Gaumard HAL S1030 Скачать руководство пользователя страница 46 | Manualshive

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HAL® S1030

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USER GUIDE

46 | Working with Mechanical Ventilator

Normal Compliance Loop - Lung Compliance 7

Mid Compliance - Lung Compliance 4

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Содержание HAL S1030

Страница 1: ...o assist a certified instructor It is not a substitute for a comprehensive understanding of the subject matter and not intended for clinical decision making User Guide 20 09 01 Gaumard Scientific Comp...

Страница 2: ...HAL S1030 USER GUIDE ii...

Страница 3: ...ASSEMBLY 10 3 4 INTERNAL BATTERY SETUP 11 3 5 LAPTOP CONNECTION 12 3 6 INITIALIZING THE SIMULATOR WITH UNI 13 4 WORKING WITH HAL 15 4 1 AIRWAY 15 4 2 BREATHING 16 4 3 CARDIAC 38 4 3 CIRCULATION 40 5 W...

Страница 4: ...1 GAUMARD VITALS BEDSIDE VIRTUAL MONITOR 58 8 TROUBLESHOOTING 63 8 1 GENERAL TROUBLESHOOTING 63 9 APPENDIX 66 9 1 PARTS LIST 66 9 2 GAUMARD SALES TERMS AND CONDITIONS 67 9 3 END USER LICENSE AGREEMENT...

Страница 5: ...with ballpoint pens ink or marker cannot be removed Replacement parts are available from Gaumard Scientific or your distributor Operating Conditions The simulator will only power on when connected to...

Страница 6: ...se citric acid based cleaning formulas as this will cause pitting of the various materials The simulator is splash proof but not water proof Do not submerge or allow water to enter the interior of the...

Страница 7: ...tening auto PEEP and tension pneumothorax Exhales real and measurable CO2 Assess CO2 output with end tidal detector or capnography Vary lung function mechanics throughout your entire simulation exerci...

Страница 8: ...anges made to one profile do not affect the others Provider A person participating in the simulation as a healthcare provider Scenario A saved sequence of physiological states that progress like a pla...

Страница 9: ...f supporting the weight of a real patient It is recommended that HAL s head rest flat on the bed or on a thin pillow to prevent the face skin from shifting 3 2 PACKAGE CONTENTS 1 HAL S1030 2 Lower Lef...

Страница 10: ...included 2 For the right leg first connect the white CO2 tubing of the upper and lower leg then align the Align the lower leg insert to the knee joint and secure the knee bolts using the hexagonal wr...

Страница 11: ...side the simulator Doing so will affect the lung compliance system If the lung compliance system is affected it may have to be returned to Gaumard Repairs or a Field Technician will have to recalibrat...

Страница 12: ...lue RJ45 Cable 2 Connect the other end of the blue RJ45 cable to the communications port of HAL s right side 3 Connect the USB port of the RJ45 Communications Module to an available port on the laptop...

Страница 13: ...on the home screen 2 The simulator selection menu will appear Select the corresponding simulator Dynamic Airway and Lung Compliance 3 When selecting the appropriate profile be sure that the correct se...

Страница 14: ...imulator and click Set 4 Click the Start button to initialize the simulator NOTE After clicking Start UNI and the simulator will be established A pop up will appear stating the simulator is establishi...

Страница 15: ...ce sizes and airway complications such as tongue edema pharyngeal swelling and laryngospasm To program an airway complication in the UNI software 1 On the left hand side of the UNI software locate the...

Страница 16: ...Left Right and left refer to HAL s anatomical right and left 3 To enable or disable a particular side of HAL s chest select either Right or Left A pop up will appear with the choice to select On Off o...

Страница 17: ...chest rise on the selected side of the chest NOTE When pneumothorax is selected a note will be added to the UNI log Once the needle decompression is performed the facilitator will have to enable the c...

Страница 18: ...ly remove the ribcage Do NOT touch or move the lung bags inside the simulator Doing so will affect the lung compliance system If the lung compliance system is affected it may have to be returned to Ga...

Страница 19: ...ncorporating this feature into a simulation session it is recommended to calibrate HAL s artificial ventilations To perform the artificial ventilation calibration 1 Within the UNI software click the b...

Страница 20: ...HAL S1030 USER GUIDE 20 Working with HAL 3 On the next page select the Never Calaibrated option and click Next 4 On the next page click Start to begin the calibration process...

Страница 21: ...ed artificial ventilations will be saved A summary report will appear and if the information is not satisfactory redo the calibration 6 When done with all 5 artificial ventilations click Finish After...

Страница 22: ...y to the left or type in zero After setting the respiratory rate to zero proceed to intubate HAL using the recommended device sizes Please remember to thoroughly lubricate the ETT before intubating to...

Страница 23: ...it to zero 2 To simulate higher lung compliance more elastic lungs increase the numeric level for HAL in the UNI software Click on Lung Compliance and adjust the slider bar to the right or type in th...

Страница 24: ...bronchial tube decrease the lung resistance Click Lung Resistance and adjust the slider bar to the left NOTE Allow for the yellow warning symbol in the bottom right hand corner of the UNI software to...

Страница 25: ...rtridge 1 Remove the right leg skin cover 2 Remove the tibia I O insert 3 Remove the adapter harness located inside the right lower leg chamber 4 Screw in the new CO2 cartridge into the harness adapte...

Страница 26: ...ge of 0 10 NOTE When Lung CO2 is at zero there will be no exhalation of CO2 As the levels of Lung CO2 are increased the amount of CO2 exhaled will increase When the CO2 cartridge is suspected to be em...

Страница 27: ...bration 3 Once the Calibration menu opens up click the Factory Settings button in the bottom left corner 4 On the Factory Settings menu click the CO2 Pressure button to get a reading of how much press...

Страница 28: ...reading that appears to the right of the CO2 Pressure button should read 0 0 psi when the cartridge is empty 6 Click Finish and proceed to remove the empty CO2 cartridge from the simulator following...

Страница 29: ...sure 1 cmH2O Respiratory Pattern HAL has several different Respiratory Patterns to choose from Normal Kussmaul s Cheyne Stokes Biot s Apneustic Apnea To change Respiratory Patterns in the UNI software...

Страница 30: ...ern an information box will appear to notify you that the Respiratory Rate will be changed and the Inspiration Percent will be disabled Respiratory Rate HAL has a programmable respiratory rate To adju...

Страница 31: ...exhale for 67 of the time When adjusting inspiration percent also consider respiratory rate and if the vitals seem possible to what it is being adjusted to O2 Saturation Use a real oxygen saturation...

Страница 32: ...Setup then Calibration 3 From the Calibration menu select Oxygen Saturation and click Next NOTE A prompt will appear to ensure that the oximeter is turned off Please either remove the oximeter from th...

Страница 33: ...it on if it was already on the simulator s finger 4 Select the simulator s Left Index finger and click Next 5 Slowly use the arrows to adjust the oximeter s values to match the values shown on the UN...

Страница 34: ...imeter monitor using the arrows until the process is done Once done click Finish O2 Saturation Usage After calibrating the oximeter monitor proceed with using the O2 Saturation feature in UNI by doing...

Страница 35: ...itor tab within UNI or on the optionally purchased Virtual Monitor To adjust this value in UNI 1 Under the Breathing section locate EtCO2 2 Click on EtCO2 and use the slider bar to adjust the paramete...

Страница 36: ...ptions Normal None Wheezing Crackles Crackles 2 Squeaks insp To change this parameter in the UNI software 1 Under the Breathing section locate Lung Sounds 2 Click the quadrant of lung sounds you would...

Страница 37: ...nterior or Posterior lung speakers using the grey slider bars NOTE If the settings for the lung sounds and volume need to be applied for all quadrants of lung speakers check mark the Sync ALL Sounds b...

Страница 38: ...he software EKG UNI has an EKG library with 25 different cardiac rhythms to choose from To change the EKG rhythm 1 Under the Cardiac section locate EKG 2 Click EKG and from the library of cardiac rhyt...

Страница 39: ...section locate Heart Rate 2 Click Heart Rate and use the grey slider bar to adjust or type in the desired value 4 To view the effect of changing the EKG click the Virtual Monitor tab in UNI and view t...

Страница 40: ...fusion when drilling in Likewise the I O may be filled with Gaumard synthetic blood to simulate a blood withdrawal To fill the I O with Gaumard synthetic blood 1 Remove the right lower leg skin cover...

Страница 41: ...in UNI on the left hand side of the software Blood Pressure HAL s virtual blood pressure vital can be changed by 1 Under the Circulation section locate Blood Pressure 2 Click on Blood Pressure and ei...

Страница 42: ...or type in the desired value 3 View the changes in temperature by clicking the Virtual Monitor tab in UNI and viewing the numeric temperature change Change Temperature Units By default the UNI softwa...

Страница 43: ...he Options pop up box select the General tab 3 Locate the Units section and select the system of preferred units and press OK NOTE View the changes in Temperature Units by clicking the Virtual Monitor...

Страница 44: ...locate Capillary Refill Time 2 Click on Capillary Refill Time and use the slider bar or type in the desired value Capillary Refill Time Blood Glucose To change HAL s virtual Blood Glucose 1 Under the...

Страница 45: ...roceed to prepare HAL for this exercise HAL s own respiratory rate within the UNI software needs to be set to zero Then intubate HAL with the recommended ETT size After intubation connect the mechanic...

Страница 46: ...HAL S1030 USER GUIDE 46 Working with Mechanical Ventilator Normal Compliance Loop Lung Compliance 7 Mid Compliance Lung Compliance 4...

Страница 47: ...Compliance Lung Compliance 0 Please remember to allow each change in lung compliance time to adjust to the new level Remember to look at the icon in the bottom right hand corner and wait for it to tr...

Страница 48: ...low are a few of the palettes that may simulate certain respiratory conditions with the corresponding UNI parameters and graphs on a mechanical ventilator To access the palettes 1 Click the Palette ta...

Страница 49: ...chanical Ventilator 49 3 Select a palette from the list by clicking on it 4 Click on the Properties button to view how this palette will change the vitals 5 Once finished viewing the properties of the...

Страница 50: ...Click the Now button to apply the vitals of the palette to the UNI software From the aforementioned palette list locate and load the palette with the name Normal on Vent 1 Once the Normal on Vent 1 p...

Страница 51: ...Severe palette Once loaded the respiratory rate is set to 0 lung compliance set to 5 and lung resistance for both left and right at 4 Emphysema Lobular Load the Emphysema Lobular palette which will s...

Страница 52: ...is Severe Asthma Moderate Load the Asthma Moderate palette to set respiratory rate to 0 lung compliance to 6 lung resistance to 5 and lung sounds to play Load the Fibrosis Severe palette to set the re...

Страница 53: ...oaded the below screenshot depicts the general interface layout This is common throughout all Gaumard simulators that use UNI as its control software 6 2 UNI LOG The UNI log is located towards the bot...

Страница 54: ...This window displays the corresponding information of whichever tab is selected Under the UNI window lies a gray bar with multiple tabs These tabs will display different options within the UNI window...

Страница 55: ...d to play Virtual Monitor tab displays a virtual representation of the simulator s vital signs Palette tab displays the lists of available palettes that have been programmed Palettes are the building...

Страница 56: ...rogramming of a custom scenario will take place Labs provides a template of virtual labs that can be created to provide information about the simulated patient for the session Provider Actions provide...

Страница 57: ...icking this tool it will allow the user to change the vitals almost instantly If the wand is not highlighted each time a vital is changed the user will be asked if they would like to apply the changes...

Страница 58: ...for your simulator The Gaumard Vitals software is preloaded on to the All In One computer Gaumard Vitals communicates with UNI to allow the facilitator to make changes through UNI while updating on t...

Страница 59: ...ces are NOT on the same WI FI network they will not be able to communicate To check the WIFI network on your device 1 Once the device is turned on click the WI FI signal located in the bottom righ han...

Страница 60: ...n NOTE If the devices are connected already the indicator will read Connected 5 The network may ask for a network security key password Type in this security key password and click Next NOTE If using...

Страница 61: ...e UNI software and once loaded click the blue gear icon in the upper right hand corner then click on Monitors and then Configuration 2 Take a look at the information on the Virtual Monitor Setup pop u...

Страница 62: ...e bottom and verify that the IP address and port numbers are the same as was seen from the UNI software NOTE If the IP address and port numbers are not the same they may be changed by clicking into it...

Страница 63: ...t serial number and click save The serial number for HAL can be found on his left thigh under his IM site Incorrect intubation reading Simulator indicates that no ETT is present Remove ETT and restart...

Страница 64: ...hat is going to be used Oximeter sensors cannot be swapped even with the same kind of oximeter s brand and model An oximeter that includes carbon monoxide and or methemoglobin sensing cannot be used P...

Страница 65: ...CO2 pressure regulator is OFF In the UNI software click the blue gear icon in the upper right hand corner Setup Calibration On the Calibration menu click the Factory Settings button in the bottom left...

Страница 66: ...muscular Thigh Injection Site for HAL Set of two 2 S1030 029R I O Leg Skin Cover C Intraosseous Leg Skin Cover S1030 209 15 RJ45 Cable R 15 RJ45 Cable with connector S1030 049 Adult I O Filling Kit R...

Страница 67: ...mard Warranty documents Gaumard Cares Service Plan documents Service or Services are payable in United States U S Dollars only and do not include any applicable taxes or shipping charges If Customer c...

Страница 68: ...formance The Parties obligations under this Agreement are subject to force majeure including but not limited to civil insurrection terrorism fire flood labor disputes shortages delays of suppliers or...

Страница 69: ...ORDERED OR FURNISHED OR FROM ANY CAUSE RELATING THERETO EXCEPT FOR PERSONAL INJURY OR DEATH TO THE EXTENT RESULTING FROM GAUMARD S NEGLIGENT OR INTENTIONALLY WRONGFUL ACTS OR OMISSIONS IN NO EVENT SHA...

Страница 70: ...all not apply to any information in the public domain at the time of disclosure 14 Intended Uses Products are only intended for the uses described in the applicable user s manual or instructions for u...

Страница 71: ...te and independent of one another and the unenforceability of any provision will not affect the enforceability of any other provision If any provision is held to be excessively broad or unenforceable...

Страница 72: ...sions or updates for the Gaumard Software 2 5Proprietary Notices End User agrees to maintain and reproduce on all copies of the Gaumard Software any names logos copyright notices trademarks other prop...

Страница 73: ...tion of law or otherwise of substantially all of the assets of such party In addition if End User transfers the Gaumard Product on which the Gaumard Software is installed to a third party End User may...

Страница 74: ...oduced by Gaumard This limited warranty does not apply to any products provided along with the Gaumard product that are manufactured by third parties For example third party products such as computers...

Страница 75: ...the simulator for possible troubleshooting as needed Technical Support Email support gaumard com USA 800 882 6655 INT 01 305 971 3790 9 6 GENERAL INFORMATION Sales and Customer Service E mail sales ga...

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