Peripheral doppler ultrasound training model (15 pages)
Summary of Contents for CAE ARIA
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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.
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.
IV tubing during routine maintenance. Users with latex sensitivity should use caution. Fluids System For manikins such as Aria that are equipped with fluid systems: • Use ONLY distilled water with food coloring for simulated blood. NEVER use theatrical blood or other fluids in the bleeding system because they will cause damage.
Cautions and Warnings Simulator Batteries • Manikins and tablets use lithium batteries that all have special handling requirements to avoid hazardous situations. • Batteries can be charged while the manikin is between 35°F (4°C) and 95°F (35°C) . • Do not store, use or charge the battery inside of an automobile as temperatures can exceed 176°F (80°C).
(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.
Cautions and Warnings Transport Information CAE complies with the most current International Air Transport Association (IATA) Dangerous Goods Regulations when transporting and shipping Li-ion batteries. The following terms are defined as follows: Consignment - Equivalent to the term "shipment,” meaning one or more packages of hazardous materials accepted from one shipper at one time and at one address, receipted in one lot, and moving to one consignee at one destination address.
Specifications Specifications All hardware and software needed for operating the simulator are provided with the shipment. Size and Weight Equipment Size Weight Manikin/Simulator 48” H x 15” W x 8” D 50 lbs (22.7 kg) (121.92 cm x 38 cm x 20 cm) Shipping Container 64”...
Specifications Power Item Description Power Adapter • AC Voltage Input: 100-240VAC 50/60Hz • Nominal DC Output: 20 V • Maximum DC Current Output: 8 A • Nominal Power (Watts): 160 W • Batteries Limited Charging Current: 4 A Manikin/Simulator • Internal Batteries (14.4 V x 2) •...
System Requirements System Requirements This section describes the minimum and optimal requirements to run the simulator. Aria is not compatible with macOS. CAE Maestro Software The following table identifies the software version associated with the release of this user guide.
This section describes the standard equipment for CAE Aria. Full Body Wireless Manikin CAE Aria supports the standard healthcare requirements for pediatric patients, from assessment to performing basic clinical skills. Depending on the configuration you purchased, the manikin may include advanced features and capabilities.
CAE patient simulators. Maestro allows you to run simulations “on the fly” in Manual or Modeled mode, or you can run preconfigured Simulated Clinical Experiences (SCEs) in Manual mode. See the Maestro for Aria user guide for more information. CAE Maestro™ Software Surface Go Tablet The Surface Go provides the capabilities of a laptop in an ultra-portable tablet.
CAE StethoSym The CAE StethoSym™ assembly attaches to a stethoscope and pairs with the manikin via IEEE 802.15.4 protocol. This device allows users to auscultate heart, lung, bowel, and Korotkoff sounds emitted. One StethoSym assembly is included.
Equipment Overview CAE SymDefib CAE SymDefib™ connects with a commercial defibrillator to support training for defibrillation, cardioversion, and pacing in the actual clinical environment with real equipment. One SymDefib is included. See Appendix B - SymDefib for complete use instructions and safety information before using SymDefib.
CAE ™ Aria’s features allow for realistic training in emergency pediatric care. A wireless and tetherless patient simulator, CAE Aria helps future and current healthcare professionals practice the skills needed to increase safety, proficiency, and expertise.
• 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.
Support the manikin’s head and lift by the torso. Place the desired genitalia, wig, and gown on the manikin (all included with the manikin). See the Using Aria section of this user guide for instructions on how to change the genitalia.
Battery level is low and needs to be charged. Blue Unit is on and receiving signal from manikin. Step 6: Power On the Aria Manikin To power on the manikin. 1. Press the power button on the bottom of the right foot for one second and release.
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The percentages provided in the table below represent the average battery capacity as represented in the Maestro user interface. Note: If Aria is connected to a power supply, the battery will not charge if the ambient temperature exceeds 86°F (30°C).
If the system remains in low power mode, after seven days it will set both batteries to shipping mode (batteries off). To remove the simulator from shipping mode, unplug the AC adapter, if attached, and plug back into Aria. The software will automatically turn the batteries back on and start the charging process.
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At this time, the tablet will connect wirelessly to the manikin and the manikin will begin breathing. The SymEyes will also begin blinking. See the Maestro for Aria User Guide for more information on how to use the CAE Maestro software application with Aria.
5. Use scissors to trim the cable ties. 6. Connect the extension from the long end of the T-shaped blood pressure adapter to the NIBP port on Aria’s right side. Modified Blood Pressure Cuff Step 10: Prime the Fluids Systems...
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Setup Syringe Priming To prime the site for standard use: 1. Attach an empty fluid bag with tubing to the drain port located at the end of the black hose in the groin area of the manikin. Make sure all clamps and flow controls are open. 2.
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7. Slowly infuse more distilled water until fluid drains into the overflow reservoir on the urinary filling tool. This overflow signals that the internal bladder is full. Note: The bladder within Aria contains 10 to 15ml of fluid when full. 8. Disconnect the urinary filling tool from the Urinary port.
Features Aria Features CAE Aria is a wireless and tetherless patient simulator that displays the physical characteristics of a seven- year old child. Aria enhances pediatric simulation-based education of healthcare workers by helping them to develop critical decision-making and patient care skills in a risk-free environment. This pedatric patient simulator offers a wide variety of features, both passive and facilitator controlled using the CAE Maestro software.
Features Respiratory System The simulator represents a realistic Respiratory System to achieve an extremely accurate simulation of respiration. This system is tightly integrated with the Cardiovascular System. Respiratory System Airway Adjuncts Placement Head Tilt/Chin Lift/Jaw Thrust Manual Ventilation (BVM) demonstrates chest rise and fall Spontaneous Chest Excursion Audible Breath Sounds Bronchial Occlusion...
4-Lead ECG waveforms can be viewed on a standard monitor and/or the Patient Status Display in the Patient Monitor of the software. Software-based 12-Lead dynamic ECG Gastrointestinal System The Aria manikin features a realistic Gastrointestinal System for practicing clinical care skills. Gastrointestinal System Gastric Distention with esophageal intubation Gastrostomy Tube with Fluids...
Features Genitourinary System The Aria manikin is provided with both male and female genitalia. The genitourinary system is designed for excretion of urine upon catheterization. For more information on changing the genitalia, see the Using Aria section of this user guide.
Each SCE is comprised of a patient and the scenario. Aria includes ten preconfigured SCEs (Manual mode), or clinical simulations, that cover a range of events and crises. • Accidental Burn Injury •...
For instructions on modifying scenarios and creating new scenarios, refer to the Maestro for Aria User Guide. System Controls Aria 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.
For recommended sizes for clinical supplies, see Appendix A - Recommended Clinical Supply Sizes. 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.
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Eyes SymEyes The simulator comes equipped with CAE SymEyes The blink mode, light reactivity, pupil diameter, and blink speed of the simulator’s eyes can be controlled from the software. From the Run Screen, tap on the eyes or Eyes button to open the Eyes state screen.
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Panning and Consensual Pupil Response can be toggled on or off (Default: On). Eye Brightness can also be controlled in the Eyes state screen. For more information on how to control the SymEyes, see the Maestro for Aria User Guide. CAE SymEyes...
Using Aria Respiratory System The Aria manikin includes respiratory features that allow learners to practice emergency assessment and life support skill sets. With the manikin, learners can: • Manage difficult airways • Perform intubation and procedural suctioning • Recognize and resolve right mainstem intubation •...
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Using Aria Respiratory System Controls Feature Clinical Interventions, Patient Software Control Manual Control Monitoring and Scenarios Pulse Oximetry Oxyhemoglobin saturation (SpO None required, but Connect SpO adjustable. automatically correlates with the probe to oxygen concentration in the lungs connection on...
Using Aria Respiratory System Controls Feature Clinical Interventions, Patient Software Control Manual Control Monitoring and Scenarios Bronchial Completely obstructs the right or From the Run None required. Occlusion left bronchi, simulating a lower Screen, tap airway obstruction (e.g., mucus Respiratory and plug).
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Using Aria Intubation The upper airway of the 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.
Indicator CAE Maestro Airway Avatar - Right Mainstem Intubation Indicator Laryngospasm The Aria Advanced configuration comes with a software-controlled laryngospasm feature to increase the difficulty of intubationand can be toggled on or off. To activate the laryngospasm feature: • Enable Laryngospasms in the Maestro software. Tap the Respiratory icon on the SCE run screen.
Using Aria To control bronchial resistance in the software: 1. Tap the Respirator y icon on the SCE run screen. 2. Tap on Bronchial Resistance Factor: Left or Bronchial Resistance Factor: Right and adjust the settings as desired. Resistance settings can be toggled from 0.20 - 250000.00 (Default: 1.00) A setting >=5 will result in moderate resistance.
Using Aria Tracheostomy Tube Placement and Suctioning The following instructions provide steps for adequate tracheostomy tube placement. Learners can: • Clean the tracheostomy site. • Replace the tube. • Ventilate via tracheostomy tube. To place a tracheostomy tube: 1. Remove the crico skin cover plate. Set it aside.
During ventilation (BVM, endotracheal intubation, etc.), the chest will rise with sufficient ventilation volume. Aria presents with spontaneous chest excursion that simulates a patient breathing without the required external ventilation. The following chest excursion parameters can be modified in Maestro: •...
Laryngeal Mask Airway (LMA) Ventilation Ventilator Support Aria supports basic functionality of a ventilator. Low levels or PEEP (5-10) with normal volume (7-10 ml/kg depending on PEEP) can be supported. Reasonable lung compliances and resistances are supported for the scenarios of PARDS and Pneumonia as well as variable airway resistance for obstructed airway.
Using Aria Aria supports a maximum ventilation of approximately 220 ml with a PEEP of 0. This volume will decrease when PEEP is used. Note: The Advanced configuration only supports asynchronous volume and pressure controlled modes of mechanical ventilation. Cricothyrotomy To replicate a needle cricothyrotomy: 1.
By inserting a needle into the second intercostal space, mid-clavicular line, the sound of air being released can be heard and the intrapleural volume is reduced. Chest excursion and breath sounds automatically resume on the affected side. Aria Needle Decompression Chest Tube To perform a chest tube insertion: 1.
For supported chest tube size, see Appendix A - Recommended Clinical Supply Sizes. Cardiovascular System Aria includes cardiovascular features that allow learners to practice basic assessment and emergency life support skill sets. Learners can: • Palpate pulses • Perform venipuncture •...
Korotkoff tab. manikin’s right side. Pulses Aria includes bilateral pulses at the following locations: • Carotid • Brachial and Radial • Femoral • Popliteal and Dorsalis Pedis (Advanced configuration) Each pulse location represents a zone. Settings of a pulse will affect the zone if both zones are touched at the same time.
IV Administration There are two IV sites on Aria’s left arm, located on the dorsum of the hand and the antecubital fossa. For instructions on how to prime and fill the IV sites, see the Setup section of this user guide.
Intramuscular (IM) Subcutaneous (SQ) Injection Aria supports IM/SQ injection of the left humeral site located on Aria’s left arm and the left vastus lateralis site located on Aria’s left thigh. Note: The IM/SQ pads can sustain multiple injections and can be removed and replaced after each injection to empty fluids.
Using Aria On Aria, a 4-lead ECG signal is emitted from the appropriate positions for display on a standard monitor. The ECG posts are pre-installed on the manikin. To produce ECG signals on a standard patient monitor, connect the ECG leads to the posts.
10). For more information, see the Maestro for Aria User Guide. Blood Pressure Aria 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.
At appropriate cuff pressures, the radial pulse disappears and Korotkoff sounds are produced. Blood Glucose Fingers Aria includes the ability to perform fingerstick blood glucose testing. The second and third fingers on the left hand can be removed and filled with fluid.
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Using Aria 4. Fill a syringe with 0.5 ml of the simulated test blood. Syringe Filled with Simulated Test Blood 5. Insert the syringe and needle into the bottom opening of the glucose finger until you hit the plastic stop wall and pull back slightly. Inject 0.2 ml of the simulated test blood and remove syringe.
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Using Aria To use the glucose fingers: 1. Prime the glucose fingers as noted above and place them back on the hand. Place Glucose Finger on Hand 2. Prepare glucose test kit lancet (not included). 3. Find designated window port on either side of the glucose finger.
Using Aria 7. Place droplet on designated test strip until it is registered by the glucometer. Place Droplet on Test Strip 8. Wipe off any excess simulated test blood from the glucose finger with alcohol pad. To reseal the glucose fingers: 1.
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Aria: 1. Locate the SpO port on Aria’s left side. It is behind the uppermost of the two small holes. 2. To access the port with the connector, reach underneath the skin from the rectangular opening and pull the connector through the small hole in the skin.
Note: Feeding tube is not included. Genitourinary System Aria is configured for male and female genitalia, either of which allows for the insertion of a urinary catheter. The genitourinary system also provides for the excretion of urine. The simulator allows for the insertion of a 10 Fr 3 ml balloon urinary catheter.
A variety of simulated sounds are available to enhance realism. Sounds are controlled through the instructor software. To auscultate sounds on the Aria manikin, be sure to locate a stethoscope and set up the StethoSym prior to beginning a simulation.
Maestro. When the Sounds panel appears, select one of the tabs: Heart, Lungs, or Bowel, or Korotkoff. 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 Aria User Guide for complete details. Speech A variety of programmable vocal sounds are available.
Using Aria 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 Aria 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.
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Using Aria 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. Aria RFID Tag Locations Tag # Location Sound Heart: Pulmonary Valve Heart: Aortic Valve...
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Using Aria * Controlled by the anterior Left Lower lung sound control ** Controlled by the anterior Right Lower lung sound control ¥ Controlled by the posterior Left Upper lung sound control ¥¥ Controlled by the posterior Right Upper lung sound control...
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 the sponge back inside pad. 5. Replace the pad into the injection site. Step 4: Flush and Drain the Urinary System To flush and drain the urinary system: 1.
Maintenance Simple care and maintenance will ensure Aria stays in good working condition. Many problems are caused by inadequate or improper maintenance. Check all parts and components each time the simulator is used. Failure to follow these guidelines can lead to damage not covered by warranty.
Storage IMPORTANT: Do not attempt to open or repair any simulator components. Doing so may void the warranty. If damage exists, contact CAE Customer Service immediately for a repair. Prompt repair prevents expansion of the damaged area. Prior to storing the product: •...
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Do not stand the container on its side with the manikin stored inside for long periods of time. Aria supports storage up to twelve months. After that period of time, the user will need to charge the simulator again.
Appendix A - Recommended Clinical Supplies Appendix A - Recommended Clinical Supplies The following clinical supply sizes are recommended for use with Aria. Other sizes may cause damage to Aria and should not be used. Recommended Clinical Supply Sizes Urinary Catheter...
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 pediatric 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.
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SymDefib SymDefib pads must be placed only on the defibrillation nodes, as shown in the following image: Defibrillation node Defibrillation node SymDefib Pad Nodes When the SymDefib pads are connected, the monitor begins to display the ECG and the SymDefib status light turns solid green.
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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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