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laerdal SimMan Essential Скачать руководство пользователя страница 55

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Manikin Setup

System Setup

Sim

ulation Setup

Clinical F

eatur

es

Maintenance

Tr

oubleshooting

Spar

e Par

ts

Clinical Features

PNEUMOTHORAX

Tension pneumothorax with needle decompression can be performed at bilateral mid clavicle
line, 2nd intercostal space. The pneumothorax bladders may be p/-10 times, the pressure
inside the bladder will drop after repeated puncturing.

A 22 (or smaller) gauge needle is recommended for decompression of the chest. Using a smaller
gauge needle increases the longevity of the chest skin and bladders.

However, a too small gauge prevents automatic detection of the decompression event in the
simulation model.

CHEST TUBE INSERTION

Chest tube insertion can be simulated, and exploration and cut can be made at left or right
mid-axillary line at (4th and) 5th intercostals space

User-replaceable items, spare parts:

• Lung bladders

• Chest-rise bladders

• Pneumothorax bladders

• Pleura skin

• Torso skin

• Cricoid tape

• Neck skin

For instructions on replacing these items, please refer to

Maintenance.

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Содержание SimMan Essential

Страница 1: ...www laerdal com Directions for Use SimMan Essential...

Страница 2: ...2 CONTENTS...

Страница 3: ...charging 18 Battery Use 19 SYSTEM SETUP 20 Activating the Instructor Software license 21 Wireless and LAN configurations 21 Configuring your Network 21 Disabling Enabling WLAN 23 The Instructor PC 23...

Страница 4: ...Connecting the Blood Pressure Cuff 49 Connecting the SpO2 Probe 49 Changing the Upper Dentures 50 Changing the Irises 50 CLINICAL FEATURES 51 Airway Features 52 Breathing Features 54 Circulation 56 So...

Страница 5: ...cal protocols As with all manikins or other such training devices there may be approximations variations and inaccuracies in anatomical features and the physiological modeling This being the case Laer...

Страница 6: ...essible from the SimMan Essential software help menus For First time Instructors Instructor Application Auto Mode Voice Conference Application DebriefViewer Note A Patient Monitor can be purchased sep...

Страница 7: ...SSENTIAL SYSTEM Adult life size wireless manikin with internal battery power internal air compressor Interventions by learners are registered by the system in the session log and used for later debrie...

Страница 8: ...or colored paper Staining may be permanent ENVIRONMENT Wait until the manikin has reached room temperature before switching the manikin ON TRANSPORTATION AND STORAGE The manikin is heavy Ensure that t...

Страница 9: ...ways ensure that the manikins are properly secured during handling and transport to prevent personal injury or damage to the manikin Do not use the Manikin if The limbs are not attached to the torso S...

Страница 10: ...rature If automatic shutdown occurs allow the manikin to cool down before resuming the training session Open the torso skin to speed up the cooling process Warning Do not defibrillate the manikins whe...

Страница 11: ...ely For more information on weight restrictions contact the relevant airline Disassemble the legs from the torso and pack into their respective cases before transportation or storage For instructions...

Страница 12: ...Manikin Setup SimMan Essential Overview Power panel DC Input 9 24V X XA Speakers ECG Connectors Defib Connectors Pulses Air CO2 panel Air Out Fluid Inlet Activate Filling Fluid fill panel Air CO2 Inl...

Страница 13: ...orax bladders chest rise bladders lung bladders IO modules and chest drain modules Replacing the torso skin For general inspection OPENING THE TORSO SKIN Note DO NOT disconnect the tubes and cables co...

Страница 14: ...connector Avoid twisting the cable 8 Connect the cables to the corresponding cables in the torso LEFT LEG CONNECTION Left Leg to Pelvis Cable and Tube Descriptions Name Label Tube Cable Color Connecto...

Страница 15: ...sponding connection points in the torso LEFT ARM CONNECTIONS Name Label Tube Cable Color Connector Description LA Pulses Grey cable Black rectangular connector 6 lead Blood Pressure Grey cable Black r...

Страница 16: ...o 1 Release the battery clamp by unhooking the clips on either side 2 Insert both batteries into the battery tray After connecting the batteries connect the manikin to the external power supply while...

Страница 17: ...tor 5 LAN network cable connector 6 External power supply connector POWER PANEL LEDS DESCRIPTION LED Color Power Status Battery Status Charge Status Red Power Status 0 20 Not charging Yellow Start up...

Страница 18: ...not function normally EXTERNAL BATTERY CHARGING The external battery charger comes with 5 international plugs Connect the appropriate plug to the charger 3 Charging time is approximately 3 hours The...

Страница 19: ...teries for longer than a month Never store the batteries inside 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 mani...

Страница 20: ...y Charging and Use 4 Switch on the manikin Wait until the manikin begins breathing before switching on the Instructor PC 5 Start the separate Patient Monitor PC if applicable and connect the Web camer...

Страница 21: ...e activating the license Wireless and LAN configuration The SimMan3G Network ConfigurationTool SNCT allows you to configure the network behavior of the SimMan3G manikin For more information on Wireles...

Страница 22: ...G Network ConfigurationTool When using the manikin in environments where use of WLAN transmitters are prohibited Contact your local service representative for instructions on how to turn off radio tra...

Страница 23: ...imMan Essential SimMan Essential Bleeding Only SimMan Essential is covered in this Directions for Use The Instructor application will adapt the user interface according to the manikin selected or conn...

Страница 24: ...R S PATIENT MONITOR Instructor s Patient Monitor shows the status of patient s vital signs throughout the simulation 7 AIRWAY STATUS Airway Status window shows the state of the patient s airway in a r...

Страница 25: ...d patient case Scenario progress Trends Handlers Session Log records information about patient responses and Learner events that occur during simulation This information is then made available in debr...

Страница 26: ...the tab name to access the window For more information on configuring fluids see Clinical Features 9 SOUNDS Settings of Sounds tab are used to control the body sounds and vocal sounds from the maniki...

Страница 27: ...he Patient Case Library 4 Browse the patient cases using the library menu on the left The menus can be expanded and collapsed by clicking on the and buttons 5 Choose a patient case and click OK 6 The...

Страница 28: ...The Instructor s Patient monitor shows the patient s current vital signs and clinical parameters The patient status and the Airway status window provide at a glance data about the patient s current st...

Страница 29: ...one On request or when appropriate provide Radiology Lab results or background media files to the learners via the Learner s Patient Monitor using theTransfer Media files menu END SIMULATION SESSION W...

Страница 30: ...can also add Trends to the scenario and can decide to freeze or delete activeTrends TheTrend lines will be updated accordingly ADJUST PATIENT PARAMETERS DURING SIMULATION The Instructor s Patient Moni...

Страница 31: ...onitor changes in a patient s clinical status via the Patient Monitor software Video capture from the patient monitor display and the web camera can be stored for use in the DebriefViewer The Patient...

Страница 32: ...es back automatically after 10 15sec The TOF Train of Four button generates a ew reading of the TOF state of the patient TheTOF details will be shown in theTOF part of the Patient Monitor PC Selecting...

Страница 33: ...ad as many media files as required 5 The Instructor may wish to display the media file s immediately or after a pre selected time delay FOR A DELAYED DISPLAY Click the drop down menu icon below Delay...

Страница 34: ...f App 2 From the Windows Start menu 1 Click the Windows Start button 2 Select the Laerdal SimMan3G folder from the program list 3 Select the LaerdalVoice Conference Application program ON OFF BUTTON C...

Страница 35: ...e simulation session Instructor comments are included PATIENT MONITOR Patient Monitor display can be recorded as a video file WEB CAMERA Video signals from a Web camera connected either to the Instruc...

Страница 36: ...ows 1 In each editor go File Convert Old Scenarios 2 Follow the instructions in the conversion wizard to convert Scenarios All old SimMan Scenarios will automatically be converted to a SimMan Classic...

Страница 37: ...or default settings see section Connecting external Air and CO2 Supply TO AVOID OVERHEATING AND REDUCE WEAR If using the manikin in temperatures above 40 C 104 F always allow the manikin to cool down...

Страница 38: ...over extended periods of use If the manikin is required to exhale CO2 with each ventilation connect external CO2 Connect CO2 only if the manikin is required to exhale CO2 with each ventilation Exhale...

Страница 39: ...ed ON when performing the following IV ARM WITH SKIN IV ARM WITHOUT SKIN Filling and Priming port Priming switch IV Arm Pad Drain tube Filling and Priming port Priming switch Tourniquet area IV Arm ch...

Страница 40: ...that the IV Arm Pad is fitted correctly 7 Continue to slowly fill with no more than 16ml of blood or until you feel resistance in the syringe 8 Remove the Syringe The IV Arm is now ready for use 5 Pre...

Страница 41: ...Tourniquet Area is not activated i e remove the tourniquet 2 Remove the IV Arm Pad by pulling at the tabs on edge of the IV pad 5 Fill and Prime the system as instructed in the previous section REFIL...

Страница 42: ...an air filled syringe to the fill port Inject air until water is no longer coming out of the drain tube 2 Make sure the collector bag is connected to the drain tube 3 Connect a syringe filled with de...

Страница 43: ...re rebuild and try again Problem When injecting more than 40ml fluid and prime switch is depressed no fluid is visible in the drain tube Solution Leak inside IV Arm Contact LaerdalTechnical Service Pr...

Страница 44: ...e 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 Before replacing the newTibial IO ensure that the nipple...

Страница 45: ...s into the leg cavity 12 Affix the tape to keep 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 a...

Страница 46: ...manikin legs do not need to be removed before the genitalia pad can be replaced CHANGING THE GENITALIA PAD 1 Remove the manikin s genitalia pad by gripping the pad at the top and pulling forward and...

Страница 47: ...nector Run Manikin with External Fluid 1 Drain the internal reservoir Follow instructions for Empty Internal Fluid Reservoir 2 After draining the internal reservoir fill the fluid fill unit and connec...

Страница 48: ...g during defibrillation 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 startin...

Страница 49: ...before use CALIBRATING THE BLOOD PRESSURE CUFF Connecting the SpO2 Probe The SpO2 probe can be purchased separately The SimMan Essential SpO2 probe is made up of a light diode and light sensor When t...

Страница 50: ...ing the Irises The irises can be changed to simulate different clinical states The irises are secured by magnets in the eye socket To change the irises use the especially adapted suction wand Before c...

Страница 51: ...ee section Changing upper dentures MOBILITY OF JOINTS Neck movement can be on a 3 axis movement of head Range of movement can be restricted See Airway section under Clinical features Shoulders 3 axis...

Страница 52: ...ngeal mask airways The airways are designed for use with size 4 but size 5 may also seal correctly Endotracheal tube intubation Size ID 7 5 8 5 is suitable but using the smaller size reduces wear of t...

Страница 53: ...ion is automatically registered during a SimMan Essential simulation session Detection of proper head position JawThrust Pneumothorax decompression Ventilations Stomach distension INSTRUCTOR MODE AIRW...

Страница 54: ...ygen enriched air or flammable gasses The SimMan Essential can simulate spontaneous breathing and can be connected to ventilators or used with assisted ventilations Bilateral and unilateral chest rise...

Страница 55: ...recommended for decompression of the chest Using a smaller gauge needle increases the longevity of the chest skin and bladders However a too small gauge prevents automatic detection of the decompressi...

Страница 56: ...d pre programmed scenarios Defibrillation Studs 3 Lead ECG Studs CIRCULATION FEATURES BP measured manually by auscultation of Korotkoff sounds Carotid brachial radial femoral dorsalis pedis and poster...

Страница 57: ...N ECG 12 lead and heart rate HR Pulse NBP ABP PAP C O PATIENT MONITOR FEATURES TEMPERATURES TPeri Tblood SIMMAN ESSENTIAL CIRCULATION AND FLUIDS TAB Move the slider to the appropriate position Moving...

Страница 58: ...ctor Mode 1 HEART SOUNDS Select one of the following from the dropdown menu No Sound Normal Aortic Stenosis Mitral valve Prolapse Diastolic Murmur Combined aortic insufficiency and stenosis Pericardit...

Страница 59: ...will disable features generating mechanical noise in the manikin for 30sec This includes stopping the compressor and preventing chest rise 7 VOCAL SOUNDS The manikin can vocalize sounds Automatically...

Страница 60: ...yelid Status Select one of the following from the drop down menu Closed Half open Wide open R open L closed R closed L open Blinking Frequency Select one of the following from the drop down menu Off I...

Страница 61: ...icons showing route of drug administration appear directly below the window Select administration route by clicking the appropriate icon 5 Change the dosage and concentration values under Select conc...

Страница 62: ...es or linens Glue residue from the wound module tapes may be removed with a moist cloth or Laerdal Manikin Wipes General clean up Return manikin and PCs to original state Single use modules Based on t...

Страница 63: ...h OFF the manikin during the following Never update the simulator over WLAN wireless Please note that the version shown in these screenshots is subject to change 1 Make sure you have installed the sof...

Страница 64: ...creen during the update click Yes to continue the installing updates 2 If a module fails to update run the Manikin Update again Should the same module fail repeatedly check to see whether all internal...

Страница 65: ...n to expose the chest plate Lift the chest plate to reveal the pneumothorax bladders located in slots in the side of the chest plate assembly 2 Slide out the old pneumothorax bladder 3 Disconnect the...

Страница 66: ...t cavity should be replaced 1 Open the torso 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...

Страница 67: ...e manikin skins may need replacement if they have torn perforated or stained 1 Unzip and roll the skin off 2 Powder the inside of arms torso and legs to reduce friction while replacing the manikin ski...

Страница 68: ...ndows built in features instead WLAN CONNECTION Problem WLAN Connection is lost Possible Solutions Bad Reception or connectivity when running a network of manikins Ensure that the WPA security keys ar...

Страница 69: ...Application will indicate which manikin is pulse palpated AIRWAY CONTAMINATION Problem Manikin airways have become contaminated from mouth to mouth rescue breathing Solution Clean the outside of the m...

Страница 70: ...when adjusting lung compliance contact LaerdalTechnical Service If there is no change in lung resistance contact Laerdal Technical Service MECHANICAL NOISE DURING AUSCULTATION In the Instructor Appli...

Страница 71: ...KIN Cleaning Fluids To clean the manikin s fluid system use one of the following 60 Isopropanol alcohol SIMULATED IV FLUIDS Only use purified water to simulate IV fluids Distilled Water Deionized Wate...

Страница 72: ...the product or on the documents accompanying the product indicates that this appliance may not be treated as household waste Instead it shall be handed over to the applicable collection point for the...

Страница 73: ...13050 Arm right IV arm no convulsion 213 14050 Arm left BP Arm complete no convulsion 212 14250 Arm Adaptor SimMan 3G SimMan 213 15050 Leg right complete Essential 213 16050 SimMan Essential Leg left...

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Страница 76: ...2014 Laerdal Medical AS All rights reserved 20 07319 Rev A...

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