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laerdal VitalsBridge, Directions For Use Manual

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VitalsBridge Directions for Use  (for US Government Customers) 

1 

rev. B.10 

 

PN 10229

 

Table of Contents 

Regulatory Information ..........................................................................................................2 

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

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

Requirements Checklists ........................................................................................................6 

VitalsBridge Overview ............................................................................................................7 

Powering the VitalsBridge ......................................................................................................8 

External Power .................................................................................................................... 8 

Internal Battery ................................................................................................................... 8

 

Internal Fan ......................................................................................................................... 8 

Network Connections .............................................................................................................9 

Overview ............................................................................................................................. 9 

Installation of the VitalsBridge Software ............................................................................... 11 

Cables, Tubing, and Regulator Setup/Configuration .............................................................. 14 

Pulse Oximetry (SpO

2

) ....................................................................................................... 14 

Configuration of a Compressed CO

2

 Source ..................................................................... 16 

Capnography (Side-stream End Tidal CO

2

) ....................................................................... 19 

Non-invasive Blood Pressure (NIBP) ................................................................................. 19 

Invasive Blood Pressure (IBP)............................................................................................ 21 

Temperature ..................................................................................................................... 22 

Respiration Impedance via Electrocardiogram (ECG) ....................................................... 23 

Running the VitalsBridge ...................................................................................................... 24 

VitalsBridge Software Features ............................................................................................ 27 

SpO

2

 Calibration ................................................................................................................ 27 

Enabling CO

2

 Simulation ................................................................................................... 29 

CO

2

 Calibration .................................................................................................................. 30 

Zeroing the Invasive Blood Pressure(s) ............................................................................. 32 

Pulmonary Artery Capillary Pressure and Invasive Blood Pressure Offsets ..................... 33 

Network Configuration Tool Software .................................................................................. 34 

VitalsBridge Frequently Asked Questions .............................................................................. 37 

 

Summary of Contents for VitalsBridge

Page 1: ...VitalsBridge Directions for Use MODEL VB2 0 for US Government Customers TM ...

Page 2: ...r Setup Configuration 14 Pulse Oximetry SpO2 14 Configuration of a Compressed CO2 Source 16 Capnography Side stream End Tidal CO2 19 Non invasive Blood Pressure NIBP 19 Invasive Blood Pressure IBP 21 Temperature 22 Respiration Impedance via Electrocardiogram ECG 23 Running the VitalsBridge 24 VitalsBridge Software Features 27 SpO2 Calibration 27 Enabling CO2 Simulation 29 CO2 Calibration 30 Zeroin...

Page 3: ...nly use cables supplied with the VitalsBridge and accessories approved for use with the VitalsBridge Changes or modifications not expressly approved by the party responsible for compliance could void the user s authority to operate the equipment Disposal Recycling Recycle and dispose of in accordance with all governing requirements and regulations The VitalsBridge contains a Li ion battery which s...

Page 4: ... personnel with an understanding of clinical monitoring patient simulation educational principles and recognized medical protocols As with all simulation training devices there may be approximations variations and inaccuracies in the information being presented Global Warranty See the Laerdal Global Warranty www laerdal com Manufacturer The VitalsBridgeTM is made in the USA and is manufactured for...

Page 5: ...ompressed CO2 with the VitalsBridge Adequate training and expertise is required to work with compressed gases The VitalsBridge is supplied with a portable CO2 regulator that uses cartridges of highly pressurized CO2 gas Take care when handling these cartridges as they pose a potential risk of injury if used improperly Cartridges should be stored and operated at temperatures below 120o F 49o C and ...

Page 6: ...defibrillator with the SimMan 3G Essential and VitalsBridge The respiration cable connector on the manikin is designed exclusively for respiration monitoring via ECG impedance signals Warning Defibrillation on the ECG connectors will damage the internal electronics of the VitalsBridge and may cause personal injury Warning Never connect any cables from the VitalsBridge to the designated defibrillat...

Page 7: ...e to monitor s temperature cable s 6 Respiration via ECG cable connects from VitalsBridge to manikin 7 SpO2 Extension Cable connects from VitalsBridge to manikin 8 These directions for use Checklist of Required Cables and Accessories Not Included Must be Purchased Separately from Laerdal 1 Non Invasive Blood Pressure Cuff Kit 2 Invasive Blood Pressure Monitor Cables Computer and Software Requireme...

Page 8: ...on via Electrocardiogram ECG impedance plethysmography waveform SpO2 capnography waveform end tidal CO2 non invasive and invasive blood pressure arterial central venous pulmonary artery and temperature Vital signs cables are usually connected to sensors attached to the patient With the VitalsBridge some of these cables attach to the patient and some are connected to the VitalsBridge device Connect...

Page 9: ...lly charged this will allow for at least 3 hours of use To charge the battery connect the external power supply The power supply will charge a fully depleted battery in 6 12 hours When the unit is switched on the battery indicator on the top panel will flash when there is less than 15 of battery life remaining if you need to continue using the VitalsBridge connect the external power Internal Fan T...

Page 10: ...ddition to the information below it is important to follow the procedure for running the VitalsBridge as described on page 24 The VitalsBridge internal Wifi must also be configured to have the same SSID and password as the SimMan 3G Essential s internal router using the VitalsBridge Network Configuration Tool see page 34 Note Do not connect the VitalsBridge directly to the SimMan 3G Essential Inst...

Page 11: ...an 3G Essential manikin using an Ethernet cable ensure the cable is functional and is securely connected to the Ethernet ports of the VitalsBridge and the manikin The top of the VitalsBridge indicates when it has established an Ethernet or Wifi connection with the manikin s internal router Ethernet Connection Wifi Connection ...

Page 12: ...rom www laerdal com If necessary copy the software to the computer on which it will be installed Navigate to the installation software file and open in Follow the on screen installation instructions Upon successful installation a VitalsBridge icon will be created on the PC s desktop Restart the computer if the installation software does not prompt for a reboot Note Choose the appropriate VitalsBri...

Page 13: ...VitalsBridge Directions for Use for US Government Customers 12 rev B 10 PN 10229 ...

Page 14: ... occurs over the UDP network protocol on port 14996 The installation software attempts to allow access of this port through the Windows Firewall on both the public and private profiles For older versions of Windows e g Windows Vista custom firewall configurations and custom network settings consult your IT support and or Windows help on how to let communication occur properly on this port ...

Page 15: ...metry 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 inside the manikin s index finger of the right hand which provides expected light levels of light to the monitor s SpO2 probe according to the SpO2 value set in the SimMan 3G s Instructor Application Note The SpO2 circuitr...

Page 16: ...or Use for US Government Customers 15 rev B 10 PN 10229 To use the SpO2 function ensure the SpO2 cable is connected to the manikin and the VitalsBridge SpO2 connector to VitalsBridge SpO2 connector to sensor in Manikin s finger ...

Page 17: ...e regulator up out of the slot that is on the side of the VitalsBridge The regulator has a luer lock fitting that will connect into the VitalsBridge and regulator knob to control the flow of gas The regulator should be turned to the off position when it is not connected to the VitalsBridge via the luer connection Only turn the regulator on when a tight secure connection to the VitalsBridge has bee...

Page 18: ...a small amount of CO2 to leak out during cartridge installation 4 Attach the blue tubing to the blue luer lock CO2 in on the front of the VitalsBridge and verify a secure connection 5 Replace the regulator back on the bracket that is attached to the VitalsBridge instrumentation 6 If the regulator supplied with the VitalsBridge has a maximum pressure of 30 PSI on the gauge then SLOWLY turn regulato...

Page 19: ...gas to expel in a controlled manner The CO2 cartridge may be very cold Point the outlet of the cartridge away from yourself and others Wear eye protection Ensure that the knob is turned to the off position before a new cartridge is installed Caution When not in use turn the CO2 to the off position and disconnect the CO2 line from the VitalsBridge Warning CO2 cartridges may become extremely cold wh...

Page 20: ... connect its capnography line to the white fitting on the VitalsBridge Non invasive Blood Pressure NIBP The VitalsBridge is capable of simulating non invasive blood pressure by simulating the pulsing of the artery It uses two tubing connections the red connection provides the pulse and the green connection measures the pressure in the cuff The VitalsBridge automatically detects and controls pulsin...

Page 21: ...r US Government Customers 20 rev B 10 PN 10229 The tubing connections to the VitalsBridge are color coded A 1 tube blood pressure cuff is configured as follows To VitalsBridge NIBP tubing To NIBP Tubing connection on the patient monitor ...

Page 22: ... not for clinical use Invasive Blood Pressure IBP The VitalsBridge is able to simultaneously simulate up to 3 different invasive blood pressure waveforms These include arterial blood pressure ABP central Venous pressure CVP pulmonary artery pressure PAP or pulmonary capillary wedge pressure PCWP The VitalsBridge simulates the transducer output signal for each invasive blood pressure and utilizes a...

Page 23: ...lsBridge simulates the output of YSI 400 compatible temperature transducers The temperature cable is a short white cable that consists of a short RJ 11 connector on one end which connects to the VitalsBridge The other end of the cable is a transducer style connector which connects to the temperature patient monitor cable Two temperature cables are supplied with the VitalsBridge T1 simulates the te...

Page 24: ... utilized with a cable plugged into a connector located on the manikin s neck The other end of the cable plugs into the VitalsBridge Once connected the patient monitor will display the respiration rate and ECG information Note a three lead ECG is recommended with the patient monitor and the SimMan 3G Essential for respiration impedance simulation ...

Page 25: ...Step 1 Power on the SimMan 3G Essential manikin and wait until manikin is breathing Refer to the SimMan 3G Essential s directions for use on how to power on the manikin Step 2 Power on the SimMan 3G Essential instructor PC Refer to the SimMan 3G Essential s directions for use on how to appropriately power on the Instructor PC Step 3 Run the Instructor Application software Refer to the SimMan 3G Es...

Page 26: ...ge is not running o solid VitalsBridge is on battery charge 15 o flashing every 1 second unit is running on low battery charge 15 WLAN or LAN o no light not connected to router o solid VitalsBridge connected to the manikin s internal router o flashing 1x second VitalsBridge connected to router and is trying to associate a connection o flashing on off frequently VitalsBridge receiving sending from ...

Page 27: ...ociation between a running SimMan 3G Essential manikin and a VitalsBridge device Click on the desired manikin and VitalsBridge device and press the Connect button It is also possible to manually enter the manikin and VitalsBridge connection information the manikin name or ip address and the VitalsBridge serial ID and ip address Upon successful association with the two devices the main VitalsBridge...

Page 28: ...default check to enable capnography The Calibrate tab provides functionality for calibrating SpO2 and CO2 and selecting default or previously stored calibrations SpO2 Calibration The VitalsBridge is pre calibrated with factory settings for a Nellcor standard probe If the SpO2 value set on the Instructor Application significantly deviates from the value on the vitals sign monitor then it is possibl...

Page 29: ...rm of adequate size is viewed on the vital signs monitor and there is also a SpO2 reading shown on the monitor For each calibration point observe the target SpO2 value in the calibration window in the software Slowly move the indicator to the left to decrease the SpO2 value observed on the vital signs monitor or to the right to increase the SpO2 value on the vital signs monitor It is recommended t...

Page 30: ...d delay before the reading changes to indicator movements Repeat for all calibration points Once completed the calibration data will automatically be stored and retrieved on the VitalsBridge Unused custom calibrations may be removed by highlighting the desired calibration to remove and clicking the remove button Enabling CO2 Simulation Capnography requires use of a pump internal to the VitalsBridg...

Page 31: ... the Instructor Application From the Calibrate tab on the VitalsBridge software select Update next to the CO2 label Select a New Calibration Enter the name of the custom calibration For each calibration point observe the target etCO2 value in the CO2 Calibration window Slowly move the indicator to adjust the flow up or down until the end tidal CO2 reading on the patient vital signs monitor equals ...

Page 32: ...ding to change Additionally small CO2 set values may be difficult to read on the monitor A useful feature available in some patient vital signs monitors is to freeze the waveform and investigate it more closely refer to the vital signs monitor documentation for additional information Repeat for all calibration points Once completed the calibration data will automatically be stored retrieved on the...

Page 33: ...tor deselect and apply the Flat Line setting in the Instructor Application to allow the waveforms to reappear If the blood pressure readings differ significantly from the values set in the Instructor Application then attempt to re zero Step 1 To bring up the ABP Flat Line option in the Instructor Application click on the IBP waveform not the number Then check Flatline and click on the Apply button...

Page 34: ...connection Note the Instructor Application does not show the pulmonary capillary wedge pressure waveform however one may access and change the PCWP value by clicking on the PAP numeric value in the Instructor Application Invasive Blood Pressure Offsets An offset to each of the invasive blood pressures may be included to attain additional accuracy with invasive blood pressure readings on the vital ...

Page 35: ...ctor Application LLEAP etc 3 Ensure both the manikin and the VitalsBridge are completely OFF 4 Turn on the SimMan 3G Essential allow to initialize completely breathing and blinking 5 Power on the instructor PC and ensure that it is connected to the manikin s router via Wifi consult the SimMan 3G Essential directions for use on information specific to this task 6 Connect the VitalsBridge to the man...

Page 36: ...alsBridge during this process 15 The process is complete when the Network Configuration Tool dialog box reads Power Cycle VitalsBridge before attempting to connect via Wi Fi 16 Turn off VitalsBridge 17 Close Network Configuration Tool Your VitalsBridge is now set up to connect wirelessly VitalsBridge Network Configuration Using an External LAN Consult your network administrator for assistance conf...

Page 37: ...v B 10 PN 10229 LAN Manual Connection For a manual LAN uncheck the Use DHCP box in the Network Configuration Tool window and check the Assign Manually box You may then input the IP Gateway and Subnet manually Note a manually assigned LAN ip address is not recommended ...

Page 38: ...prior to starting the VitalsBridge it is recommended that you exit the Instructor Application software and power off the manikin Power on the manikin wait for the manikin to start breathing chest rise and fall start the Instructor Application software power on the VitalsBridge wait for a network connection between the VitalsBridge and the SimMan 3G Essential manikin and start the VitalsBridge soft...

Page 39: ...f the cuff tubes are kinked Ensure that the compressed CO2 source is properly connected to the VitalsBridge Ensure that the VitalsBridge is running CO2 Q How long will each CO2 cartridge last A When the VitalsBridge is running a 16g CO2 cartridge will last 4 hours or longer depending on the simulation When the CO2 regulator is not in use turn the regulator to off disconnect the tubing connection f...

Page 40: ...he right connector A You may purchase the proper invasive blood pressure transducer cable from Laerdal Consult Laerdal s website or your local Laerdal sales representative Q How do I simulate a pulmonary capillary wedge pressure with the VitalsBridge A This feature is available for manikins running LLEAP Respiration by ECG Impedance Q We do not need to simulate respiration rate via ECG impedance D...

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