CAE Healthcare WVL User Manual

®

METIman

User Guide

CAE Healthcare

License/Copyright

METIman® Simulator Software and Users Guide

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 CAE Healthcare. This purchase of the Product is subject to CAE Healthcare’s Healthcare Education Products General Terms and Conditions (the “HEPGTC”) and this End-User License agreement (“License”).

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

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

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

If You agree to these terms, conditions and other provisions in their entirety, then click the “ACCEPT” button below.

If You do not accept these terms, conditions and other provisions in their entirety, without modication of any sort, then click the “DECLINE” button below and 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 dened 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) “Condential Information” means any and all scientic and technical information which is in the possession of, or belonging to, CAE Healthcare and relating to the Product, including without limitation, all Data, Software, trade secrets, know-how, processes, methodologies, samples, components, analyses, compilations, guides and other information or documents prepared by CAE Healthcare, its subsidiaries and aliates and/or their ocers, servants, agents, representatives, employees or advisers which contain or are otherwise generated from or reect any CAE Healthcare proprietary information, whether or not covered by intellectual property rights or explicitly designated as condential or proprietary, which is disclosed by any means in written, oral, electronic, or any other form.

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

2. LICENSE

2.1 In consideration of Licensee’s agreement and compliance with the terms and conditions contained in the HEPGTC and in this License, CAE Healthcare grants to Licensee, and Licensee accepts, a personal, non-exclusive, non-transferable license to use the 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 clarication, Licensee agrees that the source code for the Software is a trade secret of CAE Healthcare and only CAE Healthcare shall have the right to alter, maintain, enhance or otherwise modify the Software.

i

License/Copyright

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 sta 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 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 HEPGTC), sublicense, encumber the Software or Data;

(c) not modify the Product in any way, combine with other programs, or reverse engineer, screen scratch, decompile or disassemble any 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 Condential 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.

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 condentiality or intellectual property rights.

ii

License/Copyright

4. TERM AND TERMINATION

4.1 This License shall become eective as of the date of Your execution of this License and shall remain in eect until terminated as provided hereafter.

4.2 This License terminates immediately upon termination of the HEPGTC.

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 benet of creditors, or any proceedings are instituted by any party or against it seeking to declare it bankrupt or insolvent, or seeking liquidation, winding-up, 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 ocial 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 Condential 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 certicate signed by an ocer of Licensee conrming 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 eect 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.

5. NON-DISCLOSURE

5.1 Licensee agrees to keep this License and all Condential Information obtained hereunder in strict condence, 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 condentiality, 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-condential basis and without a use restriction from a third party who lawfully obtained and disclosed such information. However, Condential 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 Condential 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 condential 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.

iii

License/Copyright

6. IRREPARABLE HARM

6.1 Licensee acknowledges that the 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 HEPGTC. 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 HEPGTC. LIABILITY, IF ANY, SHALL BE SOLELY FOR DIRECT DAMAGES, NOT TO EXCEED ON A CUMULATIVE BASIS THE AMOUNT PAID BY LICENSEE FOR THE PRODUCT.

8. GOVERNING LAW

8.1 This Agreement shall be governed by, subject to, and interpreted according to the laws of the State of Florida, U. S. A., without regard to its conict of law rules. 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 The exclusive forum for the resolution of any and all disputes arising out of or in connection with this Agreement shall be a court of appropriate jurisdiction located in the State of Florida, U.S.A. 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 condentiality 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, modication, reproduction, release, performance, display, or disclosure of the 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 HEPGTC. 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 aect 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 beneciaries. 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.

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

iv

METIman Specications

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 aect 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 aected or impaired thereby.

9.8 Assignment and Succession. Licensee may not assign or delegate this Agreement in whole or in part, expressly or by operation of law, without CAE Healthcare’s prior written consent. CAE Healthcare may assign this Agreement, in whole or in part, and/or its rights and obligations, in CAE Healthcare’s sole discretion, to any party. This Agreement shall be binding upon and enure to the benet of the parties hereto and their permitted successors and assigns. Any assignment of this Agreement, or any license granted herein, in violation of the provisions of this Section shall be void.

9.9 Entire Agreement. This License constitutes the complete agreement of the parties with respect to the subject matter referred to herein, and supersede any other agreements, written or oral, concerning the subject matter hereof.

9.10 Language. The parties declare that they have requested and hereby conrm their express wish that this License, and related agreements and documents be drawn up in the English language and that any notication, letter or any other communication from a party to the other pertaining thereto shall be solely in the English language.

End of License

v

METIman Specications

Size

Mannequin/Simulator

74” H x 26” W x 11” D (188cm x 66cm x 28cm

Weight

Mannequin/Simulator 100 lbs (45.36 kg)

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% non-condensing

Power

Mannequin/Simulator

AC Input: AC 90 – 240VAC, 50/60Hz

Consumption: 70W nominal

)

Internal Batteries: 18.5V lithium-ion, rechargeable

Run Time: 4 hours (Typical)

Communications

Simulator Network

Wired: 10/100 Ethernet or

Wireless: IEEE 802.11g

Wireless Voice

537 MHz to 819MHz (Country Specic)

Electrotherapy

Debrillation: 20 to 360 joules (Monophasic, Biphasic)

Pacing: 20mA to 180mA

vi

Cautions and Warnings

Cautions/Warnings

Please read and understand these cautions and warnings before you begin using the METIman 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 METIman 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 debrillator paddles on or adjacent to the ECG patient electrodes. Contact • between debrillator paddles and the electrodes may cause injury to the user and damage to the equipment.

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

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

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

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

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

Do not allow excess uids to ow on or into electronic parts.•

Do not attempt to disassemble the simulator or service any of the electrical • components other than the resetting of circuit breakers.

vii

Cautions and Warnings

General Use Warnings

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 METIman system in rain. Apply water to the mannequin only in • accordance with the supported clinical procedures identied in this User Guide.

Do not allow excess uids to ow on or into electronic parts.•

CO2 Production System

Care must always be taken when using high-pressure equipment.• Do not disassemble or alter regulator.• Store CO•

canister to heat above 140° F as rupture may occur. Never point CO• Use only CAE Healthcare specied CO• Wear protective gloves and eye protection when removing canister from regulator •

assembly.

canisters in dry location between 32° and 104° F. (0 to 40°C). Do not expose CO2

2

canister towards your face or someone nearby.

2

canisters.

2

Bleeding and Secretion System

DO NOT modify the tank or any assembly component. • ALWAYS protect eyes, skin and clothing against accidental exposure.• NEVER exceed 35 strokes while pressurizing the tank.• ALWAYS read and follow instructions for creating trauma uids (e.g. blood). NEVER ll the •

tank with more than 6 liters (1.6 gallons) of uid. After use, ALWAYS release pressure and clean the tank. DO NOT store liquids in •

the tank. ALWAYS release tank pressure before servicing. NEVER transport or ship in a pressurized •

and/or full state or leave a pressurized tank unattended.

viii

Cautions and Warnings

Mannequin

Do not disassemble factory-assembled parts of the mannequin.• Do not clean the mannequin with chemical solvents. Use water and a light soap solution •

only. Make sure that mannequin is set up on a stable, sturdy work surface to •

avoid collapsing and causing injury to users.

METIman should be operated in ambient temperatures below 104• ° F (40° C).

Do not introduce foreign substances into the airway - with the exception of small • amounts

of approved lubricant. Only perform invasive procedures supported by the system as

described in the applicable sections of the User Guide. Do not pick the mannequin up by the limbs — support head and leverage weight with torso. •

It may be necessary to have the help of a second person to lift and move METIman.

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.

ix

Cautions and Warnings

Battery

General Warnings

METIman uses Li-ion batteries. Li-ion batteries have special requirements during handling to

avoid hazardous situations.

The Polymer Li-ion Battery pack should be stored indoors and be kept far • from fire and high temperatures.

Do not store batteries with hairpins, coins, screws or other similar objects.•

Do not heat the battery.•

Do not throw the battery into a fire. •

Do not use or leave the battery close to heat or flame.•

Do not use the battery inside of a car where temperature may exceed • 80˚C (176˚F). Also do not charge/discharge the battery in such conditions.

Do not short-circuit the positive (+) and negative (-) terminals with other • metals.

Do not place the battery in a device with the positive (+) and negative (-) • terminals in the incorrect positions.

•

Do not strike the battery with force.

Do not step on, throw or drop or drop the battery to cause strong shock. •

Do not disassemble or modify the battery. •

Do not solder a battery directly. •

Do not use a battery that has been damaged or deformed.•

x

Additional Warnings

Stop charging the battery if the battery has not completed charging • within the specified time.

When leakage or foul odor is detected, do not use and keep away from • heat or flame.

Immediately wash thoroughly with fresh water if liquid leaks onto your • skin or clothes.

If liquid leaking from the battery gets into your eyes, do not rub your • eyes. Immediately wash eyes completely with clean water and seek medical attention.

If the amount of time the battery is able power the equipment • diminishes significantly, the battery life is at an end. Replace the battery with a new battery of the exact same make and model.

Immediately remove a battery whose life cycle has expired from the • equipment.

Cautions and Warnings

When the battery is thrown away, apply vinyl tape to the positive (+) and • negative (-) terminals to avoid short circuits.

When not using battery for an extended period, remove it from the • equipment and store it in a place with low humidity and temperature.

In all instances, keep the battery away from objects or materials with • static electric charges.

The battery can be used within the following temperature range. Do not • exceed this range:

Charge temperature range: 0˚C (32˚F) to 45˚C (113˚F)

xi

Müse Software Specications

System Requirements

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

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

Macintosh

®

Operating System

Mac OS X 10.5.8 (minimum)

•

®

Safari•

5.x.x or Firefox® 10 ESR (minimum)

•

Adobe Flash Player

•

Adobe Reader 9.x (or higher)

®

10.1.x.x (minimum)

Windows® Operating System

XP Service Pack 2, Vista or Windows 7

•

Firefox•

•

Adobe Flash Player

•

Adobe Reader 9.x (or higher)

®

10 ESR, Internet Explorer® 8 or Safari 5.x.x (minimum)

®

10.1.x.x (minimum)

Hardware (Windows and Macintosh)

Intel Core 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 •

xii

Macintosh, Quicktime and Safari are registered trademarks of Apple Inc. Windows Media and Internet Explorer are registered trademarks of the Microsoft Corporation in the United States and/or other countries. Firefox is a registered trademark of the Mozilla Foundation. Adobe® Flash Player is a trademark of Adobe Systems Inc.

Table of Contents

Table Table of Contents

License/Copyright �� i

METIman Specications

�� vi

Cautions/Warnings �� vii

System Requirements�� xii

Introduction

METIman �� 1

Equipment Overview �� 2

METIman Standard Equipment �� 4

�� 1

Standard Components Inventory ............................................................................................................ 2

Optional Components Inventory .............................................................................................................3

Full-Body Wireless Simulator .................................................................................................................. 4

Battery Charger and External Power Supply ............................................................................................ 4

Instructor Workstation (Laptop or Tablet) ............................................................................................... 4

CO2 Canisters (Prehospital Only)...... ........................................................................................................4

Inventory Kit ..........................................................................................................................................5

Wireless Microphone .............................................................................................................................. 6

Wireless Voice Link .................................................................................................................................. 6

Trauma Fill Tank ...................................................................................................................................... 7

xiii

Table of Contents

Optional Equipment for METIman �� 7

METIman Replacement Lithium Battery ........ ........................................................................................ 7

External Compressed Air Kit ........ ...........................................................................................................7

External CO2 Kit ........ ..............................................................................................................................8

Air Compressor ........................................................................................................................................ 8

Hands-Free Training Cables

METIman Learning Applications and Training Courses ........

METIman Learning Applications ......... ...........................................................................................................10

METIman Training Courses .........

....................................................................................................................9

.................................................................. 10

.................................................................................................................... 10

Tool Kit........ .......................................................................................................................................... 10

METIVision ............................................................................................................................................ 11

METI FX ................................................................................................................................................. 11

Moulage Kit .......................................................................................................................................... 12

METIman Setup �� 13

Before Beginning Setup �� 14

Step 1: Place METIman in the Work Area �� 15

Step 2: Connect the Lower Legs to METIman �� 16

Step 3: Power On METIman �� 18

xiv

Step 4: Power On the Instructor Workstation �� 19

Step 5: Connect to the METIman Network – Laptop Instructor Workstation (Macintosh) Option �� 20

Step 5: Connect to the METIman Network – Tablet Instructor Workstation (Microsoft Windows) Option �� 22

Optional: Connect the SpO2 Probe �� 23

Optional: Connect External Air�� 24

Table of Contents

Optional: Insert the CO2 Canister (Prehospital Only) �� 25

Use of CO2 Canisters ............................................................................................................................... 25

Assembly of the CO2 Regulator .............................................................................................................. 25

Insertion of the CO2 Canister (Prehospital Only) ....................................................................................26

Optional: Detach the Arms �� 28

Optional: Prepare the Bleeding System �� 30

Using the Trauma Fill Tank .................................................................................................................................30

Attaching the Overow Bottle to the Trauma Fill Tank Assembly ................................................................. 31

Operating the Trauma Fill Tank .............................................................................................................. 31

Step 1: Pour the Fluid into the Trauma Fill Tank ............................................................................................... 31

Step 2: Connect the Trauma Fill Tank Connector to the Simulator

Step 3: Pressurize the Trauma Fill Tank and Fill the On-Board Blood Reservoir

Step 4: Release Pressure from the Trauma Fill Tank

Step 5: Disconnect the Trauma Fill Tank Umbilical from the Simulator

......................................................................................... 33

..................................................................... 32

........................................................................................................32

............................................................. 33

Preparing for Storage ............................................................................................................................ 33

Step 1: Clean the Simulator and Fluid System .................................................................................................33

Step 2: Clean the Trauma Fill Tank...................................................................................................................33

Step 3: Store the Trauma Fill Tank

................................................................................................................... 33

Optional: Connect a TouchPro™ Computer to the Wireless Network �� 34

Step 1: Set Up METIman ........................................................................................................................ 34

Step 2: Obtain METIman’s IP Address .................................................................................................... 34

Step 3: Congure the TouchPro Computer’s Network Settings ...............................................................35

Step 4 - Option 1: Join the METIman Network Using a Macintosh Operating System ................................... 36

Step 4 - Option 2: Join the METIman Network Using a Windows Operating System ..................................... 38

Step 5: Access the Software from the TouchPro Computer ..................................................................... 40

xv

Table of Contents

Using the Software �� 41

Starting the Application �� 41

The Home Page

The SCE Selection Panel

�� 44

�� 45

The SCE Library �� 46

Printing SCEs �� 47

The Run Screen �� 48

Using the Patient Status Display

........................................................................................................... 49

The Event Logs ...................................................................................................................................... 50

Adding a Scenario to an SCE

.................................................................................................................. 51

Physiological Views ............................................................................................................................... 51

Setting Parameters ............................................................................................................................... 53

Using the Conditions Palette to Set Parameters ............................................................................................... 53

Using the Physiological Views to Set Parameters

............................................................................................. 55

Performing Interventions...................................................................................................................... 56

xvi

Using the Medications Palette ........................................................................................................................56

Using the Interventions Palette

....................................................................................................................... 58

Changing Scenario States......................................................................................................................60

Changing Scenario States from the Scenario Screen ........................................................................................60

Changing Scenario States from the Run Screen

...............................................................................................62

SCE Time ...............................................................................................................................................63

Exiting the SCE ...................................................................................................................................... 63

Stopping the SCE ................................................................................................................................... 63

Saving a Patient .................................................................................................................................... 64

Resetting a Patient................................................................................................................................66

Medication Monitor

..............................................................................................................................67

Table of Contents

Creating and Editing SCEs �� 68

Creating an SCE ..................................................................................................................................... 68

Creating a Patient’s Prole and Baseline ...............................................................................................70

Content Management ........................................................................................................................... 71

SCE Conguration ................................................................................................................................. 72

Condition Setup Screen and Creating Quick Links ............................................................................................ 72

TouchPro Setup

Patient Status Display

.............................................................................................................................................. 73

.................................................................................................................................... 74

The Scenario Designer �� 75

The Scenario Button .............................................................................................................................. 76

Scenario Designer Views ......................................................................................................................77

Creating a New Scenario ....................................................................................................................... 79

Modifying Scenario States ..............................................................................................................................79

Adding Parameters and Interventions

Adding Transitions

ELSE Statements

Deleting Scenario States

Deleting Parameters and Transitions

Emptying the Trash

......................................................................................................................................... 82

............................................................................................................................................. 84

................................................................................................................................. 85

........................................................................................................................................ 87

............................................................................................................ 80

.............................................................................................................. 86

Saving the Scenario

Saving States to the State Library

........................................................................................................................................ 88

...................................................................................................................89

xvii

Table of Contents

Administrative Tools �� 90

History �� 90

System Administration

Content Management

Learning Applications ..................................................................................................................................... 92

SCEs

............................................................................................................................................................... 93

Base Patients

Scenarios

�� 91

........................................................................................................................... 91

................................................................................................................................................. 94

........................................................................................................................................................ 95

User Accounts .......................................................................................................................................96

Creating a User ............................................................................................................................................... 97

Editing a User

Deleting a User

................................................................................................................................................. 98

............................................................................................................................................... 98

Groups ..................................................................................................................................................99

Privilege System

Creating a New Group ..................................................................................................................................101

............................................................................................................................. 100

xviii

Deleting a Group

.......................................................................................................................................... 101

Maintenance ....................................................................................................................................... 102

System Settings ..................................................................................................................................103

System Conguration ...................................................................................................................................103

Data Management

Product Licensing

Error Log

...................................................................................................................................................... 104

Localization

....................................................................................................................................... 103

.........................................................................................................................................104

.................................................................................................................................................. 104

Table of Contents

Account Prole ��105

Prole Information ............................................................................................................................. 105

Favorite SCEs .......................................................................................................................................106

Medication Preferences ....................................................................................................................... 107

Prole Preferences .............................................................................................................................. 108

Using TouchPro �� 109

Accessing the TouchPro Software ��109

Modifying the TouchPro Display ��111

Changing the Layout ........................................................................................................................... 111

Selecting a Precongured Layout .................................................................................................... 112

Changing a Waveform or Numeric Display ...................................................................................... 113

Adding a Waveform Display ........................................................................................................... 114

Adding a Numeric Display ..............................................................................................................115

Moving a Waveform or Numeric Display .........................................................................................116

Saving a Layout ............................................................................................................................. 117

Sounds ��118

12-Lead ECG ��119

NIMB Cycling and Manual NIBP ��120

Patients ��122

Conguring the TouchPro Software ��123

Changing the Language of the TouchPro Software ��124

Exiting the TouchPro Software ��124

xix

Table of Contents

Using METIman �� 125

Neurological ��126

Eyes.....................................................................................................................................................127

Convulsions ........................................................................................................................................ 127

Neuromuscular Blockade ....................................................................................................................127

Body Temperature ...............................................................................................................................127

Blood Temperature.............................................................................................................................. 127

Head Secretions (Prehospital Only) ..................................................................................................... 128

Respiratory ��129

Airway ................................................................................................................................................ 130

Swollen Tongue ............................................................................................................................................ 132

Posterior Pharynx Swelling (Prehospital Only)

Realistic Upper Airway (Prehospital Only)

Laryngospasm (Prehosptial Only)

Teeth with Breakaway Incisors (Prehosptial Only)

Airway Secretions (Nursing Only)

Cricothyrotomy

Replacing the Cricothyrotomy Tape

Resealing the Membrane After a Puncture

............................................................................................................................................. 136

.................................................................................................................134

.................................................................................................................135

............................................................................................................... 136

.............................................................................................. 132

.................................................................................................... 133

........................................................................................ 134

.................................................................................................... 137

Pulmonary .......................................................................................................................................... 138

Needle Decompression (Prehospital Only) ............................................................................................................. 139

Bronchial Occlusion (Prehospital Only)

Respiratory Rate

Pulse Oximetry

........................................................................................................................................... 140

.............................................................................................................................................140

......................................................................................................... 140

CO

Exhalation (Prehospital Only) ................................................................................................................. 140

2

Positive Pressure Ventilation

Gastric Distention (Prehospital Only)

xx

......................................................................................................................... 141

............................................................................................................ 141

Table of Contents

Chest Tube: METIman Prehospital ................................................................................................................. 141

Chest Tube: METIman Nursing

......................................................................................................................143

Cardiovascular��144

Pulses: METIman Prehospital

..............................................................................................................146

Pulses: METIman Nursing ................................................................................................................... 147

Blood Pressure .................................................................................................................................... 148

Systolic and Diastolic Blood Pressure ............................................................................................................148

Non-Invasive Blood Pressure Measurement

..................................................................................................148

Heart Rate ........................................................................................................................................... 152

Five-Lead ECG .....................................................................................................................................152

Cardiovascular Interventions/Therapy ................................................................................................. 153

Chest Compressions ...................................................................................................................................... 154

Debrillation and Cardioversion

Pacing

.......................................................................................................................................................... 155

................................................................................................................... 154

Subclavian Catheter (Nursing Only) ....................................................................................................156

Intramuscular Injection ....................................................................................................................... 156

IV Cannulation ....................................................................................................................................156

Fluids .................................................................................................................................................. 158

Hemorrhage Setup .......................................................................................................................................159

Hemorrhage Control

Tourniquet Application

Fluid Loss Blood

Fluid Loss Plasma

..................................................................................................................................... 159

................................................................................................................................. 160

............................................................................................................................................ 160

.........................................................................................................................................160

xxi

Table of Contents

Gastrointestinal ��161

Gastrointestinal Gavage, Lavage and Suction (Nursing Only) .............................................................. 161

Gavage (Nursing Only) .................................................................................................................................161

Lavage (Nursing Only)

Gastric Suction (Nursing Only)

.................................................................................................................................. 161

...................................................................................................................... 162

Genitourinary System ��163

Urinary Catheterization ....................................................................................................................... 163

Simulating Urine Output ..................................................................................................................... 164

Changing the Simulator’s Genitalia ..................................................................................................... 165

Sounds ��166

Speech ................................................................................................................................................ 166

Vocal Sounds ................................................................................................................................................ 166

Speech Sounds

Wireless Voice Capability

Wireless Voice Link

............................................................................................................................................. 168

..............................................................................................................................170

....................................................................................................................................... 170

Throat Sounds .....................................................................................................................................171

xxii

Breath Sounds.....................................................................................................................................172

Heart Sounds ...................................................................................................................................... 173

Bowel Sounds .....................................................................................................................................174

Care and Maintenance �� 175

METIman Warranty Programs ��176

General Information ........................................................................................................................... 176

Units Out of Agreement ......................................................................................................................176

How to Contact Customer Service. ......................................................................................................177

Contract Period ................................................................................................................................... 178

Limitations of Agreement ................................................................................................................... 178

Return Materials Authorization (RMA) ................................................................................................ 178

System Software Upgrade Support ��179

Pricing Structure ��179

Time and Materials .............................................................................................................................179

Breakdown ��180

Step 1: Stop All Running SCEs ............................................................................................................. 180

Step 2: Clean the Simulator and the Fluid System ...............................................................................180

Step 3: Shut Down the Software .........................................................................................................180

Step 4: Power o the Simulator .......................................................................................................... 181

Maintenance Advice ��181

General Simulator Care .......................................................................................................................181

Storage ...............................................................................................................................................181

Care of Electronic Equipment .............................................................................................................. 182

Airway Inspection ...............................................................................................................................182

Replacing the Battery ......................................................................................................................... 182

Recharging the Battery ....................................................................................................................... 184

Draining Condensation from the Simulator ......................................................................................... 185

xxiii

Cleaning the Simulator and the On-Board Bleeding System ��186

Cleaning the Trauma Fill Tank ��187

Cleaning the In-Line Filter...................................................................................................................188

Troubleshooting the Trauma Fill Tank

Emptying and Flushing the Chest Tube Reservoir ................................................................................ 190

Flushing the IV Lines ........................................................................................................................... 190

Emptying the Genitourinary Reservoir ................................................................................................ 190

Emptying the Head Secretions Lines (Prehospital Only) ...................................................................... 190

Emptying the Airway Secretions Reservoir (Nursing Only) .................................................................. 190

Flushing the Subclavian Catheter (Nursing Only) ................................................................................ 190

Handling CO2 Canisters ��191

Removing CO2 Canisters from the Regulator ........................................................................................ 191

Important Canister Information .......................................................................................................... 192

Related CAUTIONS/WARNINGS ............................................................................................................ 192

CO2 Canister ..................................................................................................................................................192

CO2 Regulator Assembly ...............................................................................................................................192

.................................................................................................. 189

xxiv

Use of Equipment .........................................................................................................................................192

Condition Guidelines for Programming METIman �� 193

Appendix A –Müse Parameters Descriptions

Appendix B - Wireless Voice Link

�� B-1

��A-1

Introduction

METIman Nursing and Prehospital simulators give you all the power of CAE Healthcare’s cutting edge simulation technology with more of what you want. METIman Nursing was created by nurses to teach the fundamentals of nursing practice, and METIman Prehospital was built for medics by medics. Both simulators are less expensive than other simulators, are easy to use and have everything you need with nothing you don’t.

METIman

METIman is fully wireless with on-board uid, pneumatic and electrical systems and is built tough to withstand a wide variety of real-life, indoor and outdoor learning environments. METiman comes with extensive clinical features and capabilities designed specically for emergency medical personnel and nurses.

The simulator can be placed on standard operating room tables, on an ICU bed, on the ground or even in a vehicle (in the case of a simulated accident). METIman can also be seated in an upright position.

In addition, METIman has the assessment, cardiovascular, genitourinary and trauma features familiar to CAE Healthcare customers plus an SpO2 nger probe, uids on board, bilateral noninvasive blood pressure and IV access. Wireless and tetherless, METIman takes simulation education to a new and exciting level of realism.

1

Introduction

Equipment Overview

METIman has been designed to be used in any learning environment. METIman’s standard features are easily integrated into a laboratory setting or remote locations.

Standard Components Inventory

METIman comes with all the necessary equipment for establishing an educational simulation center.

Standard Equipment

METIman Simulator

Battery Charger and External Power Supply

Instructor Workstation (Laptop or Tablet)

CO2 Canisters (Prehospital Only)

Inventory Kit

Wireless Microphone or Wireless Voice Link

Trauma Fill Tank

NOTE: As you would with any shipment, cross-check this inventory with your CAE Healthcare packing invoice to verify that all components have been received.

2

Introduction

Optional Components Inventory

Optional equipment is available to accommodate special customer requirements. For example, options like an air compressor, METIVision and METI FX enable instructors to create real-life scenarios at authentic locations.

Optional Equipment

METIman Replacement Lithium Battery

External Compressed Air Kit

External CO

Air Compressor

Hands-Free Training Cables

METIman Learning Applications and Training Courses

Tool Kit

METIVision

METI FX

Moulage Kit

Contact CAE Healthcare Customer Service at 866-462-7920 if there are any questions or if optional equipment is needed.

2

Kit

3

Introduction

METIman Standard Equipment

METIman comes with standard equipment that allows students and instructors the ability to create an endless number of possible clinical situations. The following equipment is provided with your METIman simulator.

Full-Body Wireless Simulator

All patient assessments and clinical interventions are played out on the METIman mannequin, which represents a human patient. At six feet, two inches (188 cm) in height and weighing 100 pounds (45.36 kg), METIman is fully operational in the supine, lateral, prone and seated positions. The simulator oers features like arm pronation and supination; breath, heart and bowel sounds; palpable pulses; patient voice; and genitourinary features.

Battery Charger and External Power Supply

The simulator is rechargeable using the Battery Charger provided.

Instructor Workstation (Laptop or Tablet)

The Instructor Workstation is a computer that utilizes Müse Software to operate as the main simulation control center.

Instructors control the simulation session from the Workstation by using SCEs that meet their learning objectives.

The standard METIman conguration includes a choice of Laptop Instructor Workstation or a ruggedized Tablet Instructor Workstation.

CO2 Canisters (Prehospital Only)

Four CO2 canisters are included with METIman to supply the on-board CO2 exhalation feature.

4

CAE Healthcare WVL User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual