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CAE Luna User Manual

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  • Page 1 User Guide Your worldwide training partner of choice...
  • Page 2 This document, including the information contained herein, is confidential and/or proprietary to CAE Inc., and shall not be reproduced or disclosed in whole or in part, or used for any purpose whatsoever without the prior written authorization of CAE Inc.

  • Page 3: Table Of Contents

    Electrotherapy ............. . .10 Meet Luna ........................11 Simulator Configurations .
  • Page 4 Step 1: Place Luna in Work Area ........
  • Page 5 Storage..............65 ©2022 CAE 905K560252 v1.2...
  • Page 6 Step 4: Power off the Manikin..........70 Appendix A -Recommended Clinical Supplies ............71 ©2022 CAE 905K560252 v1.2...

  • Page 7: Cautions And Warnings

    • Keep the manikin plugged in between training sessions due to a slow drain of the battery that occurs. ©2022 CAE 905K560252 v1.2...

  • Page 8: Fluids System

    • Do not use the manikin or equipment in locations where children are likely to be present. Fluids System For manikins such as Luna that are equipped with fluid systems: • Do not modify the reservoirs or any assembly component.

  • Page 9: Battery Replacement

    • Do not immerse in water. • Do not disassemble or deform the battery. • Do not expose to, or dispose of the battery in fire. • Avoid excessive physical shock or vibration. • Keep out of the reach of children. ©2022 CAE 905K560252 v1.2...

  • Page 10: Potential Health Effects

    Safety Measures Review the precautions for handling before replacing a battery utilizing guidance from CAE. Should exposure to hazardous battery components occur, or in the event of a fire, follow all local first aid measures and safety protocols.
  • Page 11 Shipping regulations and requirements may vary depending upon: • Wattage of the battery. • Whether the battery is shipped independent of, contained within, or packed with the equipment. When transporting batteries CAE follows these documentation and labeling requirements: Item Description Batteries Shipped Independent of...
  • Page 12 CAELuna Cautions and Warnings THIS PAGE INTENTIONALLY LEFT BLANK ©2022 CAE 905K560252 v1.2...

  • Page 13: System Requirements

    These requirements also apply to devices running Maestro Standalone. CAEMaestro Software The following identifies the software version associated with the release of this user guide. Document Document Version Software Version Maestro for Luna 905K560452 v1.2 CAE Maestro v1.8 Luna User Guide 905K600252 v1.1 CAE Maestro v1.8 Note: There are periodic system updates for Maestro that can be downloaded from any device with an Internet connection.

  • Page 14: Approved Devices

    Note: Upon installation, the software takes up 1.2 GB of hard drive space. For standalone versions of Maestro, the software can store approximately 30.8 GB of patient record files. If this storage capacity is expected to be maximized, plan for additional hard drive space. ©2022 CAE 905K560252 v1.2...

  • Page 15: Specifications

    15,000 ft (4,572 m) 35,000 ft (10,668 m) Battery Item Description Commercial product name RRC1130 Use of the substance/ Lithium-ion (Li-ion) battery preparation Additional Information Battery-System: Lithium-ion Wh rating: 14.7 Wh SymDefib Battery Li-ion 3.7V 2200mAh ©2022 CAE 905K560252 v1.2...

  • Page 16: Power

    • Run Time: 17 hours (with Pads not on manikin), 2-3 hours (with Pads on manikin) Communications Item Description Simulator Network • IEEE 802.15.4 Electrotherapy Item Description Defibrillation • 20 to 200 Joules (Monophasic, Biphasic) Pacing • 20 mA to 180 mA ©2022 CAE 905K560252 v1.2...

  • Page 17: Meet Luna

    Meet Luna Luna is the youngest member of CAE Healthcare’s family of patient simulators. This neonate simulator allows learners to practice interventions, procedures and treatments at different stages of development through simulated clinical scenarios. The live and advanced configurations of the...

  • Page 18: Simulator Configurations

    Live • Base features • Instructor tablet • Internal battery • Wireless facilitator control • Facilitator controlled CAE Maestro software • Emulated patient monitor software • Sounds: heart, lung, bowel, vocal • Bilateral brachial pulses • Variable pulse strength • Library of cardiac rhythms •...
  • Page 19 • Simulated defibrillator (SymDefib) • Pneumothorax decompression detection • Substernal retractions • Pulses: bilateral femoral and umbilical • Circumoral cyanosis • Active arm movement Optional Components • Physiological model • Commercial defibrillator compatible • External lung ©2022 CAE 905K560252 v1.2...
  • Page 20 CAELuna THIS PAGE INTENTIONALLY LEFT BLANK ©2022 CAE 905K560252 v1.2...

  • Page 21: Equipment Overview

    Closed Eye Patches Umbilical Cord Full Body Neonate Manikin The Luna tetherless, wireless infant manikin is designed to anatomically represent a one-minute-old neonate to one-month-old newborn. Depending on your purchased configuration, the manikin may contain advanced features and capabilities. Full Body Manikin...

  • Page 22: Male And Female Genitalia

    CAELuna Equipment Overview Welcome Documents Each purchase of CAE Luna simulator comes with a welcome letter, birth certificate and the CAE Luna Getting Started Guide. Accessory Storage Box Small accessories for the Luna simulator will be organized and stored in a convenient plastic compartment box.

  • Page 23: Live And Advanced Configurations

    Equipment Overview Closed Eye Patches The Luna simulator comes with eye patches to simulate closed eyes on the manikin. For more information on how to simulate closed eyes, see Eyes section of this guide. Closed Eye Patches Umbilical Cord An umbilical cord is provided with the Luna manikin. Consumable parts such as the umbilical cord can be reordered by contacting your CAE Sales Representative.

  • Page 24: Canvas Rolling Bag

    CAELuna Equipment Overview Canvas Rolling Bag This durable travel bag is CAE branded and custom-fitted for optimal protection of Luna and the standard accessories. Canvas Rolling Bag Surface Go Tablet The Surface Go provides the capabilities of a laptop in an ultra-portable tablet. This mobile workstation features a Windows 10 operating system, a 10 in (25.4 cm) touchscreen, and up to 9...

  • Page 25: Tablet Carrying Case

    Note: Stethoscope not included with StethoSym assembly. CAE StethoSym™ CAE SymDefib The CAE SymDefib™ box connects with a real defibrillator monitor. This allows for use of real electrical therapy for defibrillation, cardioversion, and pacing. CAE SymDefib™ ©2022 CAE 905K560252 v1.2...

  • Page 26: Optional Equipment

    Optional Equipment To enhance the simulation experience, the Live and Advanced Complete configurations offer optional and additional equipment available for purchase. Patient Monitor An all-in-one computer with touchscreen is used to display the patient monitor software. ©2022 CAE 905K560252 v1.2...

  • Page 27: Setup Preparation

    Use the diagram provided in the Unpacking Your CAE Manikin to identify the designated cords associated with this equipment. • Do not use an USB-C adapter other than the USB-C adapter provided by CAE in your shipment. Using other adapters will damage your product.

  • Page 28: Setup Steps

    The work area should contain enough room for all equipment, easy access to the simulator and access to a power source. CAE recommends a work area of at least a 6 foot x 6 foot (approximately 1.8 meters by 1.8 meters) for movement of learners and positioning of components around the simulator.
  • Page 29 Setup To configure the wired connection: a. Locate the manikin power cord in the Luna storage container and connect the power cord to the port located on the side of the manikin’s torso. Luna’s Power Port b. Plug the other end of the power cord into a grounded power source.

  • Page 30: Step 3: Power On The Manikin

    To set up the manikin’s wireless network: a. Insert the USB-C adapter into the USB-C port on the side of the tablet. CAUTION: ONLY USE the USB-C adapter provided by CAE. Using other adapters will damage your product. USB-C Port Adapter in Tablet...

  • Page 31: Step 5: Power On The Instructor Workstation

    Step 5: Power on the Instructor Workstation To power on the instructor tablet, press and hold the Power button located on top of the Surface Go tablet until the screen illuminates. Power Button on Tablet ©2022 CAE 905K560252 v1.2...

  • Page 32: Step 6: Launch Maestro

    The Maestro App Icon The Maestro app opens. For more information about using Maestro, see the Maestro for Luna User Guide. Step 7: Set up TouchPro Monitor (Optional) To set up the TouchPro monitor, see the TouchPro Getting Started Guide provided with the TouchPro monitor.

  • Page 33: Step 9: Prime The Fluid Systems (Optional)

    IV bag and then open the clamp on the IV tubing. Fill bag Luer lock with stop cock Syringe Manikin with IV System Connected d. Connect the empty 30 ml syringe to the remaining port on the stopcock. ©2022 CAE 905K560252 v1.2...
  • Page 34 Inject 10 ml of colored distilled water in the bladder. g. Remove the syringe and urinary catheter from the genitalia. To prime the umbilical fluids: a. Remove the belly button and inject 2-5 ml red-colored distilled water into the umbilical reservoir. ©2022 CAE 905K560252 v1.2...
  • Page 35 Align the umbilical cord with the umbilical opening and firmly press into manikin until secure. Umbilical Cord Attached c. Spray lubricant on the umbilical catheter. Insert catheter into one of the three vessels. Umbilical Catheter Insertion ©2022 CAE 905K560252 v1.2...
  • Page 36 IV fluids and medications can be administered via the umbilical catheter directly into the reservoir. Total volume of the reservoir is 15 ml. Note: There is not a one-way valve within the reservoir, so fluid can come back up through the cord if the manikin is turned over. ©2022 CAE 905K560252 v1.2...

  • Page 37: Luna Features

    Neonatal Manikin The Luna manikin displays the physical characteristics of a newborn to one-month-old patient. The simulator comes with interchangeable male and female genitalia. Fully operational in the supine position, the manikin can be placed on standard operating room tables, in ICU warmers or isolettes, newborn bassinets, on the ground or even in a vehicle (in the case of a simulated accident).
  • Page 38 Electrical Therapy: Conventional defibrillators can be applied to the simulator using the SymDefib assembly. With this device, the delivered energy is quantified in real-time to trigger the appropriate patient response. The ECG can be monitored via the defibrillator contacts. ©2022 CAE 905K560252 v1.2...

  • Page 39: Respiratory System

    A chest tube can be inserted into the mid-axillary line of the fifth intercostal space on the right side of the manikin for practicing care and maintenance of a chest tube. ©2022 CAE 905K560252 v1.2...

  • Page 40: Neurologic System

    Respiratory System features of the simulator. Neurologic System Luna is equipped with a number of features specifically targeted to support training for neurological care. The infant fontanel and pupil dilation stages can be used to simulate neurological conditions.

  • Page 41: Articulation

    LunaLucina also has cervical motion for the practice of patient stabilization. Medication Administration The Luna manikin features Medication Administration capabilities for practicing care skills. Medication Administration Bilateral anterolateral thigh intramuscular and subcutaneous injection sites...

  • Page 42: Simulated Clinical Experiences

    Each SCE is comprised of a patient and the scenario. Luna includes five preconfigured SCEs, or clinical simulations, that cover a range of events and crises • Infant cardiopulmonary failure •...

  • Page 43: Scenarios

    Instructors may also modify events within a given scenario in real-time to increase or decrease event severity and shorten or prolong the duration of an event at any time during a simulation exercise. For instructions on modifying scenarios and creating new scenarios, refer to the Maestro for Luna User Guide.
  • Page 44 CAELuna Luna Features THIS PAGE INTENTIONALLY LEFT BLANK ©2022 CAE 905K560252 v1.2...

  • Page 45: Using Luna

    Using Luna SING Once the simulator is assembled, the Luna manikin is ready for learners to practice and master new competencies, interventions, and skills during clinical scenarios. To create a fully immersive simulation experience with advanced intervention capabilities and realtime data feedback, the Live and Advanced configurations of the Luna simulator utilize instructor- led software with scenario programming capabilities.

  • Page 46: Cardiovascular System

    CAELuna Using Luna Cardiovascular System The Luna manikin includes cardiovascular features that allow learners to practice basic assessment and life support skill sets. With the Luna manikin, learners can: • Palpate pulses • Place IV lines and catheters • Administer IM and SQ injections •...

  • Page 47: Pulses

    Pulses The Luna Live configuration manikin has two brachial pulse locations. The Luna Advanced configuration manikin includes two brachial pulses, two femoral pulses and an umbilical pulse location. For more information, see the Maestro for Luna User Guide. Peripheral Intravenous (IV) Sites Luna has three predetermined IV ports: left temporal vein, left antecubital and left foot.

  • Page 48: Central Intravenous (Iv) Sites

    Subclavian Catheter Site Arterial Sites Luna has available two arterial sites: Left radial artery port and umbilical cord for cannulization of the umbilical arteries. Umbilical Cannulization ©2022 CAE 905K560252 v1.2...

  • Page 49: Intramuscular (Im)/Subcutaneous (Sq) Sites

    The intraosseous site is located on the anterior tibia of the right leg. The Intraosseous Site After multiple injections into the site, the plug should be removed and replaced. For more information on replacing the plug, see Care and Maintenance on page 65. ©2022 CAE 905K560252 v1.2...

  • Page 50: Heart Rate

    SCE History. On Luna, a 3-lead ECG signal is emitted from the appropriate positions for display on a standard monitor. The ECG posts are included in the accessories with the manikin shipment and do not come installed on the manikin.

  • Page 51: Defibrillation

    USB-C adapter and wireless dongle). Removing ECG Posts If the manikin does not require connection to a 34-lead ECG, the ECG posts on the Luna manikin can be removed. WARNING: Do not attempt to remove the ECG posts with any tools except the CAE-provided ECG post removal tool.
  • Page 52 Thus, cardioversion is not automatically determined by the physiological models. Luna is compatible with a wide variety of commercial defibrillators. SymDefib supports connections to Physio-Control, Zoll and Philips. CAUTION: DO NOT allow defibrillator pads to come in contact with ECG nodes. Defibrillating an ECG will damage circuitry within the manikin.
  • Page 53 The SymDefib box measures and reports the energy delivered via the Maestro software. When demonstrating proper pad placement, learners should attach the SymDefib pads in the appropriate locations on the manikin: one pad on dorsal connection and one on ventral connection. Ventral Connection ©2022 CAE 905K560252 v1.2...

  • Page 54: Respiratory System

    CAELuna Using Luna Respiratory System The Luna manikin includes respiratory features that allow learners to practice basic assessment and life support skill sets. With the manikin, learners can: • Perform intubation and procedural suctioning • Recognize and resolve right mainstem intubation •...

  • Page 55: Airway Management

    (e.g., lung sounds, chest excursion, airway patency) can be simulated using software commands for Live and Advanced configurations. Other airway features include: • Hard and Soft Palate • Oropharynx • Nasopharynx • Laryngopharynx Nasopharyngeal Intubation ©2022 CAE 905K560252 v1.2...

  • Page 56: Intubation

    Using Luna Intubation The upper airway of the Luna manikin is designed to allow for intubation and laryngoscopy. Direct laryngoscopy as well as oral and nasal tracheal intubation can be performed using devices such as endotracheal tubes, nasopharyngeal airways, and oropharyngeal airways.

  • Page 57: Laryngospasm

    Additionally, an indicator appears on the Airway avatar in the Maestro software and an event for right mainstem intubation will be captured in the SCE Event log. Laryngospasm The Luna simulator comes with a manual laryngospasm feature to increase the difficulty of intubation. To activate the laryngospasm feature: 1.

  • Page 58: Needle Decompression

    4. Insert a needle and catheter into the small hole located in the mid-clavicular line of the second intercostal space. Needle decompression site Needle Decompression Upon proper insertion, chest rise and fall and lung sounds will automatically start again on the right side. ©2022 CAE 905K560252 v1.2...

  • Page 59: Chest Tube

    Chest Tube For supported chest tube size, see Appendix A - Recommended Clinical Supply Sizes. Cyanosis The Luna Advanced configuration manikin features circumoral cyanosis. Circumoral Cyanosis To activate the circumoral cyanosis feature: 1. Tap the Respiratory icon on the SCE run screen.

  • Page 60: Tracheostomy

    Cyanosis Parameters Tracheostomy Learners can practice procedural suctioning techniques and changing tracheostomy tubes on the Luna manikin using standard best practices in accordance with local protocols. Luna can also be ventilated via the tracheostomy tube. Tracheostomy ©2022 CAE 905K560252 v1.2...

  • Page 61: Neurologic System

    • Stimulation Users can also control the vocal sounds from the instructor-led software. For more information, see the Maestro for Luna User Guide. Neurologic System Controls The clinical features for the Neurologic system are controlled manually, through the software, or both.

  • Page 62: Eyes

    Eyes Each pupil of the Luna manikin can be set manually to a fixed diameter of 2 mm (pinpoint, normal or blown) by carefully rotating the eye from left to right or right to left until the proper size appears.

  • Page 63: Intracranial Pressure (Fontanel)

    3.Connect a 10 mL syringe to the IV tubing and extract air slowly from the port until desired fontanel size is achieved. Genitourinary System Luna isconfigured foreither male or either of which allows for the insertion of a urinary catheter. The genitourinary system also provides for the excretion of urine. Changing the Simulator’s Genitalia Luna comes with male and female genitalia.

  • Page 64: Urinary Catheterization

    Administration via Software Certain medication administration can be simulated using the instructor software. For more information on administering medication in the software only, see the Maestro for Luna User Guide. ©2022 CAE 905K560252 v1.2...

  • Page 65: Intravenous, Intramuscular/Subcutaneous, And Intraosseous Medication

    To auscultate sounds on the Luna manikin, be sure to locate a stethoscope and set up the StethoSym prior to beginning a simulation.

  • Page 66: Vocal Soundsh

    Sounds button on the Run screen in Maestro. When the Sounds panel appears, select one of the tabs: Heart, Lungs, or Bowel. Adjust all areas or isolate by changing the sound type per region, if applicable. Select the sounds from the Type drop-down menu. See the Maestro for Luna User Guide for complete details.
  • Page 67 1. Press the power button on the side of the StethoSym module. The unit powers on and the indicator light should be Green until it synchronizes with the manikin and then turns Blue. The indicator light flashes Red if the battery is low. ©2022 CAE 905K560252 v1.2...
  • Page 68 10 seconds. This ensures that StethoSym connects to the proper manikin. StethoSym displays a solid blue light when it is connected to the manikin. Luna RFID Locations The following table corresponds with the RFID tag locations on the manikin. Tag #...

  • Page 69: Umbilical Cord

    Once placed, the StethoSym connects automatically to the new simulator. Note: StethoSym only works with CAE Luna when the manikin is running in the wireless mode with the tablet. If the manikin is plugged into the tablet, the StethoSym will not function.
  • Page 70 CAELuna Using Luna To attach the umbilical plug (the belly button), press the plug gently into the umbilical port. Belly Button Attached ©2022 CAE 905K560252 v1.2...

  • Page 71: Care And Maintenance

    Note: Many hardware components of the simulator and the Instructor Workstation are not user- serviceable. The SymDefib unit is also not user-servicable and must be returned to CAE Healthcare if repair is needed. Contact CAE Healthcare Customer Support for any questions and concerns regarding hardware maintenance.

  • Page 72: Short-Term Storage

    (this document also was included when the simulator was shipped). Do not stand the container on its side with the manikin stored inside for long periods of time. Note : Prior to using the manikin again, ensure it reaches room temperature. ©2022 CAE 905K560252 v1.2...

  • Page 73: Breakdown

    Care and Maintenance Breakdown To keep the simulator in good condition, follow the breakdown procedures below before storage. These procedures take approximately 20 minutes. Break down the Luna Simulator Clean the Manikin Remove Excess Fluids Power Off the Instructor Tablet...
  • Page 74 Fully depress a 10 ml syringe. c. Connect the syringe to catheter and extract fluid slowly. Syringe Connected to Urinary Catheter d. Disconnect the syringe. To remove umbilical fluid: a. Disconnect any running fluids into umbilical catheter. ©2022 CAE 905K560252 v1.2...

  • Page 75: Step 3: Power Off The Instructor Workstation

    The tablet desktop screen appears. d. Tap the Start menu icon in the lower-left corner. Start Menu A menu appears. e. From the menu, tap the Power button. A menu appears. f. From the menu, tap Shut down. ©2022 CAE 905K560252 v1.2...

  • Page 76: Step 4: Power Off The Manikin

    Step 4: Power off the Manikin To power off the manikin, press and hold the Power button located on the back of the head. Power Button on Head Once powered off, the LED light will turn off. ©2022 CAE 905K560252 v1.2...

  • Page 77: Appendix A -Recommended Clinical Supplies

    A -R PPENDIX ECOMMENDED LINICAL UPPLIES The following clinical supply sizes are recommended for use with Luna. Other sizes may cause damage to Luna and should not be used. Recommended Clinical Supply Sizes Urinary Catheter 6 Fr Nasogastric Tube (NGT)
  • Page 78 CAELuna Appendix A - Recommended Clinical Supply Sizes THIS PAGE INTENTIONALLY LEFT BLANK ©2022 CAE 905K560252 v1.2...
  • Page 79 For more information about CAE products, contact your regional sales manager or the CAE distributor in your country, or visit caehealthcare.com. Tel +1 941-377-5562 or 866-233-6384 For customer service, please contact CAE. Customer Service Headquarters - United States Monday - Friday from 7:00 a.m. to 6:00 p.m. ET Phone 1-866-462-7920 Email: srqcustomerservice@cae.com...

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