laerdal SimMan 3G Trauma Directions For Use Manual Download Page 3

CONTENTS

               

 

 

Introduction

 

    

1

•  SimMan 

3G 

Trauma 

Help 

 

   1

•  Regulatory 

Information 

 

   1

•  SimMan 3G Trauma Patient Manikin   

 

2

Important

     

3

•  General 

Manikin 

Handling 

 

   3

•  Anti-virus 

and 

Firewalls 

 

   3

•  File Security and Backup of Data  

 

 

3

Cautions  and Warnings

 

   

3

•  General 

Manikin 

Handling 

 

   3

•  Defibrillation 

Hazards 

 

   3

•  Mechanical or Electrical Hazards  

 

 

4

•  Battery 

Use 

 

    4

•  Servicing 

the 

Manikin 

 

   4

Manikin Setup

 

    

5

•  Transporting SimMan 3G Trauma 

 

 

5

•  SimMan 3G Trauma Overview  

 

 

6

•  Opening 

the 

Torso 

 

   7

•  Attaching the Left Leg  

 

 

 

7

•  Attaching the Right Leg    

 

 

8

•  Attaching 

the 

Left 

Arm 

 

   8

•  Attaching 

the 

Right 

Arm 

 

   9

•  Inserting and Connecting the Batteries  

 

9

•  The Power Panel 

    10

•  Charging the Batteries inside the Manikin  

 

11

•  Charging Batteries with External Charger  

 

11

•  Battery 

Use 

 

    12

•  Other 

Battery 

Warnings 

 

   12

System Setup

 

    

13

•  Preparing SimMan 3G Trauma for Simulation    

13

•  SimMan 

3G 

Trauma 

PCs 

 

   13

•  Activating the Instructor Software license  

 

13

•  Configuring 

Your 

Network 

   14

•  The 

Instructor 

PC 

 

   15

•  Auto 

Mode 

Overview 

 

   15

•  Instructor Mode Overview  

 

 

16

•  3G 

View 

and 

Classic 

View 

 

   17

•  Opening an Auto Mode Patient Case  

 

18

•  Opening an Instructor Mode Scenario 

 

19

•  The Patient Monitor PC    

 

 

20

•  The Patient Monitor Interface  

 

 

20

•  Transferring 

Media 

Files 

 

   22

•  The Laerdal Voice Conference Application  

 

22

•  Accessing the Voice Conferencing Application   

23

•  Accessing the Debrief Viewer 

 

 

24

•  Scenario 

Editor 

    24

•  To Convert SimMan Scenarios to  

SimMan 3G Trauma Scenarios  

 

 

24

•  Help 

Files 

 

    24

Setup for Simulation

 

   

25

•  Using the Internal Compressor  

 

 

25

•  Turning the Internal Compressor OFF  

 

25

•  Changing default Compressor Settings  

 

25

•  Air/CO

2

 and Fluid Panel    

 

 

26

•  Blood and Fluid System    

 

 

26

•  Draining of Fluids and Blood reservoirs  

 

26

•  Cleaning the Fluid and Blood system  

 

28

•  Adjusting 

Fluid 

Flow 

   29

•  Administering 

IV 

Fluids 

   29

•  Cleaning 

the 

IV 

Arm 

   29

•  Connecting 

Wounds 

Kit 

 

   30

•  Removing 

Wounds 

 

   30

•  Simulate 

Severe 

Bleeding 

 

   30

•  Attaching the Amputated Arms 

 

 

31

•  Replacing the Left Leg with the Amputated Thigh 

32

•  Installing the Amputated IM Thigh Skin 

 

32

•  Installing the Amputated Lower Calf Skin 

 

33

•  Installing the Left and Right IM Thigh Skins 

 

34

•  Connecting Defibrillation Adapter Plates  

 

35

•  Connecting the Blood Pressure Cuff   

 

36

•  Calibrating the Blood Pressure Cuff 

 

  36

•  Connecting the SpO

2

 

Probe 

 

  36

•  Changing Genitalia Modules  

 

 

36

•  Inserting 

Urine 

Catheter 

 

   36

•  Changing the Upper Dentures  

 

 

36

•  Replacing & FiIling IO Modules with Blood 

 

37

•  Replacing & FiIling the Tibial IO Modules with Blood 

38

Clinical Features

 

    

40

•  General 

 

    40

•  SimMan 3G Trauma Clothing  

 

 

40

•  Airway 

Features 

    41

•  Breathing 

Features 

 

   42

•  Circulation 

 

    43

•  Bleeding 

 

    44

•  Sounds 

 

 

    45

•  Eyes Settings and Configurations 

 

 

46

•  Drugs 

and 

IV 

 

    46

Maintenance

 

    

48

•  Maintenance after each Simulation Session  

 

48

•  Installation and Upgrading SimMan 3G software  

48

•  Replacing Crico Tape / Neck Skin    

 

50

•  Replacing Chest Drain Pleura  

 

 

50

•  Replacing Pneumothorax Bladders    

 

51

•  Replacing Chest Rise Bladder  

 

 

51

•  Replacing 

Lung 

Bladders 

 

   52

•  Replacing 

Manikin 

Skins 

 

   53

•  Replacing Blood System Filter 

 

 

53

Troubleshooting

 

 

    

54

Main Specifications

 

 

   

57

Spare Parts and Accessories 

    

58

Summary of Contents for SimMan 3G Trauma

Page 1: ...SimMan 3GTrauma Directions for Use www laerdal com...

Page 2: ......

Page 3: ...les 24 Setup for Simulation 25 Using the Internal Compressor 25 Turning the Internal Compressor OFF 25 Changing default Compressor Settings 25 Air CO2 and Fluid Panel 26 Blood and Fluid System 26 Drai...

Page 4: ...Network configuration WLAN setup Profile Editor Technical Assistance For technical assistance contact your local Laerdal Technical Service Center Web Downloads Visit http www laerdal com to download...

Page 5: ...irs Interventions by learners are registered by the system in the session log and used for later debriefing Patient Monitor PC can be configured to replicate most patient monitors The web camera recor...

Page 6: ...rules regulations or laws and is the sole responsibility of the customer The following precautions should be taken when using this product to avoid personal injury or damage to the product General Ma...

Page 7: ...use automated chest compression machines on the manikin Mechanical or Electrical Hazards Warning Avoid pinch hazards Do not remove protective bushings from the manikin s joints or use the manikin wit...

Page 8: ...e relevant airline Disassemble the legs from the torso and pack them into their respective cases before transportation or storage For instructions on how to disassemble the legs see Manikin Setup Atta...

Page 9: ...hooting Spare Parts Manikin Setup SimMan 3GTrauma Overview power panel fluid fill panel DC Input 9 24V X XA Fluid Inlet Air Out Blood Inlet Activate Filling Bleeding ports Speakers Defib Connectors EC...

Page 10: ...Left Leg Note Assemble the manikin on a large flat surface Attach the left leg before the right leg Open the torso to access the hip joint connectors To open the torso follow steps 1 4 Opening the Tor...

Page 11: ...arent red tube Black twist and lock connector Right leg Black harness cable Black rectangular connector 4 lead Fluid from leg Tube blue White twist and lock connector Air from leg Colourless transpare...

Page 12: ...pring then washer onto the bolt and feed through the arm 3 Tighten the screw with a Phillips head screw driver 4 Replace the deltoid pad Inserting and Connecting the Batteries Open the torso as descri...

Page 13: ...is found on the right side of the manikin under a loose skin flap Lift the skin flap and pull out the protective cover To ensure easy access use the zippered clothing provided with the SimMan 3G manik...

Page 14: ...upply 2 The battery indicator on the power panel shows the charge status of for the internal batteries External battery charging The battery charger comes with 5 international plugs Connect the approp...

Page 15: ...nside the manikin Store batteries in a refrigerator i e temperature 0 C 4 C 32 F 40 F The two manikin batteries can be transported in the manikin during air freight When transporting spare batteries p...

Page 16: ...start the simulation 10 The simulation system is now ready for use Power cables may be disconnected when batteries are charged Note Also refer to the Quick Setup Guide for detailed instructions on ini...

Page 17: ...ting and also the default The default preshared key is SimMan3G This should however be changed with the SimMan 3G network configuration tool Connecting to an Existing Network If you would like to conn...

Page 18: ...y of the following ways to the Session Log Using the General Events button Using the Event Search function Using the clickable manikin figure 5 PERFORMANCE The Performance window shows the effectivene...

Page 19: ...an be viewed either as an average or in real time The window is minimized as a default To view the full display Click the Expand button to open the window 5 INSTRUCTOR PATIENT MONITOR The Instructor s...

Page 20: ...e SimMan 3G will by default display the Classic view after conversion Opening an Auto Mode Patient Case To start a simulation in Auto Mode 1 Launch the Instructor Application on the Instructor PC 2 Se...

Page 21: ...nts are registered automatically by the SimMan 3G manikin These events are highlighted blue and are marked with a wireless manikin icon Common Learner Events The Common Learner Events window lists the...

Page 22: ...graph shows the patient status in terms of past current and predicted trend lines The timer in the top right corner shows how long the simulation has been running Depending on the scenario pre program...

Page 23: ...omputer see the Patient Monitor Application Troubleshooting section in the SimMan3G Help files The Patient Monitor Interface 1 TOP MENU 1 Press wave in the top menu to view and change monitor display...

Page 24: ...ecting the Main Setup button opens the Main Setup menu Options in the Main Setup menu are identical to the similar options displayed on the Menu line Selecting the Main Screen button enables an immedi...

Page 25: ...between instructors can be added Accessing the Voice Conferencing Application The Voice Conference Application will launch automatically when connecting to a manikin The Voice Conference Application c...

Page 26: ...to the same timeline and are always played back simultaneously Accessing the DebriefViewer The Laerdal DebriefViewer can be accessed in two ways 1 From the Instructor Application Click End Session Cl...

Page 27: ...Scenarios made with previous versions of the Scenario Editor must be converted to SimMan Scenarios in order to run and edit them To Convert SimMan Scenarios to SimMan 3GTrauma Scenarios Under Tools in...

Page 28: ...wear If using the manikin in high temperatures always allow the manikin to cool down between training sessions If the manikin is placed in a bed it should never be covered with a comforter duvet or qu...

Page 29: ...lied with two fill units one Blood Fill Unit for blood and one Fluid Fill Unit for fluids secretions SIMMAN RIGHT LEG FILL PANEL The right leg fill panel is located at the top of the right leg near th...

Page 30: ...l bottle with de ionized water Add 5 10 drops of Laerdal Blood colored concentrate mix and tighten the cap Run Manikin with External Blood 1 Drain the internal reservoir Follow instructions for Empty...

Page 31: ...his action for both reservoirs CLEANING THE FLUID SYSTEM 1 From the Instructors application open Circulation and fluids tab check the Secretions box for urine and then select polyuria Check the Secret...

Page 32: ...r OR De ionized water Priming the IV Arm System 1 Use a syringe to inject blood concentrate and 500 cc of water into an IV bag with tubing This will serve as the blood source Attach the blood source b...

Page 33: ...osition on the skin Removing Wounds Flush all ports and tubes with 60 Isopropanol while the wounds are still attached When the fluid runs clear disconnect the tube from fluid outlet After the wound is...

Page 34: ...right shoulder 6 Fit the Arm Adapter into the hole in the arm bracket from inside the torso Ensure the flat edge of the Adapter is facing the chest hinge Hand tighten the shoulder bolt 7 The Adapter...

Page 35: ...eps 1 4 on page 7 2 Unscrew the hip joint connector Remove the leg cables tubes from the connector 3 Carefully remove the left leg with cables and tubes 4 Insert the AmputatedThigh with blood tube int...

Page 36: ...e two pulse units Disconnect both units and route the wiring out of the foot Roll the wires together and store in the bottom of the ankle 3 Apply a liberal amount of baby powder inside of the Amputate...

Page 37: ...d be aligned with the corresponding L or R on the upper dorsal thigh of the 3G manikin s leg 2 Apply a liberal amount of baby powder to the inside of the skin and leg and pull the skin all the way up...

Page 38: ...ion do not exceed a defibrillation sequence of 3 shocks in 45 seconds followed by 1 minute of CPR After 30 minutes there must be at least 15 minutes with no shocking before starting a new sequence Not...

Page 39: ...The pad can be exchanged for a male or female genitalia pad with urine catheter to simulate urine flow and catheterization Note The manikin legs do not need to be removed before the genitalia pad can...

Page 40: ...completely filled 5 Reattach the Sternal tube to the Sternal IO pad 6 Place the Sternal IO unit in the Sternal Chassis Slide the unit down and towards the neck until it fits securely under the top ed...

Page 41: ...band to expose theTibial IO module 3 Remove the IO tape Then remove the Tibial IO unit from the leg 4 Remove the tube from theTibial IO module 5 Remove theTibial IO Pad from theTibial IO chassis 6 Bef...

Page 42: ...the module in place Roll the leg skin up over theTibial module TheTibial IO is now ready for simulation The following devices have been tested and are approved for use with the simulator BIG Automati...

Page 43: ...module optional accessory Right arm amputation and bleeding module optional accessory The SimMan 3G arm adaptor kit is used to connect the trauma arm modules Contact your local Laerdal representative...

Page 44: ...my Surgical cricothyrotomy The following manikin features indicate incorrect tube placement Right main stem intubation unilateral chest rise Stomach distention Lack of chest sounds CO2 exhalation see...

Page 45: ...llback symptoms will occur unless the head is tilted back or jaw thrust maneuver is applied Breathing Features The SimMan3G can simulate spontaneous breathing Warning Do not ventilate the manikin with...

Page 46: ...easured manually by auscultation of Korotkoff sounds Carotid brachial radial femoral popliteal dorsalis pedis and posterior tibialis pulses synchronized with ECG Pulse strength variable with BP Pulses...

Page 47: ...or click the button to decrease bleeding rate Move slider to the right or click the button to increase bleeding rate 11 Connecting Wound Modules Wound modules can be placed on the skin Connect the wo...

Page 48: ...yperactive Hypoactive Borborygmus Hypoactive postop Hyperactive diarrhea Hypoactive constipation Paralytic ileus 5 More Body Sounds Click the Adv Sounds Control to open the sounds control popup From h...

Page 49: ...lowing settings from the drop down menu Wide open Half open Closed 5 Blinking Frequency Select one of the following settings from the drop down menu When activated these settings will change the blink...

Page 50: ...ions Intraosseous access with needle insertion is possible through the sternum and left tibia The IO pads may be punctured numerous times before being replaced To replace the IO modules see the please...

Page 51: ...port cases as illustrated in Manikin Setup Installing and Upgrading SimMan 3G software SimMan 3G software comes pre installed INSTRUCTOR PC AND PATIENT MONITOR PC 1 Power on computer and ensure no Sim...

Page 52: ...ll updates and show which ones were performed successfully or failed Repeat from step 5 until all components are successfully updated Allow manikin time to save changes and reboot Do not power off man...

Page 53: ...n session 1 Remove the neck skin velcro fasteners behind the neck 2 Remove the old strip of Crico tape 3 Replace with a new Crico tape 4 Ensure Crico tape completely covers and seals the opening to pr...

Page 54: ...hest plate There is one bladder on each side of the chest plate assembly 2 Disconnect the tube from the bladder 3 Discard the used bladder 4 Insert new bladder 5 Reconnect the tube to the new bladder...

Page 55: ...skin and put the stomach foam to the side 2 Open the hinged chest plate upwards to access the lungs 3 Remove the chest compression spring for easier access to the lungs 4 Unhook the yellow Lung Compl...

Page 56: ...g from the skin make sure to properly position the skin halves and hold them together while zipping them closed Replacing Blood System Filter If reduced blood flow is experienced the filter may be clo...

Page 57: ...located at the back of the head enough to reveal the ears Ensure that the microphone is positioned in the cup located towards the top of the ear with the black surface facing outwards VOICE CONFERENC...

Page 58: ...r runs continuously The internal compressor may be worn contact LaerdalTechnical Service BLOOD SYSTEM Problem No blood flow Solution Make sure that the internal reservoir is filled with fluid Problem...

Page 59: ...ay be old recommended lifetime is 200 discharge cycles Insert new batteries Compressor may not function properly consult your local LaerdalTechnical Services Centre PULSES Problem Cannot feel pedal pu...

Page 60: ...tested with salt spray RF Communication WLAN frequency ranges 2 4 GHz WLAN channels 1 11 5 GHz WLAN channels 36 40 44 and 48 Operation range 100 m 300 ft outdoors RFID frequency ranges 13 56 MHz Oper...

Page 61: ...eeve Patient Monitor 212 095xx Rugged Instructer PC 212 19650 Headset with microphone 245 96050 Webcam SimMan 3G Clothing 212 17450 Shirt 212 17650 Boxer Shorts 212 17750 Belt 212 17550 Trousers Fluid...

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Page 64: ...2012 Laerdal Medical AS All rights reserved 20 07343 Rev A...

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