NORAIDAH KASIRAN@DASUKI

010-8931062

This hand-held device simulates both heart and breath sounds and allows the determination of these by
plugging in one of 7 different menus (see W49401, W49402, W49403, W49404, W49405, W49406 and W49436),
each containing 16 different sounds*. The Heart and Breath Sounds Simulator unit includes two external sounders
with which students can auscultate the sounds with a stethoscope. Linking additional stethoscope sounders (see
W49430), up to 15 students can auscultate at the same time. A Loud Speaker may also be connected. Additionally,
the unit has a volume control and two LEDs that illuminate during systole (heart menu) and expiration (breath
menu).

Virtually maintenance-free, the unit is powered by a 9 volt battery.

* All data used in the menus are actual patient sounds. Sounds of the same name are from different patients in
different menus to show appearance variations.
 NORAIDAH KASIRAN@DASUKI
010-8931062

Basic Heart Sounds - Auscultation Sounds for W49400:

1. Apex 9. Mid-Late Systolic click

2. Base 10. Opening snap
3. Physiological split S2 11. S3
4. Split S2-Mid inspiration 12. Pericardial knock
5. Paradoxical split S2 13. S4/Intermittent
6. Fixed split S2 14. Starr-Edwards valve
7. Ejection 15. Friction rub 2-Componet
8. Mid-Systolic click 16. Friction rub 3-Componet
 NORAIDAH KASIRAN@DASUKI
010-8931062

Basic Murmurs - Auscultation Sounds for W49400

1. Holosystolic - blowing crescendo 9. Early diastolic - brief

2. Holosystolic 10. Early diastolic - musical
3. Holosystolic - late crescendo 11. Mid diastolic & rumble
4. Mid systolic 12. Holodiastolic
5. Late systolic 13. Mid diastolic & presystolic
6. Late systolic 14. Long mid systolic & presystolic
7. Late systolic - whoop 15. Holosystolic & mid diastolic
8. Early diastolic - long blowing 16. Continuous
 NORAIDAH KASIRAN@DASUKI
010-8931062

Breath Sounds - Auscultation Sounds for W49400

1. Tracheal 9. Cavernous
2. Vesicular 10. Crackles, fine
3. Broncho-Vesicular 11. Crackles, rhonchi
4. Bronchial 12. Crackles, course
5. Wheezes 13. Pulmonmy edema
6. Monophonic wheeze 14. Infant
7. Pleural friction rub 15. Egophony
8. Stridor 16. Pectoriloquy
 NORAIDAH KASIRAN@DASUKI
010-8931062

Pediatric Breath & Heart Sounds - Auscultation Sounds for W49400

1. Newborn breath 9. Neonate stridor

2. 9 month breath 10. Newborn heart
3. 6 year breath 11. 7 month heart
4. Crackles, rhonchi 12. 1 year heart
5. 9 month stridor 13. 6 year heart
6. Asthma, wheezing 14. Systolic murmur
7. Pneumonia 15. VSD
8. Wheezing 16. Split S2
 NORAIDAH KASIRAN@DASUKI
010-8931062

Pediatric Heart Sounds - Auscultation Sounds for W49400

1. Newborn 9. Pulmonic stenosis

2. 7 month 10. Systolic, fixed S2
3. 1 year 11. Split S1
4. 6 year 12. ASD
5. 14 year 13. VSD
6. Stills murmur 14. Aortic stenosis
7. Venous hum 15. Pulmonic stenosis
8. Split S2 16. Mitral valve regurgitation
 NORAIDAH KASIRAN@DASUKI
010-8931062

Infant Heart & Breath Sounds - Ausculatation Sounds for W49400

1. 7 month heart 9. Aortic stenosis

2. 1 year heart 10. Mitral regurgitation
3. Stills murmur 11. 9 month breath
4. Venous hum 12. Rhonchi
5. S2 split 13. Stridor
6. Pulmonary stenosis 14. Asthma
7. ASD 15. Pneumonia
8. VSD 16. Wheezing
 NORAIDAH KASIRAN@DASUKI
010-8931062

In addition to the simulation of heart and breath sounds, this tutor allows also the determination of arrhythmias. A
perfect tool for Nursing schools, EMS Education programs, medical schools or other healthcare settings where rhythm and
sound recognition is critical. 10 different menus for arrhythmia and 11 for heart & breath sounds can be plugged into the tutor
(see below for complete listing), each containing 16 different sounds*. Arrhythmias may be viewed on any ECG-monitor by
connecting the three snap-on lead patient wires. (If no ECG-monitor is available, please see W49429.) The unit includes two
built-in sounders and two external sounders by which students can auscultate the sounds with a stethoscope. Linking
additional sounders (see W49430), up to 50 students can auscultate at the same time. Also a speaker may be connected.
Additionally, the unit has a volume control and two LEDs that illuminate during systole (heart menu) and expiration (breath
menu) as well as an illuminated display showing the example currently playing. The unit comes with a 12 Volt adapter.

* All data used in the menus are actual patient sounds. Arrhythmias and sounds of the same name are from different patients
in different menus to show appearance variations.
 NORAIDAH KASIRAN@DASUKI
010-8931062

ACLS Sound Menu - Ausculation Sounds for W49407

1. Normal sinus rhythm 9. 1st AV block

2. Sinus tachycardia 10. 2nd A-Wenckebach

3. Sinus bradycardia 11. 2nd AV Block- II

4. Supraventricular tachycardia 12. 3rd AV Block - CHB

5. PACs in NSR 13. PVCs, multi-focal

6. Atrial flutter 14. Ventricular tachycardia

7. Atrial fibrillation 15. VT, torsades de pointe

8. Junctional escape 16. Ventricular fibrillation

 NORAIDAH KASIRAN@DASUKI
010-8931062

ACLS Sound Menu - Auscultation Sounds for W49407

1. Normal sinus rhythm 9. 2nd AV-Wenckebach

2. PACs to PSVT 10. 2nd AV Block - II

3. Sinus arrhythmia 11. 3rd AV Block - JER

4. Sinus arrest 12. PVCs, multifocal

5. Atrial fibrillation 13. VT, paroxysmal

6. Accelerated, junctional 14. Ventricular fibrillation, fine

7. SV Prematures, junctional 15. Ventricular asystole

8. 1st AV Block, IVCD 16. Artifact

 NORAIDAH KASIRAN@DASUKI
010-8931062

CCU/ICU Sound Menu - Auscultation Sounds for W49407

1. Normal sinus rhythm 11. 2nd AV block - II, 2:1

2. Sinus bradycardia 12. 3rd AV block, JER

3. Atrial premature complexes 13. PVCs amid ST

4. Atrial tachy (SVT) 14. Ventricular tachycardia

5. Atrial flutter, variable 15. PVCs, VT - torsades

6. Atrial fibrillation 16. Ventricular fibrillation

7. SV tachycardia 13. PVCs amid ST

8. SV rhythm 14. Ventricular tachycardia

9. 1st AV block, IVCD 15. PVCs, VT - torsades

10. 2nd AV, wide QRS 16. Ventricular fibrillation

 NORAIDAH KASIRAN@DASUKI
010-8931062

CCU/ICU II Sound Menu - Auscultation Sounds for W49407

1. NSR with IVCD 9. 2nd AV, conduction delays

2. Sinus tachycardia 10. 2nd AV, high grade

3. 2nd SA Block - type 1 11. PVCs

4. SV premature 12. Ventricular tachycardia

5. SV tachycardia 13. Ventricular escape rhythm

6. SV tachycardia 14. Accelerated ventricular

7. Atrial flutter, 2:1 15. Ventricular flutter

8. Atrial fibrillation, IVCD 16. Asystole

 NORAIDAH KASIRAN@DASUKI
010-8931062

CCU/ICU III Sound Menu - Auscultation Sounds for W49407

1. NSR with IVCD 9. 2nd AV block, high grade

2. Sinus tachycardia 10. CHB with VER

3. SV bradyarrhythmia 11. SB with AV block, VPCs

4. Atrial premature complexes 12. Ventricular bigeminy

5. Paroxysmal atrial tachycardia 13. Polymorphic VT - torsades

6. SV Premature complexes 14. AV dissociation

7. Atrial flutter, variable AV 15. Ventricular fibrillation

8. Junctional escape rhythm 16. Ventricular systole

 NORAIDAH KASIRAN@DASUKI
010-8931062

Ventricular Waveforms Sound Menu - Auscultation Sounds for W49407

1. 5 PVCs/min 9. Ventricular asystole

2. 21 PVCs/min 10. Asystole

3. Ventricular bigeminy 11. 2nd AV block

4. Defibrillation event 10 12. SV tachycardia

5. Defibrillation event 10 (concluded) 13. Ventricular tachycardia

6. Defibrillation event 12 14. Ventricular tachycardia

7. Defibrillation event 11 15. NSR to polymorphic Ventricular tachycardia

8. Ventricular standstill 16. Ventricular fibrillation

 NORAIDAH KASIRAN@DASUKI
010-8931062

Congenital Heart Disease Sound Menu - Auscultation Sounds for W49407

1. Atrial septal defect 9. HCM control

2. Atrial septal defect 10. HCM valsala

3. Ventricular septal defect 11. Discrete subaortic stenosis

4. Ventricular septal defect 12. AR (bicuspid valve)

5. Patent ductus arteriosus 13. Pulmonary stenosis

6. Blalock - taussig 14. Ebsteins anomaly

7. Mitral prolapse control 15. Coarct AS/AR (severe)

8. Mitral prolapse valsalva 16. Coract AS/AR
 NORAIDAH KASIRAN@DASUKI
010-8931062

Cardiomyopathies Sound Menu - Auscultation Sounds for W49407

1. Apex control for hand grip 10. 4 LICS valsala strain

2. Apex hand grip 11. Apex

3. Apex control (supine) for maneuvers HCM - (latent) with hypertension

4. Apex legs raised 12. 4 LICS control

5. Apex squatting 13. 4 LICS valsalva strain

6. Apex standing after squatting Apical HCM, LBBB

HCM - valsalva meneuver 14. Apex

7. 4 LICS control 15. Apex respirations, paradoxical splitting

8. 4 LICS valsalva strain Restrictive cardiomyopathy, Atrial fibrillation

HCM - valsalva, Apexcardiogram 16. Apex

9. 4 LICS control