CAE Healthcare Fidelis Lucina User Manual

Maternal fetal simulator

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Maternal Fetal Simulator

User Guide

Table of Contents

Summary of Contents for CAE Healthcare Fidelis Lucina

Page 1 Maternal Fetal Simulator User Guide...
Page 3 This License governs the grant of licenses for the software, in object code only, embedded in the Product (the “Embedded Software”), as well as all related Product documentation and information (the “Data”) supplied by CAE Healthcare either with or separately from the Product, which items as indicated in the MEPGTC are not sold but licensed.
Page 4 Embedded Software and Data exclusively with the Product, and with the computer on which this License appears. 2.2 Except for the License granted herein, CAE Healthcare grants no express or implied right under any patent, copyright, mask work right, trademark, know how or other intellectual property rights. Without limiting the foregoing, the Licensee shall not obtain any rights to CAE Healthcare’s property, or any part thereof, by...
Page 5 Work remain the exclusive property of CAE Healthcare. Licensee shall not modify such Work in any way whatsoever and shall not remove or alter any CAE Healthcare notices. However, Licensee is permitted to produce and reproduce such Work only for non-commercial educational purposes.
Page 6 6.1 Licensee acknowledges that the Embedded Software and Data constitute a special, irreplaceable asset of great value to CAE Healthcare, and that a breach, in any way, of any of Licensee’s obligations under Sections 2 (License), and 5 (Non-Disclosure) hereof would cause serious and irreparable harm to CAE Healthcare which may not be adequately compensated for in damages.
Page 7 9.2 Amendment. This License may only be amended by the duly authorized representatives of CAE Healthcare. 9.3 No Waiver: The failure of CAE Healthcare to enforce at any time any of the provisions of this License, or to require at any time the performance by Licensee of any of the provisions hereof, shall not be construed to be a waiver of such provisions, nor in any way affect the validity of this License or any part thereof, or the right of CAE Healthcare thereafter to enforce any such provision.
Page 8 PROPRIETARY NOTICE: This document, including the information contained herein is confidential and/or proprietary to CAE Healthcare Inc., and shall not be reproduced or disclosed in whole or in part, or used for any purpose whatsoever unless authorized in writing by CAE Healthcare Inc. Information on copyright and...
Page 9: System Requirements
YSTEM EQUIREMENTS If you are not using a TouchPro computer or Wireless Remote provided by CAE Healthcare, please be sure to utilize a computer with wireless capability. When operating the TouchPro or Müse software, a computer with a Macintosh® or Microsoft Windows® operating system may be used.
Page 10 System Requirements Macintosh Hardware Intel Core 2 Duo, 2.0 GHz (minimum) 2 GB DDR3 RAM (minimum) 8 GB Hard Drive space available 1024x768 screen resolution (minimum) USB 2.0 Wireless 802.11b/g/n Ethernet card 100BASE-T Ethernet Adapter Standard DVD+/-R Drive NOTE: Macintosh, Quicktime are registered trademarks of Apple Inc. Windows Media and Internet Explorer are registered trademarks of the Microsoft Corporation in the United States and/or other countries.
Page 11: Specifications
PECIFICATIONS All hardware and software needed for the operation of the simulator are supplied. If you wish to extend the Instructor Workstation to other computers, contact CAE Healthcare. Size Mannequin/Simulator: 69” H x 22” W x 15” D (175cm x 56cm x 38cm) Fetus/Simulator: 19”...
Page 12: Power
Specifications Power Mannequin/Simulator AC Input: AC 100 – 240VAC, 50/60Hz Consumption: Maximum 150W (Charging), 100W (charged), Typical 40W Internal Batteries: 14.4V 90-watt-hour lithium-ion, rechargeable Run Time: 4 hours (Typical) Fetus/Simulator Run Time: 7 hours (Typical) Instructor Workstation AC Input: AC 100 – 240VAC, 50/60Hz Consumption: Maximum 85W (Charging) Internal Battery: 10.8V 60-watt-hour lithium-polymer, rechargeable Run Time: 2 to 4 hours (Typical)
Page 13: Cautions And Warnings
• Always use the supplied power adapter to charge or run simulator from AC. Latex Warning CAE Healthcare simulators incorporate latex into their design. When performing certain maintenance procedures, the latex can become exposed. Users with latex sensitivity should take necessary...
Page 14: General Use Warnings
Cautions and Warnings General Use Warnings Please observe the following warnings when using the Fidelis Lucina simulator. Electrical System • Operate the system from a power source with the following rating: 115VAC, 50/60 hertz (cycles per second) (e.g. North America, Japan), and 230VAC, 50/60 hertz (cycles per second) (e.g.
Page 15: Table Of Contents
Table Of Contents ABLE OF ONTENTS CAE Healthcare End-User License Agreement ..............i System Requirements ....................vii Specifications ........................ ix Size ............................ix Weight ..........................ix Environmental Requirements ....................ix Ambient Temperature Range........................ix Maximum Altitude..........................ix Power..........................x Communications ........................x Electrotherapy ........................x Air Supply ..........................x Cautions and Warnings....................
Page 16: Table Of Contents
Table Of Contents Accessories.............................. 5 Optional Equipment..........................6 Supplemental Static Cervices Kit ......................6 Operation Supplemental Accessories ...................... 6 Additional Equipment......................7 Setup ..........................9 Before Beginning Setup....................... 9 Step 1: Place Mannequin in the Work Area ................10 Step 2: Power on the Maternal Mannequin ................11 Step 3: Power on the Fetus....................13 Step 4: Power on the Instructor Workstation ................14 Step 5a: Connect to the Wireless Network - Laptop Instructor Workstation (Macintosh) ..15...
Page 17 Table Of Contents Installing the Placenta .......................35 Vaginal Delivery Placenta Pouch Placement ..................37 Installing the Abdomen ......................38 Delivery Abdomen Installation......................38 Non-Gravid (Non-Pregnant) Abdomen ....................41 Disconnecting the Umbilical Cord ..................43 Postpartum ........................44 Filling the Blood Tank......................44 Internal Filling............................44 External Filling .............................
Page 18 Table Of Contents Traction Feedback ..........................100 The CPR Monitor ..........................101 Using the Event Recorder to Save States ..................... 102 Creating a New Patient ........................104 Resetting a Patient..........................107 The Medication Monitor........................108 Returning to the Home Page....................... 109 Stopping the SCE..........................
Page 19 Table Of Contents Saving a Layout........................... 172 Sounds..........................173 12-Lead ECG ........................174 NIBP Cycling and Manual NIBP ..................177 Patients...........................179 Configuring the TouchPro Software ...................180 Changing the TouchPro Language ..................181 Exiting the TouchPro Software ..................182 Using the TouchPro CTG Monitor Software ..............183 Accessing the TouchPro CTG Software ................183 Configuring CTG Alarms.....................185 Setting CTG Alarm Thresholds ......................
Page 20 Training for LifeTM..........................240 System Software Upgrade Support ..................241 Time and Materials ..........................241 How to Contact Customer Service..................241 For customer service, please contact CAE Healthcare................241 Breakdown ........................243 Step 1: Clean the Simulator and Fluid Systems..................243 xviii...
Page 21 Table Of Contents Step 2: Shut Down the Software ......................243 Step 3: Power Off the Simulator ......................244 Step 4: Power Off the Fetus......................... 244 Maintenance Advice ......................245 General Simulator Care ........................245 Storing the Simulator.......................... 245 Caring for Electronic Equipment......................246 Inspecting the Airway .........................
Page 22 Table Of Contents Respiratory Rate Factor ........................279 Shunt Fraction............................. 279 SpO2 ..............................279 Neuromuscular Blockade (NMB) ......................280 Tidal Volume............................280 Intrapleural Volume (Vol): (Left and Right)..................280 Fraction of Inspired O2 (FiO2)......................281 Respiratory – Additional Parameters.................281 Respiratory Rate..........................282 Tidal Volume............................
Page 23 Table Of Contents Fraction of Inspired Halothane......................289 Alveolar Isoflurane ..........................290 Fraction of Inspired Isoflurane......................290 Alveolar Nitrous Oxide......................... 290 Fraction of Inspired Nitrous Oxide ....................... 291 Alveolar Sevoflurane ........................... 291 Fraction of Inspired Sevoflurane......................291 Cardiovascular – Basic Parameters ..................292 Blood Pressure ............................
Page 24 Table Of Contents Baroreceptor Gain (Overall) Factor ...................... 302 Baroreceptor Gain (Cardiac) Factor...................... 302 Baroreceptor Gain (Peripheral) Factor....................303 Chest Compression Efficacy ......................... 303 Tamponade Volume..........................303 Ischemic Index Sensitivity ........................304 Ischemic Index Averaging ........................304 Aortic Valve Resistance Factor......................305 Mitral Valve Resistance Factor......................
Page 25 Table Of Contents UA Noise.............................. 312 TOCO Amplitude Gain.......................... 312 FHR Baseline ............................312 FHR Variability Coefficient........................313 Umbilical Cord Compressibility Factor ....................313 FHR Acceleration Amplitude ....................... 313 FHR Acceleration Interval........................313 FHR Acceleration Duration ........................313 Placental Perfusion Factor........................314 Umbilical Flow Factor..........................
Page 26 Table Of Contents Breech Initial Position ......................... 323 Cord Prolapse ............................323 Nuchal Cord............................323 Placenta Condition..........................324 Postpartum Initial Uterine State ......................324 Postpartum - Basic Parameters ..................325 Uterine Massage ..........................325 Resolve Boggy Uterus.......................... 326 Inverted Uterus Can Be Reverted......................326 Postpartum - Additional Parameters .................326 Maternal Position..........................
Page 27 Troubleshooting.......................345 Power Problems..........................345 Audio Problems........................... 345 RF Channel Initial Operating Frequencies................347 Fidelis Lucina Medication Information ................. 349 Müse Mannequin Setup Screens................... 351 Mannequin Setup Screen for a Prepartum SCE ..............352 Mannequin Setup Screen for an Active Phase Breech SCE.............353 Mannequin Setup Screen for an Active Phase Vertex SCE .............354...
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Page 29: Introduction
Welcome to the CAE Fidelis Lucina Maternal Fetal Simulator user guide. This guide provides complete instructions on how to use and maintain your simulator. The Fidelis Lucina simulator has been designed to provide instructors and learners with advanced tools for obstetrical training.
Page 30: Contained In This User Guide
Introduction Contained in this User Guide This User Guide has been designed for quick access to information on how to use and maintain the CAE Fidelis™ Maternal Fetal Simulator. Please be sure to read and follow the Cautions and Warnings on the pages preceding the Table of Contents.
Page 31: Equipment Overview
Standard Equipment The standard equipment for Fidelis Lucina includes all the necessary equipment for basic use of the simulator. The items listed in the table below are shipped with the simulator. Standard Equipment...
Page 32: Touchpro Workstation
NIBP, SpO and body temperature. Power Adapters and Cords (2) The Fidelis Lucina comes with two sets of power adapters and cords: one for the maternal simulator and one for the fetal simulator. Gown A gown is provided for the maternal mannequin to enhance the reality of the simulation.
Page 33: Vaginal Delivery Kit
The Postpartum Kit contains the following items: • Postpartum Birth Canal with Boggy/Contracted Uterus • Blood Tank • Trauma Fill Tank Accessories The accessories for the Fidelis Lucina include: • Four ECG posts • Pacing/defibrillation disks • NIBP Adapter Kit • IV priming syringe •...
Page 34: Optional Equipment
Equipment Overview Optional Equipment The following equipment is available to customize the specific needs of a wide variety of education environments. Supplemental Static Cervices Kit The supplemental static cervices kit contains a set of cervices in addition to the essential static cervices kit.
Page 35: Additional Equipment
Equipment Overview Additional Equipment Some items are available for purchase as additional equipment: • Arm skin • Delivery birth canal (including perineum and vulva) • Delivery fetus • Hand skin (left or right) • Leopold fetus • Lubricant spray (cottonseed oil) •...
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Page 37: Setup
Setup ETUP This section provides instructions and guidelines for assembling the simulator and configuring the Instructor Workstation. Follow these steps to prepare for your simulation experience. Setting Up the Maternal Fetal Simulator Place Mannequin in the Work Area Power on the Mannequin Power on the Instructor Workstation Connect to the Wireless Network Connect the TouchPro CTG Monitor to the Wireless Network...
Page 38: Step 1: Place Mannequin In The Work Area
At least a 10' x 12' (3 meter x 4 meter) work area is recommended for movement of learners and positioning of components around the simulator. The CAE Fidelis Lucina Maternal Fetal Simulator - Maternal Mannequin The maternal mannequin and the Instructor Workstation may all be operated from their batteries, allowing for wireless use.
Page 39: Step 2: Power On The Maternal Mannequin
Locate the power button on the right side of the Fidelis Lucina mannequin’s torso.
Page 40 Setup Each time the maternal mannequin is powered on, the rotation ring must be returned to the Home position. To return the rotation ring to the Home position, press and hold the upward arrow button until the rotation ring returns to the “Home” position (e.g., the highest position of the Birthing Mechanism), rotates and locks in place.
Page 41: Step 3: Power On The Fetus
Setup Step 3: Power on the Fetus To power on the fetus: a. Prior to powering on the simulator, ensure the fetus has fully charged batteries. For more information on charging the fetus, see the Care and Maintenance section of this user guide. b.
Page 42: Step 4: Power On The Instructor Workstation
Setup NOTE: When the umbilical light is a solid orange, the battery life for fetus is less than one hour. The Power indicator light The Front of the Fetus IMPORTANT: Each fetus is specifically configured to connect to its designated maternal mannequin.
Page 43: Step 5A: Connect To The Wireless Network - Laptop Instructor Workstation (Macintosh)
Setup Step 5a: Connect to the Wireless Network - Laptop Instructor Workstation (Macintosh) Option Once the mannequin and the Instructor Workstation are both powered on, they automatically establish a wireless connection and, when the default web browser is opened, the Müse software launches. If the auto-connect does not occur, perform the following steps: a.
Page 44: Step 5B: Connect To The Wireless Network - Laptop Or Tablet Instructor Workstation (Windows)
Setup Step 5b: Connect to the Wireless Network - Laptop or Tablet Instructor Workstation (Windows) Option Once the mannequin and the Instructor Workstation are both powered on, they automatically establish a wireless connection and, when the Internet Explorer browser is opened, the Müse software launches. If the auto-connect does not occur, perform the following steps: a.
Page 45: Step 6: Connect A Touchpro™ Workstation To The Wireless Network (Optional)
Step 6: Connect a TouchPro™ Workstation to the Wireless Network (Optional) The CAE Healthcare TouchPro workstation comes pre-configured for use with the simulator. If you wish to supply your own computer to run the TouchPro software, the computer must meet the system requirements and must join the simulator network prior to use.
Page 46 Setup The Müse Start screen appears. The Müse Start Screen j. Choose the TouchPro CTG or the TouchPro Patient Monitor to launch the software. NOTE: If you experience poor waveform quality or connection dropouts, consider relocating the simulator to a position with less interference in the 2.4Ghz wireless frequency.
Page 47: Configuring The Mannequin
Configuring the Mannequin ONFIGURING ANNEQUIN The maternal mannequin must be configured properly in order to run the various SCEs. Prior to beginning a configuration, users must select a SCE in the Müse software. NOTE: To avoid any unexpected behavior, users must click the Stop button in the Müse software to end an SCE is that is currently running prior to selecting a new SCE and configuring the mannequin.
Page 48: Prepartum
Configuring the Mannequin *When in the Vaginal Delivery Operating Mode, if the user selects Proceed To Postpartum after the baby is marked as delivered, do not stop the SCE. However, it is necessary to reconfigure the mannequin for postpartum configuration prior to proceeding. **This process may be completed before installing the blood tank or after installing the blood tank, depending on which filling method is chosen (internal or external).
Page 49 Configuring the Mannequin 2. Unfasten the clips on each side of the ring. a. Push the top of the clip out to unsnap. b. Push slightly down to unclip the bottom of the clip. The rotation ring clip The Mannequin’s Torso - Rotation Ring Side Clip 3.
Page 50: Installing The Static Cervix
Configuring the Mannequin Installing the Static Cervix Prepartum and Latent Cervix Installation To install a static cervix for a prepartum and latent SCE: 1. Remove the uterine funnel with delivery cervix by lifting the part up and out of the mannequin’s pelvis. uterine funnel delivery...
Page 51 Configuring the Mannequin b. Place the prepartum birth canal inside the mannequin’s torso and pull the perineum section out through the standard birth canal. The labia The Prepartum Birth Canal c. Tuck the skin shorts over the extended flaps. To install the static cervix, lubricate the anterior part of the selected cervix and insert at the posterior end of the prepartum birth canal with the arrow pointing upward.
Page 52: Installing The Backplate
Configuring the Mannequin Installing the Backplate Prepartum and Latent Backplate Installation To install the backplate for a prepartum and latent SCE configuration: 1. Ensure the cervix retention plate is placed into the grooves located in the center of the backplate. The cervix retention plate...
Page 53: Installing The Support Tubs
Configuring the Mannequin Installing the Support Tub The support tub is used to hold the fetus during prepartum/latent phase. 1. Install the Leopold support tub in the mannequin’s torso. The rotation ring removed The Mannequin’s Torso - The Support Tub The mannequin is ready for installing the Leopold fetus.
Page 54: Delivery
Configuring the Mannequin Delivery Installing the Rotation Ring The rotation ring must be installed prior to running a delivery SCE. To install the rotation ring inside the mannequin’s torso: 1. Align the rotation ring tab (located on the side opposite of the CAE Fidelis logo) with the rotation ring groove inside the mannequin’s torso.
Page 55 Configuring the Mannequin 2. Secure the clips on each side of the rotation ring. a. Ensure the side connections are fully inserted and aligned. b. Latch the bottom of the clip to the rotation ring. c. Push the top of the clip in to securely fasten. The rotation The side ring clip...
Page 56: Installing The Uterine Funnel With Dynamic Cervix
Configuring the Mannequin Installing the Uterine Funnel with Dynamic Cervix The uterine funnel with dynamic cervix is used for active and delivery SCE configurations. To install the uterine funnel with dynamic cervix, slide the uterine funnel with delivery cervix into the grooves located on each side of the mannequin’s pelvis.
Page 57: Loading The Fetus - Delivery
Configuring the Mannequin Loading the Fetus - Delivery NOTE: Prior to loading the fetus, ensure that the descent mechanism is properly returned to the “Home” position. Failure to do so will require the user to reload the fetus. To manually return the rotation ring to the Home position: 1.
Page 58 Configuring the Mannequin To attach the umbilical cord to the fetus, push one of the blue ends of the cord into the umbilical opening on the fetus. The blue tubing The Umbilical Cord Attached to the Fetus 5. Lubricate the fetus’ buttocks, legs, and lower torso using cottonseed oil. DO NOT lubricate under the fetus’...
Page 59 Configuring the Mannequin 7. Insert the head into the rotation ring approximately 0.5 cm past the two dimples near the top of the ear (this allows the ring to line up with dimples when inflated). The ear dimples The Fetus in the Rotation Ring - Breech Presentation NOTE: For Left Sacrum breech presentation, the fetal head should be facing the mother’s right side when placed into the rotation ring.
Page 60: Vaginal Delivery - Vertex
Configuring the Mannequin 9. Position the arms firmly adducted against the torso of the fetus with the hands of the fetus towards the back of the fetus, not the front. The Breech Fetus in the Rotation Ring - Arms Adducted IMPORTANT: Ensure the umbilical cord exits the placenta pouch on the same side that the fetus is facing to prevent snag during delivery.
Page 61 Configuring the Mannequin To attach the umbilical cord to the fetus, push one of the blue ends of the cord into the umbilical opening on the fetus. The blue tubing The Umbilical Cord Attached to the Fetus 5. Lubricate the fetus’ head, neck, and upper torso using cottonseed oil. DO NOT lubricate under the fetus’...
Page 62 Configuring the Mannequin 7. Insert the buttocks of the fetus into the rotation ring up to the two dimples near the umbilical cord area. The two dimples The Fetus in the Rotation Ring - Vertex Presentation 8. Bend the legs at the knees and tuck the feet into the rotation ring up to the ankles.
Page 63: Installing The Placenta
Configuring the Mannequin 9. Inflate the rotation ring by pressing either grip button inside the mannequin’s torso indicated by the lock icon. The Lock icon The Gripper - Lock Icon The fetus is now installed for a vertex vaginal delivery. Installing the Placenta NOTE: For active and vaginal delivery configurations, prior to installing the placenta, the fetus and placenta should be connected to the umbilical cord.
Page 64 Configuring the Mannequin To install the placenta: 1. Connect one end of the umbilical cord to the placenta by pushing the extended blue tubing into the opening on the placenta. The blue tubing The Umbilical Cord Connected to the Placenta 2.
Page 65: Vaginal Delivery Placenta Pouch Placement
Configuring the Mannequin 4. Coil the remaining umbilical cord inside the placental pouch ensuring that the cord exits the placenta pouch on the same side that the fetus is facing. The umbilical cord connection on the left side of the pouch The umbilical cord The Placenta Inside the Placenta Pouch...
Page 66: Installing The Abdomen
Configuring the Mannequin 3. Attach the placenta pouch to mannequin’s pelvis by connecting the pouch straps to each side of the pelvis. The Placenta Pouch Strap Connection The placenta pouch is installed. IMPORTANT: If the placenta and umbilical cord are not properly positioned, the simulator motor may become obstructed and begin to make a clicking or knocking sound.
Page 67 Configuring the Mannequin 1. Locate the speaker system cable and the palpable contraction system cord inside the abdomen shell. The Speaker cable Contraction cord The Abdomen Contraction and Speaker Cables 2. Plug the cables into the corresponding connections inside the mannequin’s torso.
Page 68 Configuring the Mannequin 3. Latch the abdomen shell into the mannequin’s torso and ensure the speaker cable is not pinched or constricted. The abdomen latch post The mannequin torso hole The Abdomen Placement The abdomen is ready for use. IMPORTANT: Use only the lift straps attached to the abdomen to lift and remove the abdomen from the mannequin’s torso.
Page 69: Non-Gravid (Non-Pregnant) Abdomen
Configuring the Mannequin Non-Gravid (Non-Pregnant) Abdomen IMPORTANT: Ensure the birthing mechanism on the mannequin is at the highest position and the Leopold Tub is installed (for support). 1. Locate the speaker system cable inside the abdomen shell. The Speaker cable The Non-Gravid Abdomen Speaker Cable 2.
Page 70 Configuring the Mannequin 3. Latch the abdomen shell into the mannequin’s torso and ensure the speaker cable is not pinched or constricted. The abdomen latch post The mannequin torso hole The Abdomen Placement The abdomen is ready for use. IMPORTANT: Use only the lift straps attached to the abdomen to lift and remove the abdomen from the mannequin’s torso.
Page 71: Disconnecting The Umbilical Cord
Configuring the Mannequin Disconnecting the Umbilical Cord To disconnect the umbilical cord from placenta, push down on the gray disconnection ring and pull the blue tubing out of the connection port. The gray disconnection ring The Umbilical Cord Placenta Disconnection To disconnect the umbilical cord from the fetus, push down on the gray disconnection ring and pull the blue tubing out of the connection port.
Page 72: Postpartum
Configuring the Mannequin OSTPARTUM Filling the Blood Tank The blood tank has a 2 liter fluid capacity. There are two ways to fill it: 1. Internally (e.g., when the blood tank has been installed in the mannequin) 2. Externally using the Blood Tank Adapter accessory (e.g., when the blood tank needs to be prepared prior to starting a simulation to decrease the time spent changing the configuration from delivery to postpartum) Internal Filling...
Page 73: External Filling
Configuring the Mannequin The blue tube connects to the BLOOD FILL port and the yellow tube connects to the BLOOD VENT port. The BLOOD FILL port The BLOOD VENT port The Battery Compartment and Ports 3. Ensure the yellow pressure relief knob on the trauma fill tank is closed and pressurize the trauma fill tank by pumping no more than 20 times.
Page 74: Installing The Blood Tank
Configuring the Mannequin 2. Connect the red connector to the blood tank outlet (clear tubing located at the top of the blood tank). 3. Locate the trauma fill tank. The overflow bottle The yellow overflow port The blue BLOOD OUT port The Trauma Fill Tank 4.
Page 75 Configuring the Mannequin 1. Ensure the rotation ring from inside the mannequin’s torso is removed. CAUTION: Do not place pressure or any object on the rotation ring support arms while the rotation ring is removed. The Mannequin’s Torso - Rotation Ring Removed 2.
Page 76: Installing The Boggy/Contracted Uterus With Bag
Configuring the Mannequin 4. Connect the blood tank outlet (clear tube located at the top of the blood tank) to the mannequin BLOOD port on the baffle. The blood tank outlet The BLOOD port The Blood Tank Outlet and Blood Port 5.
Page 77 Configuring the Mannequin To install the boggy/contracted uterus: 1. Ensure the rotation ring is removed from the mannequin’s torso. 2. Ensure the blood tank is installed. 3. Ensure the placenta pouch is placed on top of the blood tank. 4. Thread the cable tie completely through the bag opening. NOTE: The cable tie may also be threaded through the bag after installing the bag on the uterus.
Page 78 Configuring the Mannequin a. Ensure cable tie is threaded through the bag opening and tightened snugly to hold bag in place. Excess length of cable tie can be cut off. The cable tie The Boggy/Contracted Uterus Bag Installation 6. Place the boggy/contracted uterus with bag in the abdominal cavity over the placenta pouch.
Page 79 Configuring the Mannequin NOTE: If the boggy/contracted uterus is already installed in the mannequin, be sure to install the bag per instructions above. The Boggy/Contracted Uterus NOTE: The bag style and color may vary. 7. Connect the uterus inflation port (clear blue tubing labeled BOGGY) to the mannequin UTERUS pneumatic port (clear blue tubing).
Page 80 Configuring the Mannequin 8. Connect the uterus bleed port (clear tubing) to the mannequin BLOOD UTERUS port (clear tube). The uterus bleed port The BLOOD UTERUS port The Uterus Bleed Port and BLOOD UTERUS Port 9. Lightly lubricate the birth canal and the mannequin’s external genitalia using the cottonseed oil provided.
Page 81 14. Push the external genitalia flap under the buttocks and attach it to the rectal plug. NOTE: CAE Healthcare recommends placing the mannequin in McRoberts position to perform this procedure. 15. Install the Backplate without the Cervix Retention Plate.
Page 82: Installing The Postpartum Invertible Uterus
Configuring the Mannequin Installing the Postpartum Invertible Uterus NOTE: The postpartum invertible uterus is soft and has a reversion lock collar in the cervical area (unlike the Boggy/Contracted uterus). The invertible uterus is placed inside the abdominal cavity over the placenta pouch on the blood tank and has two connections: •...
Page 83 Configuring the Mannequin 1. Connect the provided 140 mL syringe to the air tube on the uterus. NOTE: Leave the syringe attached during preparation and installation. The air tube The Syringe Air Tube Connection 2. Depress and pull the syringe plunger until uterus inflates to a rounded shape (approximately 10 times).
Page 84 Configuring the Mannequin 5. Pull out the liner to invert the uterus, do not extend more than two inches outside the labia. The Invertible Uterus 6. Ensure the birthing mechanism on the mannequin is at the highest position and the rotation ring is removed from the mannequin’s torso. 7.
Page 85 Configuring the Mannequin 10. Lightly lubricate the birth canal and labia using the cottonseed oil provided. 11. Lubricate the uterus external genitalia. 12. Gather the invertible uterus external genitalia fully inside the mannequin’s torso and push the skin through the birth canal until the genitalia is completely on the outside.
Page 86 Configuring the Mannequin 15. Connect the reversion lock collar pneumatic line (yellow Gripper line) to the mannequin Fetus Gripper port. The Fetus Gripper port The Invertible Uterus Installed In Mannequin 16. Remove the syringe allowing uterus to slowly deflate. Empty any air from the inverted portion and ensure correct positioning.
Page 87: Postpartum Backplate Installation
Configuring the Mannequin Postpartum Backplate Installation To install the backplate for a postpartum SCE configuration: NOTE: Ensure the blood tank and either the boggy/contracted uterus with bag or the invertible uterus are installed prior to performing the backplate installation. 1. Remove the cervix retention plate located in the center of the backplate by lifting and sliding the retention plate out of the backplate.
Page 88 Configuring the Mannequin IMPORTANT: The boggy/contracted uterus bag should be installed and used with the boggy/ postpartum uterus at all times. The Boggy/Contracted Uterus Installed With Bag The backplate is now installed for a postpartum SCE.
Page 89: Using Müse
Using Müse SING ÜSE The Müse software is a browser-based application that can communicate directly with the simulator. With the software, users can run SCEs, create scenarios and SCEs, import and export educational content and perform administrative functions. NOTE: For optimal Müse performance, no other software programs should be open while Müse is running.
Page 90 º access the User Guide in other languages, please visit www.caehealthcare.com and click the Support link. Select Support for CAE Healthcare Support contact information. º Click the globe-shaped Language icon in the bottom left corner to change the language of the Müse software.
Page 91: Navigating The Home Page
Using Müse The system default Username is admin and the default Password is admin. Username Password The Müse Login Fields Müse opens to the Home page. Navigating the Home Page From the Home page, users can run, create, edit, search for and print SCEs. The Home page can be accessed by clicking the Home button in the upper right corner of the Müse software or, on any screen without a Home button, by clicking the Return button in the upper left or right corner of the screen.
Page 92: The Sce Selection Panel
SCEs are process tools that enable the facilitator to execute a learning strategy using simulation. Preconfigured CAE Healthcare SCEs provide an extensive overview and outline of the learning exercise and require minimal additional faculty development time for use. Each SCE is comprised of a patient and up to four scenarios.
Page 93 Using Müse The Lock icon indicates a locked SCE. Locked SCEs are installed by CAE Healthcare and cannot be deleted. The Lock icon A Locked SCE To search for an installed SCE, enter part of the name of an SCE in the Search field and click the Search button.
Page 94 Using Müse The SCE Library The SCE Library lists all SCEs available on your workstation. Access SCEs from your library by clicking the Open Library button at the bottom of the SCE Selection panel. The SCE Library appears. The Learning Modules icon The Learning Modules menu...
Page 95: The Sce Operating Mode Icon
Using Müse Preconfigured SCEs Preconfigured SCEs are training tools with scenarios and multiple states. They are intended to be used for learner education and training. To access a preconfigured SCE from the SCE Library, choose Learning Modules, then click the name of the SCE category.
Page 96: The Sce Summary Panel
Using Müse The SCE Summary Panel The SCE Summary Panel provides information about the selected SCE. The View as PDF button The Add to Favorites button The SCE Content Summary The Review The Run button button The SCE Summary Panel The View as PDF button can be used to generate a printable PDF of the selected SCE.
Page 97: Running An Sce
Using Müse Printing SCEs To print an SCE: 1. From the Home page, select the SCE to print. The SCE summary panel appears. The View as PDF button The SCE Summary Panel 2. From the SCE summary panel, click the View as PDF button. A PDF of the selected SCE appears in a new browser window.
Page 98 Using Müse The Mannequin Setup window appears. The Mannequin Setup Window In the Mannequin Setup window, instructions appear for setting up the mannequin for the selected SCE. For detailed information on mannequin configuration, see the Configuring the Mannequin section of this user guide. IMPORTANT: You MUST set up the mannequin as directed in the Mannequin Setup window before clicking Continue.
Page 99 Using Müse Prior to continuing with the simulation, wait a moment until the fetus is positioned at the desired station and position. When the Position/Station widget displays actual value instead of dashes, the simulation may begin. The Play Delivery button The labor clock SCE time controls The Stop button...
Page 100: Sce Information
Using Müse SCE Information The SCE Information is a drop-down menu which is accessed by clicking the SCE title in the upper left corner of the screen. The SCE Information drop-down menu The SCE Title and Patient Name The Run Screen Select Mannequin Setup to view the Mannequin Setup screen as a popup screen.
Page 101: Using The Patient Status Display
Using Müse Using the Patient Status Display On the Run screen, there are widgets that display the patient’s physiological status. The Patient Status Display widgets can be changed to reflect the user’s needs. There are eight available display spaces for the widgets. Waveform and CTG widgets utilize two display spaces.
Page 102 Using Müse The Widget Configuration menu opens, displaying available widget types: Numeric, Waveform, Volume, CTG and Graphic. The Widget Configuration Menu Adjust the Patient Status Display layout by dragging a widget type from the Widget Configuration Menu and dropping it over the Patient Status Display. The new widget type replaces the old. The Graphic Widget Display cannot be changed.
Page 103: The Event Logs
Using Müse From the numeric widget menu, the Set Color button can be used to change the display color of the widget and the Set Alarm button can be used to change the alarm settings for the selected widget. NOTE: The information displayed on the CTG and Graphic widgets cannot be changed. The Numeric Widget options that have two parameters displayed (FHR/IUP and FHR/TUA) cannot be changed.
Page 104 Using Müse The Patient Records list appears, displaying all available patient records. Patient records The Start Displaying button The Patient Records List 2. Select a patient record from the list. 3. Click Start Displaying. The patient record is shown in a new TouchPro web browser window. IMPORTANT: Ensure pop-up blocking is turned OFF in the web browser of the Instructor Workstation and any TouchPro workstations.
Page 105: Note: Only One Patient Record Can Be Displayed At A Time
Using Müse The Start Displaying button at the bottom of the Patient Records list changes to a red Stop Displaying button. Patient records The Stop Displaying button The Patient Records List To stop displaying a patient record, click Stop Displaying at the bottom of the Patient Records list. To close the Patient Records list, click the Patient Records button.
Page 106: Adding A Scenario To A Running Sce
Using Müse Adding a Scenario to a Running SCE SCEs incorporate scenarios that contain pre-programmed physiology and events. Scenarios can be added to SCEs to enhance patient physiology. To add a scenario to an SCE that is running: 1. Click the Add Scenario button on the Run screen The Add Scenario Button The Choose Scenario dialog box appears.
Page 107: Changing Physiology And Controlling Delivery
Using Müse Changing Physiology and Controlling Delivery The patient physiology can be adjusted while an SCE is running in two ways: by using one of the physiological views on the Run screen to modify parameters or by using the Conditions, Interventions and Medications palettes.
Page 108 Using Müse From each view, various parameters can be viewed and adjusted. Brain Heart Lung Uterus Fluids Control icon Sound Control icon The Physiological Views To change a patient’s physiology using the physiological views:...
Page 109 Using Müse 1. Click the appropriate organ, icon or button from the homunculus to select the desired physiological view. associated parameters homunculus The Run Screen The associated parameters appear to the left of the homunculus. 2. Locate the desired parameter. NOTE: Some views include a Basic/Additional switch that can be used to toggle between basic and advanced parameters.
Page 110 Using Müse and Seconds and Minutes, a slider that sets the beats per minute and an available field where the beats per minute value can be keyed in. The Override/ Modeled switch The value setting slider The Heart Rate Parameter Once the parameter has been set, it is reflected in the patient’s physiology.
Page 111 Using Müse Discrete parameters are changed by choosing the appropriate option using a drop-down menu or toggle switch. In the image below, the Patient Pushing parameter is shown. The Patient Pushing parameter is set using a discrete parameter switch that toggles between Off and On. The toggle switch The Patient Pushing Parameter Once the parameter has been set, it is reflected in the patient’s physiology.
Page 112 Using Müse There are two ways to apply conditions using the Conditions palette: using a Quick Link or using the complete Conditions menu. Quick Links are preconfigured conditions that are made accessible in the Conditions palette for quick application. Quick Links can also be created for the Medications and Interventions palettes.
Page 113 Using Müse the Medications palette for quick application. Quick Links can also be created for the Conditions and Interventions palettes. To set parameters using the Quick Links in the Medications palette, click a Quick Link. The medication is applied and appears in the patient’s physiology. NOTE: Not all medications affect the patient’s physiology, but all are logged.
Page 114 Using Müse The Medication Dose menu appears, displaying the pre-defined dose and custom dose routes for the chosen medication. The custom dose options predefined dose options The Medication Dose Menu 4. Select a dose option. This can be done one of two ways: a.
Page 115 Using Müse b. Choose a route of administration to administer a custom dose. The custom dose options The Medication Dose Menu The Custom Dose Administration menu appears. Administer button The Custom Dose Administration Menu 5. Enter the desired dose and click the Administer button. The dose is applied and appears in the patient’s physiology.
Page 116 Using Müse that are made accessible in the Interventions palette for quick application. Quick Links can also be created for the Conditions and Medications palettes. To apply an intervention using the Quick Links in the Intervention palette, click an Intervention Quick Link.
Page 117 Using Müse The Interventions menu appears. The Interventions Menu The Interventions Menu Interventions are organized by type, or all available interventions are listed under ALL INTERVENTIONS. 2. Navigate through the menus to find the desired intervention. 3. Once the desired intervention has been located, click the intervention’s name from the list.
Page 118 Using Müse Transitioning Scenario States from the Run Screen To move between scenario states from the Run screen: 1. Click the desired scenario. A Scenario The Scenario Management pop-up menu appears, and all available states are listed. The Scenario Management Pop-Up Menu 2.
Page 119 Using Müse Transitioning Scenario States from the Scenario Screen To move between scenario states from the Scenario Screen: 1. From the Run screen, click the desired loaded scenario. The Scenario Management pop-up menu appears. The Show Scenario option The Scenario Management Pop-Up Menu 2.
Page 120 Using Müse The Jump to State menu appears, displaying the available states. The Jump to State Menu 4. Select the desired state. The scenario transitions to the selected state and the state is highlighted on the Scenario screen. NOTE: Double-click on the states to expand to the full view. 5.
Page 121 Using Müse When labor is in progress, the Resume Delivery button becomes a Pause Delivery button. To pause labor, click the Pause Delivery button. The Pause Delivery button The Delivery Clock The Delivery Controls The delivery clock stops and the fetal mannequin stops descending inside the mother. However, SCE time and physiology DO NOT stop.
Page 122 Using Müse The Show Neonate Status window appears, asking if you want to mark the baby as delivered. The Show Neonate Status Window IMPORTANT: Marking the baby delivered is irreversible. DO NOT mark the baby as delivered until the baby has been removed from the maternal mannequin.
Page 123 Using Müse The default crying type is Modeled, with crying sounds based on APGAR scores. 4. Click Close to close the window without transitioning the mother to postpartum or, to close the window and transition the mother to postpartum, click Proceed to postpartum. This event will be logged. NOTE: The Proceed to postpartum option will only appear in the Neonate Status Window if "Including Postpartum"...
Page 124 Using Müse 3. Click Postpartum for instructions on how to configure the mannequin for the postpartum phase. The Mannequin Setup window appears. The Mannequin Setup Window 4. Perform the mannequin configuration as outlined in the Mannequin Setup window. For detailed information on each step in the Mannequin Setup window, see the Configuring the Mannequin section of this user guide.
Page 125: Selecting Ctg Monitor Options
Using Müse The Mannequin Setup window closes and the Postpartum icon appears above the indicator. Postpartum icon The Run Screen The patient is logged as postpartum in Müse and the postpartum phase begins. Selecting CTG Monitor Options CTG monitor options, such as which probes are attached, loss of signals and noise offset can be selected using the CTG monitor parameters.
Page 126: Sce Time Controls
Using Müse The CTG monitor parameters appear. The CTG Monitor Parameters SCE Time Controls The SCE time controls are located at the top of the Run screen. The Fast-Forward The Pause/Play The Timeline bar button button The Bookmark button The SCE Time Controls The Timeline bar shows the amount of time that has elapsed and bookmarks that have been created.
Page 127: The Battery Status Icon
Using Müse Using Bookmarks To create a bookmark, click the Bookmark button. A bookmark appears on the Timeline bar. A bookmark The Timeline bar The Timeline bar The Bookmark button The SCE Time Controls To return to a bookmarked time in the SCE: 1.
Page 128: Traction Feedback
Using Müse When the battery charge on either mannequin reaches 10 percent or less, the battery status icon displays a red caution symbol. The maternal The fetal battery battery status icon status icon The Battery Status Icons - Low Battery Traction Feedback Traction Feedback is accessible from the Run screen and can be used to monitor traction force applied to the fetus’s neck and head.
Page 129: The Cpr Monitor
Using Müse The CPR Monitor The CPR monitor, available from the Run screen, is used to monitor the efficacy of CPR interventions. To use the CPR monitor, click the CPR Monitor button at the bottom of the Run screen. The CPR Monitor Button The CPR Monitor appears displaying the live data view.
Page 130: Using The Event Recorder To Save States
Using Müse Click the CPR Summary button to display the summary view. The Close button The CPR Live Data button The CPR Monitor - Summary View Click the CPR Live Data button to return to the live data view. The CPR Monitor displays several statistics, including current hand position, compression and ventilation rates, compression depth, ventilation volume, and compression-ventilation ratio.
Page 131 Using Müse The Event Recorder appears, displaying all events that have occurred since the start of the SCE. Events The Edit button The Save State button The Clear button The Event Recorder WARNING: The Clear button deletes all recorded events. This action cannot be undone.
Page 132: Creating A New Patient
Using Müse The Delete buttons are hidden. 4. Click Save State. The New State Name window appears. The Save button The New State Name Window 5. Enter a state name. 6. Click Save. The state is saved to the State Library and can be accessed via the Scenario Designer. Creating a New Patient When an additional patient with specific physiological characteristics is needed for repeated use, a new patient can be created from the Run screen.
Page 133 Using Müse The Save a copy of the Patient dialog box appears. The Enter the new patient name field The Enter the The Save duration of CTG button data to save field The Save a Copy of the Patient Dialog Box 5.
Page 134 Using Müse NOTE: If the newly created base patient is used in a new SCE (SCE patient), any changes made to the newly created base patient at a later date will not affect that SCE patient. The New Patient Diagram...
Page 135: Resetting A Patient
Using Müse Resetting a Patient Resetting a Patient brings the Patient back to its original physiological state before any scenarios were applied or modifications were made. Any running scenarios are paused. However, the SCE time is unaffected. Additionally, the reset appears in the Event Logs. NOTE: If baseline physiology settings have been selected, they are removed when the Patient is reset.
Page 136: The Medication Monitor
Using Müse The Medication Monitor The Medication Monitor tracks the infusion of medication administered for medications that affect patient physiology. To activate the Medication Monitor, from the Run screen, click the Medication Monitor button in the bottom, right portion of the screen. The Medication Monitor Button The Medication Monitor appears as a movable box on the Run screen.
Page 137: Returning To The Home Page
Using Müse Returning to the Home Page To exit the SCE and return to the Home page, click the Return button in the upper-left of the run screen. The Return Button The SCE continues running and the Home page appears. To return to the SCE from the Home page, click the Continue button in the SCE summary panel of the running SCE.
Page 138 Using Müse The Stop the Simulation dialog box appears. The Stop Simulation button The Stop The Simulation Dialog Box 2. Click Stop Simulation. The SCE stops running and the Müse Home page is shown. To stop an SCE from the Home page: 1.
Page 139: Developing Sces
Using Müse Developing SCEs Creating and editing SCEs are similar processes. Once an SCE is created, the steps for modifying the SCE are the same as those for editing a previously-created SCE. The processes of creating and editing SCEs each begin with a unique button on the Home screen. Use the New SCE button to create a new SCE.
Page 140 Using Müse The Patients Palette appears. The selected base patient The Create button The Patients Palette 2. Click on a patient to select that patient from the palette and click Create. The SCE Editor appears, showing the Enter a name for the SCE dialog box. The SCE The Save Name field...
Page 141: The Sce Editor
Using Müse The SCE Editor The SCE Editor can be used to review preconfigured SCEs and to create or edit custom SCEs. To access the SCE Editor, click the Review button in the SCE Summary Panel or create a new SCE. The Return button The SCE title The View as...
Page 142: Editing A Patient's Profile
Using Müse Editing a Patient’s Profile To edit the Patient Profile: 1. From the SCE Editor, in the Profile section, click Edit. The Edit button The SCE Editor Screen The Profile Editor appears. The Change Picture button The Save button The Profile Editor 2.
Page 143 Using Müse NOTE: The Upload Picture button, which is only available in the SCE Development version of the Müse software, can be used to add new photos to the library of patient pictures. IMPORTANT: No part of the patient’s profile can contain any special characters, such as / \ : * ? <...
Page 144 Using Müse 2. Set the Patient’s baseline physiology by modifying the desired parameters. 3. Click Complete. When the SCE begins, the Patient physiology reflects the selected baseline settings. Selecting Labor and Delivery Options From the Patient Baseline screen, labor and delivery options such as delivery type, fetal station and fetal presentation can be selected.
Page 145 Using Müse CTG Data The patient’s CTG data is displayed on the SCE Editor and can be reviewed using the CTG Review buttons in the lower left corner of the CTG strip. CTG data The CTG Review buttons The SCE Editor The CTG data represents the fetal heart rate and uterine activity measured by electrical monitors prior to the start of the SCE.
Page 146 Using Müse a. Create a new SCE. This SCE will be used only to generate CTG data. b. Apply the desired settings (e.g., physiology) to the SCE. c. Run the SCE for as long as CTG data is desired. The fast-forward buttons can be used to accelerate the SCE and the CTG data capture.
Page 147 Using Müse IMPORTANT: Text can be copied and pasted into the fields from TextEdit or Notepad only. The Rich-Text Editor Click Save when all data for the field has been entered. SCE Configuration Setting up the Conditions, the TouchPro software and the Patient Status Display is achieved by clicking the buttons under the SCE Configuration heading in the SCE Editor.
Page 148 Using Müse On the Condition Setup screen, Conditions, Medications and Interventions buttons are available. To navigate through available conditions and interventions, click the Conditions, Medications and Interventions buttons. Condition Setup selections The SCE Configuration selections The TouchPro Setup Panel To create a Quick Link, drag and drop the desired choice from the Conditions, Medications or Interventions palette to the list of Quick Links.
Page 149 Using Müse Click the On/Off switch next to a layout to enable or disable it. The On/Off switch The TouchPro Setup Panel Patient Status Display To configure the Patient Status Display displayed on the Run screen, click Patient Status Display under the SCE Configuration heading on the SCE Editor.
Page 150 Using Müse To modify the Patient Status Display, drag and drop the desired waveform, numeric volume, CTG or graphic widgets from the Available Widgets panel to an available Patient Status Display space. NOTE: Waveform and CTG widgets occupy two spaces. Once the desired widget is placed, click the widget to change the physiologic parameter displayed.
Page 151: Creating A New Scenario
Using Müse 3. Click Add. The scenario is added to the SCE and is listed on the SCE Editor beneath the Pre-Loaded Scenarios heading. Developing Scenarios The Scenario Designer allows users to create and edit scenarios. To access the Scenario Designer, create a new scenario or choose an existing scenario to edit. Creating a New Scenario To create a new scenario: 1.
Page 152: Editing A Scenario
Using Müse From the Scenario Designer, scenario states can be added, modified, and deleted. Scenario button The View buttons Canvas The New State button The Scenario Designer The Scenario button is used to manage states and save the scenario. The View buttons toggle between Scenario Designer views. The New State button is used to add new states.
Page 153 Using Müse The Choose Scenario dialog box appears. Scenarios The Add The Search button field The Choose Scenario Dialog Box 2. Select a saved scenario from the Choose Scenario Dialog Box. The Search field can be used to search for a scenario to select. 3.
Page 154 Using Müse Scenario Designer Views The Scenario Designer has two views: the Graphical view and the List view. The Graphical view allows users to map out scenario states. The List view places the states and transitions into a linear format. Graphical The List View button...
Page 155 Using Müse Adding Scenario States When beginning to create a new scenario, the canvas is blank. Scenario states can be created by dragging and dropping conditions from their respective menus on the right side of the Scenario Designer to the canvas. Drag and drop a condition onto the canvas to create a state The Scenario Designer Canvas Or, a new, empty state can be added using the New State button.
Page 156: Modifying Scenario States
Using Müse The state expands and additional options appear. The state name The Expanded State 3. Double-click the state name. (By default, new states are named “State. ” ) The Rename state window appears and contains a field for entering a new state name.
Page 157 Using Müse The State Parameters screen appears. The State Parameters panel Complete button The State Parameters Screen Click the various organs to change the views, and then select the desired parameter. Once a parameter has been selected, it appears in the State Parameters panel on the right side of the screen. Add as many parameters as needed.
Page 158 Using Müse The Transitions Menu appears, listing all available transition variable types. The Transitions Menu 2. Select the desired variable type. For example, if a transition based on the administration of medication is desired, select Medications and then select the desired medication from the list. Once a medication is selected, The Medication Transition menu appears, asking for the comparison type and transition value.
Page 159 Using Müse The selected transition variable is listed beneath the original state on the Scenario Designer. 4. From the Scenario Designer, click the GOTO arrow beneath the new transition variable. GOTO arrow The Available States menu The Scenario Designer The Available States menu appears, listing all the available states. 5.
Page 160 Using Müse ELSE Transitions An ELSE transition is used to transition to a state automatically when none of the other programmed transitions occur. Before specifying an ELSE transition from a state, the state must first contain at least one other transition.
Page 161: Deleting Scenario States
Using Müse Deleting Scenario States To delete a state, drag and drop the state into the Trash. States can be dragged and dropped to the Trash from the Graphical view or the Line Item view. Deleted states remain in the Trash until you log out of the software or the Trash is cleared. Deleting Parameters and Transitions To delete a parameter or transition, from an active state, drag and drop the desired parameter or transition into the Trash.
Page 162: Saving The Scenario
Using Müse Saving the Scenario At any time during scenario creation or modification, the scenario can be saved. To save a scenario: 1. Click the Scenario button in the upper left of the Scenario Designer. The Scenario drop-down menu appears. The Scenario Drop-Down Menu 2.
Page 163: Emptying The Trash
Using Müse Emptying the Trash To empty the Trash, click the Trash icon in the lower left corner of the Scenario Designer. The Scenario Designer The Trash List appears. The Empty Trash button The Trash List...
Page 164: Saving States To The State Library
Using Müse Click Empty Trash to empty the Trash. If you do not wish to delete the items listed, they can be dragged back into the scenario, at which time they are removed from the Trash. Logging out of the software automatically empties the Trash. IMPORTANT: Items emptied from the Trash cannot be retrieved.
Page 165 Using Müse The State Library appears, listing all saved states. The State Library To exit the State Library, click Conditions. The Conditions button The Conditions Button...
Page 166: Administrative Tools
Using Müse Administrative Tools The Müse software has administrative tools that allow users to manage logs, stored content, users and system settings. The administrative tools are accessed via the Administrative Tools buttons, located on the Home page. The History button The System The Account Administration...
Page 167: System Administration
Using Müse On the SCE Events, Physiological Data and CPR Data screens, there is an Export button that, when clicked, exports the data to a CSV file that can be stored on an external device. The Clear All Logs option will delete all logs associated with the SCE. System Administration From the System Administration screen, users can control and access Content Management, User Accounts, Groups, and System Settings.
Page 168 Using Müse From the Content Management options, users can manage learning modules, SCEs, Base Patients, Scenarios, Conditions, Patient Records, and Vocalization List. The Content Management button The Content Management options The System Administration Screen Learning Modules From the Learning Modules panel, learning modules can be installed or deleted. When the Content Management button is selected, the Learning Modules panel appears by default.
Page 169 On the SCEs panel, users can review, copy, delete, import and export the SCEs they have created. NOTE: SCEs purchased from CAE Healthcare CANNOT be exported. Click Import SCE to import an SCE from an external device or the hard drive location where the SCE file...
Page 170 The Export button next to each patient can be used to export the Patient file to an external device. The Patient file extension is pat. NOTE: Preconfigured CAE Healthcare Base Patients have a lock symbol in the upper-left corner of the picture and CANNOT be renamed, deleted, or exported.
Page 171 Click Import to import a scenario file from an external device or the hard drive location where the SCE file is saved. Click Export to export a scenario file to an external device. The scenario file extension is mss. NOTE: Locked CAE Healthcare scenarios CANNOT be exported.
Page 172 New condition categories and groups can also be added by clicking the Add button in the Condition Categories and Condition Groups panels. Use the Delete and Rename buttons in each panel to delete or rename a Condition, group or category. NOTE: CAE Healthcare conditions, groups and categories cannot be deleted or renamed.
Page 173 Using Müse Patient Records Patient records can be uploaded to Müse for display in the TouchPro software. Once uploaded, a patient record is available for use with any SCE. Patient Records are managed from the Patient Records panel on the Content Management tab of the System Administration screen.
Page 174 Using Müse To delete a patient record: 1. From the Patient Records panel, select the patient record to delete. 2. Click Delete. The patient record is deleted and is no longer available to display in the TouchPro software. Individual patient records can also be previewed, renamed or exported by selecting the record and clicking Rename, Export or Preview.
Page 175 Using Müse To delete a vocalization file: 1. From the Vocalization List panel, select the vocalization to delete. 2. Click Delete. The vocalization is deleted and is no longer available to use during simulation. Individual vocalization files can also be previewed or renamed by selecting the vocalization and clicking Rename or Preview.
Page 176 Using Müse User Accounts To access the User Accounts panel, from the System Administration screen, click the User Accounts button. The User Accounts panel appears. From the User Accounts panel, users can create, edit and delete users. The User Accounts button The user list The user...
Page 177 Using Müse 1. On the User Accounts panel, select the user to edit. 2. Click Edit. The user fields become editable. 3. Make the desired changes. 4. Click Save. Deleting a User To permanently delete a user, from the User Accounts panel, select a user and click Delete. When the User Deletion Warning box appears, click Yes.
Page 178 Using Müse From the Groups panel, users can create new groups, delete groups and assign privileges to groups. In the Groups panel, three groups appear by default: • Administrators • Educators • Deactivated Users Each default group has privileges assigned. Maintenance The Maintenance panel is used to flush fluids from the simulator.
Page 179 Using Müse Privilege System The Müse software has three different privileges: • System Management • User Management • Content Management User Management and Content Management can be assigned independently or combined. The System Management privilege contains all privileges. System Management Users with the System Management privilege have access to all features of the Müse software, including the benefits of the User Management and Content Management privileges, listed below.
Page 180 Using Müse Providing Access to Content Only To provide users with the ability to create and manage SCEs but not the ability to manage users or groups: 1. Create a new group called Content Only. 2. Assign the group the Content Management privilege. Do NOT assign any other privileges to the group.
Page 181 Using Müse System Configuration Under System Configuration, Disk Space and System Time are displayed. Data Management The Data Management feature allows users to back up data to an external device. Users can also restore the backup data. Backing Up Data Users should back up data to protect and store content and user data.
Page 182 Using Müse The System Restore warning box appears stating that restoring data erases all current data and asks if you want to continue. The System Restore Warning Box IMPORTANT: Restoring data ERASES all current data and replaces it with the backed up data. 2.
Page 183 Using Müse Cardiotocograph (CTG) Configuration To configure the emulated CTG paper strip displayed on the CTG monitor: 1. From the System Settings panel, under the Cardiotocograph (CTG) Configurations heading, Click CTG Settings. The CTG Configurations dialog box appears. 2. From the dialog box, select a Paper Type, Paper Speed and Paper Theme. 3.
Page 184 Using Müse The CPR Settings window appears. The CPR Settings Window 2. Adjust the settings as desired. 3. Click OK. The settings are saved. Error Log The Error Log is available for technicians and is used when diagnosing the Müse software. IMPORTANT: Do not clear the Error Log.
Page 185: Account Profile
Using Müse Account Profile From the Account Profile screen, users can view, update and reset personal profile information. Users can also view and add favorite SCEs from this screen. Click the Account Profile button to access the Account Profile features. The Account Profile Button The Account Profile screen appears.
Page 186 Using Müse Profile Information From the Account Profile screen, the Profile Information panel appears by default. If another panel has been selected, click Profile Information to return to the Profile Information panel. From the Profile Information panel, users can change their profile information and reset their passwords.
Page 187 Using Müse Favorite SCEs To access the Favorite SCEs panel, click Favorite SCEs from the Account Profile screen. All of the logged-in user’s favorite SCEs appear in the Favorite SCEs panel. Favorite SCEs panel Favorite SCEs link The Add Favorites button The Account Profile Screen To add SCEs to the Favorite SCEs panel, click Add Favorites.
Page 188 Using Müse Medication Preferences From the Medication Preferences panel, users can import customized medication response files created in the Pharmacology Editor software. To access Medication Preferences, click Medication Preferences on the Account Profile screen. The Medication Preferences panel appears. Medication Preferences panel Medication...
Page 189 Using Müse Profile Preferences From the Profile Preferences panel, users can change the font size used in the software. To access Profile Preferences, click Profile Preferences on the Account Profile screen. The Profile Preferences panel appears. Font size menu The Profile The Profile Preferences Preferences...
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Page 191: Using The Touchpro Patient Monitor
Using the TouchPro Patient Monitor SING OUCH ATIENT ONITOR The TouchPro Patient Monitor software enables users to view patient physiology. The software can be used from the Instructor Workstation or on another computer provided the computer has joined the simulator’s wireless network. IMPORTANT: Only two TouchPro software screens can be open at a time.
Page 192 Using the TouchPro Patient Monitor 2. Select the TouchPro Patient Monitor icon. When TouchPro Patient Monitor software launches, the simulated patient monitor appears. The TouchPro Display NOTE: The capnogram waveform is not displayed on the TouchPro Patient Monitor software from the Instructor Workstation.
Page 193: Modifying The Touchpro Patient Monitor Display
The software can show up to six waveforms plus an additional four numeric readouts. Selecting a Preconfigured Layout There are six preconfigured CAE Healthcare Layouts: Labor and Delivery - preconfigured with a waveform and numeric readouts for ECG LEad II and numeric readouts for SpO , NIBP, HR, and body temperature.
Page 194 Using the TouchPro Patient Monitor The TouchPro Settings menu appears. The Close Settings button The Layouts panel The TouchPro Settings Menu 2. Select a layout from the Layouts panel. 3. Click the Close Settings button. The Settings menu closes and the selected layout appears. NOTE: Preconfigured layouts must be enabled in the Müse TouchPro Setup for the currently running SCE to be accessible in the Layouts panel.
Page 195: Changing A Waveform Or Numeric Display
Using the TouchPro Patient Monitor Changing a Waveform or Numeric Display Waveforms and numeric displays can be changed to suit the user’s needs. To change a waveform or numeric display: 1. Click the waveform or numeric to be changed. The Wave Vital Selection menu or the Numeric Vital Selection menu appears, displaying all the available waveforms or numerics.
Page 196: Adding A Waveform
Using the TouchPro Patient Monitor Adding a Waveform The TouchPro software supports up to six waveforms. To add a waveform: 1. Click the Settings button in the bottom right corner of the TouchPro display. The Settings Button The Settings menu opens and the Add Waveform and Remove Waveform buttons appear.
Page 197 Using the TouchPro Patient Monitor 3. Click the empty waveform field. The Wave Vital Selection menu appears. The Wave Vital Selection Menu 4. Select the desired waveform from the Wave Vital Selection menu. The new waveform is displayed.
Page 198: Adding A Numeric Display
Using the TouchPro Patient Monitor Adding a Numeric Display The TouchPro software contains four numeric display fields. All four numeric display fields are located on one row beneath the waveform displays. When fewer than four numeric readouts are being displayed, the remaining fields are blank. To add a numeric to a blank display field: 1.
Page 199: Moving A Waveform Or Numeric Display
Using the TouchPro Patient Monitor Moving a Waveform or Numeric Display Waveforms and numerics can be moved on the screen to suit the user’s needs. To move a waveform or numeric, click the desired waveform or numeric and drag and drop the display to a desired location.
Page 200: Saving A Layout
Using the TouchPro Patient Monitor Saving a Layout Once a layout has been configured, it can be saved and reused. To save a layout: 1. Ensure the desired waveforms and numerics are in place. 2. Click Settings. The Settings menu appears. 3.
Page 201: Sounds
Using the TouchPro Patient Monitor Sounds All sounds can be silenced by clicking the Mute button in the bottom left corner of the TouchPro display. The Mute Button To set up the audio for the TouchPro: 1. Click the Settings button in the bottom right corner of the TouchPro display.
Page 202: 12-Lead Ecg
Using the TouchPro Patient Monitor 12-Lead ECG To view a 12-lead ECG report, click the 12-Lead ECG button at the bottom of the TouchPro screen. The 12-Lead ECG Button The report appears. The Close button The Print button A 12-Lead ECG Report The report can be printed or saved by clicking the Print button in the bottom right corner of the 12- lead ECG report.
Page 203 Using the TouchPro Patient Monitor To save the report to a PDF file on a Macintosh Instructor Workstation: 1. From the 12-lead ECG report screen, click the Print button located in the bottom right corner of the 12-lead ECG report. The Report Title window appears.
Page 204 Using the TouchPro Patient Monitor To print a report: 1. From the 12-lead ECG report screen, click the Print button located in the bottom right corner of the 12-lead ECG report. The Print button The 12-Lead Report Title Window 2. Enter a title for the 12-lead report. The Print window appears.
Page 205: Nibp Cycling And Manual Nibp
Using the TouchPro Patient Monitor NIBP Cycling and Manual NIBP When non-invasive blood pressure (NIBP) is displayed, the patient’s NIBP can be updated at specified intervals using NIBP Cycling, or the current NIBP can be displayed immediately using the Manual NIBP button.
Page 206 Using the TouchPro Patient Monitor To display the patient’s current NIBP, click the Manual NIBP button. The Manual NIBP button The TouchPro Display The current NIBP is displayed. NOTE: Manual NIBP can be used at any time during cycling. However, this turns off auto-cycling.
Page 207: Patients
Using the TouchPro Patient Monitor Patients To view the available Patients: 1. Click the Settings button in the bottom right corner of the TouchPro display. The Settings Button The TouchPro Settings menu appears. 2. From the Settings menu, click the Patients button. The current Patients window appears.
Page 208: Configuring The Touchpro Software
Using the TouchPro Patient Monitor Configuring the TouchPro Software The background color and alarm suspension time can be set from the TouchPro Configure panel. To access the Configure panel: 1. Click the Settings button in the bottom, right corner of the TouchPro screen.
Page 209: Changing The Touchpro Language
Using the TouchPro Patient Monitor Changing the TouchPro Language To change the language of the TouchPro software: 1. Click the Settings button in the bottom, right corner of the TouchPro screen. The Settings Button The Settings menu appears. 2. From the Settings menu, click the Language Selection button. The Language Selection window appears.
Page 210: Exiting The Touchpro Software
Using the TouchPro Patient Monitor Exiting the TouchPro Software To exit TouchPro: 1. Click the Settings button from the bottom, right corner of the TouchPro screen. The Settings Button The Settings menu appears. 2. From the Settings menu, click Shutdown. A warning box appears asking if you want to exit.
Page 211: Using The Touchpro Ctg Monitor Software
Using the TouchPro CTG Monitor CTG M SING THE OUCH ONITOR OFTWARE The TouchPro CTG Monitor software enables users to monitor fetal heart rate and uterine contractions. The software can be used from the Instructor Workstation or on another computer provided the computer has joined the simulator’s wireless network.
Page 212 Using the TouchPro CTG Monitor The TouchPro CTG Monitor software opens, displaying simulated TouchPro CTG monitor readings and a simulated CTG paper strip. monitor readings simulated paper strip The CTG Monitor...
Page 213: Configuring Ctg Alarms
Using the TouchPro CTG Monitor Configuring CTG Alarms There are three factors that determine CTG alarm behavior: alarm thresholds, alarm suspension time and audio settings. Setting CTG Alarm Thresholds The CTG alarm thresholds define the acceptable ranges for the various parameters shown on the CTG monitor.
Page 214: Setting Ctg Alarm Suspension Time
Using the TouchPro CTG Monitor The Alarm Thresholds window appears. The Low value The High value column column An Increase button A slider A Decrease button The Alarm Thresholds Window 2. From the Alarm Thresholds window, adjust the desired parameters using the Increase and Decrease buttons or the sliders next to parameters.
Page 215 Using the TouchPro CTG Monitor The CTG Monitor Settings menu appears. The Alarm Suspension Time button The CTG Monitor Settings Menu 2. Click the Alarm Suspension Time button.
Page 216: Adjusting Audio Settings
Using the TouchPro CTG Monitor The Alarm Suspension Time window appears. The Close button The Alarm Suspension Time Window 3. Select the desired suspension time. 4. Click the Close button. The window closes and the selected alarm suspension time is applied. NOTE: The alarm suspension time does NOT apply when all alarms are muted using the Audio Setup window or the Mute button in the bottom left corner of the CTG monitor.
Page 217 Using the TouchPro CTG Monitor The CTG Monitor Settings menu appears. The Audio Setup button The CTG Monitor Settings Menu 2. Click the Audio Setup button. The Audio Setup window appears. The Close button The Audio Setup Window 3. Select the desired alarm sound. 4.
Page 218: Muting Ctg Alarms
Using the TouchPro CTG Monitor Muting CTG Alarms All CTG alarms can be muted by clicking the Mute button in the bottom left corner of the CTG Monitor. The Mute Button When all alarms are muted, they remain muted until the user manually un-mutes them by clicking the Mute button again.
Page 219 Using the TouchPro CTG Monitor The CTG Monitor Settings menu appears. The MNIBP Cycling button The CTG Monitor Settings Menu 2. From the Settings menu, click MNIBP Cycling. The MNIBP Cycling window appears. The Start button The Manual NIBP Window 3.
Page 220: Resetting Tocography Noise
Using the TouchPro CTG Monitor The MNIBP Cycling window closes and the selected cycling interval is applied. Custom cycling is also available by selecting the Custom Cycling option from the MNIBP Cycling window. To display the patient’s current MNIBP, click the Manual MNIBP button. The Manual MNIBP button...
Page 221: Viewing The Ctg Strip
Using the TouchPro CTG Monitor Viewing the CTG Strip The lower portion of the CTG Monitor display shows a CTG strip. This strip represents the paper strip that would be generated by a real CTG monitor. The CTG The CTG strip strip navigation...
Page 222 Using the TouchPro CTG Monitor The Play button causes the strip to move along the monitor at a normal speed, beginning from the currently displayed portion of the strip. NOTE: The Play button becomes a Pause button when the strip is running. The Fast-Forward button moves the strip steadily forward so the user can view the strip as it moves along the monitor.
Page 223: Changing The Ctg Monitor Language
Using the TouchPro CTG Monitor Changing the CTG Monitor Language To change the language of the CTG Monitor: 1. Click the Settings button from the bottom, right corner of the CTG Monitor. The Settings Button The CTG Monitor Settings menu appears. The Language Selection button The CTG Monitor Settings Menu...
Page 224 Using the TouchPro CTG Monitor The Language Selection window appears. The Accept button The Language Selection Window 3. From the Language Selection window, select a language. 4. Click Accept. The TouchPro CTG Monitor software changes to the selected language.
Page 225: Exiting The Ctg Monitor
Using the TouchPro CTG Monitor Exiting the CTG Monitor To exit the CTG monitor: 1. Click the Settings button from the bottom, right corner of the CTG Monitor. The Settings Button The CTG Monitor Settings menu appears. The Shutdown button The CTG Monitor Settings Menu 2.
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Page 227: Using Lucina
Using Lucina SING UCINA Once Lucina has been set up, the software has been loaded and an SCE started, the simulator is ready for learner interventions. From the Run screen, the features of Lucina can be accessed. They are broken down into the following categories: Fetal and Labor, Neurological, Respiratory, Cardiovascular, Fluids and Sounds.
Page 228: Neurological Features
Using Lucina Neurological Features Lucina can simulate a variety of neurological clinical indicators, such as seizures and reactive eyes. Neurological features are controlled from the Neurological view in Müse. To access the Neurological view, from the Run screen, click the brain on the homunculus. The Neurological parameters appear.
Page 229 Using Lucina Neurological Features Anatomy, Physiology Description Software Control Manual Control and Clinical Signs Eyes Each eye has reactive The response to clini- None required. pupils and functional cal intervention must eyelids that blink and be controlled by the close. instructor.
Page 230: Eyes
Using Lucina Neurological Features Anatomy, Physiology Description Software Control Manual Control and Clinical Signs Temperature Body and blood tem- The response to clini- None required. perature can be set cal intervention must using the temperature be controlled by the parameters. Body and instructor.
Page 231: Seizures
Using Lucina The simulator’s eyes can be set to Blinking or Closed. The default setting is Auto. With this setting, the eyes are either blinking or closed based on the patient’s physiology. When the simulator’s eyelids are closed, the eyes can still be manually opened for clinical inspection. Additionally, eyelids can be programmed in scenarios to open and close spontaneously or can be fixed in the closed position.
Page 232: Respiratory Features
Using Lucina Respiratory Features Lucina has an anatomically realistic upper airway that supports endotracheal tube placement, right mainstem intubation, laryngoscopy, airway adjuncts, positive pressure ventilation, mechanical ventilation and a variety of other airway management techniques. The simulator also demonstrates exhalation and chest excursion. Respiratory features are controlled from the Respiratory view in Müse.
Page 233 Using Lucina Respiratory Features Anatomy, Physiology Description Software Control Manual Control and Clinical Signs Airway Management Alveolar and arterial Oxygen administration None required. and Ventilation gas concentrations input by the instructor. appropriately reflect the efficacy of ventila- VIEW: Respiratory tion and oxygen administration.
Page 234 Using Lucina Respiratory Features Anatomy, Physiology Description Software Control Manual Control and Clinical Signs Exhalation The simulator exhales None required. None required. air, exhibiting synchro- nized chest move- ment. Pulse Oximetry Oxyhemoglobin satu- None required, but None required. ration (SpO ) automat- adjustable ically correlates with...
Page 235: Realistic Upper Airway
Using Lucina Respiratory Features Anatomy, Physiology Description Software Control Manual Control and Clinical Signs Venous Blood Gases and PvCO None required, but None required. adjustable continuously calcu- lated and displayed VIEW: Respiratory when selected for the Patient Status Display PARAMETER(S): PACO Set-point, PET CO PaCO Factor...
Page 236: Cardiovascular Features
Using Lucina Cardiovascular Features Lucina produces realistic heart sounds and a wide range of pathophysiologic conditions synchronized to the QRS complex of the ECG and audible with a standard stethoscope. Cardiovascular features are controlled from the Cardiovascular view in Müse. To access the Cardiovascular view, from the Run screen, click the heart on the human form.
Page 237 Using Lucina Cardiovascular Features Anatomy, Physiology Description Software Control Manual Control and Clinical Signs 3- or 4-Lead ECG ECG waveforms can be None required; specific ECG monitor may be viewed on a standard rhythms can be used. monitor and/or on the selected.
Page 238 Using Lucina Cardiovascular Features Anatomy, Physiology Description Software Control Manual Control and Clinical Signs Chest Compression Effective chest com- None required, but Apply chest compres- pression results in arti- adjustable. sions. ficial circulation, cardiac output, central VIEW: Cardiovascular and peripheral blood pressures, palpable PARAMETER(S): Chest pulses, and CO...
Page 239 Using Lucina Cardiovascular Features Anatomy, Physiology Description Software Control Manual Control and Clinical Signs Myocardial Ischemia Myocardial oxygen None required, but None required. supply and demand adjustable. automatically influ- ence the cardiac VIEW: Cardiovascular rhythm, yielding response to hypox- PARAMETER(S): Isch- emia.
Page 240: Pulses
Using Lucina Pulses Eight pulse locations are activated, through sensors, by touch: • Carotid (2) • Brachial (2) • Radial (2) • Dorsalis Pedis (2) Pulse palpation is recorded in the Events Log. Pulses are visible and can be controlled from any physiological view. All pulses, unless altered by an SCE, are palpable by default.
Page 241 Using Lucina The menu for the selected pulse appears. A Pulse Menu 2. Click the Pulse Enable switch to turn the pulse Off. 3. Click Accept. The pulse is disabled. The pulse can be enabled again by accessing the pulse menu and clicking the Pulse Enable switch to turn the pulse On.
Page 242: 4-Lead Ecg
Using Lucina 4-Lead ECG A 3-lead or 4-lead ECG is emitted from the appropriate positions for display on a standard monitor. A contact is available on the maternal mannequin’s chest for each of four cables. Lead port Lead port Lead port Lead port The 4-Lead ECG Ports The simulator generates a normal sinus ECG, as well as a broad range of abnormalities such as...
Page 243 Using Lucina To modify a standard cuff for use with the maternal mannequin: 1. Using a standard blood pressure cuff, cut the hose that connects to the pressure gauge. 2. Insert one of the supplied adapter fittings into each of the open ends of the cut hose.
Page 244: Korotkoff Sounds
Using Lucina 4. Locate and connect the other end of the T-fitting to the NIBP port located on either side of the mannequin’s torso. The LEFT NIBP port The Battery Compartment and Ports Non-invasive blood pressure may now be taken using the return-to-flow technique.
Page 245: Defibrillation And Cardioversion
Using Lucina Defibrillation and Cardioversion Lucina is designed to safely absorb the energy discharged from manual and automatic defibrillators. Standard defibrillation energy levels should be used for positive learning reinforcement and to avoid negative training transfer. However, use of a defibrillator for training purposes represents an operational hazard equivalent to use of a defibrillator on a real patient.
Page 246 Using Lucina simulated patient response to defibrillation is determined by the scenario script or instructor intervention. Thus, cardioversion is not automatically determined by the physiological models. • The minimum electrical charge recognized by the circuitry within the simulator is 20 joules. •...
Page 247: Cardiac Pacing
Using Lucina Cardiac Pacing A standard transthoracic cardiac pacemaker can be connected to the simulator using the anterior defibrillation connection. The software automatically detects and responds to pacing signals (from 20 to 200 mA, in increments of 10). Three parameters can be used to simulate pacing within the software: •...
Page 248 Using Lucina Fluids Anatomy, Physiology Description Software Control Manual Control and Clinical Signs Vaginal Bleeding The simulator can exhibit VIEW: Fluids See Vaginal Bleeding on vaginal bleeding at a rate the following pages. controlled by the PARAMETER(S): Vaginal instructor. Bleeding Severity Blood Loss The software can VIEW: Fluids...
Page 249: Vaginal Bleeding
Using Lucina Fluids Anatomy, Physiology Description Software Control Manual Control and Clinical Signs IV Fluid Administration IV fluids can be adminis- Administered IV fluids Up to 300 mL of adminis- tered in the IV hands and must be set by the tered IV fluid are col- arms bilaterally at the instructor.
Page 250 Using Lucina 3. Lean the mannequin forward. 4. Unzip the torso skin zipper. 5. Open the skin on the back to expose the area under the buttock. 6. Clean the area where fluid is located. 7. Reattach the skin and return the mannequin to supine position. 8.
Page 251: Hematology Model
Using Lucina Hematology Model The physiological model calculates hematocrit values (i.e. percentage of total blood hemoglobin) dynamically and continuously, taking into account blood and fluid losses, as well as the intravenous infusion of fluids such as whole blood, packed red blood cells, colloids and crystalloids. Instructors can create patients with both normal and pathophysiological hematocrit levels.
Page 252: The Genitourinary System
Using Lucina The Genitourinary System The simulator allows for the insertion of a 14 Fr urinary catheter and excretion of urine. The genitourinary (GU) system must be primed prior to use. IMPORTANT: Use only clear distilled water, distilled water tinted with food coloring, or distilled water mixed with white vinegar (50/50) inside the mannequin.
Page 253: Medication And Fluid Administration
Using Lucina Medication and Fluid Administration Lucina supports pharmacological interventions through pre-programmed pharmacokinetic and pharmacodynamic parameters that are established for more than 50 intravenous drugs. Standard syringes and infusion devices can be utilized to administer medications and fluids through bilateral IV access sites at the dorsal metacarpal, cephalic, basilic, median antebrachial and median cubital locations.
Page 254 Using Lucina 3. Connect the filled syringe to the IV FILL port on the left side of the simulator’s torso. The IV FILL port The Battery Compartment and Ports 4. Depress the syringe until no water remains in the syringe and disconnect from the IV FILL port.
Page 255 Using Lucina Administering an Epidural Fluid can be administered to the mannequin through a permanent epidural port located at the back of the mannequin. The luer The split fitting septum The Epidural Port An epidural cannula can be inserted through the luer access split septum attached to the epidural port located on the back of the maternal mannequin.
Page 256: Priming The Epidural Site
Using Lucina Priming the Epidural Site If cerebrospinal fluid aspiration is desired, the epidural site must be primed before use. To prime the epidural system: 1. Ensure the epidural system is empty prior to priming (as described in Administering an Epidural). 2.
Page 257: Sounds
Using Lucina Sounds A variety of simulated sounds are available to enhance realism. A patient must be running in Müse for any sounds to be available. Patient Speech Patient speech can be achieved using the Speech Sounds feature in Müse or by using an external Wireless Voice Link (WVL).
Page 258 Using Lucina To replay the last vocalization, click the Play button in the Speech balloon. The Play button The Speech Balloon with Play Button Wireless Voice Capability In addition to the pre-programmed speech, any response can be transmitted through the mannequin speakers using the Wireless Voice Link.
Page 259: Breath Sounds
Using Lucina Breath Sounds Breath sounds are independently synchronized with ventilation of the left and right lungs. Fourteen speakers, eight anterior and six posterior, provide breath sounds that can be auscultated. Anterior and posterior sounds and each of the four quadrants of the torso can be set independently to produce a particular breath sound Breath sounds can be adjusted by clicking the Sound Control icon on the Run screen.
Page 260: Heart Sounds
Using Lucina Heart Sounds Heart sounds emanate from four speakers and are synchronized with the cardiac cycle. Heart sounds can be auscultated over the left and right sternal border, right lower sternal boarder and apex. By default, heart sounds are set to the Normal sound. Heart sounds can be adjusted by clicking the Sound Control icon on the Run screen.
Page 261: Audible Breathing Sounds
Using Lucina Audible Breathing Sounds Audible breathing sounds, such as wheezing and gasping, can be heard without the use of a stethoscope. Audible breathing sounds can be adjusted by clicking the Sound Control icon on the Run screen. When the Sounds panel appears, select Audible Breathing Sounds. The Audible Breathing Sounds menu appears.
Page 262: Ua Synchronized Vocal Clip
Using Lucina UA Synchronized Vocal Clip The UA Synchronized Vocal Clip menu can be used to select a sound to be played in synchrony with uterine activity (UA). The sound is repeated each time a uterine contraction occurs. The UA Synchronized Vocal Clip can be adjusted by clicking the Sound Control icon on the Run screen.
Page 263: Neonate Cry Selection
Using Lucina Neonate Cry Selection The Neonate Cry Selection menu can be used to control neonate crying. Changing this selection prior to delivery causes the selected crying sound to be the default when the baby is marked as delivered. The Neonate Cry Selection menu can also be used after delivery to change or stop crying sounds. If Modeled is selected, the neonate cry is directly related to the fetal physiology at the time of birth.
Page 264: Fetal Heart Sound Location
Using Lucina Fetal Heart Sound Location The Fetal Heart Sound Location menu can be used to control the location of where the fetal heart sounds can be heard in the maternal abdomen. This feature allows instructors to select the appropriate location based on the current fetal position.
Page 265: Bowel Sounds (Non-Gravid Only)
Using Lucina Bowel Sounds (Non-Gravid Only) The Bowel Sounds menu can be used to control bowel sounds. The bowel sounds can be adjusted by clicking the Sound Control icon on the Run screen. When the Sounds panel appears, select Bowel Sounds. The Bowel Sounds menu appears. The dropdown menu The Bowel Sounds Menu...
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Page 267: Care And Maintenance
CAE Healthcare patient simulator products come with a one-year Assurance support and maintenance plan. All plans begin at the date of shipment or CAE Healthcare installation. You may upgrade your first- year plan to an enhanced plan and receive remedial and planned maintenance. To prevent equipment downtime and delays after the plan expires, CAE Healthcare encourages customers to purchase extended Assurance plans for all subsequent years.
Page 268: Return Materials Authorization (Rma)
To request an RMA, please contact Customer Service. Training for Life With CAE Healthcare’s new Training for Life, you now have access to free and unlimited beginner to advanced simulator training courses for everyone on your staff with the purchase of a CAE Assurance plan.
Page 269: System Software Upgrade Support
How to Contact Customer Service For customer service, please contact CAE Healthcare. CAE Healthcare Customer Service Headquarters - United States and Latin America Monday - Friday from 7:00 a.m. to 6:00 p.m. ET Toll Free: +1 (866) 462-7920...
Page 270 Care and Maintenance CAE Healthcare Customer Service - Europe, Middle East and Africa Monday - Friday from 8:00 a.m. to 5:00 p.m. CET Phone: +49-(0) 6131 4950354 Fax: +49 (0) 6131 4950351 Email: international.service@caehealthcare.com CAE Healthcare Customer Service - United Kingdom and Ireland Monday - Friday from 9:00 a.m.
Page 271: Breakdown
Care and Maintenance Breakdown After each use, the Fidelis should be properly disassembled and stored in a secure place. To ensure that the Fidelis remains in good working condition, follow the prescribed CAE Healthcare breakdown procedures below. Breakdown Steps Clean the Simulator and Fluid Systems...
Page 272: Step 3: Power Off The Simulator
Care and Maintenance The Logout dialog box appears. e. Click Logout to exit the software. To shut down the TouchPro Patient Monitor software: a. Click the Settings button in the bottom, right-hand corner of the TouchPro Patient Monitor screen. b. From the Settings menu, click Shutdown. A warning box appears asking if you want to exit.
Page 273: Maintenance Advice
Failure to drain and clean the systems may cause problems with the system. • Prior to any simulation, CAE Healthcare suggests applying a light coat of lubricant (cotton seed oil) on the hip skin between the torso and thighs to help prevent rubbing or pinching.
Page 274: Caring For Electronic Equipment
Do NOT use any of the computer components associated with this system for any other use. Do NOT connect the computer components to any network of any kind. Install any CAE Healthcare software updates as soon as they become available. Inspecting the Airway The maternal mannequin is equipped with an anatomically accurate airway that supports the practice of various airway management techniques.
Page 275 Care and Maintenance 1. Connect the AC adapter into the port located on the right side of the maternal mannequin’s torso (located next to the power button). The AC adapter connection The AC Adapter Connection 2. Connect the electrical plug on the other end of the AC adapter to a power source.
Page 276 Care and Maintenance WARNING: If the simulator is still in use, ensure that the AC adapter is plugged into the simulator and a working power source prior to removing both batteries. To charge the simulator batteries using the external battery charger: 1.
Page 277: Charging The Fetus Battery
Care and Maintenance Charging the Fetus Battery To charge the fetus battery using the USB charger: 1. Connect the USB charger cord (provided by CAE Healthcare) to the back of the fetus. The USB charger connection The USB charger cord The Back of the Fetus 2.
Page 278: Cleaning The Internal Systems
Care and Maintenance Cleaning the Internal Systems The internal systems of the maternal mannequin must be cleaned after each simulation session. Only the systems that were used need to be cleaned. Cleaning the IV System To clean the IV system: 1.
Page 279 Care and Maintenance 2. Rinse thoroughly the trauma fill tank of any simulated blood. 3. Fill with distilled water or the 50/50 mixture of distilled water and white vinegar. 4. Connect the trauma fill tank to the mannequin. The blue tube connects to the BLOOD FILL port and yellow tube connects to the BLOOD VENT port.
Page 280 Care and Maintenance 12. Disconnect the UTERUS pneumatic port from the uterus inflation port The UTERUS The uterus pneumatic port inflation port The Uterus Inflation Port and UTERUS Pneumatic Port 13. Disconnect the BLOOD UTERUS port from the uterus bleed port. The uterus bleed port The BLOOD...
Page 281 Care and Maintenance 17. Hold the labia and perineum closed and slowly lift the uterus out from inside the abdomen. 18. Ensure that no left over fluid spills inside the abdomen. IMPORTANT: If any fluid gets inside the mannequin, follow these cleaning instructions immediately to prevent damage to the simulator: a.
Page 282 Care and Maintenance 5. Click on the Maintenance tab. The Maintenance The Flush System The Maintenance button panel The Maintenance Panel The Maintenance panel appears. 6. Click the Flush System button. The fluid from the mannequin’s blood tank should start flowing back into the trauma fill tank.
Page 283 Care and Maintenance 3. Connect the blue line to the mannequin BLOOD FILL port and the yellow line to the BLOOD VENT port. BLOOD FILL port BLOOD VENT port The Battery Compartment and Ports 4. Ensure the yellow pressure relief knob on the trauma fill tank is closed and pressurize the tank.
Page 284: Draining Condensation From The Simulator
Care and Maintenance d. Disconnect the syringe from the port and discard the water. 3. Place the split septum adapter back on the luer fitting. Cleaning the Genitourinary System To clean the genitourinary system: 1. Ensure a urinary catheter is inserted and place the exposed end of the catheter in a basin to catch the fluid.
Page 285 Care and Maintenance To drain condensation: 1. Locate the Condensation Drain Hose included with the inventory kit. The Condensation Drain Hose 2. Bring the hose and a small bucket to the simulator location. 3. Bend right knee to lift the thigh to at least a 45-degree angle. 4.
Page 286: Replacing The Standard Birth Canal
Care and Maintenance Replacing the Standard Birth Canal Follow these steps to ensure proper removal and installation of the Standard Birth Canal. It is recommended that at least two people perform the procedure. Please read these steps completely prior to beginning procedure. The Standard Birth Canal - Front and Back View To remove the birth canal: 1.
Page 287 Care and Maintenance 2. Remove the screw from the Genitourinary (GU) tank (left side of mannequin torso). The GU screw The GU Tank 3. Remove the GU tank from the torso and pull tubing completely out of birth canal. The GU tank The GU tube inside birth canal...
Page 288 Care and Maintenance 4. Lift and remove the birth canal top grooves only, from the left and right sides. NOTE: Gently stretch the mannequin skin away from the torso to allow room for birth canal removal. The top grooves The ischial spine posts The Birth Canal - Top Grooves 5.
Page 289 Care and Maintenance 6. Remove the bladder from the inside bottom of birth canal (leaving bladder attached to mannequin torso). bladder The Mannequin Torso 7. Twist and remove the rectal plug from back of lower torso. NOTE: Lift mannequin to one side for access to plug. The rectal plug The Mannequin Torso - Back...
Page 290 Care and Maintenance 8. Squeeze and remove the rectal extension, located on the bottom center of the birth canal, from the rectal groove. The rectal extension The Mannequin Torso 9. Lift and remove the birth canal. NOTE: Ensure rectal extension is completely removed from the rectal groove before removing the birth canal.
Page 291 Care and Maintenance The mannequin with birth canal removed. The Mannequin Torso To install the birth canal: 1. Position the birth canal inside the mannequin torso (ensure exterior of birth canal is facing towards feet and rectal extension is at bottom). The Mannequin Torso - Birth Canal Placement...
Page 292 Care and Maintenance 2. Locate the ischial spine post on the bottom left or right side of mannequin torso; squeeze and slide one side only of the birth canal completely onto post. The ischial spine post The Mannequin Torso 3. Insert (squeeze and push) the rectal extension, located on the bottom center of the birth canal, completely into the rectal groove.
Page 293 Care and Maintenance NOTE: The rectal extension must fit completely into the rectal groove. The rectal extension groove The Mannequin Torso 4. Squeeze and slide the remaining side of the birth canal completely onto ischial spine post. The ischial spine post The Mannequin Torso...
Page 294 Care and Maintenance 5. Twist and fully insert the rectal plug (back of lower torso). NOTE: Lift mannequin to one side for access to plug. The rectal plug The Mannequin Torso - Back 6. Insert the birth canal top grooves into the left and right sides of mannequin.
Page 295 Care and Maintenance 7. Insert the bladder into the inside bottom of birth canal, ensure bladder lays flat. bladder The Mannequin Torso 8. Align and insert the GU tank and tubing (left side of mannequin torso). Ensure tubing is fully inserted into birth canal. The GU tank The GU tube inside birth...
Page 296 Care and Maintenance TIP: Lubricate exterior of tubing to help ensure full insertion into birth canal. The GU Tank Tube Insertion NOTE: The end of the GU tubing should be visible from exterior of birth canal at vaginal opening. The GU tube The Birth Canal - Exterior View...
Page 297 Care and Maintenance 9. Align the GU tank to the mannequin torso and insert screw. The GU screw The GU Tank Ensure the birth canal is completely and securely attached to all fittings.
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Page 299: Respiratory: Desaturation
Condition Guidelines for Programming ONDITION UIDELINES FOR ROGRAMMING WITH ÜSE This section is intended to help you select Müse conditions to achieve desired vital signs within each programmed state. All four conditions should be programmed into each state in the order presented below: Respiratory: Desaturation Cardiovascular: Blood Pressure...
Page 300: Cardiovascular: Blood Pressure
Condition Guidelines for Programming Cardiovascular: Blood Pressure Hypertension Hypotension Reset 110s/70s Reset 110s/70s Increased 120s/80s Decreased 100s/70s Pre-Borderline 130s/80s Pre-Borderline 100s/60s Borderline 140s/90s Borderline 90s/50s Mild 150s/90s Mild 80s/40s Moderate 160s/100s Moderate 70s/40s Severe 170s/100s Severe 60s/30s Profound 190s/110s Profound 50s/30s Extreme 220s/120s...
Page 301: Cardiovascular: Heart Rate
Condition Guidelines for Programming Cardiovascular: Heart Rate Tachycardia Bradycardia Reset Reset Increased High 70s Decreased Mid 60s Elevated Pre-Borderline Low 60s Pre-Borderline Borderline Mid 50s Borderline 100s Intermediate Low 50s Intermediate 110s Mild High 40s Mild 120s Moderate Mid 40s Moderate 130s Severe...
Page 302: Respiratory: Respiratory Rate
Condition Guidelines for Programming Respiratory: Respiratory Rate Tachypnea Bradypnea Reset Reset Increased Increased Elevated Intermediate Borderline Mild Intermediate Moderate Mild Severe Moderate Profound Severe Extreme Profound Extreme...
Page 303: Müse Parameter Descriptions
Müse Parameter Descriptions ÜSE ARAMETER ESCRIPTIONS Neurological - Parameters The maternal fetal simulator can simulate a variety of neurological clinical indicators. Neurological Parameters Apply to Both Eyes Eyes: Pupil Control Eyes: Blinking Eyes: Blink Speed Reactive Pupils Light Reactivity Speed Seizures Temperature: Body Temperature: Blood...
Page 304: Eyes: Blinking
Müse Parameter Descriptions Eyes: Blinking In Auto mode the eyes are normally blinking. However, the eyes will automatically close under any of the following conditions: • SpO2 < 75% • Spontaneous minute ventilation < 1500 mL • Neuromuscular blockade (NMB) > 30% •...
Page 305: Intracranial Pressure (Icp)
Müse Parameter Descriptions Intracranial Pressure (ICP) The ICP parameter is used to set the ICP displayed as a numeric value on Patient Status Display and on the TouchPro Patient monitor. The value is Modeled by default. Default: Modeled Range: 0 mmHg - 65.0 mmHg Neuromuscular Blockade (NMB) The pharmacokinetic and pharmacodynamic models based on the neuromuscular blocking agents administered and the time course of their injection automatically determines the degree of NMB.
Page 306: Respiratory - Basic Parameters
Müse Parameter Descriptions Respiratory – Basic Parameters Respiratory Parameters Bronchial Occlusion(Left and Right) Respiratory Rate Respiratory Rate Factor Shunt Fraction Tidal Volume Fraction of Inspired O Bronchial Occlusion (Left and Right) Turning on the Bronchial Occlusion parameter completely obstructs the right or left bronchi, simulating a lower airway obstruction (e.g., mucus plug).
Page 307: Respiratory Rate Factor
Müse Parameter Descriptions Respiratory Rate Factor The Respiratory Rate Factor parameter (along with the Tidal Volume Factor parameter) is used to change the baseline respiratory rate (before the control-of-breathing and drug influences are taken into account). A value of 2 doubles the baseline respiratory rate. A value of 0.5 decreases the baseline respiratory rate by 50%.
Page 308: Neuromuscular Blockade (Nmb)
Müse Parameter Descriptions Neuromuscular Blockade (NMB) The degree of NMB is automatically determined by pharmacokinetic and pharmacodynamic models, which are based on the neuromuscular blocking agents administered and the time course of their injection. For some educational applications, however, the instructor may wish to set a fixed degree of neuromuscular blockade that remains stable for an indefinite period.
Page 309: Fraction Of Inspired O2 (Fio2)
Müse Parameter Descriptions Fraction of Inspired O (FiO This parameter is used to simulate changes in the FiO , such as would occur with the administration of supplemental oxygen. Default: 21% Range: 0% - 100% Respiratory – Additional Parameters Respiratory Parameters – Additional Respiratory Rate Tidal Volume Tidal Volume Factor...
Page 310: Respiratory Rate
Müse Parameter Descriptions Respiratory Parameters – Additional Bronchial Resistance Factor: Left Bronchial Resistance Factor: Right Alveolar Enflurane Fraction of Inspired Enflurane Alveolar Halothane Fraction of Inspired Halothane Alveolar Isoflurane Fraction of Inspired Isoflurane Alveolar Nitrous Oxide Fraction of Inspired Nitrous Oxide Alveolar Sevoflurane Fraction of Inspired Sevoflurane Respiratory Rate...
Page 311: Tidal Volume
Müse Parameter Descriptions Tidal Volume The Tidal Volume parameter is used to set the tidal volume to a given volume per breath. Once tidal volume is set to a numeric value, arterial oxygen and carbon dioxide values have no effect on the tidal volume, but continue to influence other components of the physiological models.
Page 312: Positive End Expiratory Pressure (Peep)
Müse Parameter Descriptions Positive End Expiratory Pressure (PEEP) The PEEP parameter specifies the amount of positive end expiratory pressure applied during mechanical ventilation. Setting this parameter results in clinically appropriate intrathoracic pressures and hemodynamic responses. Default: 0.0 cmH Range: 0.0 cmH O - 25.0 cmH Consumption The O...
Page 313: Pao2 Set-Point
Müse Parameter Descriptions Set-point The PaO Set-point parameter is a set-point for PaO . When PaO is below the set-point value, progressive stimulation of spontaneous minute ventilation occurs. Both tidal volume and respiratory rate rise, which under appropriate conditions results in PaO moving closer to the set-point.
Page 314: Respiratory Gain Factor
Müse Parameter Descriptions Respiratory Gain Factor The Respiratory Gain Factor determines how strong an influence arterial CO levels have on the simulated patient’s tidal volume and respiratory rate. Under default conditions (value = 1), when arterial CO levels rise, the patient’s respiratory rate and tidal volume show a transitory increase in an attempt to return the patient to the physiological control CO set-point.
Page 315: Chest Wall Compliance Factor
Müse Parameter Descriptions Chest Wall Compliance Factor This Chest Wall Compliance Factor parameter describes the interaction of the chest wall with the lungs. The Chest Wall Compliance Factor parameter defines the volume-pressure relationship in the normal operating lung volumes. Once distended, however, the chest wall rapidly becomes much less compliant (i.e., much “stiffer”) and resistant to further inflation.
Page 316: Venous Co2 Shift
Müse Parameter Descriptions Venous CO Shift The Venous CO Shift parameter affects the partial pressure of CO in the venous blood. Changing this parameter allows large and rapid shifts in total body CO concentration. Increases in alveolar and arterial CO follow rapidly in a physiologically correct magnitude and time course.
Page 317: Fraction Of Inspired Enflurane
Müse Parameter Descriptions Fraction of Inspired Enflurane The Fraction of Inspired Enflurane parameter is used to simulate the amount of enflurane set in the anesthetic vaporizer and is used to calculate alveolar enflurane. This parameter has a faster effect on physiology than anesthesia machine settings, because mixing in the breathing circuit is not simulated.
Page 318: Alveolar Isoflurane
Müse Parameter Descriptions Alveolar Isoflurane The Alveolar Isoflurane parameter is used to simulate the presence of isoflurane in the alveolar space without using real anesthetic vapors. The isoflurane percentage is input to the drug models to achieve the expected pharmacodynamic effects (e.g., respiratory depression). Using this parameter bypasses pharmacokinetics, real and instructor-specified inspired fractions, venous content, lung perfusion and ventilation.
Page 319: Fraction Of Inspired Nitrous Oxide
Müse Parameter Descriptions Fraction of Inspired Nitrous Oxide The Fraction of Inspired Nitrous Oxide parameter is used to simulate the amount of nitrous oxide set in the anesthetic vaporizer and is used to calculate alveolar nitrous oxide. This parameter has a faster effect on physiology than anesthesia machine settings, because mixing in the breathing circuit is not simulated.
Page 320: Cardiovascular - Basic Parameters
Müse Parameter Descriptions Cardiovascular – Basic Parameters Cardiovascular Parameters – Basic Blood Pressure Heart Rate Heart Rate Factor Cardiac Rhythm Arterial Catheter Central Venous Catheter PA Catheter PA Balloon Defib Pacing Current Pacing Rate Pacing Capture Threshold Cold Fluid Inject Blood Pressure The Blood Pressure parameter is used to override the physiological modeling for blood pressure.
Page 321: Heart Rate Factor
Müse Parameter Descriptions Heart Rate Factor The Heart Rate Factor parameter is used to change the baseline heart rate before physiological controls are taken into account. A value of 2 doubles the baseline heart rate, while a value of 0.5 decreases the heart rate by 50%.
Page 322 Müse Parameter Descriptions Hyperkalemia Hypertrophy, Biventricular Hypertrophy, Left Ventricular Hypertrophy, Right Ventricular Hypocalcemia Hypokalemia Junctional Junctional: HR 50 Long QT Syndrome Myocardial Infarction with LBBB Myocardial Infarction, Anterior Myocardial Infarction, Anterolateral Myocardial Infarction, Inferior Myocardial Infarction, Lateral Myocardial Infarction, Posterior Myocardial Infarction, Septal Myocardial Ischemia, Mild Myocardial Ischemia, Moderate...
Page 323: Arterial Catheter
Müse Parameter Descriptions ST Elevation with Chest Pain Torsade de Pointes Trifascicular Block Ventricular Fibrillation, Coarse Ventricular Fibrillation, Fine Ventricular Tachycardia Ventricular Tachycardia, Pulseless Ventricular Tachycardia, HR 151 Ventricular Tachycardia, Pulseless HR 151 Wellen’s Syndrome WPW Syndrome, Left Lateral Pathway Arterial Catheter The arterial pressure displayed on the Patient Status Display or TouchPro software is set using this parameter.
Page 324: Pulmonary Artery (Pa) Catheter
Müse Parameter Descriptions Pulmonary Artery (PA) Catheter The pulmonary artery pressure displayed on the Patient Status Display or TouchPro software is set using this parameter. A non-pulsatile, “zero” pressure signal is emitted when the Atmosphere position is selected and can be used to simulate zeroing a pressure transducer. This may also be used to remove the pulmonary artery pressure waveform, if desired (e.g., beginning of an SCE with an “unmonitored”...
Page 325: Pacing Current
Müse Parameter Descriptions Pacing Current The Pacing Current parameter is used to simulate a specified amount of current discharged via an external cardiac pacer. Setting this parameter results in the characteristic pacing signal on the ECG waveform when the pacing current is at or above the capture threshold. Also, see Pacing Capture Threshold.
Page 326: Cardiovascular - Additional Parameters
Müse Parameter Descriptions Cardiovascular – Additional Parameters Cardiovascular Parameters – Additional Baroreceptor Maximum Pressure Baroreceptor Minimum Pressure Left Ventricle Contractility Factor Right Ventricle Contractility Factor Systemic Vascular Resistance Factor Venous Capacity Factor Systemic Arteries Compliance Factor Pulmonary Arteries Compliance Factor Pulmonary Vasculature Resistance Factor Venous Return Resistance Factor Baroreceptor Gain (Overall) Factor...
Page 327: Baroreceptor Minimum Pressure
Müse Parameter Descriptions In other words, as the MAP increases, the physiological controls (i.e., baroreceptor response) work to bring the pressure back toward baseline, primarily by reducing the heart rate. For every 5 mmHg increase in MAP, the heart rate may decrease by 2 beats per minute in an attempt to keep the MAP in check.
Page 328: Right Ventricle Contractility Factor
Müse Parameter Descriptions Right Ventricle Contractility Factor The Right Ventricle Contractility Factor parameter adjusts the contractility of the right ventricle and has a direct effect on pulmonary artery pressure and an inverse effect on central venous pressure. Use this parameter to raise or lower pulmonary artery pressure (PAP) or to change the central venous pressure (CVP).
Page 329: Systemic Arteries Compliance Factor
Müse Parameter Descriptions Systemic Arteries Compliance Factor The Systemic Arteries Compliance Factor parameter adjusts the pulse pressure (difference between systolic and diastolic pressures) of the simulated patient’s systemic blood pressure. Increases in the compliance factor result in a decreased (narrower) pulse pressure, while smaller values increase the pulse pressure.
Page 330: Venous Return Resistance Factor
Müse Parameter Descriptions Venous Return Resistance Factor The Venous Return Resistance Factor parameter adjusts the resistance between the extrathoracic and intrathoracic venous compartments. Raising the value increases the resistance, while lowering the value decreases the resistance. With less blood returning to the heart, there is a reduced volume entering the ventricles prior to ventricular contraction.
Page 331: Baroreceptor Gain (Peripheral) Factor
Müse Parameter Descriptions Baroreceptor Gain (Peripheral) Factor The Baroreceptor Gain (Peripheral) Factor parameter adjusts the influence of mean arterial pressure (MAP) on systemic vascular resistance and venous capacity, influencing how much the vasculature responds to changes in blood pressure. For example, when blood pressure falls, the arteries increase their vascular tone (resistance), and there is less pooling of the blood in the venous system, in an attempt to maintain adequate blood pressure.
Page 332: Ischemic Index Sensitivity
Müse Parameter Descriptions Ischemic Index Sensitivity The Ischemic Index Sensitivity parameter determines the relative sensitivity of the simulated patient to myocardial ischemia. A lower ischemic index sensitivity value corresponds to less sensitivity to an unfavorable oxygen supply/demand ratio (i.e., poor oxygenation with high heart rate). A patient with a low value is less sensitive to poor oxygenation, takes longer to go into the “death spiral”...
Page 333: Aortic Valve Resistance Factor
Müse Parameter Descriptions Aortic Valve Resistance Factor The Aortic Valve Resistance Factor parameter is used to adjust the resistance to blood flow across the aortic valve. Increasing the value to greater than 1 corresponds to increased resistance to blood flow through the aortic valve.
Page 334: Fetal And Labor - Basic Parameters
Müse Parameter Descriptions Fetal and Labor - Basic Parameters Fetal and Labor Parameters - Basic Rate of Descent Fetal State Contraction Frequency Contraction Amplitude Contraction Duration Patient Pushing Early Deceleration Magnitude Late Deceleration Amplification Factor Shoulder Dystocia Shoulder Dystocia Resolution Extraction of Posterior Arm Arrested Labor Arrested Labor Trigger Station...
Page 335: Contraction Frequency
Müse Parameter Descriptions Contraction Frequency The Contraction Frequency parameter determines how often uterine contractions occur. This parameter is defined as the number of contractions per ten minutes. The contraction frequency parameter has some variability. The magnitude of the variability is determined by the Contraction Frequency Variability parameter, found in the Fetal &...
Page 336: Late Deceleration Amplification Factor
Müse Parameter Descriptions Late Deceleration Amplification Factor Fetal heart rate (FHR) late decelerations associated with uterine contractions (UCs) are attributed to reductions in oxygen supply from the mother. The Late Deceleration Amplification Factor parameter allows for greater control over the amplitude of late decelerations in conditions where they would be expected, notably for the fetal patient with placental insufficiency.
Page 337: Extraction Of Posterior Arm
Müse Parameter Descriptions The Rotation of Posterior Shoulder option activates the automatic resolution of shoulder dystocia upon detection of proper rotation of the posterior shoulder. Upon detection, ”Posterior shoulder rotation maneuver was performed” and “Shoulder dystocia condition resolved” will be logged in the event log.
Page 338: Arrested Labor Trigger Station
Müse Parameter Descriptions Arrested Labor Trigger Station The Arrested Labor Trigger Station parameter sets the fetal position at which the arrested labor condition will be applied. Arrested labor can be performed between station -3 and 3. Default: 0 Range: -3 - 3 Arrested Labor Resolved by Traction The Arrested Labor Resolved by Traction parameter activates/deactivates (yes/no) the automatic resolution of arrested labor upon detection of the required traction force.
Page 339: Fetal And Labor - Additional Parameters
Müse Parameter Descriptions Fetal and Labor - Additional Parameters Fetal and Labor Parameters - Additional Maternal Position Contraction Resting Tone Contraction Frequency Variability Contraction Amplitude Variability UA Noise TOCO Amplitude Gain FHR Baseline FHR Variability Coefficient Umbilical Cord Compressibility Factor FHR Acceleration Amplitude FHR Acceleration Interval FHR Acceleration Duration...
Page 340: Contraction Resting Tone
Müse Parameter Descriptions Contraction Resting Tone The Contraction Resting Tone parameter determines the uterine pressure level when there are no active contractions. This parameter is defined in units of mmHg. The contraction resting tone has some variability. The magnitude of this variability is determined by the UA Noise parameter. Default: 10 mmHg Range: 0 mmHg - 100 mmHg Contraction Frequency Variability...
Page 341: Fhr Variability Coefficient
Müse Parameter Descriptions FHR Variability Coefficient The FHR Variability Coefficient parameter determines the variability present in the fetal heart rate signal. When set to modeled, the variability will be dependent on the fetus’ oxygen levels and the fetal state. This parameter is not defined in bpm, it is a unitless factor. Default: Modeled Range: 0 - 5 Umbilical Cord Compressibility Factor...
Page 342: Placental Perfusion Factor
Müse Parameter Descriptions Placental Perfusion Factor The Placental Perfusion Factor parameter determines how easily blood flows into the placenta from the maternal circulation. Lowering this factor results in a decreased blood flow and oxygen supply to the fetus, leading to a gradual decrease in fetal heart rate, and a general deterioration of the fetus’ condition.
Page 343: Cardiotocograph (Ctg) Configuration - Parameters
Müse Parameter Descriptions Cardiotocograph (CTG) Configuration - Parameters CTG Configuration Parameters FHR Probe MHR Probe MSPO2 Probe MNIBP Probe Temp Probe FHR Signal Loss UA Signal Loss TOCO Offset MHR Graph MHR Overrides FHR MSPO2 Printing Frequency MNIBP Printing Frequency The following parameters control the operation of the emulated Cardiotocograph (CTG).
Page 344: Fhr Probe
Müse Parameter Descriptions FHR Probe The FHR Probe parameter determines the type of probe used for fetal heart rate monitoring. Possible selection includes: Disconnected – No probe is currently connected. The UA widget will display a “-“ to indicate there is no probe and there will be no UA graph generated. US –...
Page 345: Mhr Probe
Müse Parameter Descriptions MHR Probe The MHR Probe parameter indicates if the emulated CTG has the capability to monitor the maternal heart rate and if the relevant probe is connected. Possible selection includes: Not Available – The emulated CTG does not have the capability to display the maternal heart rate.
Page 346: Mnibp Probe
Müse Parameter Descriptions MNIBP Probe The MNIBP Probe parameter indicates if the emulated CTG has the capability to monitor the maternal blood pressure (non-invasive measurement) and if the relevant probe is connected. Possible selection includes: Not Available – The emulated CTG does not have the capability to display the maternal blood pressure.
Page 347: Fhr Signal Loss
Müse Parameter Descriptions FHR Signal Loss The FHR Signal Loss parameter controls the overall quality of the fetal heart rate signal to emulate quality of the probe installation. This parameter indicates the relative amount of signal loss as a percentage. 0% is a clean signal with no loss. 100% results in no signal. Intermediary values create progressively larger gaps of data on the graph.
Page 348: Mnibp Printing Frequency
Müse Parameter Descriptions MNIBP Printing Frequency The MNIBP Printing Frequency parameter activates printing of the maternal MNIBP value on the strip at the specified frequency selected. Printing occurs only if there is a connected MNIBP probe. Frequency selection includes, in minutes: 1, 2, 3, 5, 10, 15, 30, 60, 90 Default: 30 minutes Patient Baseline - Parameters Patient Baseline Parameters...
Page 349: Delivery Paused On Run
Müse Parameter Descriptions Possible modes include: Prepartum & Latent Phase – Non-delivery operating mode that calls for a hardware configuration that allows performance of Leopold maneuver and assessment of static cervices. Active Phase – Non-delivery operating mode that calls for a hardware configuration that uses the dynamic cervix to allow access and/or visibility to the fetus.
Page 350: Cervix
Müse Parameter Descriptions Cervix The Cervix parameter is only relevant for the Prepartum & Latent Phase operating mode. This parameter allows the selection of the static cervix to be installed in the mannequin. The selected cervix will be mentioned in the configuration screen to let the user know which one to use. Possible choices are: Closed –...
Page 351: Vertex Rotation Type
Müse Parameter Descriptions Vertex Rotation Type The Vertex Rotation Type parameter is only relevant for the Vaginal Delivery operating mode. This parameter specifies the desired sequence of cardinal movements as a sequence of target position for vertex presentation: initial position - internal rotation target - restitution target The eleven possible choices include: LOA - OA - LOT ;...
Page 352: Placenta Condition
Müse Parameter Descriptions Placenta Condition The Placenta Condition parameter is only relevant for the Vaginal Delivery, Cesarean Section, and Postpartum operating modes. This parameter indicates what is the desired placenta condition. This has no automatic effect and simply maps to the user instructions in the configuration screen indicating which part to use.
Page 353: Postpartum - Basic Parameters
Profuse), each massage will produce a gush of blood in addition to the bleeding enabled by the vaginal bleeding severity parameter (see Vaginal Bleeding in the Using Fidelis Lucina section of this guide). This gush of blood occurs every time one presses on the uterus, whether or not the message “Uterine compression was applied”...
Page 354: Resolve Boggy Uterus
Müse Parameter Descriptions Resolve Boggy Uterus The Resolve Boggy Uterus parameter is relevant only for the postpartum boggy/contracted uterus. Activation of this parameter causes the boggy uterus to contract, regardless of uterine massage. When contraction of the uterus is desired, the Resolve Boggy Uterus parameter should be manually activated. This brings up the “Contract now”...
Page 355: Parameter Display Definitions
Parameter Display Definitions ARAMETER ISPLAY EFINITIONS The various patient displays and feedback windows in Müse, TouchPro Patient Monitor, and the TouchPro CTG Monitor use abbreviations to refer to the parameters displayed. The following is a list of parameters available for display and their abbreviations. Müse Patient Status Display The Müse Patient Status Display consists of waveform, numeric, and volume widgets, along with other special widgets for the maternal fetal simulator.
Page 356: Numeric Widget Displays
Parameter Display Definitions Numeric Widget Displays Display Physiological Variable Alveolar Enflurane Alveolar Enflurane Alveolar Halothane Alveolar Halothane Alveolar Isoflurane Alveolar Isoflurane Alveolar Nitrous Oxide Alveolar Nitrous Oxide Alveolar Sevoflurane Alveolar Sevoflurane Blood Pressure C.O. Cardiac Output Cervix Dilatation Cervix Dilatation CTG FHR Cardiotocography Fetal Heart Rate Central Venous Pressure...
Page 357 Parameter Display Definitions Display Physiological Variable PvCO2 Venous Partial Pressure Carbon Dioxide PvO2 Venous Partial Pressure Oxygen Respiratory Rate SpO2 Oxygen Saturation TAxilla Axillary Temperature TBlood Blood Temperature TBody Body Temperature Travel Travel of Fetus Down Descent Mechanism (-3 to +20) TRectal Rectal Temperature UA-BE...
Page 358: Volume Widget Displays
Parameter Display Definitions Volume Widget Displays Display Physiological Variable Lung Volume Lung Volume Other Widget Displays Display Physiological Variable Fetal Heart Rate Intrauterine Pressure Transabdominal Uterine Activity CTG Uterine Activity CTG FHR CTG Fetal Heart Rate CTG UA CTG Uterine Activity 1 minute APGAR 1minute 5 minutes...
Page 359 Parameter Display Definitions Display Definition Ventilation Ventilation Volume Ventilation Volume (mL) Ventilation Rate Ventilation Rate (breaths/min) I:E Ratio Inspiratory/Expiratory Ratio Minute Ventilation Minute Ventilation (L/min) Alveolar Ventilation Alveolar Ventilation (L/min) Patient Vitals Blood Pressure Arterial Blood Pressure CePP Cerebral Perfusion Pressure CoPP Coronary Perfusion Pressure SpO2...
Page 360: Traction Feedback
Parameter Display Definitions Traction Feedback Display Definition Current Force Neck Traction Force in Newton (N) Peak Force Maximum Neck Traction Force in Newton (N) Force Neck Traction Force (graph) Uterine Activity (graph) TouchPro Patient Monitor and TouchPro CTG The TouchPro Patient Monitor and TouchPro CTG display consists of numeric and volume widgets. A 12- lead ECG report can also be generated from the TouchPro Patient Monitor software.
Page 361: Numeric Widget Displays
Parameter Display Definitions Numeric Widget Displays Display Physiological Variable Arterial Blood Pressure TAxilla Axillary Temperature TBlood Blood Temperature TBody Body Temperature Central Venous Pressure C.O. Continuous Cardiac Output EtCO2 End Tidal Carbon Dioxide Heart Rate Intracranial Pressure Mean Arterial Pressure NIBP Non Invasive Blood Pressure PACO2...
Page 362: 12-Lead Ecg Report Parameters
Parameter Display Definitions 12-Lead ECG Report Parameters Parameter Physiological Variable ECG Lead I ECG Lead II ECG Lead III ECG Lead aVR ECG Lead aVL ECG Lead aVF ECG Lead V1 ECG Lead V2 ECG Lead V3 ECG Lead V4 ECG Lead V5 ECG Lead V6...
Page 363: Recommended Clinical Supply Sizes
Recommended Clinical Supply Sizes ECOMMENDED LINICAL UPPLY IZES The following clinical supply sizes are recommended for use with maternal fetal simulator. Other sizes may cause damage to simulator and should not be used. Recommended Clinical Supply Sizes Combitube 41 Fr Endotracheal (ETT) 6.5 - 7.5 mm i-gel Supraglottic Airway...
Page 364: The Ischemic Index (Death Spiral)
The Ischemic Index The table below lists Ischemic Index values and their corresponding patient conditions. Model-Driven ECG Rhythm Ischemic Index (I.I.) Normal Sinus Rhythm (NSR) I.I. ≥ 0.90 Mild ST Segment Depression 0.90 > I.I. ≥ 0.70 Moderate ST Segment Depression 0.70 >...
Page 365: Wireless Voice Link
OICE This information is intended to assist in preparing Wireless Voice Link (WVL) devices for use in conjunction with Fidelis Lucina. Cautions and Warnings This device complies with part 15 of the FCC Rules and with Industry Canada licence-exempt RSS standard(s).
Page 366: What's Included
Wireless Voice Link What’s Included The WVL package includes the following items: • Wireless Voice Link Handset (1) • Olympus ME52W Standalone Microphone (1) • AAA Alkaline Batteries (2) • Quick Start Guide (1) How It Works The WVL is a radio pair that operates in the 2.4 GHz unlicensed radio band. The handset communicates wirelessly with the base station located inside the simulator.
Page 367: Wireless Voice Link Devices
Wireless Voice Link Wireless Voice Link Devices There are two unique devices that make up a WVL pair: the handset device and the base station device. The base station device is located inside the simulator, while the handset device is battery powered and carried by the user.
Page 368: Physical Features
Wireless Voice Link Physical Features The following features are located on the top of the WVL devices: • Headphone jack: Used to plug in headphones or an iPhone compatible headphone/microphone combination • Microphone jack: Used to plug in a standalone microphone •...
Page 369: Preparing The Base Station In The Simulator
Wireless Voice Link Preparing the Base Station in the Simulator When using the base station in the simulator, ensure the batteries are removed and the following items are attached: • Power cable • Line out cable The DIP switch is located in the battery compartment of the base station (Figure 5: DIP Switch Settings). DIP switch settings Dip Switch Settings The base station should come already connected and installed inside the simulator.
Page 370: Preparing The Handset For Use
Wireless Voice Link Preparing the Handset for Use To prepare the handset for use: 1. Insert two AAA batteries into the battery compartment. 2. Set the handset DIP switch positions 6 and 7 to OFF and position 8 to ON. 3.
Page 371: Powering Up The Wvl Pair
Wireless Voice Link If you have 13 to 20 simulators in the same vicinity, set all of the WVL pairs to use channel 12 of RF Channel Group 2. To give unique initial RF frequencies, assign each WVL pair to its own RF channel with the settings found in CH 12 through CH 31.
Page 372: Special Handset Settings
Wireless Voice Link microphone jack is enabled for the standalone microphone, provided by CAE Healthcare. Handset and CAE Healthcare-provided Microphone To use a microphone compatible with an iPhone (three-pole jack), set DIP switch position 6 to ON. Please note that an iPhone-compatible microphone is not provided as part of the product package.
Page 373: Battery Capacity Indicator
Troubleshooting CAE Healthcare Customer Service is available to help with iStan problems, should they arise. However, sometimes you can speed up the customer service process by performing diagnostics before calling, and eliminating some problems on your own with the help of the following instructions.
Page 374 Wireless Voice Link The sound output from the simulator is noisy when the speaker is not speaking. • You can use the noise reduction feature by setting the handset DIP switch position 8 to ON. The simulator voice output is cut off when the speaker is speaking quietly. •...
Page 375: Rf Channel Initial Operating Frequencies
Wireless Voice Link RF Channel Initial Operating Frequencies RF Channel Frequency 1 (GHz) Frequency 2 (GHz) 2.402 2.480 2.405 2.477 2.408 2.474 2.411 2.471 2.414 2.468 2.417 2.465 2.420 2.462 2.423 2.459 2.426 2.456 2.429 2.453 2.432 2.450 2.435 2.447 2.402 2.480 2.404...
Page 376 Wireless Voice Link RF Channel Frequency 1 (GHz) Frequency 2 (GHz) 2.434 2.448 2.436 2.446 2.438 2.444 2.440 2.442...
Page 377: Fidelis Lucina Medication Information
The following table details the new medications available for administration in the Müse software specific to the Fidelis Lucina simulator. Each medication is listed along with whether the medication affects the patient’s physiology (modeled or log-only), the medication category and the application of the medication.
Page 378 Fidelis Lucina Medication Information Medication Mode Category Fidelis Lucina Simulator M = Modeled, Application L = Log-only Uterine Misoprostol Used for labor induction to “ripen”** Stimulants the cervix and promote uterine contractions Use in management of postpartum hemorrhage (PPH) due to uterine atony* [Not approved for labor induction in U.S.]...
Page 379: Müse Mannequin Setup Screens
Müse Mannequin Setup Screens ÜSE ANNEQUIN ETUP CREENS Upon opening an SCE in the Müse software, the Mannequin Setup screen automatically appears to assist users in the configuration of the mannequin and necessary equipment setup for the individual type of SCE. The Mannequin Setup screen can also be accessed from the SCE Information drop-down menu by clicking the SCE Title and Patient name in the upper left corner of the Müse Run screen.
Page 380: Mannequin Setup Screen For A Prepartum Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for a Prepartum SCE Once a prepartum & latent phase SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software.
Page 381: Mannequin Setup Screen For An Active Phase Breech Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for an Active Phase Breech SCE Once an active phase breech SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software.
Page 382: Mannequin Setup Screen For An Active Phase Vertex Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for an Active Phase Vertex SCE Once an active phase SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software.
Page 383: Mannequin Setup Screen For A Vaginal Delivery Breech Left Sacrum Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for a Vaginal Delivery Breech Left Sacrum SCE Once a vaginal delivery breech left sacrum SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software.
Page 384: Mannequin Setup Screen For A Vaginal Delivery Breech Right Sacrum Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for a Vaginal Delivery Breech Right Sacrum SCE Once a vaginal delivery breech right sacrum SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software.
Page 385: Mannequin Setup Screen For A Vaginal Delivery Vertex Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for a Vaginal Delivery Vertex SCE Once a vaginal delivery vertex SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software.
Page 386: Mannequin Setup Screen For A Cesarean Breech Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for a Cesarean Breech Once a Cesarean breech SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software. The Mannequin Setup Screen - Cesarean Breech Presentation...
Page 387: Mannequin Setup Screen For A Cesarean Vertex Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for a Cesarean Vertex Once a Cesarean vertex SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software. The Mannequin Setup Screen - Cesarean Vertex Presentation...
Page 388: Mannequin Setup Screen For A Non-Gravid Sce
Müse Mannequin Setup Screens Mannequin Setup Screen for a Non-Gravid SCE Once a Non-Gravid SCE is selected, the mannequin must be manually configured prior to beginning the simulation. The configuration will correspond with the diagrams presented on the Mannequin Setup screen in the Müse software. The Mannequin Setup Screen - Non-Gravid...
Page 390 For more information about CAE Healthcare products, contact your regional sales manager or the CAE Healthcare distributor in your country, or visit caehealthcare.com. Tel +1 941-377-5562 or 866-233-6384 For customer service, please contact CAE Healthcare. Customer Service Headquarters - United States and Latin America Monday - Friday from 7:00 a.m.

CAE Healthcare Fidelis Lucina User Manual

System Requirements

Weight

Size

Specifications

Environmental Requirements

Power

Communications

Electrotherapy

Air Supply

Cautions and Warnings

Electrical Safety

Table of Contents

Introduction

Contained in this User Guide

Equipment Overview

Standard Equipment

Additional Equipment

Setup

Before Beginning Setup

Step 1: Place Mannequin in the Work Area

Step 2: Power on the Maternal Mannequin

Step 3: Power on the Fetus

Step 4: Power on the Instructor Workstation

Step 5A: Connect to the Wireless Network - Laptop Instructor Workstation (Macintosh)

Step 5B: Connect to the Wireless Network - Laptop or Tablet Instructor Workstation (Windows)

Step 6: Connect a Touchpro™ Workstation to the Wireless Network (Optional)

Configuring the Mannequin

Prepartum

Removing the Rotation Ring

Installing the Static Cervix

Installing the Backplate

Installing the Support Tubs

Loading the Fetus - Prepartum

Delivery

Installing the Rotation Ring

Installing the Uterine Funnel with Dynamic Cervix

Loading the Fetus - Delivery

Installing the Placenta

Installing the Abdomen

Disconnecting the Umbilical Cord

Postpartum

Filling the Blood Tank

Installing the Blood Tank

Installing the Boggy/Contracted Uterus with Bag

Installing the Postpartum Invertible Uterus

Using Müse

Starting the Application

Navigating the Home Page

The SCE Selection Panel

Running an SCE

Using the Patient Status Display

Developing Sces

Administrative Tools

Using the Touchpro Patient Monitor

Accessing the Touchpro Patient Monitor Software

Modifying the Touchpro Patient Monitor Display

Sounds

12-Lead ECG

NIBP Cycling and Manual NIBP

Patients

Configuring the Touchpro Software

Changing the Touchpro Language

Exiting the Touchpro Software

Using the Touchpro CTG Monitor Software

Accessing the Touchpro CTG Software

Configuring CTG Alarms

Muting CTG Alarms

MNIBP Cycling and Manual MNIBP

Resetting Tocography Noise

Viewing the CTG Strip

Changing the CTG Monitor Language

Exiting the CTG Monitor

Using Lucina

Neurological Features

Eyes

Respiratory Features

Cardiovascular Features

Pulses

Fluids