Cardionics SimScope User manual

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Table of Contents
Introduction......................................................................................... 2
Safety Precautions ............................................................................. 2
Getting Started ................................................................................... 3
Software Installation.............................................................. 3
Registering Software............................................................. 3
Connecting the SimScope or Tech Pack with USB .............. 4
SimScope Overview........................................................................... 5
Turning On and Off ............................................................... 5
Volume Adjustment ............................................................... 5
Battery................................................................................... 5
Verification Mode .................................................................. 6
Bionic Hybrid Simulator Overview...................................................... 6
Turning On and Off ............................................................... 6
Volume Adjustment ............................................................... 7
Battery................................................................................... 7
PC Application.................................................................................... 7
Application Overview............................................................. 7
Upgrading the SimScope with new sounds ........................ 11
SimScope Wi-Fi Configuration ......................................................... 12
Wi-Fi Configuration Window (SimScope)............................ 13
Wi-Fi Configuration Window (PC Application) .................... 17
Standardized Patient / SAM & PAT Basic Manikins ........................ 18
SimShirt and Bionic Hybrid Simulator Garment Care Instructions... 20
SimScope and Bionic Hybrid Simulator Tech Pack Cleaning.......... 20
Transport and Storage ..................................................................... 20
Operating Conditions ....................................................................... 21
Limited Warranty .............................................................................. 21
What this warranty covers................................................... 21
What this warranty does not cover...................................... 21
List of Figures
Figure 1: SimScope PC Application.................................................. 8
Figure 2: Wi-Fi Configuration .......................................................... 13
Figure 3: Patch Placement for Standardized Patient/Manikin ........ 19

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List of Tables
Table 1: SimScope PC Application Functions .................................. 8
Table 2: SimScope Wi-Fi Configuration Functions ......................... 13
Table 3: PC Wi-Fi Connection Parameters..................................... 17
Introduction
Thank you for purchasing the Cardionics SimScope and/or Bionic Hybrid
Simulator a Simulation Solution for Standardized Patient Assessment.
Safety Precautions
The following symbols are applicable to the device.
Attention: Read and understand all warnings and cautions
before use.
IPX0 No degree of protection against ingress of water.
This product may contain natural rubber latex.
Caution:
Before each use check the SimScope ear tips for secure fit. Do not
use if missing or loose.
Place patches on healthy skin. Do not place over sores or cuts.
Excessive body hair may make removal uncomfortable.
Use only AAA alkaline batteries for the SimScope and for Wi-Fi
models use the Energizer Ultimate Lithium™ battery. Properly
dispose of, or recycle, spent batteries.
Use only Cardionics supplied lithium 18650 size rechargeable
batteries with the Bionic Hybrid Simulator Tech Pack. Using
batteries other than what Cardionics provides may result in damage
to the device, burns or other bodily injury.
Do not freeze the Bionic Hybrid pulse system.
Do not kink or excessively bend the pump tubing / cables.
Disconnect all cables and remove batteries before performing any
cleaning procedures. Use standard alcohol swab or wipe (70%

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Isopropyl Alcohol). Do not immerse any part of the SimScope or
Bionic Hybrid Simulator Tech Pack.
The internal wireless module complies with Part 15 of the FCC
Rules. Operation is subject to the condition that this device does not
cause harmful interference.
No serviceable parts. Do not attempt to repair or service the
SimScope or Bionic Hybrid Simulator Tech Pack. Return to
Cardionics for all repairs. Call 281-488-5901 for service directions
before returning.
The BHS pulse assembly does contain latex covered by fabric.
Getting Started
Congratulations on the purchase of the SimScope or Bionic Hybrid
Simulator. To get up and running quickly, perform the following steps:
Software Installation
Software supplied is designed to work with Microsoft Windows 7 and
newer operating systems.If the purchase is supplied with a computer,
then the software is already loaded. If not, follow these steps to install
the software.
1. Insert the installation disk.
2. Computers with Auto Play will automatically launch the
installation Wizard. If not, locate and double-click the setup.exe
file.
3. Follow the Wizard Install instructions.
4. A Driver Installation Wizard will automatically appear during the
install process. Follow the new Wizard’s instructions.
Registering Software
After installation is complete the software must be registered before use.
1. Locate the SimScope icon on the Desktop.
2. Double-click to launch the program.

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3. Fill out the registration form. For computers connected to the
internet, the process of registering is instant. If unable to
connect to the internet, click register by phone and follow the
instructions.
Connecting the SimScope or Tech Pack with USB
Locate the USB cable and connect the SimScope or Bionic Hybrid
Simulator Tech Pack to the computer. A USB interface allows access to
the sound library, configurations, and settings within the device.
Changes made via USB are stored within the device and become the
default setting. Note: Changes made over Wi-Fi for wireless models are
temporary and default back to settings made through USB once powered
off.
1. The “New Found Hardware Wizard” may appear for first time
connections and Windows 7 users. Note: This may occur for
each USB port on the computer. If the wizard does not appear
skip to step 6.
2. Click “No, not at this time” and click next.
3. Click install auto.
4. Click finished.
5. If asked to restart click “Later.”
6. Devices connecting with the PC application for the first time will
activate a pop-up asking for a friendly name. Click yes.
7. Create a friendly name for the device. A name is sometimes
easier to identify rather than the default serial number.
8. The device is assigned the new name and displayed in the
device drop-down box above.
9. Sound assignments and adjustments can be edited, if desired,
by moving or swapping sounds to the right pane and clicking
the save icon when finished. Refer to PC Application on page 7
for more details.
10. Wireless SimScope models require credentials to connect over
Wi-Fi. Refer to SimScope Wi-Fi Configuration on page 12.
11. Disconnect the USB cable from the device and repeat for
additional SimScopes or Bionic Hybrid Simulator Tech Packs.

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12. Press any volume button on the SimScope to activate and
begin using. Note: For Bionic Hybrid Simulator users press the
power button on the Tech Pack first to establish a wireless
network. Then connect with the PC or tablet and power the
SimScope.
SimScope Overview
The SimScope resembles a sleek electronic stethoscope with binaural
ear tips for listening, chest piece for placing on a patient, and middle
enclosure housing the electronics and replaceable AAA battery.
Patches, disposable disk with tan fabric on top and adhesive tape on
bottom, are placed on the standardized patient or actor to provide site
markers for the SimScope. On the side of the enclosure is a USB port
used for connecting a PC running SimScope software. The software
allows the user to assign sounds from the SimScope library to sites.
Once setup the SimScope chest piece is placed on a patch and the
sound assigned to that site is played. For controls, there are two volume
buttons located on the chest piece labeled plus and minus.
Turning On and Off
To turn the SimScope on press any volume key located on the chest
piece. Upon power up a voice prompt plays, “System activation. Mode
one.” The SimScope will remain on 90 seconds after the last key press
or sound playback. At shutdown a voice prompt plays, “System
powering down.”
Volume Adjustment
The volume can be adjusted up or down while listening to a sound.
Pressing a key once will make a small incremental adjustment while
holding the key down will make rapid adjustments. An audible beep is
played during a key press providing feedback as to the direction of
volume change and when the beginning or end of adjustment has been
reached.
Battery
The SimScope uses a AAA battery that can be accessed from the back
of the main enclosure by sliding the battery door outward. A standard
alkaline battery will power the SimScope up to three hours or 120 uses at
ninety seconds a session. Models equipped with Wi-Fi require a high

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drain type battery to provide similar operating time. The Energizer
Ultimate Lithium™, like the one supplied with the wireless SimScope, will
power the SimScope with Wi-Fi up to four hours or 110 uses at 130
seconds a session.
As the battery approaches end of life the SimScope will play a voice
prompt saying, “low battery” at power up. The SimScope may continue
to operate on low battery for a while, but unexpected shut downs will
eventually occur without warning. Wireless models will disable the Wi-Fi
and alert the user at power up if low battery is detected. Battery life
varies greatly between brands and types.
When the SimScope is connected to the PC through the USB cable
power is drawn from the computer and not the SimScope battery. The
battery is not recharged during this setup only reserved.
Verification Mode
Pressing both volume keys simultaneously will toggle between
verification and normal modes. In verification mode the SimScope will
play a voice prompt identifying the tag site assignment. This can be
useful for verifying correct tag placements on a standardized patient or
learning the different heart locations on a manikin. If desired, this feature
can be disabled through the SimScope PC software.
Bionic Hybrid Simulator Overview
The Bionic Hybrid Simulator is a garment worn by a Standardized Patient
(SP) for simulating physiological conditions to test a Student or an
examiner's diagnostic and procedural skills. The Bionic Hybrid Simulator,
controlled wirelessly by simulation software, enhances the exam
performance by responding in real time to diagnosis and treatment while
providing feedback to the SP and instructor. The garment features a five
wire EKG output, radial and carotid artery pulses, ear buds for audible
cues to the SP, and auscultation for heart, breath, bowel, and bruit.
The suit provides an elastic band near the hip to secure the Tech Pack
and zipper pockets for routing the pulse pump assembly. The pulse
pump provides connections to the suit, Tech Pack, and ear phones.
Turning On and Off
To activate the Bionic Hybrid Simulator, press the power button located
on the Teck Pack. Upon power up a green light flashes and voice
prompt plays, “System activation” followed by a series of beeps while the

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Wi-Fi is initialized. Pressing the power button again will activate the
shutdown sequence. A voice prompt will ask to confirm shutdown by
pressing the power button again. At shutdown a voice prompt plays,
“System powering down.”
Volume Adjustment
The plus and minus keys found on the Tech Pack controls the volume to
the headphones worn by the SP.
Battery
The Bionic Hybrid Simulator uses two 18650 size batteries that can be
accessed from the back of the Tech Pack enclosure. The battery door
can be detached by removing the center screw with a Phillips style
screwdriver. Fully charged batteries will power the Bionic Hybrid
Simulator Tech Pack for approximately 12 hours. When the batteries are
near completion the Tech Pack will blink red. The batteries can be
recharged using the Cardionics supplied charger.
When the Tech Pack is connected to the PC through the USB cable
power is drawn from the computer and not the batteries. The batteries
are not recharged during this setup only reserved. Other features such
as pulse and EKG are disabled while USB connected.
PC Application
The PC application is a program used to access the library and
scenarios stored inside the SimScope or Bionic Hybrid Simulator Tech
Pack. It allows the user to assign sounds to site locations, preview
sounds, adjust volume defaults, create scenarios, and store them back to
the device.
Application Overview
The figure and table that follows describes the controls and features of
the PC application.

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Figure 1: SimScope PC Application
Table 1: SimScope PC Application Functions
Name
Function
Icon
Disconnect
Wi-Fi
Forces a disconnect from an access point
or wireless Bionic Hybrid Simulator
connection.
Access Point
Drop Down
Box
Displays a list of available access points or
Bionic Hybrid Simulators. Selecting one
will direct the computer to connect with a
Wi-Fi access point or an access point of a
Bionic Hybrid Simulator.
SimScope
Drop Down
Box
Displays the current device serial number.
Clicking the drop-down arrow lists other
devices (if any) currently connected.
Selecting a different device from the list will
become the new center of focus. Holding
the mouse over the window will pop-up
additional information; such as, the
firmware version, MAC address, and port
connection. For Wi-Fi connections the
friendly name and IP address are displayed
in place of the serial number.

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Name
Function
Icon
Upgrade
Scenarios
Opens a dialog box for selecting a zip file
containing new sounds or libraries that can
be downloaded to the SimScope or Bionic
Hybrid Simulator Tech Pack.
Wi-Fi
Configuration
Opens the Wi-Fi configuration window
containing network information stored on a
device and lists all PC registered wireless
devices.
File Restore
In the event a device fails to connect to the
PC App due to corrupted files this feature
restores them. Disconnecting a device
prematurely while communicating over
USB can cause files to be damaged.
Log File
Initiates a log that records all activity that
takes place in the PC App.
Stop Log
Stops recording activity to the log file.
Insert Note
Allows the user to insert notes into an
active log file.
Clicking the logo will open the Cardionics
On-Line Learning Website within the
computer default browser (provided that
the computer has internet access).
Library
Pane that displays the library or libraries
available on the device. Bold names
indicate sound file assigned to the
“Selected Sounds / Scenarios” pane (right
pane). Double-clicking a grayed-out sound
moves it to the right pane and replaces a
previous assigned sound (if any).
Selected
Sounds /
Scenarios
Lists the sounds assigned to the SimScope
when the SimScope first connects with the
PC application. Also serves as a scratch
pad for selecting sounds, listening, and
adjusting volumes before saving them to a
device.

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Name
Function
Icon
Add Scenario
To Selected
Scenarios
Right arrow button moves a selected sound
from the library over to the Selected
Sounds / Scenarios pane. Same function
as double-clicking the sound.
Remove
Scenario
From
Selected
Scenarios
Left arrow button moves a selected sound
from the Selected Sounds / Scenarios pane
back to the Library pane. Same function as
double-clicking the sound.
Play By
Location
Type of mode that configures the
SimScope to play sounds assigned by the
user. Most commonly used mode. During
power up the SimScope will play the voice
prompt, “Mode one.” Altering this function
is not available during Wi-Fi connection.
Play by
Sound File
Type of mode that configures the
SimScope to play sounds defined by the
patch rather than sounds assigned by the
user. Patches are typically special ordered
and tailored per customer specifications.
During power up the SimScope will play the
voice prompt, “Mode two.” Altering this
function is not available during Wi-Fi
connection.
Lock Site
Verification
Prevents the user from switching the
SimScope to Verification mode. Often
used to ensure the user memorizes the
sites without help. Altering this function is
not available during Wi-Fi connection.
Save
Selected
Scenarios to
SimScope
Saves all the sounds assigned to the
Selected Sounds / Scenarios pane to the
SimScope. Previously stored assignments
on a device are replaced. If saving over
Wi-Fi, the device defaults back to previous
settings at power down.
Custom
Scenarios
Pane that contains names of custom
scenarios. Selecting one (if any) will
replace the Selected Sound Scenario pane
with the custom setup.

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Name
Function
Icon
Scenario
Delete
Button that will permanently remove a
selected Scenario from the list.
Create
Scenario
Creates a scenario by saving all sounds
and volume settings in the Selected Sound
/ Scenario pane. Scenarios can only be
created while USB connected.
SP Manikin
Views
Graphical representation of the
Standardized Patient’s anterior and
posterior views. Different areas of the
manikin highlight to show where the
SimScope is auscultating in real time.
Center
Console
Area below the SP Manikin graphics
displaying information of one or more
devices connected to the same access
point or Wi-Fi network. Includes friendly
name of the device, playing status, IP
address, and current battery voltage.
Status Bar
Bottom left displays the status of the PC
App. Provides information on the device
and PC application during saves, reads,
connections and exits.
Upgrading the SimScope with new sounds
A device can be upgraded with new or custom sounds obtained from
Cardionics. Upgrading sounds is performed by connecting the
SimScope USB to a computer running the SimScope PC software. Note:
wireless devices also require USB connection to the PC for sound/ECG
upgrades. Follow these easy steps:
1. Open the PC application.
2. Connect the device to the computer using the USB cable.
3. After the PC application recognizes the device, the Update
Scenario icon will appear. Click it.

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4. The open dialog box will pop up. Navigate to the zip file
containing the new sounds. Note: Only a file name with
matching serial number is compatible with the connected
device. Select the file and click open.
5. The files are extracted and saved to the device. Large libraries
will take longer to download than short ones. This step may
take some time to complete.
6. Once the sounds are downloaded a pop-up message will
appear. Click okay. The new sound or sounds will be
permanently visible in the Library pane and ready for use.
SimScope Wi-Fi Configuration
SimScope with Wi-Fi capability require information regarding the wireless
environment before use. The default settings that come preloaded from
factory (see Figure 2) are common to most networks except for the
SSID, pass phrase and possibly the security/authentication setting. In
some cases, it may be easier to refer the Wi-Fi setup to a network
administrator. Obtain the SSID and pass phrase of the wireless network
before proceeding. Note: A SimScope supplied with a Bionic Hybrid
Simulator system is already configured to work with the Bionic Hybrid
Simulator. No setup is necessary.
1. Run the SimScope PC application on a computer connected to
the network.
2. Connect the SimScope to the PC using the USB cable.
3. After the PC application displays “SimScope ready” click the
icon to display the Wi-Fi configuration window.
Only fill in the network settings located under the SimScope Wi-Fi
Configuration heading (right column). Refer to Table 2 on page 13 for
explanations on each setting. In some cases, updating the SSID and
pass phrase first while leaving the rest of the settings to default is the
best approach. Refer to Figure 2 on page 13 as an example.
4. Make sure that the check box “Enable Wi-Fi Module” is
checked. Click the “Save” button to save settings.
5. Click the “Test” button to test the Wi-Fi settings. A message will
appear in the bottom-left corner indicating pass or fail.If the
test fails, verify the settings and try again.

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Wi-Fi Configuration Window (SimScope)
The following is an example of the Wi-Fi Configuration window along with
a table explaining each setting under the SimScope Wi-Fi Configuration
heading.
Figure 2: Wi-Fi Configuration
Table 2: SimScope Wi-Fi Configuration Functions
Name
Function
Band
Frequency band or spectrum. Two options available
are 2.4 GHz and 5 GHz. Not all computers or
networks support the 5 GHz band.
Operation
Mode
Wi-Fi security Mode. Client connects to an access
point with open mode, personal security or a Bionic
Hybrid Simulator. Enterprise allows connection to
an Enterprise enabled network that hosts a Radius
server. Access Point is reserved for the Bionic
Hybrid Simulator Tech Pack only.

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Name
Function
Authentication
Mode
A form of encryption (if any) used between access
point and SimScope. Both Client and Enterprise
operation modes include Wi-Fi Protected Access
(WPA) and Wi-Fi Protected Access II (WPA2). Both
are security protocols or certification programs
available.
SSID
Service Set Identifier. Name of the network (access
point) to join.
Pre-Shared
Key / Pass-
phrase
Also called password, network security key or just
key. It is a phrase that provides security encryption
for the wireless network (available only in Personal
security mode). For SSID set for Bionic Hybrid
Simulator_xxx where xxx is the last three characters
of the Bionic Hybrid Simulator serial number. The
Pre-Shared key is unavailable for edit and is grayed
out for the BHS.It is automatically populated.
PSK Type
Used to set the Pre-Shared Key to join WPA/WPA2-
PSK enabled access points. This field is not
available for edit. Default is 1.
Enable Wi-Fi
Module
Enable / Disable check box. Check this box to
enable the SimScope Wi-Fi module and to connect
to the PC application wirelessly. Disabling will
extend battery life and speed up the initialization
time during power up.
Channel
Default is “All Channels.” The channel number of
the access point. By selecting all channels, the
SimScope will try them all to find the access point
with the SSID name. A channel is required for
Bionic Hybrid Simulator Wi-Fi configurations.
Data Rate
Default is Auto-rate. Data rate in Mbps.
Transmit
Power Level
Default is High. There are three levels of transmit
power: Low (7dBm), Medium (10dBm), and High
(18dBm).
Multicast IP
Address
Required for SimScope connecting with a Bionic
Hybrid Simulator or multicast compatible network.
The default is 239.0.0.0.

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Name
Function
TCP Port (right
column)
Transmission Control Protocol Port. Default is
14046. Socket used for SimScope communication
data. This value must match the SimScope TCP
Port value found in the left column of the window.
UDP Port
User Datagram Protocol Port. Use a default value
of 0 for multicast compatible networks. Other type
of network use a value of 14047. Used for pulse or
timing beacon with automated systems or
accessories requiring synchronized actions with the
SimScope heart rate or carotid pulse event.
Multicast UDP
Port
User Datagram Protocol Port. Use a default value
of 14047 for multicast compatible networks.
Otherwise, use a value of 0.
Network Type
Type of network. Infrastructure or Ad-hoc network.
The default is infrastructure.
Feature Bitmap
Configures different sub-features in the SimScope
Wi-Fi module. Not available for edit.
Mode 5 Pin
USB
Default value of 0. Configures the fifth pin on the
USB connector as an output for pulse or timing
beacon. Used for pulse or timing beacon with
automated systems or accessories requiring
synchronized actions with the SimScope heart rate
or carotid pulse event.
TCP/IP Feature
Bitmap
Configures different sub-features in the SimScope
Wi-Fi module. Not available for edit. Default value
is 4.
Custom Bitmap
Configures different sub-features in the SimScope
Wi-Fi module. Not available for edit. Default value
is 1.
Join Feature
Bitmap
Configures different sub-features in the SimScope
Wi-Fi module. Not available for edit. Default value
is 16.
Debug Bitmap
Enables playback error messages to user. Not
available for edit. Default value is 1.
Type of Service
Default is ‘0’ for “Best Effort.” Not commonly
modified.

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Name
Function
SSL WS
Enable
Default is ‘0’ to open a normal TCP socket. Not
available for edit.
Ciphers
Configures different sub-features in the SimScope
Wi-Fi module. Not available for edit.
EAP
Authentication
Extensible Authentication Protocol (EAP).
Extensions under WPA and WPA2 Enterprise.
Visible only for Enterprise security.
EAP Inner
Method
Microsoft’s Challenge Handshake Authentication
Protocol (MSCHAP and MSCHAPv2). Visible only
for Enterprise security and valid for TTLS/PEAP. In
case of TLS/FAST should be fixed to MSCHAPv2.
EAP User
Identity
User ID which is configured in the user configuration
file of the Radius Server. Visible only for Enterprise
security.
EAP User
Password
Password which is configured in the user
configuration file of the Radius Server for the User
Identity. Visible only for Enterprise security.
Certificate Task
Selects the type of certificate to load. After selecting
a task, a file picker window will open for selecting
the certificate file to load. Visible only for Enterprise
security.
Certificate File
Displays the file path and file name of the certificate
to load.
Run
Button that loads the file shown in the Certificate File
window to the SimScope. Visible only for Enterprise
security.
DHCP Enable
Dynamic Host Configuration Protocol: Enable /
Disable check box. Used in infrastructure mode.
Protocol (if supported) that will assign a unique IP
addresses to the SimScope. Not available for edit.
Source IP
Address
If DHCP is disabled, an IP address should be
entered for the source IP address.
Source Subnet
Mask
If DHCP is disabled, a subnet mask should be
entered for the source subnet mask.

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Name
Function
Source
Gateway
Address
If DHCP is disabled, a gateway address should be
entered for source gateway address.
Test
Button visible only for newer model SimScopes.
SimScope wirelessly connects to an access point
while connected to the PC over USB. Useful for
confirming settings and obtaining the IP address for
pre-registration with the PC app.
Save
Saves the Wi-Fi settings to the SimScope.
Wi-Fi Configuration Window (PC Application)
Below is a table explaining each setting under the PC Wi-Fi Connection
Parameter heading (left column) found in the Wi-Fi Configuration
Window (Figure 2, Page 13).
Table 3: PC Wi-Fi Connection Parameters
Name
Function
Registration
Table
Table that contains the friendly name and serial
number of all wireless devices recognized by the
PC application.
Name
Column within the registration table listing the
friendly name assigned to a SimScope or Bionic
Hybrid Simulator. A name is easier to remember
than a serial number.
Serial Number
Column within the registered SimScope table
listing the unique number assigned to each
SimScope. The matching serial number can also
be found on SimScope rear label.
Remove
Deletes the name, IP address, and serial number
of a wireless SimScope selected in the Registered
SimScope list.
SimScope TCP
Port
Visible only when a Wireless SimScope is
connected via USB and Show More>> is clicked.
Used to control the SimScope over Wi-Fi. The
default port number is 14046.Value must match

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Name
Function
the TCP Port value found under SimScope Wi-Fi
Configuration settings.
Cache Files
Enhances connection time for Wi-Fi Simscopes.
Retrieves PC files copied during the last USB
connection rather than sending files over Wi-Fi.
Time Out
Applies only to Wi-Fi SimScopes. Extends Wi-Fi
SimScope shutdown timer by multiples of 90
seconds. Disabling the timer will force the
SimScope to remain active until the application is
closed or the SimScope battery is depleted.
Standardized Patient / SAM & PAT Basic Manikins
The SimScope can be used with Standardized Patient, SAM Basic and
PAT Basic manikin products. If desired, a SimScope can have a library
installed for each product making it more versatile.
Standardized patient interaction and assessment requires a standardized
patient (actor) or manikin, location patches, SimScope, and a PC with
the SimScope software.
1. Run the PC Application and connect the SimScope USB to the
computer.
2. Using the PC Application, pick sounds from the products Library
and add them to the Selected Sounds / Scenarios by double-
clicking them. Once the sound assignments have been
selected and adjusted for desired volume click the save button
to update the SimScope.
3. Refer to Figure 3 for the proper placement of the SimScope
patches. On the protective cover of each patch is the name
identifying the site. Peel off the protective cover to expose the
adhesive tape and carefully place it on the actor or manikin
skin. Note: The SAM and PAT Basic manikins come with
location patches hidden permanently beneath the skin so extra
location patches are unnecessary.

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4. Setup is complete. Disconnect the USB from the SimScope
and press any volume key to turn it on. Place the chest piece
on any patch and the sound assigned in step 2 will begin
playing.
Figure 3: Patch Placement for Standardized Patient/Manikin
(Anterior Side)
(1) Aortic
(2) Pulmonic
(3) Tricuspid
(4) Mitral
(Anterior Side)
(5) Lung Right-Lower
(6) Lung Right-Upper
(7) Lung Left-Lower
(8) Lung Left-Upper
(13) Bowel
(17) Bruit
(Posterior Side)
(5) Lung Right-Lower
(6) Lung Right-Upper
(7) Lung Left-Lower
(8) Lung Left-Upper