BP Pump 2: Operators Manual
BP Pump 2: Operators Manual
Operators Manual
PN 2196592
June 2007
 2007 Fluke Corporation, All rights reserved. Printed in USA
All product names are trademarks of their respective companies.
          Warranty and Product Support
Fluke Biomedical warrants this instrument against defects in materials and
workmanship for one year from the date of original purchase. During the war-
ranty 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 Fluke Biomedical. This warranty covers the original purchaser only and is
not transferable. The warranty does not apply if the product has been damaged
by accident or misuse or has been serviced or modified by anyone other than
an authorized Fluke Biomedical service facility. NO OTHER WARRANTIES,
SUCH AS FITNESS FOR A PARTICULAR PURPOSE, ARE EXPRESSED
OR IMPLIED. FLUKE SHALL NOT BE LIABLE FOR ANY SPECIAL,
INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OR
LOSSES, INCLUDING LOSS OF DATA, ARISING FROM ANY CAUSE
OR THEORY.
This warranty covers only serialized products and their accessory items that
bear a distinct serial number tag. Recalibration of instruments is not covered
under the warranty
This warranty gives you specific legal rights and you may also have other
rights that vary in different jurisdictions. Since some jurisdictions do not allow
the exclusion or limitation of an implied warranty or of incidental or conse-
quential damages, this limitation of liability may not apply to you. If any pro-
vision of this warranty is held invalid or unenforceable by a court or other de-
cision-maker of competent jurisdiction, such holding will not affect the validity
or enforceability of any other provision.
07/07
Notices
Copyright Release
      Fluke Biomedical agrees to a limited copyright release that allows you to reproduce manuals and
      other printed materials for use in service training programs and other technical publications. If
      you would like other reproductions or distributions, submit a written request to Fluke Biomedical.
Technical Support
      For application support or answers to technical questions, either email
      techservices@flukebiomedical.com or call 1-800- 648-7952 or
      1-425-446-6945.
Claims
      Our routine method of shipment is via common carrier, FOB origin. Upon delivery, if physical
      damage is found, retain all packing materials in their original condition and contact the carrier
      immediately to file a claim. If the instrument is delivered in good physical condition but does not
      operate within specifications, or if there are any other problems not caused by shipping damage,
      please contact Fluke Biomedical or your local sales representative.
Restocking Charges
      Products returned within 30 days of original purchase are subject to a minimum restocking fee of
      15 %. Products returned in excess of 30 days after purchase, but prior to 90 days, are subject to a
      minimum restocking fee of 20 %. Additional charges for damage and/or missing parts and acces-
      sories will be applied to all returns.
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 Fluke Biomedical, we recommend using
       United Parcel Service, Federal Express, or Air Parcel Post. We also recommend that you insure
       your shipment for its actual replacement cost. Fluke Biomedical 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. If they are not available, we rec-
       ommend the following guide for repackaging:
                  Use a double-walled carton of sufficient strength for the weight being shipped.
                  Use heavy paper or cardboard to protect all instrument surfaces. Use nonabrasive
                   material around all projecting parts.
                  Use at least four inches of tightly packed, industry-approved, shock-absorbent
                   material around the instrument.
       In the U.S.A.:
         Cleveland Calibration Lab
         Tel: 1-800-850-4606
         Email: globalcal@flukebiomedical.com
       In Asia:
         Everett Calibration Lab
         Tel: +425-446-6945
          Email: service.international@fluke.com
Certification
       This instrument was thoroughly tested and inspected. It was found to meet Fluke Biomedicals
       manufacturing specifications when it was shipped from the factory. Calibration measurements
       are traceable to the National Institute of Standards and Technology (NIST). Devices for which
       there are no NIST calibration standards are measured against in-house performance standards us-
       ing accepted test procedures.
WARNING
       Unauthorized user modifications or application beyond the published specifications may
       result in electrical shock hazards or improper operation. Fluke Biomedical will not be re-
       sponsible for any injuries sustained due to unauthorized equipment modifications.
Restrictions and Liabilities
      Information in this document is subject to change and does not represent a commitment
      by Fluke Biomedical. Changes made to the information in this document will be incorpo-
      rated in new editions of the publication. No responsibility is assumed by Fluke Biomedi-
      cal for the use or reliability of software or equipment that is not supplied by Fluke Bio-
      medical, or by its affiliated dealers.
Manufacturing Location
      The BP Pump 2 Non-invasive Blood Pressure Simulator and Tester is manufactured in
      Everett, Washington by Fluke Biomedical, 6920 Seaway Blvd., Everett, WA, U.S.A.
                                                                  Table of Contents
                                                        i
BP Pump 2
Operators Manual
                                                             ii
                                                                                  List of Tables
                                                           iii
BP Pump 2
Operators Manual
                   iv
                                                                        List of Figures
                                                      v
BP Pump 2
Operators Manual
                   vi
                                                                             Chapter 1
     Introduction and Specifications
                               Contents                                                           Page
Introduction ..................................................................................   1-3
Key Features.................................................................................     1-3
General Safety Considerations .....................................................               1-4
  Symbols ....................................................................................    1-4
  Warnings and Cautions.............................................................              1-5
Instrument Familiarity ..................................................................         1-7
Powering Up the Tester ................................................................           1-10
Specifications ...............................................................................    1-10
Accessories...................................................................................    1-12
                                                                                                   1-1
BP Pump 2
Operators Manual
1-2
                                      Introduction and Specifications
                                                          Introduction       1
Introduction
The Fluke Biomedical BP Pump 2 Non-Invasive Blood Pressure Simulator and
Tester, hereafter known as the Tester, is a multi-purpose test instrument for
use with oscillometric Non-Invasive Blood Pressure Monitors (NIBPMs). The
Tester provides dynamic blood pressure simulations, static calibration,
automated leak testing, and pressure relief valve testing. The following
models are available:
   BP Pump 2L (Basic Model)
   BP Pump 2M (High-Accuracy Model)
The Tester allows you to verify the performance claims of different blood
pressure monitors. You can quickly recall the fixed onboard simulations or
define your own. With its internal pump, the Tester can generate pressures up
to 400 mmHg (53.3 kPa) for leak testing, pressure sourcing, and relief valve
testing.
In addition, you can define auto sequences that automate the sequencing of
tests and NIBP simulations and provide an optional printed report.
Key Features
Key features of the Tester include:
   Pressure leak testing on cuff, tubing, and connections
   Relief valve testing on the patient monitor
   Pressure gauge measurements
   Pressure source capability
   NIBP simulations including adult, neonate, arrhythmias, and respiratory
    artifacts
   Auto sequences with optional reports
   Internal Adult and Neonatal Cuff simulation
Tester capabilities can be extended with optional accessories that allow:
   ECG synchronization with non-invasive output
   External wrist cuff simulations
                                                                             1-3
BP Pump 2
Operators Manual
Symbols
Table 1-1 describes symbols used in association with the Tester.
1-4
                                   Introduction and Specifications
                                      General Safety Considerations          1
Warnings and Cautions
Users are advised to read the manual carefully, observing all warnings and
cautions, before attempting to set up and operate the Tester.
A Warning identifies hazardous conditions and actions that could cause
bodily harm or death.
A Caution identifies conditions and actions that could damage the Tester or
the equipment under test, or cause permanent loss of data.
                             W X Warning
    To avoid possible electric shock or personal injury, follow
    these guidelines:
       Read the Users Manual before operating the Tester.
       Use this Tester only in the manner specified by the
        manufacturer or the protection provided may be
        impaired.
       Do not connect the Tester to a patient or equipment
        connected to a patient. The Tester is intended for
        equipment evaluation only and should never be used
        in diagnostics, treatment or in any other capacity
        where the Tester would come in contact with a patient.
       Do not use the product in wet locations, around
        explosive gases or dust.
       Never open the Tester case, because dangerous
        voltages are present. There are no user replaceable
        parts in the Tester.
       The Tester must be properly earthed. Only use a
        supply socket that has a protective earth contact. If
        there is any doubt as to the effectiveness of the supply
        socket earth, do not connect the Tester.
       Do not use a two-conductor adapter or extension cord;
        this will break the protective ground connection.
       Ensure that the external power source is properly rated
        for the system.
                                                                             1-5
BP Pump 2
Operators Manual
                              W Caution
      To avoid damage to the Tester or adverse affects on its
      performance, follow these guidelines:
         Allow only qualified technical personnel to service the
          Tester.
         Do not expose the system to temperature extremes.
          Ambient temperatures should remain between 15 C
          and 40 C. System performance may be adversely
          affected if temperatures fluctuate above or below this
          range.
         Clean the Tester only by gently wiping down with a
          clean, lint-free cloth dampened with a mild detergent
          solution. Do not immerse the unit.
         Do not apply pressures greater than 400 mmHg (53
          kPa) to the pressure port.
1-6
                                                                                                Introduction and Specifications
                                                                                                           Instrument Familiarity                                              1
Instrument Familiarity
Figure 1-1 shows the Tester. The top and side panel components are described
in Table 1-2 and the number key functions are described in Table 1-3.
                                     1
                                                                                                                                2
                                                                                                                                                    3
                                                                                                           BP                                                   4
                                                                                                            N-IN Pum
                                                                                                          NO
                                                                                                                VAS p
                                                                                                                   IVE 2
                                                                                                                      BLO
                                                                                                                                                                    5
                                                                                                                          ODP
                                                                                                                              RES
                                                                                                                                 SUR
                                                                                                                                    EM
                                                                                                                                       ON
                                                                                                                                         ITO
                                                                                                                                             R   ANA
                                                                                                                                                    LYZ
                                                                                                                                                       ER
                                                   PR
                                                      E       TES
                                                   LEASSUR          TS
                                                   1    K E               AN
                                                                            DS
                               STA
                                    ND                               PR      IMU
                                      AR
                                          DB                         RE ESSU     LAT
                     RE         4              P
                                                                    2
                                                                       LIE RE
                                                                          F          ION
                                                                                                      S
                    AR SPIR
                      TIF ITO                          CO PATIE
                         AC RY                           ND N                               PR STAT
                    7       T
                                                        5
                                                           ITIO T
                                                               NS                             ESS IC
                                                                                                 UR
                                          NE                              AR
                                                                                                3   E
                                               ON                              RH
                                                 ATE                             YTH
                                           8                               6          MIA                                                 EN
                                                                                                                                            T
                        US                                                                  S
                          ER
                               DE                              WR
                                 FIN
                         0           ED                             IST
                                                              9
                                                                               PR
                                                                                    ESS
                                                                                       UR
                                                                                          EP
                                                                                                OR
                                                                                                  T
                                                                                                                                                                    7
                                                                                                                                                            8
                                                                                                                                                                            fas10.eps
           Figure 1-1. Tester Top and Side Panel Components
                                                                                                                                                                               1-7
BP Pump 2
Operators Manual
1-8
                        Introduction and Specifications
                                   Instrument Familiarity          1
            Table 1-3. Number Key Functions
                                                                   1-9
BP Pump 2
Operators Manual
fas31.eps
Specifications
The following are specifications for the Tester. Please contact your Fluke
Biomedical service representative for more information regarding the device
specifications.
Mains Voltage
Range ......................................................................100 - 240 V ac 50/60 Hz, 60 VA
Environmental Conditions
Operating Temperature ...........................................15 C to 40 C
Storage Temperature ..............................................-20 C to +65 C
Relative Humidity ....................................................90 % max
Pressure Measurement
Units ........................................................................kPa
                                                                              mmHg
                                                                              cmH2O
                                                                              inH2O
                                                                              psi
1-10
                                                        Introduction and Specifications
                                                                          Specifications                 1
Range ..................................................................... 0 mmHg to +400 mmHg
Resolution............................................................... 0.1 kPa
                                                                          1 mmHg
                                                                          1 cmH2O
                                                                          1 inH2O
                                                                          0.1 psi
Resolution (High Accuracy Version) ....................... 0.01 kPa
                                                           0.1 mmHg
                                                           0.1 cmH2O
                                                           0.1 inH2O
                                                           0.01 psi
Accuracy (Standard Version)
   0 to 300 mmHg ................................................... 0.5 % of reading 1 mmHg
   301 to 400 mmHg .............................................. 2 % of reading
High-Accuracy Version ........................................... <0.8 mmHg (0.1 kPa)
Pressure Generation
Pressure Generator, Static Pressure Range .......... 50 mmHg to +400 mmHg
Difference between target pressure
and actual pressure ................................................ 10 mmHg from 100-400 mmHg with
                                                                     a minimum volume of 300 cc
Internal Leak Rate .................................................. <2 mmHg per minute, with a minimum
                                                                      volume of 300 cc
Electrical ECG
Signals .................................................................... RA, LA, RL, LL, V
Waveform ............................................................... Lead II
Amplitude................................................................ 1 mV peak (10%)
Connections............................................................ Signals available via the optional ECG
                                                                        adapter
                                                                                                       1-11
BP Pump 2
Operators Manual
Accessories
The following are accessories for the Tester. To order, contact your Fluke
Biomedical equipment dealer and use the Fluke Biomedical part numbers
provided. Table 1-4 lists standard accessories shipped with the tester. Table
1-5 lists optional accessories that must be ordered separately.
USA 1 284174
Schuko 1 769422
UK 1 769455
AU 1 658641
1-12
                                                                               Chapter 2
Setup, Maintenance, and Support
                               Contents                                                           Page
Setting up the Tester.....................................................................        2-3
  Printer Output ...........................................................................      2-4
  User-Defined Simulations ........................................................               2-5
  Language ..................................................................................     2-6
  Units of Measure ......................................................................         2-6
  Self Test....................................................................................   2-8
  Zero Pressure ............................................................................      2-8
  Enable ECG Signal...................................................................            2-9
Maintenance and Support.............................................................              2-10
  Avoiding Damage.....................................................................            2-10
  Cleaning....................................................................................    2-10
  Service and Calibration ............................................................            2-11
  Packing Instructions .................................................................          2-11
                                                                                                   2-1
BP Pump 2
Operators Manual
2-2
                                     Setup, Maintenance, and Support
                                                  Setting up the Tester        2
Setting up the Tester
To set up the tester, carry out the following:
1.   Insert the power cord into the Tester and plug the cord into an appropriate
     ac power socket.
                                 W X Warning
     To avoid possible electric shock, burning of the skin, or
     personal injury, ensure that the external power source is
     properly rated for the system.
2.   Turn the power switch on. When the Tester is powered up, the Main
     menu appears.
fas31.eps
3.   The Tester has several configurable options available from the Setup
     menu. You can reach the Setup menu by using the soft keys to follow
     the menu path shown below:
     MAIN MENU C SETUP
     The Setup menu appears, showing the following configurable options:
BP Pump 2 Setup
fas37.eps
4.   Press the MORE soft key in this and each of the following screens to
     display additional options:
                                                                               2-3
BP Pump 2
Operators Manual
BP Pump 2 Setup
fas38.eps
BP Pump 2 Setup
                ZERO             ENABLE
              PRESSURE            ECG                        MORE*
fas39.eps
                                           Note
      These parameters should be configured and the settings saved the
      first time the Tester is used. They need to be configured only once.
Printer Output
Printouts are available for auto sequences. By default, the Printer Output is set
to NONE.
To control the production of when running auto sequences, take the following
actions:
1.    Select the desired print format by using the soft keys to follow the menu
      path shown below.
      SETUP C PRINTER OUTPUT
      The Printer Output screen appears, showing the available options:
fas22.eps
2.    Select one option and press ENT to return to the SETUP menu.
3.    If desired, press HOME to return to the Main menu.
2-4
                                      Setup, Maintenance, and Support
                                                   Setting up the Tester      2
User-Defined Simulations
The Tester supports up to nine user-definable blood pressure simulations
configured through the Setup menu.
To access and modify a user-defined simulation definition, take the following
actions:
1.   Use the soft keys to follow this menu path:
     SETUP C USER DEF SIMULATION C Number Key (1-9) C
     ENT
2.   Alternatively, you can access the definition from the number keys:
     0 USER DEFINED key C OPTIONS (to scroll through the
     numbers) C EDIT
     With either method, the User Defined Simulation screen appears:
fas23.eps
     This screen shows the number of the simulation, along with the following
     parameters available for configuration. Their valid ranges are as follows:
        Sys: Systolic, 20  250 mmHg
        Dia: Diastolic, 10  200 mmHg
        Pulse: Pulse Volume, 0.1 cc  2.4 cc in increments of 0.1 cc
        HR: Heart Rate, 30  250 bpm
     The systolic and diastolic settings are interdependent. The diastolic must
     always be below the systolic. The pulse volume and the heart rate are also
     interdependent. The maximum pulse volume cannot be achieved at the
     maximum heart rate.
3.   Press the soft key <- FIELD or FIELD -> to scroll through options,
     making changes to each field by entering numbers from the number keys.
4.   Pres ENT to return to the SETUP menu.
5.   If desired, press the HOME button to return to the Main menu.
                                                                              2-5
BP Pump 2
Operators Manual
Language
Besides the default of English, the Tester can support up to four additional
languages. Spanish is currently available; additional languages will be
released in the future.
To change the language, take the following actions:
1.    Use the soft keys to follow the menu path shown below.
      SETUP C LANGUAGE
      The Display/Print Language screen appears, showing the available
      options:
ENGLISH SPANISH
fas24.eps
Units of Measure
The Tester has separate definable measurement units for blood pressure
simulations and pressure tests. For the blood pressure simulations, units of
mmHg (default) and kPa are available. For the pressure tests, units of mmHg
(default), kPa, cmH2O, inH2O, and PSI are available.
To define the pressure units, do the following:
1.    Use the soft keys to follow the menu path shown below.
      SETUP C *MORE C UNITS OF MEASURE
      The Blood Pressure Units: screen appears, showing the available
      options:
2-6
                                       Setup, Maintenance, and Support
                                                    Setting up the Tester      2
             Blood Pressure Units: mmHg
MMHG KPA
fas25.eps
fas26.eps
fas27.eps
4.   Select one of the desired options and press ENT to return to the Setup
     menu.
5.   If desired, press HOME to return to the Main menu.
                                          Note
     Changing the UNITS OF MEASURE also changes the units used in
     the auto sequences.
                                                                               2-7
BP Pump 2
Operators Manual
Self Test
The tester runs a self test, displaying the software version and checksum, the
serial number, and the model number. A motor check is also performed.
To run a self test, do the following:
1.    Use the soft keys to follow the menu path shown below.
      SETUP C *MORE C SELF TEST
      The Self Test screen appears:
fas28.eps
Zero Pressure
The Zero pressure option allows the user to re-zero the pressure. The function
is similar to the tare of a scale. This re-zeroing lasts until the unit is zeroed
again or until the power is shut off.
To zero the pressure, do the following:
1.    Use the soft keys to follow the menu path shown below.
      SETUP C MORE C MORE C ZERO PRESSURE
      The Zero Pressure (Remove connection ) screen appears:
fas29.eps
2-8
                                    Setup, Maintenance, and Support
                                                 Setting up the Tester      2
3.   If desired, press HOME to return to the Main menu.
YES NO
fas30.eps
2.   Select one option and press ENT to return to the Setup menu.
3.   If desired, press HOME to return to the Main menu.
                                                                            2-9
BP Pump 2
Operators Manual
Avoiding Damage
Do not drop the instrument or subject it to any mechanical abuse that could
cause a shift in the calibrated settings.
                                 W Caution
    To avoid damage to the Tester or adverse affects on its
    performance, follow these guidelines:
        Do not expose the system to temperature extremes.
         Ambient temperatures should remain between 15 and
         40 C. System performance may be adversely affected
         if temperatures fluctuate above or below this range.
        Do not apply pressures greater than 400 mmHg (53
         kPa) to the pressure port.
Cleaning
Clean the exterior of the Tester occasionally with a cloth dampened with a
mild detergent solution. Take care to keep liquids out of the pressure port.
                                 W Caution
    To avoid damage to the Tester or adverse affects on its
    performance, clean it only by gently wiping down with a
    clean, lint-free cloth dampened with a mild detergent
    solution. Do not immerse the unit.
Carefully wipe down the hose adapters and inspect them for damage and
deterioration of the tubing and fittings.
2-10
                                    Setup, Maintenance, and Support
                                            Maintenance and Support                2
Service and Calibration
If the Tester fails to operate successfully, please contact the Fluke Biomedical
Service Center immediately, as indicated under Warranty and Product
Support.
                                   W Caution
     To avoid damage to the Tester or adverse affects on its
     performance, allow only qualified technical personnel to
     service the Tester.
Annual calibration of the Tester by an authorized Fluke Biomedical Service
Center is recommended. Fluke Biomedical Service Centers have the
appropriate tools and procedures for performing calibrations as well as factory-
authorized updates.
International customers should contact their Fluke Biomedical dealers for
service/product support.
To obtain the name of a local dealer or service center, contact Fluke
Biomedical as indicated under Return Procedures, Repair and Calibration.
Packing Instructions
If repairs are required, return the Tester to the factory or the nearest service
center, packed in the original shipping container, using packing materials
supplied by Fluke Biomedical.
1.   Before returning the Tester for factory service, contact the Fluke
     Biomedical Service Center for a required Return Authorization Number.
2.   Provide the following information:
        The Tester serial number
        The specific steps that reproduce the problem
        A daytime phone number
        Your name/company
        A fax number (if available)
3.   Pack the instrument carefully, using the original packing materials. If the
     original packing materials are not available, refer to Return Procedures
                                                                               2-11
BP Pump 2
Operators Manual
2-12
                                                                              Chapter 3
                                                                          Operation
                                Contents                                                            Page
Introduction ..................................................................................     3-3
  Configurations for Devices Under Test (DUT) ........................                              3-4
  Conversion Factors ...................................................................            3-7
  Initializing Tests and Simulations.............................................                   3-7
  Error Messages .........................................................................          3-7
Pressure Tests...............................................................................       3-7
  Pressure Leak Test ....................................................................           3-8
  Pressure Relief Test ..................................................................           3-9
  Pressure Source Test.................................................................             3-11
  Pressure Gauge Test..................................................................             3-12
Simulations...................................................................................      3-13
  Standard BP ..............................................................................        3-14
  Patient Conditions.....................................................................           3-15
  Arrhythmias ..............................................................................        3-16
  Respiratory Artifacts.................................................................            3-18
  Neonate .....................................................................................     3-19
  Wrist .........................................................................................   3-20
  User-Defined.............................................................................         3-21
Auto Sequences ............................................................................         3-21
  Editing Auto Sequences............................................................                3-22
  Printing Auto Sequences...........................................................                3-23
  Running Auto Sequences..........................................................                  3-24
     Pressure Gauge......................................................................           3-25
     Leak Test...............................................................................       3-25
     Relief Valve Test...................................................................           3-26
     Pressure Source .....................................................................          3-26
     Data Sheet Printout ...............................................................            3-27
     BP Simulations......................................................................           3-27
Remote Operation.........................................................................           3-29
  RS-232 Settings ........................................................................          3-29
  Ansur Software Control ............................................................               3-29
                                                                                                     3-1
BP Pump 2
Operators Manual
3-2
                                                               Operation
                                                              Introduction      3
Introduction
The Tester contains a microprocessor that reads and controls the front panel
keyboard, the display, serial port, printer port, a diaphragm pump, two solenoid
valves, a step motor, a position sensor, and a pressure transducer (Figure 3-1).
   Lead Screw
    and Piston
     Step                                                       Front Panel
     Motor                                                      Pressure Port
                                                                                   fas14.eps
                      Figure 3-1. Tester Pneumatic Block Diagram
The diaphragm pump is used as a pressure source for the relief valve, leak, and
pressure source tests. The diaphragm pump pulls air through a filter and forces it
through a check valve into the main manifold of the instrument. This main
manifold has an internal volume of approximately 20 cc and is directly connected
to the pressure port on the front panel. Pressure in the manifold is measured by a
pressure transducer and can be released by a solenoid-operated valve. The volume
of the main manifold can be increased by approximately 290 cc, to simulate an
adult pressure cuff, by opening a second solenoid valve.
A stepper motor and lead screw move a piston into the manifold to decrease the
manifold volume, thereby creating pressure pulses to simulate a human subject. A
seal around the piston is maintained by a rolling diaphragm seal. The size and
                                                                                3-3
BP Pump 2
Operators Manual
shape of the pulses are controlled by the microprocessor driving the step motor.
The home position of the piston is detected by an optical interrupter. If the
optional high-accuracy pressure sensor is installed, it also measures the pressure in
the main manifold and is also controlled by the microprocessor.
                                                BP Pump 2
                                                NON-INVASIVE BLOOD PRESSURE MONITOR ANALYZER
      NIBP Monitor
                                                                                                               ENT
      120                    80
                                                         TESTS AND SIMULATIONS
       93                                        PRESSURE
                                                   LEAK
                                                                PRESSURE
                                                                 RELIEF
                                                                                 STATIC
                                                                                PRESSURE
       80                                            1              2              3
                                                                PATIENT
                                                STANDARD BP    CONDITIONS     ARRHYTHMIAS
                                                     4              5              6
                                                RESPIRITORY
                                                 ARTIFACT       NEONATE          WRIST
                                                     7              8              9
                                                                                               PRESSURE PORT
                                                               USER DEFINED
                                                                    0
                                                                                                                     fas16.eps
            Figure 3-2.Connecting Tester to Single-hose NIBP Monitor
                                    (Int Cuff)
3-4
                                                                                    Operation
                                                                                   Introduction                                     3
                                     BP Pump 2
 Double Hose: Internal Cuff          NON-INVASIVE BLOOD PRESSURE MONITOR ANALYZER
     NIBP Monitor
      120                     80                                                                                   ENT
                                                                                                                                     fas17.eps
  Figure 3-3. Connecting Tester to Double-hose NIBP Monitor
                           (Int Cuff)
                                                   BP Pump 2
Single Hose: External Cuff                         NON-INVASIVE BLOOD PRESSURE MONITOR ANALYZER
   NIBP Monitor
    120                      80                                                                                               ENT
Wrap Cuff 7 8 9
                    around Mandrel
                                                                                                              PRESSURE PORT
                                                                      USER DEFINED
                                                                           0
Cuff
                                                                                                                                     fas18.eps
   Figure 3-4. Connecting Tester to Single-hose NIBP Monitor
                           (Ext Cuff)
                                                                                                                                    3-5
BP Pump 2
Operators Manual
               NIBP Monitor
                120                      80                                                                                            ENT
                 93                                         PRESSURE
                                                                    TESTS AND SIMULATIONS
                                                                                PRESSURE              STATIC
                                                              LEAK               RELIEF              PRESSURE
                 80                                             1                   2                   3
                                                                                PATIENT
                                                           STANDARD BP         CONDITIONS          ARRHYTHMIAS
                                                                4                   5                   6
Cuff
                                                                                                                                                   fas19.eps
            Figure 3-5. Connecting Tester to Double-hose NIBP Monitor
                                    (Ext Cuff)
                                                                 BP Pump 2
      Single Hose: External Wrist Cuff                           NON-INVASIVE BLOOD PRESSURE MONITOR ANALYZER
               NIBP Monitor
                120                      80                                                                                                  ENT
         Be sure to attach the cuff so that the bladder is centered over the notch in the
         mandrel insert.
                                                                                                                                                   fas20.eps
         Figure 3-6. Connecting Tester to Single-hose NIBP Wrist Monitor
                                    (Ext Cuff)
3-6
                                                              Operation
                                                          Pressure Tests      3
Conversion Factors
Conversion factors for the Tester are shown in Table 3-1.
Units mmHg
PSI_PER_MMHG 0.019337
CMH2O_PER_MMHG 1.3595
INH2O_PER_MMHG 0.53525
KPA_PER_MMHG 0.13332
Error Messages
If you encounter any repeatable error messages, contact your Fluke Biomedical
Service Center.
Pressure Tests
The following tests assess the integrity and accuracy of the Tester, as well as the
instrument under test.
                                                                              3-7
BP Pump 2
Operators Manual
fas31.eps
After pressing the PRESSURE TESTS soft key to display the Pressure Tests
menu, you can access the pressure tests described below:
fas35.eps
                Leak Test
                                    Setpoint: 250
fas41.eps
2.    Adjust the Setpoint by entering numbers with the number keys. The cursor
      moves to the next position after a number is entered
3-8
                                                               Operation
                                                           Pressure Tests    3
                                         Note
      Once defined, the Setpoint can be changed in increments of 1 least
     significant digit (LSD).
3.   Press ENT to display the Leak Test screen.
fas01.eps
4.   Press the VENT soft key to release any unwanted pressure in the system
     before performing the test. This feature vents the system for approximately
     five seconds and can be repeated as needed to return pressure to zero.
5.   Press the <START> soft key to make the Tester deliver air to the system.
     Once the system under test reaches the target pressure, the test begins. The
     pressure leak rate of the system and the current system pressure are shown
     during the test. The leak rate is expressed in mmHg/min by default or can
     appear in kPa/min, cmH2O/min, inH2O/min, or psi/min, depending on the
     pressure measurement unit selection. The leak rate of the Tester is < 2
     mmHg/minute.
                                         Note
     When testing with an NIBP monitor in the system, it is necessary to put
     the monitor in Service mode, because most monitors leave the system
     open to the atmosphere.
6.   Press HOME to return to the Main menu.
                                                                             3-9
BP Pump 2
Operators Manual
                                            Note
     Put the NIBP monitor in Calibrate or Service mode to close the vent
     valve, allowing the Tester to inflate the pneumatic system. Refer to the
     NIBP monitors service manual to find the method for entering Service
     mode.
To assess the effectiveness of the relief valve, do the following:
1.   Use the soft keys to follow the menu path shown below.
     PRESSURE TESTS C PRESSURE RELIEF C SETUP
     The Relief Valve Test (Setpoint) screen appears.
fas02.eps
fas03.eps
4.   Press the VENT soft key to release any unwanted pressure in the system
     before performing the test. This feature vents the system for approximately
     five seconds and can be repeated as needed to return pressure to zero.
5.   Press the <START> soft key to make the Tester deliver air to the system.
     While the Tester is delivering air to the system, the current pressure
     (Measured) and peak pressure are being monitored.
     If the Setpoint is reached and the monitor does not release the pressure, the
     message No Relief Detected appears on the display.
3-10
                                                              Operation
                                                          Pressure Tests      3
                                         Note
     It is recommended that three pressure relief measurements be taken to
     check for a sticky relief valve.
     Some NIPB monitors do not allow access to a Service mode, rendering
     it impossible to close a vent valve so that the system can be pressurized
     by an outside pump. As a last resort, it is possible to start a blood
     pressure determination with the monitor (this closes the valve), then start
     the Pressure Relief tests, so that two pumps inflate the system. The results
     can vary, but the monitor generally opens a relief valve at some high
     pressure.
6.   Press HOME to return to the Main menu.
               Pressure Source
                                 Setpoint: 200          mm Hg
fas04.eps
                                                                             3-11
BP Pump 2
Operators Manual
fas05.eps
4.   Press the VENT soft key to release any unwanted pressure in the system
     before performing the test. This feature vents the system for approximately
     five seconds and can be repeated as needed to return pressure to zero.
5.   Press the <START> soft key to make the Tester deliver air to the system. The
     Tester pressurizes the system within 10 mmHg of the Setpoint value.
                                         Note
     Once the Setpoint has been reached, the Tester will not maintain the
     pressure in the system. Therefore, it is recommended that the system be
     checked for leaks prior to performing any static pressure tests.
6.   Press HOME to return to the Main menu.
SOURCE VENT
fas06.eps
2.   Press the VENT soft key to release any unwanted pressure in the system
     before performing the test. This feature vents the system for approximately
     five seconds and can be repeated as needed to return pressure to zero.
3-12
                                                               Operation
                                                              Simulations       3
                                            Note
     The <START> soft key is not applicable to the pressure gauge test and
     does not display.
3.   Apply pressure to the pressure port and read the displayed pressure in the
     upper right corner of the screen.
                                            Note
        You can use a squeeze bulb or syringe to apply adequate pressure.
4.   Press HOME to return to the Main menu.
Simulations
The following sections describe various simulations that the Tester accomplishes.
For all of the following tests, it is important to select the correct cuff.
To perform simulations, take the following actions:
1.   Power on the NIBP unit.
                                            Note
        Either disable the alarm or be prepared to silence it when it sounds.
2.   Use the soft keys, beginning from the Main menu:
fas31.eps
                                                                            3-13
BP Pump 2
Operators Manual
               STANDARD           PATIENT
                  BP             CONDITION      ARRHYTHMIA    MORE*
fas32.eps
4.   Press the MORE soft key on this and the following screens for additional
     options:
              RESPIRATORY          USER
               ARTIFACTS          DEFINED           NEONATE   MORE*
fas33.eps
WRIST MORE*
fas34.eps
                                             Note
     Alternatively, you can access all of the simulations from the number keys,
     which is the method described in this section.
Standard BP
The Tester provides many variations of NIBP simulations for both arm and wrist
cuffs.
To perform Standard BP tests, do the following:
1.   Access these simulations by pressing the 4 STANDARD BP number key.
     The Standard BP screen appears.
3-14
                                                              Operation
                                                             Simulations        3
               Standard BP                      ready ....
               Preset # 1                       120/         80 (93)
               Cuff: External                   80 BPM        0.68 cc
                  OPTIONS         CUFF
fas07.eps
2.   Press the OPTIONS soft key to scroll through the simulation choices.
     Parameters for Standard BP simulations are shown in Table 3-2.
3.   Press the CUFF soft key to select Internal Adult or External cuff.
4.   Press Start on the NIBP unit.
5.   Compare values on the NIBP unit with those on the Tester.
6.   Press HOME to return to the Main menu.
Patient Conditions
The Patient Condition simulations are intended to provide some basic patient
variations.
To perform Patient Conditions simulations, do the following:
1.   Access these simulations by pressing the 5 PATIENT CONDITIONS key.
     The Patient Condition screen appears.
                                                                               3-15
BP Pump 2
Operators Manual
fas08.eps
2.    Press the OPTIONS soft key to scroll through the simulation choices.
      Parameters for Patient Condition simulations are shown in Table 3-3.
3.    Press the CUFF soft key to select Internal Adult or External cuff.
4.    Press Start on the NIBP unit.
5.    Compare values on the NIBP unit with those on the Tester.
6.    Press HOME to return to the Main menu.
Arrhythmias
These waveforms cause erratic readings on some NIBPMs. The blood pressure
determination strongly depends on exactly what is happening with the subject's
blood pressure when the cuff pressure is at a particular level. Some NIBPMs
pause until they detect two or more equivalent beats. The pattern of step deflations
and the measured blood pressure depend on which beats occur during each step of
the cuff pressure.
3-16
                                                                 Operation
                                                                Simulations      3
To perform Arrhythmia Simulations, do the following:
1.   Access these simulations by pressing the 6 ARRHYTHMIA key. The
     Arrhythmia screen appears.
fas09.eps
2.   Press the OPTIONS soft key to scroll through the simulation choices.
     Parameters for Arrhythmia simulations are shown in Table 3-4.
3.   Press the CUFF soft key to select Internal Adult or External cuff.
4.   Press Start on the NIBP unit.
5.   Compare values on the NIBP unit with those on the Tester.
6.   Press HOME to return to the Main menu.
                                                                               3-17
BP Pump 2
Operators Manual
Respiratory Artifacts
The Respiratory Artifact exhibits a beat-to-beat variation in the blood pressure
caused by intra-thoracic pressure. Changes in the intra-thoracic pressure affect
filling of the ventricles during diastole. This in turn affects the stroke volume of
the heart. A large stroke develops a higher systolic pressure than a small stroke.
To perform Respiratory Artifact simulations, do the following:
1.   Access these simulations by pressing the 7 RESPIRATORY ARTIFACT
     key. The Respiratory Artifact screen appears.
fas11.eps
2.   Press the OPTIONS soft key to scroll through the simulation choices.
     Parameters for Respiratory Artifact simulations are shown in Table 3-5.
                                         Blood
                                                         Heart Rate           Pulse
         Artifact Type                  Pressure
                                                           (bpm)           volume (cc)
                                      (mmHg) (MAP)
3.   Press the CUFF soft key to select Internal Adult or External cuff.
4.   Press Start on the NIBP unit.
5.   Compare values on the NIBP unit with those on the Tester.
6.   Press HOME to return to the Main menu.
3-18
                                                               Operation
                                                              Simulations       3
Neonate
The Neonate simulations are provided to test the ability of the NIBP monitors to
detect blood pressure on neonatal patients.
To perform Neonate simulations, do the following:
1.   Access these simulations by pressing the 8 NEONATE key. The Neonate
     Simulation screen appears.
fas12.eps
2.   Press the OPTIONS soft key to scroll through the simulation choices.
     Parameters for Neonate simulations are shown in Table 3-6.
                                                                               3-19
BP Pump 2
Operators Manual
Wrist
The Wrist simulations are provided to test wrist cuff NIBP monitors.
To perform Wrist simulations, do the following:
1.   Access these simulations by pressing the 9 WRIST key. The Wrist
     Simulation screen appears.
fas13.eps
2.   Press the OPTIONS soft key to scroll through the simulation choices. The
     simulation is automatically set up to use the external cuff and cannot be
     changed. Parameters for Wrist simulations are shown in Table 3-7.
3-20
                                                                     Operation
                                                                Auto Sequences    3
User-Defined
User-Defined simulations and how to create them are described in Setting Up the
Tester.
The following describes how to run such a simulation.
1.   Select from any of the previously-defined simulations by pressing the 0
     USER DEFINED key. The User Defined screen appears.
fas15.eps
2.   Press the OPTIONS soft key to scroll through the simulation choices.
3.   Press the CUFF soft key to select External, Internal Adult, or Internal
     Neonate cuff.
                                          Note
                        It is important to select the correct cuff.
4.   Press Start on the NIBP unit.
5.   Compare values on the NIBP unit with those on the Tester.
6.   Press HOME to return to the Main menu.
Auto Sequences
It is possible to create up to nine customized auto sequences. An auto sequence
contains all four pressure tests and five simulations. The operator can disable any
of these tests or simulations. A printout of the auto sequence result can also be
enabled. The operator must make a cuff selection; this determines what NIBP
simulations are displayed for that selection.
                                                                                 3-21
BP Pump 2
Operators Manual
Auto Sequence
fas36.eps
                                       Note
     By default, each auto sequence is configured to perform the Leak Test,
     Relief Test, and BP Simulation #1 (120/80) Changing the cuff selection
     changes the available BP Simulation options.
4.   When finished, either press the RUN soft key to run the sequence or press
     HOME to return to the Main menu.
3-22
                                                              Operation
                                                         Auto Sequences         3
Printing Auto Sequences
Use the following steps to print an auto sequence definition.
                                          Note
     Refer to Setting up the Tester for printer output setup instructions.
1.   To determine which tests and simulations are defined in an auto sequence,
     press the AUTO SEQUENCE soft key to access the Auto Sequence menu.
Auto Sequence
fas36.eps
2.   Press the PRINT soft key. The Select Auto Sequence (1-9) screen
     appears.
fas42.eps
                                                                               3-23
BP Pump 2
Operators Manual
               Gauge Enabled
               Leak Setpoint:                      200   mmHg
               Relief Pressure:
                                                   380   mmHg
               Cuff: External
               Simulation 1:          Preset #1             120/80
                 80BPM 0.7cc
               Simulation 2:          Preset #2            150/100
                 80BPM 0.7cc
               Simulation 3:          Preset #3            200/150
                 80BPM 0.7cc
               Simulation 4:          Preset #4            255/195
                 80BPM 0.7cc
               Simulation 5:          Preset #5                 60/30
                 80BPM 0.7cc
Auto Sequence
fas36.eps
2. Press the RUN soft key. The Select Auto Sequence (1-9) screen appears.
3-24
                                                            Operation
                                                       Auto Sequences        3
               Select Auto Sequence:                          1
fas42.eps
                                       Note
     Tests and simulations not enabled in the executing auto sequence are
     skipped.
Enabled auto sequences are executed in the following order:
    Pressure Gauge Test
    Pressure Leak Test
    Pressure Relief Valve Test
    Pressure Source Test
    Data Sheet Printout
    NIBP Simulations
Pressure Gauge
This test monitors system pressure, which must be generated external to the Tester.
Press the NEXT> key to advance to the next test. Only the pressure displayed
when the NEXT> key is pressed appears on the printout.
Leak Test
This test performs a system leak test at the Setpoint pressure, which was defined
when the auto sequence was edited.
1.   Press the START soft key to initiate this test. The system then pressurizes.
     Once a stable pressure reading near the Setpoint is reached, a 60-second timer
     begins to count down. Once the timer has elapsed, a Leak Rate appears on the
     display.
                                                                            3-25
BP Pump 2
Operators Manual
2.   If the Leak Rate is unsatisfactory, repair the possible cause of the leak and
     press START again to repeat the test.
3.   Press the NEXT> key to advance to the next test. Only the leak rate displayed
     when the NEXT> key is pressed appears on the printout.
                                         Note
     The NEXT> key will not function until the Leak Test has been performed
     at least once.
                                         Note
     The NEXT> key will not function until the Relief Valve Test has been
     performed at least once.
Pressure Source
This test causes the system to rise to the Setpoint pressure, which was defined
when the auto sequence was edited.
1.   Press the START soft key to initiate this test. The system then begins to
     pressurize until a stable pressure reading at or near the Setpoint is reached.
2.   Record the monitor reading on the data sheet (if generated).
3.   Press the NEXT> key to advance to the next test.
                                         Note
     The NEXT> key does not function until the Pressure Source test has been
     performed.
3-26
                                                              Operation
                                                         Auto Sequences        3
Data Sheet Printout
When this step is reached, a printout is generated, as shown in Figure 3-8, which
includes a standard header, the results of the previous tests, a place to record data
for the Pressure Source test (if enabled), and a list of BP Simulations that will be
executed.
BP Simulations
At the conclusion of the auto sequence, up to five different blood pressure
simulations are run in order of definition. Each simulation can be repeated as
many times as desired; however, each defined simulation must be run at least once
to advance to the next simulation.
                                         Note
    Some monitors cannot handle extreme changes in blood pressure. For
    example, it may not be possible to perform a 255/195 simulation
    following a 60/30 simulation on some monitors.
                                                                             3-27
BP Pump 2
Operators Manual
  Fluke Biomedical
  Tester Serial #:123456
  Date:________                       Time:_______
  Serial #: ___________________
  Control #: __________________
  Mfg: ________________________
  Model: ______________________
  Location: ___________________
  Technician: _________________
  Work Order: _________________
  Procedure ID: _______________
  Gauge:         181     mmHg
  Leak Test
   Leak Rate:                         5 mmHg/min
   Start Pressure                      203 mmHg
   End Pressure:                       198 mmHg
  Relief Valve Test
       Peak Pressure:                    418 mmHg
       No Relief Detected
  Pressure Source
       Actual:                         _________
       Source:                         186 mmHg
3-28
                                                              Operation
                                                        Remote Operation        3
Remote Operation
To prepare for remote operation, do the following:
1.   Power down the Tester and connect the Tester to your PC, using a standard
     bidirectional RS-232 cable.
2.   Turn the Tester on: the operating system recognizes the Tester as new
     hardware.
You are now ready to operate the Tester remotely.
RS-232 Settings
The Tester serial port parameters are fixed at the following settings:
    Baud Rate: 9600
    Parity:        None
    Data Bits:     8
    Stop Bit:      1
    Visual inspections
    Preventive maintenance
    Work procedures
    Performance tests
    Safety tests
                                                                               3-29
BP Pump 2
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Ansur software utilizes plug-in modules to work with a wide array of Fluke
Biomedical instruments. The plug-in module is a software interface to the Ansur
program. Plug-ins provide test elements used by Ansur. This gives the benefit of
using the same user interface for all testers and simulators supported by an Ansur
plug-in. See the Fluke Biomedical Ansur BP Pump 2 Plug-in User Manual for
detailed information.
When you purchase a new Fluke Biomedical tester or simulator, you can update
your existing Ansur software by installing a new plug-in. Each plug-in module
lets you work only with the options and capabilities you need for the instrument
you are testing. The Fluke Part Number for the Ansur BP Pump 2 Plug-in is
2755836.
3-30
                                                                    Appendices
                                            RA
                            RL
                                            LA
                            LL
                                                                          fas21.eps
                Figure A-1. Optional ECG Interface Adapter
Using the optional ECG Interface Adapter (Part Number 2780512), the
operator can observe simulated ECG signals that are in synchronization with
                                                                            A-1
BP Pump 2
Operators Manual
the blood pressure simulations. These ECG signals are available for the
Standard BP, Patient Conditions and Arrhythmias simulations.
A-2
                                                         Appendix B
                              Questions and Answers
Introduction
The following are questions submitted by customers and answered by
members of our technical staff.
                                                                             B-1
BP Pump 2
Operators Manual
The mean difference of the paired measurements of the test system and the
comparison system shall be  5 mmHg or less with a standard deviation of
8 mmHg or less.
This means that variations in individual readings of 5, 6, or even 10 mmHg are
quite normal and do not indicate that either the DINAMAP or the Tester are
malfunctioning. Some monitors are more repeatable than others, and
repeatability is one measure of the overall quality of the monitor.
Q: BP results vary using the same preset pressure.
I checked another NIBP monitor using the same preset simulated blood
pressure of 120/80 (93) with a pulse rate of 80 bpm. This time I got the
following results:
   Trial #         Systolic          Mean            Diastolic      Pulse Rate
      1              120              89                71              80
      2              120              87                73              80
      3              121              91                72              80
Cuff Issues
Q: Why is an Internal Cuff used?
Why does the Tester use an Internal Simulated Cuff? Wouldnt it be better to
include a real cuff in the measurement?
A: Internal Cuff produces accurate and repeatable simulations.
The Tester uses an internal cuff to help ensure accurate and repeatable
simulations over time. The internal cuff is a 310-ml fixed volume that has
compliance very nearly equal to a normal adult cuff when used at typical adult
B-2
                                                              Appendices
                                                    Questions and Answers      B
mean pressures. Further, its compliance is constant over time and is
independent of cuff wrapping technique.
The compliance of a standard cuff depends on the amount of air it contains.
This, in turn, is dependent on what the cuff is wrapped around, and how tightly
it is wrapped.
Q: Why is compliance Important?
Why is tightly controlled compliance so important?
A: Air in the cuff affects oscillations.
Blood pulsing through the arm surrounded by a cuff actually causes
displacement of the air in the cuff. This must be converted into a pressure
oscillation before the NIBP monitor can sense what is happening.
For a given volume displacement, the size of the pressure oscillation is
inversely proportional to the volume of air in the cuff. Thus, a cuff full of air
gives a smaller pressure oscillation than one wrapped tightly around the arm
and containing little air.
The Tester works just like the subjects arm. It creates a precisely controlled
volume displacement. The cuff is what converts this displacement into a
pressure oscillation.
By using an internal cuff of fixed volume, the Tester is assured of always
producing the same pressure oscillation for each test.
Q. Can an External Cuff be used with the Tester?
Can the Tester be used with an External Cuff?
A. Connectors provided in Accessory Kit
The Tester can easily be configured to work with an External Cuff.
The available cuff options are accessible via the CUFF soft key present during
the NIBP simulations.
                                       Note
    The exceptions are neonate, which allows only the internal neonate
    cuff, and wrist cuff, which allows only the external cuff.
The external cuff is included in the pneumatic circuit using the Tee or Y
connectors in the accessory kit.
                                                                               B-3
BP Pump 2
Operators Manual
B-4
                                                         Appendix C
                                                  Abbreviations
Abbreviations
The following list includes abbreviations used in this document.
A ampere
dB decibel
F degrees Fahrenheit
                                                                   C-1
BP Pump 2
Operators Manual
Hz hertz
in inch
K kilo (103)
kg kilogram
kHz kilohertz
ke kilohm
lb pound
M meg(a) (106)
MHz megahertz
Me megohm
m meter
m milli (10-3)
mA milliampere
mm millimeter
mV millivolt
p-p peak-to-peak
s second
micro (10-6)
A microampere
V microvolt
ohm
C-2
                                                       Appendix D
                 Computer Control Commands
Introduction
The following commands are for use by software developers that have highly-
developed technical knowledge. Operators should not try to control the Tester
using these commands; rather, they should use Ansur test automation software.
The Tester acknowledges each valid computer control command that it
receives. It responds to valid commands either with ACK (HEX 06), or ACK,
followed by the data, followed by CR-LF (HEX 0D0A). A NAK (HEX 15) is
returned for invalid commands.
The computer control commands are shown in Table D-1.
                                                              Returned
        Description                   Command
                                                               String
[SIM_WC160_100] ACK
[SIM_WC80_55] ACK
                                                                         D-1
BP Pump 2
Operators Manual
                                                            Returned
        Description                 Command
                                                             String
[SIM_NEO60_30] NAK
[SIM_NEO80_50] NAK
[SIM_NEO100_70] NAK
[SIM_STD150_100] ACK
[SIM_STD200_150] ACK
[SIM_STD255_195] ACK
[SIM_STD60_30] ACK
[SIM_STD80_50] ACK
[SIM_STD100_65] ACK
[SIM_WEAK_PULSE] ACK
[SIM_MILDEX] ACK
[SIM_STRENEX] ACK
[SIM_OBESE] ACK
[SIM_GERIATRIC] ACK
[SIM_TACHYCARDIA] ACK
[SIM_BRADYCARDIA] ACK
D-2
                                                      Appendices
                                         Computer Control Commands   D
              Table D-1. Computer Control Commands (cont.)
                                                             Returned
        Description                  Command
                                                              String
[SIM_PAC2] ACK
[SIM_PVC] ACK
[SIM_AFIBPVC] ACK
[SIM_SB2] ACK
[SIM_SB3] ACK
[SIM_CV] ACK
[BP_UNITS_MMHG] ACK
[PRESS_UNITS_MMHG] ACK
[PRESS_UNITS_CMH2O] ACK
[PRESS_UNITS_INH2O] ACK
[PRESS_UNITS_PSI] ACK
                                                                     D-3
BP Pump 2
Operators Manual
                                                            Returned
        Description                 Command
                                                             String
                                                       Returns Leak
                                                       Rate after 60
                                                       seconds,
                                                       followed by CR-
                                                       LF, or NAK if
                                                       XXX out of
                                                       range
[BLEED_SYSTEM] ACK
D-4
                                          Appendices
                             Computer Control Commands    D
    Table D-1. Computer Control Commands (cont.)
                                                   Returned
Description                Command
                                                    String
                                                          D-5
BP Pump 2
Operators Manual
D-6