Minisim 1000 User Manual
Minisim 1000 User Manual
MiniSim 1000
   Multi Parameter Patient Simulator
INSTRUCTION MANUAL
                      Netech Corporation
               110 Toledo St, Farmingdale, NY 11735,
                  http://www.NetechCorp.us
               http://www.PressureMeter.com
    User Manual                                                                         MiniSim 1000
     Contents......................................................................
     Warranty ............................................................................................................... 3
     Notices (Patents / Copy Right, Trademarks) ....................................................... 4
     Quality Assurance ................................................................................................ 4
     Calibration ............................................................................................................ 4
     Safety Considerations ......................................................................................... .4
     Returns & Credits ................................................................................................. 5
     Repair and Recalibration ...................................................................................... 6
     Models and Part Numbers ................................................................................... 6
     Standard Accessories........................ ………………………………………………..6
     Optional Accessories ............................................................................................ 7
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       MiniSim 1000
                                                                                Contents
Warranty
Netech warrants the MiniSim 1000 against defects in materials and workmanship for
one year from the date of original purchase. The standard warranty is extended for a
second year if the instrument is returned to Netech for its recommended yearly
recalibration.
During the warranty period, we will repair or, at our option, replace at no charge a
product that proves to be defective, provided you return the product shipping prepaid to
Netech Corporation. Only serialized products are covered under this warranty.
This warranty does not apply if the product has been damaged by accident or misuse or
as the result of service or modification by other than Netech Corporation, or if its serial
number is defaced or removed.
Netech reserves the right to discontinue the MiniSim 1000 at any time, and change its
specifications, price, or design without notice and without incurring any obligation.
Netech guarantees availability of service parts for 5 years after the manufacture of the
unit is discontinued.
The warranty is void if you elect to have the unit serviced and / or calibrated by
someone other than Netech Corporation.
The warranty covering your product becomes void when the tamper-resistant Quality
Seal is removed or broken without proper factory authorization.
The purchaser assumes all liability for any damages or bodily injury, which may result
from the use or misuse of the unit by the purchaser, his employees, agents, or
customers.
 In no event shall Netech Corporation be liable for consequential damages
         Warranty Registration
         Please register to receive special offers, free software updates, and more. Plus,
         you'll qualify for exclusive complimentary benefits that vary by region. Any failure to
         complete and submit this registration will not diminish your rights found in the
         limited warranty that accompanied your product at purchase.
                                 Netech Corporation
                         110 Toledo St, Farmingdale, NY 11735,
                            http://www.NetechCorp.us
                         http://www.PressureMeter.com
    User Manual                                               MiniSim 1000
Notices
Patents / Copyright
Copyright © 2012 by Netech Corporation. All rights reserved. No part of this publication
may be reproduced or transmitted in any form other than for the purchaser’s personal
use without written permission from Netech Corporation.
Trademarks
DIGIMANO are trademarks of Netech Corporation. Any other trademark names used in
this manual are only for editorial purposes and the benefit of the respective trademark
owner with no intention of improperly using that trademark.
Quality Assurance
Netech is ISO 9001-2008 Certified. This instrument was thoroughly tested and
inspected according to Netech’s ISO 9001-2008 quality standards and test procedures
and found to meet those specifications when it was shipped from the factory.
Calibration
Safety Considerations
This manual contains operating and safety instructions for the safe operation and to
maintain the equipment in a safe condition. The safety instructions are either warnings
or cautions to protect the user and the equipment from injury or damage. Do not use
this equipment for any other purpose than stated.
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       MiniSim 1000
Please note that only serialized products and their accessory items (i.e., products and
items bearing a distinct serial number tag) are eligible for partial refund and/or credit.
Non-serialized parts and accessory items (e.g., cables, carrying cases, auxiliary
modules, etc.) are not eligible for return or refund. Only products returned within 60 days
from the date of original purchase are eligible for refund/credit.
Products not returned within 60 days of purchase, or products, which are not in “as
new”, and resalable condition, are not eligible for credit return and will be returned to the
customer. The Return Procedure (see below) must be followed to assure prompt refund
/ credit.
Restocking Charges
Return Procedure
All items being returned (including all warranty-claim shipments) must be sent freight-
prepaid to our factory location. When you return an instrument to Netech Corporation,
we recommend using United Parcel Service, Federal Express, DHL or Air Parcel Post.
We also recommend that you insure your shipment for its actual replacement cost.
Netech Corporation will not be responsible for lost shipments or instruments that are
received in damaged condition due to improper packaging or handling. Use the original
carton and packaging material for shipment.
                                Netech Corporation
                        110 Toledo St, Farmingdale, NY 11735,
                            http://www.NetechCorp.us
                         http://www.PressureMeter.com
    User Manual                                                   MiniSim 1000
Returns for Refund / Credit
A Return Material Authorization (RMA) number must be obtained from our service or
customer service dept, before a product is returned for refund or credit. The RMA
number should be clearly marked on the package along with a statement indicating the
reason for return.
Products returned for repair or recalibration must obtain a RMA (Return Material
Authorization) from our service department after completing a service request form our
website http://www.netechcorporation.com/repair.php or contact:
                                      Netech Corporation
                                           Service Dept.
                                        110 Toledo Street
                                         New York, 11735
                                   Email: Service@NetechCorp.
Standard Accessories
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     MiniSim 1000
Optional Accessories
      .
           For other Interface Cables, Please call or email for more Information
                           @ 631-531-0100 or sales@netech.org
                              Netech Corporation
                       110 Toledo St, Farmingdale, NY 11735,
                          http://www.NetechCorp.us
                       http://www.PressureMeter.com
    User Manual                                                MiniSim 1000
                                                            General Overview
Introduction
The easy to operate MiniSim 1000 is menu driven via eight tactile feel soft keys. All
functions are displayed on a two-line sixteen-character LCD display.
The small hand held instrument is powered by one 9 Volt batteries or an optional AC
adapter. The MiniSim 1000 is CE marked and shipped with a Certificate of Calibration
traceable to the NIST.
The MiniSim 1000 is a rugged instrument that performs its simulations quickly,
accurately, and with ease.
Specifications
 Amplitudes: 0.15, 0.3, 0.5, 1.0, 2.0, 3.0, 4.0, and 5.0 mV on Lead II. Lead 1 is 0.6 X
Lead II, Lead III is 0.4 X Lead II, and Lead V is the same as Lead II.
Accuracy: 1%
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      MiniSim 1000
Amplitudes: 0.1, 0.2, 0.5, 1.0, 2.0, 3.0, 4.0, and 5.0 mV on Lead II.
Pulse: 20 ms pulse of 1mV amplitude repeated at 4 second intervals.
PACER (PCR)
AP: Atrial Pacer set at 70 BPM.
ASP: Asynchronous Pacer – Ineffective Pacing.
Pacer Amplitudes: + 2 mV and –2mV.
QRS Amplitudes: 1 mV
PCR: Pacer pulses alone.
Pacer Widths: 0.1, 0.2, 0.5, 1.0, 1.5, and 2.0 ms.
Amplitudes: 0.15, 0.3, 0.5, 1.0, 2.0, 3.0, 4.0, and 5.0 mV.
VP: Ventricular Pacer set at 70 BPM.
AVP: Atrial Ventricular Pacer set at 70 BPM.
QRS Amplitude: 1 mV.
Pacer Amplitude: -2mV.
RESPIRATION
Baseline Impedance: 250, 500, 750, and 1000 Ohms.
Delta Impedance: 0.1, 0.5, 1.0, and 1.5 Ohms.
Accuracy: 20%.
Rates: 15, 30, 60, and 120 BPM.
Accuracy: 1%
Apnea: Off, continuous, 12 seconds and 32 seconds.
Lead Configuration: Leads I and II.
BLOOD PRESSURE
Impedance: 350 Ohms.
Excitation: 2 to 16 Volts.
Sensitivity: 5μV/V/mmHg.
Static: 0, 5, 10, 20, 25, 30, 40, 50, 100, 150, 200, and 300 mmHg.
Dynamic: 50/10, 60/20, 70/30, 80/40, 100/60, and 120/80 mmHg. Dynamic waveforms
track all NSR rates.
Accuracy: 1%
TEMPERATURE
Compatibility: YSI 400 and 700 Series.
                               Netech Corporation
                       110 Toledo St, Farmingdale, NY 11735,
                           http://www.NetechCorp.us
                        http://www.PressureMeter.com
     User Manual                                               MiniSim 1000
Temperature: 25 and 37 degrees Centigrade.
Accuracy: 2% of setting
PHYSICAL CHARACTERISTICS:
Dimensions: 5.5 X 3.5 X 1.5 inches (13.9 X 8.9 X 3.8 cm).
Weight: 10 oz ( 0.3 kg).
TEMPERATURE REQUIREMENTS:
Operating: 59 to 95° F (15 to 35°C).
Storage: 32 to 131° F (0 to 55°C).
Output Connections:
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      MiniSim 1000
Operating Instructions
Menu Descriptions
The following are the menu sequence displays, their abbreviations, definitions, and
default settings.
                              SIMULATOR MENU
                     Ecg        Resp     Bp           Temp
Ecg: ECG
Default Setting: Normal Sinus Rhythm (NSR) at 80 BPM with Amplitude of 1 mV
Resp: Respiration
Default Setting: 30 BPM, Impedance 500 Ohms, Delta R 1.0 Ohm, and Apnea Off
Bp: Blood Pressure
Default Setting: 120/80 Dynamic Setting
                  0 Static Setting
Temp: Temperature
Default Setting: YSI 700 series set to 25°C
                  YSI 400 series set to 25°C
   1. On-Off Key
   2. ECG Lead Snaps
   3. LCD Display
   4. Temperature Connector
   5. Blood Pressure Connector
   6. Hi-Level ECG Output
   7. Function Keys: ‘F1’, ‘F2’, ‘F3’, ‘F4’.
   8. Arrow Keys: ‘<’ and ‘>’.
   9. Menu Key
                               Netech Corporation
                       110 Toledo St, Farmingdale, NY 11735,
                          http://www.NetechCorp.us
                       http://www.PressureMeter.com
     User Manual                                                 MiniSim 1000
4 5
                                                                             6
       3
                                                                             7
       2
                                                                        8
         1
The operating menu of the MiniSim 1000 is arranged in a tree structure. When turned
on, the microcontroller initializes a test routine and displays the model and software
version numbers and then switches to the Main Menu.
During operation, the ‘MENU’ key returns the currently displayed menu to the previous
menu.
The ‘F1’, ‘F2’, ‘F3’, and ‘F4’ keys select the parameter for simulation, the specific type of
parameter, and the functional characteristics of the parameter.
The ‘<’ and ‘>’ arrow keys move through the available choices under the selected
parameter.
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      MiniSim 1000
   1. Connect the MiniSim 1000 to a patient monitor using the ECG lead snaps,
      correct blood pressure interface cable and correct temperature interface cable.
   2. Turn the Minisim 1000 On.
   3. Select the parameter for simulation,
                       ‘ECG’, ’ Resp’, ‘ BP’, or ‘Temp’.
   4. Continue to select choices under the parameter to be simulated until the
      functional characteristics have been chosen.
   5. Each Parameter has default settings.
ECG MENU
Baseline ECG
                                         NSR/
                     Rate Ampl
                         Rate: 30 60 70 80 90 100 120 150 180 210 240 270 300 350
                         Ampl:.15 0.3 0.5 1.0 2.0 3.0 4.0 5.0
                                Netech Corporation
                       110 Toledo St, Farmingdale, NY 11735,
                          http://www.NetechCorp.us
                       http://www.PressureMeter.com
     User Manual                                                 MiniSim 1000
                                         Pacer Waves
                                   Atr              Vent
PCR: Pacer Pulses Alone. Amplitude default setting of 1.0 mV and width of 1.0 ms.
Note: 0.1 ms pacer width for AP and ASP can only be selected by going to ‘PCR’. A
selection other than 0.1 ms produces 2 ms wide pulses.
ST-SEGMENT
ST _ELVATION
Waveforms may be selected with a ‘Flat’, a positive ‘+sl’, or a negative ‘-sl’ slope. The
ST segment is proportional to the ECG amplitude setting.
ST _DPRESION
Myocard_Inf
                                  Isc:    Ischemia
                                  Inj:     Injury
                                  Inf:     Infarction
                                  Iinf:   Inferior Infarction
Isc: Ischemia : Normal Sinus Rhythm (NSR) with fully inverted T waves. This is a
condition of reduced blood supply to the heart in a normal patient.
                               Netech Corporation
                        110 Toledo St, Farmingdale, NY 11735,
                           http://www.NetechCorp.us
                        http://www.PressureMeter.com
     User Manual                                               MiniSim 1000
INJ: Injury. A waveform with ST elevation of 20% with a negative slope and inverted T
wave.
Inf: Infarction. Normal Sinus Rhythm (NSR) with a large Q wave with the amplitude
increased six times and the width increased three times compared to normal.
Iinf: Inferior Infarction. A waveform with the Q wave modified as in Infarction and the
ST segment elevated 7% as in ST Elevation.
                                    TalT/Rate = 80
                        Rate     Ampl
An 80 BPM QRS test signal of 1 mV amplitude and 100 ms duration is generated with a
T wave duration of 180 ms and Q-T interval of 350 ms.
Rate: 80 BPM
Amplitude: 0.0 0.1 0.2 0.3 0.5 0.6 0.7 0.8 0.9 1.0 1.1 1.2
Perf. Waves
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      MiniSim 1000
                                          SIN/
                     Freq Ampl
                                         SQR/
                     Freq Ampl
                                          TRI/
                     Freq Ampl
The frequency and amplitude default settings and choices are the same for the sine,
square and triangle performance waveforms.
Pulse wave default setting: A pulse wave is generated at 4 second intervals with an
amplitude of 1mV and width of 20 ms.
Atr AC Vent
Arrhythmias are divided into Atrial, Atrial Conduction, and Ventricular waveforms.
Normal Sinus Rhythm (NSR) at 80 BPM is the default waveform in this menu. Function
keys select the desired arrhythmia and the MENU key clears the arrhythmia to NSR.
                                 Netech Corporation
                          110 Toledo St, Farmingdale, NY 11735,
                             http://www.NetechCorp.us
                          http://www.PressureMeter.com
     User Manual                                               MiniSim 1000
M80: Missing Beat: Normal Sinus Rhythm is generated at 80 BPM with every 10th beat
missing.
AFLT: Atrial Flutter: Varying ECG rates with 12 cycles at 60 BPM for 12 seconds, 9
cycles at 90 BPM for 6 seconds, 15 cycles at 150 BPM for 6 seconds repeating with
large P waves at 300 BPM. This corresponds to ventricular responses of 5:1 for 12
seconds, 3:1 for 6 seconds, and 2:1 for 6 seconds.
AFB: Atrial Fibrillation: Irregular QRS complexes with no P waves and constantly
changing R-R intervals are generated. The rate varies in a cyclic fashion at 30, 60, 70,
80 and 30 BPM with low amplitude oscillations on the baseline.
PAT: Paroxysmal Atrial Tachycardia: NSR is generated at 180 BPM with inverted P
waves.
AB1: First Degree AV Block: The QRS is generated at 80 BPM, the P wave precedes
the QRS by a fixed but prolonged PR interval > 0.2 seconds ( PR interval = 0.26
seconds).
MB2: Second Degree AV Block: Mobitz II: The QRS is generated at 80 BPM with
every 4th QRS missing. The PR interval is constant at 170 ms.
AB3: Third degree AV Block: The P wave and QRS are independent of each other.
The P wave is generated at 80 BPM and the QRS is generated at 50 BPM.
RBB: Right Bundle Branch Block: A prolonged QRS (>0.12 sec) is generated at 80
BPM. The resulting QRS looks like the letter “M”.
LBB: Left Bundle Branch Block: A widened QRS is generated at 80 BPM with a
large wide S wave.
LAH: Left Anterior Hemiblock: A QRS is generated at 80 BPM with an S wave larger
than the R wave.
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      MiniSim 1000
BGY: Bigeminy: NSR is generated at 80 BPM with every other beat as a PVC.
TGY: Trigeminy: NSR is generated at 80 BPM with every third beat as a PVC.
VFLT: Ventricular Flutter: Sine waves at 240 BPM are generated with irregular
amplitudes.
PVR: Right Focal PVC: NSR is generated at 80 BPM with every 10th beat a right focal
PVC.
                              <Auto Sequence>
                          RWD   TalT   PPR    TAC
                               Netech Corporation
                       110 Toledo St, Farmingdale, NY 11735,
                           http://www.NetechCorp.us
                        http://www.PressureMeter.com
     User Manual                                               MiniSim 1000
The automatic test sequences are:
The automatic sequence is initiated when the test is selected and continues until all of
the test patterns have been generated. During the test sequence the values generated
are displayed on the LCD. At the completion of the automatic test, the display will return
to its steady mode.
RWD: R Wave Detection. R waves are generated with three varying parameters of
amplitude, width, and rate. The three parameter values are displayed on the LCD while
generated. Each test waveform is displayed for 20 seconds.
As the test progresses, the indicated heart rate displayed on the patient monitor should
be within ± 10% or ± 5 BPM whichever is greater of the applied rate.
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       MiniSim 1000
The monitor will not respond to the waveforms in this sequence Set.
TalT: Tall T Wave Rejection. QRS and T waves are generated with the following
values:
In the automatic test sequence the T Wave Amplitude steps through the changes at one
minute intervals. The display indicates the T Wave Amplitude and the QRS Rate.
As the T wave amplitude increases, the first value at which the patient monitor counts
the T wave at 80 ± 8 BPM should be noted. This value should match the patient
monitor manufacturer’s specification.
                               Netech Corporation
                       110 Toledo St, Farmingdale, NY 11735,
                           http://www.NetechCorp.us
                        http://www.PressureMeter.com
     User Manual                                               MiniSim 1000
PPR: Pacemaker Pulse Rejection. The test sequence cycles through normal paced
rhythm (AP), ineffective pacing (Asynchronous Pacing ASP), and pacemaker pulses
alone (PCR).
For normal pacing (AP),QRS and pacer waves are generated with the following values:
      QRS: Amplitude         1 mV
            Width      100 ms
      T wave: Amplitude 0.2 mV
               Duration    180 ms
      Q-T Interval     350 ms
      R-R Interval     1 Sec
      Pacer: Amplitude        2 mV, -2 mV
             Width     2 ms, 0.1 ms
For ineffective pacing (ASP), the values of the QRS and pacer waves are the same as
normal pacing except for the QRS rate that becomes 30 BPM and the pacer rate that
becomes 80 BPM.
During the ASP and AP test sequences the display will show the pacer amplitude, the
pacer width, and the QRS rate.
During the PCR test sequence the display will show the pacer amplitude, the pacer
width, and the QRS rate.
Each set of values in the test sequence is generated and displayed for 20 seconds.
TAC: Time to Alarm for Tachycardia. The TAC test is designed to measure the time it
takes for the patient monitor to alarm after the onset of ventricular tachycardia. The low
and high alarms on the patient monitor should be set at 60 BPM 100 BPM before
starting the test.
This auto test sequence generates a QRS wave form at the rate of 80 BPM alternating
with a ventricular tachycardia waveform with rates of 206 and 195 BPM and amplitudes
of 1.0, 0.5, 2.0, and 4.0 mV.
Each waveform is generated for 20 seconds and the display will show the amplitude
and the rate of the waveform being generated.
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      MiniSim 1000
RESPIRATION:
Select Resp in the Simulator Menu to access the Respiration selections.
                                Resp Menu
                        Rate    Imp dR    Apne
Respiration waveforms are generated with four selectable rates, baseline impedances,
and delta impedance variations.
Apnea:
                               Resp/Apne=Off
                       Off      Cont    12s       32s
                               Netech Corporation
                      110 Toledo St, Farmingdale, NY 11735,
                          http://www.NetechCorp.us
                       http://www.PressureMeter.com
     User Manual                                            MiniSim 1000
Off: Apnea is absent. Normal respiration waveforms are generated.
Cont: Continuous Apnea. No respiration waveforms are generated.
12s: No respiration waveform is generated for 12 seconds.
32s: No respiration waveform is generated for 32 seconds.
BLOOD PRESSURE:
Select Bp in the Simulator Menu to access Blood Pressure selections.
                                     BP1 Menu
                   Dyna       Stat
Two blood pressure waveforms are generated with selections of 12 static and 6
dynamic values. BP1 values are selected from the listed choices and BP2 values are ½
of those selected for BP1.
The Dynamic pressure waveforms track the Normal Sinus Rhythm rates.
TEMPERATURE:
                                     Temp Menu
                       YSI400                          YSI700
Temperature simulation is provided for both YSI 400 and YSI 700 standards. The
temperature default setting for both is 25 degrees Centigrade.
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      MiniSim 1000
Calibration / Service
The mechanical assembly of MiniSim 1000 contains no parts that can be serviced by
the user. The unit should be returned to Netech Corporation for repair or calibration.
The alignment and adjustment parameters are critical to the robust and efficient
performance of the unit and can be performed only at the factory.
The unit is factory calibrated with NIST traceable standards and recommended to be
calibrated once a year.
Netech maintains a complete repair and recalibration service at a very low cost and fast
turnaround. Estimates for repair and recalibration are available upon request.
MiniSim 1000 contains NO USER SERVICEABLE PARTS and calibration/ service
should be performed only by Netech. Attempt to repair / service the unit outside
Netech voids the warranty.
To obtain a RMA number follow the link http://www.Netechcorp.US and fill in the required
information, Email service@netechcorporation.com or call 800-547-6557 (US & Canada),
International 631-531-0100.
When shipping units to the factory enclose a copy of the RMA and the number should
be on used as the reference in the shipping label.
                               Netech Corporation
                       110 Toledo St, Farmingdale, NY 11735,
                           http://www.NetechCorp.us
                        http://www.PressureMeter.com
     User Manual                                   MiniSim 1000
Appendix
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