Gaumard S108.100 User Manual
S108.100
PREMIE HAL®
USER GUIDE
Newborn PEDI® is an interactive educational system developed to assist a certified
instructor. It is not a substitute for and not intended for clinical decision making.
User Guide 18.1.2
©Gaumard Scientific Company, 2018
All Rights Reserved
www.gaumard.com
S108.100 PREMIE HAL® | User Guide
TABLE OF CONTENTS
1. INTRODUCTION 4
1.1 SPECIFICATIONS 4
1.2 TERMINOLOGY 4
1.3 CARE AND MAINTENANCE 4
2. OVERVIEW 6
2.1 FEATURES 6
2.2 PROCEDURES 6
3. INITIAL SETUP 8
3.1 CARE AND CAUTIONS WHEN UNBOXING 8
3.2 PACKAGE CONTENTS 8
3.3 ASSEMBLY 9
3.4 BLOOD DISPENSING BAG AND STAND ASSEMBLY 9
3.5 FILLING THE FLUID SYSTEM 11
4. WORKING WITH THE SIMULATOR 13
4.1 RECOMMENDED DEVICE SIZES 13
4.2 AIRWAY TRAINING 13
4.3 RESPIRATORY 14
4.4 GENERATING PULSES 15
4.5 CPR 16
4.6 VASCULAR ACCESS 16
4.7 GASTROINTESTINAL 23
5. ROUTINE MAINTENANCE 26
5.1 FLUSHING THE FLUID SYSTEM 26
5.2 REPAIRING THE SILICONE SKIN AT THE SCALP VEIN SITE 27
6. APPENDIX 29
6.1 PARTS LIST 29
6.2 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 30
6.3 CONTACT GAUMARD 31
6.4 GENERAL INFORMATION 31
Table of Contents | iii
S108.100 PREMIE HAL® | User Guide
1. INTRODUCTION
1.1 SPECIFICATIONS
Premie HAL® S108.100
» 1.2 lbs.
» 12.5 inches
The Premie HAL® is a lifelike, 24 week preterm patient simulator designed to facilitate the training of
healthcare professionals in the areas of airway management, respiratory support, and resuscitation.
1.2 TERMINOLOGY
Facilitator: The person conducting the simulation; an instructor or lab sta member
Provider: A person participating in the simulation as a healthcare provider
1.3 CARE AND MAINTENANCE
The lubricants and other accessories provided are for use with the accompanying patient
simulator only. The lubricants and other accessories are not suitable for human use or
medical treatment/diagnosis and should never be used for such purposes.
CAUTION: Damage caused by misuse is not covered by your warranty. It is
critical to understand and comply with the following guidelines.
General
• Do not wrap this or any other Gaumard product in newsprint.
• Marks made with ballpoint pens, ink or marker cannot be removed.
• Replacement parts are available from Gaumard or from your distributor.
• Do not use povidone iodine or Betadine-type antiseptic solutions
as these may permanently stain the simulator.
• Only use simulated blood provided by Gaumard. Other simulated blood containing
sugars and other additives may cause blockage of the fluid system.
4 | Introduction
S108.100 PREMIE HAL® | User Guide
Cautions
• Treat the simulator with the same precautions used with a real patient.
• Have providers wash their hands prior to use to prevent dirt and oils from clinging to the material.
• Do not palpate using fingernails as this may tear the skin: palpate using the pads of the fingers.
• Do not attempt to intubate without lubricating the airway adjunct with mineral oil lubricant. Failure to
lubricate the device will make intubation very dicult and is likely to result in damage to the simulator.
• Mouth to mouth resuscitation without a barrier device is not recommended as it may contaminate the airway.
Storage
• Store the simulator in a cool, dry place. Extended storage above 85° F
(29° C) will cause the simulator to soften and slowly warp.
• Humidity: 40% - 60% (non-condensing)
• Do not stack or store heavy materials on top of the box. Please store and ship it in the clear bag provided.
Cleaning
• Remove all traces of lubricant at the end of each simulation session.
• Remove the fluid using the fill and drain kits provided.
• Flush the fluid reservoir with a 30:70 mix of isopropyl alcohol to water after each day of simulation letting
it drain through the drainage tube. Reference Section 5.1 “Flush the Fluid System” for more details.
• Push air through the filling tube and out of the drainage port to ensure
mold does not form in the vasculature or other reservoirs.
• This simulator does not have electronic components, however, submerging it in
water without properly draining it may cause mold to form inside.
• The simulator should be cleaned with a cloth dampened with diluted liquid dish washing soap.
• Do not clean with harsh abrasives.
• Dry thoroughly after every cleaning.
• After drying, application of talcum powder can return the simulator to its lifelike feel.
Introduction | 5
S108.100 PREMIE HAL® | User Guide
2. OVERVIEW
2.1 FEATURES
• 24 to 25 week preterm neonate has full range of motion with smooth, full body skin and articulating joints
• Anatomically accurate airway, and oral cavity with appropriately sized and shaped vocal cord
• Realistic mouth with lifelike gums and tongue
• Patent nasopharyngeal and oropharyngeal airway
• True-to-life lung compliance that supports standard positive pressure
ventilation devices like BVM, CPAP, and Mechanical ventilators
• Visible chest rise with assisted ventilation
• CPR landmarks and realistic chest recoil
• Fontanelle, umbilical, brachial, and femoral manual pulses
• IV cannulation, umbilical artery catheterization, and left peripheral intravascular access
• UVC/UAC infusion and sampling
• Post detachment navel
2.2 PROCEDURES
General
• Practice proper bathing technique and diaper change
• Perform temperature control procedures
• End of life care
Airway
• Anatomically accurate epiglottis, glottis and trachea provides realism for
endotracheal intubation and supports the Sellick maneuver
• Patent trachea supports use of suctioning and airway adjuncts
• Perform airway exercises with an ET Tube, and BVM.
• Pulmonary compliance aids in positive pressure ventilation
• Simulate nasogastric feeding with patent nostril
6 | Overview
S108.100 PREMIE HAL® | User Guide
Respiratory
• Visible chest rise following guideline recommended flow, PIP, and PEEP values
• Practice standard positive-pressure ventilation exercises including resuscitators
and mechanical ventilators, and interpret actual PV waveforms.
• BVM with chest rise
Cardiac
• Practice palpating pulses at the fontanelle, right femoral and brachial regions, and the umbilical cord
• Perform CPR with realistic chest recoil
Vascular Access
• Practice drug administration
• Train on IV cannulation in the hand, scalp and umbilicus
• Umbilical access for catheterization exercises, continuous infusion, and sampling
• Interchangeable umbilical stumps allows for multiple umbilical vein and artery catheterization exercises
• Practice PICC line placement
Gastrointestinal
• Practice NG/OG intubation placement
• Perform gastric feeding and suctioning
• Practice gastric distension management
Overview | 7
S108.100 PREMIE HAL® | User Guide
3. INITIAL SETUP
3.1 CARE AND CAUTIONS WHEN UNBOXING
• Lift the simulator from the box with both hands at the body and remove the clear bag it is shipped in.
• Rest the simulator on a bed or clean, flat surface for use.
• Do not pull or drag the simulator across hard surfaces as this may cause the skin to tear.
3.2 PACKAGE CONTENTS
1. Preterm neonate
2. Blood dispensing bag,
stand, and tubing
3. Fluid Fill Kit
4. Fluid Drainage kit
5. Pneumatic Fill Kit
6. Navel Assembly (installed)
7. Umbilicus (3)
8. Pre-cut Umbilical Stumps (3)
8 | Initial Setup
9. Pre-filled Scalp Vein Inserts (1 installed, 4 spare)
10. Left Hand (1 installed, 2 spare)
11. Baby Blanket
12. Diaper
13. Mineral Oil Lubricant
14. Concentrated Blood
15. Silicone Repair Kit
16. Silicone 3M Tape
17. Canvas Carrying Bag
S108.100 PREMIE HAL® | User Guide
3.3 ASSEMBLY
Premie HAL® is provided with a normal umbilicus, and a replaceable left IV hand.
No assembly is required before using the Premie HAL® simulator.
3.4 BLOOD DISPENSING BAG AND STAND ASSEMBLY
1. To assemble the blood bag stand, place
the lucite base on a clean, flat surface.
2. Place the black prongs onto the metal
stand at the edge that sits on the base.
3. Align the prongs with their corresponding holes
and gently press the black progns into the
hole to secure the metal stand to the base.
Initial Setup | 9
4. Place the dispensing IV bag on the stand
provided, and clamp the tube connected to it.
5. Fill it with fluid using the syringe in the fill kit.
The dispensing bag holds up to 1.5 Liters.
S108.100 PREMIE HAL® | User Guide
6. Connect the fill tube to the top fill port located on
the right side of the simulator for continuous flow.
NOTE: Lubricate the end of the fill tube that
will be inserted to the port to ease insertion.
10 | Initial Setup
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