BC Biomedical PS-2200 series User manual

MULTI-PARAMETER
PATIENT SIMULATOR
PS-2200 SERIES
USER MANUAL

1
WARNING.................................................................................................................... 2
DESCRIPTION............................................................................................................. 3
OVERVIEW................................................................................................................ 11
ECG--NORMAL SINUS RHYTHM................................................................................ 19
ECG--ARRHYTHMIAS ................................................................................................. 21
ECG--PACEMAKER..................................................................................................... 31
ECG--PERFORMACE.................................................................................................. 33
BLOOD PRESSURE .................................................................................................... 37
SWAN-GANZ .................................................................................................. 45
RESPIRATION............................................................................................................. 49
TEMPERATURE .......................................................................................................... 51
TRAINING .................................................................................................................... 53
SETUP ......................................................................................................................... 59
POWER UP SETTINGS............................................................................................... 63
SpO
2
(OPTION)............................................................................................................ 65
FETAL/MATERNAL (OPTION) .................................................................................... 67
CARDIAC OUTPUT (OPTION) .................................................................................... 71
OUTPUT CONNECTIONS ........................................................................................... 75
MANUAL REVISIONS.................................................................................................. 77
WARRANTY................................................................................................................. 77
SPECIFICATIONS ....................................................................................................... 79
NOTES......................................................................................................................... 83
BC BIOMEDICAL
PS-2200
TABLE OF CONTENTS

2
Manual PS-2200 Copyright © 2006
www.bcgroupintl.com Made in the USA
8/06 Rev07
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.
CONTACT INFORMATION
BC BIOMEDICAL
BC GROUP INTERNATIONAL, INC.
PO BOX 25125
9415 GENTRY AVE
ST. LOUIS, MO 63125
USA
1-800-242-8428
314-638-3800
www.bcgroupintl.com
[email protected]
NOTICE
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.

3
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
2
and Cardiac Output options.
The PS-2200 Family makes viewing and selecting the desired waveforms and parameters
quick and intuitive, with all operational information being available at the same time on two
cursor-based graphic displays, allowing for easy maneuvering through parameters and
scrolling through available options.
Model Number Blood Pressure Channels
PS-2210 1 Blood Pressure Output
PS-2220 2 Blood Pressure Outputs
PS-2240 4 Blood Pressure Outputs
NOTE: All settings are available on each output.
BC GROUP
PS-2200
PATIENT SIMULATOR

PS-2200
4
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 CONNECTORS FOR BP CABLES
• 9 VOLT BATTERY POWER
• % BATTERY LIFE DISPLAY
• LOW BATTERY INDICATOR
• AVAILABLE BATTERY ELIMINATOR
• DISPLAY BACKLIGHT
• FULL REMOTE OPERATION VIA RS-232
• FLASH PROGRAMMABLE FOR UPGRADES
ECG FUNCTIONS
The unit can produce a wide variety of ECG simulations. The user simply selects the
parameters that match the desired output.
• RATE: 30,40,45,60,80,90,100,120,140,160,180,200,220,
240,260,280,300 BPM
• AMPLITUDE:
.05,.10,.15,.20,.25,.30,.35,.40,.45,.50,1.0,1.5,2.0,2.5,3.0,3.5,
4.0,4.5,5.0 mV (Lead II)
• S-T SEGMENT ELEVATION:
+/- 0,.05,.1,.2,.3,.4,.5,.6,.7,.8 mv.
• ARTIFACTS:
50 HZ, 60 HZ, MUSCLE, BASELINE WANDER, RESPIRATION
• QRS INTERVAL:
ADULT (80 ms) OR PEDIATRIC (40 ms)
• AUTOMATIC MODE

Description
5
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
CONDUCTION
• MANUAL AND AUTOMATIC TRIGGERING
PACEMAKER FUNCTIONS
Seven different pacemaker waveforms may be simulated. Additionally, the width and
amplitude of the pacer pulse may be selected.
• WAVEFORMS:
ATRIAL PACER, ASYNCHRONOUS, NON-CAPTURE,
NON-FUNCTION, DEMAND - OCCASIONAL,
DEMAND – FREQUENT, AV - SEQUENTIAL
• PULSE HEIGHT:
1, 2, 3, 4, 5, 6, 7, 8, 9, 10 mV
• PULSE WIDTH:
0.1, 0.5, 1.0, 1.5, 2.0 ms

PS-2200
6
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.
• SINE:
0.1, 0.5, 5, 10, 40, 50, 60,100 Hz
• SQUARE:
0.125, 2 Hz
• TRIANGLE:
2, 2.5 Hz
• PULSE:
30,60,120 BPM; 60 ms WIDTH
• AMPLITUDE:
.05,.10,.15,.20,.25,.30,.35,.40,.45,.50,
1.0,1.5,2.0,2.5,3.0,3.5,4.0,4.5,5.0 mV (Lead II)
• AUTOMATIC MODE
• R WAVE RATE:
30,60,80,120,200,250 BPM
• R WAVE WIDTH:
8,10,12,20,30,40,50,60,70,80,90,100,110,120,130,
140,150,160,170,180,190,200 ms
• R WAVE AMPLITUDE:
.05,.10,.15,.20,.25,.30,.35,.40,.45,.50,1.0,1.5,2.0,2.5,3.0,3.5,
4.0,4.5,5.0 mV (Lead II)
RESPIRATION
Respiration is simulated at 8 different rates, with the ability to select from 4 Baseline
Impedances, the Lead in which it will appear, and the Delta Ohms (amplitude) of the signal.
Additionally, an Apnea period may be selected.
• RATE:
15,20,30,40,60,80,100,120 BrPM
• BASELINE IMPEDANCE:
500,1000,1500,2000 OHMS
• LEAD:
LA or LL
• DELTA IMPEDANCE:
0.1,0.2,0.5,1.0,2.0,3.0 OHMS
• APNEA:
12, 22 and 32 SECONDS PLUS CONTINUOUS

Description
7
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.
In the Dynamic mode, the selected waveform is synchronized with the ECG and provides a
continuous output. Additionally, a Respiration Artifact may be added.
A special Swan-Ganz mode is available that will allow Manual or Automatic simulation of
that sequence.
Each channel has independent settings.
• STATIC:
-10,-5,0,20,40,50,60,80,100,150,
160,200,240,250,300,320,400 mmHg
• AUTOMATIC STATIC PRESSURE MODE
• 8 DYNAMIC WAVEFORMS
• RESPIRATION ARTIFACT:
0 to 16 mmHg
• SENSITIVITY:
5uV/V/mmHg and 40uV/V/mmHg
• SWAN-GANZ SIMULATION
• 7 PRESET STATIC GROUPS (MODEL PS-2240 ONLY)
TEMPERATURE
The unit will simulate seven temperatures. This is done by providing the necessary ohmic
levels for both the YSI 400 and 700 Series thermistors.
• YSI 400 SERIES and 700 SERIES SIMULATION
• SELECTIONS:
0,24,30,35,37,40,42 °C
(32.0,75.2,86.0,95.0,98.6,104.0,107.6 °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.

PS-2200
8
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
• RANDOMIZER:
OFF,ON
• ARRHYTHMIAS:
ALL,SUBSET
SPO2 SIMULATION (Option)
When used with the MSP-2100 external module and FingerSim family of SpO
2
finger
simulators, the system will provide a pulse synchronized SpO
2
output for all NSR rates.
• RATE:
30,40,45,60,80,90,100,120,140,160,180,200,220,
240,260,280,300 BPM
• SpO
2
OUTPUT:
80,90,97 %
FETAL/MATERNAL (Option)
This option provides a combination of fetal and maternal ECG waveforms with and without
contractions. Additionally, it provides an Intrauterine-Pressure (IUP) waveform.
• FETAL HEART RATE:
60,90,120,140,150,210,240 BPM
• IUP PERIOD:
SINGLE CONTRACTION (MANUAL)
2,3,5,MIN (AUTO)
• FHR (DURING CONTRACTION):
UNIFORM DECELERATION
EARLY DECELERATION
LATE DECELERATION
UNIFORM ACCELERATION

Description
9
CARDIAC OUTPUT (Option)
When used with the MCO-2100 External Module, this option provides both the hardware
and software to simulate Cardiac Output waveforms for testing devices that utilize Baxter –
Edwards type catheters.
• INJECTATE TEMPERATURE:
0,24°C
• INJECTATE FLOW:
2.5,5.0,10.0 L/MIN
• OTHER OUTPUTS:
FAULTY – INJECTATE
LEFT-TO-RIGHT SHUNT
CALIBRATED TEMPERATURE PULSE
ACCESSORIES
BC20 - 21100 BATTERY ELIMINATOR (US Version)
BC20 - 21101 BATTERY ELIMINATOR (Euro Version)
OPTIONAL ACCESSORIES
BC20 - 02300 FETAL / MATERNAL OPTION
BC20 - 02400 CARDIAC OUTPUT OPTION
MSP - 2100E FINGERSIM INTERFACE WITH
BC20 - 21101 BATTERY ELIMINATOR (EURO)
MSP - 2100U 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)
INVASIVE BLOOD PRESSURE CABLES
FOR A COMPLETE LIST CONSULT THE BC GROUP WEBSITE AT
WWW.BCGROUPINTL.COM
TEMPERATURE CABLES
BC20 - 41333 UT-1 YSI-400
BC20 - 41334 UT-2 YSI-700
CARDIO OUTPUT CABLES
BC20 - 41335 HP INJECTATE CABLE ASSEMBLY
BC20 - 41336 HP TEMP CABLE

PS-2200
10
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11
This section looks at the layout of a PS-2200 and gives descriptions of the elements that
are present.
8 Light Touch Keys for
Category Selection:
Normal Sinus Rhythm
A
rrhythmias
Pacemaker
Performance
Fetal/Maternal
Cardiac Output
Training
Setup
LCD Graphical Display:
Shows Parameters for ECG,
Respiration and Temperature
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
A
ll Options for a Given
Parameter
QUIT for Returning to
Previous Status
6-Pin Mini-DIN
Plug Connectors
for Blood
Pressure Cables
8-Pin Mini-DIN
Plug Connector for
Temperature/CO
Cable
A
C Adaptor/
Battery
Eliminator
Back Light Key for
turning on and off
the backlight
7-Pin Mini-DIN
Plug Connector fo
r
A
ux Functions
LCD Graphical Display:
Shows Parameters for Blood
Pressure
OVERVIEW
Lead Continuity
Test Connections

PS-2200
12
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.
Two graphics LCD displays provide the user with information about the current status of the
ECG, Respiration, Temperature and Blood Pressure 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.
Seven 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
13
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 key enters the NSR category.
The key enters the arrhythmia category and changes the first line in the display to
the first arrhythmia choice.
The key enters the pacemaker category and changes the first line in the display to
the first pacemaker waveform choice.
The key enters the machine performance testing category and changes the first
line in the display to the first performance waveform choice.
The key opens a screen that allows the user to set the conditions for and start the
optional Fetal/Maternal mode. (Optional)
The key opens a screen that allows the user to set the conditions for and start
the optional Cardiac Output mode. (Optional)
The key opens a screen that allows the user to set the conditions for and start
the special training mode.

PS-2200
14
Power Key
The 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. (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.

Overview
15
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. 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 are one, two or four 6-pin mini-DIN plug connectors on the right side of the unit
for connection of the Blood Pressure cables. Full blood pressure simulation is available
through these connectors. The circuits are totally isolated.

PS-2200
16
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. 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.
High Level Output (+)
A high level ECG output signal (200 x Amplitude Setting) is available in the BP1 6-Pin mini-
DIN connector.
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 (V1-V6)
(U.S. and Canada)
also referred to as pericardial,
precordial or unipolar chest leads
Chest Leads (C1-C6)
(International)

Overview
17
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-2200
18
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.