laerdal SimMan Essential Directions For Use Manual
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laerdal SimMan Essential Directions For Use Manual

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Summary of Contents for laerdal SimMan Essential

  • Page 1 SimMan Essential Directions for Use www.laerdal.com...
  • Page 2 CONTENTS...

  • Page 3: Table Of Contents

    Running a Scenario in Instructor Mode • The Patient Monitor PC • The Patient Monitor Interface • Transferring Media Files • The Laerdal Voice Conference Application • The Laerdal Debrief Viewer • SimMan Scenarios to SimMan Essential • Help Files...
  • Page 4 CONTENTS SETUP FOR SIMULATION • Using the Internal Compressor • Air/CO Panel • The IV Arm • Filling and Priming the IV System • Removing and replacing the IV Arm Pad • Cleaning the system • Troubleshooting - IV Arm •...
  • Page 5 INTRODUCTION DISCLAIMER Use of the SimMan Essential patient simulation system to train personnel should be undertaken under supervision of suitably trained medical personnel with an understanding of educational principles as well as recognized medical protocols. As with all manikins or other such training devices there may be approximations, variations and inaccuracies in anatomical features and the physiological modeling.

  • Page 6: Using This Document

    Note: The illustrations may vary slightly from product. QUICK SETUP GUIDE SimMan Essential come with an illustrated step-by-step poster. The Quick Setup Guide shows how to assemble both manikins and includes a list of spare parts, consumables and accessories for both SimMan Essential.

  • Page 7: Simman Essential

    SimMan Essential FOR CLINICAL SIMULATION SimMan Essential is a patient simulation system that facilitate training of Basic and Advanced Life Support. These systems allow the instructor to effectively assess the learner’s individual and team skills based on realistic clinical situations.

  • Page 8: Important Information

    INTRODUCTION Important Information Follow the instructions below when working with the SimMan Essential in order to maintain optimum performance and longevity of the manikin and its components. GENERAL MANIKIN HANDLING The manikin should be operated by trained personnel only. During simulation, treat the manikin as you would a real patient.

  • Page 9: Caution And Warnings

    INTRODUCTION Cautions and Warnings The following precautions should be taken when using SimMan Essential to avoid personal injury or damage to the product. GENERAL MANIKIN HANDLING • Do not introduce fluids into or onto the manikin (except as directed in these Directions for Use), as this may damage the manikin and its components.
  • Page 10 Warning: Do not defibrillate the manikins when it is turned OFF or if it is not functioning normally. Warning: Do not defibrillate the manikins if the torso skin is not in place. Warning: Do not use automated chest compression machines on SimMan Essential. MECHANICAL OR ELECTRICAL HAZARDS •...

  • Page 11: Transport And Storage

    Transportation and Storage The SimMan Essential system consists of two cases for easy transport and storage; one for the manikin legs and one for the torso. Note: The storage cases and contents exceed the weight allowance on most commercial airlines. Some parts may have to be transported separately.

  • Page 12: Simman Essential Overview

    Manikin Setup SimMan Essential Overview Speakers ECG Connectors Defib Connectors Pulses Power panel Air / CO Inle t Air Ou t Flu id Act ivat e Inle t Filli ng Air/CO panel Fluid fill panel...

  • Page 13: Manikin Setup

    Manikin Setup Manikin Setup Open the manikin torso for the following procedures: ATTACHING OR REPLACING LIMBS • Attaching or disassembling the manikin legs and arms. • Exchanging default arms for optional IV or trauma arms. MAINTENANCE TASKS • Changing the manikin batteries. •...

  • Page 14: Attaching The Left Leg

    Manikin Setup ATTACHING THE LEFT LEG Note: Assemble the manikin on a large flat surface. Attach the left leg before the right leg. Open the torso to access the thigh joint connectors. See steps 1 – 4, Opening the Torso. Align the left leg bolt and cable with the pelvis socket.

  • Page 15: Attaching The Left Arm

    Manikin Setup ATTACHING THE LEFT ARM Open the torso as described in steps 1 - 4, Opening the Torso. Follow the procedures listed below in reverse to detach the arms. Align the left arm axle with the shoulder socket. Ensure that the shoulder screw is loose enough to allow the arm axle to slide easily into place. Feed the cables from the arm axle through the shoulder socket.

  • Page 16: Inserting And Connecting The Batteries

    Manikin Setup Inserting and Connecting the Batteries Open the torso as described in steps 1 - 4, Opening the Torso. To remove the batteries, follow the procedure listed below in reverse order. Release the battery clamp by unhooking the clips on Insert both batteries into the battery tray.

  • Page 17: Power Panel

    The power panel is situated on the right side of the manikin, under a loose skin flap. Lift the skin flap and pull out the protective cover. To ensure easy access, use the zippered clothing provided with the SimMan Essential manikin. POWER PANEL OVERVIEW Power ON / OFF button...

  • Page 18: External Battery Charging

    The indicator light on the battery charger shows charge manikin battery to the charger. status. Charging time is approximately 3 hours. The external battery charger should only be used with SimMan Essential batteries. CHARGER LIGHT SHOWING BATTERY STATUS Status Light Color Characteristics...

  • Page 19: Battery Use

    Manikin Setup Battery Use Take the following precautions when using, charging, transporting and / or storing SimMan Essential batteries. • Always use two SimMan Essential batteries to power the manikins. • Ensure that the batteries are properly connected. • Charge the batteries regularly.

  • Page 20: System Setup

    System setup PREPARING SIMMAN ESSENTIAL FOR SIMULATION Follow these instructions for setting up the SimMan Essential manikins and Instructor PC. A separate Patient Monitor PC may be purchased separately. Unpack the Instructor PC and connect it to the power supply to charge the batteries.

  • Page 21: Activating The Instructor Software License

    Activating the Instructor Software license The Instructor Application license needs to only be activated once. Instructor PCs shipped from Laerdal Medical have a pre-activated license installed. Two spare licenses are provided for use on other computers. Should the software need to be re-installed, it is not necessary to reactivate the software license.
  • Page 22 System Setup CONNECTING TO AN EXISTING NETWORK If you would like to connect your manikin and the instructor PC to an already existing network, please move the switch on the router to the client mode, ref picture above. Please use the SimMan3G Network Configuration Tool to enable connection to an already existing network.

  • Page 23: Disabling / Enabling Wlan

    SimMan Essential • SimMan Essential Bleeding. Only SimMan Essential is covered in this Directions for Use. The Instructor application will adapt the user interface according to the manikin selected or connected to. Auto Mode Overview For more information on software and system setup, please see the Help files: Click Windows <Start>...
  • Page 24 11 - TECHNICAL STATUS The Technical status window provides information about the technical status of the SimMan Essential manikin system, including battery life, wireless (WLAN) connection signal strength, blood tank drainage, communication channels in use and video recording.

  • Page 25: Instructor Mode Overview

    System Setup Instructor Mode Overview 1 - COMMON LEARNER EVENTS <Common learner events> window typically lists the learning objectives specific for the current scenario. It also lists the learner events required to proceed from one scenario frame to another, as well as Learner events included in any rules from an active Handler. Clicking the events in the list records them in the Session Log, indicating the time that each event was performed by the learner.

  • Page 26: 3G View And Classic View

    Classic view makes use of the Learner event libraries of previous SimMan versions; so that custom-made scenarios made with older SimMan software can be used seamlessly with SimMan Essential. Therefore SimMan scenarios made before SimMan Essential will by default display the Classic view after conversion.

  • Page 27: Opening An Auto Mode Patient Case

    System Setup Opening an Auto Mode Patient Case To start a simulation in Auto Mode: Launch the <Instructor Application> on the Instructor PC. Select the Manikin you wish to connect to and click ‘OK’. Click ‘Start Auto Mode Patient Case’. This will open the Patient Case Library. Browse the patient cases using the library menu on the left.

  • Page 28: Running A Session In Auto Mode

    As the learner responds to the patient case, the instructor should register Learner events as they are performed using the <Common Learner Events> list and/or the <Learner Events menu>. Some events are registered automatically by the SimMan Essential Manikin. These events are highlighted blue and are marked with a wireless manikin icon.

  • Page 29: Opening An Instructor Mode Scenario

    System Setup • For events not specific to a particular anatomical area of the Manikin, click the ‘General events’ button and select the event from the drop down list. • Search for an event using the Event search field, then select the event from the drop down list. Session Log All learner events added both automatically by the Manikin system and manually by the instructor are recorded in the Session Log.

  • Page 30: Running A Scenario In Instructor Mode

    As the learner responds to the patient case, the instructor should register <Learner events> as they are performed using the <Common Learner events> list and/or the Learner events menu. Some events are registered automatically by the SimMan Essential manikin. These appear with blue text and have a wireless manikin icon next to them.

  • Page 31: The Patient Monitor Pc

    STARTING THE PATIENT MONITOR APPLICATION First click the Windows <Start> button, and then select the <Laerdal SimMan3G> program folder from the Windows programs list. Select the Patient Monitor Application program in the <Laerdal SimMan3G> program folder. The Select manikin window will appear.
  • Page 32 Select the <Close> button to close the <Labs> display. The NBP Start begins inflation of the modified SimMan Essential blood pressure cuff. NBP Selecting the Main Setup button opens the details will register in the NBP section of the <Main Setup>...

  • Page 33: Transferring Media Files

    System Setup Transferring Media Files During a session, the Instructor can make media files available to learners. Media files include Radiology, Video and Lab reports. To transfer media files to the learner’s patient monitor: In the Instructor Application, click <File> <Transfer media files> The Instructor may upload any of the existing media files or browse to upload their own media files.

  • Page 34: The Laerdal Voice Conference Application

    From the <Tools> menu, select <Voice Conf. App…> 2 From the Windows Start menu Click the Windows <Start> button. Select the <Laerdal SimMan3G> folder from the program list Select the Laerdal Voice Conference Application program. ON/ OFF BUTTON Click the on/off button to activate or deactivate the communication channel.

  • Page 35: The Laerdal Debrief Viewer

    Click the <Debrief> icon in the <End Session> dialog box. • The Debrief files from the session are then transferred and made available in the <Laerdal Debrief Viewer> Note: It is important to save the debrief files for later review.

  • Page 36: Simman Scenarios To Simman Essential

    Under <Tools> in the Instructor Application access the <Scenario Editor>, <Trend Editor> and <Handler Editor> respectively. Create a backup copy of all old Scenarios prior to converting to SimMan Essential. Launch the conversion wizard from the Scenario, Trend and Handler Editors as follows: In each editor go <File>...

  • Page 37: Setup For Simulation

    Simulation Setup Using the Internal Compressor The SimMan Essential manikin’s chest movement, airway modes and urine system is driven by compressed air. The right leg contains a built in compressor, and a urine reservoir for simulated urine. The manikin’s compressor is activated automatically when the air pressure in the tank falls below a preset pressure level. For extended periods or stationary use, it is recommended to connect to an external source of compressed air.

  • Page 38: Air/Co 2 Panel

    Laerdal external compressor or regulator panel. Connect a Laerdal double-lumen Air/CO tube from the external compressor or regulator panel to the Air/CO inlet on the panel. For more information on external compressors and regulator panels compatible with SimMan Essential, contact your local Laerdal representative.

  • Page 39: The Iv Arm

    Simulation Setup The IV Arm Follow these instructions when using the IV Arm for SimMan Essential. The manikin must be switched ON when performing the following. IV ARM WITH SKIN IV ARM WITHOUT SKIN Filling and Priming port Filling and Priming port...

  • Page 40: Filling And Priming The Iv System

    Simulation Setup FILLING AND PRIMING THE IV SYSTEM Ensure that the IV Arm is connected to the manikin Ensure that the IV Arm Pad is fitted correctly. and the manikin power is ON. Attach a collector bag to the drain tube of the IV Arm. Connect a blood filled (min 40ml syringe with luer lock The bag should be placed on the bed beside the manikin to the Filling and Priming port.

  • Page 41: Removing And Replacing The Iv Arm Pad

    Simulation Setup REMOVING AND REPLACING THE IV ARM PAD Ensure that the Tourniquet Area is not activated i.e. Remove the IV Arm Pad by pulling at the tabs on edge remove the tourniquet. of the IV pad. Remove excess blood that may accumulate in the IV When replacing the IV arm pad, ensure that it is pressed Arm chassis.

  • Page 42: Cleaning The System

    Simulation Setup CLEANING THE SYSTEM After each session and before storage, clean the IV Arm system. Make sure the collector bag is connected to the drain Connect a syringe filled with de-ionized or distilled water tube. to the fill port and slowly inject until clear fluid is coming out of the drain tube.

  • Page 43: Troubleshooting - Iv Arm

    After releasing the prime switch and filling the internal reservoir, more than 16ml of fluid can be injected into the arm. Solution • Leak inside the IV Arm. Contact Laerdal Technical service Problem • There is a leak between IV Arm Pad and IV Arm chassis.

  • Page 44: Replacing And Filling Tibial Io Module With Blood

    Simulation Setup REPLACING AND FILLING TIBIAL IO MODULE WITH BLOOD Attach the Tibial IO bag to the Tibial tube and close off Roll the leg band, to expose the Tibial IO module. the pinch clamp. Remove the IO tape. Then remove the Tibial IO unit Remove the tube from the Tibial IO module.
  • Page 45 Simulation Setup Fill the Tibial IO unit with 30 - 35ml of blood, ensure the 10 Connect the Tibial tube to the Tibial IO unit. Tibial Pad is completely full. 11 Replace the Tibial IO Pad and chassis, into the leg cavity. 12 Affix the tape to keep the module in place.

  • Page 46: Changing Genitalia Modules

    Simulation Setup Changing Genitalia Modules SimMan Essential is shipped with a neutral genitalia pad as default. The pad can be exchanged for a male or female genitalia pad with urine catheter to simulate urine flow and catheterization. Note: The manikin legs do not need to be removed before the genitalia pad can be replaced.

  • Page 47: Essential Right Leg Fill Panel

    Simulation Setup Essential Right Leg Fill Panel The right leg fill panel is located at the top of the right leg near the pelvis. The fill panel contains connectors for filling the fluid reservoirs. Note: Make sure the manikin power is on. Fill Manikin Fluid Reservoir Roll the right leg skin down to expose the fill panel.

  • Page 48: Connecting Defibrillation Adapter Plates

    Press the adapter plates firmly into place. DURING DEFIBRILLATION A conventional defibrillator may be used on the SimMan Essential. During live defibrillation, the defibrillator and manikin may present a shock hazard. All standard safety precautions must be taken when using the defibrillator on the manikin.

  • Page 49: Connecting The Blood Pressure Cuff

    Probe The SpO probe can be purchased separately. The SimMan Essential SpO probe is made up of a light diode and light sensor. When the beam between the diode and sensor is broken, the Patient Monitor Application registers that the SpO probe is connected.

  • Page 50: Changing The Upper Dentures

    Changing the Upper Dentures The SimMan Essential manikin comes with a set of soft upper teeth as default. The soft set may be replaced with a hard set of teeth. With one hand pull back the upper lip of the manikin’s Using the other hand, pull the set of upper teeth slightly mouth.

  • Page 51: Clinical Features

    Default male body with interchangeable genitalia pads CONFIGURABLE ANATOMICAL FEATURES Genitalia The manikin comes with a neutral genitalia pad as default. A male or female genitalia pad is also included with the SimMan Essential. To change the genitalia pad see section, Changing the Genitalia. TEETH The manikin comes with a set of soft teeth as default.

  • Page 52: Airway Features

    Nasotracheal intubation • Transtracheal intubation Prior to using airway adjuncts, apply a small amount of Laerdal Airway Lubricant to the equipment. Do not spray lubricant directly into the airway, The following equipment or methods are suitable to secure the manikin’s airway: •...
  • Page 53 Teeth - soft upper dentures may be replaced with a hard set of teeth for enhanced realism while practicing intubations. The SimMan Essential can also be connected to third part respiratory manikins. Contact your local Laerdal representative for more information.

  • Page 54: Breathing Features

    Breathing Features Warning: Do not ventilate the manikin with oxygen enriched air or flammable gasses. The SimMan Essential can simulate spontaneous breathing and can be connected to ventilators or used with assisted ventilations: • Bilateral and unilateral chest rise and fall •...
  • Page 55 Clinical Features PNEUMOTHORAX Tension pneumothorax with needle decompression can be performed at bilateral mid clavicle line, 2nd intercostal space. The pneumothorax bladders may be pierced +/-10 times, the pressure inside the bladder will drop after repeated puncturing. A 22 (or smaller) gauge needle is recommended for decompression of the chest. Using a smaller gauge needle increases the longevity of the chest skin and bladders.

  • Page 56: Circulation

    Clinical Features Circulation CARDIAC FEATURES: • Extensive ECG library, pulses from 0-220 • Heart sounds - for every anterior location • ECG rhythm monitoring (4-connector, 3-lead ECG) • 12-lead ECG display • Pacing • Defibrillation and cardio version using live defibrillators DEFIBRILLATION With live defibrillators: Energy level and waveform model is registered by the manikin.
  • Page 57 TPeri • Tblood SIMMAN ESSENTIAL CIRCULATION AND FLUIDS TAB Move the slider to the appropriate position. Moving the central pulse slider sets the overall limit for all pulses represented by the red horizontal lines. Select one of the following settings: •...

  • Page 58: Sounds

    Clinical Features Sounds The settings of the <Sounds> tab are used to control the body sounds and vocal sounds from the manikin. To view the <Sounds> menu click on the <Sounds> tab. SOUNDS SETTINGS AND CONFIGURATION Overview of Sound settings in Instructor Mode 1 - HEART SOUNDS Select one of the following from the dropdown menu: •...
  • Page 59 Clinical Features 4 - BOWEL SOUNDS Select one of the following from the dropdown menu: • Normal • Hyperactive • Hypoactive • Borborygmus • Hypoactive postop • Hyperactive diarrhea • Hypoactive constipation • Paralytic ileus • Diahorrea 5 - MORE BODY SOUNDS Click the <Adv.

  • Page 60: Eye Settings And Configuration

    Clinical Features Eye Settings and Configuration Eyelid Status - Select one of the following from the drop down menu: • Closed • Half open • Wide open • R open, L closed • R closed, L open Blinking Frequency - Select one of the following from the drop down menu: •...

  • Page 61: Drugs And Iv

    Select administration route by clicking the appropriate icon. Change the dosage and concentration values under <Select concentration> and <Select amount>. SimMan Essential have an extensive drug library with automatic or adjustable physiological responses. Patient Monitor features – Drugs: •...

  • Page 62: Maintenance

    Maintenance Maintenance MAINTENANCE AFTER EACH SIMULATION SESSION The following preventive measures are required to ensure longevity of the SimMan Essential manikin. After Every Simulation Session IV-arm system (manikin power on) After each session where the IV-arm has been used, flush the IV arm with 60% Isopropanol alcohol.

  • Page 63: Installation And Upgrading Software

    Power on computer and ensure no SimMan 3G applications are running. Do not uninstall previous versions of SimMan 3G software. Download the software from Laerdal.com In the installation menu – click the <Install SimMan 3G Software> button once. This will start copying files to your computer.

  • Page 64: Replacing Crico Tape / Neck Skin

    Maintenance Click <OK> to begin updating the software. 10 Complete the update wizard. Note that some components might fail updating on first attempt. Please ignore this and allow the update process to continue. The <SimMan3G> <Update Manager – Report> will show all updates and show which ones were performed successfully or failed.

  • Page 65: Replacing Chest Drain Pleura

    Maintenance Replacing Chest Drain Pleura The chest drain module’s pleura skin should be replaced after each session of use. Open the torso skin and remove the module from the Remove the old pleura skin, and replace with a new skin chest.

  • Page 66: Replacing Lung Bladders

    Maintenance CHEST RISE BLADDER TUBE DESCRIPTIONS Name/Label Tube Color Connector Description Pneum L Silicon Barb connector Pneum R Silicon Barb connector Chest L Silicon Barb connector Chest R Silicon Barb connector Replacing Lung Bladders If leaking occurs, the chest rise bladders (in the chest cavity) should be replaced. Open the torso skin and put the stomach foam to the side.

  • Page 67: Replacing Manikin Skins

    Maintenance Replacing Manikin Skins The manikin skins may need replacement if they have torn, perforated, or stained. Unzip and roll the skin off. Powder the inside of arms, torso and legs to reduce friction while replacing the manikin skins. To prevent tearing of the zippers from skins, make sure to properly position the skin halves and hold them together while zipping them closed.

  • Page 68: Troubleshooting

    • E.g. WLAN and Bluetooth networks, wireless telephones, microwaves etc. • SimMan Essential uses WPA authentication as default. The default password is SimMan3G. Possible Solutions • Should a problem arise with the WLAN profiles, please delete the existing WLAN profiles for the manikin and try •...
  • Page 69 See runs continuously. The internal compressor may be worn - section: Manikin Setup - Opening the Torso. contact Laerdal Technical Service. • In case of fluid leakage, power off the manikin and contact Laerdal Technical Service.
  • Page 70 • If there is no change when adjusting lung compliance, contact Laerdal Technical Service. • If there is no change in lung resistance, contact Laerdal Technical Service. MECHANICAL NOISE DURING AUSCULTATION In the Instructor Application, click <auscultation focus>. BATTERIES Problem •...

  • Page 71: Specifications

    Only use purified water to simulate IV fluids: Internal batteries (two): Each 14.8V, 4.6Ah, Lithium-Ion • Distilled Water • Deionized Water Only use the SimMan Essential external power supply and batteries. Regulatory Information Air & CO Pressure Internal fluid reservoir: Max 0.9 bar External air connection: Max 1.4 bar...
  • Page 72 For more detailed information about treatment, recovery and recycling of this product, please contact your local city office, your household waste disposal service or the Laerdal representative where you purchased the product. Li-ion batteries should be recycled...

  • Page 73: Spare Parts & Accessories

    212-25250 IM 11,5 cm Pad (Intra-muscular Pad) (pkg. 4) 213-090XX Instructor PC, 12” 250-21050 Airway Lubricant 212-095XX SimMan Essential, Rugged Instructor PC`s 212-21150 SimMan 3G Cricothyroid Tape Panasonic 212-26250 Leg Skin Left Tibial IO 213-092XX Patient Monitor, 12” , including SpO...
  • Page 76 © 2014 Laerdal Medical AS. All rights reserved...

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