symbio CS1201 User manual

OPERATING INSTRUCTIONS
Controls and Indicators . . . . . . . . . . . . . . . .
Rhythms for Defibrillator Training . . . . . . . . . .
ST Segment and T Wave Abnormalies . . . . . .
Defibrillator Exercises . . . . . . . . . . . . . . . .
External Pacing Exercises . . . . . . . . . . . . . .
Baery Saver Feature . . . . . . . . . . . . . . . .
IBP Waveform Opon . . . . . . . . . . . . . . . .
Service . . . . . . . . . . . . . . . . . . . . . . . . .
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convert
When enabled, a pre-selected rhythm becomes the running rhythm,
when a defib delivers 50J or more.
1. Press convert key. The indicator of the running rhythm
pulses brighter.
2. Press key of the waveform to run aer the defib discharge.
3. Deliver discharge from defib set to 50J or more.
The pre-selected rhythm is now the running rhythm.
To cancel a convert operaon before its completed, press either the
convert key or the key of the running rhythm. If a convert operaon is
started but not completed in two minutes, it will cancel automacally.
capture
When the pacer’s current and rate are properly adjusted, paced beats
are displayed and the PACER PULSE indicator blinks off with each
pacer pulse detected.
Press capture key to select one of five pacing capture levels: 70, 80,
90 and 100 mA, or “ignore”. Brightness of PACER PULSE indicates
the level selected. At 70 mA, the brightness is lowest. At 100 mA,
the brightness is highest. When the PACER PULSE indicator is off,
“ignore” is selected and the simulator won’t respond to pacer pulses.
At power-on, the default pacing capture level is 70 mA.
ON OFF
Press to power-on and to power-off.
LOW BATT
Red indicator illuminates when baery
should be replaced.
DEFIB DSCHG
Green indicator illuminates for two
seconds when discharge is delivered
from defib set to 50J or more.
convert
When enabled, a pre-selected rhythm
becomes the running rhythm when a
defib delivers 50J or more.
PACER PULSE
Brightness indicates pacing capture
level selected.
capture
Selects capture current levels:
70, 80, 90 and 100 mA and “ignore”.
VF VT-HI VT-LO
AFIB AFLTR PSVT
NSR ASYS SINUSSINUS
3rd
2nd ISINUS S BRDY S BRDY
2nd II1st 2nd II
ON OFF
LOW
BATT
DEFIB
DSCHG
T de P
S TACH
ANT
ST convert
AMI
RBBB PVC LBBB
PACER
PULSE
capture
ANT S
ST
LAT
ST
INF
ST IMI
AMI
PVC
LBBB
Controls and Indicators
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Rhythms for Defibrillator Taining
VF
VT-HI
VT-LOW
T de P
AFIB
AFLTR
PSVT
S TACH
ANT
ST
NSR
ASYS
Ventricular Fibrillaon
Ventricular Tachycardia - fast. Wide QRS. Rate: 185 bpm
Ventricular Tachycardia - slow. Wide QRS. Rate: 140 bmp
Ttorsades de Pointes. Fluctuang QRS axis.
Atrial Fibrillaon. P waves absent. Rapid, varying ventricular
response. Rate: 154 - 160 bpm
Atrial Fluer. 2:1 AV conducon. Rate: 150 bpm
SVT alternates with NSR, then remains in SVT Rate: 213 bpm.
PAC falls on T wave. Symmetric T wave inversion.
Sinus Tachycardia with anterior ST depression.
Rate: 100 bpm.
Normal Sinus Rhythm. Rate: 72 bpm.
Asystole.
#
VF VT-HI VT-LO
AFIB AFLTR PSVT
NSR ASYS SINUSSINUS
3rd
2nd ISINUS S BRDY S BRDY
2nd II1st 2nd II
ON OFF
LOW
BATT
DEFIB
DSCHG
T de P
S TACH
ANT
ST convert
AMI
RBBB PVC LBBB
PACER
PULSE
capture
ANT S
ST
LAT
ST
INF
ST IMI
AMI
PVC
LBBB
ST Segment and T Wave Abnormalies
SINUS
AMI
SINUS
AMI
PVC
SINUS
ANT S
ST
2nd I
LAT
ST
S BRDY
INF
ST
S BRDY
IMI
Sinus rhythm with acute AMI. Q waves in anterior leads.
ST elevaon.
Rate: 72 bpm.
Sinus rhythm with acute AMI and PVCs.
Q waves in anterior leads.
ST elevaon. Rate: 72 bpm.
Sinus rhythm with Antero-Septal ST elevaon.
Rate: 72 bpm.
Mobitz type I second degree AV block (4:3)
with lateral ST elevaon.
Rate: varies from 40 to 50 bpm.
Sinus Bradycardia with inferior ST elevaon.
Rate: 40 bpm.
Sinus Bradycardia with Q waves and ST elevaon
in II, III and VF.
Rate: 40 bpm.
\
#
#
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Rhythms for External Pacer Training
1st
RBBB
2nd II
LBBB
PVC
2nd II
LBBB
3rd
Sinus rhythm with first degree AV block and right bundle branch
block. Wide QRS.
Rate: 60 bpm.
Mobitz type II second degree AV block (4:3) with le bundle
branch block and PVCs. Wide QRS.
Rate: varies from 32 to 65 bpm.
Mobitz type II second degree AV block (4:3) with le bundle
branch block. Wide QRS.
Rate: varies from 37 to 50 bpm.
Third degree AV block. Q waves in V2 - V4, but normal ST
segments. Wide QRS.
Atrial rate: 60 bpm.
Ventricular rate: 37 bpm.
VF NSR
Defibrillator Exercises
Exercise: Convert VF to NSR.
at simulator:
1. Press VF key. VF indicator glows steadily. Confirm VF is displayed on
monitor.
2. Press convert key. VF indicator pulses brighter.
3. Press NSR key. NSR indicator flashes on and off. VF indicator glows
steadily again.
at defibrillator:
4. Select 200J using Energy Select switch (1).
5. Press Charge buon (2). Listen for charge ready tone.
6. Press Discharge buon(s) (3).
7. Aer discharge observe that:
On monitor, NSR is displayed
At simualtor, NSR indicator glows steadily, and VF indicator is off.
Connect simulator to defibrillator.
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Baery Saver Feature
The CS1201 powers-off automacally 30 minutes aer a key was last pressed,
or aer defib or pacer energy was last detected. This is normal baery saver
operaon. To enable the simulator to remain powered-on aer 30 minutes of
inacvity, follow these instrucons:
1. With the simulator powered-off, press and hold down convert key, then
press and release ON OFF key.
2. Watch the NSR indicator. When it flashes rapidly, release the convert key.
IBP (an oponal feature)
If your CS1201 has the oponal IBP feature, you will need to zero your IBP
monitor before displaying IBP waveforms.
1. Start with your IBP monitor powered-off and then connect its IBP cable
to the CS1201's IBP cable.
2. Power-on the CS1201 and select ASYS.
3. Then, power-on your monitor and follow its instrucons for zeroing.
Exercise: Pace 3rd degree AV block at rate of 70 ppm.
Connect simulator to external pacer.
To simulate paced beats, pacer Rate must be greater than rate of selected
rhythm, and pacer Output must be greater than simulator capture level.
at simulator:
1. Press 3rd key. Confirm 3rd degree AV block is displayed on monitor.
2. Press capture key once to select capture level II
(75 to 80mA capture level).
at pacer:
3. Select Pacer On. Verify sense markers are displayed with each R wave.
(If not, press ECG Size buon unl R wave markers are observed.)
4. Select rate of 70 ppm using Rate control.
5. Press Start/Stop buon to start pacing.
6. Using Output control, increase pacer current unl paced beats are
displayed. Pacer current seng will be 75 to 80 mA.
External Pacer Exercise
3rd degree AV block paced beats at 70ppm
Symbio Corporaon
1600 NE Compton Drive
Suite 120
Hillsboro, Oregon 97006
www.symbiocorp.com
informa[email protected]
503-748-2030
Warranty and Service
The CS1201 ECG Simulator is warraned to be free of defects in material or
workmanship for three years from date of purchase. If your simulator needs
service, or if you have quesons about its operaon, please contact Symbio
Corporaon.
NOTE: Damaged caused by baery acid corrosion is not covered by the
warranty. Removing the baeries between uses is recommended.
Maintenance and Calibraon
Based on the product’s design, and based on experience with units in the field,
Symbio does not recommend regular calibraon of our Simulators. From a
design standpoint, the me base used to generate ECG waveforms and to
measure the duraon of defib and pacer pulses is crystal-controlled;therefore,
ECG waveform rates and defib/pacer measurement criteria remain constant
over me.
WARNING: Shock Hazard Exists
When discharging the defibrillator, keep hands and all objects clear of the
simulator. Be sure the simulator cable or ECG cable is securely plugged into the
defibrillator. Be sure that the simulator housing is intact, and that the cable is
free of nicks, cracks and cuts. Do not discharge the defibrillator into the
simulator more than three mes within one minute. Never discharge more than
360 joules into the simulator. Do not immerse or set the simulator in liquid.
Using the devise in standing water can present a shock hazard to the operator
and anyone nearby.
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