Second right
intercostal space
(aortic)
(lower left
sternum)
Second left
intercostal space
(pulmonic)
Third left
intercostal space
(Erb’s point)
Fourth left
intercostal space
Apex
6
3
ABOUT THE SIMULATOR
The
Life
/
form
®
Auscultation Trainer Simulator features 28 heart and lung conditions selected by the instructor by
wireless remote control. The simulator duplicates human conditions as closely as modern plastics and electronic
technology allows.
The remote control does not have to be pointed directly at the manikin or SmartScope™ to operate. One remote
control will operate multiple sets of SmartScopes™ and manikins simultaneously. Great for group instruction. The
range of the remote control is up to 100 feet.
LF01172U includes amplified speaker. LF01142U does not include amplified speaker.
LIST OF COMPONENTS
•
Trainer Torso
•
Remote Control
•
Colored Dots
•
SmartScope™ with Single- & Dual-Use Headpieces
•
Amplifier/Speaker System (LF01189U included
in LF01172U only)
•
Batteries
•
Hard Carry Case
SET UP
•
Remove product from packaging.
•
Install batteries first in the remote and then in the
SmartScope™.
(See Figure 1.)
•
Retain packaging for storage.
GENERAL INSTRUCTIONS FOR USE
1.
To begin using the Auscultation Trainer, press the red power button. This turns on the remote control and sends
a signal to activate the SmartScope™ as well. After the unit is activated, the display will be in the “status” mode,
displaying the current menu settings for the heart and lung conditions.
2.
To select a new condition, press either the heart or lung button. This will put the display into the menu mode. The
user can select a condition by either using the number buttons, or by viewing the conditions in sequence using the
scroll button.
3.
After the condition is selected, press the enter button to activate.
The remote control can be programmed to these
heart conditions:
01 Normal Heart
02 Aortic regurgitation
03 Pulmonary stenosis
04 Mitral stenosis
05 Holosystolic
06 Mid-systolic
07 S3 Gallop
08 S4 Gallop
09 Systolic click
10 ASD
11 PDA
12 VSD
The remote control can be programmed to these
lung conditions:
01 Normal lung
02 Vesicular
03 Wheezes
04 Mono wheeze
05 Fine crackle
06 Coarse crackle
07 Ronchi crackle
08 Stridor
09 Cavernous
10 Bronchovesicular
11 Bronchial
12 Pulmonary edema
13 Infant
14 Friction rub
15 Egophony
16 Pectoriloquy
+
+
+
+
Figure 1
4.
To listen to the selected sounds, place the ear pieces in ears angled in a forward
position. Place the diaphragm of the SmartScope™ over one of the appropriate
sites on the manikin.
(See diagram on pages 4 & 5.)
5.
As an alternative, an amplified speaker (LF01189U, included with LF01172U)
can be used, allowing an entire classroom to hear at the same time. To connect
the speaker, plug the speaker cord into the speaker jack on the top of the Smart-
Scope™ box.
(See Figure 2.)
When a speaker is connected to the SmartScope™,
the ear pieces will not work. Place the diaphragm of the SmartScope™ over the
appropriate sites on the manikin.
(See diagram on pages 4 & 5.)
6.
Colored dots are included with the torso to aid with teaching.
Figure 2
Aortic Second
Right Intercostal
Space
Pulmonic Second Left
Intercostal Space
Erb’s Point
Third Left
Intercostal Space
Fourth Left
Intercostal
Space
Lower Left
Sternum
Apex
1. Normal
Normal, S2
Accentuated
Normal, S2 Accentu-
ated
Normal, S2
Accentuated
Normal
Normal
Normal
2. Aortic
Regurgitation
Ejection Sound,
Loud Mid systolic
& soft early
diastolic murmur
Ejection sound, mild systolic murmur, early diastolic
blowing murmur
Normal
Normal
3. Pulmonary
Stenosis
Normal
Moderate 4th sound,
harsh late peaking sys-
tolic murmur, soft late
pulmonic 2nd sound
Normal
Normal
Normal
Normal
4. Mitral
Stenosis
Normal
Normal
Severe held expi-
ration, tachycar-
dia: opening snap
.03 seconds after
loud 2nd sound
Constrictive Pericardi-
tis/ knock. Inspiratory
augmentation indi-
cates a gallop of right
ventricular origin
Normal
Held expiration, tachy-
cardia: opening snap,
mid diastolic &
presystolic murmurs,
loud 1st sound
5. Holosystolic
Murmur
Normal
Normal
Normal
Normal
Patient has mitral regurgitation & frequent
premature ventricular contractions.
Murmur is crescendo-decresendo with late
peaking. Soft S3 in mid diastole.
6. Midsystolic
Murmur
Normal
Normal
Normal
Normal
Patient with hypertrophic cardimyopathy
has a murmur that begins after S1 and ends
before S2
7. S3 Gallop
Normal
Normal
Normal
Normal
Patient has a readily heard third heart
sound. S3 occurs later in diastole than the
opening snap.
8. S4 Gallop
Normal
Normal
Normal
Normal
Patient with left ventricular hypertrophy has
a fourth sound (S4) that is not heard on
every cycle. The sound is presystolic about
.1 second before S1.
9. Midsystolic
Click
Normal
Normal
Normal
Normal
Patient has mitral prolapse which produces a
mid systolic click heard during inspiration.
10. Atrial Septal
Defect
Normal
Respiration: mid sys-
tolic murmur, fi xed split
2nd, soft 3rd, breath
sounds with inspiration
Normal
Respiration: mid
systolic murmur,
fi xed split 2nd, mid
diastolic murmur
Normal
Normal
11. Patent Ductus
Arteriosus
Normal
Continuous murmur
Normal
Continuous murmur
Normal
Normal
12. Ventricular
Septal Defect
Normal
Normal
Holosystolic murmur with late crescendo
Normal
Normal
ANTERIOR HEART SITES
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