CAE Healthcare Fidelis Lucina User Manual

Maternal Fetal Simulator

User Guide

End-User License Agreement

CAE HEALTHCARE END-USER LICENSE

AGREEMENT

END-USER LICENSE FOR CAE HEALTHCARE MEDICAL EDUCATION PRODUCTS (THE “PRODUCT(S)”)

THIS IS A LEGAL AGREEMENT. PLEASE READ THIS DOCUMENT CAREFULLY.

The software you are about to access is provided to you pursuant to the purchase of the Product by the legal entity which employs you, or which you represent (the “Licensee” or You”) from, if the Product is labeled as designed and manufactured in Canada, CAE Healthcare Inc. a Canadian corporation having its principal place of in Montreal, Qc, Canada, otherwise from CAE Healthcare USA Inc., a United States company having a place of business in San Jose, California, USA. This purchase of the Product is subject to the CAE Healthcare Medical Education Products General Terms and Conditions (the “MEPGTC”) and this End-User License agreement (“License”).

This License governs the grant of licenses for the software, in object code only, embedded in the Product (the “Embedded Software”), as well as all related Product documentation and information (the “Data”) supplied by CAE Healthcare either with or separately from the Product, which items as indicated in the MEPGTC are not sold but licensed.

Acceptance of these terms and conditions must be without modification of any of the terms, conditions and notices contained herein.

Consequently, please be sure to read the terms of this License carefully.

If you do not accept these terms, conditions and other provisions in their entirety, without modification of any sort, your access to the Software and Data is prohibited.

1. DEFINITIONS AND INTERPRETATION

1.1 The preamble forms an integral part of this License.

1.2 Terms with a capital letter defined in the Preamble have the meaning indicated in the Preamble. Whenever used in this License, the following terms have the meaning set out below:

(a) “Confidential Information" means any and all scientific and technical information which is in the possession of, or belonging to, CAE Healthcare and relating to the Product, including without limitation, all Data, Embedded Software, trade secrets, know-how, processes, methodologies, samples, components, analyses, compilations, guides and other information or documents prepared by CAE Healthcare, its subsidiaries and affiliates and/or their officers, servants, agents, representatives, employees or advisers which contain or are otherwise generated from or reflect any CAE Healthcare proprietary information, whether or not covered by intellectual property rights or explicitly designated as confidential or proprietary, which is disclosed by any means in written, oral, electronic, or any other form.

(b) “Purpose” means the use of the Embedded Software and the Data solely for the operation and maintenance of the Product, and the use of the Product solely as an educational tool.

End-User License Agreement

2. LICENSE

2.1 In consideration of Licensee’s agreement and compliance with the terms and conditions contained in the MEPGTC and in this License, CAE Healthcare grants to Licensee, and Licensee accepts, a personal, non-exclusive, non-transferable license to use the Embedded Software and Data exclusively with the Product, and with the computer on which this License appears.

2.2 Except for the License granted herein, CAE Healthcare grants no express or implied right under any patent, copyright, mask work right, trademark, know how or other intellectual property rights. Without limiting the foregoing, the Licensee shall not obtain any rights to CAE Healthcare’s property, or any part thereof, by implication, estoppel or otherwise. Title to and full ownership of any trade secrets and other intellectual property rights related to the Product and components thereof shall remain with CAE Healthcare and, if applicable, its suppliers. For clarification, Licensee agrees that the source code for the Embedded Software is a trade secret of CAE Healthcare and only CAE Healthcare shall have the right to alter, maintain, enhance or otherwise modify the Embedded Software.

2.3 Without limiting the foregoing or any other terms in this License, Licensee shall, and shall ensure that any person authorized to access the Product, which are limited to Licensee’s employees, agents, representatives, medical staff and students (“Authorized Users”):

(a) not copy (save and except for normal back up and disaster recovery purposes provided such copy shall include CAE Healthcare’s copyright and any other proprietary notices indicated on the Embedded Software and Data), ghost, export or produce any derivative works from the Product, or any part thereof, not network the Product without CAE Healthcare’s prior written approval, or make it available for concurrent use;

(b) not sell, attempt to sell or transfer (unless in compliance with the MEPGTC), sublicense, encumber the Embedded Software or Data;

(c) not modify the Product in any way, combine with other programs, or reverse engineer, screen scratch, decompile or disassemble any Embedded Software nor otherwise attempt to create or derive the source code related thereto;

(d) not deface or remove any copyright or proprietary notices;

(e) not use the Product without the Key, if provided with the Product, or attempt to develop or develop any means or technology which would enable Licensee to bypass the use of the Key to operate the Product;

(f) prevent anyone other than Authorized Users from accessing or using the Product;

(g) not incorporate the Product, in whole or in part, to any product or service that Licensee would make available to a third party, on a commercial basis or not.

2.4 Notwithstanding anything else contained in this License, in no event shall Licensee use the Product and/or Confidential Information to enable, support, or otherwise aid Licensee or a third party to develop any product, software or service competitive with any of CAE Healthcare’s products.

2.5 Licensee agrees to grant CAE Healthcare, its agents and representatives, at any time during Licensee’s normal business hours and upon reasonable prior notice, the right to access to Licensee’s premises, to ensure that the use of the Product is done at all times in compliance with the terms and conditions of this License.

End-User License Agreement

2.6 CAE Healthcare reserves the right to embed a software security mechanism within the Product to monitor usage of the Product to verify Licensee’s compliance with this Agreement, as well as to control access to the Software through use of: a) a hardware lock device and/or b) a license administration software and/or c) a license authorization key (collectively, the “Key”).

2.7 Some Products may provide Licensee with the option of saving and reproducing the images created by such Products (“Work”) during their use. In this regard, Licensee hereby recognizes that the entire rights, title and interests in and to such Work remain the exclusive property of CAE Healthcare.

Licensee shall not modify such Work in any way whatsoever and shall not remove or alter any CAE Healthcare notices. However, Licensee is permitted to produce and reproduce such Work only for non-commercial educational purposes.

3. FEEDBACK

Licensee agrees to provide CAE Healthcare, from time to time, with comments, suggestions, data, information or feedback (“Feedback”) on the Product. Licensee acknowledges and agrees that such Feedback may be freely used by CAE Healthcare, at its sole discretion, for the design, development, improvement, marketing and commercialization of its products and services, without any restrictions based on confidentiality or intellectual property rights.

4. TERM AND TERMINATION

4.1 This License shall become effective as of the date of your execution of this License and shall remain in effect until terminated as provided hereafter.

4.2 This License terminates immediately upon termination of the MEPGTC.

4.3 CAE Healthcare may terminate this License immediately, upon written notice, should Licensee: (a) fail to comply with any of the terms and conditions of this License;

(b) terminate or suspend its business; make an assignment for the benefit of creditors, or any proceedings are instituted by any party or against it seeking to declare it bankrupt or insolvent, or seeking liquidation, windingup, reorganization, arrangement, adjustment, protection, relief or composition of its debts under any law relating to bankruptcy, insolvency, reorganization or relief of debtors, or seeking the entry of an order for relief or the appointment of a receiver, trustee or other similar official for it or for any substantial part of its property;

4.4 Upon termination of this License, Licensee agrees to immediately discontinue use of the Confidential Information and the Product, and to return same to CAE Healthcare as well as any copies, summaries or extracts thereof, with any associated CD ROM(s), DVD, keys, dongles or other devices as may be directed by CAE Healthcare. At CAE Healthcare’s request, Licensee shall promptly provide a written certificate signed by an officer of Licensee confirming that such items have been returned to CAE Healthcare or destroyed as so directed by CAE Healthcare.

4.5 The following shall survive and continue in full force and effect notwithstanding any termination of this License: the obligations of Licensee under Sections 2 (License), 5 (Non-Disclosure); as well as any other clauses which by their nature and context are intended to survive.

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End-User License Agreement

5. NON-DISCLOSURE

5.1 Licensee agrees to keep this License and all Confidential Information obtained hereunder in strict confidence, and shall only disclose same a) to Authorized Users solely for the Purpose and provided such access to the Product conforms, at all times, to the terms and conditions governing the use of the Product contained herein, or b) if required to be disclosed by law, and only to the extent of such disclosure and limited to the purpose requested, with prior notice to CAE Healthcare to permit it to seek an appropriate remedy to prevent the disclosure, or alternatively to agree to the terms of such disclosure.

5.2 The obligations of confidentiality, use and non-disclosure referred to in this Section 5 shall not apply to information which: (i) is or becomes publicly available through no fault of Licensee; (ii) was already in the rightful possession of Licensee prior to its receipt from CAE Healthcare; (iii) is independently developed by Licensee, provided it is not, in whole or in part, related to the Product; and (iv) is obtained by Licensee in good faith and on a non-confidential basis and without a use restriction from a third party who lawfully obtained and disclosed such information. However, Confidential Information does not come within the foregoing exceptions merely because features of it may be found separately or within a general disclosure in the public domain.

5.3 Licensee agrees to be responsible for enforcing the terms of this Section 5 and to take such action, legal or otherwise, to the extent necessary to cause anyone having access to the Confidential Information to comply with the terms and conditions set forth herein (including all actions that Licensee would take to protect its own trade secrets and confidential information but with not less than reasonable care). Licensee shall be responsible and indemnify, defend and hold harmless CAE Healthcare for any default caused by any such persons.

6. IRREPARABLE HARM

6.1 Licensee acknowledges that the Embedded Software and Data constitute a special, irreplaceable asset of great value to CAE Healthcare, and that a breach, in any way, of any of Licensee’s obligations under Sections 2 (License), and 5 (Non-Disclosure) hereof would cause serious and irreparable harm to CAE Healthcare which may not be adequately compensated for in damages. If the Licensee breaches any of such provisions, Licensee consents to an injunction being issued against it restraining it from any further breach of such provision, without derogation from any other remedy which CAE Healthcare may have in the event of such a breach.

7. WARRANTY, LIMITATION OF LIABILITY

7.1 THE SOLE WARRANTIES PROVIDED BY CAE HEALTHCARE ARE LIMITED TO THE WARRANTIES PROVIDED IN THE MEPGTC. ANY WARRANTIES PROVIDED ARE PERSONAL AND NOT TRANSFERABLE.

7.2 CAE HEALTHCARE’S LIABILITY SHALL IN NO CIRCUMSTANCES EXCEED THE LIMITATION OF LIABILITY INDICATED IN THE SPTGC. LIABILITY, IF ANY, SHALL BE SOLELY FOR DIRECT DAMAGES, NOT TO EXCEED ON A CUMULATIVE BASIS THE AMOUNT PAID BY LICENSEE FOR THE PRODUCT.

End-User License Agreement

8. GOVERNING LAW

8.1 Save and except for Products designed and manufactured in Canada, this License, is governed by the internal substantive laws of the State of California applicable to agreements to be made and to be performed solely within California, without giving effect to any conflicts or choice of laws principles that otherwise might be applicable. For those Products designed and manufactured in Canada, the substantive laws of the Province of Ontario (excluding its conflict of law rules) and the laws of Canada applicable therein, shall apply. In all cases, the parties expressly exclude and waive the application of the United Nations Convention on Commercial Agreements for the International Sale of Goods (1980) (Vienna Sales Convention) as amended.

8.2 Save and except for Products designed and manufactured in Canada, all disputes arising from or related to this Agreement shall be litigated in Santa Clara County in the State of California. For those Products designed and manufactured in Canada, the venue shall be Toronto, Canada. Each party hereby waives any right that it might otherwise have to object to such venue or seek dismissal of the action on the basis of forum non-conveniens. EACH PARTY HERETO IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY AND ALL RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT.

8.3 Notwithstanding the foregoing, if a party seeks injunctive proceedings to preserve confidentiality obligations or intellectual property rights, then it is entitled to seek relief before the competent court/body of any jurisdiction.

9. MISCELLANEOUS

9.1 United States Government Customer: If Licensee is the United States Government (“U.S. Government”) or a unit or agency of the U.S. Government, the Software and Data are deemed to be “commercial computer software” and “commercial computer software documentation”, respectively, pursuant to DFAR Section 227.7202 and FAR Section 12.212 b) as applicable. Any use, modification, reproduction, release, performance, display, or disclosure of the Embedded Software and/or Data by the U. S. Government, or any of its units or agencies shall be governed solely by the terms of this License and the MEPGTC. Any technical data provided by CAE Healthcare with the Product that is not covered by the above provisions is deemed to be "technical data-commercial items" pursuant to DFAR Section 252.227.7015(a).

9.2 Amendment. This License may only be amended by the duly authorized representatives of CAE Healthcare.

9.3 No Waiver: The failure of CAE Healthcare to enforce at any time any of the provisions of this License, or to require at any time the performance by Licensee of any of the provisions hereof, shall not be construed to be a waiver of such provisions, nor in any way affect the validity of this License or any part thereof, or the right of CAE Healthcare thereafter to enforce any such provision.

9.4 No third-party beneficiaries. Nothing in this Agreement shall be construed as creating or giving rise to any rights for any third parties or any persons other than the parties to this Agreement.

End-User License Agreement

9.5 Notices: Notices or communications pertaining to this Agreement must be given in writing and delivered to the addressee as indicated in the MEPGTC.

9.6 Preamble/Headings. The preamble forms an integral part of this Agreement. The division of this Agreement into Clauses, Articles, sections, subsections and other subdivisions and the insertion of headings are for convenience of reference only and will not affect the construction or interpretation of this Agreement.

9.7 Severability. If any one or more of the provisions of this License shall be held to be invalid, illegal or unenforceable, the validity, legality or enforceability of the remaining provisions of this Agreement shall not in any way be affected or impaired thereby.

PROPRIETARY NOTICE: This document, including the information contained herein is confidential and/or proprietary to CAE Healthcare Inc., and shall not be reproduced or disclosed in whole or in part, or used for any purpose whatsoever unless authorized in writing by CAE Healthcare Inc. Information on copyright and trademarks.

System Requirements

SYSTEM REQUIREMENTS

If you are not using a TouchPro computer or Wireless Remote provided by CAE Healthcare, please be sure to utilize a computer with wireless capability. When operating the TouchPro or Müse software, a computer with a Macintosh® or Microsoft Windows® operating system may be used.

To run the TouchPro or Müse software, the computer used must meet the following minimum requirements:

Macintosh® Operating System

Mac OS X10.6x (minimum)

Firefox® 24 ESR (minimum) Adobe Flash

Player® 16.x.x.x (minimum) Adobe

Reader 11.x (or higher)

Windows® Operating System

Windows 7 or Windows 8

Firefox

Adobe Flash Player

Adobe Reader 11.x (or higher)

24 ESR, Internet Explorer® 9 (minimum)

Windows Hardware

Intel Core 2 Duo, 2.0 GHz (minimum)

4 GB DDR3 RAM (minimum)

32 GB Hard Drive space available

1366x768 screen resolution (minimum)

USB 2.0

Wireless 802.11b/g/n Ethernet card

100BASE-T Ethernet Adapter

16.x.x.x (minimum)

Standard DVD+/-R Drive

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System Requirements

Macintosh Hardware

Intel Core 2 Duo, 2.0 GHz (minimum)

2 GB DDR3 RAM (minimum)

8 GB Hard Drive space available

1024x768 screen resolution (minimum)

USB 2.0

Wireless 802.11b/g/n Ethernet card

100BASE-T Ethernet Adapter

Standard DVD+/-R Drive

NOTE: Macintosh, Quicktime are registered trademarks of Apple Inc. Windows Media and Internet Explorer countries. Firefox is a registered trademark of the Mozilla Foundation. Adobe® Flash Player is a trademark of Adobe Systems Inc.

are registered trademarks of the Microsoft Corporation in the United States and/or other

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Specifications

SPECIFICATIONS

All hardware and software needed for the operation of the simulator are supplied. If you wish to extend the Instructor Workstation to other computers, contact CAE Healthcare.

Size

Mannequin/Simulator:

Fetus/Simulator: 19” H x 6” W x 4.5.” D (48cm x 15cm x 11.5cm)

Instructor Workstation

69” H x 22” W x 15” D (175cm x 56cm x 38cm

: .95” H x 12.78” W x 8.94” D (2.4cm x 32.5cm x 22.7cm)

Weight

Mannequin/Simulator: 111lbs (50 kg)

Fetus/Simulator: 5.5 lbs (2.5 kg)

Instructor Workstation: 4.5lbs (2.1kg)

Environmental Requirements

Ambient Temperature Range

Mannequin/Simulator

Operation: 40°F to 104°F (4°C to 40°C)

Storage: 40°F to 122°F (4°C to 50°C)

Relative Humidity: 0% to 90% noncondensing

Instructor Workstation

)

Operation: 50°F to 95°F (10°C to 35°C)

Storage: -13°F to 113°F (-24°C to 45°C)

Relative Humidity: 0% to 90% noncondensing

Maximum Altitude

Instructor Workstation

Maximum operating altitude: 10,000 ft

Maximum storage altitude: 15,000 ft

Maximum shipping altitude: 35,000 ft

Specifications

Power

Mannequin/Simulator

Fetus/Simulator

Instructor Workstation

AC Input: AC 100 – 240VAC, 50/60Hz

Consumption: Maximum 150W (Charging), 100W (charged), Typical 40W

Internal Batteries: 14.4V 90-watt-hour lithium-ion, rechargeable

Run Time: 4 hours (Typical)

Run Time: 7 hours (Typical)

AC Input: AC 100 – 240VAC, 50/60Hz

Consumption: Maximum 85W (Charging)

Internal Battery: 10.8V 60-watt-hour lithium-polymer, rechargeable

Run Time: 2 to 4 hours (Typical)

TouchPro Computer

Please see the product’s user guide for power specifications.

Communications

Simulator Network

Wired: 10/100 Ethernet or

Wireless: IEEE 802.11g

Wireless Voice

537 MHz to 819MHz (Country Specific)

Electrotherapy

Defibrillation: 20 to 360 joules (Monophasic, Biphasic)

Pacing: 20ma to 180ma

Air Supply

To properly regulate psi, the optional wall air kit must be used in conjunction with the facility supply source and facility wall adapter.

Cautions and Warnings

CAUTIONS AND WARNINGS

Please read and understand these cautions and warnings before you begin using the CAE Fidelis™ Maternal Fetal Simulator system.

USE OF THIS EQUIPMENT IN AN UNSPECIFIED MANNER, MAY IMPAIR DESIGNED PROTECTION.

Your safety is in your hands. Be sure to follow the instructions on the proper setup, breakdown and use of the Fidelis system.

SHOCK HAZARD

Electrical Safety

• This product must be connected to an electrical outlet that is properly grounded. Precautions should be taken so that grounding or polarization is not defeated.

• Do not place defibrillator paddles on or adjacent to the ECG patient electrodes. Contact between defibrillator paddles and the electrodes may cause injury to the user and damage to the equipment.

• Always use the supplied power cords. Do not substitute.

• Operate the system from a power source with the following rating:

º 115VAC, 50/60 hertz (cycles per second) (e.g., North America, Japan)

º 230VAC, 50/60 hertz (cycles per second) (e.g., Europe)

• Do not allow excess fluids to flow on or into electronic parts.

• Do not attempt to disassemble the simulator or service any of the electrical components other than changing the batteries.

• Always use the supplied power adapter to charge or run simulator from AC.

Latex Warning

CAE Healthcare simulators incorporate latex into their design. When performing certain maintenance procedures, the latex can become exposed. Users with latex sensitivity should take necessary precautions when handling the simulator while performing those procedures.

Cautions and Warnings

General Use Warnings

Please observe the following warnings when using the Fidelis Lucina simulator.

Electrical System

• Operate the system from a power source with the following rating: 115VAC, 50/60 hertz (cycles per second) (e.g. North America, Japan), and 230VAC, 50/60 hertz (cycles per second) (e.g. Europe)

• Do not operate the MFS system in rain. Apply water to the mannequin only in accordance with the supported clinical procedures identified in this User Guide.

• Do not allow excess fluids to flow on or into electronic parts.

Bleeding System

• DO NOT modify the tank or any assembly component.

• ALWAYS protect eyes, skin and clothing against accidental exposure.

• ALWAYS read and follow instructions for creating trauma fluids (e.g. blood). NEVER fill the tank with more than 2 liters (0.5 gallons) of fluid.

•

Transport

• Prior to using the stretcher packed with the shipping container, the

• CAE is not responsible for damage to the mannequin skin if the mannequin

After use, ALWAYS drain the tank. DO NOT store liquids in the tank.

mannequin must be wrapped in a sheet. Failure to wrap the mannequin in a sheet may result in permanent damage to the mannequin skin.

is not wrapped in a sheet while using the stretcher.

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TABLE OF CONTENTS

CAE Healthcare End-User License Agreement ..................................................................... i

System Requirements ................................................................................................... vii

Specifications ................................................................................................................ ix

Size ....................................................................................................................................ix

Weight ...............................................................................................................................ix

Environmental Requirements ..............................................................................................ix

Ambient Temperature Range..................................................................................................................ix

Maximum Altitude..................................................................................................................................ix

Power..................................................................................................................................x

Communications ..................................................................................................................x

Electrotherapy .....................................................................................................................x

Air Supply ............................................................................................................................x

Cautions and Warnings................................................................................................... xi

Electrical Safety...................................................................................................................xi

Latex Warning.........................................................................................................................................xi

General Use Warnings............................................................................................................................xii

Table of Contents......................................................................................................... xiii

Introduction................................................................................................................... 1

Contained in this User Guide ................................................................................................ 2

Equipment Overview....................................................................................................... 3

Standard Equipment ........................................................................................................... 3

Full-Body Wireless Mannequin ............................................................................................................... 3

Laptop Instructor Workstation ................................................................................................................ 3

TouchPro Workstation............................................................................................................................. 4

Power Adapters and Cords (2)................................................................................................................. 4

Gown ...................................................................................................................................................... 4

Prepartum/Early Labor Kit....................................................................................................................... 4

Vaginal Delivery Kit................................................................................................................................. 5

Postpartum Kit........................................................................................................................................ 5

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Table Of Contents

Accessories.............................................................................................................................................. 5

Optional Equipment................................................................................................................................ 6

Supplemental Static Cervices Kit ............................................................................................................. 6

Operation Supplemental Accessories ...................................................................................................... 6

Additional Equipment.......................................................................................................... 7

Setup ............................................................................................................................. 9

Before Beginning Setup....................................................................................................... 9

Step 1: Place Mannequin in the Work Area ...........................................................................10

Step 2: Power on the Maternal Mannequin ..........................................................................11

Step 3: Power on the Fetus..................................................................................................13

Step 4: Power on the Instructor Workstation ........................................................................14

Step 5a: Connect to the Wireless Network - Laptop Instructor Workstation (Macintosh) ..........15

Step 5b: Connect to the Wireless Network - Laptop or Tablet Instructor Workstation (Windows) . 16

Step 6: Connect a TouchPro™ Workstation to the Wireless Network (Optional)........................17

Configuring The Mannequin .......................................................................................... 19

Prepartum.................................................................................................................... 20

Removing the Rotation Ring ...............................................................................................20

Installing the Static Cervix ..................................................................................................22

Prepartum and Latent Cervix Installation............................................................................................. 22

Installing the Backplate......................................................................................................24

Prepartum and Latent Backplate Installation........................................................................................ 24

Installing the Support Tubs .................................................................................................25

Loading the Fetus - Prepartum ............................................................................................25

Prepartum and Latent........................................................................................................................... 25

Active Phase.......................................................................................................................................... 26

Delivery ....................................................................................................................... 26

Installing the Rotation Ring................................................................................................26

Installing the Uterine Funnel with Dynamic Cervix ...............................................................28

Loading the Fetus - Delivery................................................................................................29

Vaginal Delivery - Breech ...................................................................................................................... 29

Vaginal Delivery - Vertex....................................................................................................................... 32

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Table Of Contents

Installing the Placenta .......................................................................................................35

Vaginal Delivery Placenta Pouch Placement ......................................................................................... 37

Installing the Abdomen ......................................................................................................38

Delivery Abdomen Installation.............................................................................................................. 38

Non-Gravid (Non-Pregnant) Abdomen ................................................................................................. 41

Disconnecting the Umbilical Cord ........................................................................................43

Postpartum .................................................................................................................. 44

Filling the Blood Tank.........................................................................................................44

Internal Filling....................................................................................................................................... 44

External Filling ..................................................................................................................................... 45

Installing the Blood Tank....................................................................................................46

Installing the Boggy/Contracted Uterus With Bag.................................................................48

Installing the Postpartum Invertible Uterus.........................................................................54

Postpartum Backplate Installation........................................................................................................ 59

Using Müse................................................................................................................... 61

Starting the Application......................................................................................................61

Navigating the Home Page .................................................................................................63

The SCE Selection Panel ......................................................................................................64

The SCE Operating Mode Icon................................................................................................................ 67

The SCE Summary Panel........................................................................................................................ 68

Running an SCE ..................................................................................................................69

SCE Information .................................................................................................................................... 72

Using the Patient Status Display..........................................................................................73

The Event Logs ...................................................................................................................................... 75

Displaying Patient Records.................................................................................................................... 75

NOTE: Only one patient record can be displayed at a time..................................................................... 77

Adding a Scenario to a Running SCE...................................................................................................... 78

Changing Physiology and Controlling Delivery...................................................................................... 79

Selecting CTG Monitor Options.............................................................................................................. 97

SCE Time Controls.................................................................................................................................. 98

The Battery Status Icon ......................................................................................................................... 99

Table Of Contents

Traction Feedback ............................................................................................................................... 100

The CPR Monitor ................................................................................................................................. 101

Using the Event Recorder to Save States ............................................................................................. 102

Creating a New Patient ....................................................................................................................... 104

Resetting a Patient.............................................................................................................................. 107

The Medication Monitor...................................................................................................................... 108

Returning to the Home Page............................................................................................................... 109

Stopping the SCE................................................................................................................................. 109

Developing SCEs ...............................................................................................................111

Creating a New SCE ............................................................................................................................. 111

The SCE Editor ..................................................................................................................................... 113

Editing a Patient’s Profile.................................................................................................................... 114

Creating a New Scenario ..................................................................................................................... 123

Editing a Scenario ............................................................................................................................... 124

Modifying Scenario States................................................................................................................... 128

Deleting Scenario States ..................................................................................................................... 133

Deleting Parameters and Transitions .................................................................................................. 133

Saving the Scenario............................................................................................................................. 134

Emptying the Trash............................................................................................................................. 135

Saving States to the State Library ....................................................................................................... 136

Administrative Tools......................................................................................................... 138

History ................................................................................................................................................ 138

System Administration........................................................................................................................ 139

Account Profile.................................................................................................................................... 157

Using The TouchPro Patient Monitor ............................................................................ 163

Accessing the TouchPro Patient Monitor Software ..............................................................163

Modifying the TouchPro Patient Monitor Display................................................................165

Selecting a Preconfigured Layout........................................................................................................ 165

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Changing a Waveform or Numeric Display .......................................................................................... 167

Adding a Waveform ............................................................................................................................ 168

Adding a Numeric Display ................................................................................................................... 170

Moving a Waveform or Numeric Display ............................................................................................. 171

Table Of Contents

Saving a Layout................................................................................................................................... 172

Sounds.............................................................................................................................173

12-Lead ECG .....................................................................................................................174

NIBP Cycling and Manual NIBP ..........................................................................................177

Patients...........................................................................................................................179

Configuring the TouchPro Software ...................................................................................180

Changing the TouchPro Language .....................................................................................181

Exiting the TouchPro Software ..........................................................................................182

Using the TouchPro CTG Monitor Software.................................................................... 183

Accessing the TouchPro CTG Software ................................................................................ 183

Configuring CTG Alarms.....................................................................................................185

Setting CTG Alarm Thresholds ............................................................................................................. 185

Setting CTG Alarm Suspension Time.................................................................................................... 186

Adjusting Audio Settings..................................................................................................................... 188

Muting CTG Alarms ........................................................................................................... 190

MNIBP Cycling and Manual MNIBP .....................................................................................190

Resetting Tocography Noise..............................................................................................192

Viewing the CTG Strip ....................................................................................................... 193

Changing the CTG Monitor Language .................................................................................195

Exiting the CTG Monitor ....................................................................................................197

Using Lucina ............................................................................................................... 199

Neurological Features....................................................................................................... 200

Eyes.................................................................................................................................202

Seizures............................................................................................................................................... 203

Respiratory Features ........................................................................................................ 204

Realistic Upper Airway ........................................................................................................................ 207

Cardiovascular Features....................................................................................................208

Pulses..............................................................................................................................212

4-Lead ECG.......................................................................................................................................... 214

Manual Blood Pressure........................................................................................................................ 214

Korotkoff Sounds................................................................................................................................. 216

Defibrillation and Cardioversion.......................................................................................................... 217

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Table Of Contents

Cardiac Pacing..................................................................................................................................... 219

Fluids ..............................................................................................................................219

Vaginal Bleeding................................................................................................................................. 221

Hematology Model ...........................................................................................................223

The Genitourinary System................................................................................................................... 224

Medication and Fluid Administration.................................................................................................. 225

Priming the Epidural Site .................................................................................................................... 228

Administering Suppositories............................................................................................................... 228

Sounds.............................................................................................................................229

Patient Speech .................................................................................................................................... 229

Speech Sounds.................................................................................................................................... 229

Breath Sounds..................................................................................................................................... 231

Heart Sounds....................................................................................................................................... 232

Audible Breathing Sounds................................................................................................................... 233

UA Synchronized Vocal Clip................................................................................................................. 234

Neonate Cry Selection ......................................................................................................................... 235

Fetal Heart Sound Location ................................................................................................................. 236

Bowel Sounds (Non-Gravid Only)........................................................................................................ 237

Care and Maintenance................................................................................................. 239

CAE Healthcare Assurance Programs ..................................................................................239

General Information............................................................................................................................ 239

Units Out of Plan ................................................................................................................................. 239

Plan Period.......................................................................................................................................... 239

Limitations of Plan.............................................................................................................................. 239

Return Materials Authorization (RMA) ................................................................................................ 240

Training for LifeTM.............................................................................................................................. 240

System Software Upgrade Support ....................................................................................241

Time and Materials ............................................................................................................................. 241

How to Contact Customer Service.......................................................................................241

For customer service, please contact CAE Healthcare. ......................................................................... 241

Breakdown ......................................................................................................................243

Step 1: Clean the Simulator and Fluid Systems.................................................................................... 243

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Step 2: Shut Down the Software ......................................................................................................... 243

Step 3: Power Off the Simulator.......................................................................................................... 244

Step 4: Power Off the Fetus................................................................................................................. 244

Maintenance Advice ......................................................................................................... 245

General Simulator Care ....................................................................................................................... 245

Storing the Simulator.......................................................................................................................... 245

Caring for Electronic Equipment.......................................................................................................... 246

Inspecting the Airway ......................................................................................................................... 246

Charging the Batteries ........................................................................................................................ 246

Charging the Fetus Battery.................................................................................................................. 249

Cleaning the Internal Systems............................................................................................................. 250

Draining Condensation from the Simulator......................................................................................... 256

Replacing the Standard Birth Canal..................................................................................................... 258

Respiratory: Desaturation ................................................................................................................... 271

Cardiovascular: Blood Pressure............................................................................................................ 272

Cardiovascular: Heart Rate .................................................................................................................. 273

Respiratory: Respiratory Rate.............................................................................................................. 274

Müse Parameter Descriptions ...................................................................................... 275

Neurological - Parameters.................................................................................................275

Eyes: Pupil Control .............................................................................................................................. 275

Eyes: Blinking...................................................................................................................................... 276

Eyes: Blink Speed ................................................................................................................................ 276

Reactive Pupils.................................................................................................................................... 276

Light Reactivity Speed......................................................................................................................... 276

Seizures............................................................................................................................................... 276

Intracranial Pressure (ICP)................................................................................................................... 277

Neuromuscular Blockade (NMB) ......................................................................................................... 277

Temperature: Body ............................................................................................................................. 277

Temperature: Blood ............................................................................................................................ 277

Respiratory – Basic Parameters.........................................................................................278

Bronchial Occlusion (Left and Right) ................................................................................................... 278

Respiratory Rate.................................................................................................................................. 278

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Respiratory Rate Factor ....................................................................................................................... 279

Shunt Fraction..................................................................................................................................... 279

SpO2 ................................................................................................................................................... 279

Neuromuscular Blockade (NMB) ......................................................................................................... 280

Tidal Volume....................................................................................................................................... 280

Intrapleural Volume (Vol): (Left and Right)......................................................................................... 280

Fraction of Inspired O2 (FiO2).............................................................................................................. 281

Respiratory – Additional Parameters.................................................................................281

Respiratory Rate.................................................................................................................................. 282

Tidal Volume....................................................................................................................................... 283

Tidal Volume Factor ............................................................................................................................ 283

pH Shift............................................................................................................................................... 283

Positive End Expiratory Pressure (PEEP) .............................................................................................. 284

O2 Consumption ................................................................................................................................. 284

CO2 Production Factor......................................................................................................................... 284

PaCO2 Set-point.................................................................................................................................. 284

PaO2 Set-point.................................................................................................................................... 285

I to E Ratio (1:X) .................................................................................................................................. 285

PetCO2 - PaCO2 Factor ........................................................................................................................ 285

Respiratory Gain Factor ....................................................................................................................... 286

Respiratory Quotient........................................................................................................................... 286

Volume/Rate Control Factor................................................................................................................ 286

Chest Wall Capacity............................................................................................................................. 286

Chest Wall Compliance Factor ............................................................................................................. 287

Distended Chest Wall Compliance Factor ............................................................................................ 287

Functional Residual Capacity............................................................................................................... 287

Lung Compliance Factor: (Left and Right) ........................................................................................... 287

Venous CO2 Shift................................................................................................................................. 288

Bronchial Resistance Factor (Left and Right)....................................................................................... 288

Alveolar Enflurane............................................................................................................................... 288

Fraction of Inspired Enflurane ............................................................................................................. 289

Alveolar Halothane ............................................................................................................................. 289

Table Of Contents

Fraction of Inspired Halothane............................................................................................................ 289

Alveolar Isoflurane .............................................................................................................................. 290

Fraction of Inspired Isoflurane............................................................................................................. 290

Alveolar Nitrous Oxide......................................................................................................................... 290

Fraction of Inspired Nitrous Oxide ....................................................................................................... 291

Alveolar Sevoflurane ........................................................................................................................... 291

Fraction of Inspired Sevoflurane.......................................................................................................... 291

Cardiovascular – Basic Parameters .................................................................................... 292

Blood Pressure .................................................................................................................................... 292

Heart Rate........................................................................................................................................... 292

Heart Rate Factor ................................................................................................................................ 293

Cardiac Rhythm................................................................................................................................... 293

Arterial Catheter.................................................................................................................................. 295

Central Venous Catheter...................................................................................................................... 295

Pulmonary Artery (PA) Catheter.......................................................................................................... 296

Pulmonary Artery (PA) Balloon ........................................................................................................... 296

Defibrillation (Defib) ........................................................................................................................... 296

Pacing Current .................................................................................................................................... 297

Pacing Rate ......................................................................................................................................... 297

Pacing Capture Threshold ................................................................................................................... 297

Cold Fluid Inject .................................................................................................................................. 297

Cardiovascular – Additional Parameters ............................................................................ 298

Baroreceptor Maximum Pressure ........................................................................................................ 298

Baroreceptor Minimum Pressure......................................................................................................... 299

Left Ventricle Contractility Factor........................................................................................................ 299

Right Ventricle Contractility Factor...................................................................................................... 300

Systemic Vascular Resistance Factor.................................................................................................... 300

Venous Capacity Factor ....................................................................................................................... 300

Systemic Arteries Compliance Factor................................................................................................... 301

Pulmonary Arteries Compliance Factor ............................................................................................... 301

Pulmonary Vasculature Resistance Factor ........................................................................................... 301

Venous Return Resistance Factor ........................................................................................................ 302

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Baroreceptor Gain (Overall) Factor ...................................................................................................... 302

Baroreceptor Gain (Cardiac) Factor...................................................................................................... 302

Baroreceptor Gain (Peripheral) Factor................................................................................................. 303

Chest Compression Efficacy ................................................................................................................. 303

Tamponade Volume............................................................................................................................ 303

Ischemic Index Sensitivity ................................................................................................................... 304

Ischemic Index Averaging ................................................................................................................... 304

Aortic Valve Resistance Factor............................................................................................................. 305

Mitral Valve Resistance Factor............................................................................................................. 305

Pulmonic Valve Resistance Factor ....................................................................................................... 305

Fetal and Labor - Basic Parameters ....................................................................................306

Rate of Descent ................................................................................................................................... 306

Fetal State........................................................................................................................................... 306

Contraction Frequency ........................................................................................................................ 307

Contraction Amplitude........................................................................................................................ 307

Contraction Duration........................................................................................................................... 307

Patient Pushing................................................................................................................................... 307

Early Deceleration Magnitude............................................................................................................. 307

Late Deceleration Amplification Factor ............................................................................................... 308

Shoulder Dystocia ............................................................................................................................... 308

Shoulder Dystocia Resolution.............................................................................................................. 308

Extraction of Posterior Arm ................................................................................................................. 309

Arrested Labor .................................................................................................................................... 309

Arrested Labor Trigger Station ............................................................................................................ 310

Arrested Labor Resolved by Traction ................................................................................................... 310

Traction Force Required to Resolve Arrested Labor ............................................................................. 310

Manual Release of the Baby ................................................................................................................ 310

Fetal and Labor - Additional Parameters ............................................................................311

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Maternal Position................................................................................................................................ 311

Contraction Resting Tone .................................................................................................................... 312

Contraction Frequency Variability ....................................................................................................... 312

Contraction Amplitude Variability....................................................................................................... 312

Table Of Contents

UA Noise.............................................................................................................................................. 312

TOCO Amplitude Gain.......................................................................................................................... 312

FHR Baseline ....................................................................................................................................... 312

FHR Variability Coefficient................................................................................................................... 313

Umbilical Cord Compressibility Factor ................................................................................................. 313

FHR Acceleration Amplitude ............................................................................................................... 313

FHR Acceleration Interval.................................................................................................................... 313

FHR Acceleration Duration .................................................................................................................. 313

Placental Perfusion Factor................................................................................................................... 314

Umbilical Flow Factor.......................................................................................................................... 314

Cardiotocograph (CTG) Configuration - Parameters .............................................................315

FHR Probe ........................................................................................................................................... 316

UA Probe............................................................................................................................................. 316

MHR Probe .......................................................................................................................................... 317

MSPO2 Probe ...................................................................................................................................... 317

MNIBP Probe....................................................................................................................................... 318

Temp Probe......................................................................................................................................... 318

FHR Signal Loss ................................................................................................................................... 319

UA Signal Loss..................................................................................................................................... 319

TOCO Offset ......................................................................................................................................... 319

MHR Graph.......................................................................................................................................... 319

MHR Overrides FHR ............................................................................................................................. 319

MSPO2 Printing Frequency.................................................................................................................. 319

MNIBP Printing Frequency .................................................................................................................. 320

Patient Baseline - Parameters...........................................................................................320

Operating Mode .................................................................................................................................. 320

Delivery Paused on Run....................................................................................................................... 321

Postpartum Included........................................................................................................................... 321

Cervix .................................................................................................................................................. 322

Presentation ....................................................................................................................................... 322

Initial Station ...................................................................................................................................... 322

Vertex Rotation Type........................................................................................................................... 323

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Breech Initial Position ......................................................................................................................... 323

Cord Prolapse ...................................................................................................................................... 323

Nuchal Cord......................................................................................................................................... 323

Placenta Condition.............................................................................................................................. 324

Postpartum Initial Uterine State ......................................................................................................... 324

Postpartum - Basic Parameters .........................................................................................325

Uterine Massage ................................................................................................................................. 325

Resolve Boggy Uterus.......................................................................................................................... 326

Inverted Uterus Can Be Reverted......................................................................................................... 326

Postpartum - Additional Parameters .................................................................................326

Maternal Position................................................................................................................................ 326

Parameter Display Definitions ..................................................................................... 327

Müse Patient Status Display..............................................................................................327

Waveform Widget Displays................................................................................................................. 327

Numeric Widget Displays .................................................................................................................... 328

Volume Widget Displays ..................................................................................................................... 330

Other Widget Displays......................................................................................................................... 330

CPR Monitor .....................................................................................................................330

Traction Feedback ............................................................................................................332

TouchPro Patient Monitor and TouchPro CTG......................................................................332

Waveform Widget Displays................................................................................................................. 332

Numeric Widget Displays .................................................................................................................... 333

12-Lead ECG Report Parameters.......................................................................................................... 334

Recommended Clinical Supply Sizes ............................................................................. 335

The Ischemic Index (Death Spiral) ................................................................................ 335

Wireless Voice Link...................................................................................................... 337

Cautions and Warnings .....................................................................................................337

What’s Included ...............................................................................................................338

How It Works.................................................................................................................... 338

Recommendations for Use ................................................................................................ 338

Wireless Voice Link Devices ............................................................................................... 339

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Physical Features .............................................................................................................340

Preparing the Base Station in the Simulator ......................................................................341

Preparing the Handset for Use...........................................................................................342

Selecting the Radio Frequency Channel..............................................................................342

Powering Up the WVL Pair.................................................................................................343

Using the iPhone/Standalone Microphone .........................................................................343

Special Handset Settings ..................................................................................................344

Battery Capacity Indicator.................................................................................................345

Troubleshooting............................................................................................................... 345

Power Problems.................................................................................................................................. 345

Audio Problems................................................................................................................................... 345

RF Channel Initial Operating Frequencies........................................................................... 347

Fidelis Lucina Medication Information ......................................................................... 349

Müse Mannequin Setup Screens................................................................................... 351

Mannequin Setup Screen for a Prepartum SCE ....................................................................352

Mannequin Setup Screen for an Active Phase Breech SCE..................................................... 353

Mannequin Setup Screen for an Active Phase Vertex SCE .....................................................354

Mannequin Setup Screen for a Vaginal Delivery Breech Left Sacrum SCE............................... 355

Mannequin Setup Screen for a Vaginal Delivery Breech Right Sacrum SCE.............................356

Mannequin Setup Screen for a Vaginal Delivery Vertex SCE..................................................357

Mannequin Setup Screen for a Cesarean Breech SCE............................................................358

Mannequin Setup Screen for a Cesarean Vertex SCE ............................................................ 359

Mannequin Setup Screen for a Non-Gravid SCE....................................................................360

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Introduction

INTRODUCTION

Welcome to the CAE FidelisTM Lucina Maternal Fetal Simulator user guide. This guide provides complete instructions on how to use and maintain your simulator. The Fidelis Lucina simulator has been designed to provide instructors and learners with advanced tools for obstetrical training.

The CAE Fidelis Lucina Maternal Fetal Simulator - Maternal Mannequin

The autonomous simulator reacts to medical interventions with appropriate physiological responses and wirelessly communicates with the Instructor Workstation, creating an authentic experience for the learner and keeping the instructor informed as the scenario progresses. The Instructor Workstation provides the instructor with scenario development tools and programmable patient physiology to create an immersive, realistic training environment.

The Fidelis Lucina simulator provides all the components necessary for prepartum care, normal and complicated vaginal deliveries and postpartum care. The simulator supports cephalic and breech delivery, placenta delivery, shoulder dystocia, nuchal cord, neonate crying, postpartum vaginal bleeding, and boggy and inverted uterus. In addition, the following medical interventions can be performed:

• ECG and electrical therapy

• Epidural administration

• Forceps delivery

• Intubation

• Leopold’s maneuvers

• McRoberts maneuver

• Medication and fluid administration

• Mechanical ventilation support

• Neonate suctioning

• Rotational maneuvers

• Suppository administration

• Uterine massage and bimanual compression

• Vacuum delivery

• Zavanelli maneuver

Introduction

Contained in this User Guide

This User Guide has been designed for quick access to information on how to use and maintain the CAE Fidelis™ Maternal Fetal Simulator. Please be sure to read and follow the Cautions and Warnings on the pages preceding the Table of Contents. This is for the safety of users as well as for the protection of the simulator.

The Equipment Overview outlines the items that come standard with the purchase of a Fidelis. Before using the system, follow the step-by-step instructions included in the Setup section.

The Configuring the Mannequin section shows users how to configure the internal components (i.e., cervix, uterus, fetus) of the Fidelis for the different birthing options.

The Using Müse section describes the different features and functions in the Müse software.

The Using TouchPro Patient Monitor and Using the TouchPro CTG sections describe how to setup and utilize the TouchPro Patient Monitor and TouchPro CTG software.

The Using the Maternal Fetal Simulator section provides instructions on the use of the various parameters and hardware features integrated into the simulated experiences. This section also includes information on how the simulator and software components work and the functionality that each supports.

The Care and Maintenance section contains warranty details and cleanup and care instructions that must be followed to ensure optimal functioning of the Fidelis.

The user guide also includes information on:

• Condition Guidelines for Programming Patients in Müse

• Müse Parameter Descriptions

• Parameter Display Definitions

• Recommended Clinical Supply Sizes

• Ischemic Index Conditions

• Wireless Voice Link Instructions

• Maternal Fetal Simulator Medication Information

• Müse Mannequin Setup Screens

+ 360 hidden pages

CAE Healthcare Fidelis Lucina User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

System Requirements

Specifications

Size

Weight

Environmental Requirements

Ambient Temperature Range

Maximum Altitude

Power

Communications

Electrotherapy

Air Supply

Cautions and Warnings

Electrical Safety

Latex Warning

General Use Warnings

Table Of Contents

Introduction

The CAE Fidelis Lucina Maternal Fetal Simulator - Maternal Mannequin

Contained in this User Guide