Gaumard S402.100, User Manual

Page: 15 / 24

| Working with the Simulator | User Guide |
15
HEMODIALYSIS EXERCISES
The fistula insert represents a healed fistula that
allows hemodialysis exercises.
The Arterial and Venous Insert can be used for
training of the placement of arteriovenous (AV)
grafts or creation of an AV fistula
To install the Fistula insert, refer to the
“Replacing the Arterial and Venous Insert and
Fistula Insert” below.
REPLACING THE ARTERIAL AND VENOUS
INSERT AND FISTULA INSERT
1. Please refer to the “Draining The System”
section to remove all fluids from the arm.
2. On the proximal end of the insert, gently lift
up the skin.
WARNING
Avoid using nails or sharp objects to
lift the skin or separate the male and
female connectors
3. Pull the insert’s male quick-connectors
backwards to separate them from the arm’s
female quick-connectors.
REPLACING THE INCISION AND SUTURE
INSERT
1. Lift up one side of the insert and carefully
remove it.
2. Hold the replacement Incision and Suture
insert over the new vacant slot.
3. Orient the S on the Incision and Suture insert
to face towards the shoulder.
4. Place the insert and massage the sides to
smooth the transition between insert and skin.
INJECTIONS IN THE DORSUM OF THE
HAND
Three veins are supplied in the dorsum of the
hand for additional intravenous exercises.
The simulator is shipped with the antecubital
area of the arm presented, and the palm hand
shown palm up. In order to access the veins
in the dorsum of the hand, please follow the
instructions below:
1. Disconnect one of the snaps securing the
wrist band.
2. Looking from the fist towards the shoulder,
hold the shoulder with one hand and gently
rotate the arm clockwise until the dorsum is
exposed.
3. Secure the arm by reconnecting the snap
from step 1.
4. In order to return to the palm up position,
repeat the first 3 steps, but rotating he arm
counter-clockwise instead of clockwise.