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Gaumard S405.100 User Manual

Pediatric iv and arterial access training arm
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S405.100-S406.100
PEDIATRIC IV AND ARTERIAL ACCESS
TRAINING ARM
USER GUIDE
The S405.100-S406.100 pediatric IV & arterial access training arm is an interactive
educational system developed to assist a certified instructor. It is not a substitute for
a comprehensive understanding of the subject matter and not intended for clinical
decision making.
User Guide 20.10.02
©Gaumard Scientific Company, 2020
All Rights Reserved
www.gaumard.com

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Summary of Contents for Gaumard S405.100

  • Page 1 PEDIATRIC IV AND ARTERIAL ACCESS TRAINING ARM USER GUIDE The S405.100-S406.100 pediatric IV & arterial access training arm is an interactive User Guide 20.10.02 educational system developed to assist a certified instructor. It is not a substitute for ©Gaumard Scientific Company, 2020...

  • Page 3: Table Of Contents

    S405.100 & S406.100 | USER GUIDE 1. INTRODUCTION 1.1 SPECIFICATIONS OF S405.100 1.2 SPECIFICATIONS OF S406.100 1.3 CARE AND MAINTENANCE 2. OVERVIEW 2.1 FEATURES OF 5 YEAR PEDIATRIC IV AND ARTERIAL PUNCTURE TRAINING ARM S405.100 2.2 FEATURES OF 1 YEAR PEDIATRIC IV AND ARTERIAL PUNCTURE TRAINING ARM S406.100...
  • Page 4 5.5 REPLACING THE ARM SKIN 5.6 REPLACING THE VEINS 6. TROUBLESHOOTING 6.1 GENERAL TROUBLESHOOTING 7. APPENDIX 7.1 REPLACEMENT PARTS LIST 7.2 GAUMARD SALES TERMS AND CONDITIONS 7.3 END USER LICENSE AGREEMENT 7.4 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 7.5 CONTACT TECHNICAL SUPPORT 7.6 GENERAL INFORMATION...

  • Page 5: Introduction

    Length of arm : 19.5" Length with blue stand: 20.5" The S405.100 Pediatric Patient Injection Training Arm accurately represents a pediatric 5 year old's arm and hand, complete with the Cephalic, Basilic, Antecubital, Radial, Median Cupital, and Ulnar veins. The simulators also feature the Radial artery, Brachial artery, subcutaneous injection site on the the lateral side of the upper arm, an intramuscular injection site in the deltoid area, and a section of the humerus.

  • Page 6: Care And Maintenance

    S405.100 & S406.100 | USER GUIDE 1.3 CARE AND MAINTENANCE General 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 or from your distributor.
  • Page 7 S405.100 & S406.100 | USER GUIDE IV Arm Only use Gaumard’s simulated blood provided in the standard package. Any other simulated blood • containing sugar or any additive may cause blockage and/or interruption of the vasculature in the IV arm.

  • Page 8: Overview

    Articulating wrist allowing palmar flexion • Easily replaceable veins and arteries • Lifelike skin • Latex free • Use as a stand-alone or attached to stand • Option to attach to certain Gaumard pediatric manikins at time of purchase • 8 | Overview...

  • Page 9: Features Of 1 Year Pediatric Iv And Arterial Puncture Training Arm S406.100

    Articulating wrist allowing palmar flexion • Easily replaceable veins and arteries • Lifelike skin • Latex free • Use as a stand-alone or attached to stand • Option to attach to certain Gaumard pediatric manikins at time of purchase • Overview | 9...

  • Page 10: Initial Setup

    • 3.2 PACKAGE CONTENTS NOTE: Pictured above is the S405.100 (5Y Pediatric). The following package contents are the same for the S406.100 (1Y Pediatric) expect they will be of suitable size to represent a 1Y Pediatric. Pediatric Patient Injection Training Arm...

  • Page 11: Identifying Arterial And Venous Tubing

    S405.100 & S406.100 | USER GUIDE 3.3 IDENTIFYING ARTERIAL AND VENOUS TUBING 1. Pump Inlet Tubing 4. Artery Oulet Tubing 2. Venous Drain Tubing 5. Pump Outlet Tubing 3. Vein Inlet Tubing Initial Setup | 11...

  • Page 12: Blood Reservoir Stand Assembly

    S405.100 & S406.100 | USER GUIDE 3.4 BLOOD RESERVOIR STAND ASSEMBLY Gather the blue metal base, blood stand wire frame, and 2 plastic blood stand brackets. NOTE: The 2 plastic blood stand brackets have a hollowed out groove that will snap on to the wire frame.
  • Page 13 S405.100 & S406.100 | USER GUIDE Align the blood stand wire frame to the plastic blood stand brackets. Use moderate force to snap the blood stand wire frame into the hollowed out grooves on the plastic blood stand brackets. NOTE: It is helpful to brace your forefinger on the plastic blood stand brackets and use your thumb to push the blood stand wire frame into place.

  • Page 14: System Connections Quick Guide

    S405.100 & S406.100 | USER GUIDE NOTE: The blood bag will hang from the metal knobs at thetop of the wire frame. 3.5 SYSTEM CONNECTIONS QUICK GUIDE Legend arterial connection venous connection fill/ inlet drain/ outlet waste container NOTE: This diagram is based upon having the orientation of the pediatric arm with the hand closest and pointing towards the user.

  • Page 15: Power Supply For The Control Box

    S405.100 & S406.100 | USER GUIDE 3.6 POWER SUPPLY FOR THE CONTROL BOX Gather the control box and the power supply with power cord. NOTE: Check that the power button is switch to OFF. Connect the power cord to the power supply.

  • Page 16: Working With The Pediatric Arm

    S405.100 & S406.100 | USER GUIDE 4. WORKING WITH THE PEDIATRIC ARM Please note the orientation of pediatric arm, control box, and blood dispensing bag in the following section. If you orient the items differently it is possible to connect the tubing into different ports on the blood dispensing bag.
  • Page 17 S405.100 & S406.100 | USER GUIDE Secure the luer lock connection by twisting clockwise until you hear a click. Connect and secure the black luer lock end of this tube to the black port on the control box. NOTE: Match the color of the connecting tube to the port it is being connected to.
  • Page 18 S405.100 & S406.100 | USER GUIDE NOTE: Push the barb connector past its barb so that the bag does not leak when filled with fluid. To facilitate this put your hand behind the bag to help when you are pushing the connector in.
  • Page 19 S405.100 & S406.100 | USER GUIDE Using the second venous (venous drain) tube, connect and secure the black luer lock outlined in blue to the corresponding port on the pediatric arm. NOTE: Match the color of the connecting tube to the port it is being connected to.
  • Page 20 S405.100 & S406.100 | USER GUIDE Connect and secure the white luer lock to the white port on the control box. NOTE: Match the color of the connecting tube to the port it is being connected to. Connect the barb connector end to a port on the bottom of the blood dispensing bag.

  • Page 21: Preparing Artifical Blood Plus Additive Mix

    USER GUIDE 4.2 PREPARING ARTIFICIAL BLOOD PLUS ADDITIVE MIX WARNING: The Artificial Blood Plus Additive Mix is ONLY for use in the S405.100, S406.100, and S408.100 Gaumard products. Using this Artifical Blood Plus Additive Mix with any other Gaumard product is not recommended and may cause vasculature blockage.

  • Page 22: Filling The Pediatric Arm

    S405.100 & S406.100 | USER GUIDE 4.3 FILLING THE PEDIATRIC ARM Preparing the Blood Dispensing Bag Gather the venous (vein inlet) tube that was set aside, funnel, black rubber stopper, and prepared artificial blood concentrate. NOTE: A plastic water bottle works really well for portioning smaller batches of the blood concentrate.
  • Page 23 S405.100 & S406.100 | USER GUIDE Clamp this tube and place in a waste container. Place the funnel in the top right port of the blood dispensing bag. Pour the prepared artificial blood concentrate into the blood dispensing bag. NOTE: Follow the instructions on the artifical blood concetrate bottle to mix with water.
  • Page 24 S405.100 & S406.100 | USER GUIDE Place the black rubber stopper in the upper right port of the blood dispensing bag. Priming the Pediatric Arm Gather the fill syringe kit and prepared artificial blood concentrate. NOTE: The artifical blood shown here is already mixed with water.
  • Page 25 S405.100 & S406.100 | USER GUIDE Connect and secure the syringe to the white venous port outlined in blue on the pediatric arm. Push the syringe until the venous drain runs with blood and minimal air bubbles. Disconnect the syringe from the venous port outlined in blue on the pediatric arm.
  • Page 26 S405.100 & S406.100 | USER GUIDE Connecting the Venous (vein inlet) tube Unclamp the venous (vein inlet) tube that was previously set aside in the waste collection container. Allow the artifical blood to run from the blood dispensing bag through this tube until the tube is completely filled and there are minimal air bubbles.
  • Page 27 S405.100 & S406.100 | USER GUIDE Unclamp the tube. Turning the system ON Unclamp all tubing that is connected to the system. Having any of the tubing clamped while turning the system ON to fill the system can increase pressure to the vasculature and potentially damage the control box if the pressure build up is too great.

  • Page 28: Device Size Recommendations

    S405.100 & S406.100 | USER GUIDE 4.4 DEVICE SIZE RECOMMENDATIONS S405.100 Procedure Device Size Needle Stick 22 G or smaller Infusion of large amounts of fluid 18-22 G General infusion 22 G Subcutaneous injection 25-27 G Intradermal injection 26 G...

  • Page 29: Possible Iv Training Procedures

    Rotate the Arm to Locate Veins & Arteries Grasp the pediatric arm and rotate to present the ventral side of the arm. NOTE: The ventral side of the S405.100 pediatric arm present the cephalic and basilic venous networks, the median cubital vein, and the radial artery (for arterial blood draw).
  • Page 30 S405.100 & S406.100 | USER GUIDE Simulate Bulging or Collasped Veins & Arteries Remove the black rubber stopper from the upper right port on the blood dispensing bag. Attach the blood bag pessurizing assembly to the blood dispensing bag. Squeeze the bulb of the pressurizing...
  • Page 31 S405.100 & S406.100 | USER GUIDE Locate the Subcutaneous Injection Site The S405.100 pediatric arm has one subcutaneous insert site on the lateral side of the upper arm. NOTE: The subcutaneous site is for placement only. It cannot hold or absorb large amounts of fluid.

  • Page 32: Pulse Palpation

    S405.100 & S406.100 | USER GUIDE 4.6 PULSE PALPATION Radial and brachial pulse palpation is supported. Radial Brachial 4.7 CHANGING PULSE RATE AND PULSE STRENGTH Pulse Rate On the control box, turn the "Pulse Rate" knob clockwise to increase or counter- clockwise to decrease the pulse rate.

  • Page 33: Humeral Io Access And Infusions

    NOTE: Recommended humeral IO needle is 15 mm for both the S405.100 and S406.100. Refer to section "5. Routine Maintenance" on page 38 for instructions on how to replace the humerous bone after an IO procedure.

  • Page 34: Stand Alone Configuration

    S405.100 & S406.100 | USER GUIDE 4.9 STAND ALONE CONFIGURATION Disconnecting the Pediatric Arm Gather the pediatric arm and the allen key hex. Rotate the pediatric arm to see the screw in the upper shoulder. Use the allen key hex to loosen the screw in the upper shoulder.
  • Page 35 S405.100 & S406.100 | USER GUIDE Gently pull apart. NOTE: Do not pull too hard. If you do it may rip out the connections. Disconnect the tubing by pressing the orange part of the quick connector inward like a button and pulling the tube outward.
  • Page 36 S405.100 & S406.100 | USER GUIDE Reconnecting the Pediatric Arm Reconnect the off-white tube from the shoulder to the quick connector in the arm that is attached to a yellow hose. Reconnect by simply pushing the hose into the quick connector.
  • Page 37 S405.100 & S406.100 | USER GUIDE Twist the shoulder and arm halves so that they are secure. Tighten the screw in the shoulder with the allen hex wrench. NOTE:The arm is now ready for stand alone use. Working with the Simulator | 37...

  • Page 38: Routine Maintenance

    S405.100 & S406.100 | USER GUIDE 5. ROUTINE MAINTENANCE 5.1 CLEANING THE SYSTEM It is recommended to clean the vasculature system at the end of the simulation day to prevent clogging of the system. Flushing the Pediatric Arm - Venous Network...
  • Page 39 S405.100 & S406.100 | USER GUIDE Use clean distilled water and fill the syringe. NOTE: Do not mix alcohol into the distilled water. Flush the veins with pure distilled water. Connect and secure the syringe to the white luer lock venous connection outlined in blue on the pediatric arm.
  • Page 40 S405.100 & S406.100 | USER GUIDE Connect and secure the syringe back to the white luer lock venous connection outlined in blue on the pediatric arm. Push the air through the venous network to purge any remaining fluid out through the drain.
  • Page 41 S405.100 & S406.100 | USER GUIDE Flushing the Pediatric Arm - Arterial Network Connect and secure the drain to the black luer lock arterial port outlined in red on the pediatric arm. Fill the syringe with distilled water. NOTE: Do not mix alcohol into the distilled water.
  • Page 42 S405.100 & S406.100 | USER GUIDE Disconnect the syringe from the white luer lock arterial port outlined in red and fill the syringe with air. Reconnect and secure the syringe to the white luer lock arterial port oulined in red on the pediatric arm.
  • Page 43 S405.100 & S406.100 | USER GUIDE Flushing the Blood Dispensing Bag and Control Box Remove the black rubber stopper from the upper right port on the blood dispensing bag. Remove the blood dispensing bag from the wire frame. Empty the remaining contents of the blood dispensing bag through the top right port on the bag into a waste collection container.
  • Page 44 S405.100 & S406.100 | USER GUIDE Unclamp all tubes. NOTE: As you unclamp the tubes the cleaning solution may already run through the tubes by itself. Turn ON the control box to clean the remaining tube. Allow the system to run until the tubing runs clear with distilled water.

  • Page 45: Replacing The Humerus

    S405.100 & S406.100 | USER GUIDE 5.2 REPLACING THE HUMERUS Remove the intramuscular insert at the deltoid area of the pediatric arm. NOTE: Use the pads of your fingers to remove the intramuscular site. Do not dig into the insert with fingernails because it will leave marks and potentially tear the material.
  • Page 46 S405.100 & S406.100 | USER GUIDE Replace with a new, unpunctured humerus by inserting the new humeral bone into the ports that were revealed. Replace the intramuscular insert by sliding the insert into the recess. NOTE: Push the intramuscular insert into its recess until it is completely flush with the deltoid of the pediatric arm.

  • Page 47: Replacing The Intramuscular Injection Insert

    S405.100 & S406.100 | USER GUIDE 5.3 REPLACING THE INTRAMUSCULAR INJECTION INSERT Remove the intramuscular insert at the deltoid area of the pediatric arm. Replace with a new, unpunctured intramuscular insert. 5.4 REPLACING THE SUBCUTANEOUS INJECTION INSERT Carefully roll down the skin on the pediatric arm about a quarter of the way to reveal the upper lateral subcutaneous injection insert.

  • Page 48: Replacing The Arm Skin

    S405.100 & S406.100 | USER GUIDE Lift out the used subcutaneous injection insert and replace it with a new one. Hold the subcutaneous injection insert in place while you roll the skin back into place. 5.5 REPLACING THE ARM SKIN Roll the arm skin down starting at the end closest to the shoulder.
  • Page 49 S405.100 & S406.100 | USER GUIDE Fold the skin over itself and brace the injection arm to slide the arm skin off. NOTE: Due to the friction between the skin and the arm, the skin will slide off slowly. Just have patience and work the skin off the arm.
  • Page 50 S405.100 & S406.100 | USER GUIDE Work the skin of the hand onto the palm of the hand. NOTE: Use the pads of your fingers to pinch and pull the skin into place over the palm of the hand. Be careful to not use your finger nails.

  • Page 51: Replacing The Veins

    S405.100 & S406.100 | USER GUIDE 5.6 REPLACING THE VEINS Remove the arm skin as described in "5.5 Replacing the Arm Skin" on page 48. Remove the veins by pulling upwards and popping it off its white connector. NOTE: Do not pull too hard on the veins. A minimal amount of force is required to get the veins off the white connector.
  • Page 52 S405.100 & S406.100 | USER GUIDE Replace the removed vein with the newly cut vein tubing by sliding the vein back onto the white connector. NOTE: Slide the new vein past the barb on the white connector until it is fully seated.

  • Page 53: Troubleshooting

    S405.100 & S406.100 | USER GUIDE 6. TROUBLESHOOTING 6.1 GENERAL TROUBLESHOOTING Symptom Possible Cause Solution Check that the port on the control box that the power cable plugs into is not damaged. Remove the power cable from the control box and inspect the port.

  • Page 54: Appendix

    S405.100 & S406.100 | USER GUIDE 7. APPENDIX 7.1 REPLACEMENT PARTS LIST S405.100 5Y Pediatric Arm Parts List Part Number Description Type 13081807B S405.100 5YO AIV Arm Skin, Light Consumable 13081808B S405.100 5YO AIV Arm Skin, Medium Consumable 13081809B S405.100 5YO AIV Arm Skin, Dark...
  • Page 55 S405.100 & S406.100 | USER GUIDE S406.100 1Y Pediatric Arm Parts List Part Number Description Type 30081009B Pediatric AIV Arms Blood Bag/Pump Accessories Replacement Part 30081010A Pediatric AIV Arms Vein Filling & Drainage Kit Replacement Part 30080279A Artificial Blood Concentrate Kit...

  • Page 56: Gaumard Sales Terms And Conditions

    A late charge will be due on any unpaid balance at a rate of 1.0% per month or the maximum rate otherwise permitted by law, whichever is lower. Gaumard may charge interest at the maximum rate permitted by law on all amounts not paid by the invoice due date. Gaumard retains a purchase money security interest in all Products sold to Customer to secure payment of the total purchase price thereof.
  • Page 57 However, if the repairs are not covered by this limited warranty, then Customer will be liable for all repair costs in addition to costs of shipping and handling. Upon request, Gaumard must be given access to and an opportunity to inspect the Product and any working areas and storage areas.

  • Page 58: End User License Agreement

    EULA (“End User”) and Gaumard Scientific Company, Inc., a Florida corporation (“Gaumard”), relative to the Gaumard Software (as defined below). This EULA is effective as of the date Gaumard accepts and confirms the Purchase Order (the “Effective Date”). BY USING THE GAUMARD SOFTWARE, END USER IS AGREEING TO BE BOUND BY THE TERMS OF THIS EULA.
  • Page 59 Agreement sHAL®l cause Gaumard irreparable harm and Gaumard may obtain injunctive relief without the requirement to post a bond as well as seek all other remedies available to Gaumard in law and in equity in the event of breach or threatened breach of such provisions.
  • Page 60 Gaumard; (d) any use of Gaumard Software by End User after End User learns of such allegation of infringement; or (e) any failure by End User to utilize a non-infringing version of the Gaumard Software made available by Gaumard along with notice that such update is non-infringing. The obligations set forth in this Section 5.3 are Gaumard’s sole obligations, and End User’s sole and exclusive remedy, for the Gaumard Software infringing third party...

  • Page 61: Exclusive One-Year Limited Warranty

    Extended Warranty In addition to the standard one year of coverage we offer a range of service plans through our Gaumard Cares program. For more information about Gaumard Cares service planes please contact customer service.

  • Page 62: Contact Technical Support

    S405.100 & S406.100 | USER GUIDE 7.5 CONTACT TECHNICAL SUPPORT Before contacting Technical Support, please make sure to have the following: Your simulator's serial number Access to the simulator for possible troubleshooting as needed Technical Support Email: support@gaumard.com USA: 800-882-6655...

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S406.100

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