Peripheral doppler ultrasound training model (15 pages)
Summary of Contents for CAE Ares
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Proprietary Notice 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.
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Step 1: Place Ares Manikin in the Work Area ....... .
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Gastrointestinal System ............47 Ares features auscultation of normal and abnormal bowel sounds using the StethoSym. . 47 Genitourinary System .
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Contents Genitourinary System ..............70 Urinary Catheterization .
Cautions and Warnings Cautions and Warnings It is important to read and understand these cautions and warnings before you use the Product. CAUTION: These products are not suitable for use in locations where children may be present. Electrical Safety IMPORTANT! Do not use the product in any manner other than specified, as safety features designed for protection may be impaired.
• Do not use the manikin or equipment in locations where children are likely to be present. Fluids System For manikins such as Ares that are equipped with fluid systems: • Do not modify the reservoirs or any assembly component.
Cautions and Warnings • Batteries can be charged while the manikin is between 32°F (0°C) and 113°F (45°C). • Do not store, use or charge the battery inside of an automobile as temperatures can exceed 176°F (80°C). Battery Replacement • If the simulator battery power diminishes significantly, contact Customer Service to replace the battery.
(basic) materials and present a flammability hazard. 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.
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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...
Specifications Specifications All hardware and software needed for operating the simulator are provided with the shipment. Size and Weight Equipment Size Weight Manikin/Simulator 69” H x 22” W x 15” D 48.5 lbs (22 kg) (175 cm x 56 cm x 38 cm) Instructor Tablets Galaxy S3 Galaxy S3...
Maestro for Ares 905K640552 v2.2 CAE Maestro v2.9 Ares User Guide 905K640152 v2.1 CAE Maestro v1.4 - 2.9 Note: Periodic system updates for Maestro can be downloaded from any device with an Internet connection. Updates are available at: https://www.caehealthcare.com/support/software-updates/ ®...
Equipment Overview The manikin includes standard equipment based on its configuration (Advanced or Complete). Optional equipment is also available to enhance learning scenarios. Standard Equipment Ares comes with standard equipment for both configurations. Standard Equipment Basic Airway Head IV/IO Arm...
Equipment Overview NIBP and Pulse Arm The non-invasive blood pressure and pulse arm allows users to perform blood pressure readings using a modified blood pressure cuff, palpate radial and brachial pulses, and auscultate Korotkoff sounds. NIBP and Pulse Arm with Electronics Gender-specific Equipment The manikin includes interchangeable male and female genitalia, chest skins, and wigs.
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 hours battery life. The Surface Go tablet comes equipped with pre-installed CAE Maestro™ instructor software to control the manikin’s physiological activity during simulations.
Equipment Overview Articulated Arm The articulated arm comes with a removable deltoid injection pad for IM injections and can be interchanged with an IO deltoid pad. Articulated Arm Breast Examination Module The optional Breast Examination module includes: • Two breasts with configurable nodule inserts •...
• Opening for drain tube to be placed under the skin • Normal right breast Post-Mastectomy Module Complete Wound Kit This optional kit for Ares contains the following eight (8) wounds: • Thigh incision • Thigh suture • Thigh bite wound •...
Equipment Overview Foot Wounds The two (2) foot wounds can replace the foot that comes with Ares. Foot with Skin Tear Diabetic Foot with Toe Infection and Heel Ulcer Moulage Kit The STOPS Hyper-Realistic® Moulage Kit (HRMK) is a versatile and reusable special effects kit for wound treatment simulation.
Equipment Overview Blood Pumping System The STOPS Blood Pumping System® (BPS) is a bleed simulation kit for realistic, severe hemorrhage simulations. The BPS is wirelessly controlled and can support up to four simultaneous venous and/or arterial bleeds. The Basic BPS model includes: •...
Use and care instructions can be found in the CAE Blue Phantom Ultrasound IV-PICC Arm user guide. Geriatric Face Mask The Ares manikin can simulate a geriatric patient with the addition of the geriatric male face mask. Geriatric Face Mask...
Meet Ares Meet Ares CAE Ares™ offers a comprehensive, realistic solution for emergency care team training and advanced life support training. This simulator is mobile, lightweight, easy to use, and anatomically accurate for better skills proficiency and clinical assessment. Ares configurations come with interchangeable male and female chest skins, wigs and genitalia, giving you two patient simulators in one.
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• STOPS Blood Pumping System (BPS) • Blue Phantom Ultrasound IV/PICC arm • Geriatric male face mask In addition to these Ares configurations and options, CAE has a number of advanced compatible systems available for purchase, which complement the Ares training experience. These are: •...
(skin, hospital gown, tools, etc.). Follow the guidelines below when opening your shipment: • Refer to the Unpacking Your CAE Manikin document provided in the shipping container. • Exercise extreme caution when using sharp objects, such as a box cutter. A damaged container can lead to improper storage of the manikin, potentially damaging skin, body parts, and accessories.
• Do not power on components unless instructed in the Setup Steps section of this guide. • Do not set up, power on, or use CAE SymDefib until the simulator set up is complete. When the simulator is ready for use, see Appendix B - SymDefib and review all safety information, set up, and use instructions to begin using SymDefib.
Step 2: Prepare Ares for Legs To prepare Ares for attaching the legs: a. Reach under Ares’ buttocks and pull the torso skin away from the skin attachment pegs. There are two skin attachment tabs on each peg. Only remove the top tab from each peg and leave the lower tab in place.
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Insert the leg screw attached to the top of the leg into the hip joint hole. Leg screw Ares’ Leg b. Place the spring over the end of the knurled nut. c. Place a metal washer on top of the spring.
Ensure that the leg moves freely. g. Repeat steps a through f for the second leg. h. Reattach the genitalia and skin. Step 4: Prepare Ares for Arms The following tools and hardware are included: • One (1) Phillips screwdriver •...
Arm Screws with Joint Spheres c. Insert a joint sphere and screw assembly into the mounting hole in each arm. Attaching Ares’ Arms Step 5: Attach Ares’ IV Arm The following tools and hardware are included: • One (1) Phillips screwdriver •...
IM/IO Pad Removed c. Reinsert the IM/IO pad into the arm. IM/IO Pad Inserted Step 6: Attach Ares’ NIBP Arm The following tools and hardware are included: • One (1) #2 Phillips screwdriver • NIBP Arm To attach the NIBP arm: a.
Reinsert the IM pad into the NIBP arm. Step 7: Modify a Blood Pressure Cuff Ares’ blood pressure can be taken using non-invasive monitoring techniques; however, modifications to a standard blood pressure cuff are required. The following tools and equipment are required: •...
To place the wig on Ares’ head: a. Remove the wig from the packaging, and remove all packing materials. b. Place the wig on Ares’ head. If the wig needs to be adjusted, see the following steps in the Adjust the Fit of the Wig section.
Plug the power supply adapter into a grounded power outlet. For additional information on setting up the StethoSym, refer to Using the StethoSym in the Using Ares section of this user guide.
Plug the power supply into a grounded outlet. c. Press the ON/OFF button on Ares’ right side and hold it for three (3) seconds to initiate the boot-up process. When Ares is ready for operation, the simulator will say, “Hello” within approximately three minutes of pressing the ON/OFF button.
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Setup Note: Ares' serial number is located on the right side of the torso by the power button. Ares serial number Ares Serial Number Location d. Tap the Ares network. The Connect to a Network dialog box appears. Enter caeadmin Connect to a Network Screen e.
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Tap WiFi button to turn on WiFi (button turns blue). c. In the Network window, locate the simulator network from the list of available networks. For Ares, the network name is ARE00XXXX (where XXXX is the last 4 digits of Ares’ serial number).
Articulation Ares is wireless, tetherless, and offers realistic articulation for range of motion exercises in the hips, knees, ankles, neck and wrists. Ares also has cervical motion to practice patient stabilization.
Ares Features Base Respiratory System Features Symmetric lung ventilation is supported in response to manual bag-valve-mask (BVM) ventilation via face mask, endotracheal tube or tracheostomy tube. The simulated patient generates both normal and abnormal breath sounds, bilateral and unilateral, which are appropriately synchronized* with the respective phases of respiration. Breath sounds are audible over the apex of each lung with the use of standard stethoscope and StethoSym.
Genitourinary System The manikin is provided with both male and female genitalia. Urinary catheterization (without fluids) may be performed on the manikin. For more information on changing the genitalia, see the Using Ares section of this user guide. Reproductive System The Ares manikin features optional accessories for practicing clinical care skills.
• Sepsis with Hypotension • Stroke In addition to the SCEs that are included with the Base Ares, five CAE EMS Learning Modules are available with 10 SCEs per module. Also available is an Advanced Cardiac Life Support (ACLS) learning module with 11 SCEs based on the AHA Guidelines and a Pathogens of High Consequence learning module with 4 SCEs (COVID-19, Pandemic Flu, Ebola and SARs).
For instructions on modifying scenarios and creating new scenarios, refer to the Maestro for Ares User Guide. System Controls Ares is designed to allow the instructor to focus attention on learner actions and reactions by providing a flexible set of tools that adjust to the instructor’s needs. Application Software CAE Maestro software is the application that provides the instructor a means to control all features of the simulator.
Ares simulator utilize instructor-led software with scenario programming capabilities. Note: CAE recommends keeping the simulator plugged into a power source while it is in use to extend the longevity of the battery life. To optimize battery life, only remove the power plug during simulations where the patient will be moved or transferred as part of the scenario.
(Modeled only). Eyes The Ares Base configuration manikin (no longer available after February 2024) has manually-adjustable Tri-State Eyes. Each pupil can be set to a fixed diameter of 3.5 or 8 mm ( normal or blown) or closed eyes by carefully rotating the eye from left to right or right to left until the proper size appears.
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For more information on how to control the SymEyes, see the Maestro for AresUser Guide. Performing an Eye Exam To examine Ares’ eyes when the eyes are closed, press on the brow above the eye to mimic the act of raising the eyelid.
Using Ares Respiratory System The Ares manikin includes respiratory features that allow learners to practice basic assessment and life support skill sets. With the manikin, learners can: • Manage difficult airways • Perform cricothyrotomy • Maintain tracheostomy site Respiratory System Controls Ares uses both physical and mathematical models to achieve an extremely accurate simulation of respiration.
CONTROL: Left/ Right ON/OFF Nasal Packing Ares supports nasal packing. Nasal packing can be performed on both nares, utilizing ribbon, gauze, nasal packs, or tampons. To apply nasal packing: 1. Cut a length of ribbon gauze or use commercially available nasal pack or nasal tampon.
SCE Event log. Laryngospasm The Ares simulator comes with a manual laryngospasm feature to increase the difficulty of intubation and to indicate the need for a cricothyrotomy. The feature is activated by manually injecting air using the yellow tubing, stopcock, and syringe assembly.
Using Ares To replicate laryngospasm: • Attach the yellow tubing to the port on Ares' left side labeled LARYNGO. • Pull back syringe plunger and fill syringe with 50 ml of air. • Attach syringe to stopcock and inject air into manikin.
• Intrapleural Volume: Disables chest excursion on the affected side but still allows for excursion on the unaffected side. Ventilation Ares supports manual bag-valve-mask (BVM) ventilation via face mask, airway adjuncts, endotracheal tube, and tracheostomy tube. Proper ventilation will demonstrate chest rise and fall. Manual Bag-Valve-Mask (BVM) Ventilation...
Ares’ Torso Cardiovascular System The Ares manikin includes cardiovascular features that allow learners to practice basic assessment and advanced life support skill sets. With the Ares manikin, learners can: • Palpate pulses • Place IV lines and catheters •...
Using Ares Cardiovascular System Controls With Ares’ Cardiovascular system, users can replicate the clinical signs associated with cardiac activity, including palpable pulses, heart sounds, and electrical activity. Cardiovascular System Controls Anatomy, Clinical Interventions, Patient Software Control Manual Control Physiology and Monitoring and Scenarios.
Using Ares Pulses Ares comes with: • Bilateral carotid and femoral pulses • A right NIBP and pulse arm which has radial and brachial pulse locations The pulses are activated when pressure is applied to the correct location. The pulse deficits can be changed using the Maestro software.
IV Administration There are two IV sites on Ares’ left arm, located on the dorsum of the hand and the antecubital fossa. Each IV site has an insert with a loop of tubing. The sites are filled and drained through tubing running from the IV site up to the left shoulder.
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Using Ares To perform IV administration, learners will need: • Empty IV bag with IV tubing connected • Red food coloring (if you want to make simulated blood) • 20 gauge IV catheter • Alcohol swab • IV Dressing • Extension tubing •...
Intraosseous (IO) Cannulation and Infusion Ares also allows for humeral intraosseous (IO) cannulationand and tibial IO access and infusion. The designated IO sites are located on either deltoid side and upper tibia when using the IO leg on either the right or left side.
The manikin supports normal hand placement and standard compression techniques so that chest compressions can be performed. On Ares, a 4-lead ECG signal is emitted from the appropriate positions for display on a standard monitor. To produce ECG signals on a standard patient monitor, connect the ECG leads to the posts.
10). For more information, see the Maestro forAresUser Guide. Blood Pressure Ares supports non-invasive blood pressure measurements, and systolic and diastolic readings can be obtained and manipulated through the software. Systolic and Diastolic Blood Pressure To manually adjust the systolic and/or diastolic blood pressure: 1.
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1. Connect the extension from the T-fitting on the blood pressure cuff adapter to either of the NIBP port on Ares’ right side. 2. Ensure the electronics tether from the NIBP arm is connected to the arm connector on Ares’ right side.
StethoSym utilizing the RFID tags. For further information, see Using the StethoSym in this user guide. Genitourinary System Ares may be configured with either male or female genitalia, either of which allows for the insertion of a urinary catheter. Urinary Catheterization To perform catheterization exercises, use the following items: •...
Using Ares Changing the Simulator’s Genitalia Ares comes with male and female genitalia. Ares is shipped with both sets of genitalia, both chest skins and 2 wigs to accommodate these conversions. Ares is shipped with the male chest skin in place and no genitalia.
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Using Ares 7. Gently pull the current genital insert upward to remove it. Removing the Genitalia 8. Place the new genital insert into position by flexing the bottom of the genitalia and directing it under the metal frame into the cut out area.
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Using Ares To attach the alternate chest skin: 1. Position the new chest skin on the manikin and align the ECG holes. Aligning the ECG Holes 2. Attach the upper skin tabs to the upper skin anchors. Note: If converting from male to female, place and align the breast foam inserts on the female’s chest prior to placing the chest skin.
Using Ares Reproductive System The Ares manikin allows for the learner to practice: • Breast examinations (using the optional Breast Exam Module) Breast Examination The Breast Exam optional module facilitates training in the recognition of breast disorders. These disorders are “movable” with the nodules placed within the openings on the inside of the breasts.
Auscultated Sounds To auscultate sounds on the Ares manikin, be sure to locate a stethoscope and set up the StethoSym prior to beginning a simulation. Note: A patient must be running in the software for any sounds to be available. By default, Normal sounds are selected.
Using Ares StethoSym To set up StethoSym: 1. Connect the StethoSym’s speaker module to the diaphragm of the stethoscope with the two elastic bands. StethoSym Speaker Module Connected to Diaphragm 2. Pull back the lever on the StethoSym module to open the clamp and attach it to the tubing of the stethoscope.
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Using Ares Charging the StethoSym To charge the StethoSym, use the included power supply and micro-USB cable. Refer to the table below for status light information. Light Color Power Status Orange Unit is plugged into a power source and battery is charging.
Using Ares The following shows the RFID tag locations under the skin. Do not remove the manikin’s skin. Contact CAE Customer Support if assistance is needed. RFID Tags RFID Tags RFID Tags Speech A variety of programmable vocal sounds are available. To select a sound from the Vocal Sounds Speech drop-down menu, tap the Speech button on the Run screen .
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.
Gently rub the soiled area with a soft cloth to remove most marks and stains. DO NOT use solvents or abrasive pads. Inspect the manikin for damage or puncture marks. If damage exists, contact CAE Healthcare Customer Service immediately for a repair. Prompt repair prevents expansion of the damaged area.
Care and Maintenance 3. Squeeze all the fluid from the sponge and let air dry. Squeezing Fluids from the Sponge 4. When dry, replace sponge back inside pad. 5. Replace the pad into the injection site. Step 4: Power off the Instructor Tablet To power off the Windows Surface Go instructor tablet: a.
The LED light will flash Blue once every 30 seconds, indicating the system is in low power mode. b. Disconnect Ares’ power supply to the DC IN connection on Ares’ right side. c. Unplug the power supply from the outlet.
Care and Maintenance Short-Term Storage Follow these guidelines for short-term storage (less than two months): • Charge the computer and manikin to 100% to increase shelf life. • Store the manikin on a work table and cover with a sheet. •...
Appendix A - Recommended Clinical Supplies Appendix A - Recommended Clinical Supplies These supplies are not provided with the simulator and need to be acquired by the facilitator for use when performing competencies during clinical scenarios. The sizes listed below are recommendations only. Clinical Supplies Size Urinary Catheter...
Appendix B - SymDefib Appendix B - SymDefib SymDefib uses live electricity. Review all warnings and instructions before using SymDefib. IMPORTANT! This equipment is not suitable for use in locations where children are likely to be present. Cautions and Warnings SymDefib is used in conjunction with real biphasic defibrillators that transmit live electrical current at the same energy levels used with real patients.
SymDefib Equipment Overview The SymDefib equipment package includes the SymDefib unit, a power supply, connector cable, SymDefib adult pads, and various connectors. When a shock is delivered, the live electrical current is absorbed by the SymDefib unit and does not travel to the SymDefib pads or simulator.
SymDefib Note: The SymDefib power switch must be on to charge the battery. Charging the SymDefib If preferred, or for longer training sessions, SymDefib can also be used with the power supply connected. Setting Up SymDefib Follow the steps below to prepare the Symdefib for electrical therapy: 1.
SymDefib Operating SymDefib With the SymDefib on and ready, attach the Symdefib defibrillator pads to the defibrillation nodes on the manikin. The pads and nodes will connect magnetically. SymDefib pads must be placed only on the defibrillation nodes, as shown in the following image: Defibrillation node Defibrillation node SymDefib Pad Nodes...
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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 support, please contact CAE. Customer Support Headquarters - United States Monday - Friday from 7:00 a.m. to 6:00 p.m. ET Phonel-866-462-7920 Email: srqcustomerservice@cae.com...
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