Gaumard S504.200 User Manual
S504.200
ZOE® GYNECOLOGIC SIMULATOR
USER GUIDE
The ZOE® Gynecologic Simulator 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
User Guide 17.8.1
©Gaumard Scientific Company, 2017
All Rights Reserved
www.gaumard.com
ZOE® | User Guide
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 8
3. INITIAL SETUP 9
3.1 CARE AND CAUTIONS DURING UNBOXING 9
3.2 PACKAGE CONTENTS 9
3.3 REMOVING THE ABDOMINAL COVER 10
3.4 FILLING THE URINARY RESERVOIR 10
4. WORKING WITH THE SIMULATOR 12
4.1 CHANGING THE UTERUS 12
4.2 CHANGING THE CERVIX 13
4.3 CHANGING THE PERINEUM INSERT 14
4.4 DRAINING THE URINARY RESERVOIR 16
4.5 CHANGING THE FALLOPIAN TUBES AND OVARIES 17
5. OPTIONAL PACKAGES 18
5. OPTIONAL PACKAGE 1: NORMAL AND ABNORMAL UTERI WITH EXTERNALLY
PALPABLE PATHOLOGIES 18
5.2 OPTIONAL PACKAGE 2: NORMAL AND ABNORMAL UTERI WITH INTERNAL
PATHOLOGIES FOR HYSTEROSCOPIC VIEWING 19
5.3 OPTIONAL PACKAGE 3: FISTULA MODEL PERINEUM WITH THREE FISTULA TYPES
FOR SUTURE & REPAIR 20
6. APPENDIX 21
6.1 PARTS LIST 21
6.2 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 22
6.3 CONTACT GAUMARD 23
6.4 GENERAL INFORMATION 23
Table of Contents | iii
1. INTRODUCTION
1.1 SPECIFICATIONS
• 40 lbs.
• 36x24x18 inches
The Zoe Standard Package comes pre-installed with one normal cervix, transparent
IUD uterus, a normal perineum with rectum, vagina and urethra insert.
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.
Perineum Insert: The structure that includes perineum with rectum, vagina, and urethra.
Pelvic Opening: The opening in the pelvic region of the
trainer for installing the perineum insert.
Fill kit: Syringe and tubes used to fill urinary reservoir.
ZOE® | User Guide
1.3 CARE AND MAINTENANCE
The lubricant and other accessories provided are for use with the accompanying
patient simulator only. The lubricant 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 may void the manufacturer’s warranty Failure
to comply with the following guidelines could result in damage to the equipment.
General
• Do not wrap this or any other Gaumard product in newsprint.
• Marks made with ballpoint pens, ink or marker cannot be removed.
• Only use simulated blood provided by Gaumard. Other simulated blood
containing sugars and other additive may cause blockage of the fluid system.
Operating Conditions
• Operating the simulator outside these ranges may aect performance:
• Operating temperature: 50°- 95° F (10°- 35° C).
• Humidity: 5%-95% (non-condensing).
Cautions
• Treat the simulator with the same precautions that should be used with a real patient.
• Have providers wash their hands prior to use to prevent
dirt and oils from clinging to the material.
4 | Introduction
ZOE® | User Guide
• Do not palpate using fingernails as this may tear the skin.
• Palpate using the pads of the fingers.
CAUTION: To avoid damage to the simulator, please store
and ship it in the clear poly bag provided.
Storage
• Store the simulator in a cool, dry place. Extended storage should
be between 32°F to 85°F (0°C to 29°C). Other temperatures
will cause the material to soften and slowly warp.
• It is acceptable to operate ZOE at an ambient temperature of
95˚F (35˚C). Humidity: 40%-60% (non-condensing).
• Do not stack or store heavy materials on top of the box.
Cleaning
• Remove all traces of lubricant after each procedure.
• 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 simulator is “splash-proof” but not water proof. Do not submerge in water.
• The simulator should be cleaned with a cloth dampened
with diluted liquid dishwashing soap.
• Do not clean with harsh abrasives.
• Do not use povidone iodine on the simulator.
• Dry thoroughly after every cleaning.
• After drying, application of talcum powder can return the simulator to its lifelike feel.
• Never drag or slide the simulator during transportation,
or damage to the skin may occur.
Introduction | 5
2. OVERVIEW
2.1 FEATURES
• Uniform skin and accurate anatomy, including ischial spines, pubic
bone, and sacrum, facilitate performing realistic examinations.
• Soft abdominal cover allows palpation of pregnant and non-pregnant uteri.
• Multiple interchangeable uteri aid facilitators in teaching
specific skills to all levels of providers.
• Transparent uterus allows visualization of IUD placement and removal.
• Urethra that connects to a realistic bladder built for
catheterization exercises with real instruments.
• Use interchangeable cervices for visualization with speculum.
• Non-pregnant abdominal cover with two precut laparotomy
incisions; one suprapubic and one subumbilical
• Normal anteverted and retroverted uteri whose fallopian tubes and ovaries are
removable and replaceable for procedures including oophorectomy and tubal ligation
ZOE® | User Guide
• Transparent IUD uterus with fallopian tubes and ovaries permanently axed.
The transparency of the uterus allows validation of positioning of the IUD
• Pregnant uteri for palpation and assessment:
• 6-8 week pregnant uterus
• 6 -8 week pregnant uterus with shortened ligaments
• 10-12 week pregnant uterus
• 20-week pregnant uterus
• 5 Normal patent cervices - one installed and 4 spare
• 2 sets of Replacement fallopian tubes and ovaries
• Set of 6 abnormal cervices for visual recognition of normal and
abnormal characteristics including normal parous, polyp, cervical
erosion, nabothian cyst, purulent cervicitis, and carcinoma
• 6-8 week pregnant cervices for vaginal examination
• 10-12 week pregnant cervices for vaginal examination
6 | Overview
ZOE® | User Guide
2.2 PROCEDURES
• Perform bimanual examinations with palpable, realistic uteri.
• Practice catheterization exercises multiple times with the aid of the urine reservoir.
• Simulate minilaparotomy, interval and postpartum tubal occlusion, and
oophorectomy with the aid of the precut incisions on the abdominal
cover and the additional ovaries and fallopian tubes provided.
• Simulate interval laparoscopic occlusion (Falope rings or Hulka clips)
with the replacement ovarian ligaments and fallopian tubes.
• Practice introducing a female condom, or sizing a 75mm
diaphragm through the vaginal introitus.
• Perform hysteroscopy and use a uterine manipulator
through the realistic vaginal introitus.
• Perform bimanual examination, vaginal examination with
easily interchangeable cervices, and have visual recognition
of normal and abnormal variations with a speculum.
• Perform uterine sounding with real tenaculum and
sound with the interchangeable uteri.
• Evaluate multiple conditions using the interchangeable
cervices with normal and abnormal pathologies.
• Simulate bladder distention with the realistic bladder.
• Insert suppository in the patent rectum.
Overview | 7
3. INITIAL SETUP
3.1 CARE AND CAUTIONS DURING UNBOXING
• When unboxing the simulator, hold and lift from both sides of the torso.
• Do not pull or drag from the upper legs.
• Lay on a clean, fl at surface for use.
No assembly is required before using the ZOE simulator.
3.2 PACKAGE CONTENTS
1
18
17
ZOE® | User Guide
16
15
14
3
9
6
10
12
11
1. Non - pregnant abdomen
2. Normal perineum insert
3. 6 to 8 week pregnant uterus
with shortened ligaments
4. 10 to 12 week pregnant uterus
5. 6 to 8 week pregnant uterus
6. Transparent IUD uterus
7. Retroverted uterus
2
4
7
8
13
5
8. Anteverted uterus
9. 20 week pregnant uterus
10. 5 normal patent cervices
11. 6 to 8 week pregnant cervices
12. 10 to 12 week pregnant cervices
13. 6 abnormal cervices
14. 2 sets of ovaries
15. 2 sets of fallopian tubes
16. Urine fi ll kit
17. Talcum powder
18. Mineral oil
8 | Initial Setup
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