laerdal SimMan 3G PLUS User Manual
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laerdal SimMan 3G PLUS User Manual

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SimMan 3G PLUS
User Guide

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Summary of Contents for laerdal SimMan 3G PLUS

  • Page 1 SimMan 3G PLUS User Guide...
  • Page 2 SimMan 3G PLUS Introduction...
  • Page 3 The simulator responds to clinical intervention, instructor control, and pre-programed scenarios for effective practice of diagnostic skills and patient treatment. Refer to SimMan 3G PLUS Quick Setup Guide (QSG) and LLEAP Help Files for more information on operation and connection.

  • Page 4: Operating Software

    Operating Software Other Applications Opening Laerdal Simulation Home The following applications are available in conjunction with the The Simulator is operated and controlled by LLEAP - Laerdal simulation sessions: Learning Application. • The Patient Monitor application emulates a typical hospital Laerdal Simulation Home patient monitor.
  • Page 5 USB Wi-Fi dongle. The dongle connects to a local enterprise IT network for improved speed and signal strength. Option 2 Router If a local or ad-hoc network is required, a router (Laerdal or user’s own) can be used. Option 3 Mobile Router...
  • Page 6 23. Pelvis IM Pads 24. Pneumothorax (bladder) 25. Quick Setup Guide & Important Product Information 26. Headset 27. Arm IO Bone 28. Absorbent Sheet 29. Arm IM Pad 30. Tools 31. External Power Supply 32. Battery Charger Visit www.laerdal.com for accessories overview.
  • Page 7 SimMan 3G PLUS Features & Overviews...

  • Page 8: Features Overview

    Features Overview 1 Airway and Breathing • Configurable Airways (including tongue edema, pharyngeal swelling, laryngospasm) • Head Tilt, jaw thrust and chin lift • Spontaneous Breathing • Chest rise and fall Assessment Capabilities • Automatic Non-Invasive Blood Pressure (NIBP) • Bilateral Carotid, Brachial, Radial, Femoral, Popliteal and Pedal Pulses •...
  • Page 9 External pacing • CPR capable Note SimMan 3G PLUS provides CPR measurement and feedback compliant with AHA 2020 guidelines. LLEAP provides real-time feedback on the quality of depth, release and frequency of CPR. CPR compressions generate palpable pulses, blood pressure wave form, and ECG artefacts.

  • Page 10: Panels Overview

    Panels Overview 1. Power Panel 2. Fluid Fill Panel 3. Air/CO Panel...
  • Page 11 Power Panel Overview 1. Power Status • No Light - Power Off • Green - Power On • Orange - Start-up • Flashing Red - Power Save 2. Battery Status • Red - 0 - 20% • Orange - 20-70% •...
  • Page 12 Fluid Panel Overview Air Out Blood Inlet Fluid Inlet Activate Filling...

  • Page 13: Panel Overview

    Refer to the Important Product Information booklet for information on maximum external air and CO connection limits. For more information on external compressors and regulator panels compatible with SimMan 3G PLUS, contact your local Laerdal representative.
  • Page 14 Articulation Overview The Patient Simulator has a range of limb and joint articulation providing immersive patient handling. Joint Range of Mobility Neck 3-axis movement of the head Shoulder At least: 160° flexion of arm 30° extension of arm 70° abduction of arm 90°...
  • Page 15 Injection Sites Overview Tension pneumothorax with needle decompression can be performed at the bilateral mid clavicle line, second intercostal space. Intraosseous (IO) simulation with needle insertion is possible through the left tibia and humeral in both arms. Intramuscular (IM) injections can be simulated in both deltoid arm areas and upper hip.
  • Page 16 SimMan 3G PLUS Turning On To turn on, press the power button and the power status indicator will turn orange. The Patient Simulator will say “Simulator started”, the eyes will blink and there will be visible chest rise.

  • Page 17: Charging & Battery

    SimMan 3G PLUS Charging & Battery Charging the Patient Simulator Setup Batteries Charging Batteries Externally Viewing Battery Status in LLEAP...
  • Page 18 Refer to the Important Product Information booklet for further information on battery care and specifications. Battery SimMan 3G PLUS is powered by 2 Laerdal Lithium Ion (Li-Ion) batteries. Always use 2 batteries together to power the Simulator and ensure that they are connected properly.

  • Page 19: Setup Batteries

    Setup Batteries - 1/2 Ensure the Patient Simulator is switched off. Unzip the skin at shoulders and torso and place to one side. Note Ensure the LiveShock cable has been disconnected. Move the stomach foam carefully to one side to avoid pulling on connecting tubes and cables.
  • Page 20 Setup Batteries - 2/2 a. Charge battery b. If battery(ies) are damaged, dispose or recycle in accordance with local regulations, and replace with a new battery. Fully charged battery / new battery Insert battery and connect battery to the torso cable as shown.
  • Page 21 Charging Batteries Externally The Patient Simulator battery charger comes with 5 interchangeable international plugs which can be used to externally charge batteries outside of the Patient Simulator. Note The charger should only be used with Laerdal Li-ion batteries.
  • Page 22 SimMan 3G PLUS Pre-Simulation Setup General Pre-Simulation Setup Prepare Trauma Leg (Accessory)
  • Page 23 CO detection device. Refer to the Important Product Information booklet for information on maximum external air and CO connection limits. For more information on external compressors and regulator panels compatible with SimMan 3G PLUS, contact your local Laerdal representative.
  • Page 24 Prepare Simulated Blood & Fluids Preparing Simulated Blood Fill blood fill bottle with approximately 500 ml distilled water. Add approximately 10 drops of Laerdal Blood colored concentrate. Tighten the cap and mix. Preparing Clear Fluids and Secretions Fill fluid fill bottle with approximately 500 ml distilled water.
  • Page 25 Prepare Blood System Blood and Fluid Systems The Patient Simulator has two internal tanks, one for simulated blood and one for fluids. The fluid fill panel is located at the top of the right leg. Filling the Internal Tanks Ensure the Patient Simulator power is on. Roll the right leg skin down to expose the fill panel.
  • Page 26 Prepare Fluid System Blood and Fluid Systems The Patient Simulator has two internal tanks, one for simulated blood and one for fluids. The fluid fill panel is located at the top of the right leg. Filling the Internal Tanks Ensure the Patient Simulator power is on. Roll the right leg skin down to expose the fill panel.
  • Page 27 Prepare Secretions, Sweat and Urine in LLEAP Sweat, tears, cerebrospinal fluid (CSF) and urine functions can be set and adjusted in the LLEAP Fluids tab. Adjusting Urine Function in LLEAP Setting Secretions in LLEAP...
  • Page 28 Prepare Genitalia and Catheterization SimMan 3G PLUS is fitted with neutral genitalia. It can be replaced with the supplied male or female genitalia to simulate catheterization. Remove the Patient Simulator’s genitalia pad by gripping the pad pulling forward and down.
  • Page 29 Prepare Head Skin - 1/3 Remove Head Skin Remove neck skin. Unzip head skin. Lift head skin to expose tubing. Disconnect blue and red tube connectors. Carefully remove microphone cable from inside head skin. Turn head. Disconnect red, blue and green tube connectors. Carefully remove microphone cable from inside the head skin.
  • Page 30 Prepare Head Skin - 2/3 Replace Head Skin 10. Select new head skin. 11. Unzip head skin. 12. Turn head skin inside out. 13. Position head skin over head module. 14. Align eye sockets over eyes, align airway tube with right nostril, and secure into place.
  • Page 31 Prepare Head Skin - 3/3 15. Insert microphone carefully, 16. Connect red, blue and green tube connectors. 17. Turn head to other side and insert microphone. 18. Connect red and blue tube onnectors. 19. Close zipper. 20. Replace neck skin.
  • Page 32 Prepare Teeth Soft upper teeth may be replaced with a hard set for enhanced realism while practicing intubations. Grip soft teeth with two fingers. Remove soft upper teeth. Select new teeth. Align new teeth with the gums and push back until the teeth engage and lock onto the gums.
  • Page 33 Remove wounds kit once cleaning is complete. Clean any tape residue left on the Patient Simulator skin with Laerdal Manikin Wipes. Note When removing wound tubing from the blood ports, cover the Patient Simulator skin with a cloth to prevent staining.
  • Page 34 Trauma Modules (Accessories) Trauma modules can be fitted to the Patient Simulator to simulate bleeding patient cases. After the simulation is complete, leave the trauma modules connected, and clean according to the instructions in Cleaning the Blood System. Notes • The SimMan 3G arm adaptor kit is required to connect the trauma arm modules.
  • Page 35 Prepare Trauma Arms (Accessory) 1/2 Removing Arm Unzip torso skin. Move stomach foam to one side. Lift chest plate to expose arm bolt. Unscrew the left arm bolt. Disconnect all arm cables. Remove arm. Note Do not unscrew the arm bolt fully.
  • Page 36 Prepare Trauma Arms (Accessory) 2/2 Attaching Trauma Arm Select either the SimMan 3G Amputation or Gunshot Arm with Arm Adapter and Adapter Screw. Unscrew the Adapter Screw. Insert arm into shoulder bracket. 10. Tighten arm bolt to secure. 11. Attach tube to desired blood port. 12.
  • Page 37 Prepare Trauma Leg (Accessory) 1/2 Lay the Patient Simulator on a flat surface. Removing Default Left Leg Open Torso Skin (refer to Opening Torso) Move stomach foam to one side Disconnect the cables to the left leg. Pull out the thumb lock pin. Carefully remove the leg.
  • Page 38 Prepare Trauma Leg (Accessory) 2/2 Attaching Trauma Leg Insert the Trauma Leg into the leg socket. Insert the thumb lock pin, ensuring the leg is properly fixed into place. Connect the cables and tube.
  • Page 39 SimMan 3G PLUS Immersive Simulation...
  • Page 40 Urinary Catheter Size 16 Fr IM Needle 21 G (maximum) Mask (for ventilation) Laerdal Adult Mask 4 to 5+ Intraosseous (IO) Access Tibial: BIG Automatic Intraosseous Device, 15 G EZ-IO, 15 G x 1”, 1.8mm x 25mm Jamshidi ® Illinois Bone Marrow Aspiration/Intraosseous Infusion Needle.
  • Page 41 SimMan 3G PLUS Intravenous (IV) Injection...
  • Page 42 Intravenous (IV) Setup IV cannulation can be performed. Note Only use purified water (distilled) to simulate IV drugs. This prevents clogging of the system.
  • Page 43 Attaching a Drain Bag The IV fluid system is an open system. IV fluids are drained as they are administered. Note The smaller drain port is for the IV drain bag and the larger drain port is for the IO drain bag. To Connect Drain Bag Connect an IV overflow tube and reservoir bag to the IV fluid drain port under the Patient Simulator’s arm.
  • Page 44 Prepare IV with Silicone Dressing Base For better adhesion of IV dressings, position the silicone dressing base onto the arm skin. Place dressing. Insert IV cannula. Connect tubes (luer lock) to cannula and drain bag. Secure IV area with tape. Notes •...
  • Page 45 SimMan 3G PLUS Intraosseous (IO) Injection...
  • Page 46 Prepare Intraosseous (Arms IO) IO simulation with needle insertion is possible through the humeral bone. Ensure that the IO bone has not already been pierced or used. To repair and replace the IO bone refer to Maintaining Arm IO Bone. Recommended Device Sizes BIG Automatic Intraosseous Device 15 G EZ-IO, 15 G x 1”...
  • Page 47 Prepare Tibial IO with Blood Attach an IV bag to the Tibial tube. Close off the pinch clamp. Roll down leg skin to access the Tibial IO module. Remove the IO tape. Lift out the module from the leg. Remove the tube from the module. Fill the module with 30-35 ml of simulated blood.
  • Page 48 SimMan 3G PLUS Intramuscular (IM) Injection Intramuscular injections can be simulated in both the arms and upper hip areas as shown. Notes • The Pelvis IM pad absorbs up to 15 ml of fluid. • The Arm IM pads absorbs up to 10 ml of fluid.
  • Page 49 SimMan 3G PLUS Airway Interventions Setting Lung Compliance and Resistance in LLEAP Setting Breathing Status in LLEAP...
  • Page 50 Airway Introduction Artificial Respiration of SimMan 3G PLUS Surgical Airway Artificial respiration of SimMan 3G PLUS can be achieved by It is possible to simulate an emergency airway through the following methods: the cricothyroid membrane in SimMan 3G PLUS. Refer to...
  • Page 51 Airway Intubation Lubricate airway device. Insert lubricated device into the airway. Caution Do not spray lubricant directly into the airway.
  • Page 52 SimMan 3G PLUS Breathing Interventions...
  • Page 53 Pneumothorax Needle Decompression Tension pneumothorax with needle decompression can be performed at the bilateral mid clavicle line, 2nd intercostal space. The bladders can be punctured approximately 10 times before needing to be replaced. Refer to Replacing the Pneumothorax Bladders. Setting Breathing Status in LLEAP...
  • Page 54 Chest Tube Insertion Bilateral chest tube insertion can be simulated at the mid-axillary line in the 4th and 5th intercostal spaces. It is recommended to use chest tubes in the range of 14-28 Fr. Refer to Replacing the Chest Drain Pleura on how to replace the chest drain pleura.
  • Page 55 SimMan 3G PLUS Cardiac Interventions...
  • Page 56 Cardiac Interventions Overview Cardioversion and External Pacing Synchronised cardioversion and External pacing with or SimMan 3G PLUS allows for defibrillation in accordance with without capture 2020 international guidelines for CPR. The LiveShock skin enables connection with a live defibrillator and for the following...
  • Page 57 SimMan 3G PLUS enables bilateral, automatic NIBP monitoring with a clinical monitor. Note Only use the Blood Pressure cuff supplied with SimMan 3G PLUS. Locate correct connector (supplied) to connect BP cuff to Patient Monitor. Attach connector to BP cuff (use a Y-connector if the patient monitor uses a dual tube).
  • Page 58 Monitoring The SimMan 3G PLUS SpO finger contains 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. Ensure that the index finger skin is correctly aligned with the (translucent) window area.

  • Page 59: Cleaning / Maintenance / Storage

    SimMan 3G PLUS Cleaning / Maintenance / Storage Leg Maintenance Chest and Torso Maintenance Blood System Maintenance Fluid System Maintenance Head, Neck and Airway Maintenance Battery Care and Maintenance Arm Maintenance...

  • Page 60: General Care And Cleaning

    Section. (PM) Service. This service will help to maintain the product • Refer to the Maintenance section for further care and in optimal operating condition. Contact your local Laerdal maintenance of specific components. representative for more information. Cautions •...
  • Page 61 Opening Torso Some maintenance tasks can only be carried out by opening the torso skin. Unzip the skin at shoulders and torso. Remove the genitalia pad. Release the skin flap. Move the skin to one side. Move the stomach foam carefully to one side to avoid pulling on connecting tubes and cables.
  • Page 62 Replacing Torso Skin Unzip the skin at shoulders and torso. Remove the genitalia pad. Release the skin flap. Move the skin to one side. Move the stomach foam carefully to one side. Disconnect the torso skin cable from the Patient Simulator. Remove the front torso skin section and replace the stomach foam.
  • Page 63 Replacing the Pneumothorax Bladders Replace the pneumothorax bladders after multiple decompressions. Open the torso skin as described in Opening Torso. Lift the chest plate to expose pneumothorax bladders. Slide the bladder(s) out. Disconnect the tube(s). Discard used bladder(s). Select new bladder. Slide bladder into place.
  • Page 64 Replacing Chest Rise Bladders Replace the chest rise bladders if they leak or are damaged. Open the torso skin as described in Opening Torso. Lift the chest plate to expose the Chest Rise bladders (one on each side). Disconnect the tube(s). Discard used bladder(s).
  • Page 65 Replacing the Chest Drain Pleura Open the torso skin as described in Opening Torso. Remove used chest drain pleura module. Remove and discard pleura skin from module. Replace used pleura skin with a new one. Insert the module into the torso.
  • Page 66 Replacing Lung Bladders - 1/2 Replace the lung bladders if they leak or are damaged. Open the torso skin as described in Opening Torso. Lift the chest and chest rise plates. Unhook the green lung compliance bands on each side of the lung assembly.
  • Page 67 Replacing Lung Bladders - 2/2 Insert new lung bladder into the socket. Ensure that the string is placed in the lung bladder fold. Close hinged lung plate. 10. Secure green compliance bands. 11. Close chest plate.
  • Page 68 Replacing Cricothyroid Tape and Neck Skin After creating an emergency airway through the cricothyroid membrane, replace the perforated tape before starting a new simulation session. Remove neck skin. Remove damaged or perforated tape. Select a new section of cricothyroid tape. Replace with new tape ensuring it completely covers and seals the opening to prevent leakage during ventilation.
  • Page 69 Opening Arm Skin Some arm maintenance tasks can only be carried out by opening the arm skin. Opening Arm Skin a. Unzip arm skin from shoulder to wrist. b. Position the arm to expose underside and detach skin at each plug. c.
  • Page 70 Replacing Arm(s) Unzip the torso skin. Move the torso skin to one side. Lift up the chest plate. Unscrew the arm bolt. Disconnect cables as shown and feed them out of the arm socket. To install a new arm, reverse the process.
  • Page 71 Replacing Arm Skin 1/2 Unzip arm skin. Position the arm to expose underside and detach skin at each plug. Detach skin at inner elbow point. Remove skin from the shoulder area. Remove skin from the hand.
  • Page 72 Replacing Arm Skin 2/2 Select new arm skin. Insert arm into new skin, ensuring that the SpO finger window is positioned correctly over the sensor area. Place arm skin over shoulder area and tubing. Attach skin at elbow point. 10. Attach skin at each plug. 11.
  • Page 73 Maintaining Arm IM Pads & Absorbent Sheets 1/2 The Arm IM Pad can be punctured numerous times before being replaced or dried. It can withstand up to 5 x 2 ml injections before needing replaced with a dry pad. Partially unzip arm skin to wrist. Remove the Arm IM Pad.
  • Page 74 Maintaining Arm IM Pads & Absorbent Sheets 2/2 Discard used sheet. Select new sheet. Insert sheet into place. 10. Replace Arm IO Bone 11. Ensure that base of IO Bone slots into place. 12. Replace Arm IM Pad.
  • Page 75 Replacing the IV Port & Seal 1/2 Change the IV port or seal if they show signs of significant wear and tear. Unzip arm skin from shoulder to wrist. Release IV port from chassis. Rotate to release from tube. Remove IV port completely from arm. Remove used seal from inside IV port.
  • Page 76 Replacing the IV Port & Seal 2/2 Discard used seal. Insert a new seal into IV port. Align and attach IV port to tube. Rotate IV port to secure in place. 10. Click back into chassis. 11. Zip up arm skin.
  • Page 77 Maintaining Arm IO Bone Unzip arm skin from shoulder to wrist. Remove Arm IM Pad. Lift and slide out the used Arm IO Bone. Puncture holes in the used IO bone can be repaired with Loctite 454 or similar superglue OR replace the IO bone completely when it has been significantly punctured.
  • Page 78 Replacing Tibial IO 1/2 Attach the Tibial IO drain bag to the Tibial tube. Close off the pinch clamp. Roll down leg skin to access the Tibial IO module. Remove the IO tape Lift out the Tibial IO unit from the leg. Remove the tube from the Tibial IO module.
  • Page 79 Replacing Tibial IO 2/2 10. Secure the Tibial IO Pad into the chassis and press the base of the pad until the nipple moves forward and locks into place. 11. Connect the Tibial tube to the Tibial IO unit. 12. Insert the Tibial IO module into the leg. 13.
  • Page 80 Once all sessions are complete, flush the Blood System with distilled water, with the wounds connected. This will remove remains of Laerdal blood in the Blood System, and prevent clogging of valves and tubing. The Blood System should be cleaned thoroughly once or twice a month.
  • Page 81 Cleaning the Blood System Empty the Blood System Empty the System of Isopropanol. Ensure a wound is connected to a blood outlet. Refer to 14. Connect an empty fill bottle to the fill panel and repeat The Blood System should be cleaned thoroughly once or twice Prepare Wound Kit.
  • Page 82 Replacing the Blood System Filter Replace the filter if it becomes clogged and reduces blood flow. Ensure the Patient Simulator is turned off. Open Torso as described in Opening Torso and locate blood system filter. Disconnect the filter from the leg and pelvis blood tubes by unscrewing the black connectors at each end.
  • Page 83 Emptying Fluid System After the fluid system has been used, drain the internal fluid tank. The Fluid System should be cleaned thoroughly once or twice a month. Emptying Internal Fluid Tank Connect an empty fluid fill bottle to Fluid Inlet. Fluid from the internal tank will automatically drain into the fill bottle.
  • Page 84 Cleaning the Fluid System Empty the System of Fluids Flush System with Air Ensure that the simulator’s power is ON. 14. Connect an empty fill bottle to the fill panel and repeat The Fluid System should be cleaned thoroughly once or twice Ensure that the simulator’s internal fluid tank is drained.

  • Page 85: Replacing Batteries

    Replacing Batteries 2/2 Ensure the Patient Simulator is switched off. Unzip the skin at shoulders and torso and place to one side. Note Ensure the LiveShock cable has been disconnected. Move the stomach foam carefully to one side to avoid pulling on connecting tubes and cables.
  • Page 86 Replacing Batteries 2/2 a. Charge battery b. If battery(ies) are damaged, dispose or recycle in accordance with local regulations, and replace with a new battery. Fully charged battery / new battery Insert battery and connect battery to the torso cable as shown.

  • Page 87: Transport And Storage

    Transport and Storage 1/2 The Simulation System is supplied with two cases for easy transport and storage; one for the Patient Simulator legs and one for the torso.
  • Page 88 Transport and Storage 2/2 Warnings • The suitcases are heavy. Always ensure that they are firmly secured during transportation and storage so as not to cause Before Storage or Shipping personal injury or damage to the product. • When unpacking the torso, do not use the leg openings as •...

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