
g
s
)
AMPLITUDE
ARRHYTHMIAS
ECG – ARRHYTHMIAS

PS-2110
18
The arrhythmias and amplitude 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
Use to scroll to the desired option. Then is used to accept the new
setting.
Auto/Manual
There are 6 arrhythmias that have both Automatic and Manual versions. Both versions
output the same waveform; however, in the Manual version, the arrhythmia is triggered
each time is depressed. In the Auto versions, the arrhythmia is automatically triggered
periodically.