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Related Manuals for laerdal SimMan 3G Trauma
Summary of Contents for laerdal SimMan 3G Trauma
- Page 1 SimMan 3G Trauma Directions for Use www.laerdal.com...
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Page 3: Table Of Contents
• SimMan 3G Trauma Clothing • Airway Features • Breathing Features System Setup • Circulation • Preparing SimMan 3G Trauma for Simulation • Bleeding • SimMan 3G Trauma PCs • Sounds • Activating the Instructor Software license • Eyes Settings and Configurations •... -
Page 4: Introduction
All separate user manuals and labeling from original manufacturers responsible for compliance could void the user’s authority to operate should be followed. The SimMan 3G Trauma Directions for Use does not the equipment. replace or supersede those from the original manufacturer. -
Page 5: Simman 3G Trauma Patient Manikin
Disclaimer facilitates training of Basic and Advanced Life Support. The system Use of the SimMan 3G Trauma patient simulation system to train allows the instructor to effectively assess the learner’s individual and personnel should be undertaken under supervision of suitably trained team skills based on a realistic clinical situation. -
Page 6: Important
Directions for Use. browsing the internet. Warning: Defibrillation must be performed on the defibrillator It is recommended that the SimMan 3G Trauma PC’s are used only connectors only. as manikin controllers. Downloading other software programs onto these machines may introduced unexpected errors. -
Page 7: Mechanical Or Electrical Hazards
Warning: Avoid all sharp edges on the manikin to prevent personal injury. Do not use the SimMan 3G Trauma manikin if: − Limbs are not attached to the torso − Skins are torn or not properly fastened − Internal or external cables, tubes or connectors are damaged. -
Page 8: Manikin Setup
Warning: The suitcases are heavy. Always use two people when lifting. Leg Case with foam inserts The SimMan 3G Trauma System exceeds the weight allowance on most commercial airlines. Some parts may have to be transported separately. For more information on weight restrictions contact the relevant airline. -
Page 9: Simman 3G Trauma Overview
Manikin Setup SimMan 3G Trauma Overview Air / CO Inle t Blo od Ou tlet power panel Air/CO panel Air Ou t Blo od Flui d Act ivat e Inle t Inle t Filli ng fluid fill panel Bleeding ports... -
Page 10: Opening The Torso
Manikin Setup Opening the Torso Attaching the Left Leg Open the manikin torso for the following procedures: Note: Assemble the manikin on a large flat surface. Attach the left leg before the right leg. Attaching or replacing limbs Open the torso to access the hip joint connectors. To open the torso − Attaching or dismantling the manikin legs and arms follow steps 1 –... -
Page 11: Attaching The Right Leg
Manikin Setup Attaching the Left Arm Left Leg to Pelvis – Cable and Tube Descriptions Name/Label Tube/Cable Color Connector Description Open the torso as described in steps 1 - 4, Opening the Torso. Left Pedal Grey cable black with silver Follow the procedures listed below in reverse to detach the arms. -
Page 12: Attaching The Right Arm
Manikin Setup Attaching the Right Arm Inserting and Connecting the Batteries Open the torso as described in steps 1 - 4, Opening the Torso. Open the torso as described in steps 1 - 4, Opening the Torso, follow Follow the procedures listed below in reverse to detach the arms. the procedures listed below in reverse to remove the batteries. -
Page 13: The Power Panel
Manikin Setup The Power Panel The power panel is found on the right side of the manikin, under a loose skin flap. Lift the skin flap and pull out the protective cover. After connecting the batteries, connect the manikin to the external power supply (12V to 24V) while the manikin is OFF. -
Page 14: Charging The Batteries Inside The Manikin
Manikin Setup Charging the Batteries WITH AN EXTERNAL CHARGER Charging batteries inside the manikin INSIDE THE MANIKIN Connect the manikin to the external power supply. Connect the manikin to the external power supply with a power The battery indicator on the power panel shows the charge status cord and plug that meets local specifications. -
Page 15: Battery Use
− On approximately every 30th charge cycle, drain the battery completely before recharging. To drain the batteries run the manikin on both batteries until automatic shutdown. − Expected battery life: 200 charge cycles. − Only replace with Laerdal SimMan3G batteries. -
Page 16: System Setup
LICENSE The Instructor Application license need only be activated once. Instructor computers shipped from Laerdal Medical will have a pre- activated license installed. Two spare licenses are provided for use on other computers. Should the software need to be re-installed, it is not SimMan 3G Trauma Manikin necessary to reactivate the software license. -
Page 17: Configuring Your Network
System Setup Wired operation (disabling/enabling WLAN) The wireless network may be disabled in AP mode. This can be achieved by using the SimMan3G Network Configuration Tool. When using manikin in environments where use of WLAN transmitters are prohibited: Contact your local service representative for instructions on how to turn off radio transmission. -
Page 18: The Instructor Pc
The Technical status window provides information about the technical 3 - SIMULATION CONTROL PANEL AND SESSION LOG status of the SimMan 3G Trauma manikin system, including battery life, wireless (WLAN) connection signal strength, blood tank drainage, The <Simulation Control> panel contains the main tools used communication channels in use and video recording. -
Page 19: Instructor Mode Overview
<Common Learner The <Technical Status> window provides information about the Events>. technical status of the SimMan 3G Trauma manikin system, including battery life, wireless connection signal strength, blood tank drainage, 4 - PERFORMANCE communication channels in use and video recording. -
Page 20: 3G View And Classic View
System Setup 3G View and Classic View Opening an Auto Mode Patient Case There are two view options when running a simulation in Instructor Mode: To start a simulation in Auto Mode: INSTRUCTOR MODE 3G VIEW Launch the <Instructor Scenarios made for SimMan 3G and will display the 3G view: Application>... -
Page 21: Opening An Auto Mode Patient Case
System Setup Common Learner Events NOTE: When a simulation is running, the ‘Start session’ button becomes the ‘Pause session’ button. Click this button at any time The <Common Learner Events> window lists the required events/ during a simulation to pause the session. learning objectives for the selected patient case. -
Page 22: Opening An Instructor Mode Scenario
System Setup Opening an Instructor Mode RUNNING A SCENARIO IN INSTRUCTOR MODE Scenario Use Instructor Mode to simulate isolated medical procedures. The Instructor Mode enables full manual control of all manikin features and parameters. When setting up simulations manually using Instructor Mode, the user is responsible for the clinical accuracy of the simulation. -
Page 23: The Patient Monitor Pc
Selecting the <Pause Alarms> button turns all sound alarms off for 3 minutes. Select the Patient Monitor Application program in the <Laerdal SimMan3G> program folder. The Select manikin window will appear. Select a manikin in the list and click <OK>. - Page 24 System Setup Transferring Media Files Trend parameters. Selecting the 12-lead ECG button generates a 12- lead ECG strip. Select <Print> to have this ECG strip printed on the default printer available from your Patient Monitor computer. BOTTOM MENU 2 Bottom menu buttons in order from left to right: Selecting the <QRS Volume>...
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Page 25: Transferring Media Files
Patient Monitor Application. 2 From the Windows Start menu Click the Windows <Start> button. Select the <Laerdal SimMan3G> folder from the program list Select the Laerdal Voice Conference Application program. ON/ OFF BUTTON Click the on/off button to activate or deactivate the communication channel. -
Page 26: Accessing The Voice Conferencing Application
Tank drain: (AVS) SESSION LOG The Laerdal AVS can be installed to allow high quality video taken Data and events are recorded and time stamped throughout the from up to 4 video cameras during a simulation session and be viewed simulation session. -
Page 27: Scenario Editor
SimMan 3G. Help Files Software Help-files can be accessed as follows: • Click the Windows <Start> button • Select the <Laerdal SimMan 3G> folder from programs • Select the <Documentation> folder TRENDS Trends are sets of physiological parameters pre-programmed to •... -
Page 28: Setup For Simulation
Setup for Simulation Using the Internal Compressor Changing Default Compressor Settings The SimMan3G manikin’s chest movements, airway modes and fluid systems are driven by compressed air. The right leg contains a compressor and tank with separate reservoirs for clear and simulated Change default compressor settings via the Profile Editor. -
Page 29: Air/Co 2 And Fluid Panel
Drain the internal reservoir. Follow instructions for “Empty Internal Fluid Reservoir”. For more information on external compressors and regulator panels compatible with SimMan 3G, contact your local Laerdal representative. After draining the internal reservoir, fill the fluid fill unit and connect to the manikin. - Page 30 To mix simulated blood: Fill the Blood Fill bottle with de-ionized water. Add 5-10 drops of Laerdal Blood colored concentrate, mix and tighten the cap. Connect blood fill unit tubes to the blood and air connectors in the right leg panel.
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Page 31: Cleaning The Fluid And Blood System
Setup for Simulation Cleaning the Fluid and Blood CLEANING THE BLOOD SYSTEM From the <Instructor Application>, open Circulation and fluids System tab, check the boxes for Upper port and Lower port, then select Venous from the adjacent drop-down menus. Move the sliders (to the right) to maximum bleeding rates. -
Page 32: Adjusting Fluid Flow
Setup for Simulation Adjusting Fluid Flow Remove the neck skin. Replace the neckskin. Administering IV Fluids Locate the restrictor valves in the left and right clavicle area. To prevent clogging of the IV system, use only purified water to simulate IV drugs with SimMan 3G. Acceptable types of purified water: •... -
Page 33: Connecting Wounds Kit
When the fluid runs clear, disconnect the tube from fluid outlet. After the wound is removed, any tape residue can be cleaned from the manikin skin with Laerdal Manikin Wipes. Note: When removing Wounds from the blood ports, cover the manikin skin with a cloth to prevent staining. -
Page 34: Attaching The Amputated Arms
Setup for Simulation Attaching the Amputated Arms The Adapter is now in place and the Amputated Arm can be connected with the Adapter Screw. Remove the right or left arm. Thread the Adapter Screw through the Amputated Arm and align the screw with the hole in the Adapter. Open the Torso as described on page 7, steps 1-4. -
Page 35: Replacing The Left Leg With The Amputated Thigh
Setup for Simulation Replacing the Left Leg with the Insert the blood tube into the side slot of the connector. Screw the connector in place with one hand. Amputated Thigh Remove the SimMan 3G default leg. Open torso skin and stomach foam as shown in steps 1-4 on page 7. -
Page 36: Installing The Amputated Lower Calf Skin
Setup for Simulation Installing the Amputated Connect the blood tubing to the blood port located on the manikin's right side. Lower Calf Skin Access the ankle bolts by folding the skin up. Remove the ankle bolts using two Phillips head screw drivers. Carefully fold down the skin of the foot to expose the two pulse units. -
Page 37: Installing The Left And Right Im Thigh Skins
Setup for Simulation Installing Right and Left IM The Foam IM Pad should sit 1" (2.5 cm) from the top edge of the leg. Replace the skin. Thigh Skins The dorsal side of each IM Thigh Skin is marked by either an "L" or "R". -
Page 38: Connecting Defibrillation Adapter Plates
Setup for Simulation Connecting Defibrillation Adapter DURING DEFIBRILLATION A conventional defibrillator may be used on SimMan 3G. During Plates live defibrillation, the defibrillator and manikin may present a shock hazard. All standard safety precautions must be taken when using the defibrillator on the manikin. -
Page 39: Connecting The Blood Pressure Cuff
Setup for Simulation Connecting the Blood Pressure Cuff Changing Genitalia Modules The manikin is delivered with a specially adjusted blood pressure The SimMan 3G is shipped with a neutral genitalia pad as default. The cuff. Connect the tube to the white BP connector at the side of the pad can be exchanged for a male or female genitalia pad with urine manikin before use. -
Page 40: Replacing & Fiiling Io Modules With Blood
Setup for Simulation Replacing and Filling the IO Modules with Blood The IO Pads supplied with SimMan Essential and SimMan Essential Bleeding are disposable parts meant for single use. REPLACING AND FILLING THE STERNAL IO PAD WITH BLOOD Attach the Sternal IO bag to the Sternal tube and close Remove the Sternal IO pad from the manikin chest. -
Page 41: Replacing & Fiiling The Tibial Io Modules With Blood
Setup for Simulation Replacing and Filling Tibial IO module with Blood Attach the Tibial IO bag to the Tibial tube and close off Roll the leg band, to expose the Tibial IO module. the pinch clamp. Remove the IO tape. Then remove the Tibial IO unit Remove the tube from the Tibial IO module. - Page 42 Setup for Simulation Fill the Tibial IO unit with 30 - 35ml of blood, ensure the 10 Connect the Tibial tube to the Tibial IO unit. Tibial Pad is completely full. 11 Replace the Tibial IO Pad and chassis, into the leg cavity. 12 Affix the tape to keep the module in place.
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Page 43: Clinical Features
The SimMan 3G arm adaptor kit is used to connect the trauma arm modules. Simulated removal of the clothes Contact your local Laerdal representative to inquire about other Unzip the full length zippers found along the seams of the manikin’s trauma modules compatible with SimMan 3G. -
Page 44: Airway Features
− Transtracheal intubation − Can’t intubate / can’t ventilate Prior to using airway adjuncts, apply a small amount of Laerdal Airway The following information is automatically registered in the SimMan3G Lubricant to the equipment. Do not spray lubricant directly into the simulation session: airway. -
Page 45: Breathing Features
Clinical Features Breathing Features The SimMan3G can simulate spontaneous breathing: Warning: Do not ventilate the manikin with oxygen enriched air or flammable gasses. Caution: Do not ventilate manikin lungs using humidified air. − Bilateral and unilateral chest rise and fall − There are 4 compliance settings, from normal to extremely stiff − There are 4 settings for airway resistance, from normal to extremely tight. -
Page 46: Circulation
Clinical Features A 22 (or smaller) gauge needle is recommended for Circulation features decompression of the chest. Using a smaller gauge needle − BP measured manually by auscultation of Korotkoff sounds increases the longevity of the chest skin and bladders. − Carotid, brachial, radial, femoral, popliteal, dorsalis pedis, and posterior tibialis pulses synchronized with ECG However, a too small gauge prevents automatic detection... -
Page 47: Bleeding
10 - Upper Port Bleeding Parts: Activate the checkbox to open the upper bleeding port open. Move − Laerdal Artificial Blood slider to the left or click the ‘–‘ button to decrease bleeding rate. Move Concentrate slider to the right or click the ‘+’ button to increase bleeding rate. -
Page 48: Sounds
Clinical Features Sounds − Borborygmus − Hypoactive postop The settings of the <Sounds> tab are used to control the body − Hyperactive diarrhea sounds and vocal sounds from the manikin. To view the <Sounds> menu click on the <Sounds> tab. − Hypoactive constipation − Paralytic ileus Sounds settings and configuration... -
Page 49: Eyes Settings And Configurations
Clinical Features Eyes Settings and Configurations − Infrequently − Normal The calculated Glasgow Coma Scale score for the Patient Case is − Frequently displayed in the Instructor Application - Auto Mode. In Instructor mode, the following sources of information help the learner to judge − 1 left the state of disability: − 1 right... - Page 50 Clinical Features Change the dosage and concentration values under <Select concentration> and <Select amount>. SimMan 3G has an extensive drug library with adjustable physiological responses. Patient Monitor features – Drugs: − Train-of-Four (TOF) − in N O, et N − Anesthesia agents − Lab reports User-replaceable items, spare parts: − IV catheter (US and International versions)
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Page 51: Maintenance
Visit www.laerdal.com/download to download the latest version After sessions where the blood and fluid system have been used, flush of SimMan 3G and Laerdal Debrief Viewer. Select SimMan the reservoirs with 60% Isopropanol alcohol solution. See Cleaning 3G and press “Click to Download” then follow the on-screen the Fluid and Blood System. - Page 52 Maintenance The Manikin Update program will start identifying software TROUBLESHOOTING versions currently installed. This will take about 2 minutes. Should the following message appear on the screen during the update, click <Yes> to continue the installing updates. If a module fails to update, run the <Manikin Update> again. Should the same module fail repeatedly, check to see whether all internal wiring is connected and functioning properly.
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Page 53: Replacing Crico Tape / Neck Skin
Maintenance Replacing Crico Tape / Neck Skin Replacing Chest Drain Pleura After creating an emergency airway through the cricothyroid The chest drain module’s pleura skin should be replaced after each membrane, replace the perforated membrane before starting a new use. simulation session. -
Page 54: Replacing Pneumothorax Bladders
If there is noticeable leakage from the veins or the skin is torn or damaged it is time to replace the IV arm. See page 12 for instructions on how to uninstall/install the IV arm. Contact your local Laerdal Representative for more information. Caution: The internal veins are composed of latex. -
Page 55: Replacing Lung Bladders
Maintenance Replacing Lung Bladders If leaking occurs, the chest rise bladders (in the chest cavity) should be replaced. Open the torso skin and put the stomach foam to the side. Open the hinged chest plate upwards, to access the lungs. Reverse this process to insert a new lung. -
Page 56: Replacing Manikin Skins
Maintenance Replacing Manikin Skins The manikin skins may need to be replace if they become torn, perforated or stained. Unzip and roll off the skin Applying powder to the inside of arm, torso and leg skins will help reduce friction and make replacing the skins easier. To prevent the zippers from separating from the skin, make sure to properly position the skin halves and hold them together while zipping them closed. -
Page 57: Troubleshooting
• Instructor microphone not picking up sound. • Should system shutdown or all data is lost or corrupted; please contact your local Laerdal Service Center. Possible Solutions STABILITY AND CONNECTION IN MANIKIN • Unplug and re-plug the headset to your computer CREATED NETWORK •... - Page 58 Check that the lung bladders are in a horizontal position and continuously. The internal compressor may be worn - contact inserted correctly. Ensure that the lung compliance O-rings lie Laerdal Technical Service. between the folds of the lung bladders. •...
- Page 59 Troubleshooting • If there is no change in lung resistance, contact Laerdal Technical Service. MECHANICAL NOISE DURING AUSCULTATION In the Instructor Application, click <auscultation focus>. BATTERIES Problem • Battery life is less than 150 minutes with healthy patient and fully charged batteries.
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Page 60: Main Specifications
Troubleshooting Main Specifications Minimum Software Requirements • Windows XP or Windows 7 Size, weight • DotNet 3.5.1 Dimensions (manikin only): 1800mm (l) x 550mm (b) chest (5.90 ft x 1.80 ft) Acceptable Fluids for Manikin Weight (patient manikin only): 38,5kg (85 lbs) Cleaning Fluids Weight (with clothes) 40 Kg (88 lbs) -
Page 61: Spare Parts And Accessories
212-24150 Pneumothorax Bladder Set (pkg. 2) 212-24250 Pleura, chest drain (pkg. 20) Manikin Parts 212-11050 Chest Rise Bladder (pkg. 4) 212-08850 SimMan 3G Trauma Manikin 212-21150 SimMan 3G Cricothyroid Tape 212-11350 Arm bushing (left and right) 250-21050 Airway Lubricant 212-09650... - Page 64 © 2012 Laerdal Medical AS. All rights reserved 20-07343 Rev A...