Fluke-biomedical ProSim 6 User Manual

January 2011, Rev. 2, 9/11 © 2011 Fluke Corporation. All rights reserved. Specifications are subject to change without notice. All product names are

ProSim™ 6/8 Users Manual vi

ProSim™ 6/8 Users Manual A-6 Premature Atrial Contraction (PAC) A beat that is 25 % premature but otherwise normal. Any part of the heart can depol

Glossary Introduction A A-7 QRS Complex The part of the P-QRS-T wave that records ventricular depolarization and contraction. R-Value The non-

ProSim™ 6/8 Users Manual A-8 Trigeminy A PVC appears after every two normal QRS complexes. Venous (1) Of or pertaining to a vein or veins. (2) Retu

vii List of Figures Figure Title Page 1. Top-Panel Controls and Connections... 5

ProSim™ 6/8 Users Manual viii 37. Pressure Leak Test Connections ... 46 3

1 Introduction The Fluke Biomedical ProSim™ 6 and ProSim™ 8 Vital Signs Simulators (hereafter the Product) are full-featured, compact, portable simul

ProSim 6/8 Users Manual 2 care area, and is not intended for use on patients, or to test devices while connected to patients. This Product is not inte

Vital Signs Simulator Unpack the Product 3 Unpack the Product Carefully unpack all items from the box and check that you have these items: • ProS

ProSim 6/8 Users Manual 4 Table 4. Optional Accessories Item Fluke Biomedical Part Number SpO2 Finger Module with cable 3985658 SpO2 Masimo RAINBOW c

Vital Signs Simulator Instrument Familiarization 5 Instrument Familiarization Table 5 is a list of Product top-panel controls and connections show

ProSim 6/8 Users Manual 6 Table 5. Top-Panel Controls and Connections (cont.) Item Name Description 14 SpO2 Connector Connector to the SpO2 accesso

Vital Signs Simulator How to Turn the Product On 7 How to Turn the Product On Push  on the front panel to turn the Product on. The screen shown i

Warranty and Product Support Fluke Biomedical warrants this instrument against defects in materials and workmanship for one year from the date of orig

ProSim 6/8 Users Manual 8 To connect the Product to a PC: Connect a USB port on your PC or laptop to the Mini B USB device port of the Simulator. Or F

Vital Signs Simulator Pre-Defined Simulations 9 Table 7. Pre-Defined Patient Simulations Simulation Name Parameter Pre-Set Value Wave Form NSR

ProSim 6/8 Users Manual 10 Table 7. Pre-Defined Patient Simulations (cont.) Simulation Name Parameter Pre-Set Value Wave Form NSR (Adult) ECG Rate

Vital Signs Simulator ECG Function 11 All the vital sign simulation parameters are set to the values contained in the pre-defined simulation. You

ProSim 6/8 Users Manual 12 To change the ECG waveform: 1. Push  or  to move the highlight to the Wave Group value. 2. Push . 3. Push  or  to m

Vital Signs Simulator ECG Function 13 3. Push  or  to adjust the deviation. Each push of a key moves the deviation 0.05 or 0.1 mV in the direct

ProSim 6/8 Users Manual 14 How to Simulate an ECG Artifact The Product simulates a number of different ECG artifacts that can change the accuracy of a

Vital Signs Simulator ECG Function 15 Table 10. Arrhythmias by Wave Group (cont.) Arrhythmia Wave Group Available in Atr-Vent Sequential TV Pac

ProSim 6/8 Users Manual 16 Table 10. Arrhythmias by Wave Group (cont.) Arrhythmia Wave Group Available in PVC1 LV R on T Premature ProSim 8 only P

Vital Signs Simulator ECG Function 17 3. Push  or  to highlight Coarse or Fine from the list. 4. Push  to set the arrhythmia type and go back

Notices All Rights Reserved  Copyright 2010, Fluke Biomedical. No part of this publication may be reproduced, transmitted, transcribed, stored in a r

ProSim 6/8 Users Manual 18 The mono v tach arrhythmia has a heart rate variable. To change the heart rate: 1. Push  or  to highlight the Heart Rate

Vital Signs Simulator ECG Function 19 Pacemaker Waveforms The Product can simulate ECG waveforms with a number of artificial-pacemaker conditions.

ProSim 6/8 Users Manual 20 2. Push . 3. Push  or  to highlight an amplitude value in the list. Below is a list of the pacemaker amplitude values.

Vital Signs Simulator ECG Function 21 ECG Performance Tests As well as physiological waveforms, the Product can supply signals to measure the perf

ProSim 6/8 Users Manual 22 Table 12. Performance Wave Rates Performance Wave Rates Square and Triangle 0.125, 2.0, and 2.5 Hz Sine 0.05, 0.5, 1, 2,

Vital Signs Simulator ECG Function 23 4. Push  to set the rate and go back to the ECG: R Wave Detection screen. To change the R wave amplitude:

ProSim 6/8 Users Manual 24 The rate, amplitude, and width of the QRS wave can be changed. To change the rate: 1. Push  or  to highlight the Rate v

Vital Signs Simulator Fetal Simulation (ProSim 8 only) 25 glh022.bmp Figure 13. Tall T Wave Rejection Screen The amplitude of the T Wave can be c

ProSim 6/8 Users Manual 26 glh025.bmp Figure 14. Fetal ECG Screen Push the softkey labeled Back to go back to the Special Functions screen. To change

Vital Signs Simulator Fetal Simulation (ProSim 8 only) 27 ProSim 8Fetal MonitorIntrauterineBlood PressureInputFetal ECGInputMaternal ThighReferenc

Everett Calibration Lab Tel: 1-888-99 FLUKE (1-888-993-5853) Email: [email protected] In Europe, Middle East, and Africa: Eindhoven C

ProSim 6/8 Users Manual 28 glh026.bmp Figure 16. Intrauterine Pressure Contractions Screen How to Set the Fetal Heart Rate Response The Product simul

Vital Signs Simulator Invasive Blood Pressure Simulation and Tests 29 glh027.bmp Figure 17. Fetal ECG Intrauterine Pressure Screen If the contrac

ProSim 6/8 Users Manual 30 4. Push  to set the chamber and go back to the IBP screen. You must first zero the patient monitor when you connect to a

Vital Signs Simulator Invasive Blood Pressure Simulation and Tests 31 Note The artifact values in the list can be in percent (%) or in mmHg. These

ProSim 6/8 Users Manual 32 glh012.bmp Figure 21. Initial Swan-Ganz Procedure Simulation Screen You can do the Swan-Ganz procedure manually or automat

Vital Signs Simulator Invasive Blood Pressure Simulation and Tests 33 To simulate a Cardiac Catheterization procedure: 1. Push the Tests softkey

ProSim 6/8 Users Manual 34 (+15 %), 144 (+20 %), and 180 (+50 %). Each push of the decrease softkey sets the pressure down from 180 to 120 mmHg with t

Vital Signs Simulator How to Simulate Temperature 35 glh056.bmp Figure 25. Mitral Valve Catheterization Simulation Screen For a normal valve, the

ProSim 6/8 Users Manual 36 To set the simulated temperature: 1. Push . 2. Push , , , or  to highlight the Temperature selection then push  to

Vital Signs Simulator How to Simulate Respiration 37 To set the respiration ratio: 1. Push  or  to highlight the Ratio value. 2. Push . 3. P

i Table of Contents Title Page Introduction...

ProSim 6/8 Users Manual 38 How to Simulate Cardiac Output The Cardiac Output function electronically simulates the dynamic temperature changes in the

Vital Signs Simulator How to Simulate Cardiac Output 39 Blood temperature (BT) connectorInjectate temperature (IT) thermistor connectorInjectate t

ProSim 6/8 Users Manual 40 660705040ProSim 8PatientMonitorCardiac OutputAdapterBloodTemperatureConnectionInjectateTemperatureConnection glh057.eps Fig

Vital Signs Simulator Non-Invasive Blood Pressure Simulation and Tests 41 How to Set the Cardiac Output Waveform To set the cardiac output wavefor

ProSim 6/8 Users Manual 42 How to Set the Non-Invasive Blood Pressure Variables For non-invasive blood pressure tests, connect the Product to the BP c

Vital Signs Simulator Non-Invasive Blood Pressure Simulation and Tests 43 Figure 33 shows the neonatal blood pressure cuff mandrel. LargeMediumSma

ProSim 6/8 Users Manual 44 Note Heart Rate may not be shown in the NIBP screen if an arrhythmia or performance waveform is set. To set the heart rate:

Vital Signs Simulator Non-Invasive Blood Pressure Simulation and Tests 45 glh005.bmp Figure 35. Blood Pressure Measurement Graph Note The Summary

ProSim 6/8 Users Manual 46 glh053.bmp Figure 36. NIBP Summary Screen 4. Compare the NIBP monitor values with the target values shown in the Product

Vital Signs Simulator Non-Invasive Blood Pressure Simulation and Tests 47 Note If the NIBP device has an internal system leak test or one that ven

ProSim™ 6/8 Users Manual ii How to Simulate Temperature... 35 How to Simula

ProSim 6/8 Users Manual 48 The pump stops when the measured pressure is the same as the target pressure. The Product waits for a time to let the press

Vital Signs Simulator Non-Invasive Blood Pressure Simulation and Tests 49 If there is no drop in pressure and the pressure climbs to the target pr

ProSim 6/8 Users Manual 50 ProSim 8MandrelBlood Pressure CuffBlood PressureGaugeWraps around mandrel. glh051.eps Figure 42. Pressure Source Connection

Vital Signs Simulator Non-Invasive Blood Pressure Simulation and Tests 51 Push the Stop softkey to stop the test. This will cause a Vent softkey t

ProSim 6/8 Users Manual 52 Oximeter SpO2 Optical Emitter and Detector The subject device provides Oximeter SpO2 optical emitter and detector capabilit

Vital Signs Simulator Oximeter SpO2 Optical Emitter and Detector 53 Connect the SpO2 artificial finger to the SpO2 jack on the front panel as show

ProSim 6/8 Users Manual 54 F1 F2ENTERF3 F4 F5ProSim 8ProSimOximeter SpO2 OpticalEmitter and DetectorAdjust finger on the display for maximum signal.Sp

Vital Signs Simulator Oximeter SpO2 Optical Emitter and Detector 55 ProSim 8SpO2 Finger Module glh045.eps Figure 49. Magnetic Holder for SpO2 Arti

ProSim 6/8 Users Manual 56 You can change the simulated heart rate of the Product from the SpO2 screen. To change the heart rate: 1. Push  or  to h

Vital Signs Simulator Oximeter SpO2 Optical Emitter and Detector 57 3. Push  or  to highlight a type value in the list. Below is the list of ty

Contents (continued) iii Temperature... 79 Cardi

ProSim 6/8 Users Manual 58 Pulse Rate Test You can simulate different patient conditions while you monitor the effect of different pulse rates on the

Vital Signs Simulator Autosequences 59 Table 14. Autosequences (cont.) Autosequence Sequence Steps Run Time ECG 80 bpm, IBP1 120/80 (Art), IBP2

ProSim 6/8 Users Manual 60 Table 14. Autosequences (cont.) Autosequence Sequence Steps Run Time NSR (Adult) 80 bpm 00:20 NSR (Adult) 120 bpm 00:20

Vital Signs Simulator Autosequences 61 Table 14. Autosequences (cont.) Autosequence Sequence Steps Run Time Waveform: Triangle; Rate: 2.0 Hz; Am

ProSim 6/8 Users Manual 62 How to Do an Autosequence To do an autosequence: 1. Push . 2. Push , , , or  to highlight Autosquences. 3. Push .

Vital Signs Simulator How to Save and View Test Results (ProSim 8 only) 63 Operator: John DoeTest Record ID: ABC123 1/20/2011Test Results 001Test

ProSim 6/8 Users Manual 64 glh037.bmp Figure 54. Change Operator ID Screen 5. Push , , , and  to highlight a character for the operator ID. 6.

Vital Signs Simulator How to Save and View Test Results (ProSim 8 only) 65 5. Push , , , and  to highlight a character for the test ID. 6. P

ProSim 6/8 Users Manual 66 3. Push  or  to set the parameter to the value observed on the UUT. 4. Push  to set the observed value and show the sa

Vital Signs Simulator How to Save and View Test Results (ProSim 8 only) 67 4. Push  or  to highlight an operator. 5. Push . Note If there is

ProSim™ 6/8 Users Manual iv

ProSim 6/8 Users Manual 68 How to Print Test Results With a PCL5 compatible printer connected to the USB A Controller Port, you can print a test resul

Vital Signs Simulator Setup Features 69 Setup Features The Product has several functions that are accessed through the SETUP key. Push  to show t

ProSim 6/8 Users Manual 70 3. Push  or  to highlight the Time Format value. 4. Push  to set the format and go back to the Date/Time Settings scre

Vital Signs Simulator Setup Features 71 4. Push  to set the sensitivity and go back to the Pressure Settings screen. To set the Pressure units:

ProSim 6/8 Users Manual 72 How to Control the Product Remotely Ansur test automation systems uses a solutions-based procedure for medical device tests

Vital Signs Simulator Maintenance 73 • Do not put battery cells and battery packs near heat or fire. Do not put in sunlight. • Do not disassembl

ProSim 6/8 Users Manual 74 Note When the battery pack is installed in the Product, ensure the battery charger is enabled. See the How to Set Battery S

Vital Signs Simulator General Specifications 75 PushDownPull Out glh046.eps Figure 63. Battery Removal To put the battery pack into the Product, a

ProSim 6/8 Users Manual 76 Detailed Specifications Normal-Sinus-Rhythm Waveform ECG Reference... Th

Vital Signs Simulator Detailed Specifications 77 ProSim 8 ... Premature atrial contracti

v List of Tables Table Title Page 1. Simulation Types ...

ProSim 6/8 Users Manual 78 Rate ... 30, 60, 80, 120, 200, and 250 BPM R-Wave up slope

Vital Signs Simulator Detailed Specifications 79 Respiration Rate ... 0 (OFF)

ProSim 6/8 Users Manual 80 Synchronization Normal Sinus heart rates ... 30 to 240 BPM Maximum rate at 1 ml ...

Vital Signs Simulator Detailed Specifications 81 Pre-Defined Simulations Normal Hypertensive Hypotensive Tachycardic Bradycardic Ventricular Fibri

ProSim 6/8 Users Manual 82

A-1 Appendix A Glossary Introduction The words in this glossary are common words used in this manual that may need further explanation. Words in it

ProSim™ 6/8 Users Manual A-2 another kind of artifact (also called noise) that can be picked up by an ECG device. These sources can cause minute ele

Glossary Introduction A A-3 AV Node Also called the atrioventricular node. Located in the right atrium near the septum. Conducts the electric

ProSim™ 6/8 Users Manual A-4 are connected to small plastic or metal cables called leads, or electrodes. Put on the chest, the wrists of the right a

Glossary Introduction A A-5 Millivolt One-thousandth of a volt. Missed Beat A single missing beat, with the heart rate returning to normal. M