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Gaumard ADVANCED ZACK S230.200 User Manual

Multipurpose male care task trainer
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S230.200 ADVANCED ZACK™
MULTIPURPOSE MALE CARE TASK
TRAINER
USER GUIDE
S230.200 Advanced ZACK 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 21.09.01
©Gaumard Scientific Company, 2021
All Rights Reserved
www.gaumard.com

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Summary of Contents for Gaumard ADVANCED ZACK S230.200

  • Page 1 USER GUIDE User Guide 21.09.01 S230.200 Advanced ZACK Simulator is an interactive educational system developed to ©Gaumard Scientific Company, 2021 assist a certified instructor. It is not a substitute for a comprehensive understanding of All Rights Reserved the subject matter and not intended for clinical decision making.
  • Page 2 S230.200 ADVANCED ZACK™ | USER GUIDE ii |...

  • Page 3: Table Of Contents

    5.1 REPLACING THE VAS DEFERENS 5.2 CLEANING THE COLON & RECTUM 6. APPENDIX 6.1 TROUBLESHOOTING 6.2 PARTS LIST 6.3 GAUMARD SALES TERMS AND CONDITIONS 6.4 END USER LICENSE AGREEMENT 6.5 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 6.6 CONTACT TECHNICAL SUPPORT 6.7 GENERAL INFORMATION...

  • Page 4: Introduction

    General Ball point pens, ink, and markers permanently stain the skin. • Do not wrap this or any other Gaumard product in newsprint. • Replacement parts are available from Gaumard Scientific or from your Distributor. •...
  • Page 5 S230.200 ADVANCED ZACK™ | USER GUIDE Procedures Do not attempt to catheterize without lubricating the catheter adjunct with mineral oil lubricant. Failure to • lubricate the device will make catheterization very difficult and is likely to result in damage to the simulator. Do not attempt to perform a prostate exam or colonoscopy without lubricating the device adjunct with mineral •...

  • Page 6: Overview

    S230.200 ADVANCED ZACK™ | USER GUIDE 2. OVERVIEW The adult male torso, S230.200 Advanced ZACK, has the following features: Realistic lifelike feel and appearance (includes 3 skin tones - Light, Medium, Dark- to choose from) • Colon with nine (9) different masses including: •...

  • Page 7: Initial Setup

    S230.200 ADVANCED ZACK™ | USER GUIDE 3. INITIAL SETUP 3.1 UNBOXING Remove the simulator from the box carefully with the assistance of at least two persons. • Rest the simulator on a patient bed or table capable of supporting the weight of a real patient. •...

  • Page 8: Working With Advanced Zack

    S230.200 ADVANCED ZACK™ | USER GUIDE 4. WORKING WITH ADVANCED ZACK 4.1 PROSTATES The S230.200 Advanced ZACK has four (4) different, color-coded prostates: Enlarged Benign prostate - (Yellow) • (2) Discreet Nodules prostate - (Green) • Large Mass prostate - (Red) •...

  • Page 9: Scrotum, Testes, & Vas Deferens

    S230.200 ADVANCED ZACK™ | USER GUIDE Thoroughly lubricate your gloved hand with the mineral oil before performing a prostate exam. NOTE: When performing a digital prostate exam, insert the digit in an upwards direction to palpate the prostate. 4.2 SCROTUM, TESTES, & VAS DEFERENS The S230.200 Advanced ZACK has a scrotum, (2) normal testes, and the Vas Deferens assembly pre-installed.
  • Page 10 S230.200 ADVANCED ZACK™ | USER GUIDE Tuck the edge of the scrotum into the skin of the simulator to secure it. NOTE: The scrotum is simply held in place by tucking the edges into the cavity. Testes Two (2) normal testes are pre-installed on the simulator and two (2) additional testes - Cancerous Testis 1 &...
  • Page 11 S230.200 ADVANCED ZACK™ | USER GUIDE Cut or untie the currently attached testes. Pull on the Vas Deferens for additional length. Insert the Vas Deferens tubing through the smaller opening of the chosen testis. Pull the Vas Deferens through the testis and tie a knot at the end to secure it.
  • Page 12 S230.200 ADVANCED ZACK™ | USER GUIDE NOTE: Tie the knot like as if tying a knot on a balloon. Tuck the knot into the larger end of the testis. After securing one or both testes tuck them into the scrotum. Replace the scrotum onto the simulator.
  • Page 13 S230.200 ADVANCED ZACK™ | USER GUIDE Vas Deferens The Vas Deferens Assembly is simulated with a 48 inch length of tubing loaded onto a reel that is pre- installed in the simulator. An additional Vas Deferens Assembly is provided to reload the reel as needed. NOTE: The Vas Deferens mechanism is internally installed on the simulator and contains a reel of tubing.

  • Page 14: Penis, Glans, & Urethra

    S230.200 ADVANCED ZACK™ | USER GUIDE 4.3 PENIS, GLANS, & URETHRA Penis The penis of the S230.200 Advanced ZACK is attached to the lower body of the simulator with a built-in urethra and removable glans. Glans It is not necessary to remove the glans, however, if it is damaged it may be necessary to purchase a replacement item.
  • Page 15 S230.200 ADVANCED ZACK™ | USER GUIDE To re-install the glans: Insert the glans bottom first into the penis. Ensure that the bottom of the glans is firmly seated. Adjust the surrounding skin. Working with Advanced ZACK | 15...
  • Page 16 S230.200 ADVANCED ZACK™ | USER GUIDE Urethra The urethra on the S230.200 leads to a bladder that can be filled for catheterization procedures. To fill the bladder: Obtain the syringe from the "Fill and Drain Kit" and screw the fill connector to the syringe. Fill the syringe with clean distilled water.
  • Page 17 S230.200 ADVANCED ZACK™ | USER GUIDE Connect the syringe to the white "LIQUID" bladder port. Fill the bladder. NOTE: The bladder can hold up to 450 mL of volume. Disconnect the syringe. Working with Advanced ZACK | 17...

  • Page 18: Catheterization

    S230.200 ADVANCED ZACK™ | USER GUIDE 4.4 CATHETERIZATION To catheterize the Advanced ZACK: Fill the bladder as instructed in the previous section. Obtain the recommended device sized catheter and lubricate with the appropriate mineral oil. Insert the lubricated catheter into the urethra to an appropriate distance and have a waste collection container nearby to collect fluid.
  • Page 19 S230.200 ADVANCED ZACK™ | USER GUIDE Tighten the knob on the squeeze pump and begin squeezing the pump to pressurize the system. This will assist in the flow of fluid exiting the catheter. NOTE: Loosen the knob on the squeeze pump to release air from the system and lessen the pressure.

  • Page 20: Colon & Rectum

    S230.200 ADVANCED ZACK™ | USER GUIDE 4.5 COLON & RECTUM The rectum of the S230.200 Advanced ZACK leads to a truncated colon that has nine (9) different masses including: (1) Melanoma • (2) Ulcerative Adenocarcinoma • (1) Adenomatous Polyp • (2) Sessile Adenocarcinoma •...

  • Page 21: Routine Maintenance

    S230.200 ADVANCED ZACK™ | USER GUIDE 5. ROUTINE MAINTENANCE 5.1 REPLACING THE VAS DEFERENS Remove Empty Reel To access the Vas Deferens to reload the reel: Remove the scrotum and testes. Loosen the top two screws on the back panel and remove the white cover. Remove the rest of the back screws and panel.
  • Page 22 S230.200 ADVANCED ZACK™ | USER GUIDE Locate the Vas Deferens reel. Remove the Vas Deferens reel by pulling outward. NOTE: The reel is connected by a quick release pin. It will require a moderate amount of force to disengage it and pull the reel completely out. Set the Vas Deferens reel aside and retrieve the spare Vas Deferens Assembly tubing.
  • Page 23 S230.200 ADVANCED ZACK™ | USER GUIDE Reloading the Reel with Vas Deferens Assembly Tubing Slide the metal reel retainer off the top of the reel. Gather the spare Vas Deferens Assembly tubing and insert the ends of the tubing into the holes on the reel. With the pin on the reel facing you, wrap the Vas Deferens Assembly tubing onto the reel in a counterclockwise direction.
  • Page 24 S230.200 ADVANCED ZACK™ | USER GUIDE Re-installing the Vas Deferens Reel Push the reloaded reel into the same location it was removed from. Gather the two Vans Deferens tubes and insert it into the clear hose that leads down towards the outside of the simulator. Continue to insert the Vas Deferens tubing through the simulator until the tubing can be pulled from the outside of the simulator.

  • Page 25: Cleaning The Colon & Rectum

    S230.200 ADVANCED ZACK™ | USER GUIDE 5.2 CLEANING THE COLON & RECTUM It is not recommended to fill the colon or rectum with any solids or fluids. However, due to the insertion of lubricated colonoscopy devices it may be necessary to routinely flush out excess lubricant. To gain access to the colon and rectum for cleaning: Loosen the top two screws on the back panel and remove the white cover.
  • Page 26 S230.200 ADVANCED ZACK™ | USER GUIDE Remove the black stopper located on the colon and flush the system with distilled water. NOTE: It is recommended to do this over a sink for easy clean up. Allow the water to drain completely from the colon out through the rectum.

  • Page 27: Appendix

    S230.200 ADVANCED ZACK™ | USER GUIDE 6. APPENDIX 6.1 TROUBLESHOOTING Symptom Possible Cause Solution Remove the back panel of the simulator The rotational prostate and tighten the black nut on the Cannot palpate or disc is misaligned. rotational prostate disc to ensure "feel"...

  • Page 28: Gaumard Sales Terms And Conditions

    Payment. Customer shall pay all invoiced amounts within twenty (20) days from the invoice date, unless otherwise agreed upon by Gaumard in writing. Gaumard may require some or all of the purchase price to be paid in advance by Customer, unless Gaumard grants credit approval as determined in Gaumard’s sole discretion on a case by case basis (taking into account factors such as credit rating, payment history, and size of order).
  • Page 29 WARRANTIES. Gaumard warrants that if a Product proves to be defective in material or workmanship within one year from the date on which title to the Product passes to the Customer (“Warranty Period”), Gaumard will, at Gaumard's option, repair or replace the Gaumard product. This limited warranty covers all defects in material and workmanship in the Gaumard product, except: (a) Damage resulting from accident, misuse, abuse, neglect, or unintended use of the Gaumard product;...
  • Page 30 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. These remedies shall comprise Gaumard’s entire liability and Customer’s exclusive remedy for breach of warranty and are in lieu of any...
  • Page 31 Agreement or for use in connection with Equipment or Services. To the extent the Product includes Software, Customer’s use of the Software is governed by the Gaumard End User License Agreement attached as Exhibit A to these Terms.

  • Page 32: 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 33 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 34 In addition, if End User transfers the Gaumard Product on which the Gaumard Software is installed to a third party, End User may assign this EULA to such third party, provided that the third party agrees in writing with Gaumard to be bound by this EULA.

  • Page 35: 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 36: Contact Technical Support

    USER GUIDE 6.6 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 INT: 01-305-971-3790 6.7 GENERAL INFORMATION Sales and Customer Service E-mail: sales@gaumard.com...

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