Gaumard S500.100 User Manual

S500.100

OBSTETRIC SUSIE®

USER GUIDE

Obstetric Susie® is an interactive educational system developed to assist a certified instructor. It is not a substitute
for a comprehensive understanding of the subject matter and not intended for clinical decision making. 17.3.1

OB SUSIE®| User Manual

TABLE OF CONTENTS

1. INTRODUCTION 5

1.1 SPECIFICATIONS 5

1.2 TERMINOLOGY 5

1.3 CARE AND MAINTENANCE 5

2. OVERVIEW 7

2.1 FEATURES 7

2.2 PROCEDURES 7

3. INITIAL SETUP 8

3.1 CARE AND CAUTIONS DURING UNBOXING 8

3.2 PACKAGE CONTENTS 8

3.3 ASSEMBLY 8

3.4 REMOVING THE ABDOMINAL COVER 9

3.5 INSTALLING THE BIRTHING MECHANISM 9

3.5 INSTALLING THE CERVIX 10

4. WORKING WITH THE SKILLS TRAINER 10

4.1 PREPARING A CEPHALIC DELIVERY 10

4.2 PREPARING A BREECH DELIVERY 13

4.3 DEMONSTRATING SHOULDER DYSTOCIA 15

4.4 PREPARING FOR LEOPOLD MANEUVER OR PALPATING
THE BIRTHING BABY 17

4.5 PREPARING PLACENTA AND CORD COMPLICATIONS 19

4.6 SIMULATING PLACENTA DELIVERY 21

4.7 DEMONSTRATING A C-SECTION DELIVERY 22

4.8 ATTACHING THE BIRTHING BABY’S SKIN MASK 22

4.9 CHANGING THE CERVIX INSERT 23

4.10 CHANGING THE VULVA INSERT 24

Table of Contents | iii

5. POSTPARTUM UTERINE ACTIVITY 25

5.1 INSTALLING THE EPISIOTOMY PERINEUM INSERT 25

5.2 INSTALLING THE POSTPARTUM PERINEUM INSERT AND
48 HR POSTPARTUM UTERUS 26

5.3 SIMULATING A BOGGY UTERUS 28

6. APPENDIX 29

6.1 PARTS LIST 29

6.2 CONSUMABLES 29

6.3 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 30

6.4 CONTACT GAUMARD 31

6.5 GENERAL INFORMATION 31

OB SUSIE®| User Manual

iv | Table of Contents

OB SUSIE®| User Manual

1. INTRODUCTION

1.1 SPECIFICATIONS

30 lbs.

30" x 22" x 12" inches

The Obstetric Susie® S500.100 is a versatile skills trainer

for practicing routine delivery techniques and often -

seen complications made from durable material.

1.2 TERMINOLOGY

Facilitator: The person conducting the simulation;

an instructor or lab sta member.

Care Provider: A person participating in the

simulation as a healthcare provider.

Perineum Insert: The structure that includes perineum with the vagina.

Pelvic Opening: The opening in the pelvic region of

the trainer for installing the perineum insert.

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.

NOTE: 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.

Storage

• Store the skills trainer in a cool, dry place. Extended storage

should be between 32°F - 85°F (0°C to 29°C).

• It is acceptable to operate the skills trainer at an ambient temperature

of 95˚F (35˚C) and humidity: 40% - 60% (non-condensing)

• Do not stack or store heavy materials on top of the box.

CAUTION: To avoid damage to the skills trainer, please

store and ship it in the clear bag provided.

Introduction | 5

Cautions

• Treat the skills trainer with the same precautions used with a real patient.

• Have care providers wash their hands prior to use to

prevent dirt and oils from clinging to the material.

Cleaning

• Remove all traces of lubricant at the end of each session with a cloth.

• Remove the fluid using the fill kit.

• Flush the fluid reservoirs with a 30:70 mix of isopropyl alcohol to

water after each day of simulation then suction all fluid out.

• The skills trainer is “splash-proof” but not water

proof. Do not submerge in water.

• The skills trainer should be cleaned with a cloth

dampened with diluted liquid dishwashing soap.

OB SUSIE®| User Manual

• Do not clean with harsh abrasives.

• Dry thoroughly after every cleaning.

• Never drag or slide the skills trainer during transportation,

or damage to the skin may occur.

6 | Introduction

OB SUSIE®| User Manual

2. OVERVIEW

2.1 FEATURES

• Anatomically accurate landmarks includes pubic bone

• Removable soft abdominal cover helps demonstrate

internal rotation, and external rotation

• Inflatable cushion lifts birthing baby for palpation

and eases fetal manipulation

• Removable cervix and vulva inserts

• Vulva is flexible enough to allow the care provider to help

the fetal head and shoulders through the vulva

• Cervix dilates as labor progresses

• Birthing baby allows for “version” exercises with palpable

fontanelles, spine, shoulders, elbows, and knees

• Birthing baby has palpable fontanelle and other

landmarks for fetal palpation exercises

• Lifelike placenta with removable cotyledons

• Episiotomy modules include tears in the labia minora,

mediolateral tears, and standard mediolateral episiotomy

2.2 PROCEDURES

• Execute cephalic, and breech deliveries

• Birth from ROA or LOP positions

• Demonstrate shoulder dystocia, or C-section delivery

• Perform Leopold, Ritgen’s, and Pinard maneuvers during breech deliveries

• Practice intrauterine manipulation to convert

breech or transverse to vertex delivery

• Perform placental and umbilical exercises such as placental

delivery, placenta previa (total, partial, & marginal),

nuchal cord, cord prolapse, and many others

• Practice umbilical cord procedures like clamping and cutting.

• Perform operative deliveries with real instruments like

vacuum suction delivery and forceps assisted delivery

• Practice postpartum care such as fundal massage with

the “boggy” uterus and episiotomy modules

• Facilitate suture repair for the episiotomy trainers using real instruments

Overview | 7

3. INITIAL SETUP

3.1 CARE AND CAUTIONS DURING UNBOXING

• When unboxing the skills trainer, hold and lift from both sides of the torso.

• Do not pull or drag from the upper legs or from the skin

as this may cause damage to the simulator.

• Lay on a clean, flat surface for use.

3.2 PACKAGE CONTENTS

» Adult sized lower torso from

diaphragm to quadriceps

» Padded Abdominal Cover

» 3 Dilating Cervices

» 3 Vulva Inserts

» Manual Birthing Mechanism

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» Articulating Birthing Baby

» Birthing Baby Skin Mask

» 2 Placentas

» 3 Umbilical Cords

» 2 Umbilical Clamps

» Episiotomy Perineum Insert

» 48 Hr Postpartum

Uterine Assembly

» Elevating Pillow

» Silicone Lubricant

» Talcum Powder

» Carrying Bag

3.3 ASSEMBLY

Obstetric Susie® comes partially assembled along with the articulating

baby, placenta and umbilical cord and a vulva insert installed. The

birthing mechanism is included separately for installation.

8 | Initial Setup

OB SUSIE®| User Manual

3.4 REMOVING THE ABDOMINAL COVER

1. The abdominal cover

attaches with snaps. To

remove the abdominal cover,

gently lift the 6 snaps.

2. To secure the abdominal

cover, orient the snaps

and gently press each

of them down.

3.5 INSTALLING THE BIRTHING MECHANISM

1. Unscrew the 3 bolts

2. Align the birthing mechanism

with the end of the torso

3. Screw on all 3 bolts

into each hole in the

clockwise direction.

NOTE: Do not tighten until

all three bolts are on.

Initial Setup | 9

3.5 INSTALLING THE CERVIX

1. Align the cervix with

the pelvic opening and

gently push the top snap

beneath the pubic bone.

2. Secure the cervix by

gently pressing the two

snaps on each side onto

the abdominal wall.

OB SUSIE®| User Manual

4. WORKING WITH THE SKILLS TRAINER

4.1 PREPARING A CEPHALIC DELIVERY

1. Lubricate the birth canal,

cervix, baby, and placenta

with a generous amount of

the lubricant provided.

10 | Working with the Skills Trainer