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laerdal VB100, Directions For Use Manual

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VitalsBridge Directions for Use 

1 

rev. A.5 

 

 

Table of Contents 

Regulatory Information ........................................................................................................................... 3

 

Support .................................................................................................................................................... 3

 

Warnings and Caution ............................................................................................................................. 4

 

Requirements Checklists .......................................................................................................................... 5

 

Cables and Accessories ............................................................................................................... 5

 

Computer and Software Requirements ...................................................................................... 5

 

Additional Requirements ........................................................................................................... 5

 

VitalsBridge

™

 Overview ............................................................................................................................ 6

 

Overview of the VitalsBridge Setup ......................................................................................................... 8

 

Power on the VitalsBridge ....................................................................................................................... 9

 

Internal Battery ........................................................................................................................ 10

 

Connect Patient Monitor Cables and Sensors to the VitalsBridge .......................................................... 11

 

Pulse Oximetry (SpO

2

) (All Models) .......................................................................................... 11

 

Configuring SpO

2

 .............................................................................................................. 11 

Mock SpO

2

 Probe (Optional) ............................................................................................ 13 

Non-invasive Blood Pressure (NBP) (All Models) ...................................................................... 13

 

Temperature (All Models) ........................................................................................................ 15

 

Electrocardiogram (ECG) and Respiration (VB300, VB200) ....................................................... 16

 

Invasive Blood Pressure (IBP) (VB300 only) .............................................................................. 17

 

Capnography (Side-stream End Tidal CO

2

, VB300 only) ............................................................ 17

 

Overview .......................................................................................................................... 17 

Using the Portable CO

2 

Regulator .................................................................................... 17 

Install or Remove the CO

2 

Cartridge ................................................................................ 18 

Capnography sampling line .............................................................................................. 20 

Install and Run the VitalsBridge Connector Software ............................................................................. 21

 

VitalsBridge Connector (Windows PC) ...................................................................................... 21

 

Installation ....................................................................................................................... 21 

Run the VitalsBridge Connector Software ....................................................................... 22 

Connect the VitalsBridge to the Connector Software ...................................................... 22 

VitalsBridge Connector App (Android Mobile Device) .............................................................. 23

 

Establish Communication with the VitalsBridge ..................................................................................... 24

 

Overview:................................................................................................................................. 24

 

Establishing the VitalsBridge 

–

 PC Connection .......................................................................... 24

 

Summary of Contents for VB100

Page 1: ......

Page 2: ...invasive Blood Pressure NBP All Models 13 Temperature All Models 15 Electrocardiogram ECG and Respiration VB300 VB200 16 Invasive Blood Pressure IBP VB300 only 17 Capnography Side stream End Tidal CO2 VB300 only 17 Overview 17 Using the Portable CO2 Regulator 17 Install or Remove the CO2 Cartridge 18 Capnography sampling line 20 Install and Run the VitalsBridge Connector Software 21 VitalsBridge C...

Page 3: ...tandardized Patients and Low Fidelity Patient Simulators 36 Laerdal High Fidelity Patient Simulators 37 Power on the Patient Simulator 37 Power on the PC Used to Run the Patient Simulator Software 37 Power on the VitalsBridge 37 Install and Run the VitalsBridge Connector Software 37 Run the Software Used to Control the Patient Simulator 37 Control Vital Signs for the VitalsBridge and the Patient S...

Page 4: ...italsBridge instrumentation and its associated cables are latex free Support For technical assistance contact VitalsBridge customer support e mail support vitalsbridge com phone 1 435 200 3402 1 801 484 3820 Disclaimer Use of the VitalsBridge to train personnel should be conducted under supervision of suitably trained medical personnel with an understanding of clinical monitoring patient simulatio...

Page 5: ...hould be stored and operated at temperatures below 120o F 49o C and punctures should be prevented They should not be heated Do not inhale the gas Adequate training and expertise are required to work with compressed gases Warning Do not use compressed oxygen fire hazard or any other flammable substance with or near the VitalsBridge Warning compressed CO2 cartridges may become extremely cold when di...

Page 6: ...r optional hard wire network communication with the VitalsBridge VB200 VB300 7 Invasive blood pressure transducer cables VB300 8 Portable CO2 Regulator with mounting bracket VB300 Computer and Software Requirements 1 VitalsBridge Connector Application Windows 8 8 1 or 10 operating system see www vitalsbridge com downloads 2 VitalsBridge Connector Mobile App Android operating system 5 0 or Higher 3...

Page 7: ...simulator software allowing for vitals sign changes in a patient simulator to be seamlessly updated on the real patient monitor Whether you are using a low fidelity simulator a high fidelity simulator or a standardized patient the VitalsBridge presents increased opportunities for enhanced simulation experiences heightened training and education on clinical monitoring and improved patient informati...

Page 8: ...VitalsBridge Directions for Use 7 rev A 5 Each model of the VitalsBridge supports different vital signs and device connection options detailed in the table below ...

Page 9: ...ftware that sends simulated vital signs from a Windows PC or Android mobile device to the VitalsBridge Establish Communication with the VitalsBridge Step by step instructions start on page 24 Connect to the VitalsBridge using a Windows PC or an Android mobile device Establish a connection and communicate with the VitalsBridge over Bluetooth USB WiFi VB200 and VB300 only or Ethernet VB 200 and VB30...

Page 10: ... an incorrect power supply may damage the VitalsBridge and void the warranty The VitalsBridge is turned on by simply pressing the power button in the lower left corner of the top surface of the device hold for 1 second Once powered on the VitalsBridge takes approximately 1 minute to initialize The LED below the battery will flash when the VitalsBridge is initializing and become solid once initiali...

Page 11: ...ternal router or to an external router Note If you have just reconfigured your VitalsBridge to connect to WiFi the light will not turn on until you have first closed out of the VitalsBridge Connector software Internal Battery The VitalsBridge contains an internal non replaceable Lithium Ion battery to allow for unplugged operation of the unit When fully charged this will allow for at least 1 hour ...

Page 12: ... All Models Video Link https youtu be XF5gfQ2txwY Pulse oximetry or SpO2 is used to determine the oxygen saturation of a patient s blood It also will provide a pulse measurement SpO2 simulation by the VitalsBridge uses special circuitry in a custom SpO2 adapter and cable and sensor kit which provides expected levels to simulate the SpO2 probe according to the SpO2 value set for your simulation The...

Page 13: ...nger inside the slot c Slide the cable attached to the SpO2 probe through the slot on the side of the Oximeter Adapter box d Open the probe slightly and push the probe firmly into the slot onto the white finger then release 6 If everything has been connected correctly a reading should appear on the fetal maternal monitor after a few moments Patient Monitor Patient Monitor ...

Page 14: ...ulates non invasive blood pressure by mimicking the pulsing of an artery The NBP tubing from the patient monitor is connected to the VitalsBridge and when the patient monitor initiates an NBP reading the VitalsBridge simulates an appropriate magnitude of pulsing Configuring NBP 1 Locate your NBP cable that goes with the patient monitor a If a blood pressure cuff is still attached to the cable care...

Page 15: ... c Connect the appropriate adapters and connectors to the NBP cable from the patient monitor if necessary 3 Connect the NBP cable to the labeled NBP port on the VitalsBridge 4 Run a blood pressure cycle on the patient monitor If everything has been connected correctly a reading should appear on the monitor once the cycle is complete Select the appropriate tube and luer fittings Affix the tube and ...

Page 16: ...ate the temperature cables They are short white cables that have an RJ 11 connector on one end and a transducer connector on the other 2 Plug the RJ 11 connector end into the VitalsBridge 3 Connect the transducer end to the temperature cable coming from the patient monitor 4 Once connected and with the VitalsBridge powered on and initialized a reading should appear on the patient monitor after a f...

Page 17: ... addition a respiration by impedance signal is also produced by the VitalsBridge Configuring ECG 1 Using the ECG harness from the patient monitor connect each lead to the VitalsBridge Match the corresponding colors or labels on the leads to the snaps on the VitalsBridge 2 Once connected and with the VitalsBridge powered on and initialized a reading should appear on the patient monitor after a few ...

Page 18: ...ing should appear on the monitor after a few moments Notes when using IBP a connection to every waveform is not required for the VitalsBridge to function Unused IBP ports on the VitalsBridge may be left unconnected If your IBP adapter cable does not have the correct transducer style please contact us at support vitalsbridge com Capnography Side stream End Tidal CO2 VB300 only Overview A regulated ...

Page 19: ...yes and hands when installing and handling CO2 cartridges Warning Mishandled CO2 cartridges may become projectiles Install or Remove the CO2 Cartridge Video Link Install https youtu be 3Fu4dNAQD k Video Link Uninstall https tinyurl com VBCO2uninstall 1 If replacing an empty cartridge temporarily remove the regulator from its bracket on the VitalsBridge instrumentation and remove the empty cartridg...

Page 20: ... threaded connection on the regulator can be seen Hold the regulator in one hand align the cartridge under the housing and quickly turn it clockwise into the regulator Do not stop until tight Do not over tighten the cartridge only needs to be hand tight It is normal for a small burst of gas to leak out during cartridge installation 5 Replace the regulator back on the bracket that is attached to th...

Page 21: ...sported by air Capnography sampling line Video Link Install https youtu be yxPfPMJwV9E The VitalsBridge 300 is configured to simulate side stream capnography Capnography is the measurement of concentration of patients exhaled CO2 The VitalsBridge simulates the fraction of CO2 exhaled over each breath by a patient by mixing appropriate amounts of air and CO2 that is sampled by the patient monitor T...

Page 22: ...ote Choose the appropriate VitalsBridge installation software carefully There may be specific installation software that is compatible with a particular version of a patient simulator e g a particular version of Laerdal s LLEAP software Note If it is intended for the VitalsBridge to be used in conjunction with Laerdal LLEAP patient simulator software download the VitalsBridge connector software to...

Page 23: ...g the Windows search function i e S VitalsBridge Connect the VitalsBridge to the Connector Software Once the Connector Application is running any available VitalsBridge units will appear in the Connection tab any units connected via Bluetooth Serial or Ethernet Wifi for 200 300 units only Select the correct VitalsBridge unit and press CONNECT Note If the VitalsBridge is being setup for the first t...

Page 24: ...e Connector Android App is available for download on the Google Play Store Using an Android mobile device navigate to https play google com store apps details id com dynasthetics vitalsbridge Alternatively open the Google Play Store App on the Android mobile device and search for VitalsBridge Select Install ...

Page 25: ... Note Only one connection is needed at any given time Establishing the VitalsBridge PC Connection Bluetooth The PC communicates with the VitalsBridge using the radio frequency communication RFCOMM protocol Consult your PC documentation and specifications regarding your PC s Bluetooth capabilities When pairing the PC with the VitalsBridge the PC will create an emulated RS 232 COM serial port RFCOMM...

Page 26: ...ure that Bluetooth is toggled on 3 When prompted to add a device choose Bluetooth 4 Choose the VitalsBridge When first connecting the name of the device will be a unique name followed by a string of 4 characters numbers e g Todd 03E0 or Brandine 8FEA The name may be changed see page 36 ...

Page 27: ...tes 7 Launch the VitalsBridge Connector software Note If you are having difficulty pairing a previously paired VitalsBridge follow these steps 1 Power off the VitalsBridge 2 Open Windows Control Panel S Control Panel 3 Choose View Devices and Printers 4 Select the VitalsBridge device you wish to remove 5 Choose Remove device 6 Restart the PC 7 Restart the VitalsBridge 8 Follow the pairing instruct...

Page 28: ...install the appropriate drivers for RS 232 communication over USB Please wait approximately two minutes for the appropriate drivers to be installed Alternatively consider restarting the computer prior to launching the VitalsBridge Connector application 3 Launch the VitalsBridge Connector software Standardized Patient Setup Running the VitalsBridge using a Serial Cable With a patient simulator ...

Page 29: ...tps youtu be gfPWRhEgsxM When connecting the VitalsBridge to a patient simulator using an Ethernet cable ensure the cable is functional and is securely connected between the Ethernet ports of the VitalsBridge and the manikin s ethernet port It is also possible for the VitalsBridge to be directly connected to a Windows PC that controls a patient simulator with an Ethernet cable The VitalsBridge is ...

Page 30: ...ireless router or access point note that both the SSID and password fields are case sensitive and UPDATE 3 You may verify that the VitalsBridge connected to the WiFi and has been assigned an IP address at the bottom of the Configuration tab 4 To connect to the VitalsBridge via Wifi restart the VitalsBridge Connector software Note In order to configure the VitalsBridge WiFi the VitalsBridge must be...

Page 31: ...1 Power on the VitalsBridge 2 Run the VitalsBridge Connector Software 3 Connect the VitalsBridge to the connector software or app 4 Manually control the desired vital signs via the connector software or app Manual Adjustment of Vital Signs Once connected to the VitalsBridge vital signs can be manually controlled Touch the to increase or decrease the value One may also hold the value to make rapid ...

Page 32: ...tor Software see below SpO2 Calibration The VitalsBridge is pre calibrated with factory settings for a Nellcor standard probe SpO2 calibrations are stored on the VitalsBridge When the set SpO2 value significantly deviates from the value shown on the vitals sign monitor then it is recommended to perform a new calibration First ensure the SpO2 probe is placed properly in the SpO2 adapter and the Vit...

Page 33: ...ration and SUBMIT The user interface will instruct you to wait for a period of time This is necessary to allow the SpO2 reading to stabilize on the vital signs monitor before entering the value as some vital signs monitors filter and average the SpO2 value causing delays ...

Page 34: ...d not a reading from a patient simulator The process of entering in a SpO2 value is repeated until enough points are found for an accurate calibration reading Once enough calibration points are measured the calibration data is automatically saved and selected Unused calibrations may be removed by highlighting the desired calibration to remove and selecting REMOVE ...

Page 35: ...heckbox is selected 5 Take the temperature probe on the spot check monitor from its cradle followed by unchecking the Force Temp Off checkbox 6 Wait for the monitor to take a reading CO2 Calibration VB300 only Calibration may be needed if the end tidal CO2 reading on the patient vital signs monitor does not properly match the CO2 waveform on the Instructor Application CO2 calibration is performed ...

Page 36: ...u are using to manipulate your vital signs a When using the VitalsBridge in conjunction with a patient simulator In the simulator s Instructor Application software locate where the waveform may be zeroed or flatlined see patient simulator documentation for further information b Using the VitalsBridge Connector App In the Manual tab of the VitalsBridge connector select the Zero checkbox of the inva...

Page 37: ...to the vital signs monitor using the PAP connection Adjust the value of the PCWP value by using the on the VitalsBridge If a patient simulator is generating the PCWP waveform click the checkbox on the Simulator tab to change the waveform from PAP Use the VitalsBridge with a Patient Simulator The VitalsBridge Connector Software offers direct integration with Laerdal Patient Simulators that are runn...

Page 38: ...t until it is fully initialized Refer to the simulator s instructions for use on how to power on the patient simulator Power on the PC Used to Run the Patient Simulator Software Power on the computer used to control the patient simulator Refer to the simulator s directions for use on how to power on the computer that is used to control the patient simulator Power on the VitalsBridge See page 9 Ins...

Page 39: ...VitalsBridge Directions for Use 38 rev A 5 Ensure the computer can connect to a patient simulator over a network Then select the Simulator tab in the VitalsBridge Connector software ...

Page 40: ...dge Directions for Use 39 rev A 5 Select the appropriate patient simulator that is reported in the dialog box and select CONNECT if Laerdal s LLEAP software is running it should automatically appear in the menu ...

Page 41: ...in place by checking the Learner Patient Monitor Buttons on the Laerdal control panel for the vital signs you would like to control Vital signs set in LLEAP will be communicated to the VitalsBridge Connector software If the VitalsBridge is connected and configured with a real patient monitor the vital signs will be updated Refer to the patient simulator s directions for use for more detailed instr...

Page 42: ...ould need to be on a patient finger for a reading to be displayed Additional props that may be used but that do not come with the VitalsBridge may include instruments used to measure NBP temperature ECG and other vital signs displayed on the patient monitor While these props may be used they should NOT be plugged into the VitalsBridge or the patient monitor VitalsBridge Placement To make the exper...

Page 43: ...tors that run on SimPad also run on LLEAP which is compatible with the VitalsBridge Contact Laerdal for additional details Q How long will the VitalsBridge run on a fully charged battery A Typical running times are 1 5 to 4 hours depending on how often non invasive blood pressure measurements are made and whether capnography simulation is turned on in the VitalsBridge software Q What is the recomm...

Page 44: ...is checked in the My Learner Buttons section Consider re calibrating the CO2 Invasive Blood Pressure Q I see a blood pressure waveform on the vital signs monitor but there is no number being shown What is the problem A The monitor s blood pressure must be zeroed In the software that is used to control the patient simulator ensure the invasive blood pressure waveform is set to flat line i e the set...

Page 45: ...Bridge 200 and 300 models only to simulate an ECG with respiration impedance Temperature Q My monitor came with a cable that connects from the monitor to a temperature probe however it does not fit the short white temperature cables that connect to the VitalsBridge How do I find the right connector A You may purchase the proper temperature cable kit for your vital signs monitor Consult www vitalsb...

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