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Gaumard NOELLE VICTORIA S2200 User Manual

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N O EL LE® S2 2 00
V IC TORIA
™
User Guide
User Guide 20.06.1
©2020 Gaumard Scientific
Noelle
S2200 is an interactive educational system developed to assist a certified
®
All Rights Reserved
instructor. It is not a substitute for a comprehensive understanding of the subject
matter and not intended for clinical decision making.
www.gaumard.com

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Summary of Contents for Gaumard NOELLE VICTORIA S2200

  • Page 1 N O EL LE® S2 2 00 V IC TORIA ™ User Guide User Guide 20.06.1 ©2020 Gaumard Scientific Noelle S2200 is an interactive educational system developed to assist a certified ® All Rights Reserved instructor. It is not a substitute for a comprehensive understanding of the subject matter and not intended for clinical decision making.

  • Page 3: Table Of Contents

    NOELLE® S2200 Victoria™ | User Manual Contents End User License Agreement 1. Introduction 1.1 Specifications Victoria™ Birthing Baby 1.2 Care and Maintenance General IV Arm Operating Conditions Storage Conditions Procedures Cleaning Birth Canal Maintenance ECG and Electrical Therapy Checklist and Warnings Epidural Abdominal Covers Postpartum Hemorrhage System...
  • Page 4 Wireless Communication USB Module USB Communication Module Wired Streaming Audio Headset 3.4 Virtual Monitor Virtual Monitor PC Setup Virtual Monitor Wireless Connectivity Gaumard Monitors 4. Working with Victoria 4.1 Airway Nasal And Oral Intubation Airway Complication Intubation Sensor Airway Sounds Teeth 4.2 Breathing...
  • Page 5 NOELLE® S2200 Victoria™ | User Manual 4.4 Cephalic Tracking Eyes Eye Movements Strabismus Blinking Blepharospasm Ptosis Pupil Dilation Joystick Control and Nystagmus Automatic Calibration Seizures 4.5 Circulation Bilateral Pulses Manual Blood Pressure Non-Invasive Blood Pressure Drug Recognition IV Arm Oxygen Saturation 4.6 Systemic Intramuscular Injection Sites Urinary Catheterization...
  • Page 6 NOELLE® S2200 Victoria™ | User Manual Placenta Previa Breech Delivery Cesarean Delivery 4.10 Postpartum Activity Postpartum Hemorrhage Episiotomy Repair Rectal Suppository 4.11 Other Vital Signs Monitor Streaming Audio 5. Working with UNI™ 5.1 Getting Started Initiating the Simulator 5.2 UNI™ Interface Connection Status Victoria and Birthing Baby Battery Indicators Session Clock...
  • Page 7 NOELLE® S2200 Victoria™ | User Manual Descent Station Descent Curve Palette Time Line Labor Controls Progression Line 5.4 Locking Mechanism and Release 5.5 Additional Labor Features Shoulder Dystocia Check ROT/LOT Delivery Contraction Descent Contraction Response Smart Labor Fetal Monitor Save Labor 6.
  • Page 8 7.2 Victoria Specifics Calibration Menu Factory Settings Silicone Repair Kit Replacing IV Veins Wireless Network 7.3 Consumables 8. Warranty 8.1 Exclusive One-Year Limited Warranty 8.2 Extended Warranty 9. Contact Gaumard 9.1 Contacting Technical Support 9.2 General Information Table of Contents...

  • Page 9: 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 10: Introduction

    › Urine reservoir: 200 ml › Drain fluid reservoir: 30 ml · Wired connectivity: Gaumard USB Communication Module (RJ45) · Wireless connectivity: Gaumard USB Com. Module RF IEEE 802.15.4 · Battery Charger: › Power input: 100-240 VAC, 50/60 Hz, 500 ma/ 50 VA ›...

  • Page 11: Care And Maintenance

    · Avoid contact of rings and sharp objects to the simulator’s skin. · 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.

  • Page 12: Operating Conditions

    · · Ball point pens, ink and markers permanently stain the birth canal insert. · Do not wrap this or any other Gaumard product in newsprint. · The birth canal insert can be cleaned with water · Do not clean with isopropyl alcohol ·...

  • Page 13: Ecg And Electrical Therapy Checklist And Warnings

    NOELLE® S2200 Victoria™ | User Manual Electrical Therapy · There are inherent dangers in the use of some medical devices. For simulations that incorporate electrical therapy of any kind, always know your equipment, and follow the device manufacturers’ safety guidelines. ·...

  • Page 14: Epidural

    NOELLE® S2200 Victoria™ | User Manual · NEVER attempt to service or modify any of the electrical connections, especially those between snap connectors and the internal electronics. · Discontinue use of any wires if they are found exposed with damaged insulation. ·...

  • Page 15: Abdominal Covers

    Postpartum Hemorrhage System · Use only simulated blood provided by Gaumard. Any other simulated blood brand containing sugar or any additive may cause blockage and/or interruption of the PPH system. · Always clean and purge the PPH reservoirs at the end of simulation ·...

  • Page 16: Overview

    NOELLE® S2200 Victoria™ | User Manual 2. Overview 2.1 Features · Tetherless—remains fully functional even while in transit · Removable and interchangeable abdominal covers with anatomically correct birth canal and dilating cervix · Seamless, smooth and supple skin covers Victoria from head to toe ·...
  • Page 17 NOELLE® S2200 Victoria™ | User Manual · Precision programmable fetal delivery system for repeatable teaching exercises including: › Normal Labor and Birth › Instrumented Delivery › Shoulder Dystocia › Breech Presentation › Cesarean Section · Delivery system can be programmed for rapid or lengthy deliveries ·...

  • Page 18: Dynamic Perinatal Monitor

    NOELLE® S2200 Victoria™ | User Manual · C-section: using dissectible abdominal cover including realistic skin, subcutaneous, fascia, rectus muscle, and peritoneum · Practice C-sections using real surgical instruments · Episiotomy repair inserts simulate human tissue that can be sutured closed repeatedly ·...

  • Page 19: Maternal Breathing

    NOELLE® S2200 Victoria™ | User Manual Maternal Breathing · Automatic chest rise is synchronized with respiratory patterns · Independent left or right lung sounds synchronized with breathing · Ventilation may be assisted using BVM, ETT, or LMA · Ventilations are measured and logged ·...

  • Page 20: Maternal Neural Responses

    NOELLE® S2200 Victoria™ | User Manual patient during delivery · Heart sounds synchronized with ECG · Bilateral carotid, radial, and brachial pulses synchronized with ECG · Pulses vary with blood pressure, are continuous and synchronized with the ECG even during a paced rhythm Maternal Neural Responses ·...

  • Page 21: Birthing Baby

    NOELLE® S2200 Victoria™ | User Manual 2.3 Birthing Baby Birthing Baby Features · Body with seamless joints for added realism · Endoskeleton inside the baby provides a realistic shape, support, and human like movements · Displays signs of central cyanosis ·...

  • Page 22: User Interface

    NOELLE® S2200 Victoria™ | User Manual · Display up to 8 numerical parameters and up to 5 real time waveforms in manual mode or up to 12 real time waveforms in automatic mode User Interface · Powerful and intuitive UNI™ software with new 3-D animation of: ›...

  • Page 23: Victoria Setup

    NOELLE® S2200 Victoria™ | User Manual 3. Victoria Setup 3.1 Initial Setup Simulator Placement Prepare the simulation area prior to unboxing the simulator. The simulator’s designated area should have ample space for multiple participants to move about freely. Since Victoria is fully functional in transit, have su cient room which allows for her to be moved easily between simulation areas.

  • Page 24: Leg Assembly

    NOELLE® S2200 Victoria™ | User Manual Leg Assembly Follow the steps below to install the lower legs. Remove the legs when transporting Victoria inside a protective case. Remove the fixed bolts from the knee joints using a hexagonal wrench. 2. Locate the lower leg, bolts, and wrench.

  • Page 25: Installing Birth Canal And Cervix

    NOELLE® S2200 Victoria™ | User Manual Align the plastic snaps located on the leg and the skin and secure each snap. Installing Birth Canal and Cervix To install the birth canal, guide the perineum first through the cervix opening from inside the simulator toward the outside.
  • Page 26 NOELLE® S2200 Victoria™ | User Manual Connect the urethral extension to the urinary fill port. Victorias from serial number V1803569 and on are shipped with one fully dilated cervix and one normal cervix. The fully dilated cervix is recom- mended for di cult deliveries. Follow steps 1 and 2 of the birth canal installation and follow the steps below to install the dilated cervix.
  • Page 27 NOELLE® S2200 Victoria™ | User Manual 4. Connect the urethral extension to the urinary fill port. 5. Hook the urethral extension into the holder at the top Follow the steps below after installing either the normal or dilated cervix. 6. Gently accommodate the birth canal as shown in the picture.

  • Page 28: Power Supply

    NOELLE® S2200 Victoria™ | User Manual 9. To secure the birth canal, gently move the 6 snaps counterclockwise to fasten them to the metal frame. The birth canal is now attached. To detach the birth canal and cervix, reverse the instructions. Power Supply Open the power input and communication ports cover...

  • Page 29: Birthing Baby Setup

    NOELLE® S2200 Victoria™ | User Manual Once the battery is fully charged, Victoria can be operated on battery power for approximately 10 hours. The battery level is displayed on the UNI™ status panel. For more information on the battery indicator, go to the “Working with UNI™”...

  • Page 30: Control Tablet Pc

    NOELLE® S2200 Victoria™ | User Manual 3.3 Control Tablet PC The tablet PC is preloaded with the UNI™ control software used by the facilitator to initialize the simulator and control the vital signs. The Victoria control computer package includes: · Tablet PC with stylus ·...

  • Page 31: Wireless Communication Usb Module

    NOELLE® S2200 Victoria™ | User Manual Wireless Communication USB Module The controlling computer transmits the startup and control commands to the simulator through the USB RF communication module. Connect the RF communica- tion module to an available USB port on the tablet and secure the RF communication module to the tablet using the Velcro patch.

  • Page 32: Streaming Audio Headset

    NOELLE® S2200 Victoria™ | User Manual Do not connect the simulator to Ethernet cards, LAN networks, or unauthorized diagnostic equipment. Doing so may cause damage to the system. 3. Connect the communication module to an available USB port on the tablet PC. The tablet is now ready to communicate with simulator.

  • Page 33: Virtual Monitor

    NOELLE® S2200 Victoria™ | User Manual 3.4 Virtual Monitor The Gaumard Monitors software displays Victoria’s simulated vital signs in real time. The interactive monitoring software is already installed on the virtual monitors PC. Virtual Monitor PC Setup Refer to the manufacturer’s documentation included with the virtual monitor system components for important safety, installation, and start-up information before turning on the computer for the first time.

  • Page 34: Gaumard Monitors

    Gaumard Monitors icon to start the vital signs software. The Gaumard Monitors software is now ready to receive the vital signs information generated by the UNI™ control software. For more information about the Gaumard Monitors software, please refer to the Gaumard Monitors user guide.

  • Page 35: Working With Victoria

    NOELLE® S2200 Victoria™ | User Manual 4. Working with Victoria 4.1 Airway Nasal And Oral Intubation Airway management techniques can be practiced on Victoria including BVM, nasal/oral intubation, and suctioning. Endotracheal tubes, NG tubes and LMAs can be used. Use the Sellick’s maneuver, if needed, to bring the vocal folds into view.

  • Page 36: Airway Complication

    NOELLE® S2200 Victoria™ | User Manual Airway Complication Use the software controls to enable the airway complications and make intubation more di cult. Victoria can display tongue edema and pharyngeal swelling using the software controls. Intubation Sensor Once intubated, sensors detect the depth of the intubation tube. The detection notification is displayed on the Log Panel.

  • Page 37: Breathing

    NOELLE® S2200 Victoria™ | User Manual 4.2 Breathing Respiratory Patterns Users can easily control rate and depth of respiration; and choose independent right or left lung sounds, which are synchronized with selectable breathing patterns: Kussmaul’s, Cheyne-Stokes, Biot’s, Apneustic, apnea, and normal. Lung Sounds Multiple independent right and left lung sounds are available on...

  • Page 38: Chest Rise

    NOELLE® S2200 Victoria™ | User Manual The ventilation calibration wizard records the performance average of five ventilations as the benchmark for a correct ventilation. Perform the actions requested by the calibration wizard prompts. The CPR window evaluates provider performance based on the benchmark recorded during the calibration process.
  • Page 39 NOELLE® S2200 Victoria™ | User Manual The compression sensor is factory calibrated prior to shipment. To customize the parameters for chest compressions please follow the procedure outlined in the compression calibration procedure. Compression Calibration The compressions sensor is factory calibrated prior to shipment. To customize the parameters for chest compressions please follow the procedure outlined in the compression calibration procedure.

  • Page 40: Real Co2 Exhalation (Optional)

    NOELLE® S2200 Victoria™ | User Manual Real CO2 Exhalation (Optional) Victoria can exhale real CO2 via a CO2 cartridge. Once a CO2 cartridge is installed, use the software controls to adjust vol- ume of CO2 exhaled. Victoria can also be operated without a CO2 cartridge installed.
  • Page 41 NOELLE® S2200 Victoria™ | User Manual Installing the Cartridge Securely hold the bottom of the CO cartridge protective case with one hand and open it by twisting its top count- er-clockwise with the other hand. 2. Continue to twist the protec- tive case’s top until it comes 3.
  • Page 42 NOELLE® S2200 Victoria™ | User Manual Connecting the Cartridge Bring the CO connecting tube to the right side of Vic- toria’s torso and secure it into the white port. 2. The port is secured with a Luer-lock fitting and requires just a quarter turn to fasten it in place.
  • Page 43 NOELLE® S2200 Victoria™ | User Manual Removing the Cartridge: Before replacing the car- tridge, ensure that you have exhausted the content of the cartridge. 2. To exhaust contents of CO cartridge please turn the fea- ture on and allow to run until no CO2 can be measured.

  • Page 44: Cardiac

    NOELLE® S2200 Victoria™ | User Manual 4.3 Cardiac Heart Sounds Victoria is equipped with several realistic heart sounds, which are synchronized with the user defined heart rate and cardiac rhythm. The heart sounds available include: normal, none, distant, systolic murmur, S3, S4, aortic regurgitation, aortic stenosis, mitral valve prolapse, mitral stenosis, mitral regurgitation...
  • Page 45 NOELLE® S2200 Victoria™ | User Manual There are inherent dangers in the use of some medical devices. For simulations that incorporate electrical therapy of any kind, always know your equipment, and follow the device manufacturers’ safety guidelines. ECG and Electrical Therapy Checklist and Warnings ·...
  • Page 46 The snaps are color coded to identify the apex and sternum placement. Gaumard manufactures a variety of simulator ready defibrillation snap cables compatible with most electrical therapy devices. For more information about simulator ready snap cables for a particular defibrillator, please contact Gaumard customer service.
  • Page 47 NOELLE® S2200 Victoria™ | User Manual Defibrillation Snap Cable Location Red Connector Apex Snap Black Connector Sternum Snap To use the Defibrillation Snap Cable: Open the snap connector covers at the apex and sternum sites. 2. Connect the “Defibrillation Snap Cable” to the defibrillator. 3.

  • Page 48: Cephalic

    NOELLE® S2200 Victoria™ | User Manual 4.4 Cephalic Tracking Eyes Victoria now features realistic tracking eyes. They can be used for more complete patient assessments. The eyes could be used to simulate stroke, head trauma, drug use, disease, cranial nerve impairment and/or other brain/muscle impairments.
  • Page 49 NOELLE® S2200 Victoria™ | User Manual Move your finger or pen slowly from side to side in line with her eyes and within the width of her face. Keep the object within the width of Victoria’s face to ensure accurate responses. Place your finger or pen to the center of her eyes and close to Victoria’s face, Victoria’s eyes will...

  • Page 50: Eye Movements

    NOELLE® S2200 Victoria™ | User Manual Eye Movements Set the eyes to several di erent static positions. Select “Eye Movement” from the Status/Details panel Click “Idle-Normal” to simulate a state of random eye movements like in a real patient Select “Idle-Rapid” to simulate hypervigilance in a patient. Combine automatic tracking with the idle control for a realistic look.

  • Page 51: Blepharospasm

    NOELLE® S2200 Victoria™ | User Manual “Spontaneous opening” sets the eyes to random opening and closing. Blepharospasm Activate the blepharospasm feature by clicking “Blepharospasm Severity”. When the setting is set to zero, the feature is turned o . Checking “Spontaneous” causes the twitching to occur at random intervals.

  • Page 52: Pupil Dilation

    NOELLE® S2200 Victoria™ | User Manual Increase the severity of the eyelid droop by increasing the numerical value. Pupil Dilation In a normal state, Victoria’s pupils will constrict and dilate together when a pupil is stimulated. Turning o the “Consensual reaction to light” will make the pupils react independently.
  • Page 53 NOELLE® S2200 Victoria™ | User Manual The “Realtime Eyes Control” will appear with a diagram of the current eye position. The modes on the left can be selected to move the eyes in both or either horizontal and vertical directions. These controls can be combined with automatic tracking or preprogrammed...

  • Page 54: Automatic Calibration

    NOELLE® S2200 Victoria™ | User Manual Automatic Calibration Victoria’s eyes are calibrated from the factory. However, a calibration can be performed if needed. If there is a di erence of speed with the eyes do the following: Click the gear in the upper- right corner of the screen.

  • Page 55: Circulation

    NOELLE® S2200 Victoria™ | User Manual 4.5 Circulation Bilateral Pulses Victoria’s palpable pulses (carotid, brachial, and radial) are dependent on blood pressure. Users can also disable distal pulses to simulate severe hypotension. Manual Blood Pressure Programmable blood pressure can be measured using any standard sphygmomanometer.

  • Page 56: Non-Invasive Blood Pressure

    NOELLE® S2200 Victoria™ | User Manual Manual Blood Pressure Calibration Before starting the calibration process, place the blood pressure cu on the simulator as it would be placed on a real human patient. To calibrate the blood pressure feature using UNI™ software: Click Menu >...
  • Page 57 NOELLE® S2200 Victoria™ | User Manual Feature Size NIBP Cu Adult Regular (26cm - 36cm) Enabling the NIBP Feature To enable the NIBP feature, go to Setup > Options > Victoria Features tab and checkmark “Use automatic NIBP”. Enabling the automatic NIBP function disables the manual blood pressure method feature.

  • Page 58: Drug Recognition

    NOELLE® S2200 Victoria™ | User Manual 4. Leave the cu on the arm and calibrate the blood pressure feature using the software blood pressure calibration wizard and the kit pressure bulb. 5. After the calibration process is complete, disconnect the calibration kit and connect the cu to the electronic automatic blood pressure monitor.
  • Page 59 NOELLE® S2200 Victoria™ | User Manual The simulator must be powered on when working with the drug recognition arm. This includes calibration, purging, draining, IV infusion, Set Med ID and injecting fluids. Failure to do so will permanently damage the simulator and void the warranty. Set the UNI™...
  • Page 60 NOELLE® S2200 Victoria™ | User Manual 6. Place the syringe without the needle into the holder. The syringe must be perpendicular to the surface of the forearm as shown. Select a drug from the drop-down menu. 8. Assign a volume concentration for this syringe.
  • Page 61 NOELLE® S2200 Victoria™ | User Manual 11. After the drug is listed on the Set Medication Identifier dialog box, identify the syringe with the drug name and concentration using the labels provided. 12. Repeat steps 5-10 to program additional syringes. If you accidentally misplace a syringe, you must delete the drug from this list, and reprogram a new syringe with this drug and concentration.
  • Page 62 Medication Identifier dialog box and proceed to the next step. 8. Fill the preprogrammed syringe with water or simulated blood. 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.
  • Page 63 NOELLE® S2200 Victoria™ | User Manual If the software does not recognize the drug that is being administered, the Log page reports “Detected (Medication): Unknown Med” followed by the amount of drug detected. If you are running a branching scenario where a drug is added as a path in one of the nodes, the software automatically checks the action and moves to the next node if no other actions are pending.
  • Page 64 NOELLE® S2200 Victoria™ | User Manual You must always have water in the IV vasculature for the drug recognition module to work. 5. Go to the Setup menu and click on Calibration. Select “IV Medication Infusion” and click “Next” on the Calibration dialog box.

  • Page 65: Arm

    Do not attempt to fill IV system without the drain connector in place. Always leave the drain port 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.

  • Page 66: Oxygen Saturation

    NOELLE® S2200 Victoria™ | User Manual Depress the syringe until fluid flows through the drainage tube into the container. 6. Remove the drain tube and the fill syringe. 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.
  • Page 67 NOELLE® S2200 Victoria™ | User Manual 5. Turn on the oximeter and click “OK” on the dialog box. 6. The oxygen saturation calibration dialog box is displayed (for 98%). Using the arrows on the left column of the calibration dialog box, adjust the reading on the oximeter monitor screen, to match the 98 displayed on the UNI™...

  • Page 68: Systemic

    NOELLE® S2200 Victoria™ | User Manual 4.6 Systemic Intramuscular Injection Sites Intramuscular injection sites at quadrics and deltoids Do not inject fluids into the IM sites. Urinary Catheterization Victoria has an anatomically correct urethra for catheterization exercises. The reservoir can be filled with 200 mL, and the fluids can be drained out using a urinary catheter size 16Fr.

  • Page 69: Bowel Sounds

    NOELLE® S2200 Victoria™ | User Manual 3. Locate the urinary bladder fill kit and connect the syringe with the filling tube to the white port labeled as urine. 4. Fill the bladder with fluid up to 200 ml 5. Reconnect the urethral extension to the urinary bladder fill port 6.

  • Page 70: Birthing Baby

    NOELLE® S2200 Victoria™ | User Manual 4.7 Birthing Baby Overview Victoria Birthing Baby is a full-term tetherless neonate with realistic weight (5-6 lbs) and length (19.5 inches). This baby features seamless joints and lifelike skin for added realism. The main features are: ·...

  • Page 71: Auscultation

    NOELLE® S2200 Victoria™ | User Manual Auscultation Auscultate heart and lung sounds with a real stethoscope after delivery. Use the control software to program the heart and lung sounds. Crying Use the control software to activate fetal crying. The baby will begin crying 10 seconds after being separated from the In the event that the birthing mother, and continue to cry only for the first minute after being delivered.

  • Page 72: Obstetrics

    NOELLE® S2200 Victoria™ | User Manual 4.8 Obstetrics The following features enhance Victoria obstetric capabilities: Pelvis with Anatomic Landmarks Victoria has a realistic pelvis with anatomic landmarks. This includes the ischial spines, the coccyx, and pubic bone. Ischial Spines · Train on identifying the location of the ischial spines. ·...

  • Page 73: Epidural Insert

    NOELLE® S2200 Victoria™ | User Manual Epidural Insert The lumbar insert provides a lifelike representation of an adult spinal segment. The Insert consists of the skin layer, subcutaneous layer, simulated ligamentum flavum, and lumbar vertebrae (L2, L3, L4, and L5). The vertebrae is optimized to provide a realistic tactile feedback for the injection process.
  • Page 74 NOELLE® S2200 Victoria™ | User Manual Injection Detection within Dural Space The epidural injection site is equipped with a depth sensor that informs the instructor, via the software log, when the needle is positioned within the dural space. If the needle is inserted too far, traversing the dural space and touching the spinal dura, the software logs “Insertion too deep”.

  • Page 75: Abdominal Covers

    NOELLE® S2200 Victoria™ | User Manual 2. When replacing the spinal cord insert, orient it with the skin layer facing outwards. To correctly locate the Spinal Cord Insert, gently slide it into position on Victoria so that the four outer walls align. 4.
  • Page 76 NOELLE® S2200 Victoria™ | User Manual Palpation Abdominal Cover Palpation full-term abdomen has a smooth feel with lifelike roundness and firmness. Within Victoria’s pregnant belly, the unborn fetus floats freely inside an amniotic sack which provides tactile feedback and resistance when performing Leopold’s maneuvers or external version exercises.

  • Page 77: Realistic Birth Canal With Dilating Cervix

    · Ball point pens, ink and markers permanently stain the birth canal insert · Do not wrap this or any other Gaumard product in newsprint · The birth canal insert can be cleaned by wiping with a mild solution of soap and water.

  • Page 78: Labor And Delivery

    NOELLE® S2200 Victoria™ | User Manual 4.9 Labor and Delivery Normal Labor and Delivery Birthing Mechanism The precision birthing mechanism is an electro-mechanical assembly located inside the abdominal cavity that both pushes and rotates the fetus as it transverses the birth canal. The birthing mechanism locks on to the fetus throughout delivery to ensure precise and repeatable internal and external rotations.
  • Page 79 NOELLE® S2200 Victoria™ | User Manual 3. Introduce the vertex delivery rod (item 3 listed above) inside the fetus vertex delivery port while applying gentle pressure upon the baby’s chest with your free hand. 4. Verify that the ridges of the vertex delivery rod are facing up and that the rod reaches the end of the port.
  • Page 80 NOELLE® S2200 Victoria™ | User Manual Self-Lubrication Victoria is equipped with a software controlled self-lubricating birth canal system. It ensures the birth canal and the fetus remain lubricated during a lengthy delivery. As the fetus enters the birth canal, two openings in the birth canal wall secrete mineral oil onto the fetus.
  • Page 81 2. Find the IV filling syringe with filling tube. Use only Gaumard’s provided simulated blood. Any other simulated Prepare simulated blood or amniotic fluid. blood brand may contain sugar or other additives that may cause blockages and interrupt the bleeding system.
  • Page 82 NOELLE® S2200 Victoria™ | User Manual Connecting the Birthing Baby Attach the umbilical cord to the baby. 2. Route the cord so it does not bind in the mechanism. Nuchal cord and prolapse of the cord presentations are acceptable preparations for the delivery or scenario being practiced.
  • Page 83 NOELLE® S2200 Victoria™ | User Manual Contraction Cover To install the contraction cover: Place the placenta inside the contraction abdominal cover as shown in the pictures. 2. Locate the contraction cover power connector and power port located in the right middle side of the abdominal cavity.
  • Page 84 NOELLE® S2200 Victoria™ | User Manual Always place and latch the contraction cover on the birthing cavity prior to starting the labor mechanism. An audible click can be heard when the cover is securely attached To remove the contraction cover: Use the lower ECG snap connectors as a guide to find the latching mechanism...
  • Page 85 NOELLE® S2200 Victoria™ | User Manual Maternal Monitor To connect a real Fetal Monitor: Connect the transducer wires to the maternal Monitor. 2. Apply ultrasound gel to the Fetal Heart Tone transducer. 3. Place the Fetal Heart Tone transducer slightly below the umbilicus or navel.
  • Page 86 NOELLE® S2200 Victoria™ | User Manual 3. Wait for the contraction to be relaxed (TOCO: 7-8). 4. Click the “Auto Zero” button in the Fetal Monitor. Labor Scenarios A labor scenario automates the vital signs changes for Victoria and the Fetus that occur during the labor and delivery process.
  • Page 87 NOELLE® S2200 Victoria™ | User Manual Select ROA or LOA as the initial position if the baby was attached to the delivery mechanism face down. If the baby was attached face up, ROP or LOP can be selected as initial positions. 2.

  • Page 88: Placenta Delivery

    NOELLE® S2200 Victoria™ | User Manual The provider or facilitator may help the fetal head and shoulders through the vulva just as in real life. The fetus will release automatically when the vertical progress bar reaches the end of the time line on the graphic display.

  • Page 89: Vacuum-Assisted Delivery

    NOELLE® S2200 Victoria™ | User Manual When the delivery is complete the birthing motor will retract about 2 inches automatically, providing enough room for the user to deliver the placenta. Warning: Ensure that the birthing mechanism is half way retracted before allowing the provider to retrieve the placenta.

  • Page 90: Shoulder Dystocia

    NOELLE® S2200 Victoria™ | User Manual Shoulder Dystocia Victoria may be used to practice the resolution of shoulder dystocia using the McRobert’s maneuver, suprapubic pressure, posterior arm sweep, various fetal maneuvers, or elbow-knee delivery. The birthing mechanism realistically advances and retracts the fetal head (turtle signs) in time with the uterine contractions which are indicative of shoulder dystocia.
  • Page 91 NOELLE® S2200 Victoria™ | User Manual To demonstrate shoulder dystocia: Use UNI™ preprogrammed dystocia labor scenarios (e.g. Cynthia, Candice, and Charlotte). More information about the preprogrammed scenarios can be found in Section 6 of this user guide. 2. Alternatively, activate shoulder dystocia manually by clicking the “Shoulder Dystocia”...

  • Page 92: Prolapse Of The Umbilical Cord

    NOELLE® S2200 Victoria™ | User Manual Prolapse of the Umbilical Cord Prolapse of the umbilical cord is a dangerous complication which may clamp the cord cutting o oxygen to the fetus. It involves the presence of the umbilical cord in the birth canal in front of the presenting fetal part. This condition may occur as a result of breech presentation, transverse lies, a small fetus, an overly long cord, a placenta placed low in the uterus, or other abnormalities.

  • Page 93: Breech Delivery

    NOELLE® S2200 Victoria™ | User Manual Breech Delivery Victoria is capable of simulating several types of breech presentations. Instructions for Use To simulate breech presentations: Place the baby in the cradle provided. 2. Remove plug in fetal head for breech delivery. 3.

  • Page 94: Cesarean Delivery

    NOELLE® S2200 Victoria™ | User Manual Insert the birthing mechanism into the fetal head and place the fetal legs in either an extended position to simulate “footling” delivery or retract the legs for a “frank” delivery. Notice that the delivery ring is not needed for breech delivery. 8.
  • Page 95 NOELLE® S2200 Victoria™ | User Manual Instructions for Use To set up Victoria for a Cesarean section delivery: Prepare Victoria for delivery. After it has been determined that a Cesarean section is required, select a Cesarean section labor scenario. 3. Remove the contraction cover. Refer to the “Normal Labor and Delivery”...
  • Page 96 NOELLE® S2200 Victoria™ | User Manual Align and latch the Cesarean section cover in the Victoria abdominal cavity. 8. Lubricate the Cesarean section baby and placenta as instructed for the Birthing Baby. 9. Place the cesarean baby and placenta inside the abdominal cavity.
  • Page 97 NOELLE® S2200 Victoria™ | User Manual 12. Apply mineral oil to the holes of the surgical insert to reduce friction 13. Fit the surgical insert into the metal snaps 14. Follow the insert until all the holes snap in place 15.

  • Page 98: Postpartum Activity

    2. Find the PPH syringe with filling tube. 3. In a separate container, mix a solution of Gaumard simulated blood colorant and water. 4. Fill the syringe with the simulated blood solution. Working with Victoria | 89...
  • Page 99 NOELLE® S2200 Victoria™ | User Manual 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 PPH system. 5. Connect the syringe with filling tube to the PPH fill port and inject the fluid into the...
  • Page 100 NOELLE® S2200 Victoria™ | User Manual Replacing the birth canal and the cervix Drain the lubrication and blood reservoirs. 2. Disconnect the urethral extension from the urinary fill port. Disconnect the cervix from the flanges located on both sides of the upper pelvic cavity as shown in the picture.
  • Page 101 NOELLE® S2200 Victoria™ | User Manual 6. Disconnect the green bleeding hose located on Victoria’s left side. Disconnect the clear lubrication hose located on Victoria’s right side. The birth canal is now disconnected. 8. Locate the division on the white frame of the birth canal and use it to pull the birth canal out into the abdominal cavity.
  • Page 102 NOELLE® S2200 Victoria™ | User Manual 3. Connect the suppository sensor cable. 4. Connect the hose with white connector to the corresponding port on the right side of the PPH unit. The perineum is interchangeable with the 4 degree episiotomy repair insert.
  • Page 103 NOELLE® S2200 Victoria™ | User Manual 8. Connect the postpartum power connector to the power port. 9. Align and set the Postpartum cover into place. 10. Attach the perineum by connecting the white snaps to the metal frame. Instructions for Use To enable vaginal and/or uterine bleeding and start blood flow, set the vaginal...

  • Page 104: Episiotomy Repair

    NOELLE® S2200 Victoria™ | User Manual Use the Uterine Pressure control to adjust the firmness of the uterus. Decreasing the Uterine pressure makes the uterus firmer. Uterine pressure maximum value is 100% equivalent to 40mmHg. Practice fundal massage or insertion and inflation of a balloon tamponade device to stop the bleeding.

  • Page 105: Rectal Suppository

    NOELLE® S2200 Victoria™ | User Manual Rectal Suppository Victoria contains a rectal suppository receptacle with automatic electronic recognition. This feature is located on the perineum of the postpartum system. Instructions for Use Apply mineral oil to suppository. 2. Insert the suppository in the rectum 96 | Working with Victoria...

  • Page 106: Other

    NOELLE® S2200 Victoria™ | User Manual 4.11 Other Vital Signs Monitor The virtual vital signs monitor simulates a vital signs monitor attached to the simulated patient. The vital signs are synchronized through a wireless network between the facilitator’s tablet and the computer running the monitor.

  • Page 107: Working With Uni

    NOELLE® S2200 Victoria™ | User Manual 5. Working with UNI™ 5.1 Getting Started Initiating the Simulator After reading the manufacturer’s care and caution information, press the power button to turn on the Tablet PC. The UNI™ software initializes the simulator. Double click the UNI™...

  • Page 108: Uni™ Interface

    UNI™ software. The UNI™ control elements and scenario 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 upgrade.

  • Page 109: Victoria And Birthing Baby Battery Indicators

    NOELLE® S2200 Victoria™ | User Manual Victoria and Birthing Baby Battery Indicators There are two battery indicators on the lower left corner of the UNI™ software. The first one is for Victoria and the second one is for the Birthing Baby. The interrogation mark for Victoria’s indicator is shown when there is no communication...

  • Page 110: Quick Launch

    NOELLE® S2200 Victoria™ | User Manual Quick Launch The UNI interface opens up showing the quick launch page for the scenarios This page is used to easily access the preprogrammed scenari- os saved on each profile. Clinical Condition The scenarios are categorized by clinical condition to the left of this page;...
  • Page 111 NOELLE® S2200 Victoria™ | User Manual 2. Click on the drop down arrow to the right to read a scenario description. Clicking “Start Scenario” loads the appropriate scenario and starts it playing without the user having to do anything else with the control com- puter.

  • Page 112: Systems List View

    NOELLE® S2200 Victoria™ | User Manual 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. The Status/Details tab displays the vital signs controls in a list format.

  • Page 113: Changing Vital Signs

    NOELLE® S2200 Victoria™ | User Manual Changing Vital Signs To adjust numerical values click and drag 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.

  • Page 114: Applying Changes

    NOELLE® S2200 Victoria™ | User Manual Applying Changes No changes will be made to the simulator’s condition until the new settings are submitted using the “Apply” panel. After the list of changes is created, click NOW to update the vital signs instantly.

  • Page 115: Birthing Baby

    NOELLE® S2200 Victoria™ | User Manual Also, use the edit and remove tabs to edit a new parameter or remove an existing one. Notice that until the “Apply” option is not selected, the vital signs in the Status/Details panel will not reflect the new changes.

  • Page 116: Creating Palette Items

    NOELLE® S2200 Victoria™ | User Manual Creating Palette Items A palette item stores one or more vital sign settings into a single loadable object. Use a palette item to update a set of vital signs quickly. For example, one palette item can be created to update all the cardiac parameters to a healthy state.
  • Page 117 NOELLE® S2200 Victoria™ | User Manual Make changes by clicking on the specific parameter. Click the apply option to submit the changes. 108 | Working with UNI™...

  • Page 118: Body View

    NOELLE® S2200 Victoria™ | User Manual Body View The “Body View” mode displays an interactive model of the simulator. The model is a representation of the simulator and its internal organs. Use the Body View controls on the top to rotate, move, re-center, zoom the model.

  • Page 119: Labor 3D View

    NOELLE® S2200 Victoria™ | User Manual Labor 3D View · Live 3D visual feedback for the instructor as the fetus progresses through the delivery. · View internal rotations of the fetus. · Real time graphical display of the pulling force applied to the fetus during labor.

  • Page 120: Sensor Panel

    NOELLE® S2200 Victoria™ | User Manual Sensor Panel The body view includes the sensor panel, which detects the action performed and shows active sensors highlighted in green. Myocardial Infarction Editor and EKG Designer From serial numbers V1803569 and up, the Victoria will be supplied with a myocardial infarction editor and a custom EKG Designer.

  • Page 121: Labor

    NOELLE® S2200 Victoria™ | User Manual 5.3 Labor The Labor tab is used to program, play, and monitor a labor and delivery scenario. Reference this section to learn more about the programmable features available on the Labor tab. To carry out a labor and delivery simulation exercise, please reference the “Working with Victoria”...
  • Page 122 NOELLE® S2200 Victoria™ | User Manual Descent Station - The position or level of the fetal head relative to the ischial spines Palette Time Line - Holds palette items with respect to when they occur during the delivery Palette Item - A preprogrammed set of vital signs parameters or speech Initial Fetal Position - Select the fetus position (ROA, LOA, ROP, LOP)

  • Page 123: Labor Scenarios

    NOELLE® S2200 Victoria™ | User Manual Labor Scenarios Preprogrammed labor scenarios are included in the “Quick Start Victoria and “Victoria Advanced” profiles. To load a labor scenario, go to the labor tab and click the “Load Labor” button. The “Load Labor Scenario...” menu is displayed.

  • Page 124: Initial Position Synchronization

    NOELLE® S2200 Victoria™ | User Manual Initial Position Synchronization The birthing mechanism simulates internal and external rotations from any of four initial positions: ROA, LOA, LOP and ROP. Each of the position’s rotation routine is preprogrammed to result in the vertical delivery of the fetal shoulders (ROT/LOT) while the fetal head is delivered either face down or face up.

  • Page 125: Disable Rotation

    NOELLE® S2200 Victoria™ | User Manual Disable Rotation The “disable rotation” option turns o the fetal rotation. The fetus can still be rotated remotely using the rotation controls. Remote Positioning Controls Click the turn controls to rotate the fetus inside the abdomen as shown in the picture.
  • Page 126 NOELLE® S2200 Victoria™ | User Manual The start and end of each rotation routine is configured using the “Station” menu. On the figure to the right, the internal rotation is programmed to start when the progress line intersects the descent curve at initial station 0 and to end at +5.2;...

  • Page 127: Labor Graph

    NOELLE® S2200 Victoria™ | User Manual There are configurable presets for all four initial positions. Click the “Apply” button to save the changes. Customized values remain saved even after a software restart. Click cancel to abort the changes selected. Click “Reset” to return all Stations and rotation degrees to factory defaults.

  • Page 128: Descent Curve

    NOELLE® S2200 Victoria™ | User Manual Descent Curve The descent curve represents the position of the fetal head relative to the ischial spines in centimeters. “Right-click” on the line and add a point where the descent rate should change. Tap and hold the point and move it to adjust the descent curve.

  • Page 129: Palette Time Line

    NOELLE® S2200 Victoria™ | User Manual Palette Time Line The time line is where Palette Items are placed to change the patient’s vital signs during the scenario. As the progression line moves to the right, it loads each palette item that it passes over. To add a palette item to the time line, right-click on the time line and select “Add Palette”.

  • Page 130: Labor Controls

    NOELLE® S2200 Victoria™ | User Manual Labor Controls Use the labor controls to run, pause, speed up, and reset the labor scenario. The “Play” button starts the labor scenario and initializes the delivery mechanism. The play button is also used to pause the scenario. Reference the “Working with Victoria” section for step-by-step walkthrough on how to complete a labor scenario.

  • Page 131: Progression Line

    NOELLE® S2200 Victoria™ | User Manual Progression Line The vertical progress line moves to the right when the labor scenario is started. The progress line intersects the descent curve and the time line. Palette items placed on the time line are triggered when the progress line passes over them.

  • Page 132: Additional Labor Features

    NOELLE® S2200 Victoria™ | User Manual 5.5 Additional Labor Features The additional behavior options add realism to the labor scenario. Shoulder Dystocia Enable the shoulder dystocia feature to display the retraction of the fetal head during the delivery. Turtle signs are displayed with every contraction that occurs after the progress line passes the predetermined onset of shoulder dystocia point.

  • Page 133: Check Rot/Lot Delivery

    NOELLE® S2200 Victoria™ | User Manual In the figure shown, the shoulder dystocia feature is active but the descent curve never passes the selected point of onset of shoulder dystocia. The configuration will not result in visible turtle signs. Victoria may be used to practice the resolution of shoulder dystocia using the McRobert’s maneuver, suprapubic pressure, posterior arm sweep, elbow-knee delivery, or any combination of various fetal maneuvers Check “McRoberts maneuver”...

  • Page 134: Contraction Response

    NOELLE® S2200 Victoria™ | User Manual Contraction Response The contraction response option generates changes to the maternal vital signs or speech at the onset of each contraction. The contraction response feature simulates patients that either have or have not been given pain medications.

  • Page 135: Fetal Monitor

    NOELLE® S2200 Victoria™ | User Manual Fetal Monitor UNI™ displays feedback data recorded by the precision delivery mechanism sensors. The window provides feedback on pull force, uterine contractions. The labor activity information can assist in determining if the participant is applying too much pulling force during the delivery. The information displayed should only be used as reference material to assist the instruc- tor in evaluating proper technique.

  • Page 136: Save Labor

    NOELLE® S2200 Victoria™ | User Manual Save Labor Click the “Save Labor” button to store the current labor configura- tion and options as a new scenario. The “Save Labor Scenario…” window is displayed. Type in Patient’s name and the patient information in the blank fields and click Save.

  • Page 137: Appendix .1 Troubleshooting

    NOELLE® S2200 Victoria™ | User Manual 6. Appendix .1 Troubleshooting Communication/Power Issues Communication with the simulator cannot be established or signal strength is weak Battery is discharged Plug in the charger and if or damaged communication is established then charge battery as per procedure explained in the manual.
  • Page 138 NOELLE® S2200 Victoria™ | User Manual Controlling multiple simulators Select di erent channels for each of from a single controlling PC the simulators, and then try to turn them on one at a time, which means to wait until a link have been estab- lished between the tablet and the first simulator.
  • Page 139 There’s too much RF inter- Try changing the RF channel by ference either from another going to Menu > Setup > Options > Gaumard tetherless simulator Environment. in the vicinity or an RF radiator. Simulator does not power or communication is never established (wired connectivity only) Data cable is not connected.

  • Page 140: Miscellaneous Issues

    NOELLE® S2200 Victoria™ | User Manual UNI™ has set the power mode to STAND-BY automatically The battery on the Plug in the charger. manikin is depleted Simulator doesn’t respond to any command although signal strength is excellent UNI™ has established commu- Configure UNI™...
  • Page 141 NOELLE® S2200 Victoria™ | User Manual Chest does not rise with artificial ventilation (e.g. BVM) Simulator not running Turn the simulator on Air is escaping between the Maintain a tight seal between the mask and the simulator’s skin BVM mask and the simulator Low chest rise (or no chest rise at all) while breathing Respiratory pattern is set to Change the respiratory pattern to a...
  • Page 142 NOELLE® S2200 Victoria™ | User Manual Korotko sounds do not match systolic and/or diastolic set values BP sensors are o set Recalibrate BP cu sensors on the simulator as per “Calibration” section Wrong placement of BP Cu See correct cu placement under section “Circulation”...
  • Page 143 NOELLE® S2200 Victoria™ | User Manual Medication is not being recognized by the UNI™ software Syringe is not programmed Refer to digital UNI™ User Guide with a medication under Menu > Help > Instruction Manual to program a tagged syringe with a medication.
  • Page 144 NOELLE® S2200 Victoria™ | User Manual Fluid reservoir is full The arm’s internal reservoir is 40 cc. Attach the drain port to allow excess fluid to drain. Preprogrammed scenarios are not available Incorrect profile is loaded Load the “Quick Start Victoria” profile.

  • Page 145: Streaming Audio Issues

    Streaming Audio Issues Streaming audio quality is poor or there are echoes Noisy channel or another Select a di erent channel. When more Gaumard tetherless simulator than one simulator is in the vicinity, is nearby allow one channel between them...
  • Page 146 NOELLE® S2200 Victoria™ | User Manual Headset is disconnected Close UNI™ and connect the MIC and Headset connectors are Headphone jacks into the designated connected to the wrong ports ports on the computer. Restart the software. Headset is not recognized by UNI™...

  • Page 147: Virtual Monitor Connection Issues

    Gaumard Monitors software and connect to the PRO+ network. Restart the Gaumard software. UNI™ is not broadcasting the Tablet only - From the Gaumard menu vital signs information. bar, go to Monitors > Configuration. Set the adapter to “Wireless network connection”.

  • Page 148: Recording And Debriefing Issues

    NOELLE® S2200 Victoria™ | User Manual Virtual monitor option is On the menu bar, click Setup > not activated Options > Environment tab and set the connection mode to FIXED, then enter the simulator’s serial number and save the settings. Return to the Options menu and select the “Add- ons”...
  • Page 149 NOELLE® S2200 Victoria™ | User Manual Camera is detected in the camera setup but there is no feed on the main window Main view distribution is not Click the “Main view” setup icon, configured and select the active video and monitor feeds.

  • Page 150: Victoria Specific Issues

    NOELLE® S2200 Victoria™ | User Manual Victoria Specific Issues Fetus is disengaged prematurely/very easily The force sensor is detecting For information on how to calibrate more than 35 pounds of pull the force sensor, refer to Victoria force, and it is unlocking the specifics below.
  • Page 151 NOELLE® S2200 Victoria™ | User Manual Insu cient lubrication Lubricate the entire fetus, cervix, and the birth canal. Insu cient lubrication may result in damage to the equipment and prevent the fetus from sliding through the birth canal. Delivery mechanism does not return to the starting position when “reset”...
  • Page 152 NOELLE® S2200 Victoria™ | User Manual Birth canal tearing prematurely Insu cient lubrication Dry skin is pulling the fetus back. Make sure to manually Lubricate the entire fetus, cervix, and the birth canal before the delivery as well having the lube reservoir filled. Birthing Baby’...

  • Page 153: Victoria Specifics

    NOELLE® S2200 Victoria™ | User Manual 7.2 Victoria Specifics Calibration Menu This tool allows you to calibrate the sensors inside the simulator. First choose which function you would like to calibrate: chest compressions, artificial ventilations, blood pressure cu , oxygen saturation, medication infusion.
  • Page 154 NOELLE® S2200 Victoria™ | User Manual To troubleshoot issues with the birthing mechanism reset the labor motor. The green arrows beside the “Reset Labor Motor” control (pictured above) permit the user to move the delivery mechanism forwards or backwards in 2 inch increments. To reset all the sensors on the Birthing Baby, follow the instructions: Position baby on the cradle 2.

  • Page 155: Silicone Repair Kit

    NOELLE® S2200 Victoria™ | User Manual 4. Click “Reset Force Sensor” from the Calibration window The Birthing Baby is calibrated at the factory prior to shipment. Only reset for troubleshooting purposes. Silicone Repair Kit The silicone repair kit is intended to fix small tears on the silicone skin of either Victoria or the Birthing Baby.

  • Page 156: Replacing Iv Veins

    NOELLE® S2200 Victoria™ | User Manual 4. Remove the white cap on the syringe preloaded with the silicone adhesive 5. Gently apply the silicone adhesive over the damaged area. Dispense the material in a slow continuous stream by applying gentle pressure on the plunger of the syringe 6.
  • Page 157 NOELLE® S2200 Victoria™ | User Manual 5. Partially separate the lower arm from the upper arm to reveal the connections 6. Disconnect the blue pulse line and the Osat cable if repairing the left arm Disconnect the blue pulse line, the drug recognition system (black and white hoses and a wire connector) if repairing the right arm...
  • Page 158 NOELLE® S2200 Victoria™ | User Manual 10. Notice that when removing the left arm skin, the Osat cable will remain attached to the skin 11. To replace the veins gently pull to separate them from the white elbow connectors as shown in the picture 12.
  • Page 159 NOELLE® S2200 Victoria™ | User Manual 14. Remove both black rings from the vein tubing 15. Locate the replacement vein set 16. Measure and cut the new vein to be installed 17. Place the black rings on the replacement vein 18.
  • Page 160 NOELLE® S2200 Victoria™ | User Manual 21. Apply talcum powder inside the lower skin to aid with the placement 22. Reinsert the Osat cable into the lower arm if working with the left arm 23. Place the skin over the hand and pull the skin all the way up 24.

  • Page 161: Wireless Network

    Use the “Create an ad-hoc Wireless network” tool to configure the wireless ad-hoc link between the two computers. Then, configure the connection between UNI™ and the Gaumard Monitors software. UNI™ Network Configuration Complete the next steps using the “Controller - Create Ad-Hoc Wireless Network”...
  • Page 162 Restart the computer Gaumard Monitors Network Configuration After the UNI™ control computer is configured, complete the next steps using the “Create an ad-hoc network tool” included in Gaumard Monitors software. On the virtual monitor computer, click the Gaumard Monitors icon to start the vital signs software.
  • Page 163 NOELLE® S2200 Victoria™ | User Manual 4. Enter a wireless network name (case sensitive). Use the same name entered in the controller computer. “GaumardNet” is the required name for Windows® 7 or 8 computers 5. Click “Set Dynamic IP” to set the wireless network dynamic Notice that the word “Done”...
  • Page 164 6. Verify the network status and network name, then click “Connect” to begin transmitting the vital signs information Write down the “Controller Name” and “Port number” 8. Start the Gaumard Monitors software on the virtual monitor PC 9. Click the “V” menu near the top left corner, and then select “Comm Setup.”...
  • Page 165 To connect both computers using a local internet network, follow the steps below: Verify that both computers have applied “Set Wireless Network Dy- namic”. Refer to UNI™ and Gaumard Monitors network configuration sections for instructions 2. Disconnect both computers to the GaumardNet network...

  • Page 166: Consumables

    NOELLE® S2200 Victoria™ | User Manual 7.3 Consumables Please contact Gaumard for more information regarding consumables. Item Color Code Light Birth Canal Medium Dark Epidural Insert Light Medium Dark Regular Episiotomy Suture Trainer Light Set of two Medium Dark Degree Episiotomy Suture Trainer...

  • Page 167: 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 168: Contact Gaumard

    800-882-6655 INT: 01-305-971-3790 9.2 General Information Sales and Customer Service: E-mail: sales@gaumard.com USA: 800-882-6655 INT: 01-305-971-3790 Fax: 305-667-6085 Post: Gaumard Scientific 14700 SW 136 Street Miami, FL 33196-5691 O ce Hours: Monday-Friday, 8:30am - 7:30pm EST Contact Gaumard | 159...
  • Page 169 Gaumard®, ZOE®, Michelle®, Mike®, PEDI®, Susie Simon®, Susie®, Simon® Code Blue®, SIMA Models®, SIMA GYN/AID®, Virtual Instruments®, Code- maker®, Code Blue®, NOELLE®, Simulation Made Easy™, HAL®, eCPR™, Zack™, RITA™, Chloe™, Seatbelt Susie™, Krash Kids™, Premie™, UNI™, Omni®, SmartSkin™ are trademarks of Gaumard Scientific Company.

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