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©2021 CAE 905K640152 v1.2

101

Appendix A - Recommended Clinical Supplies

A

PPENDIX

A - R

ECOMMENDED

C

LINICAL

S

UPPLIES

These supplies are not provided with the simulator and need to be acquired by the facilitator for use
when performing competencies during clinical scenarios. The sizes listed below are
recommendations only.

Clinical Supplies

Size

Urinary Catheter

16 Fr

Nasogastric Tube Insertion

14 Fr

ETT

7 mm

Oropharyngeal Airway

100 mm

Nasal-Pharyngeal Airway

28 Fr

Tracheostomy Tube

6 mm

IV Cannula

20 g

LMA

#4, #5

King LTS-DLT-D

#4

Combitube

41 Fr

i-gel Supraglottic Airway

#4

Needle Decompression

14 g 6 cm

Face Mask

Adult, Medium

Other Supplies

Manual Bag Valve Mask (BVM)

Lighted Stylets

Double Lumen Endobronchial Tube

Extension tubing

Empty IV bag

Alcohol swabs

Talcum Powder

Distilled water

Petroleum Jelly

Red food coloring

Mild Dish Soap

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Summary of Contents for Ares

Page 1: ...User Guide Your worldwide training partner of choice...

Page 2: ...pollo Ares AresAR Aria Athena BabySIM BluePhantom Caesar CathLabVR EndoVR HPS ICCU InfantSIM iStan Juno LapVR LearningSpace Lucina LucinaAR Luna Maestro METIman M se NeuroVR PediaSIM SimEquip Simulex...

Page 3: ...res 5 Transport Information 5 Specifications 7 Size and Weight 7 Ambient Temperature Range 7 Maximum Altitude 7 Battery 8 Power 8 Communications 8 System Requirements 9 Software and Hardware 9 CAEMaes...

Page 4: ...ikin 31 Setup Preparation 31 Setup Procedure 32 Step 1 Place Ares Manikin in the Work Area 33 Step 2 Prepare Ares for Legs 33 Step 3 Attach Ares Legs 33 Step 4 Install Ares IO Leg Optional 36 Step 5 P...

Page 5: ...on Software 56 System Tools 56 Using Ares 57 Neurologic System 57 Neurologic System Controls 57 Eyes 58 Respiratory System 60 Respiratory System Controls 60 Nasal Packing 61 Airway Management 62 Intub...

Page 6: ...inistration 88 Simulated Medication 88 Intravenous Intramuscular Subcutaneous and Intraosseous Medication 88 Sounds 88 Auscultated Sounds 88 Using the StethoSym 89 Speech 91 Microphones 91 Care and Ma...

Page 7: ...ys use the supplied power cords Do not substitute Always use the supplied power adapter to run the simulator from AC Operate the system from a power source with the following ratings Do not allow exce...

Page 8: ...l solvents Do not immerse the manikin in liquid or use abundant liquid to wash the manikin For more information see the Care and Maintenance section Do not place foreign substances into the airway wit...

Page 9: ...cement If a simulator battery needs to be replaced immediately remove the old battery from the equipment to ensure no damage occurs Before disposing of a simulator battery apply vinyl tape to its posi...

Page 10: ...eneral if liquid leaks from the battery or foul odor is detected DO NOT use the battery and keep it away from heat or flame Avoid short circuiting the battery Do not store with coins screws or other s...

Page 11: ...react with alkaline basic materials and present a flammability hazard Safety Measures Only trained personnel familiar with the battery safety information should handle the simulator batteries Should e...

Page 12: ...atteries Shipped Independent of the Manikin Tablet and Laptop Batteries contained in or packed with the Manikin StethoSym Tablet Laptop and HoloLens UN No 3480N No 33480480 3481 UN Shipping Name Lithi...

Page 13: ...2 kg Instructor Tablets Galaxy S3 9 34 H x 6 65 W x 0 24 D 2 4 cm x 32 5 cm x 22 7 cm Galaxy S3 15 1 oz 429 g Surface Go 9 65 x 6 9 x 0 33 24 5 cm x 17 5 cm x 0 83 cm Surface Go 1 15 lb 522g Item Oper...

Page 14: ...Typical 13 W Manikin Simulator Internal Batteries Rechargeable Run Time 4 hours typical Instructor Tablet DAC Input 5 V Non removable Battery 6000 mAh battery Run Time 2 to 4 hours typical Patient Mo...

Page 15: ...owing identifies the software version associated with the release of this user guide Note There are periodic system updates for Maestro that can be downloaded from any device with an Internet connecti...

Page 16: ...msung Galaxy Tab S3 SM T820 9 7 in Software Android version 7 0 Chrome version 60 or higher Hardware 2 15 GHz Quad Core 4 GB LPDDR4 RAM 10 GB Hard Drive space available 2048 x 1536 screen resolution U...

Page 17: ...learning scenarios For more information see Optional Equipment in this user guide Standard Equipment Ares comes with standard equipment for each of the three configurations Base Configuration Equipmen...

Page 18: ...ion pad which can be interchanged with an IO deltoid pad IV IO Arm NIBP and Pulse Arm The non invasive blood pressure and pulse arm allows users to perform blood pressure readings using a modified blo...

Page 19: ...nd Female Genitalia and Chest Skins All Ares configurations come with interchangeable male and female genitalia and chest skins This also includes gender specific torso skins breasts and wigs Female a...

Page 20: ...res StethoSym The CAE StethoSym assembly attaches to a stethoscope and pairs with the manikin via Bluetooth technology This device allows users to auscultate heart lung and bowel sounds One StethoSym...

Page 21: ...2021 CAE 905K640152 v1 2 15 Equipment Overview Tools and Supplies Additional supplies are included with the simulator IO Pad Gown and Arm Sleeves Screwdriver Tape Laryngospasm Assembly and Lubricant...

Page 22: ...urface Go tablet comes equipped with pre installed CAE Maestro instructor software to control the manikin s physiological activity during simulations Surface Go Tablet Tablet Carrying Case The Surface...

Page 23: ...alistic blinking eye panning and light reactive pupils Additional conditions can be selected to be displayed in the eyes such as jaundice and hemorrhage SymDefib The CAE SymDefib box connects with a r...

Page 24: ...figurations Articulated Arm The articulated arm comes with a removable deltoid injection pad for IM injections and can be interchanged with an IO deltoid pad Articulated Arm IO Leg The Ares IO leg acc...

Page 25: ...ion Module The optional Breast Examination module includes Two breasts with configurable nodule inserts Small 10 mm hard with peg 6 Small 10 mm hard with longer peg 2 Medium 15 mm hard 2 Medium 15 mm...

Page 26: ...Mastectomy Module This optional module allows for the practice of post mastectomy care Post Mastectomy Wound Kit The kit includes Post operative left total mastectomy incision with staples Opening for...

Page 27: ...ure Thigh bite wound Thigh debridement Lower leg with varicose veins and stasis ulcer Below knee amputation stump Foot with skin tear Diabetic foot with toe infection and heel ulcer Upper Leg Wounds T...

Page 28: ...res Lower Leg Wound The lower leg wound can replace the lower leg that comes on Ares Varicose Veins with Stasis Ulcer Upper Leg Amputation Wound The upper leg amputation wound can replace the right le...

Page 29: ...zable wound patterns support a full range of injury types that can be applied to any anatomical area of the Ares manikin The HRMK includes Wound application and removal supplies Materials to produce u...

Page 30: ...multaneous venous and or arterial bleeds The Basic BPS model includes One femoral sleeve with shorts and protective guard One brachial sleeve without bone and protective guard Blood concentrate 2 5 ga...

Page 31: ...raining with a durable self sealing design A standard IV cannulation module is located in the hand space The training module includes One ultrasound IV PICC arm One bottle of blue fluid CAE Blue Phant...

Page 32: ...Equipment Overview 26 2021 CAE 905K640152 v1 2 CAEAres THIS PAGE INTENTIONALLY LEFT BLANK...

Page 33: ...ator is mobile lightweight easy to use and anatomically accurate for better skills proficiency and clinical assessment Ares configurations come with interchangeable male and female chest skins wigs an...

Page 34: ...tion Needle and surgical cricothyrotomy Pre made tracheostomy Stomach distention with esophageal intubation Laryngospasms Breathing Spontaneous breathing with unilateral and bilateral movement of the...

Page 35: ...Ares Base Continued Urinary Interchangeable genitalia Urinary catheterization without fluids Software and Tablet CAE Maestro software Surface Go Tablet Ares Advanced Base features SymEyes Ares Complet...

Page 36: ...Meet Ares 30 2021 CAE 905K640152 v1 2 CAEAres THIS PAGE INTENTIONALLY LEFT BLANK...

Page 37: ...ection of this user guide Read and understand the Cautions and Warnings located in the beginning of this user guide Follow the sequence of the steps carefully Complete all steps in order Do not power...

Page 38: ...ucted to do so in the Setup Procedure section of this guide Setup Procedure After reviewing the guidelines for unpacking the manikin and setup preparation proceed to the setup procedure steps Setup Pr...

Page 39: ...TION Never lift the manikin by the limbs Support the manikin s head and lift it from the torso Step 2 Prepare Ares for Legs To prepare Ares for attaching the legs a Reach under Ares buttocks and pull...

Page 40: ...o the hip joint hole Ares Leg b Place the spring over the end of the knurled nut c Place a metal washer on top of the spring d Through the hole in the metal frame where the genitalia was located faste...

Page 41: ...l washer is against the simulator s body The metal washer prevents the spring from damaging the plastic Attaching Ares Legs f Ensure that the leg moves freely g Repeat steps a through f for the second...

Page 42: ...t leg and foot from Ares at the knee joint using the Phillips screwdriver that came with Ares and a 7 16 wrench b Attach the left or right IO leg and foot to Ares thigh at the knee joint using the Phi...

Page 43: ...skin wrap over the tibial tuberosity area matching up the indentation in the skin with the bony prominence Skin Wrap Indentation e Wrap the skin around the leg and secure the hook and loop fasteners...

Page 44: ...iver Two 2 arm screws Two 2 joint spheres To prepare for the arms a Remove the IM IO pads from both arms and set them aside b Insert a screw into the flat side of a joint sphere Repeat for the other j...

Page 45: ...ols and hardware are included One 1 Phillips screwdriver The IV arm To attach the IV arm a Attach the mounting screw to the hole in the shoulder mount b Use the screwdriver to tighten the mounting scr...

Page 46: ...ing tools and hardware are included One 1 2 Phillips screwdriver NIPB Arm To attach the NIBP arm a Align the NIBP arm with the torso so the mounting screw is inserted into the joint sphere shoulder mo...

Page 47: ...e 1 Standard Adult Blood Pressure Cuff Scissors T shaped blood pressure adapter included Cable Ties included Modified Blood Pressure Cuff To modify a standard blood pressure cuff a Cut the tubing atta...

Page 48: ...Attach the blood pressure cuff to the manikin s arm The blood pressure is ready to be auscultated with a stethoscope Step 9 Place Ares Wig To place the wig on Ares head a Remove the wig from the packa...

Page 49: ...en the wig by moving the adjustment hooks to loops further from the center Step10 Charge the StethoSym To charge the StethoSym connect the power supply adapter to the USB cable and plug the micro USB...

Page 50: ...ablet To power on the instructor tablet press and hold the Power button located on the top of the tablet Step 13 Connect to Simulator s Network Optional If the instructor tablet does not automatically...

Page 51: ...For Ares the network name is ARE00XXXX where XXXX is the last 4 digits of Ares serial number ARE00XXXX WiFi Network Note Ares serial number is located on the right side of the torso by the power butt...

Page 52: ...ck OK The tablet is connected to the simulator s network To connect to the simulator s network on the Windows Surface Go tablet a From the home screen tap the Network icon located in the lower right c...

Page 53: ...Setup c In the Network window locate the simulator network from the list of available networks For Ares the network name is ARE00XXXX where XXXX is the last 4 digits of Ares serial number The Network...

Page 54: ...2021 CAE 905K640152 v1 2 CAEAres d Tap the simulator network The connection options appear The Network Window e Check the Connect automatically box f Tap Connect The Simulator Network Tap the simulato...

Page 55: ...From the Enter a network security key window tap Next The Connecting message appears then disappears when the tablet is finished connecting to the simulator network Step 14 Set Up the Patient Monitor...

Page 56: ...Setup 50 2021 CAE 905K640152 v1 2 CAEAres THIS PAGE INTENTIONALLY LEFT BLANK...

Page 57: ...Features Ares presents patient reactions based on complex neurological cardiovascular gastrointenstinal genitourinary respiratory and pharmacological models The manikin allows for the physical assessm...

Page 58: ...and unilateral which are appropriately synchronized with the respective phases of respiration Breath sounds are audible over the apex of each lung with the use of standard stethoscope and StethoSym In...

Page 59: ...ate patient response The ECG can be monitored via the defibrillator contacts The simulated patient can be defibrillated or cardioverted using the simulated functions via the Maestro software The instr...

Page 60: ...nikin features optional accessories for practicing clinical care skills Medication Administration The Ares manikin features Medication Administration capabilities for practicing emergency care skills...

Page 61: ...linical simulations that cover a range of events and crises Cardiopulmonary Arrest Closed Head Injury and Pneumothorax Heroin Overdose Inferior Posterior Myocardial Infarction Sepsis with Hypotension...

Page 62: ...and reactions by providing a flexible set of tools that adjust to the instructor s needs Application Software CAE Maestro software is the application that provides the instructor a means to control al...

Page 63: ...n be controlled from the Neurologic view are Blood temperature Body temperature Loss of consciousness Users can also control the eyes and speech from the instructor led software For more information s...

Page 64: ...r s eyes can be controlled from the software From the Run Screen tap on the eyes or Eyes button to open the Eyes state screen Eye states can be adjusted from the Eyes state menu by tapping the drop bo...

Page 65: ...Off Normal Jaundice Bloodshot Hemorrhage Keyhole Pupil Droopy Eyelids Cataracts Panning and Consensual Pupil Response can be toggled on or off Default On For more information on how to control the Sym...

Page 66: ...ic states Respiratory System Controls Anatomy Physiology and Clinical Signs Clinical Interventions Patient Monitoring and Scenarios Software Control Manual Control Pneumothorax or Hemothorax Increase...

Page 67: ...he second intercostal space The instructor must adjust the amount of physiologic intrapleural air present From the Run Screen tap Respiratory and adjust Intrapleural Vol Right and or Intrapleural Vol...

Page 68: ...tubes nasopharyngeal airways and oropharyngeal airways CAUTION Airways can be damaged by improper insertion of an airway adjunct such as endotracheal tube To protect the airway lubricate the adjunct p...

Page 69: ...bly To replicate laryngospasm 1 Attach the yellow tubing to the port on Ares left side labeled LARYNGO 2 Pull back syringe plunger and fill syringe with 50 ml of air 3 Attach syringe to stopcock and i...

Page 70: ...stomy site and secure it in place 5 After the simulation remove the tracheostomy tube and replace the plug Chest Excursion The Live and Advanced configurations include spontaneous chest excursion that...

Page 71: ...monstrate chest rise and fall Manual Bag Valve Mask BVM Ventilation Pneumothorax Needle Decompression By inserting a needle into the second intercostal space mid clavicular line the sound of air being...

Page 72: ...lar System Controls Anatomy Physiology and Clinical Signs Clinical Interventions Patient Monitoring and Scenarios Software Control Manual Control Heart Sounds Normal and abnormal heart sounds are sync...

Page 73: ...ystolic arterial blood pressure falls below specified thresholds None required but adjustable VIEW From the Run screen tap Pulse and tap on the pulse location desired to change intensity and or pulse...

Page 74: ...Cannulation feature are located in the dorsum of the hands and antecubital fossa region of the arms IV Arms To simulate realistic flashback the system must be primed prior to use Ensure all fluids ha...

Page 75: ...o IV sites on Ares left arm dorsum of the hand and antecubital fossa Each IV site has an insert with a loop of tubing The sites are filled and drained through tubing running from the IV site up to the...

Page 76: ...prepare the IV site for flashback and aspiration identify the ports that prime and drain the IV site on the left side of the manikin One tube will be for priming the other for drainage The yellow tubi...

Page 77: ...luid comes out of the drain tubing This will prime that IV site for flashback and venipuncture 7 Close the clamp on the drain tubing 8 Perform venipunture and confirm flashback Additional red color fl...

Page 78: ...deltoid Bilateral vastus lateralis To perform an IM SQ injection learners will need IM SQ injection pad Standard IM SQ injection device see Recommended Clinical Supplies Alcohol pads Sharps container...

Page 79: ...ne with the IO needle drill 3 Once access has been achieved up to 100 mL of fluid can be instilled Note The IO leg does not currently support aspiration of fluids after IO device placement Chest Compr...

Page 80: ...Torso The simulator generates a normal sinus ECG as well as a broad range of abnormalities such as Myocardial ischemia Sinus tachycardia and bradycardia Ventricular fibrillation and asystole The hemod...

Page 81: ...LLOWED as if the simulator were a patient Consult the specific defibrillator s user manual for further information The following cautions should be observed Defibrillation should be performed on the d...

Page 82: ...real defibrillator monitor and allows for use of real electrical therapy for defibrillation cardioversion and pacing To defibrillate using SymDefib 1 Connect the SymDefib cable to the defibrillator us...

Page 83: ...ocedure will vary depending upon the brand of defibrillator that is being used However the setup steps for the defibrillator will be the same as that described in the preceding section Refer to defibr...

Page 84: ...r panel select the parameter of desired blood pressure 2 Set the pressure by moving the blue slider left or right or by typing in a value 3 Select Accept to exit and save the changes The switch is now...

Page 85: ...e reading 1 Connect the extension from the T fitting on the blood pressure cuff adapter to either of the NIBP port on Ares right side 2 Ensure the electronics tether from the NIBP arm is connected to...

Page 86: ...oduces realistic bowel sounds Auscultation of normal and abnormal bowel sounds can be performed with the StethoSym utilizing the RFID tags For further information see Using the StethoSym in this guide...

Page 87: ...side 2 Detach the skin from the lower torso skin attachment pegs by gently pulling the skin tabs up and over the attachment pegs Left Skin Detached From Attachment Pegs 3 Repeat the procedure for bot...

Page 88: ...nsert upward to remove it Removing the Genitalia 8 Place the new genital insert into position by flexing the bottom of the genitalia and directing it under the metal frame into the cut out area 9 Posi...

Page 89: ...in tabs to the upper skin anchors Note If converting from male to female place and align the breast foam inserts on the female s chest prior to placing the chest skin Use the breast foam alignment gui...

Page 90: ...d with silicone spray Both female and male genitalia can be catheterized Note Ares does not have a urinary fluid reservoir so there will not be any fluid output Reproductive System The Ares manikin al...

Page 91: ...on the manikin during clinical scenarios Wound kits are also available for purchase with the manikin for learners to practice basic and advanced wound care with enhanced realism during simulations Leg...

Page 92: ...n Wound The upper leg amputation wound provides an example of a below the knee leg amputation To replace the standard right leg on Ares use the tools that are provided in the wound kit 1 Remove the ri...

Page 93: ...wound kit 1 Remove the female skin from Ares 2 Replace with the post mastectomy skin 3 Place the end of a drainage system through the hole and underneath the skin 4 Moulage the drainage Post Mastectom...

Page 94: ...o locate a stethoscope and set up the StethoSym prior to beginning a simulation Note A patient must be running in the software for any sounds to be available By default Normal sounds are selected To c...

Page 95: ...m s speaker module to the diaphragm of the stethoscope with the two elastic bands StethoSym Speaker Module Connected to Diaphragm 2 Pull back the lever on the StethoSym module to open the clamp and at...

Page 96: ...e power button Up to eight 8 StethoSyms may be used with a single simulator and with different manikins To pair a StethoSym with a new manikin place a powered StethoSym speaker module over a sound loc...

Page 97: ...e after selecting None The Speech Sounds buttons contain predefined phrases presented in a female or male voice depending on the gender associated with the scenario A patient must be running for the S...

Page 98: ...Using Ares 92 2021 CAE 905K640152 v1 2 CAEAres THIS PAGE INTENTIONALLY LEFT BLANK...

Page 99: ...n or on the skin A mild detergent and warm water will remove most marks and stains Gently rub the soiled area with a soft cloth DO NOT use ABRASIVE soaps or pads Lubricate airway adjuncts urinary cath...

Page 100: ...Healthcare Customer Service immediately for a repair Prompt repair prevents expansion of the damaged area Step 2 Draining and Flushing the IV If the simulation included use of optional IV administrat...

Page 101: ...with air until air flows from the IV drain tubing h Disconnect syringe from IV prime port i Disconnect the IV tubing and bag from the IV drain port j Empty the IV bag k Reconnect the IV tubing and em...

Page 102: ...Ares b Remove the sponge from inside the pad Remove the Sponge from the IM Pad c Squeeze all the fluid from the sponge and let air dry Squeezing Fluids from the Sponge d When dry replace sponge back i...

Page 103: ...ervoir drain port and empty the fluids IO Tibia Bone Module and Reservoir with Drain Port d Replace the cap on the drain port Step 5 Power off the Instructor Tablet To power off the Windows Surface Go...

Page 104: ...p the red X in the upper right corner of the screen to exit Maestro The tablet desktop screen appears d Press and hold the power button on the side of the tablet until the Power options menu appears e...

Page 105: ...guide Refer to the following short term and long term storage instructions for additional details Short Term Storage Follow these guidelines for short term storage less than two months Store the mani...

Page 106: ...imulator for a month or two Longer than that it would be wise to disconnect the battery Follow the Battery Safety Information detailed in this User Guide Using a screwdriver disconnect the batteries f...

Page 107: ...linical Supplies Size Urinary Catheter 16 Fr Nasogastric Tube Insertion 14 Fr ETT 7 mm Oropharyngeal Airway 100 mm Nasal Pharyngeal Airway 28 Fr Tracheostomy Tube 6 mm IV Cannula 20 g LMA 4 5 King LTS...

Page 108: ...8 00 a m to 5 00 p m ET Phone 1 877 223 6273 Email can service cae com Customer Service Europe Middle East and Africa Monday Friday from 8 00 a m to 5 00 p m CET Phone 49 0 6131 4950354 Email interna...

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