Gaumard CPR SUSIE S306 User Manual
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Gaumard CPR SUSIE S306 User Manual

Advanced patient care simulator
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S306 - S306.250
CPR SUSIE® ADVANCED
PATIENT CARE SIMULATOR
USER GUIDE
CPR Susie® Advanced Patient Care Simulator 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 22.04.1
©Gaumard Scientific Company, 2022
All Rights Reserved
www.gaumard.com

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  • Page 1 USER GUIDE User Guide 22.04.1 CPR Susie® Advanced Patient Care Simulator is an interactive educational system ©Gaumard Scientific Company, 2022 developed to assist a certified instructor. It is not a substitute for a comprehensive All Rights Reserved understanding of the subject matter and not intended for clinical decision making.

  • Page 3: Table Of Contents

    CPR SUSIE® | User Guide TABLE OF CONTENTS 1. INTRODUCTION 1.1 SPECIFICATIONS 1.2 TERMINOLOGY 1.3 CARE AND MAINTENANCE 2. OVERVIEW 2.1 FEATURES 2.2 OPTIONS 3. INITIAL SETUP 3.1 CARE AND CAUTIONS DURING UNBOXING 3.2 PACKAGE CONTENTS 3.3 LOWER BODY ASSEMBLY 3.4 LEG ASSEMBLY 3.5 POWERING ON 3.6 CONNECTING THE OMNI®...
  • Page 4 CPR SUSIE® | User Guide 4.9 GYNECOLOGIC 4.10 GASTROINTESTINAL 4.11 NURSING PROCEDURES 5. WORKING WITH THE OMNI® CONTROLLER 5.1 OMNI® CONTROLLER FEATURES 5.2 SUBMENUS 6. WORKING WITH THE OMNI®2 TABLET 6.1 OMNI®2 TABLET FEATURES 6.2 TURNING OFF THE SIMULATOR 7. OPTIONS 7.1 INTRAVENOUS (IV) ARM 7.2 BLOOD PRESSURE LEFT ARM WITH OMNI®...
  • Page 5 9.3 OMNI® OR OMNI®2 IS NOT DETECTING ANY COMPRESSIONS OR VENTILATIONS 9.4 OMNI®2 TAKES TOO LONG TO BOOT UP 9.5 CPR IS NOT DETECTED IN OMNI®2 10. APPENDIX 10.1 CONSUMABLE PARTS LIST 10.2 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 10.3 CONTACT GAUMARD 10.4 GENERAL INFORMATION Table of Contents | v...
  • Page 6 This agreement and the license granted herein may otherwise be terminated by Gaumard in the event that you are in breach of any provision of this agreement. In the event of termination, you agree to immediately return this software, accompanying items, and any copies thereof to Gaumard.

  • Page 7: Introduction

    CAUTION: Damage caused by misuse may void the manufacturer’s warranty. Failure to comply with the following guidelines could result in damage to the equipment. General Do not wrap this or any other Gaumard product in newsprint. • Marks made with ballpoint pens, ink or marker cannot be removed.
  • Page 8 CPR SUSIE® | User Guide Cautions Treat the simulator with the same precautions used with a real patient. • Do not attempt to intubate without lubricating the airway adjunct with mineral oil lubricant. Failure to • lubricate the device will make intubation very difficult and is likely to result in damage to the simulator. Mouth to mouth resuscitation without a barrier device is not recommended as it may contaminate the airway.
  • Page 9 Do not press the stomas against soiled surfaces, ink, or newsprint. The stoma material is absorbent. • 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 veins in the IV arm.

  • Page 10: Overview

    CPR SUSIE® | User Guide 2. OVERVIEW 2.1 FEATURES Soft, lifelike face skin and realistic eyes • Articulated neck and jaw with removable upper and lower dentures • BVM with realistic chest rise • Chest compressions and airway ventilations are measured and logged •...

  • Page 11: Initial Setup

    CPR SUSIE® | User Guide 3. INITIAL SETUP 3.1 CARE AND CAUTIONS DURING UNBOXING Remove the simulator from the box with at least two people. Hold and lift • it out of the protective case from both sides of the torso. The simulator comes partially assembled.

  • Page 12: Lower Body Assembly

    CPR SUSIE® | User Guide 3.3 LOWER BODY ASSEMBLY Remove the insert that supports the lower torso. Unscrew one knob at the end of the rod that passes through the midsection by twisting it counterclockwise. Pull the rod out and set it aside. Locate the stomach reservoir inside the upper torso and connect the tube from the stomach reservoir to the white port in the lower torso.
  • Page 13 CPR SUSIE® | User Guide Place the support back into the lower torso. Carefully place the lower torso into the upper torso and align the holes on each side of the waist to insert the waist rod. Replace the waist knob and twist it clockwise to lock it in place.

  • Page 14: Leg Assembly

    CPR SUSIE® | User Guide 3.4 LEG ASSEMBLY To attach the legs, remove the wing nuts, washer, and springs from the bolts on the hips. Remove the IM pad from each leg and slide the leg into the hip joint by inserting the bolt through the orifice in the leg.

  • Page 15: Powering On

    CPR SUSIE® | User Guide Place the IM pad back on the leg. 3.5 POWERING ON Connect the power supply to the power input located on the simulator’s left side, then connect the power supply to the wall outlet. Initial Setup | 15...

  • Page 16: Connecting The Omni® Controller To The S306

    CPR SUSIE® | User Guide 3.6 CONNECTING THE OMNI® CONTROLLER TO THE S306 Connect the controller's communication cable to the port on the side of the simulator. A startup screen is shown while the OMNI® controller detects the simulator's features. After the startup screen, the OMNI®...

  • Page 17: Connecting The Omni® 2 Tablet To The S306.250

    CPR SUSIE® | User Guide 3.7 CONNECTING THE OMNI® 2 TABLET TO THE S306.250 OMNI® 2 OMNI® 2 controls CPR Susie wirelessly with the touch of button. Follow the steps below to connect to OMNI® 2: Turn on OMNI® 2 by pressing and holding the ON button on the right side of the tablet.
  • Page 18 CPR SUSIE® | User Guide Move on to the next steps in the Tutorial by selecting “GOT IT." Exit the Tutorial at any time by selecting “HOME”. NOTE: Completing the tutorial one time will avoid it from appearing at start-up in the future. After the startup screen, OMNI®...

  • Page 19: Working With The Simulator

    CPR SUSIE® | User Guide 4. WORKING WITH THE SIMULATOR 4.1 OPTHALMOLOGIC EXERCISES The eyes open when the simulator is in an upright position and close in a supine position . The eyes permit the following exercises: Administration of orbital medicines •...
  • Page 20 CPR SUSIE® | User Guide Tracheostomy Care The simulator has a tracheostomy opening allowing the trachea to be pierced during a simulation with a real device to observe chest rise. Replacing the Trachea Skin Gently lift the chest skin of the simulator to reveal the chest cavity.
  • Page 21 CPR SUSIE® | User Guide Lay the chest skin over the torso and gently press down the Velcro to secure it in place. NOTE: Air leaks in the airway will result in poor chest rise during ventilation and false intubation readings. Calibrating Ventilations with OMNI®...
  • Page 22 CPR SUSIE® | User Guide Perform a ventilation. Follow the cues on the screen to perform the remaining four ventilations. When the calibration is complete, OMNI® will display DONE. Press SAVE to complete the calibration procedure. 22 | Working with the Simulator...
  • Page 23 CPR SUSIE® | User Guide Ventilations Ventilate using a BVM and obtain • realistic, dual chest rise. Use a fitted mask to limit air leakage • and to provide a visible chest rise. Ear, Nose, and Throat Left ear: the interior of the ear contains •...

  • Page 24: Internal Reservoir Capacity

    CPR SUSIE® | User Guide 4.4 INTERNAL RESERVOIR CAPACITY Reservoir Capacity Stomach 750 mL Bladder 1800 mL Rectum (Colostomy) 800 mL Stomas 650 mL 4.5 CHEST COMPRESSION CALIBRATION WITH OMNI® Press CALIB. and Select C CAL. Press START to begin the calibration procedure. When OMNI®...
  • Page 25 CPR SUSIE® | User Guide Perform a correct compression. Follow the cues on the screen to perform the remaining four compressions. When the calibration is complete, OMNI® will display DONE. Press SAVE to complete the calibration procedure. NOTE: The simulator is pre-calibrated to the current CPR guidelines at time of manufacture.
  • Page 26 CPR SUSIE® | User Guide 4.6 CHEST COMPRESSION CALIBRATION WITH OMNI® 2 Make sure your simulator is connected to OMNI 2 by following the steps in Section 3.7 “Connecting OMNI 2”. Tap the Menu icon in the upper right corner of the screen and select “Calibration.”...
  • Page 27 CPR SUSIE® | User Guide After 5 compressions are completed, tap on "Save." CPR with OMNI® and OMNI® 2 Chest compressions and ventilations are • measured and logged, showing the facilitator exactly how providers are performing. Mouth to mouth resuscitation without •...

  • Page 28: Connecting The Pulse Line

    CPR SUSIE® | User Guide 4.7 CONNECTING THE PULSE LINE Connect the pulse line by unscrewing the red cap. Twist the pulse line tube with the squeeze bulb attachment onto the pulse line attachment. Pulses The simulator produces bilateral • carotid pulses manually.

  • Page 29: Catheterization

    CPR SUSIE® | User Guide 4.8 CATHETERIZATION Filling the Bladder Insert the funnel or the fill kit syringe into the suprapubic ostomy. Fill the bladder reservoir with up to 1800 mL of fluid. Increasing Urinary Flow Remove the stoma from the suprapubic ostomy site and attach the rubber plug to seal the bladder reservoir.
  • Page 30 CPR SUSIE® | User Guide Simulating Continuous Urinary Output Fill the dispensing bag with fluid and place it on the stand. Remove the stoma from the suprapubic opening. Connect the outflow tube from the auxiliary bag into the suprapubic opening through the red connector.
  • Page 31 CPR SUSIE® | User Guide Use an 18 Fr catheter as smaller • catheters may cause leakage. Lubricate the catheter with the mineral • oil provided before insertion. Male Catheterization To attach the male genitalia, remove the red adapter connected to the urethra passage and set it aside.
  • Page 32 CPR SUSIE® | User Guide Draining the Bladder Reservoir Catheterize the simulator and squeeze the squeeze bulb on the right side to push the fluid out. Intramuscular (IM) Injection Site IM injection sites are for placement practice only. Do not inject fluids into the IM sites when simulating intramuscular and subcutaneous injections.

  • Page 33: Gynecologic

    CPR SUSIE® | User Guide The IM site is a consumable item. To replace the injection pads, lift the IM injection pad and insert the new one by gently pressing it down. 4.9 GYNECOLOGIC Breast Exam The simulator is provided with two breast inserts attached and additional interchangeable male breast inserts.

  • Page 34: Gastrointestinal

    CPR SUSIE® | User Guide 4.10 GASTROINTESTINAL Gastric Feeding and Suctioning To fill the stomach reservoir for gastric feeding and suctioning, attach the funnel to the gastronomy port located at the waist and fill the reservoir with up to 750 mL of fluid. NOTE: Use an 8 Fr catheter for nasogastric tube feeding and gastric suctioning.
  • Page 35 CPR SUSIE® | User Guide Stomas To fill the ileostomy reservoir, remove • the stoma and inject up to 650 mL of fluid into the stoma port. To fill the transverse colostomy reservoir, • remove the stoma and inject up to 800mL of fluid into the stoma port.

  • Page 36: Nursing Procedures

    CPR SUSIE® | User Guide 4.11 NURSING PROCEDURES Hygiene The simulator has a wig that allows for combing, shampooing and head draping exercises. Denture Care The simulator is supplied with • average size teeth and tongue. The upper and lower dentures are removable •...
  • Page 37 CPR SUSIE® | User Guide Decubitus Ulcers Two types of decubitus ulcers are provided with the simulator: Initial stage of ulceration Suppuration or pus/deeply infected stage Amputation Stump The simulator is provided with an amputation stump for wound treatment and care. To attach the amputation stump, remove the lower leg by unscrewing the bolts at the knee joint using the hexagonal wrenches provided.

  • Page 38: Working With The Omni® Controller

    CPR SUSIE® | User Guide 5. WORKING WITH THE OMNI® CONTROLLER 5.1 OMNI® CONTROLLER FEATURES OMNI® Code Blue is a CPR training tool designed to help teach CPR by monitoring cadence and depth of compressions as well as airway ventilations in real time. eCPR eCPR is an application that enables monitoring and logging of compressions •...

  • Page 39: Submenus

    CPR SUSIE® | User Guide Navigation Menus Edit the simulator settings using • the navigation menus. Select a menu item by pressing the soft • key buttons located on the right side of the controller. Each menu has additional submenus or toggle selections. Use the submenus to decrease, •...
  • Page 40 CPR SUSIE® | User Guide CMP RATE This submenu is for adjusting the number of • compression and ventilations per minute. The default value for the compression • rate is 100 compressions per minute. Adjust rate using the + and - buttons. Press OK to save changes and •...
  • Page 41 CPR SUSIE® | User Guide RESET PRESSURE SENSOR It is recommended that the OMNI® controller’s • pressure sensor is reset at altitudes greater than 1000 ft. to avoid inaccurate compression and ventilation readings. Perform the sensor reset procedure as • part of the initial calibration process.
  • Page 42 CPR SUSIE® | User Guide HELP The help window provides access to global settings such as back light time and OMNI® and Simulator serial number. BACK LIGHT The default value for OMNI®'s back • light timer is 10 minutes. After 10 minutes the back light will turn off.

  • Page 43: Working With The Omni®2 Tablet

    CPR SUSIE® | User Guide 6. WORKING WITH THE OMNI®2 TABLET 6.1 OMNI®2 TABLET FEATURES Operate OMNI 2 with a wireless • range of up to 30 ft. The home screen consists of the Favorites page, • Vitals page, CPR page, and Blood Pressure page. Reference the OMNI 2 user guide provided •...
  • Page 44 CPR SUSIE® | User Guide VITALS PAGE The Vitals Page includes Breathing, Cardiac, and Circulation. Each change in vitals can be applied instantly or added to a queue. CPR PAGE The CPR page includes feedback for compression • rate and depth, and ventilation duration and PIP. Use the metronome on this page •...
  • Page 45 CPR SUSIE® | User Guide View event log and filter based on the event. • Add notes during debriefing • and save or print the log. eCPR To begin and end a CPR session, tap on the • CPR icon and the START/STOP button. To reset a CPR session, tap the Reset icon.

  • Page 46: Turning Off The Simulator

    CPR SUSIE® | User Guide 6.2 TURNING OFF THE SIMULATOR Disconnect the power supply from the simulator and hold the power button on the tablet. Select “Power Off” Tap on “OK” to shut down the tablet. 46 | Working with OMNI 2...

  • Page 47: Options

    CPR SUSIE® | User Guide 7. OPTIONS 7.1 INTRAVENOUS (IV) ARM The optional IV right arm can be used • for infusion, blood collection, intravenous injection, intramuscular injection, TB screening, and subcutaneous injection exercises. The arm and hand contain venous grooves, fitted •...
  • Page 48 CAUTION: Use only Gaumard’s simulated blood provided with your simulator. Any other simulated blood brand containing sugar or any additive may cause blockage and/or interruption of the vasculature. 48 | Options...
  • Page 49 CPR SUSIE® | User Guide Open the clamp to allow fluid to flow through the system and into the drainage container. Close the drainage tube's clamp when there are no more air bubbles in the tube. Place the black rubber stopper on the upper port of the blood dispensing bag.
  • Page 50 CPR SUSIE® | User Guide Venous Pressure To vary the blood pressure in the vasculature of • the arm, attach the squeeze bulb to the blood dispensing bag and clamp the drainage tube. Squeeze the bulb to inflate the bag and •...
  • Page 51 CPR SUSIE® | User Guide Draining the Venous System Unclamp the drainage tube. Replace the black rubber stopper with the squeeze bulb. Squeeze the bulb to push the remaining fluid out of the venous system. Remove the squeeze bulb. Using the funnel, fill the dispensing bag with a 70:30 mix of water to Isopropyl alcohol in order to flush the fluid system.
  • Page 52 CPR SUSIE® | User Guide Replace the funnel with the squeeze bulb and squeeze the remaining fluid out through the drainage tube. Once the venous system is purged, push air through the system using the squeeze bulb. If it is unnecessary to flush the dispensing bag, the syringe and tube from the IV filling kit may be attached to the arm.

  • Page 53: Blood Pressure Left Arm With Omni® Code Blue Pack For The S306 Only

    CPR SUSIE® | User Guide 7.2 BLOOD PRESSURE LEFT ARM WITH OMNI® CODE BLUE PACK FOR THE S306 ONLY The Blood Pressure Training System consists of an adult size left arm. This is a versatile training tool developed to assist health professionals teach the process and skills required to perform blood pressure auscultation procedures and techniques.
  • Page 54 CPR SUSIE® | User Guide Connect the BP cuff extension to the adapter labeled BP on the control panel. Connect the speakers to the port on the shoulder. BP Cuff Calibration Follow steps 1 and 2 in section 7.1 "BP Arm Setup." Select the CALIB menu from the main screen and press NEXT to begin the calibration procedure.
  • Page 55 CPR SUSIE® | User Guide OMNI® will display a prompt to set the BP cuff to0mmHg then press NEXT. Do not inflate the cuff until prompted. OMNI® will prompt you to set the BP cuff to 20 mmHg. Increase the BP cuff pressure when the display prompts you to inflate the cuff one value at a time.
  • Page 56 CPR SUSIE® | User Guide FEEDBACK GRAPHICS MENU The feedback graphic displays the BP cuff pressure in real time at the bottom of the screen. NAVIGATION SUBMENUS Edit BP settings using the navigation menus. • Select a menu item by pressing the soft key buttons located on the right side of the controller.
  • Page 57 CPR SUSIE® | User Guide AU. Gap Enable and set an interval of pressure where Korotkoff sounds dissipate. The auscultatory gap is disabled by default. Pressing the Enable button activates the UPPER and LOWER menus. Use these menus to set the limits of the auscultatory gap. Adjust the limits of the auscultatory gap using the + And - buttons.

  • Page 58: Blood Pressure Left Arm With Omni®2 Tablet For The S306.250 Only

    CPR SUSIE® | User Guide 7.3 BLOOD PRESSURE LEFT ARM WITH OMNI®2 TABLET FOR THE S306.250 ONLY BP Cuff Calibration Follow the instructions in Section 7.2 "BP Arm Setup" and connect the OMNI® 2 tablet. Tap the Menu icon, then select “Calibration” The Calibration screen will appear.
  • Page 59 CPR SUSIE® | User Guide Tap on START to begin Calibrating. Set the BP cuff pressure to the values on the screen starting with 0 mmHg. Increase the BP cuff pressure when the display prompts you to inflate the cuff one value at a time.
  • Page 60 CPR SUSIE® | User Guide Adjusting the Blood Pressure To adjust the BP, tap the “Vitals” page. Tap “Blood Pressure” and use the top slide bar or the + or – sign to increase or decrease the systolic value. Use the bottom slide bar to increase or decrease the diastolic value.
  • Page 61 CPR SUSIE® | User Guide Auscultatory Gap To turn on auscultatory gap, tap on the “Vitals” page then select “Auscultatory Gap” and slide the ON/OFF button to ON. To increase or decrease the High Gap and Low Gap, slide the top and bottom bars left or right, or tap the + or –...

  • Page 62: Geriatric Face Skin

    CPR SUSIE® | User Guide 7.4 GERIATRIC FACE SKIN The geriatric face skin accessory is designed to expand the breadth of the learners’ experiences and aid educators in teaching patient-centric assessment and care skills. Easily and quickly convert SUSIE’s face and hair to that of an elderly patient for geriatric scenario-based simulations and skill training exercises.
  • Page 63 CPR SUSIE® | User Guide 4. Fit the Geriatric Face Skin to the whole head of the simulator and smooth the skin towards the back of the head so the zipper can be aligned. 5. Zip the back of the Face Skin. 6.

  • Page 64: Routine Maintenance

    CPR SUSIE® | User Guide 8. ROUTINE MAINTENANCE 8.1 REPLACING THE ARM SKIN FOR THE OPTIONAL IV ARM Starting at the top of the arm, gently slide the skin off. To place the new arm skin, gently slide it over the hand and up the arm. If needed, use more lubricant to ease the skin into place.

  • Page 65: Checking For Vein Blockage

    NOTE: Arm reveining is recommended to be done by a technician at Gaumard headquarters. If the veins needs to be replaced, please return it to Gaumard headquarters by opening a ticket through the Technical Support Department. Routine Maintenance | 65...

  • Page 66: Flushing The Fluid Reservoirs

    CPR SUSIE® | User Guide 8.3 FLUSHING THE FLUID RESERVOIRS It is good practice to flush the fluid reservoirs periodically to prevent mold from forming. To reach the reservoirs, loosen the waist knobs and remove the waist rod. Remove the support insert and set it aside. Remove the waist tube and set it aside.
  • Page 67 CPR SUSIE® | User Guide Remove the foam insert from the lower abdomen. To remove the stomach, ileostomy, bladder, and colostomy reservoirs, see the following sections. NOTE: After flushing the reservoirs, replace the foam insert, connect the waist tube, and reattach the upper and lower torso as directed in section 3.3 Lower Body Assembly.
  • Page 68 CPR SUSIE® | User Guide Ileostomy Reservoir Gently disconnect the ileostomy port and the ileostomy site clips to release the bag. Inject a 30:70 mix of isopropyl alcohol to water and squeeze the bag over a container or sink. Insert the clips to the ports to reattach the bag. Bladder Reservoir Gently disconnect the bladder port and the suprapubic Cystostomy...
  • Page 69 CPR SUSIE® | User Guide Colostomy Reservoir Gently disconnect the rectal port and the transverse colostomy site clips to release the bag. Inject a 70:30 mix of water to isopropyl alcohol and squeeze the bag over a container or sink. Insert the clips to the ports to reattach the bag.

  • Page 70: Troubleshooting

    CPR SUSIE® | User Guide 9. TROUBLESHOOTING 9.1 OMNI® IS NOT TURNING ON Probable Cause Solution Power supply may not be Make sure the power supply cable is connected connected to the simulator Communication cable is not Connect the communication cable to the simulator connected to OMNI®...

  • Page 71: Omni® Or Omni®2 Is Not Detecting Any Compressions Or Ventilations

    CPR SUSIE® | User Guide 9.3 OMNI® OR OMNI®2 IS NOT DETECTING ANY COMPRESSIONS OR VENTILATIONS Probable Cause Solution Calibrate compressions and ventilations using the System is not calibrated calibration menu (CALIB). The CALIB menu is found on the main screen or in the MORE menu. 9.4 OMNI®2 TAKES TOO LONG TO BOOT UP Probable Cause Solution...

  • Page 72: Appendix

    CPR SUSIE® | User Guide 10. APPENDIX 10.1 CONSUMABLE PARTS LIST Product Item Number Arm Injection Sites S306.857.1/S306.250.857.1 Decubitus Ulcers S306.764/ S306.250.764 Artificial Blood Concentrate S306.812/ S306.250.812 Trachea Tape S306.735/ S306.250.735 IM Injection Site S306.857/ S306.250.857 Lubricant S306.974/ S306.250.974 72 | Appendix...

  • Page 73: Exclusive One-Year Limited Warranty

    Gaumard and for sending the product back to the first purchaser. However, if the repairs are not covered by this limited warranty, then the first purchaser will be liable for all repair costs in addition to costs of shipping and handling.

  • Page 74: Contact Gaumard

    CPR SUSIE® | User Guide 10.3 CONTACT GAUMARD Before contacting technical support, please make sure to have your simulator and user guide readily available. Email: support@gaumard.com USA: 800-882-6655 INT: 01-305-971-3790 10.4 GENERAL INFORMATION E-mail: sales@gaumard.com USA: 800-882-6655 INT: 01-305-971-3790 Fax: 305-252-0755...
  • Page 75 Gaumard®, ZOE®, Michelle®, Mike®, PEDI®, Susie Simon®, Susie®, Simon® Code Blue®, SIMA Models®, SIMA GYN/AID®, Virtual Instruments®, Codemaker®, Code Blue®, NOELLE®, Simulation Made Easy™, HAL®, eCPR™, Zack™, RITA™, Chloe™, Seatbelt Susie™, Krash Kids™, Premie™, UNI™, Omni®, Omni® 2, SmartSkin™ are trademarks of Gaumard Scientific Company.

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