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laerdal SimMan 3G PLUS User Manual Download Page 53

20-18071 

Rev A

Pneumothorax Needle Decompression 

Tension pneumothorax with needle decompression can be 

performed at the bilateral mid clavicle line, 2nd intercostal 

space.  

The bladders can be punctured approximately 10 times before 

needing to be replaced.  Refer to 

Replacing the Pneumothorax 

Bladders

.

Setting Breathing Status in LLEAP 

Summary of Contents for SimMan 3G PLUS

Page 1: ...20 18071 Rev A SimMan 3G PLUS User Guide...

Page 2: ...20 18071 Rev A SimMan 3G PLUS Introduction...

Page 3: ...ation LLEAP depending on training needs The simulator responds to clinical intervention instructor control and pre programed scenarios for effective practice of diagnostic skills and patient treatment...

Page 4: ...r through on screen touch menus Voice Conference Application VCA transmits all vocal sounds used during simulation It enables the instructor to communicate through the simulator during the session Ses...

Page 5: ...improved speed and signal strength Option 2 Router If a local or ad hoc network is required a router Laerdal or user s own can be used Option 3 Mobile Router A portable battery operated router can be...

Page 6: ...ll and Drain Bottles 15 Wounds Kit 16 Chest Drain Pleura 17 External Reservoir Bag 2000 ml Tube with elbow connector 18 IV Bag 19 IV Port Seal 20 Silicone Dressing Base 21 CricothyroidTape 22 Tibia Pa...

Page 7: ...20 18071 Rev A SimMan 3G PLUS Features Overviews...

Page 8: ...and pupil settings Heart lung bowel and vocal sounds Clinical Interventions BagValve Mask BVM ventilation Laryngeal Mask LMA placement Oral nasal and endotracheal intubation Suctioning oral nasophary...

Page 9: ...PLUS provides CPR measurement and feedback compliant with AHA 2020 guidelines LLEAP provides real time feedback on the quality of depth release and frequency of CPR CPR compressions generate palpable...

Page 10: ...20 18071 Rev A Panels Overview 1 Power Panel 2 Fluid Fill Panel 3 Air CO2 Panel...

Page 11: ...r Status No Light Power Off Green Power On Orange Start up Flashing Red Power Save 2 Battery Status Red 0 20 Orange 20 70 Green 70 100 3 Charge Status Red Not charging check batteries Orange Charging...

Page 12: ...20 18071 Rev A Fluid Panel Overview 1 Air Out 2 Blood Inlet 3 Fluid Inlet 4 Activate Filling...

Page 13: ...onnected when the Patient Simulator is stationary over extended periods Connect a suitable CO2 external air source to a Laerdal external compressor or regulator panel Connect a Laerdal double lumen Ai...

Page 14: ...ange of Mobility Neck 3 axis movement of the head Shoulder At least 160 flexion of arm 30 extension of arm 70 abduction of arm 90 medial rotation Elbow At least 90 flexion 90 medial rotation Thumbs Fr...

Page 15: ...eous IO simulation with needle insertion is possible through the left tibia and humeral in both arms 3 Intramuscular IM injections can be simulated in both deltoid arm areas and upper hip 4 Chest tube...

Page 16: ...SimMan 3G PLUS Turning On To turn on press the power button and the power status indicator will turn orange The Patient Simulator will say Simulator started the eyes will blink and there will be visi...

Page 17: ...20 18071 Rev A SimMan 3G PLUS Charging Battery Charging the Patient Simulator Setup Batteries Charging Batteries Externally Viewing Battery Status in LLEAP...

Page 18: ...Simulator on both batteries until automatic shutdown The Patient Simulator will automatically shut down if battery temperature rises above 60 C 140 F or the remaining charge falls below 6 on one of t...

Page 19: ...the skin at shoulders and torso and place to one side Note Ensure the LiveShock cable has been disconnected 2 Move the stomach foam carefully to one side to avoid pulling on connecting tubes and cabl...

Page 20: ...torso cable as shown 8 Replace cover once battery batteries are connected and in place Note If both batteries are removed while the simulation is paused the Patient Simulator will shut down and simul...

Page 21: ...ally The Patient Simulator battery charger comes with 5 interchangeable international plugs which can be used to externally charge batteries outside of the Patient Simulator Note The charger should on...

Page 22: ...20 18071 Rev A SimMan 3G PLUS Pre Simulation Setup General Pre Simulation Setup PrepareTrauma Leg Accessory...

Page 23: ...is stationary over extended periods 1 Connect a suitable CO2 external air source to a Laerdal external compressor or regulator panel 2 Connect a Laerdal double lumen Air CO2 tube from the external com...

Page 24: ...l blood fill bottle with approximately 500 ml distilled water 2 Add approximately 10 drops of Laerdal Blood colored concentrate 3 Tighten the cap and mix Preparing Clear Fluids and Secretions 1 Fill f...

Page 25: ...over 2 Connect the blood fill bottle tubes to the relevant inlet and the air outlet in the right leg panel 3 Turn on the Activate Filling The button will light up and blood will flow into the Patient...

Page 26: ...ift the panel cover 2 Connect the fluid fill bottle tubes to the relevant inlet and the air outlet in the right leg panel 3 Turn on the Activate Filling The button will light up and fluid will flow in...

Page 27: ...A Prepare Secretions Sweat and Urine in LLEAP Sweat tears cerebrospinal fluid CSF and urine functions can be set and adjusted in the LLEAP Fluids tab Setting Secretions in LLEAP Adjusting Urine Funct...

Page 28: ...sensor cable from inside the Patient Simulator pelvis to the urine bladder module 4 Place the new genitalia module back into the Patient Simulator s pelvis Notes The Patient Simulator legs do not nee...

Page 29: ...in 3 Lift head skin to expose tubing 4 Disconnect blue and red tube connectors 5 Carefully remove microphone cable from inside head skin 6 Turn head 7 Disconnect red blue and green tube connectors 8 C...

Page 30: ...Skin 2 3 Replace Head Skin 10 Select new head skin 11 Unzip head skin 12 Turn head skin inside out 13 Position head skin over head module 14 Align eye sockets over eyes align airway tube with right no...

Page 31: ...are Head Skin 3 3 15 Insert microphone carefully 16 Connect red blue and green tube connectors 17 Turn head to other side and insert microphone 18 Connect red and blue tube onnectors 19 Close zipper 2...

Page 32: ...be replaced with a hard set for enhanced realism while practicing intubations 1 Grip soft teeth with two fingers 2 Remove soft upper teeth 3 Select new teeth 4 Align new teeth with the gums and push b...

Page 33: ...rom the wound to the desired port Removing Wound 1 Follow the cleaning procedure in Cleaning the Blood System with the wounds still attached 2 Remove wounds kit once cleaning is complete 3 Clean any t...

Page 34: ...mplete leave the trauma modules connected and clean according to the instructions in Cleaning the Blood System Notes The SimMan 3G arm adaptor kit is required to connect the trauma arm modules There w...

Page 35: ...Arms Accessory 1 2 Removing Arm 1 Unzip torso skin 2 Move stomach foam to one side 3 Lift chest plate to expose arm bolt 4 Unscrew the left arm bolt 5 Disconnect all arm cables 6 Remove arm Note Do n...

Page 36: ...th Arm Adapter and Adapter Screw 8 Unscrew the Adapter Screw 9 Insert arm into shoulder bracket 10 Tighten arm bolt to secure 11 Attach tube to desired blood port 12 Tighten screw to adjust range of a...

Page 37: ...1 2 Lay the Patient Simulator on a flat surface Removing Default Left Leg 1 OpenTorso Skin refer to OpeningTorso 2 Move stomach foam to one side 3 Disconnect the cables to the left leg 4 Pull out the...

Page 38: ...1 Rev A Prepare Trauma Leg Accessory 2 2 AttachingTrauma Leg 6 Insert theTrauma Leg into the leg socket 7 Insert the thumb lock pin ensuring the leg is properly fixed into place 8 Connect the cables a...

Page 39: ...20 18071 Rev A SimMan 3G PLUS Immersive Simulation...

Page 40: ...y Needle 22 G ChestTube 14 28 Fr IV Catheter 22 G Urinary Catheter Size 16 Fr IM Needle 21 G maximum Mask for ventilation Laerdal Adult Mask 4 to 5 Intraosseous IO Access Tibial BIG Automatic Intraoss...

Page 41: ...20 18071 Rev A SimMan 3G PLUS Intravenous IV Injection...

Page 42: ...20 18071 Rev A Intravenous IV Setup IV cannulation can be performed Note Only use purified water distilled to simulate IV drugs This prevents clogging of the system...

Page 43: ...inistered Note The smaller drain port is for the IV drain bag and the larger drain port is for the IO drain bag To Connect Drain Bag 1 Connect an IV overflow tube and reservoir bag to the IV fluid dra...

Page 44: ...essing base onto the arm skin 1 Place dressing 2 Insert IV cannula 3 Connect tubes luer lock to cannula and drain bag 4 Secure IV area with tape Notes The silicone dressing base can be used multiple t...

Page 45: ...20 18071 Rev A SimMan 3G PLUS Intraosseous IO Injection...

Page 46: ...o repair and replace the IO bone refer to Maintaining Arm IO Bone Recommended Device Sizes BIG Automatic Intraosseous Device 15 G EZ IO 15 G x 1 1 8 x 25 or 45 mm Cautions Incorrect use of larger devi...

Page 47: ...simulated blood 8 Connect the tube to the module and insert it into the leg Feed the drain tube out of the back of the leg to ensure that there are no kinks 9 Secure with tape 10 Roll up leg skin Reco...

Page 48: ...ions can be simulated in both the arms and upper hip areas as shown Notes The Pelvis IM pad absorbs up to 15 ml of fluid The Arm IM pads absorbs up to 10 ml of fluid To dry or replace the pad s refer...

Page 49: ...20 18071 Rev A SimMan 3G PLUS Airway Interventions Setting Lung Compliance and Resistance in LLEAP Setting Breathing Status in LLEAP...

Page 50: ...of a malleable stylet is recommended ensure it does not extend beyond the ET tube Exhaled CO2 can be detected with a CO2 detection device attached to an ET tube Airway Complications The following air...

Page 51: ...20 18071 Rev A Airway Intubation 1 Lubricate airway device 2 Insert lubricated device into the airway Caution Do not spray lubricant directly into the airway...

Page 52: ...20 18071 Rev A SimMan 3G PLUS Breathing Interventions...

Page 53: ...rax with needle decompression can be performed at the bilateral mid clavicle line 2nd intercostal space The bladders can be punctured approximately 10 times before needing to be replaced Refer to Repl...

Page 54: ...chest tube insertion can be simulated at the mid axillary line in the 4th and 5th intercostal spaces It is recommended to use chest tubes in the range of 14 28 Fr Refer to Replacing the Chest Drain Pl...

Page 55: ...20 18071 Rev A SimMan 3G PLUS Cardiac Interventions...

Page 56: ...in 45 seconds followed by 1 minute of CPR After 30 minutes there must be at least 15 minutes pause in defibrillation before starting a new sequence Do not repeat this for more than a 4 hour period War...

Page 57: ...to BP cuff use aY connector if the patient monitor uses a dual tube 3 Connect short tube with angled connector to BP port and longer tube to the Patient Monitor The NIBP system delivers simulated bloo...

Page 58: ...ure that the index finger skin is correctly aligned with the translucent window area 2 Clip the probe on to the finger ensuring that it is firmly positioned over the SpO2 window area 3 If positioned i...

Page 59: ...SimMan 3G PLUS Cleaning Maintenance Storage Leg Maintenance Arm Maintenance Head Neck and Airway Maintenance Fluid System Maintenance Chest andTorso Maintenance Blood System Maintenance Battery Care a...

Page 60: ...ning medications near the Patient Simulator Take care not to place the Patient Simulator on newsprint or colored paper All staining may be permanent Avoid 70 ethanol for cleaning fluids as it can caus...

Page 61: ...rso skin 1 Unzip the skin at shoulders and torso 2 Remove the genitalia pad 3 Release the skin flap 4 Move the skin to one side 5 Move the stomach foam carefully to one side to avoid pulling on connec...

Page 62: ...e skin flap 4 Move the skin to one side 5 Move the stomach foam carefully to one side 6 Disconnect the torso skin cable from the Patient Simulator 7 Remove the front torso skin section and replace the...

Page 63: ...e decompressions Open the torso skin as described in OpeningTorso 1 Lift the chest plate to expose pneumothorax bladders 2 Slide the bladder s out 3 Disconnect the tube s 4 Discard used bladder s 5 Se...

Page 64: ...they leak or are damaged Open the torso skin as described in OpeningTorso 1 Lift the chest plate to expose the Chest Rise bladders one on each side 2 Disconnect the tube s 3 Discard used bladder s 4 S...

Page 65: ...Chest Drain Pleura Open the torso skin as described in OpeningTorso 1 Remove used chest drain pleura module 2 Remove and discard pleura skin from module 3 Replace used pleura skin with a new one 4 Ins...

Page 66: ...r are damaged Open the torso skin as described in OpeningTorso 1 Lift the chest and chest rise plates 2 Unhook the green lung compliance bands on each side of the lung assembly 3 Lift hinged lung plat...

Page 67: ...A Replacing Lung Bladders 2 2 7 Insert new lung bladder into the socket 8 Ensure that the string is placed in the lung bladder fold 9 Close hinged lung plate 10 Secure green compliance bands 11 Close...

Page 68: ...w simulation session 1 Remove neck skin 2 Remove damaged or perforated tape 3 Select a new section of cricothyroid tape 4 Replace with new tape ensuring it completely covers and seals the opening to p...

Page 69: ...rom shoulder to wrist b Position the arm to expose underside and detach skin at each plug c Detach skin at inner elbow point Closing Arm Skin 2 a Attach skin at elbow point b Attach skin at each plug...

Page 70: ...ng Arm s 1 Unzip the torso skin 2 Move the torso skin to one side 3 Lift up the chest plate 4 Unscrew the arm bolt 5 Disconnect cables as shown and feed them out of the arm socket 6 To install a new a...

Page 71: ...v A Replacing Arm Skin 1 2 1 Unzip arm skin 2 Position the arm to expose underside and detach skin at each plug 3 Detach skin at inner elbow point 4 Remove skin from the shoulder area 5 Remove skin fr...

Page 72: ...the SpO2 finger window is positioned correctly over the sensor area 8 Place arm skin over shoulder area and tubing 9 Attach skin at elbow point 10 Attach skin at each plug 11 Click the IV port into p...

Page 73: ...being replaced or dried It can withstand up to 5 x 2 ml injections before needing replaced with a dry pad 1 Partially unzip arm skin to wrist 2 Remove the Arm IM Pad 3 Wring out fluid from the pad 4...

Page 74: ...Rev A Maintaining Arm IM Pads Absorbent Sheets 2 2 7 Discard used sheet 8 Select new sheet 9 Insert sheet into place 10 Replace Arm IO Bone 11 Ensure that base of IO Bone slots into place 12 Replace A...

Page 75: ...nge the IV port or seal if they show signs of significant wear and tear 1 Unzip arm skin from shoulder to wrist 2 Release IV port from chassis 3 Rotate to release from tube 4 Remove IV port completely...

Page 76: ...Rev A Replacing the IV Port Seal 2 2 6 Discard used seal 7 Insert a new seal into IV port 8 Align and attach IV port to tube 9 Rotate IV port to secure in place 10 Click back into chassis 11 Zip up a...

Page 77: ...one can be repaired with Loctite 454 or similar superglue OR replace the IO bone completely when it has been significantly punctured 5 Replace repaired or new Arm IO Bone 6 Ensure that base of IO Bone...

Page 78: ...pinch clamp 3 Roll down leg skin to access theTibial IO module 4 Remove the IO tape 5 Lift out theTibial IO unit from the leg 6 Remove the tube from theTibial IO module 7 Remove theTibial IO Pad from...

Page 79: ...d into the chassis and press the base of the pad until the nipple moves forward and locks into place 11 Connect theTibial tube to theTibial IO unit 12 Insert theTibial IO module into the leg 13 Secure...

Page 80: ...ed thoroughly once or twice a month Emptying Internal BloodTank 1 Connect an empty fill bottle to Blood Inlet 2 Fluid from the internal tank will automatically drain into the fill bottle 3 When the fl...

Page 81: ...anol 8 Connect a fill bottle with isopropanol to the blood and air connector the filling of isopropanol into the internal reservoir will start 9 From LLEAP again check the boxes for Upper and Lower po...

Page 82: ...as described in OpeningTorso and locate blood system filter 2 Disconnect the filter from the leg and pelvis blood tubes by unscrewing the black connectors at each end 3 Remove filter from the Patient...

Page 83: ...rom the internal tank will automatically drain into the fill bottle 3 When the flow stops disconnect the fluid connector Note Place the fill bottle on the floor or below the Patient Simulator to facil...

Page 84: ...nect the empty fill bottle Flush System with Isopropanol 8 Connect a fill bottle with isopropanol to the fluid and air connector in the fill panel filling of isopropanol into the internal tank will st...

Page 85: ...ip the skin at shoulders and torso and place to one side Note Ensure the LiveShock cable has been disconnected 2 Move the stomach foam carefully to one side to avoid pulling on connecting tubes and ca...

Page 86: ...ttery batteries are connected and in place Warning Inserting and connecting batteries incorrectly short circuiting or exposure to fluids pose an explosion hazard Caution Do not use the batteries if th...

Page 87: ...20 18071 Rev A Transport and Storage 1 2 The Simulation System is supplied with two cases for easy transport and storage one for the Patient Simulator legs and one for the torso...

Page 88: ...o not store this product outside the storage conditions specified in the Important Product Information Store simulator in a clean dry area Storage in a damp area will cause corrosion of electronic par...

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