Overview, Cardiac catheterization – Fluke Biomedical medSim 300B User Manual

Page 101

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Option 1

Overview

4

4-3

Overview

Option 1 enables the medSim 300B to generate waveforms that simulate:

Cardiac catheterization (by single and dual lumen catheters).

Fetal/maternal ECG with intrauterine pressure.

Intra-aortic balloon pump augmentation.

Note

These waveforms are useful when you are evaluating cardiac

catheterization systems, fetal monitors, and intra-aortic balloon pumps.

Cardiac Catheterization

The medSim 300B can simulate systolic pressure gradients (measured with single and

dual lumen cardiac catheters) across the aortic, pulmonary and mitral valves.

Note

To evaluate cardiac catheterization systems, blood pressure cables are

needed. Refer to the current Fluke Biomedical Price List for availability,

part number information and price.

The medSim 300B uses the following default (normal) values for medSim 300B outputs

BP1, BP2, BP3 and BP4 when beginning cardiac valve simulation:

Channel Description

Pressure

BP1

Left ventricular (LV)

120/0

BP2 Arterial

(ART)

120/80

BP3

Pulmonary arterial (PA) 25/10

BP4

Right ventricular (RV)

25/0

Pressure Gradients across Aortic and Pulmonary Valves

In a normal heart, systolic pressures on both sides of both the aortic valve and the

pulmonary valve (ventricular and arterial systolic pressures) are about the same. A

gradient, or difference, in these pressures indicates an abnormal valve.
The medSim 300B simulates aortic valve and pulmonary valve defects by increasing

ventricular systolic pressure 5 % to 50 % above a constant arterial systolic pressure.
The drawings that follow simulate blood pressure relationships indicating:

A normal aortic valve

A defective aortic valve

A normal pulmonary valve

A defective pulmonary valve

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