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Summary of Contents for Limbs & Things 60100
- Page 1 User Guide PA R A C E N T E S I S T R A I N E R 60100 For more skills training products visit limbsandthings.com Sussex Street, St Philips, Bristol, BS2 0RA, UK | sales@limbsandthings.com | +44 (0) 117 311 0500...
- Page 2 I N DE X • PARACENTESIS TRAINER • SAFETY & CLEANING INSTRUCTIONS • SET UP | You will need • ADDING/REMOVING INTERNAL ANATOMY • Bowel • Liver • Spleen • FITTING THE PARACENTESIS PADS • ADDING THE ASCITES FLUID (WATER) •...
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Page 3: Package Supplied
SKILLS This trainer fulfills the fundamental component of core medical training in • Familiarity with abdominal regions and diagnostic and therapeutic techniques underlying anatomy of Paracentesis, for both landmark or • Palpation of bony landmarks ultrasound guided techniques. • Identification of excess fluid •... -
Page 4: Storage And Transportation
S A F E T Y & CLEA NI N G I N ST RUC TIO NS Caution please retain for future reference READ THE SAFETY INSTRUCTIONS CAREFULLY BEFORE USING YOUR PARACENTESIS TRAINER 1. Follow all instructions. 2. Keep these instructions. 3. - Page 5 S E T UP You will need: (not supplied) Kidney dish Scalpel 21G needle Catheter For Ultrasound guided Paracentesis: As above plus: Large curvilinear probe Ultrasound gel...
- Page 6 Remove skin and un-screw the two frames Add or remove internal anatomy...
- Page 7 AD DI NG / R E M OV I NG IN T ER N AL A NATO MY Bowel Floating bowels (x2) Can be located in either cavity as needed Bowel (x2) 1 for each cavity Bowels should be located in the trainer before liver or spleen FITTING THE BOWEL FITTING FLOATING BOWEL TO THE BOWEL Line up the two holes on the bottom of the...
- Page 8 Liver FITTING THE LIVER Locate on right hand side of the torso Line up the hole on the Liver with the plug on the upper left of the torso. Push until located...
- Page 9 Spleen FITTING THE SPLEEN Locate on left hand side of the torso and follow the same steps as fitting the Liver FIT TI N G T HE PA RAC ENT ESI S PAD S Locate the flange within the detached frame and make sure notches line up and push pad through the frame Attach the frame to the torso.
- Page 10 Add retaining knobs and tighten The pad is now in place The retaining knobs need to be securely fastened to avoid leakage Attach the skin We recommend rotating the pad by 180 degrees after every 100 needle insertions, to get maximum use from the pad...
- Page 11 AD DI NG T HE AS C I T ES F LUI D ( WATE R) Place the torso in the standing position At the back of the model ensure that both clamps are closed Unscrew the reservoir cap to the reservoir Add funnel and pour in water you wish to fill Each reservoir can take up to 3.5 litres of fluid at any one time.
- Page 12 Lie trainer on the back and add skin Secure the skin with the 2 pegs on each side...
- Page 13 U S I N G T HE LA R GE V O LUME REFILL S YS T EM Unscrew the lid (holding the lid and rotating the bottle to avoid tangling of the tubes) Fill with water to the rim of the container. The Screw lid on tightly and ensure the clamp container should be over half full at all times on the refill system is closed...
- Page 14 Connect to the reservoir connector on the Release clamps on fluid refill system top of the trainer Squeeze the hand pump 4 times to create The pad will bulge slightly and feel firm to fluid behind the pad the touch. A further 2 - 4 pumps may be needed if the pad is still not firm Once filled, close the clamp on the fluid refill system.
- Page 15 U S E OF T HE PA D S Each pad can withstand up to 200 needle insertions. This can be achieved by rotating the pad 180 degree’s clockwise once 100 needle impressions have been made SHELF LIFE OF THE PADS The shelf life can be seen on the bottom of each pad.
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Page 16: Diagnostic Procedures
DIA G N O S TI C P R OC ED UR ES Ensure you have a kidney dish below the pad Insert the needle, you should feel it pass through the peritoneum, then remove fluid... - Page 17 T H E R AP E U TI C P RO C ED UR ES Ensure you have a kidney dish below the pad Push forward the fringe whilst holding still Insert the catheter into the Paracentesis Pad the oval ring of the catheter. Ensure all of the holes on the tip of the catheter are inserted into the model Once the catheter is inserted, remove the...
- Page 18 U LT RA S O UN D P RO C E DUR E Ensure a curved probe is being used Apply ultrasound gel to the probe and Paracentesis Pad Navigate around the Paracentesis Pad with The underlying anatomy of the model will the curved probe display on the ultrasound machine...
- Page 19 C L E A N I N G AN D ST OR AG E AF TER US E Take trainer to a sink area or drain into a Release the connection between the trainer jug or jerry can. Remove skin and unclip the and the fluid-refill system clamp to allow fluid to drain out You may need to tilt the...
- Page 20 PA R A C E N T E S I S T R A I N E R Built on the knowledge and experience gained in the design of the Chest Drain Trainer, there was a clear opportunity for a Paracentesis model which was reasonably priced, tailored exactly to the teaching requirements and easy to set up.
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