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S US I E® S 2000
P re hos pi ta l a n d N u r s i n g C a re
User Guide
SUSIE
S2000 is an interactive educational system
User Guide 17.10.1
®
developed to assist a certified instructor. It is not a substitute
© Gaumard Scientific Company, 2017
All Rights Reserved
for a comprehensive understanding of the subject matter
www.Gaumard.com
and not intended for clinical decision making.
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Summary of Contents for Gaumard SUSIE S2000
- Page 1 S2000 is an interactive educational system User Guide 17.10.1 ® developed to assist a certified instructor. It is not a substitute © Gaumard Scientific Company, 2017 All Rights Reserved for a comprehensive understanding of the subject matter www.Gaumard.com and not intended for clinical decision making.
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Page 3: Table Of Contents
SUSIE® S2000 | User Guide Contents End User License Agreement 1. Introduction 1.1 Specifications 1.2 Care and Maintenance General Operating Conditions Storage Conditions IV Arm Nasogastric Feeding Procedures Cleaning Stoma and Breast Examination Insert Guidelines, Warnings, and Maintenance Electrical Therapy Warnings 2.1 Features Airway Spontaneous Breathing... - Page 4 SUSIE® S2000 | User Guide 4. Using SUSIE® S2000 4.1 Airway Nasal and Oral Intubation Airway Complication Airway Sounds Tracheostomy Care 4.2 Breathing Chest Rise Breathing Patterns Lung Sounds Ventilation 4.3 Circulation Central Cyanosis Heart Sounds Compression Electrical Therapy Palpable Pulses Programmable Blood Pressure Oxygen Saturation Monitor Intravenous Extremities...
- Page 5 CPR is not detected 7. Scenarios 7.1 Scenario Description 8. Wireless Network Configure the Vital Signs Broadcast 9. Warranty 9.1 Exclusive One-Year Limited Warranty 9.2 Extended Warranty 10. Contact Gaumard 10.1 Contacting Technical Support 10.2 General Information Table of Contents...
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Page 6: End User License Agreement
(including damages for loss of business profits, business interruption, loss of business information, and the like) arising out of the use or inability to use such product or related to this agreement even if Gaumard has been advised of the possibility of such damages. -
Page 7: Introduction
General · Ball point pens, ink, and markers permanently stain the skin. · Do not wrap this or any other Gaumard product in newsprint. · Marks made with ballpoint pens, ink or marker cannot be removed. · Replacement parts are available from Gaumard Scientific or from your... -
Page 8: Arm
· Do not exceed a feeding rate of 1 mL/second. · SUSIE S2000 must be powered on for fluids to be extracted through the stomach/ intestine fluid access port. Failure to do so can permanently damage the system. -
Page 9: Cleaning
SUSIE® S2000 | User Guide · Mouth to mouth resuscitation without a barrier device is not recommended, as it will contaminate the airway. · Treat the simulator with the same precautions that would be used with real patient. Cleaning · The simulator should be cleaned with a cloth dampened with diluted liquid dish washing soap. -
Page 10: Electrical Therapy Warnings
SUSIE® S2000 | User Guide Electrical Therapy Warnings · Defibrillation is only allowed on the large sternum and apex sites. · Only deliver electrical therapy when the simulator is fully assembled, dry, and undamaged. · Make sure the defibrillation patches on the simulator are in good condition, including removing any and all gel residue on the defibrillation patches from previous use(s). -
Page 11: Features
SUSIE® S2000 | User Guide 2. Overview 2.1 Features The SUSIE® S2000 is a prehospital and nursing care simulator is equipped with the following features: Airway · Oral and nasal intubation · Tongue edema and laryngospasm · Sensors detect depth of intubation ... -
Page 12: Systemic
SUSIE® S2000 | User Guide Systemic · Programmable bowl sounds · Decubitus ulcers · Colostomy and ileostomy exercises · Perform female/male catheterization and irrigation · Enema exercises BSE Techniques · Interchangeable left breasts · Right breast contains 8, 10, 16, and 20 mm lumps Other ... -
Page 13: Equipment Setup
SUSIE® S2000 | User Guide 3. Equipment Setup Unboxing Remove the simulator from the blue case with the assistance of at least two persons. Avoid lifting the simulator by the arms as it could damage the shoulder joints. Rest the simulator on a patient table capable of supporting the weight of a real adult patient. -
Page 14: Breast Examination Inserts
4. Insert the leg bolts Secure the knee bolts without over tightening. Breast Examination Inserts SUSIE S2000’s breast examination inserts are shipped in a protective case. There are two right breasts labeled (R1, R2) and five left breasts (L3, L4, L5, L6, L7). -
Page 15: Battery
Tightly fasten the skin’s lateral Velcro attachments. Battery SUSIE S2000 is shipped with the internal battery disconnected. Connect the battery lead as part of the first install process. Locate the white connectors on Susie’s right side... -
Page 16: Battery Life
SUSIE® S2000 | User Guide 2. Connect the internal battery leads by clipping the white connectors together. 3. Unscrew the waist knob and lift the chest skin slightly 4. Tuck the battery wiring underneath the skin. 5. Screw the waist knobs back in place Plug the charger into the port and let her charge. -
Page 17: Initializing The Simulator In Uni
SUSIE® S2000 | User Guide To display the battery level, the UNI® software must first establish a connection with the simulator. For more information about the battery indicator, refer to “Working with UNI®” section. WARNING: Do not store the simulator with a discharged battery. It is good practice to re-charge the battery at the end of every simulation session. - Page 18 SUSIE® S2000 | User Guide 4. Select Susie S2000 and click “START” Susie S2000 will establish communication within 1 minute. Equipment Setup 12 |...
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Page 19: Using Susie® S2000
SUSIE® S2000 | User Guide 4. Using SUSIE® S2000 4.1 Airway Nasal and Oral Intubation SUSIE’s airway can be intubated through the left nasal opening and orally using LMA or endotracheal tubes. The airway has anatomical landmarks and can be intubated orally or nasally. If the endotracheal tube is inserted too deep, the left lung is automatically disabled, realistically demonstrating... -
Page 20: Airway Complication
SUSIE® S2000 | User Guide WARNING: Do not spray mineral oil directly into the mouth or the airway. Do not introduce liquids into the airway until reading the nasogastric feeding in the Systemic section. 4. Perform the intubation 5. UNI will log correct or incorrect intubation Procedure Recommended Device Size... -
Page 21: Tracheostomy Care
SUSIE® S2000 | User Guide Tracheostomy Care The simulator is supplied with a tracheostomy opening that allows the trachea to be pierced during a simulation with a real device to observe chest rise. Lubricate the tracheostomy tube before inserting. To replace the tracheostomy tape that has be punctured, follow the steps below: Gently lift the chest skin from the shoulder... -
Page 22: Breathing
SUSIE® S2000 | User Guide 4.2 Breathing Chest Rise Bilateral chest rise and fall is automatic. Use the software controls to adjust the breathing rate and the inspiratory percentage. Breathing Patterns Control the respiratory rate, pattern, and inspiration percentage using the software controls. -
Page 23: Circulation
Susie displays different intensity levels of cyanosis. Use the software controls to adjust the intensities. Heart Sounds SUSIE S2000 is equipped with several realistic heart sounds that are tied to a user-defined heart rate and selectable rhythms. Using SUSIE® S2000 | 17... -
Page 24: Compression
SUSIE® S2000 | User Guide Compression Set the heart rhythm to asystole before performing chest compressions. Chest compressions are measured and logged by the UNI software. Compression Calibration To calibrate the compression feature using UNI tablet: Click the gear icon on the upper-right corner of the screen. - Page 25 SUSIE® S2000 | User Guide 4. Select “Normal Calibration” and click “Next” 5. Click “Start” 6. Perform 1 compression and the oval will turn green Perform a total of 5 compressions then click “Finish” 8. Finally, click “Save” to store the calibration Using SUSIE®...
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Page 26: Electrical Therapy
NOT covered by the simulator’s warranty. The system will require repair at our facility. SUSIE S2000 can be shocked or paced with real energy for cardioversion, defibrillation and pacing drills. AED will display SUSIE’s ECG, analyze her cardiac rhythm and advise action. - Page 27 SUSIE® S2000 | User Guide To defibrillate, select a shockable rhythms and click the green check Defibrillation is only allowed on the large sternum and apex sites. Procedure Maximum Joules Defibrillation 360 Joules SUSIE detects when a shock has been delivered. Select whether to convert the current rhythm to a normal sinus rhythm.
- Page 28 SUSIE® S2000 | User Guide 2. Remove the waist knobs 3. Gently lift the chest skin 4. Remove the breast and set aside 5. Carefully pull out the “Defibrillator Snap” harness 6. Press the clip down and disconnect the chest skin Using SUSIE®...
- Page 29 SUSIE® S2000 | User Guide Connect the side labeled “Defib Snap Vest” to the chest skin connector 8. Connect the side labeled “Defib Snap” to the ECG module 9. Tuck the cables into the cavity 10. Fit the breast back in place 11.
- Page 30 SUSIE® S2000 | User Guide Instructions for Use Remove the snap connector covers at the sternum and apex sites 2. Connect the adapter to the Apex Snap 3. Connect the BLACK adapter to the Sternum Snap Procedure Maximum Joules Defibrillation 360 Joules Snap Cable Adapter Maximum Joules...
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Page 31: Palpable Pulses
SUSIE® S2000 | User Guide Palpable Pulses Automatic bilateral carotid, brachial, radial, femoral, popliteal, and pedal pulses can be palpated. Users can also independently disable radial and pedal pulses to simulate severe hypotension. Proper chest compressions result in palpable carotid pulses. The simulator’s pulses are dependent on blood pressure, heart rate, and rhythm. - Page 32 SUSIE® S2000 | User Guide Calibrate cuff before measuring blood pressure. Blood Pressure Calibration Before starting the calibration process, place the blood pressure cuff on the simulator as it would be placed as instructed above. To calibrate the blood pressure feature using UNI tablet: Tap the gear icon on the upper-right corner of the screen.
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Page 33: Oxygen Saturation Monitor
SUSIE® S2000 | User Guide Set the pressure on the BP cuff to 20 mmHg as prompted by the wizard and then Click “OK” to record. Continue increasing the BP cuff pressure as indicated by the prompt and recording the pressure intervals. At the end of the calibration, click “SAVE”... - Page 34 SUSIE® S2000 | User Guide Select Setup then Calibration 5. Click “Oxygen Saturation” and then click “Next” 6. Click “OK” in the information window Select “Simulator’s LEFT index finger”, then click “Next” 8. Turn on the oxygen saturation monitor and click “OK”...
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Page 35: Intravenous Extremities
SUSIE® S2000 | User Guide 9. Utilize the arrows to increase or decrease the Osat reading on the monitor 10. Wait about 20-30 seconds after making an adjustment 11. Click “OK” when the monitor matches the UNI value 12. Click “Next” to continue 13. - Page 36 Always leave the drain hose connected when injecting fluids into the system. Use only Gaumard’s provided simulated blood. Any other simulated blood brand containing sugar or any additive may cause blockage and/ or interruption of the vasculature system. Instructions for Use...
- Page 37 SUSIE® S2000 | User Guide 5. Push fluid into the arm until no air bubbles are seen 6. Close the clamp when the priming process is completed To simulate a patient with no accessible peripheral IV sites, connect only the syringe. Pull the plunger to create suction, which will collapse the veins.
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Page 38: Finger Stick Bleed
The feature allows participants to practice finger stick technique and collect simulated blood samples. WARNING: Use only Gaumard’s provided simulated blood to fill the internal reservoirs. Any other simulated blood brand containing sugar or any additive may cause blockage and/or interruption of the vasculature system. -
Page 39: Neurologic
SUSIE® S2000 | User Guide 3. Connect the finger stick fill syringe to the black port 4. Inject up to 2 cc’s of simulated blood or fluid 5. Remove the fill syringe 6. Enable the feature in the UNI software 4.4 Neurologic Reactive Eyes Susie is equipped with programmable... - Page 40 SUSIE® S2000 | User Guide Use the software controls to change the blinking and pupil dilation. Pupil Calibration The eye reaction is factory calibrated. Recalibrate the pupil reaction for the current room lighting only if needed. Tap the gear icon on the upper-right corner of the screen.
- Page 41 SUSIE® S2000 | User Guide 5. Click “Ambient Light” to calibrate to the current ambient light 6. Cover Susie’s eyes and select “Low Intensity Light” To adjust the sensitivity to light, click “Increase” or “Decrease” 8. Click “Finish” when the calibration is completed Using SUSIE®...
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Page 42: Seizures
SUSIE® S2000 | User Guide Seizures The simulator is capable of convulsing to simulate mild or severe seizures. Use the software controls to enable the seizure behavior. 4.5 Systemic Interchangeable Breast Examination Package The SUSIE includes 5 interchangeable left breasts and 2 interchangeable right breasts. -
Page 43: Bowel Sounds
L5: This breast shows a retracted nipple, and on careful palpation, a mass can be felt immediately under the nipple. Please review the Care and Maintenance guidelines on page 3. Bowel Sounds SUSIE S2000 produces audible bowel sounds. Sound types and volumes are controlled from the tablet. -
Page 44: Nasogastric Feeding
SUSIE® S2000 | User Guide For care and caution information refer to the Care and Maintenance section. Review the section “Cleaning the Internal Reservoirs” for the proper cleaning procedures. Nasogastric Feeding The fluid capacity is up to 750ml. Before introducing fluids through an NG tube, please do the following steps: Place the simulator in a 30°... - Page 45 SUSIE® S2000 | User Guide WARNING: Inserting fluids before the software logs the tube placement will void the warranty and can permanently damage the simulator. Review the section “Cleaning the Internal Reservoirs” for the proper cleaning procedures. Draining the Gastric Fluids Turn the simulator ON 2.
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Page 46: Intestinal Access
SUSIE® S2000 | User Guide Intestinal Access SUSIE features a rectal opening with a reservoir for administering enemas and removing intestinal fluids introduced by way of nasogastric feeding. Cleaning the Internal Reservoirs To properly clean the internal (stomas and stomach) reservoirs, follow the steps below: Inject the reservoir with a solution of alcohol and water (30:70) into the stomach or stoma... -
Page 47: Gynecology Package
Replace the reservoir in the abdominal cavity 8. Secure the abdominal cover back in place Gynecology Package SUSIE S2000 includes a gynecologic package that allows the practice the following gynecologic procedures: · Vaginal douching · Speculum insertion · Pap smear ... - Page 48 SUSIE® S2000 | User Guide The gynecology package includes the following items: Item Anteverted Uterus Retroverted Uterus IUD Uterus (Installed) 6-8 Week Pregnant Uterus 10-12 Week Pregnant Uterus 20 Week Pregnant Uterus 6-8 Week Pregnant Uterus with short ligaments Normal Cervix (1 Installed) Abnormal Cervix Set of 6 6-8 Week Pregnant Cervix...
- Page 49 SUSIE® S2000 | User Guide Instructions for Use To interchange the uterus and/or the cervix insert: Gently lift the abdominal skin cover 2. Unhook the round ligaments from both sides of the uterus Gently twist the uterus counter-clockwise to unfasten it from the cervix Remove the cervix through the vagina...
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Page 50: Urinary Catheterization
SUSIE® S2000 | User Guide 5. Insert a new cervix through the vagina and align the 4 white connectors 6. Insert the uterus and gently twist clock-wise Hook the round ligaments to the torso 8. Velcro the lower torso skin back in place Urinary Catheterization SUSIE features an internal bladder used for catheterization exercises. - Page 51 SUSIE® S2000 | User Guide Interchangeable Genitalia The simulator features interchangeable male and female genitalia. To install the male genitalia: Remove the female catheter adapter. Set the female catheter adapter aside and save for female catheterization procedures. Insert the male genitalia urethra tube into the catheter port.
- Page 52 SUSIE® S2000 | User Guide Instructions for Use Lubricate the 16 Fr catheter 2. Insert a 16 Fr catheter in the female or male genitalia Install the female genitalia adapter to prevent leaks around the catheter when performing a female catheterization. WARNING: Remove all fluids after each use.
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Page 53: Decubitus Ulcers
User Guide 3. Catheterize and drain the contents again Decubitus Ulcers SUSIE S2000 has decubitus ulcers. Intramuscular Injection Sites IM sites are located on both deltoids and quadriceps for placement and technique exercises. WARNING: Do not inject fluids into the intramuscular sites. -
Page 54: Ulcerated Foot
SUSIE® S2000 | User Guide Ulcerated Foot Susie is shipped with an ulcerated foot that can be easily installed. Follow the steps below to remove the healthy foot and replace it with an ulcerated foot. Remove the left healthy foot with the hexagonal wrenches provided 2. -
Page 55: Options
9. Insert the ankle bolts and use the hexagonal wrenches to tighten 4.5 Options Virtual Vital Signs Monitor The optional Gaumard Vital Signs Monitor simulates a vital signs monitor attached to the simulated patient. Each trace can be customized independently of each other;... -
Page 56: Drug Recognition
The sensors are only active when there is fluid present in the vasculature. WARNING: Use only Gaumard’s artificial blood concentrate or clean water to fill the vasculature. Any other simulated blood brand containing sugar or any additive may cause blockage and/or interruption of the vasculature system. - Page 57 SUSIE® S2000 | User Guide 3. Connect the black drainage hose to the black port 4. Place the drainage hose into a container with the clamp open 5. Fill the filling syringe with fluid and connect it to the white port 6.
- Page 58 SUSIE® S2000 | User Guide Select Setup then “Set Med ID” The Set Med ID window will be displayed. 4. Place the syringe holder on the simulator’s right wrist 5. Place the tagged syringe in the holder 6. Keep the syringe perpendicular to the surface of the forearm Click the Medication drop-down menu and...
- Page 59 SUSIE® S2000 | User Guide The drug will be added below. Instructions for Use Power on the simulator 2. Fill the programmed syringe with fluid 3. Inject a vein on the right forearm 4. The UNI software will log the drug administration The tagged syringe must be close to the arm for the drug recognition module to detect the medication type.
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Page 60: Working With Uni
5.1 UNI Interface The UNI components and programming procedures are consistent throughout the Gaumard family of high fidelity simulators. Some software controls and features covered in this guide may be hidden depending on the simulator’s hardware configuration and optional upgrades. -
Page 61: Power/Stand By
SUSIE® S2000 | User Guide Power/Stand By The power button is located at the bottom right corner of the UNI software. Toggle the power button to set the simulator to stand-by mode and then again to resume. 5.2 Quick Launch The UNI interface opens up showing the quick launch page for the scenarios. -
Page 62: Selecting The Scenario
SUSIE® S2000 | User Guide Notice that one or more scenario types can be selected at the same time and the list of scenarios on the right will display only the scenarios included in the selected categories. Selecting the Scenario Click on one of the scenarios listed to highlight it and the scenario can either, be started immediately or loaded. -
Page 63: Favorites
SUSIE® S2000 | User Guide Click on the drop down arrow to the right to read a scenario description. Clicking “Start Scenario” loads the appropriate scenario and starts it automatically. Favorites The “Favorites” feature allows users to reduce the number of scenarios highlighted to those within the categories that will be used most frequently. -
Page 64: Status/Details Controls
SUSIE® S2000 | User Guide 5.3 Status/Details Controls The Status/Details panel is used to monitor and control the simulator’s vital signs. The individual parameter controls displayed on the details tab provide the simplest method for controlling the simulator’s vital signs, sounds, and features. -
Page 65: Changing Vital Signs
SUSIE® S2000 | User Guide Changing Vital Signs To adjust numerical values click the slider control. (e.g. heart rate, blood pressure, respiratory rate, etc.). Alternatively, use the keyboard for manual entry and click the green checkmark to confirm the change. To change patterns, sounds, and rhythms, click on the specific control to display the... -
Page 66: Applying Changes
SUSIE® S2000 | User Guide Click the slider control below the sound library to adjust the volume of the sounds. Applying Changes No changes will be made to the simulator’s condition until the new settings are submitted using the “Apply” panel. -
Page 67: Creating Palette Items
SUSIE® S2000 | User Guide Enable the “instant apply” option and click the control to change the vital sign to a new value without the need to use “Apply” panel. Vital signs undergoing change blink yellow. Creating Palette Items A palette item stores one or more vital sign settings into a single loadable object. - Page 68 SUSIE® S2000 | User Guide Select the palette item from the “Load Palette Item” menu and click “Load”. Click the apply option to submit the changes. Working with UNI® 62 |...
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Page 69: Streaming Audio
SUSIE® S2000 | User Guide 5.4 Streaming Audio Use the feature to speak as the simulator’s voice and listen to the participant’s reply. Connect the headset to the tablet. In UNI, locate the streaming icons in the lower right of the screen. Select the microphone icon to talk as the simulator’s voice. -
Page 70: Appendix
SUSIE® S2000 | User Guide 6. Appendix 6.1 Troubleshooting Communication/Power Issues Communication with the simulator cannot be established Battery is discharged Plug in the charger and allow to charge Trying to communicate with a Make sure to select the right simulator when different simulator opening the software. -
Page 71: Cpr Is Not Detected
SUSIE® S2000 | User Guide “RF module not found” RF module not connected Connect the RF module to the USB port RF module is not identified by Close the software and disconnect the RF the computer module for at least 5 seconds. Plug it back in and restart the software CPR is not detected Compressions are not detected... -
Page 72: Scenarios
SUSIE® S2000 | User Guide 7. Scenarios 7.1 Scenario Description The scenarios are found in the “Med Surg” profile. SCENARIO Description The patient is a 68-year-old female who was brought into the Emergency Department (E.D) with chest pain and a slight cough. She was admitted to an acute care unit after reporting that her chest pain had decreased from a seven to a two, on a 10-point pain scale. - Page 73 SUSIE® S2000 | User Guide This patient is a 51-year old male who has just been admitted directly from his primary care provider’s office with exacerbation of chronic obstructive pulmonary disease (COPD). He is sitting up in bed, leaning over the bedside table in apparent respiratory distress.
- Page 74 SUSIE® S2000 | User Guide This patient is a 48-year-old female who came into the Emergency Department (E.D.) complaining of severe thirst, increased urination, and blurred vision, all of which has worsened over the past 10 days. She was stabilized in the E.D., and then ultimately transferred to the medical-surgical unit for monitoring, continued therapy and education.
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Page 75: Wireless Network
SUSIE® S2000 | User Guide 8. Wireless Network If you received the Gaumard Monitor computer with the router already attached, please proceed to step number 4: Add Velcro® to TPLink router and VM. Connect Router to USB power supply (Computer can be packaged with router connected). -
Page 76: Configure The Vital Signs Broadcast
Verify that the IP Type is set to automatic. Write down the “IP Address” and “Port number”. Click “Connect” to broadcast an outgoing connection. Start the Gaumard Monitors software on the virtual monitor PC. Click the “V” menu near the top left corner, and then select “Comm Setup”. - Page 77 SUSIE® S2000 | User Guide 11. Click “Connect” to accept the incoming connection. Wireless Network | 71...
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Page 78: Warranty
Gaumard at 14700 SW 136 Street, Miami, FL, 33196-5691 USA. If the necessary repairs to the Gaumard product are covered by this limited warranty, then the first purchaser will pay only the incidental expenses associated with the repair, including any shipping, handling, and related costs for sending the product to Gaumard and for sending the product back to the first purchaser. -
Page 79: Contact Gaumard
SUSIE® S2000 | User Guide 10. Contact Gaumard 10.1 Contacting Technical Support Before contacting Technical Support you must: Have the simulator’s serial number 2. Have access to the simulator for possible troubleshooting as needed Technical Support: Email: support@gaumard.com USA: 800-882-6655... - Page 80 Gaumard®, ZOE®, Michelle®, Mike®, PEDI®, Susie Simon®, Susie®, Simon® Code Blue®, SIMA Models®, SIMA GYN/AID®, Virtual Instruments®, Codemaker®, Code Blue®, NOELLE®, Simulation Made Easy™, HAL®, eCPR™, Zack™, RITA™, Chloe™, Seatbelt Susie™, Krash Kids™, Premie™, UNI™, Omni®, Omni® 2, SmartSkin™ are trademarks of Gaumard Scientific Company.
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