Cardionics PAT User manual

OPERATOR’S MANUAL
PAT, the Pediatric Auscultation Trainer
Cardionics
910 Bay Star Blvd.
Webster, Texas 77598 USA
Telephone: [phone]
Fax: [phone]
E-Mail: [email protected]
PAT Pediatric Auscultation Trainer, Cardionics, E-Scope, CardioSim, SimulScope and
Heartmanare registered trademarks of Cardionics, Webster, Texas 77598 USA.
file:Op-PAT 0148850.doc
Copyright Cardionics 2012
All Rights Reserved

SAFETY PRECAUTIONS
Please read this information before using the SAM II, the Student Auscultation Manikin. It
applies to the basic System as well as any optional equipment that may be used with the
System.
In this manual, WARNINGS describes precautions necessary to prevent injury or loss of
life. CAUTIONS describe those precautions, procedures, techniques, etc. which are
considered essential to emphasize.
WARNING
SHOCK HAZARD: A shock hazard may exist if this System is not properly grounded. The
System is designed to operate with a 3-wire AC power system containing a separate ground
wire. The ground wire must not be removed or defeated.
WARNING
SHOCK HAZARD: Do not remove protective covers on any components of the SAM II manikin.
Hazardous voltages may be present. Cabinet panels for this System and all components must
be in place while the System is in use. All the internal adjustments, replacements and
initializations should be made by a qualified technician.
WARNING
CLEANING AND CARE: As a general safety precaution, the System should be turned off and
the AC power disconnected before performing any cleaning procedures. Use Windex to clean
SAM.
CAUTION
CONNECTORS: Do not immerse any of the connectors used in the System in any fluid.
TRADEMARKS
SAM Student Auscultation Manikin, Cardionics, CardioSim, SimulScope, E-Scope and
Heartman registered trademarks of Cardionics. Ausculette, StethView and Pocket-monitor are
trademarks of Cardionics.
REPRODUCTION OF SOUNDS
All sounds, both simulated and real, and veterinary sounds are copyrighted by Cardionics and
may not be reproduced for any reason except by written authorization of Cardionics, Webster,
Texas 77598 USA.

TABLE OF CONTENTS
1.0 Product Description…….………………………………………………………….……..4
2.0 PAT Set Up……………………………………………………………………………………2
3.0 Using PAT ………………………………………………………………………………..…..3
Volume level adjustments………………………………………………………………….3
Select and Play a Sound…………………………………………………………………...4
Select and View a Lesson………………………………………………………………….4
Lectures………….……………………………………………………..…………………….5
Create a Lecture….……………………………………………………………………...5
Delete a lecture entry….………………………...………………………………………6
Play a lecture…………….……………………………………………………………….6
Give a lecture as a test…….…………………………………………………………….6
Edit a lecture……………….……………………………………………………………..7
Password Setup………….….……………………………………………………………7
Add an instructor……….………………………………………………………………10
Student Assessment Program….……………………………………………………….....11
4.0 Group Listening
with Classroom Infrared Emitter…………………………………………………………13
with SimulScope Bedside Auscultation System….…………………………………….13
with Auditorium Infrared Sound System…………….…………………………………..14
with Low Frequency Speaker…………………….………………………………………14
5.0 Appendix A - Sounds List………………………………….…………………………………...18
6.0 Appendix B - Troubleshooting………………………….………………………………………21
7.0 Appendix C - Limited Warranty…………………………….…………………………………. 22
List of Figures:
Figure 1… PAT System……………………………………………………………………………….1
Figure 2 PAT Control Panel……………………………………………………………………..…2
Figure 3 Sound Select Page……………………………………………………………………….3
Figure 4 Sound Menu Page………………………………………………………………………..5
Figure 5 Lecture Page………………………………………………………………………………6
Figure 6 Test Mode Set Up …….…………………………………………..…………………..….7
Figure 8 Student Assessment………………………………………………………………………8
Figure 9 Test Mode Set Up…………………………………………………………………………8
Figure 10 Change Administrator Name and Password……..………………………………….…9
Figure 11. Test Mode Set Up……………………………………….………………………………10
Figure 12 Log Out .…………………………………………………………………………………10
Figure 13 Instructor List Assignment..……………………………………………………………..11
Figure 14 Adding a New Instructor…………………………………………………………………11
Figure 15 Giving a Test………………………..……….……………………………………………11
Figure 16 Enabling Test Mode ….………………………...………………………………………. 12
Figure 17 Assigning a Test Number….…………………………………………………………….12
Figure 18 Test Assignment List……………………………………………………………………..13
Figure 19 Location of Anatomical Sites for Heart Sounds…………..……………………….... 15
Figure 20 Heart Sound Locations…….……………………………………………………………16
Figure 21 Breath Sound Locations…………………………………………………………………16
Figure 22 Bowel Sound Locations………………………………………………………………….17

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1.0 Product description
PAT, the Pediatric Auscultation Trainer, is an interactive manikin for teaching students the art of
auscultation.
PAT consists of a half-body male manikin, Laptop computer.
Figure 1 –PAT System
PAT has four listening sites for heart sounds, eight listening sites for breath sounds, two
listening sites for bowel sounds, and one site for bruit sounds. There are 69 heart sounds, 17
breath sounds and 4 bowel sounds. Additional sounds may be added from time to time.
The heart sound sites are the aortic, tricuspid, pulmonic and mitral areas on the chest and
breath sound sites are anterior (left upper and lower; right upper and lower) and posterior (left
upper and lower; right upper and lower). The bowel sound sites are the upper right and left
quadrants. The bruit site is located in the left side neck.
Sounds may be heard with (1) a normal stethoscope, (2) the E-Scope Electronic Stethoscope,
(3) the SimulScope Bedside Auscultation System for group listening, (3) the Classroom Infrared
Emitter for group listening, (4) the CardioSim VII Digital Heart Sound Teaching System for group
listening and display (5) the Cardionics Auditorium Infrared Sound System, (6) Cardionics
Auditorium Infrared Sound System for large group listening or (7) a low frequency speaker.
When listening to breath sounds, there are eight locations -right and left upper anterior chest,
right and left lower anterior chest, right and left upper posterior and right and left lower posterior
lobes.
For group listening, the SimulScope Bedside Auscultation System (Cat. No. 718-7003) or the
Classroom Infrared Emitter (Cat. No. 718-0015) is recommended. Each listener will need a
HeartmanInfrared Headphone (Cat. No. 718-7040). For group listening and display of the
phonocardiogram, the CardioSim Digital Heart Sound Teaching System (Cat. No. 718-2600) is
recommended.

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2.0 Setting Up PAT
There are two cables and one power supply for the PAT set up. There are two USB cables that
connect to the laptop computer on the left side of PAT as shown below in Figure 2.
Power USB Headphone or Power
Supply Cable Speaker Light
Figure 2 Control Panel for PAT
Set up
Connect the two USB cables to the PAT Control Panel as shown above in Figure 2. Connect
the Power Supply to the DC In as shown above.

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3.0 Using PAT
The laptop computer displays two pages. A Sound Select page and a Lecture Sequence
page.
Begin by selecting the sound for study by clicking on the Select Sounds button as shown in
Figure 3 below. You will then see the Sounds Directory (Figure 4 below). All sounds have
been placed in Groups.
Volume Play Trace Freeze
Adjust or Create Size Phonocardiogram Trace
Lecture
Figure 3 Sound Select Page
Select Select
Basic Lesson
Auscultation for Sound
Lesson Under Study
1. Volume Adjust.Each sound has preset volumes. The instructor may wish to change
these volumes to illustrate certain events. Volume adjustment at different anatomical
location is done by moving one or more of the slide bars to the left for sound reduction
and right for sound increase. The volume on each listening area of SAM II can be
altered to fit the particular situation.
2. Volume Save.Once set, these volume levels can be saved by clicking on the SAVE
button immediately below the slide bars.
3. Recall. At any time, the factory settings can be recalled, by simply clicking on the
RECALL button next to the SAVE button.
4. Reset –The Reset button allow the user to return to his/her previously saved volumes.
Select
Sound
Sound
Select
Sound for
Comparison
Play A Sound
Save Changed
Volume Levels

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5. Select Sound 1–by clicking on this button, the user will be taken to the Sound Select
Menu (Figure 4). A second sound may be selected for comparison purposes by clicking
on Select Sound 2.
6. Play a Sound –by clicking on this button, the sound shown in the Select Sound area
will be played. Initially, there will be no phonocardiogram shown, but sound can be
heard using a stethoscope. By clicking on one of the circled areas, the
phonocardiogram will appear.
7. Compare a Sound –When selecting a sound, it is often helpful to select a second
sounds for comparison purposes. By clicking on this button, the user will be taken to the
Sound Select Menu for the selection of a sound for comparison purposes. A second
sound may be selected for comparison purposes by clicking on Select Sound 2.
8. Select a Lesson for sound under study. Every sound has a lesson. By clicking on this
button, a Lesson will appear on the screen. Each lesson has a description of the sound,
a schematic of the chest showing where best to listen, four phonocardiograms at the
appropriate anatomical location, questions and answers.
9. Select Basic Heart Sound Lesson. In case the student wishes to refer back to the
basics, this lesson can be viewed. It appears on every sound.
10. Phonocardiogram. A phonocardiogram is a graphic depiction of the heart or breath
sounds. When heart and breath sounds are being played simultaneously, the heart
sounds will appear in Yellow and breath sounds in Blue.
11. Freeze Trace. This allows the trace to be frozen for study. However, the sounds can
still be heard.
12. Trace Size. This button allows the amplitude of the trace to be increased for better
viewing.

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3.1 Sound Selection. Click on the Sound Selection button as shown in Figure 3 and the
below menu will be seen.
Sounds Directory
Group
Description
Pediatric Heart
Normal Heart Sounds, 60 bpm
Sounds and Variants
Normal Heart Sounds, 75 bpm
Paradoxical Split of S2
Pediatric Systolic Murmurs
Aortic Stenosis Mild 75 bpm
Atrial Septal Defect 90 bpm
Pediatric Diastolic Murmurs
Aortic Regurgitation Mild, 75
bpm
Pediatric Breath Sounds
Normal Vesicular Breath
Sounds, 24 bpm
Figure 4 Sound Select Page
(see Appendix A for the complete Sounds Directory)
If you wish to select a second sound for comparison purposes, from the Main Page, click on
Select Sound 2 directly under the first selection. You can now toggle back and forth between
sounds as desired.
Once the Sound has been selected, click on Play 1 or Play 2.Initially, you will not see a
phonocardiogram on the screen, but the sounds can be heard with a stethoscope on PAT.
To visualize a sound while hearing it, click on one of the circled locations. Listening can be
done with an ordinary stethoscope, a speaker, headphones or the SimulScope Bedside
Auscultation System as shown in Figure 1.
3.2 Volume Levels. Each heart sound has been adjusted at the factory so that the sound does
not migrate to another area. There are times, however, when the instructor may want the
sounds to migrate such as having severe aortic stenosis migrate into the neck. In these cases,
the instructor may alter the preset volume using the slide bars shown in Figure 3. By clicking on
the SAVE button, these the audio volumes will be saved. To RECALL the factory settings,
simply click on the RECALL button. Then use the RESET button to go back to the previously
saved settings.
3.3 Lectures. Instructors can preprogram their lectures. Each Instructor may have multiple
lectures each with a different name. To set up a lecture, from the Main Page (Figure 3),
click on “Lecture Sequence” at the top of the page. This action brings up the lecture page
(Figure 5) below.
3.3.1 Click on Create.This brings up the Create Lecture page (Figure 5). Fill in the
name of the instructor and the Scenario or Lecture name. Then double click on the each
sound number. The Sounds Menu will be seen. Double click on your selection. Wait a
moment for the sound fill in in the sequence selected. When finished selecting the
sounds, click on the word Done. It is not necessary to set up a password for playing or
Play a
Sound

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editing a lecture, but you can prevent unauthorized editing. Please see below section
3.3.4 for instructions.
If you wish to give a lecture as a test, assign a Test Number to the Lecture. See section
3.3.4 below. A Test Number must be assigned to any lecture that you wish to give it as
a test. To assign a test number, click on the Name of the Instructor, then click on Test
Number. See page 12, Figure 17 below.
3.3.2 Delete a Lecture Entry. To delete a lecture entry, right click the mouse or select
“Delete” from the selection omn the left side of the below dialog box..
3.3.3 Playing a lecture. To begin using your lecture, click on Start at the top
of the below page (Figure 5).
Figure 5 Lecture Page

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Figure 6 –Create Lecture Page
3.3.4 Editing a Lecture. A lecture can be edited without a password. However, if the
instructor wishes to secure his or her lecture from editing by another person, it can be done
easily.
To secure your lecture, click on “Enter Test Set Up” as shown on Figure 8 below. If you wish to
prevent your lecture from being edited by another party, click on NO in the dialog box shown
below in Figure 7. If, at a later time, you wish to edit your lecture, open the below dialog box
again and click on YES.
Figure 7
Test Mode Set up.
3.4 Setting Up Passwords for Student Assessment. Setting up a test is much the same as
setting up a lecture. This section deals with password set up. In Section 3.5, instructions for
using the Student Assessment program are set forth. Step 1 is to select an Administrator. For
password set up and administration, each institution should assign an administrator to