The document describes several products from Cardionics that are used to teach, test, and improve auscultation skills, including the CardioSim VII digital heart sound simulator, PneumoSim digital breath sound simulator, SAM student auscultation manikin, and SimulScope bedside auscultation system. The devices present a variety of normal and abnormal heart, breath, and bowel sounds that can be manipulated. They are used for self-instruction, classroom teaching, bedside teaching, and testing of students.

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CardioSim VII
Digital Heart Sound Simulator

2. PneumoSim
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Digital Breath Sound Simulator
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Improve auscultation skills
the key to physical diagnosis
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Teach and Test
Pulmonary
Auscultation Skills
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Normal & Adventitious Sounds - Presented from a menu of 27 sound programs
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Real breath Sounds- Sound components can be added and removed with ease
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Adventitious Sounds - Crackles, wheezes, pleural rubs and muscle noise all presented
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Disease Conditions - Lobar, viral, & interstititial pneumonia, emphysema, chronic bronchitis, stridor
Alter Sounds Features - change I:E ratio, place sound in any 1/3 of inspiration or expriation, add pause
Create & Save Lecture Protocols - up to 8 instructors can each have a series of 8 lectures
® Cardionics, Heartman, SimulScope, E-Scope & CardioSim are a registered trademark CardionicInc.,Webster,Texas
TM - PneumoSim is a trademark of Cardionics.

3. Sounds included
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The PneumoSim is a Digital Breath Sound Simulator that can
be added to any existing CardioSim Digital Heart Sound
Simulator or used as an independent stand-alone instrument.
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Normal vesicular breath sounds
Tracheal breath sounds
Bronchial breath sounds
Bronchovesicular breath sounds
Crackles with bronchovesicular breath sounds
Crackles, fine, medium and coarse
Crackles, very coarse
Wheezes expiratory & inspiratory
Rhonchus (low-pitched wheeze)
Pleural rub
Muscle noise
Pneumonia, lobar
Pneumonia, partial consolidation
Pneumonia, complete consolidation
Pneumonia, viral & influenza
Atelectasis
Interstitial pneumonitis
Pulmonary congestion & edema
Chronic bronchitis
Emphysema
Stridor
Egophony, E to A, normal & abnormal
Spoken voice, 1, 2,3, normal & abnormal
Spoken voice, 99, normal & abnormal
Whispered pectoriloquy, 1, 2,3 normal & abnormal
Each sound is divided in to several elements so students learn
to recognize each sound part - one at time - making complex
sounds easier to recognize. The user can manipulate each
sound as desired. For example, any adventitious sound can
be placed into any 1/3 of the inspiratory or expiratory cycle.
Or an adventitious sound can be added to any normal sound.
Respiration rates can be changed from 10 to 150 breaths per
minute.
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Ordering Information
Cat. No. Description
718-6200 - PneumoSim Digital Breath Sound Simulator
718-6210 - PneumoSim Software for addition to an existing
CardioSim Digital Heart Sound Simulator
718-2700 CardioSim Digital Heart Sound Simulator
(console model)
718-2710 - CardioSim Digital Heart Sound Simulator
The duration of the expiratory cycle can be changed to illustrate
(portable model) mechanical respiration and a pause of varying length can be
718-2704 - CardioSim Digital Heart Sound Simulator
added to the end of inspiration and/or expiration.
(combination - console and portable model)
The sounds are selected from a menu. There are 30 different
breath sounds presented with all their variations. The display 718-7003 - SimulScope Bedside Auscultation System
of the sounds can be flat or with an upward/downward ramp 718-9007 - SAM, the Student AuscultationManikin
718-9006 - SAM Senior, the Student Auscultation Manikin
as desired.
718-9005 - SAM Junior, the Student Auscultation Manikin
As with the CardioSim, the PneumoSim allows thin instructor 718-8500- UTMB/Cardionics Auscultation STS (SelfTeaching System)
to preprogram lectures saving time and improving the
718-0015 - Classroom Infrared Emitter
presentation
718-4006 - Auditorium Infrared Sound System
The PneumoSim is supplied with a patient auscultation system 718-7040 - Heartman Infrared Headphone
to allow display and recording of patients or students. Filters
enable the frequency to be altered and baseline noise reduced. Additional Equipment
718-7700 - E-Scope Electronic Stethoscope
For more information, uses and updates visit us at 717-8000 - StethView Digital Recording System
www.cardionics.com, or call us at 800-364-5901.
Cardionics, Inc.
910 Bay Star Blvd.
Webster, Texas 77598 USA
Telephone : 281-488-5901
US and Canada : 1-800-364-5901
Fax: 281-488-3195 Email: keithj@cardionics.com Web site: www.cardionics.com

4. Lesson are provided with every sound and accessed with a
single keystroke. Lessons include discussion of the sound,
schematic of the chest, phonocardiograms, questions and
answers.
SAM II, the Student
Auscultation Manikin
Thrills Palpated
Students palpate mumurs of Severe Aortic
Stenosis and Ventricular Septal Defect to
determine the grade of the murmur.
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Palpate a systolic thrill
in aortic area
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Lessons on Every Sound
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Severe Aortic Stenosis
Preprogrammed Lectures
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Instructors preprogram their lectures for a smoother presentation. Instructors have multiple lectures that can be
edited, saved and recalled at any time.
Optional Items
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• SAM On-Line (for student practice)
• SimulScope Bedside Auscultation System (group instruction)
• Arterial Pulse Training System
Ordering Information
Cat. No. Description
718-9007
717-9000
718-7003
718-0015
718-4006
718-7040
718-7000
718-2700
718-6200
711-9300
Cardionics, Inc.
SAM Student Auscultation Manikin®
SAM On-Line
SimulScope® Bedside Auscultation System
Classroom Infrared Emitter
Auditorium Infrared Sound System
HeartMan® Infrared Headphones
E-Scope® Electronic Stethoscope
CardioSim® VII Digital Sound Simulator
PneumoSim™ Digital Breath Sound Sim.
Clinical Heart Disease by Proctor Harvey, M.D.
910 Bay Star Blvd., Webster, Texas 77598 USA
Telephone: 281-488-5901 Toll free US & Canada 800-364-5901 email: Info@Cardionics.com
Web site: www.cardionics.com
Part no. 018-9007
Printed 08/10
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Sounds - 27 Heart, 21 Breath, 20 Bowel, 4 carotid bruits
Listen with your own stethoscope at correct anatomical site
Play Heart & Breath Sounds simultaneously or separately
Teach and Test Assessment Skills
View phonocardiogram with every sound for easy identification
of systolic and diastolic murmurs
Instructors preprogram lectures for smoother presentation
Test sounds included for assessment
SAM On-Line available 24/7 for students of SAM
customers
® SAM Student Auscultation Manikin, CardioSim, SimulScope, HeartMan, E-Scope & Cardionics are registered trademarks of Cardionics, Inc., Webster,Texas.
™ PneumoSim is a trademank of Cardionics, Inc. Webster, Texas 77598.

5. Phonocardiogram Displayed with Heart Sounds
Phonocardiographic Display.
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SAM II, the Student Auscultation Manikin
Listen to SAM with Your Own Stethoscope
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SAM II presents a phonocardiogram
with every heart sound. Instructors project the phonocardiogarms for full audience viewing. When heart and breath sounds are heard simultaneously, two
channels are displayed.
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SAM presents 27 heart sounds, 21 breath sounds, 20 bowel sounds, 4 carotid bruits and
a carotid pulse timed with the onset of systole. Some heart sounds have breath sounds
included. The sounds are located in the correct anatomical site. Heart sounds are located
at the aortic, pulmonic, tricuspid and mitral areas. Breath sounds are upper and lower
right and left chest and four posterior sites. Bowel sounds are in the upper right and
left quadrants. There is one site for carotid bruits in the neck. Breath sounds can be
diminished at the lower lung while maintaing normal volume at the upper chest to present
a variety of clinical conditions. When listening to a split S2 in the pulmonic area, breath
sounds are heard simultaneously. Students learn that S2 splits on inspiration and closes on
expiration. Instructors maintain control over the volume at each listening site.
Class Teaching with the SimulScope
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Group teaching in a classroom or auditorium is easily accomplished. Place the
stethoscope on SAM with students and instructor wearing Wireless HeartMan
Infrared Headphones. Everyone hears simultaneously with perfect clarity.
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The instructor knows exactly what students are hearing. Group teaching
can be performed with the SimulScope, Classroom Infrared Emitter,
Auditorium Infrared Sound System Wireless E-Scope Electronics Stethoscope or
the Cardionics Low-frequency Speaker System. The SimulScope or Classroom
Infrared Emitter will accommodate groups of 25-30 while the Auditorium Infrared
Sound System can handle from 1 to 500.
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Identify Systole by Carotid Pulse
Palpation
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When assessing heart sounds, it is essential to
differentiate systole from diastole. Because systole begins with the first heart sound (S1), SAM
has a carotid pulse timed with each first heart
sound. Students palpate SAM's carotid pulse
while listening to heart sounds.
SAM On-Line
Students access SAM On-Line 24/7 from any PC connected to the Internet. Repetition assists students in learning, relearning or refreshing their auscultation skills.
SAM On-Line has same sounds as SAM. Comparison of sounds is available and
easy to access.
The key to Patient Assessment

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Classroom or Auditorium Instruction & Testing
Real Patient Sounds
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After listening to simulated heart sounds, the student can hear several
examples of the same sound from real patients. These real sounds
demonstrate how the sound changes with varying degrees of illness.
For example, the instructor or student can play mild, then moderate,
then severe mitral stenosis from the Real Sounds Library.
Simulated Sounds
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The CardioSim allows instructors and students to listen repetitively
to all or any part of a complex heart sound. While listening,
murmurs, clicks, etc. can be added, removed, amplified and/or
attenuated so the student learns to recognize each sound.
Digital Heart Sound Simulator
Wireless Auditorium
Infrared Sound System
With wireless HeartMan Infrared Headphones, as many as
1000 or as few as one will hear clinically realistic sounds with
complete clarity. HeartMan Headphones fit and seal ears just
as your stethoscope. An optional Voice-Over System sends
the instructor's comments to the HeartMan Headphones.
Lecture Protocol
Eight instructors can prepare and save eight different lectures.
With up to 99 steps, each lecture is a combination of simulated and/
or real sounds, instructor's recorded patient sounds, animations,
slides and images.
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Click or Murmur Manipulation &
Frequency Selector
Clicks, murmurs and other sounds can be repositioned to illustrate
the effect of posture change or disease progression. For instance,
the systolic click of mitral valve prolapse can be moved to late
systole to illustrate the effect of squatting. The frequency of any
sound or murmur can be changed with the built-in frequency sound
selector.
PneumoSim Digital Breath Sound Simulator
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The optional PneumoSim Digital Breath Sound Simulator operates
in a manner similar to the CardioSim System. Wheezes, crackles,
rubs, etc. can be added to any part of the inspiratory or expiratory
cycle. I-E ratio, position of adventitious sounds, pause, respiration rate are easily controlled or changed to illustrate disease
progression. Various conditions such as asthma, emphysema,
atelectasis, etc. are included.
Animations and Images
The CardioSim VII is supplied with approximately 70 animations as
shown below. A large number of images (sldes) is also included.
Customers can add their own slides as desired.
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CardioSim VII
Veterinary Sounds Option
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For Veterinary Medicine, the optional VetSim Digital Veterinary Sound
Simulator offers a special menu of heart sound programs. With
these programs, the instructor or student has the ability to control
both heart and respiration rates independently and at rates higher
than found in humans.
Cabinet Model CardioSim VII Digital Heart Sound Simulator

7. CardioSim VII
®
Cardionics Systems for
Self Teaching, Testing and Bedside Instruction
Digital Heart Sound Simulator
self Teaching & Testing System
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For self-teaching and testing, the UTMB Auscultation Self-Teaching System (STS) guides the student to proficiency
in cardiac auscultation with a series of four computer lessons, an auscultation evaluation program and a student text
workbook. Students listen with their own stethoscope and palpate the carotid pulse. Developed and tested at the University of Texas Medical Branch in Galveston, STS instructs and tests students at their own pace with minimal instructor
time. During its use at UTMB, a three fold improvement in proficiency was noted.
Learning Cardiac Auscultation - Interactive On-Line
Teach & Test Auscultation Skills
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CardioSim customers and their students can access the Cardionics web site (wwww.cardionics.com), log-in with
the apppropriate password and learn Cardiac Auscultation using any PC computer that is connected to the Internet.
There are 24 heart sound programs complete with text, a learning program, and three quizzes from novice to advanced
to a quiz developed by the course instructor.
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Portable Model CardioSimVII
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• Simulated sounds
• Real patient sounds
SimulScope with SAM, the Student Auscultation Manikin for group instruction
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SAM, the Student Auscultation Manikin
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Self-teaching, instructor teaching and testing, is provided with SAM's 24 Heart Sounds and Murmurs, 20 Breath
Sounds, 20 Bowel Sounds and 4 carotid bruits all heard at the correct anatomical sites. A carotid pulse is palpated
with all Heart Sounds. Special Heart Sound Testing Modules are available for testing and exam preparation.
SimulScope® Bedside Auscultation System
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For bedside teaching, the SimulScope is a small, portable, battery-operated, and wireless infrared transmitter that
saves time at the bedside with minimal patient disturbance. The instructor and students hear sounds simultaneously
with wireless HeartMan Infrared Headphones. The SimulScope can be used for group instruction with SAM as shown
above, at the bedside or in telemedicine applications.
Cardionics, Inc.
910 Bay Star Blvd.
Telephone : 281-488-5901
email: info@cardionics.com
• Display phono, ECG,
carotid/apical pulse
Classroom or Auditorium Instruction
Bedside Teaching
Self-Instruction
& Testing
• Murmur/click position movement Add sounds from patients
• Add slides, animations or images to lecture
• Normal breath sounds for
added realis
• Wireless Infrared Sound Systems
• Save lecture protocols
• Large screen projection
• Patient auscultation - listen,
• Auscultation Skill Evaluation
display, digitally record,
save, add to lecture - both
sound, ECG & Pulse
Webster, Texas 77598 USA
US and Canada : 1-800-364-5901
www.cardionics.com
CardioSim, SimulScope, HeartMan, E-Scope & Cardionics are registered trademarks of Cardionics, Inc., Webster, Texas USA.
SAM, PneumoSim & VetSim are trademarks of Cardionics.
®
Literature part no. 018-2700. Printed 8-08
Proven Systems for:
tm