Technical Data .........................................................................................................8
a) General .............................................................................................................8
MegaCode Kelly Manikin .............................................................................. 8
b)
Parts ...........................................................................................................................8
Cautions and Warnings
•
This product contains Natural Rubber latex which may cause allergic
reactions when in contact with humans.
•
There are electronic components mounted inside the airway head. The
following techniques should not be performed on this manikin due to the
inability to properly sanitize the airway if they are performed:
• Mouth-to-mouth/Mouth-to-mask ventilation
• Insertion of simulated vomit for suctioning
Lubricate the oral and nasal airways liberally with the lubricant provided
•
prior to inserting any instrument, tube or airway device into the airway.
Additionally, instruments and tubes should also be lubricated prior to use.
Do not allow the manikin's skin to come in direct contact with ink or
•
photocopied paper, as this can permanently stain the skin. Avoid using
colored plastic gloves when handling the manikin, as they may also cause
discoloration.
•
Care should be taken when palpating the pulses to not use excessive
force as this will result in no pulse being felt. Only two individual pulses
can be felt at the same time.
•
If a training session involves the administration of
the IV arm, empty the arm immediately following the training session.
• Defibrillation
• Onl y apply the
properly mounted on the manikin's chest.
• Do not provide more than 2 x 360J
an average over a period of time to prevent overheating.
•The manikin chest must be kept dry. Special attention should be taken
when using IV Arm.
• Do not apply conductive gel or conductive
for patient use to prevent chest skin pitting.
• Do not use cables or connectors with visible damage.
• Observe all normal safety precautions for use of
•
connectors only.
Electromagnetic radiation from other radio transmitters or other
electronic equipment may cause noise in the head speaker. To eliminate
this noise, move manikin away from the radiation source or turn the head
speaker volume to zero.
must be performed over the two
to a post or zap plate which is
discharges per minute as
E NGLISH
and/or drugs into
pads intended
Introduction
MegaCode Kelly is a full-body, lifelike manikin designed for the practice of
advanced, difficult and obstructed airway scenarios and IV therapy. When
used with the SimPad System; MegaCode Kelly allows cardiac
defibrillation, pacing with or without capture and variable threshold, ECG
interpretation , measurement of non-invasive blood pressure, and the
auscultation and recognition of heart, breath and abdominal sounds
SimPad also allows the use of the pre-recorded vocal sounds,
and live voice through the use of a wireless microphone and logging
and scenario functions.
The manufacturing quality of this manikin should provide many sessions of
training when reasonable care and maintenance are practiced.
(1) Direction for Use
(1) Laerdal Global Warranty Booklet
(1) Adult, Full-body Manikin
(1) Articulating IV Training Arm
(1) Blood Pressure Training Arm
(1) Manikin Lubricant
(1) MegaCode Kelly Eye Set
(6) Neck Skin Collars
(1) Cricothyroid Membrane Tape Roll
(1) Set of Replacement Pneumothorax Bladders
(2) Mid-Clavicular Bladders
(2) Mid Axillary Bladders
(6) Chest Drain Modules
(1) Set of Defibrillation Posts
(1) Carry Case
(1) Jacket
(1) Pants
MegaCode Kelly Basic
(1) Direction for Use
(1) Laerdal Global Warranty Booklet
(1) Adult, Full-body Manikin
(1) Articulating IV Training Arm
(1) Manikin Lubricant
(6) Neck Skin Collars
(1) MegaCode Kelly Eye Set
(1) Cricothyroid Membrane Tape Roll
(1) Set of Defibrillation Posts
(1) Set of Replacement Pneumothorax Bladders
(2) Mid-Clavicular Bladders
(2) Mid Axillary Bladders
(1) Carry Case
(1) Jacket
(1) Pants
Tension Pneumothorax Decompression
• Bilateral mid-clavicular sites
• Mid-axillary site (Right)
Chest Tube Insertion (Advanced v ersion on l y .)
• Mid-axillary site (Left)
Cardiac Related Skills (SimPad versions only.)
• 3 – 4 lead ECG
• Pacing with variable threshold, with or without capture
capabilities (25 -360 joules)
Circulatory Skills ( Advanced version only.)
•
• Measurement of Noninvasive Blood Pressure
• Hea r t sounds synchronized with ECG
• Lung sounds
• Bowel sounds
• Preprogrammed vocal sounds
• Live voice through the use of a microphone
Bilateral carotid pulse
- Brachial and radial pulses
- Auscultation or palpation of noninvasive blood pressure measurement
Sounds and Speech ( Advanced version only.)
Skills Taught:
Airway Management Skills
• Obstructed airway
• Endotracheal intubation
• Nasotracheal intubation
• Digital intubation
• Oropharyngeal airway insertion
• Nasopharyngeal airway insertion
• Bag Valve Mask
• Retrograde intubation
• Lightwand intubation
• Laryngeal Mask Airway insertion
• Laryngeal Tube Insertion
• Combitube insertion
• Trans-Tracheal Jet Ventilation
• Surgical cricothyrotomy
• Needle cricothyrotomy
• Suctioning techniques
• Stomach auscultation to verify proper airway positioning
Drug Administration
• IV insertion, infusion and bolus into peripheral veins of forearm,
antecubital fossa and dorsum of the hand
• Subcutaneous and intramuscular injections
Laerdal 2 MegaCode Kelly
Unpack:
MegaCode Kelly is packaged without the legs attached. Remove the upper
body and legs from the packaging and attach the legs to the torso.
B C
Photo 1
Photo 2
E N GLI SH
Fig. 2
Laerdal Recommends
A tight seal will enhance actual feel and sound of penetrating
cricothyroid membrane, and facilitate full rise and fall of the chest
during bag valve mask ventilation.
Pupil Replacement
MegaCode Kelly is delivered with a set of pupils containing normal pupils
mounted in the head. A separate case contains 3 sets of plastic pupil
inserts (normal, constricted and dilated pupils) for use in simulating other
conditions.
Photo 3
To attach legs:
Step 1 Remove thigh injection pads (A), genitalia
module (B) and bladder reservoir assembly (C)
Step 2 Select and prepare hardware (Photo 1), pass spring
and small washer over bolt (Photo 2) Step 3 To install
pass bolt assembly through thigh, then pelvis opening
from outside inward (Photo 3), select large fender washer
and pass over bolt from inside manikin abdominal cavity.
Screw wing nut onto bolt (Photo 4) Step 4 Replace bladder
reservoir and genitalia module in pelvis, injection pad in thigh.
(See Step 1)
NOTE: Tighten wing nut as desired to simulate leg Range of
Motion.
SimPad Connection
1. Connect MegaCode Kelly to SimPad (photo 1), cable located
on lower right side of manikin. You may have to use the cable adapter
included in SimPad System.
2. Connect the clear tubing exiting the manikin’s right side to the back
(Advanced Version).
3. Attach blood pressure cuff to manikin’s left arm (Advanced Version).
4. Attach clear pneumatic tubing from blood pressure cuff (photo 2) to
corresponding clear pneumatic tubing exiting the manikins left (Advanced
Version).
Photo 4
To change the pupils in the airway head:
1. Open the eyelids wide, take care not to rip the faceskin.
2. Using the suction cup provided or the edge of you fingernail, remove the
pupil from the eye.
3. Replace with the pupil of choice, using the small suction cup tool
provided or press into place with finger.
In Use
Laerdal Recommends
• 7.5 Endotracheal tube
• # 4 LMA
• Large Adult or Trainer Combitube
• KING LT – # 4
Airway Management:
1. Spray inside of pharynx, nostrils and all intubation tubes with a liberal
amount of provided manikin lubricant or liquid soap. Sit the manikin
upright to allow lubricant to coat passages.
2. Perform further intubation procedures as per your local training
protocol.
NOTE: Should incorrect ventilation be performed, air will pass through esophagus,
causing distention of the abdomen.
Obstructed Airway (Manual Inflation of Tongue):
1. Locate
2. Tighten air release knob.
3. Pump bulb several times to
bulb at lower left side of torso labeled “tongue.”
tongue to desired size.
To
Photo 1 Photo 2
Tension Pneumothorax Decompression
(Manual Inflation of Pneumothorax):
1. Locate
Getting Started
Cricothyroid Membrane/ Neck Skin Collar:
1. Cut a two (2) inch strip of Cricothyroid Membrane Tape.
2. Adhere tape to edges of cricoid opening, covering opening with tape, to
create actual membrane.
3. Lay a Neck Skin Collar into molded track around neck area of manikin.
4. Attach collar using Velcro® strips.
MegaCode Kelly 3 Laerdal
2. Tighten air release knob so that as you pump the bulb, no air escapes.
3. Pump bulb several times to prepare three (3) sites for decompression.
4. Decompress the site, bilateral mid-clavicular or right side mid-axillary or
When the site is “decompressed,” air can be heard/observed passing
through catheter.
tongue, loosen air release knob.
bulb which exits lower left side of manikin, labeled
“pneumo.”
per your local training protocol.
IV Cannulation:
Laerdal Recommends
Use a 21G or smaller catheter for IV cannulation to extend the
life of your manikin’s IV arm.
1. Attach an IV bag with tubing. Note: Make sure the clamp is closed.
2. Use a syringe to inject blood concentrate and 500cc of water into an IV
bag with tubing. Note: Make sure the clamp is closed. This will serve as
the “blood source” bag. (Photo 3)
Photo 3
3. Attach the “blood source” bag with IV tubing to one of the latex tubes
exiting the manikin’s right IV arm.
4. Attach an empty bag with IV tubing to the second latex tube exiting the
manikin’s right IV arm. This bag will serve as the collection reservoir.
5. Control
Put collection bag on
feed.
6. Hang “blood source“ bag from IV pole and open clamp to allow
concentrate to
used as a pressure infuser. This will allow the blood bag to be placed on
the
of blood from arm, via clamp on collection reservoir tubing.
to allow the now closed system to gravity
through arm. Note: A blood pressure cuff can be
or between the mattress and frame. (Photo 4)
Urinary Catheterization: (Genitalia Kit Optional)
1. Remove blank genitalia from the manikin.
2. Lift and rotate the pelvic pin to one side. NOTE: Failure to replace the
pelvic pin will result in pelvic spread.
3. Lift the urinary reservoir.
4. Using the urinary valves provided, attach threaded end of the connector
valve to the corresponding threaded urinary connector on the genitalia
(Photo 5-7).
5. Place the C Clamp over the valve, leaving loose.
6. Slide the smooth end of valve the to meet the ridge on the connector.
Photo 5 (Slide tube to meet ridge on connector.)
7. Move the C Clamp over the connector and the valve.
Photo 6 (Area where clamp is placed.)
8. Squeeze to tighten the C Clamp. This will lock the C Clamp in place.
Photo 4
7. When the “blood source” bag is empty, switch the “blood source“ bag
and reservoir. Hang the now full reservoir and place empty reservoir bag
to reverse of concentrate. NOTE: Be sure to adjust the
on
regulator. The collection reservoir clamp should always be used to
control
The arm is now ready for cannulation. Train per local protocol.
NOTE: Do not use iodine as this will permanently stain the manikin
Intramuscular Injections:
Medications can be administered via intramuscular injections bilaterally in
the deltoids and thighs and in the gluteal and ventro-gluteal locations.
Medications may be administered via local protocol. All precautions
rate.
Laerdal Recommends
When using a catheter or other venipuncture device, spray with
lubricant spray for easier insertion.
Laerdal Recommends
and safety measures must be followed during training.
Photo 7 (Apply clamp and squeeze to tighten.)
9. Replace the genitalia assembly into the manikin torso.
10. Replace Pelvic Pin NOTE: Failure to replace the pelvic pin will result
in pelvic spread.
11. Remove plug in urinary reservoir.
12. Using a 100cc syringe, fill reservoir with colored water.
13. Perform urinary catheterization as per your local training protocol.
Laerdal 4 MegaCode Kelly
Photo 3
Photo 2
Photo 4 – Inside View
Shoulder Standard or Wound Arm
Cardiac Related Skills:
NOTE: If the ECG snaps/ defibrillation connectors do not attach to the
clinical monitor/ defibrillator/ external pacer used by your institution,
additional ECG snaps and or defibrillation/pacing cables are available for
purchase. Please contact you representative for correct adaptor.
1. Two (2) Zap Plates (discs) and two (2) hands free adapters have been
designed for use with defibrillators. Screw discs or hands free adaptors
into post sockets located on apex and sternum of manikin. Rhythm may
be read from manikin using a monitor by applying paddles to discs with
firm pressure. (Do not use gel or hands free self adhesive pads.)
2. For manual defibrillation, place paddles on zap plates and press down
firmly for good contact NOTE: Monophasic and Biphasic defibrillators
may be used.
remove the stopper screw (photo 1) and release the BP Arm. STEP 2
Take out the arm stopper, disconnect the BP cables and remove the BP
Arm. NOTE Properly store the BP Arm and the attachment accessories
for future use.
To install the Left Arm (standard or wound model):
The manikin includes the necessary arm hardware (photo 2 )
STEP 1 Select the replacement arm, remove the deltoid pad STEP 2
Insert the arm adapter (photo 3) located inside the torso on the left side
SPEP 3 Pass the small washer over the bolt, thread the bold and washer
assembly through the openings of the arm shoulder, torso and arm adapter
(photo 4 & 5) Note: Tighten the wing nut as desired to simulate Range of
Motion STEP 4 Replace the chest plate, the chest skin and the shoulder
deltoid pad.
E N GLI SH
Laerdal Recommends
Caution: Follow defibrillation protocol by avoiding contact between
the paddle and any of the electrode sites while defibrillating. A load
of up to 360 joules can be delivered.
See SimPad DFU for complete cardiac functionality and
operating information.
Safety Precautions used during Defibrillation of a Patient/Trainer
1. Read and follow all safety and operating instructions provided with your
defibrillator and associated equipment.
2. This trainer can be shocked with actual voltages and current used on
a live patient. All precautions and safety measures must be used during
the defibrillation and pacing phases of training. Failure to follow safety
measures could result in injury or death to operators, students or
onlookers not heeding these warnings.
Blood Pressure Arm – ( Advanced)
Left Arm Installation
The manikin is packaged with the left BP Arm attached.
The BP Arm is designed to rotate approximately 220º.
Caution: To prevent damage, do not over rotate the left BP Arm.
To re-attach the BP Arm, reverse the processes. Properly store the arm,
the adapter and the hardware set for future use.
1. Place the supplied Blood Pressure cuff on Blood Pressure arm
2. Attach clear tubing on cuff to matching clear pneumatic tubing exiting
underneath the manikin’s left arm. (Photo 8)
Photo 8
3. Ensure the cable and the clear pneumatic tubing,
both exiting the manikin’s right side is attached to the Link Box.
See SimPad DFU for complete Blood Pressure Arm functionality
and operating information.
Laerdal Recommends
Do not insert needles into blood pressure arm.
Photo 1
Photo 5 – Outside View Left
To detach the BP Arm:
STEP 1 Detach the chest skin, lift the chest plate and push it aside to
MegaCode Kelly 5 Laerdal
Photo 2
Photo 4 - Inside View
Torso Left Side
Heart, Breath and Bowel Sounds and Speech (
Advanced)
MegaCode Kelly when used with SimPad, has heart, breath and bowel
sounds, both normal and abnormal with adjustable instructor controlled
volume. SimPad also allows the use of the pre-recorded vocal sounds, and
live voice through the use of a microphone.
1. Ensure that the MegaCode Kelly is connected to the
Link Box, cable located on l
ower left side of manikin.
See SimPad DFU for complete Heart, Breath and Bowel Sound
Auscultation and Speech functionality and operating information.
After Use:
Cricothyroid Membrane/ Neck Skin Collar:
1. Remove neck skin collar, by detaching Velcro
2. Remove used Cricothyroid Membrane Tape from cricoid opening.
3. Cut a two (2) inch strip of Cricothyroid Membrane Tape.
4. Adhere tape to edges of cricoid opening, covering the opening with tape,
to create the actual membrane.
®
.
Photo 10
Fig. 3
5. Lay a Neck Skin Collar into molded track around neck area of the
manikin. (Fig 3) NOTE: If the used collar is still in good repair simply
slide the collar in either direction for a fresh site. If the collar is showing
ware, discard and replace with a new one.
6. Attach collar using Velcro® strips.
Laerdal Recommends
The neck skin collar is designed to provide multiple sites for needle
and surgical techniques. When a fresh site is needed, slide the collar
in either direction. If the neck skin collar is showing wear, discard
and replace with a new collar.
IV Cannulation
After IV training is complete:
1. Close both clamps on IV tubing and detach bag tubing from arm tubing.
Fill a 100cc syringe with water. Flush IV arm with syringe. Note: This
should be done over a basin to catch any
2. Using the empty syringe push air through venous system to remove
excess water.
Intramuscular Injections
After intramuscular injection training is complete:
1. Remove sponge from inside of injection pad skin. NOTE: Do not store
wet foam pads in skin. This will cause shrinkage of injection
pad skin.
2. Rinse sponge with water, allowing it to dry overnight.
3. Insert sponge back into injection pad skin. NOTE: A small amount of
powder applied to sponge will ease insertion.
4. Replace the pad in the manikin.
5. Trim bladder tubing to match original tubing length to fit this manikin
style.
6. Insert the new pneumothorax bladder into the top side of the chest
plate though the 2nd and 3rd intercostal space opening with the bladder
tubing exiting though the back side of the chest plate. NOTE: The
narrow edge of the bladder should be inserted closest to the sternum.
(See photo11)
Photo 11
7. Reconnect hose to Y hose connector.
8. Return chest plate to proper position on torso.
9. Replace chest skin over torso, being sure to secure skin at shoulders and
back.
10. Fill puncture marks on the exterior of the chest skin with the Bladder
Replacement Kit.
(B) Mid-Axillary Site (RIGHT):
1. Remove chest skin from tabs at the shoulder and back.
2. Remove pneumo bladder box from right side of torso. (Figure 4)
Urinary Catheterization
After urinary catheterization is complete:
1. Remove complete genitalia assembly.
2. Working over a basin empty the reservoir.
3. Rinse thoroughly and allow to dry overnight.
Pneumothorax:
(A) Bilateral Mid-Clavicular Sites:
1. Detach the chest skin from torso from tabs at the shoulder and back and
remove.
2. Remove the hard chest plate from the torso.
3. Disconnect bladder hose from Y connector, located on the underside of
the chest plate. (see photo 9)
Photo 9
4. Pinch and remove the bladder through the opening between the 2nd and
3rd intercostal spaces on the top side of the hard chest plate.
(See photo10)
Laerdal 6 MegaCode Kelly
3. Disconnect bladder hose from inline hose connector, being sure hose
does not fall through hole and into torso.
4. Remove bladder from pneumo pad and discard.
5. Trim bladder tubing to match original tubing length to fit this manikin
style. Connect new bladder hose to inline hose connector.
6. Fold and insert new pneumo bladder into pneumo box.
7. Replace chest skin over torso, being sure to secure skin at shoulder and
back tabs.
8. Fill puncture marks on exterior of chest skin with the Bladder
Replacement Kit.
NOTE: Bladders can be repaired using vulcanized or contact cement glue
(not provided). Cover punctured surface of pneumothorax bladders with
glue. Allow bladders to air dry completely overnight before replacing in the
chest plate.
Chest Drain:
Mid Axillary Site (LEFT) ( Advanced)
1. Remove chest skin from tabs at shoulders and back.
2. Remove the chest tube drain module from the left mid-axillary site of the
manikin. (See photo 12)
Fig. 4
8. Screw a wing nut on bolt and tighten until desired articulation is achieved.
9.Replacehardchestplate.
10. Pull chest skin back onto shoulder area.
11. Connect chest skin to torso at shoulder and back tabs.
12. Replace deltoid injection pad on upper arm.
En g l i s h
Photo 12
3. Insert a new chest drain module.
4. Replace the chest skin over the torso being sure to secure the skin at
the shoulders and both sides.
Maintenance:
Cleaning
1. Clean with mild soap and water; do not submerse the manikin or parts in
cleaninguidsorwater.
2. Use only on clean surface. Avoid felt tipped markers, ink pens, acetone,
iodine or other staining products and avoid placing the manikin on
newsprint or inked lines of any kind.
3. To ensure longevity, each manikin should be cleaned after each training
session and a general inspection should be conducted regularly.
4. Modules and all other parts should be drained and air-dried thoroughly
before storage and disinfected when needed. After use of injection pads
(use water only), accumulated water should be squeezed out. Do not store wet foam pads in the skin. To prevent mildew or mold, pads
can be soaked in a mild solution of disinfectant and water or bleach and
water. Squeeze excess solution from pads, allow them to dry, then store
or reinsert in manikin.
5. Articulating parts will benefit from a light application of talcum powder
prior to training sessions.
To extend the cleanliness of your manikin:
1. Use a small towel and lightly dust the manikin head and chest with a
small amount of powder (provided). Wipe away any excess.
2. Use gloves when handling the manikin.
3. Avoid felt tipped markers, ink pens, iodine and newsprint, these will stain
the manikin.
To remove arms(s), reverse procedure.
IV Arm:
Replacing Skin and Veins:
Laerdal Recommends
When excessive leaking occurs at the puncture sites, either a new vein