Rigel PatSim200 User manual

Innovating Together
RIGEL PatSim200
Patient Simulator
Copyright © 2016 SEAWARD GROUP
Last Update: 20th December 2016
Instruction Manual
404A920 Revision 1.1

Rigel Medical 5 year Warranty Statement
To activate your 5 year warranty register your product at the below link. Terms and
conditions apply.
www.rigelmedical.com/5years
Calibration Statement
The PatSim200 Patient Simulator is fully calibrated and found to be within the specified
performance and accuracy at the time of production. The Seaward Group provides its
products through a variety of channels; therefore it may be possible that the calibration
date on the provided certificate may not represent the actual date of first use.
Experience has indicated that the calibration of this instrument in not effected by
storage prior to receipt by the user. We therefore recommend that the recalibration
period be based on a 12 month interval from the first date the unit is placed in to
service.
For information on service or calibration please go to the below link.
www.rigelmedical.com/calibration
Date received into service; / /
© Copyright 2016
All rights reserved. Nothing from this edition may be multiplied, or made public in any
form or manner, either electronically, mechanically, by photocopying, recording, or in
any manner, without prior written consent from the SEAWARD GROUP. This also
applies to accompanying drawings and diagrams.
Due to a policy of continuous development the SEAWARD GROUP reserves the right to
alter the equipment specification and description outlined in this publication without prior
notice and no part of this publication shall be deemed to be part of any contract for the
equipment unless specifically referred to as an inclusion within such contract.

Disposal of old product
The PatSim200 Patient Simulator has been designed and manufactured with high
quality materials and components, which can be recycled and reused.
Please familiarise yourself with the appropriate local separate collection system for
electrical and electronic products or contact your local supplier for further information.
Please dispose of this product according to local regulations. Do not dispose of this
product along with normal waste material. By offering your old products for recycling,
you will help prevent potential negative consequences for the environment and human
health.
User Notes
These operating instructions are intended for the use of adequately trained
personnel.
Important, follow the documentation! This symbol indicates that the
operating instructions must be adhered to in order to avoid danger.
If the PatSim200 is used in a manner not specified by the manufacturer, the protection
provided by the equipment may be impaired.
This product contains a lithium ion battery:
Do not disassemble, crush, or puncture a battery
Do not short the external contacts on a battery
Do not dispose of a battery in fire or water
Do not expose a battery to temperatures above 60 °C (140 °F)
Keep the battery away from children
Avoid exposing the battery to excessive shock or vibration
Do not use a damaged battery
If a battery pack has leaking fluids, do not touch any fluids.
Dispose of a leaking battery pack

Index
!
1!Introduction+........................................................................................................+4!
1.1!Getting!to!know!your!PatSim200!............................................................................!4!
1.2!In!the!box!...............................................................................................................!5!
1.3!Additional!&!Optional!Accessories!.........................................................................!5!
1.4!Charging!.................................................................................................................!5!
1.5!Battery!Status!........................................................................................................!6!
1.6!Powering!On/Off!....................................................................................................!6!
1.7!Screen!Brightness!...................................................................................................!7!
2!Getting+Started+...................................................................................................+8!
2.1!Setup!.....................................................................................................................!8!
2.2!About!.....................................................................................................................!9!
2.3!Favourite!Simulations!..........................................................................................!10!
3!Simulation+Settings+...........................................................................................+13!
3.1!ECG!Settings!.........................................................................................................!14!
3.2!Respiration!Settings!.............................................................................................!22!
3.3!Temperature!Settings!..........................................................................................!23!
3.4!Invasive!blood!pressure!settings!..........................................................................!24!
4!Maintaining+the+PatSim200+..............................................................................+26!
4.1!Cleaning!the!PatSim200!.......................................................................................!26!
4.2!User!Maintenance!................................................................................................!26!
5!Technical+Specifications+....................................................................................+28!
Appendix+A+-+IBP+cable+wiring+diagram+.....................................................................+32!
Appendix+B+-+Temperature+cable+wiring+diagram+......................................................+33!
!

1 Introduction
The PatSim200 from Rigel was designed to make every patient simulation quicker.
Unlike other Patient Simulators, the PatSim200 uses a home and recall function to
easily move between tests and store your most used sequences, no more clicking and
scrolling through 'tree style' hierarchy to perform each test.
The handheld PatSim200 is capable of the below simulations:
• ECG
o ECG wave forms
o Arrhythmia’s
o Performance Waveform
o Pacer Waveforms
o Fetal Maternal
• Respiration
• Temperature
• Invasive blood pressure (2 channel)
The PatSim200 forms part of a comprehensive range of high performance specialist
biomedical test equipment supplied by Rigel Medical, part of the Seaward Group.
For further information go to www.rigelmedical.com
1.1 Getting to know your PatSim200

1.2 In the box
• Quick start guide
• Universal USB Power Supply
• 10 x Applied Part Adaptors
• Calibration Certificate
• PatSim 200 Simulator
• PatSim 200 carry case
1.3 Additional & Optional Accessories
Replacement Battery 404A954
Temperature Cable (unterminated) 404A955
IBP Cable (unterminated) 404A956
Replacement Carry Case 404A950
Applied Part Adaptors 404A951
Universal USB Power Supply 404A952
1.4 Charging
The PatSim200 is supplied with a universal USB charger. You should only use the
supplied charger with your PatSim200.
Whilst the charger is connected to the unit and energised, the LED light on the top right
of the top fascia will be illuminated.
Note: The LED does not indicate the charging status.

Whilst the PatSim200 is powered on you will also see the below symbols on the display.
Bulk Charging
Trickle charging
The PatSim200 may be used whilst charging however displayed signal quality may be
reduced on some monitor types.
1.5 Battery Status
During normal use, the PatSim200 automatically checks the battery status and shows
the closest representation using the symbols below.
Fully charged
Battery empty
When the battery is completely empty the unit will warn the user that it is about to turn
off before shutting down.
1.6 Powering On/Off
Turn your PatSim200 on or off by pressing and holding the ’Rigel’ button for 3 seconds.

1.7 Screen Brightness
You can change the screen brightness on the PatSim200 to make it suitable for
different environments. To change the screen brightness press the left or right arrow
keys in the home screen.

2 Getting Started
2.1 Setup
In the PatSim200 you have the option to change the language, temperature units and
auto off time of the unit.
Pressing the Rigel key in any menu will take you to the Settings screen.
Here you can use the up & down arrow keys to highlight Local Settings and press the
select (tick) button.
You can then use the up & down arrow keys to highlight the parameter you wish to
change and then use the left & right arrow keys to select your preferred setting. There is
a fast key on F5 to switch between °C & °F.
Pressing Home or Back will automatically save these settings. The settings will remain
even when the unit is powered down and back on.

Available Settings
Language
English
German
French
Spanish
Polish
Simplified Chinese
Temperature
°C
°F
Auto Off
Off
2 min
5 min
10 min
30 min
60 min
2.2 About
From the Settings screen you can view information about the tester. Highlight About
using the up and down arrow keys and press the select (tick) button.
This will show you information on when the unit was last calibrated, the serial number,
hardware and firmware versions.
To leave this screen you can press the back button to go back to the settings menu or
the Home button to go back to the Home screen.

2.3 Favourite Simulations
You can save up to 5 of your most used simulation settings for recall at any time.
2.3.1 Default settings
The unit will be delivered with 5 default settings as detailed below.

2.3.2 Adding a new favourite setting
Pressing the Rigel key in any menu will take you to the Settings screen.
Here you can hold down one of the function keys for 3 seconds to save the current
settings to that memory location. You will see a messaging asking if you are sure.
Press the cross on F1 to go back to the settings screen. Press the tick on F5 for yes
and the tester will display a message of Saving Settings and then Settings Saved
before returning to the home screen.

2.3.3 Recalling a favourite setting
Pressing the Rigel key in any menu will take you to the Settings screen.
Here you can press one of the 5 function keys to access the corresponding settings.
You will see a messaging asking if you are sure.
Press the cross on F1 to go back to the settings screen. Press the tick on F5 for yes
and the tester will go to the home screen with the relevant settings selected.

3 Simulation Settings
The PatSim200 is capable of the below simulations:
• ECG
o ECG wave forms
o Arrhythmia’s
o Performance Waveform
o Pacer Waveforms
o Fetal Maternal
• Respiration
• Temperature
• Invasive blood pressure (2 channel)
A list of the full settings available for each simulation is available at the end of each
section.
Upon power-up, the user is presented with the Home screen which shows the
Simulation Menu on F keys 1-4 and a summary of the settings saved on memory
location 1.

3.1 ECG Settings
Pressing F1 from the home screen takes you to the ECG menu. The screen shows the
current settings.
Note: All ECG waveform images are representations specifically for Lead II
3.1.1 Normal Sinus Rhythm
Pressing F1 in the ECG menu takes you to the Normal Sinus Rhythm screen. The
screen will show the current settings. You can then use the up & down arrow keys to
highlight the parameter you wish to change and then use the left & right arrow keys to
select your required setting.
Pressing F3 changes between adult and neonatal settings.

You can see which is currently selected by which figure is in green on the right hand of
the screen.
Pressing F5 shows a visual representation of the waveform you should expect to see on
the monitor with the current settings.
To leave any of these screens you can press the back button to go back to the previous
menu or the Home button to go back to the Home screen.
Available Normal Sinus Rhythm Simulations
Rates
30, 40, 50, 60, 70, 80, 90, 100, 120, 140, 160, 180, 200, 220, 240, 260, 280,
300 BPM
Amplitude (lead II)
0.05 mV to 0.45 mV (0.05 mV steps)
0.5 mV to 5.5 mV (0.5 mV steps)
ST Segments
-0.8 mV to +0.8 mV in 0.1 mV steps and +0.05mV and -0.05mV on Lead II

3.1.2 Arrhythmias
Pressing F2 in the ECG menu takes you to the Arrhythmias screen. You can then use
the up & down arrow keys to highlight the type of arrythmia you wish to simulate and the
select (tick) key to select. Alternatively you can use the function keys as fast keys to
select the corrosponding arrythmia type.
You can then use the left and right arrow keys to highlight the specific arrythmia you
wish to simulate. Press down to hilight the amplitude and the left and right arrows to
select the setting you wish to use.

Pressing F5 shows a visual representation of the waveform you should expect to see on
the monitor with the current settings.
To leave any of these screens you can press the back button to go back to the previous
menu or the Home button to go back to the Home screen.
Available Arrhythmia Settings
VENTRICULAR
Asystole
Bigeminy
Trigeminy
Ventricular Fibrillation (coarse)
Ventricular Fibrillation (fine)
Ventricular Tachycardia
SUPRAVENTRICULAR
Atrial Fibrillation coarse
Atrial Fibrillation fine
Atrial Flutter
Atrial Tachycardia
Missing beat
Nodal rhythm
Paroxysmal Atrial Tachycardia
Sinus Arrhythmia
Supraventricular Tachycardia
ATRIAL CONDUCTION
First Degree AV Block
Left Bundle Branch Block
Right Bundle Branch Block
Second Degree AV Block - Mobitz I
Second Degree AV Block - Mobitz II
Third Degree AV Block
PREMATURE
Premature Atrial Contraction
Premature Nodal Contraction
Premature Left Ventricle Contraction
Premature Left Ventricle Contraction - early
Premature Left Ventricle Contraction - R on T
Premature Right Ventricle Contraction
Premature Right Ventricle Contraction - early

Premature Right Ventricle Contraction - R on T
Premature Ventricular Contraction - 6 / min
Premature Ventricular Contraction – 12 / min
Premature Ventricular Contraction - 24 / min
Premature Ventricular Contraction – frequent
multifocal
Amplitude (lead II)
0.05 mV to 0.45 mV (0.05 mV steps)
0.5 mV to 5.5 mV (0.5 mV steps)
3.1.3 Performance Waveform
Pressing F3 in the ECG menu takes you to the Performance Waveform screen. The
screen will show the current settings. You can then use the up & down arrow keys to
highlight the parameter you wish to change and then use the left & right arrow keys to
select your required setting.
Pressing F5 shows a visual representation of the waveform you should expect to see on
the monitor with the current settings.
To leave any of these screens you can press the back button to go back to the previous
menu or the Home button to go back to the Home screen.

Available Performance Waveforms
Sine Waves
0.05, 0.5, 1, 10, 25, 30, 40, 50, 60, and 100 Hz
Square Waves
0.125, 2 Hz
Pulse
60bpm or 240bpm
Triangle Wave
2 Hz
Performance amplitude
0.5 to 5.0 mV in 0.5 mV steps
3.1.4 Pacer Waveforms
Pressing F4 in the ECG menu takes you to the Pacer Waveforms screen. The screen
will show the current settings. You can then use the up & down arrow keys to highlight
the parameter you wish to change and then use the left & right arrow keys to select your
required setting.
Pressing F3 takes you to the R-Wave Detection menu. You can then use the up & down
arrow keys to highlight the parameter you wish to change and then use the left & right
arrow keys to select your required setting.