Gaumard S411 User Manual
S411 Lumbar Puncture Trainer
User Guide
© Gaumard Scientific Company, 2011. All rights reserved.
S411 User Guide
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S411 User Guide
Disclaimer
The Lumbar Puncture Trainer (S411) is to be used only
as part of an approved educational program for health
professionals. It should not be used for clinical decision
making.
Warning
The replaceable Spinal Canal Assembly tubing contains
latex which may cause allergic reactions. Users allergic
or sensitive to latex should avoid contact. Discontinue
use of this product and seek medical attention if an
allergic reaction occurs.
Care should be taken against having anything resting or
pressing against the Lumbar Puncture Spinal Insert
when packing the model into the carrying bag. If this
occurs, "dents" or indentations will form on the Insert
at the pressure points. The indentation may return after
the pressure is relieved.
Please read Section III: Equipment Set-Up before
beginning training exercises with the Lumbar Puncture
Trainer.
Caution
Treat the Lumbar Puncture Trainer with the same
precautions used with a real patient. Damage caused
by misuse is not covered by your warranty.
Have trainees wash their hands prior to use.
Palpate using the pads of the fingers. Do not
palpate using fingernails as this may tear the skin.
Do not press the Lumbar Trainer against soiled
surfaces, ink or newsprint.
Do not use iodine or betadine type solutions; these
will most likely permanently stain the simulator.
Do not write on the trainer.
The use of needles larger than 18 gauge will reduce the
lifetime of the Lumbar Puncture Spinal Insert. When
replacement is required, refer to “Lumbar Puncture
Spinal Insert” in the “Simulator Components” Section.
Cleaning
The Lumbar Puncture Trainer should be cleaned with a
cloth dampened with diluted liquid dishwashing soap. If
medical adhesives remain on the skin, clean with
alcohol wipes.
The Lumbar Puncture Trainer is water resistant but not
water proof. Do not submerge or allow a large volume
of fluid to enter the interior of the simulator.
Only use distilled water for the simulated CSF. Any
other simulated CSF containing sugar or any additive
may cause blockage and/or interruption of the CSF
supply system.
Place talcum powder on the insert surface to reduce
tackiness. This can be reapplied as needed.
Storage
Store the Lumbar Puncture Trainer in a cool, dry place.
Extended storage above 85 degrees Fahrenheit (29
Celsius) will cause the simulator to soften and slowly
warp. It is acceptable to operate the Lumbar Puncture
Trainer
Fahrenheit (35 Celsius).
at an ambient temperature of 95 degrees
®
How to Contact Gaumard
By Email: www.gaumard.com
sima@gaumard.com
support@gaumard.com
By Phone: Toll-free in the USA: 800.882.6655
Worldwide: 305. 971.3790
Fax: 305.667.6085
Office hours: Monday-Friday, 8:30 4:30 PM EST
Note: Before contacting Gaumard you must:
1. Have the Simulator Serial Number (if applicable)
and/or model number available.
2. Have the Simulator available if troubleshooting
is needed.
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S411 User Guide
Table of Contents
I. Introduction .......................................................... 4
Features of the Lumbar Puncture Trainer ........... 4
Skills Overview ..................................................... 4
II. Contents ............................................................... 5
III. Equipment Set-Up ................................................ 5
Filling the Simulated CSF ..................................... 5
Power Supply Connection................................... 6
Pressurizing the System ....................................... 7
Stand Assembly.................................................... 7
Setting the Pressure on the Lumbar Trainer ....... 8
IV. Simulator Components ........................................ 9
Adult Torso ........................................................... 9
Lumbar Puncture Spinal Cord Insert ................. 10
How to remove and insert the Spinal Insert
from the Lumbar Trainer ................................... 10
CSF Supply System ............................................ 11
Spinal Canal ....................................................... 11
Pressure System ................................................ 12
Purging fluid from the system .......................... 12
Aseptic Technique ............................................. 13
V. Appendix ............................................................ 13
Calibrating the Lumbar Trainer ......................... 13
Troubleshooting ................................................. 14
Spare Parts ......................................................... 14
I. Introduction
Your S411 Lumbar Puncture Trainer is a training
tool that was developed to assist health
professionals in teaching the processes and
skills required to perform both a lumbar
puncture and an epidural procedure.
The Lumbar Trainer provides realistic tactile
feedback combined with a fluid supply and
pressure system. The fluid supply and pressure
system allows the simulated cerebrospinal fluid
to be pressurized to a specific set-point
representing low, normal, or high CSF pressure
values.
The system allows the measurement of CSF
Opening Pressure, and the measured value can
be compared with the system set-point, read
from the LED display, to assess accuracy.
Features of the Lumbar Puncture Trainer
Your trainer is equipped with the following
features:
Replaceable Lumbar Insert with skin layer,
subcutaneous layer, connective tissue, and
lumbar vertebrae.
Anatomic features include: iliac crests, lumbar
vertebrae L2 – L5, ligamentum flavum, epidural
space, and dura.
Needle insertion possible between vertebrae.
Lifelike needle resistance, including pops when
needle traverses ligamentum flavum and dura.
Self-healing skin that allows 15 uses with an 18
gauge needle and 25 uses with a 22 gauge
needle before replacement is necessary.
Simple to fill simulated CSF and set fluid
pressure, thereby allowing students to collect
CSF and measure CSF Opening Pressure.
Pressure system with simple push-button
operation to increase or decrease pressure.
LED displays pressure set-point ranging from 0
to 57 cm H
A replaceable Spinal Canal Assembly.
Trainer can be used to simulate aseptic
technique and local anesthetic at puncture site.
Easy assembly and disassembly.
Supporting stand to allow procedures in both,
the left lateral decubitus or sitting position.
Medium skin tone is the standard color of the
simulator. Light or dark skin tone is available
at no extra cost.
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O.
Skills Overview
Train on identifying
the location of L3/L4
or L4/L5 on the
vertebral section.
Practice aseptic
technique at puncture
site.
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S411 User Guide
Familiarize with the
Practice procedure in
Practice injection of
local anesthesia at
puncture site.
Train on collecting
simulated CSF.
needle resistance,
including the “pops”
when needle traverses
the simulated
ligamentum flavum
and dura.
II. Contents
The S411 Lumbar Puncture Trainer includes:
Adult Torso
Three Spinal Canals
Two Spinal Cord Inserts
Stand
Two Fasteners with washers
Filling Kit that includes: one Syringe and filling
tube with white Luer-Lock and one draining
tube with black Luer-Lock
Power Supply
Soft Carrying Case
User Guide
Exercise needle
insertion between
vertebrae.
Practice measuring of
the CSF Pressure.
III. Equipment Set-Up
1. Remove the pre-assembled S411 Lumbar
Puncture Trainer, Stand, Power Supply and
Filling Kit from the carrying case and place it on
the left lateral
decubitus or sitting
position.
a flat, clean and dry surface.
The Lumbar Puncture Trainer comes preassembled with one Spinal Canal and Spinal
Cord Insert in place. In order to replace these
components, please refer to the “Simulator
Components” section.
Filling the Simulated CSF
Warning
To collect Cerebral Spinal Fluid to measure the
pressure of the simulated CSF you need to fill
the Lumbar Trainer with distilled water.
The Lumbar Trainer is equipped with easy fill
and drain ports to add and drain simulated CSF.
The ports and Luer-Locks are color coded for
easy assembly.
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