Cardionics SimulScope User manual
a
Operator’s Manual
SimulScopeBedside Auscultation System
Cardionics
910 Bay Star Blvd.
Webster, Texas 77598 USA
Telephone: 281-488-5901
Fax: 281-488-3195
Email: info@cardionics.com
Web site: www.cardionics.com
Copyright 2012 Cardionics
All rights reserved
Manual p/n: : 014-7003 Rev: C
Revised:April 25, 2012
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SAFETY PRECAUTIONS
Please read this information before using the SimulScope Bedside Auscultation System. 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 describes 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 an integral rechargeable DC battery or 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 SimulScope System;
hazardous voltages may be present. All internal adjustments, replacements and initializations must be
made by an authorized, qualified technician.
WARNING
CLEANING AND CARE: As a general safety precaution, the System should be turned off and the power
(including batteries) disconnected before performing any cleaning procedures.
CAUTION
CONNECTORS: Do not immerse any of the connectors used in the System in any fluid.
TRADEMARKS
SimulScope, HeartMan, CardioSim, Cardionics and E-Scope are registered trademarks
SAM, PneumoSim are trademarks of Cardionics, Webster ,Texas USA
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Contents
Page No.
1.0 PRODUCT DESCRIPTION ..................................................................................................................................................4
2.0 SET UP FOR TEACHING....................................................................................................................................................7
2.1 Charging the battery or Using the Wall Transformer............................................................................................................7
2.2 CONNECTING THE STETHOSCOPE ASSEMBLY. ........................................................................................................................8
2.3 CONNECTING THE ECG CABLE (SEE FIGURE 8) ......................................................................................................................8
2.4. RECORDING SOUNDS ............................................................................................................................................................10
2.4.2 Using the HeartMan Wireless PC Receiver with the SimulScope…………………………………………………...8
2.5 PLAYBACK OF RECORDED SOUNDS. ......................................................................................................................................11
2.6 Recording and Playback of Sounds and ECG……………………………………………………………………………….9
2.7 Using SimulScope as a Classroom Infrared Emitter with
CardioSim………………………………………………………10
3.0 USING THE SIMULSCOPE FOR TEACHING. ..............................................................................................................15
3.1 Using the HeartMan Infrared Headphone……………………………………………………………………….………...12
3.2 FOR BEDSIDE TEACHING .......................................................................................................................................................15
3.3 FOR CLASSROOM TEACHING .................................................................................................................................................16
3.3.1 USING THE SIMULSCOPE WITH SAM, THE STUDENT AUSCULTATION MANIKIN ..........................................................17
3.3.2 USING THE SIMULSCOPE WITH HARVEY,THE CARDIOLOGY PATIENT MANIKIN.........................................................18
4.0 SIMULSCOPE FOR TELEMEDICINE.....................................................................................................................19
APPENDIX A –SUGGESTED USES........................................................................................................................................20
APPENDIX B - SIMULSCOPE PARTS LIST..........................................................................................................................21
APPENDIX C - TROUBLESHOOTING...................................................................................................................................22
APPENDIX D RECORDING TECHNIQUES..................................................................................................................24
SPECIFICATIONS......................................................................................................................................................................26
REAR PANEL PIN OUTS ...............................................................................................................................................................27
APPENDIX F –LIMITED WARRANTY.................................................................................................................................28
APPENDIX G - LIST OF FIGURES ........................................................................................................................30
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1.0 Product Description
The SimulScope System is used for teaching heart, breath and bowel sounds and sending/receiving
the same sounds over various Telemedicine systems. For a description of its use in Telemedicine, see
Section 4.0, page 14.
The SimulScope is a small, portable, battery-operated, (or line operated) wireless infrared
transmitter that picks up heart and lung sounds and transmits them via infrared energy to
wireless HeartmanInfrared Headphones worn by each listener.
Figure 1 Bedside teaching with SimulScope
The Heartman Infrared Headphone (Figure 2) senses the infrared signal and converts it into an audible
sound. Each headphone has its own volume control and automatically shuts off when removed. To
conserve battery power, the Heartman control box contains a "tilt switch" that turns off the
headphone whenever the control box in a horizontal position (e.g. removed form the listener's
ears and placed on a table top or other horizontal surface).
The SimulScope System consists of the SimulScope infrared transmitter (Figure 3), built-in rechargeable
battery, Heartmaninfrared headphones each with a 9V. battery (Figure 2), stethoscope/transducer
assembly, a wall charger/power supply (called a wall transformer).
5
The sounds are picked up by the stethoscope and connected to the SimulScope by a cable. A bank of
infrared diodes (Figure 3) on the face of the SimulScope transmits the sounds as infrared energy to each
HeartMan Infrared Headphone.
Figure 2 Heartman Infrared Headphone Figure 3 Front panel SimulScope Infrared Diodes
A system of adjustable filters (Figure 4 & 5) built into the SimulScope allows the user/instructor
to accentuate or attenuate very narrow frequency ranges (i.e. faint A.I. murmur or fine crackles)
for emphasis.
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Figure 4 - Front panel of SimulScope
Figure 5 Graphic Equalizer Detail
The above settings are considered normal for heart sounds. The X settings are for normal heart sounds
and the 0 settings for breath sounds. Move the filters upward to accentuate and downward to attenuate.
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The SimulScope is powered either from the AC line by use of the wall transformer or by the
internal rechargeable battery.
The SimulScope battery is rechargeable and will operate approximately 2.5 hours continuously
when fully charged. The green power light on the SimulScope will turn orange to indicate a low
battery condition. The SimulScope will operate for about 30 minutes after the low battery is indicated.
A fully discharged battery will recharge overnight (13-16 hours) when connected to the wall
transformer. See 2.1 below.
The Heartman Infrared Headphones are also battery-operated (standard or alkaline 9V.) and will operate
continuously for 150 or more hours at which time the battery should be replaced. A low battery indicator
flashes when it is time to change the headphone battery.
2.0 Set up
2.1 Charging the battery or Using the Wall Transformer
The SimulScope is charged by using the supplied wall transformer. To use, insert the wall transformer
into a 120V AC (or 220-240V. if outside US) wall socket and the insert the cable into the DC IN port on
the rear panel of the SimulScope. The SimulScope also can be operated in this manner with a depleted
battery or without a battery. The battery charger operates on either 110V or 220V.
Figure 6 Power Supply (110V and 220V)
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The SimulScope batteries are shipped without a charge. Before using, charge the batteries as
described above in section 2.1. Charging time for the SimulScope battery is approximately 13-16
hours.
A quick charge of one hour will be enough to last through a single bedside teaching session. The
wall transformer can be used to power the SimulScope as well as charge the batteries.
2.2 Connecting the Stethoscope Assembly.
The SimulScope is equipped with a Specialist Diaphragm stethoscope. A Specialist Pediatric Bell, cat.
No. 360-7755, is available as an option. Attach the stethoscope into the receptacle on the INPUT
section of the rear panel of the SimulScope marked “Stethoscope”.
Figure 7 –Rear Panel of SimulScope
2.3 Connecting the ECG cable (see Figure 8)
If you do not have the SimulScope with ECG (SimulScope "R"), skip this section and go to Section
2.4. Some SimulScope models (SimulScope "R", p/n: 718-7006) are equipped with an ECG board
that causes one of the LEDs on the front panel to flash each time a QRS wave is detected.
To connect the ECG cable:
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1. Use standard disposable electrodes.
2. Prepare the patient by placing the three electrodes in the standard configuration for a 3-lead ECG
(right arm, left arm, left leg).
3. Connect the ECG leads to the snap on each of the three electrodes. The end of the electrode lead
is labeled with proper placement on the patient. Connect each of the ECG leads to the connector end of
the supplied patient cable labeled R, B and W respectively.
4. Connect the connector of this cable to the INPUT section of the rear panel of the SimulScope
labeled ECG.
Figure 8 Connecting the ECG cable
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2.4 Set up for recording
We recommend reviewing Appendix D-Recording Techniques prior to recording.
2.4.1 Recording sounds with a laptop computer.
Connect the Accessory output of the SimulScope to the Sounds input on the laptop.
Cardionics will supply you with a cable for connecting.
2.4.2 Using the HeartMan PC Wireless Receiver, Cat. no. 718-7041. The HeartMan Wireless
PC Receiver is a variation of the HeartMan Infrared Headphone. It’s purpose is to wirelessly
connect the SimulScope to a PC. This allows the user to not only send heart and lung sounds
from the patient or SAM, the Student Auscultation Manikin, but also to a PC. No wires or
cables are needed. See Figure 10
Set up. 1. Connect the HeartMan Wireless PC Receiver to the Mic-In on the side of the
laptop. 2. Open the StethView Digital Recording Software which has been installed on your
PC. 3. Turn the HeartMan Wireless PC Receiver ON by use of the thumbwheel switch on the
side. 4. Stand this unit upright. Note: It has a tilt switch and will turn off if in the horizontal
position. 5. Adjust the amplitude of the phonocardiogram using the thumbwheel switch.
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