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NeoNatalie
Newborn Simulator
Directions for Use
NeoNatalie is a newborn baby resuscitation simulator which can simulate presence or
absence of essential vital signs such as crying, spontaneous breathing, palpable umbilical
pulse and heart sounds and allows practicing both standard care and resuscitation
of newborn babies. The simulator has the size and appearance of a newborn baby
and comes with relevant training accessories and a pouch suitable for storage and
transportation.
There is an urgent need to train millions of birth attendants in developing countries in effective
newborn resuscitation techniques in order to achieve the UN Millennium Development Goal
4 of reducing infant and child mortality by 2/3 from 1990 to 2015. Laerdal hopes to contribute
to such widespread training by providing the NeoNatalie Newborn Simulator and other
NeoNatalie products on a not-for-profit basis to developing countries.
www.laerdalglobalhealth.com
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To make NeoNatalie ready for use
NeoNatalie comes deflated and folded. She can be used when filled with either water (A) or air (B). When
filled with water NeoNatalie has a normal body weight and the neck moves as is relevant for resuscitation.
If water temperature is around 36 ºC (98 º F), the simulator’s body temperature is also normal.
A. Fill with water, for extra realism
1. Pull out the filling
extension from under
the face skin. Open
the valve. Apply your
lips - or a bag-mask
ventilation device for
improved hygiene - to
the valve and inflate
until the body is
partially inflated. (This
will separate the foils
and allow easy filling
with water afterwards.)
2. Unscrew the filling
cap. Place NeoNatalie
across a chair or
similar to provide
support while filling
with approx. 2 litres
of water from a tap
or suitable container.
It may be practical
to use a circular mask
as a funnel. Return
filling cap.
3. To fill with more
water: Open the valve.
Fill NeoNatalie Suction
- or another suitable
irrigation device - with
water, and use this to
insert additional water
into NeoNatalie’s
body until the body
feels firm.
4. Close the valve.
Fold the filling
extension forward and
push it under the face
skin until it clicks into
the holder.
B. Or fill with air, for immediate readiness
Pull out filling extension from under the face skin. Open the air valve. Apply your lips - or a bag-valve
ventilation device for improved hygiene - to the open valve. Inflate air until the body feels firm. Close
valve. Bend the filling extension forward and push it under the face skin until it clicks into the holder.
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Functions and features
Head, neck and airway
A soft face skin with mouth and nose is attached to the head with snap fasteners.
An air passage is provided from the mouth to the lung. The airway is closed when the head is flexed
forwards or far backwards, and open when the head is slightly extended or in the neutral position.
Lung ventilation
When the airway is correctly opened, the lungs of NeoNatalie can be ventilated with
(a) ambient air inspired by a bag-valve-mask resuscitator using a suitable mask size
(b) exhaled air inspired mouth-to-mouth and nose, or mouth-to-mask
Each effective ventilation lifts the chest wall visibly. Expired air from the simulator escapes through
the mouth, which causes the chest wall to fall to its original position. The simulator is not designed for
exhaled air resuscitation (mouth-to-mouth/nose) when shared by more than one user, since this requires
thorough cleaning between users, and also replacement of lung and airways.
Assessment of heart activity
When the simulation bulb set is attached, pressing the small red bulb rhythmically creates simultaneous
(a) pulse beats in the sealed Umbilical Stump which extends from the mannequin (pulse beats can be
felt when the stump is held between forefinger and thumb), and
(b) heart sounds in the area between the chest nipples (auscultation possible using a stethoscope).
Binding/clamping and cutting the cord
To prepare for practicing cutting the cord, do the following:
1. Attach the connector end of the separate Umbilical Cord to the Umbilical Stump.
2. Apply an Umbilical Tie or Clamp around the cord, approx. 2 cm over and under the connector.
3. Simulate cutting the cord by detaching the cord at the connector, leaving the ties or clamps in place.
(Actual cutting of the cord would quickly reduce the provided cord length.)
Chest compression
NeoNatalie features natural chest compliance allowing chest compressions to be practiced as
recommended for newborn babies and infants. Each chest compression which depresses the center
of the chest wall the recommended distance is recognized as acceptable, and immediately signalled by
an audible click.
Note: Practicing chest compressions is not part of the Helping Babies Breathe training program.
To simulate vital signs
To help learners recognize the newborn baby’s
condition during scenario training, a dual function
squeeze bulb connected by a twin pneumatic tube to
NeoNatalie allows the instructor or informed co-trainer
to simulate spontaneous breathing, umbilical pulse and
heart sounds. A separate squeeze bulb with a sound unit
allows simulating birth cries.
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Maintenance, storage and transport
To clean
Clean the simulator’s exterior with a soft cloth wet in soapy water. Wipe dry with a clean cloth or
paper towel.
Note: Do not use chlorine to clean the manikin as this will degrade the material.
To store or transport
NeoNatalie can be stored or transported in all temperatures which are normal for people. If
NeoNatalie is deflated, transport conveniently in its original cardboard box and storage pouch. If
transport of water filled simulators is desirable, use the pouch or other suitable transport container.
To refill the manikin after storage
After longer periods stored with water, some water may evaporate and the manikin may appear slightly
floppy or with less strong muscle tone. Simply replenish the manikin with water using the NeoNatalie
Suction (see steps 3 and 4 on page 2).
To repair a leak
If a leak has developed, suspect incomplete closure of the filling cap, air valve, or a puncture in the body.
Try to locate the puncture. Close the puncture with patch and glue from a bicycle repair kit.
Main units and accessories
Main units
NeoNatalie is available with a light or dark complexion in two models:
Cat. no Description
104-10001 NeoNatalie Basic (dark)
104-10002 NeoNatalie Basic (light)
Cat. no. Description
104-10003 NeoNatalie Complete (dark)(US)
104-10004 NeoNatalie Complete (light)(US)
104-10005 NeoNatalie Complete (dark)
104-10006 NeoNatalie Complete (light)
Accessories
Standard accessories in both Basic and Complete model
- Squeeze Bulb to simulate crying
- Umbilical Cord with 2 Umbilical Ties
- 2 Sheets to simulate towels
- Storage/Carrying Pouch
- Head Cap
Additional accessories available with Complete model:
- NeoNatalie Resuscitator
- NeoNatalie Suction
- Stethoscope
C1093 Rev H
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NeoNatalie, the Laerdal Logo, and “helping save lives” are all trademarks of Laerdal Medical.
Manufactured by Laerdal Medical in China.
Tanke Svilandsgate 30, P.O. Box 377
Contact address:
4002 Stavanger, Norway.
Tel. +47 51 51 17 00
Fax +47 51 52 35 57
E-mail: lgh@laerdal.no
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