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SimJunior Standard
User Manual
34 pgs51.1 Mb0

Laerdal SimJunior Standard User Manual

SimJunior
Directions for Use
™
www.laerdal.com
Table of Contents
Introduction 2
Standard System 8
Advanced System 9
Manikin Setup 16
– Preparing for Simulations 16 – Using an External Compressor 16 – Preparing the IO Leg 16 – Administering IV Fluids 16 – Draining Excess IV Fluid 17 – Cleaning the IV Arm 17 – Installing Defibrillation Adapter Plates 17 – Connecting the Blood Pressure Cuff 17 – Calibrating the Blood Pressure Cuff 17 – Changing the Pupils 18
Maintenance 19
– Maintenance after each Simulation Session 19 – Installing and Upgrading SimJunior software 19 – Opening the Torso 20 – Replacing the Manikin Battery 20 – Charging the Manikin Battery 21 – Replacing Chest Rise Bladder – Replacing Lung Bladder 21 – Replacing Manikin Skins 22 –
Replacing the Right Arm (IV Arm) 22
– Replacing the Right Leg (IO Leg) 22
21
Troubleshooting 23
Specifications 26
Spare Parts and Accessories 28
1
Introduction
Introducing SimJunior™ Simulator
SimJunior is a realistic, life-size pediatric patient simulator designed by Laerdal with the American Academy of Pediatrics
the education of individuals or teams of
multiple medical
from
The SimJunior Simulator comes completely assembled. There is no need to assemble parts of the manikin.
For details on preparing SimJunior for simulation, go to “Manikin Setup” section.
disciplines.
healthcare professionals
to be used for
SimJunior Help
Directions for Use (DFU)
Simulator.
Original Manufacturer’s User Manuals
All separate user manuals and labeling from original manufacturers should be followed. The SimJunior Directions for Use does not replace or supersede those from the original manufacturer.
SimJunior Quick Setup Guide
Step-by-step guide for setup of the SimJunior simulation system.
SimPad Directions for Use (DFU)
SimPad Directions for Use provides instructions for using the Link Box and the SimPad with SimJunior.
Software Help Files
The software Help files are accessible from the SimJunior software Help menus. Help topics include:
− Instructor Application Interface
− Debrief Viewer
− Scenario Editor
− Handlers Editor
− Trend Editor
Technical Assistance
For technical assistance, contact your local Laerdal Technical Service Center.
Web Downloads
Visit http://www.laerdal.com to download the latest Directions for Use and SimJunior Software.
SimCenter Content
SimCenter offers easy access to validated content from worldwide simulation experts so you can take advantage of their experience and get the most from every learning opportunity. You will find a wide range of scenarios that have been developed specifically for the SimJunior. Visit www.mysimcenter.com learning experience.
to learn how you can fully optimize your
Regulatory Information
This device complies with Part 15 of the FCC Rules. Operation is
roinuJmiS eht gnisu rof snoitartsulli dna snoitcurtsni pets-yb-petS
subject to the following two conditions:
1. This device may not cause harmful interference.
2. This device must accept any interference received, including interference that may cause undesired operation.
Caution
Changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment.
Laerdal Medical AS hereby declares that when carrying the
CE-mark, this product is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC.
Dispose of in accordance with local requirements and
regulations.
Li-ion batteries should be recycled.
Li-ion
Disclaimer
Use of the SimJunior patient simulation system to train personnel should be undertaken under supervision of suitably trained technical or medical personnel with an understanding of educational principles as well as recognized medical protocols. As with all manikins or other such training devices, there may be approximations, variations and inaccuracies in anatomical features and the physiological modeling. This being the case, Laerdal does not guarantee that all features are completely accurate.
Global Warranty
See the Laerdal Global Warranty Booklet, or see www.laerdal.com.
Country of origin - SimJunior is made in USA.
Laerdal Medical
P.O. Box 38 226 FM 116 Gatesville, Texas 76528, USA
2
Introduction
General Manikin Care
Follow the instructions below to maintain optimum performance and longevity of the manikin and its components.
General Care
To maintain manikin skins, wash hands before use and place the manikin on a clean surface. Laerdal recommends to:
– Use gloves during simulation scenarios. deroloc gnisu diovA
plastic gloves, as they may cause discoloration of the manikin skin.
– Do not use felt-tipped markers, ink pens, acetone, iodine, or
other staining medications near the manikin. Take care not to place the manikin on newsprint or colored paper. Staining may be permanent.
– Clean manikin skins with mild soap and water.
Do not attempt to perform the following techniques on this manikin due to the inability to properly sanitize the airway:
– Mouth-to-mouth/mouth-to-mask ventilation
– Insertion of simulated vomit or fluids for suctioning
– If a training session involves the use of fluids in the IV arm, drain
the arm immediately following the training session.
– Use only Laerdal Airway Lubricant, and apply sparingly.
– Rinse, clean, and dr y manikin component modules.
– Fold the torso skin back and powder the inside of the torso skin
to decrease friction. Do not spill powder into manikin chest cavity.
General Manikin Handling
Take the following precautions to avoid personal injury or damage to the product:
– Introduce fluids into the manikin only as directed in this document
as this may damage the manikin and its components.
− Lubricate the oral and nasal airways with the lubricant provided prior to inser ting any instrument, tube, or airway device. Also lubricate instruments and tubes prior to use.
− Do not introduce humidified air into the system during ventilation.
− Do not use the manikin if the internal tubing and cabling is disconnected.
– Never use the SimJunior manikin outdoors in wet conditions, as
this may pose a shock hazard or damage the manikin.
− Using a defibrillator in temperatures over 35° C (95° F) may cause overheating.
Warning: Do not use automated chest compression
machines on the manikin.
Caution Latex: This product contains Natural Rubber
latex, which may cause allergic reactions when in contact with humans.
Defibrillation Hazards
SimJunior allows for defibrillation.
Introduction
Standard System
Advanced SystemManikin SetupMaintenanceSpare Parts TroubleshootingSpecifications
Environment
In cold conditions, wait until the manikin has reached room temperature before starting up the manikin.
To avoid overheating and reduce wear:
− When using in temperatures above 40°C (104°F), always allow the manikin to cool down between training sessions.
− When using in a bed, manikin should not be covered with heavy bedding which prevents heat transfer from the manikin.
A conventional defibrillator may be used on the SimJunior. During defibrillation, the defibrillator and manikin may present a shock hazard. All standard safety precautions must be taken when using a defibrillator on the manikin.
1. Read and follow all safety and operating instructions provided with your defibrillator and associated equipment.
2. Follow defibrillation protocol by avoiding contact between the external paddles and any of the electrode sites while defibrillating. A load of up to 300 joules can be delivered.
3. Failure to follow safety measures could result in injury or death.
For more information, consult your defibrillator’s original user manual.
Warnings:
– When performing defibrillation, use the defibrillator connectors
or the zap plate mounted on the manikin’s chest. Do not use the ECG connectors which are designed exclusively for ECG monitoring. Defibrillation on the ECG connectors will damage the internal electronics of the manikin and may cause personal injury.
– Do not defibrillate the manikin when it is turned OFF or if it is not
functioning normally.
3
Introduction
To prevent overheating during defibrillation, do not exceed a defibrillation sequence of 3 shocks in 45 seconds followed by 1 minute of CPR. After 30 minutes, cease all shocking for at least 15 minutes before starting a new sequence. Do not repeat this for more than a 4 hour period. Also, do not provide more than 2 x 300 defibrillator discharges per minute.
Warnings:
– The manikin must not come into contact with electrically
conductive surfaces or objects during defibrillation.
– Avoid use in all flammable environments. For example, high levels
of pure oxygen should be avoided during defibrillation. Ensure good ventilation if concentrated oxygen is used near the manikin.
– The manikin torso must always be kept dry.
– Allow the manikin to acclimate before defibrillating. Sudden
changes in temperature may result in condensation collecting on electronic components, which could pose a shock hazard.
– To prevent torso skin electrode pitting, do not apply conductive
gel or conductive defibrillation pads intended for patient use.
– Pressing down too hard on the defibrillation connectors during
defibrillation may also cause arcing and pitting.
– Do not defibrillate the manikin if the torso skin is not in place.
Mechanical or Electrical Hazards
Do not use the SimJunior manikin if:
appear to be leaking.
– Take extreme care to avoid direct contact with electrical, hot or
smoking parts. In case of a leaking battery, disconnect and remove the battery when it is judged safe to do so.
– Exposure to fluids pose an explosion hazard.
– On every 30th charge cycle, drain the battery completely before
recharging. To drain the battery, run the manikin on battery power until automatic shutdown.
– Only replace with a Laerdal SimJunior battery.
Storage and Transportation
− Never store fully charged batteries, for longer than a month.
− The manikin battery can be transpor ted in the manikin during air freight.
− When transporting spare batteries, contact the airline or freight company for the latest transport regulations.
Warning:
– The SimJunior manikin and accessories are heavy when combined
in the carrying case. Always ensure that SimJunior is firmly secured during transpor tation and storage to prevent personal injur y or damage to the product.
− Limbs are not attached to the torso.
− Skins are torn or not properly fastened.
− Internal or external cables, tubes or connectors are damaged.
− There is fluid leakage in or on the manikin.
− There are unusual sounds indicating air leakage or mechanical damage.
− There are signs of electrical malfunction, such as an unresponsive manikin or unusual smell or smoke.
Warning:
– Avoid pinch hazards - Do not use the manikin without the
external skins.
Battery Use and Maintenance
− Always use battery approved to power the SimJunior, Link Box, and SimPad.
− Ensure that the batteries are properly installed. Inserting and connecting batteries incorrectly could cause a shor t circuit.
Warnings:
– Dispose of batteries according to local regulations.
– The external battery charger is for indoor use only.
– The manikin batter y should only be charged in temperatures
ranging from 0 °C - 40°C (32 °F - 104 °F)
– Do not mistreat, disassemble, or attempt to repair the battery. Do
not use the batteries if they are visibly damaged, malfunctioning, or
4
Introduction
SimJunior Simulator
Introduction
Standard System
Right Arm ECG
Connector
Sternum Defib Plate
IV Arm
Right Leg ECG
Connector
Power Cable
Left Arm ECG Connector
Blood Pressure Arm
Advanced SystemManikin SetupMaintenanceSpare Parts TroubleshootingSpecifications
Apex Defib Plate
Left Leg ECG Connector
External Air Connection
37 Pin Serial Cable (Manikin to Manikin Cable Adapter)
IO Leg
IO Leg Fill Port
5
Introduction
SimJunior Simulator
SimJunior facilitates interactive training of life-saving skills and responds to clinical intervention, instructor control, and pre-programmed
With spontaneous breathing, airway control, voice, sounds, ECG, and
SimJunior allows observation and recognition of most vital signs, which enables the instructor to assess the student’s skills based on a realistic clinical situation.
SimJunior Features
– Realistic airway for simulation of difficult airway management, oral,
and nasal intubation.
– Observable breathing.
– Cardiac features, including defibrillation and cardioversion.
– Eyes with interchangeable pupils (normal, dilated, or constricted).
– Convulsions to simulate seizures.
– Chest compressions.
– Vascular access.
rmal and abnormal hear
– No
– Automatic Simulation Control based on pre-programmed and
validated patient scenarios.
Simulations can run autonomously using scenarios on the SimPad or Instructor Application (PC). The development of the patient’s condition is pre-programed and automatically responds according to the participant interventions.
t, breath, and bowel sounds.
Overall Dimensions
Length / Width (manikin only): 48 in x 9.84 in (120 cm x 42.5 cm) Weight (manikin only): 25 lbs (11.36 kg)
SimJunior Clothing
SimJunior comes with custom designed clothing with Velcro openings for easy removal. Washing instructions are found on the clothing label.
− Shirt
− Shorts
− Boxer Shorts
General Clinical Features
Airway Features
The airway is anatomically correct to the trachea. The airway can be manipulated by:
− Head tilt/chin lift.
− Jaw thrust with articulated jaw.
− Cricoid pressure and manipulation.
− Suctioning (oral and nasopharyngeal)
The manikin may be ventilated by normal and emergency methods;
− Bag-mask ventilation
.tneitap a fo tnemtaert dna sisongaid fo ecitcarp evitceffe rof soiranecs
− Orotracheal intubation
− Nasotracheal intubation
.rotalumis cirtaidep lanoitcnuf ylluf a si roinuJmiS ,serutaef lacinilc rehto
Prior to using airway devices, lubricate with Laerdal Airway Lubricant.
The following equipment or methods are suitable to secure the manikin’s airway:
− Laryngeal mask airways (size #2.5).
− Endotracheal tube intubation (size ID 4.5 cuffed, 5.5 uncuffed).
Use of a malleable stylet is recommended. Make sure it does not extend beyond the ET tube.
The following manikin conditions indicate incorrect tube placement:
− Right main stem intubation – unilateral chest rise.
− Stomach distention.
− Lack of chest sounds (see Breathing section).
Manikin features may be configured to present various airwa scenarios:
−
Tongue edema - normal, medium, maximum levels.
− Lungs open or closed.
Breathing Features
SimJunior can simulate spontaneous breathing with visible chest rise and fall and variable breathing rates. The breathing is generated by an enclosed air compressor in the manikin’s right thigh.
− Bilateral chest rise and fall with spontaneous breathing.
− Unilateral chest rise and fall with right mainstem intubation during ventilations.
− Unilateral and bilateral lung sounds.
− Normal and abnormal breath sounds.
− Variable respiration rate (0-60 breaths per minute).
− Anterior auscultation sites (4).
The left lung and right lung can be closed independently or together to create a partial or complete airway obstruction. The SimJunior manikin can also be used with assisted ventilations.
Note: Lungs are not intended for use with PEEP-valves.
y
6
Introduction
Circulatory Features
Cardiac:
− Extensive ECG library, pulses from 0-200.
− Heart sounds - anterior location (1).
− ECG rhythm monitoring (4-connector, 3-lead ECG).
− 12-lead ECG display (SimJunior Advanced only).
− Pacing.
− Defibrillation and cardioversion using live defibrillators.
Defibrillation:
− The number of shocks required for automatic conversion are set in each simulation Patient Case.
Defibrillation Studs
CPR Features
− Compliant with 2010 Guidelines.
− Compressions generate palpable pulses, blood pressure wave form, and ECG artifacts.
− Realistic compression depth and resistance.
− Detection of depth and rate of compressions.
Vascular Features
IV Access:
IV access is possible on the right arm and hand. The IV arm can be set up for IV insertion, infusion, and bolus into:
– Peripheral veins of the forearm.
– Antecubital fossa and dorsum of the hand.
For use of an optional catheter, see your local Laerdal representative.
Intraosseous Access (IO):
Access for IO infusion is possible:
– Tibial Tuberosity (right)
– Medial Malleolus
Introduction
Standard System
Advanced SystemManikin SetupMaintenanceSpare Parts TroubleshootingSpecifications
3-Lead ECG Studs
Blood Pressure and Pulses:
− BP measured manually by auscultation of Korotkoff sounds.
− Bilateral carotid pulse.
− Central pulses can be set to Normal, Weak, Absent.
− Radial/Brachial pulses can be set to Normal, Weak, Absent.
− Carotid, brachial, radial, pulses synchronized with ECG.
− Pulse strength variable with BP.
− Pulse palpation is detected and logged.
Note: SimJunior does not have intra-muscular (IM) injection
sites. Do not attempt to perform IM injections.
Sound Settings for SimJunior
SimJunior suppor ts multiple sites for auscultation and recognition of heart, lung, and bowel sounds. SimJunior also allows you to set vocal sounds.
For information on setting sounds for SimJunior, see the sections:
– SimJunior Standard System.
– SimJunior Advanced System.
7
Standard System
Setup Summary
See below illustration “Setup of SimJunior Standard.”
1. Connect the SimPad to the Link Box
– Connect the Link Box to power supply or battery.
The SimPad can connect to the Link Box wirelessly or wired with a Network Cable.
–
Connect the Manikin to the Link Box
2.
– Connect the 37-Pin Serial Cable (Adapter Cable may be required) to the Link Box.
– Place the Blood Pressure cuff on the left arm of the
manikin if desired.
– Connect the clear tubing from the Blood Pressure cuff to
the SimPad Blood Pressure connector on the back of the Link Box.
3. Connect the Manikin to a power supply.
The manikin can be powered by external power or by an internal battery.
–
The manikin battery can be charged by connecting the external power connector
–
to the manikin power adapter.
–
The manikin battery and the SimPad batter y are the same.
4. Refer to the SimPad DFU for Setup of the SimPad
Setup of SimJunior Components
SimPad
Manikin Cable
BP Tube
Network Cable
(Optional)
Link Box
LAE
R D A L
Adapter Cable
Battery
8
Advanced System
Introduction to SimJunior Advanced
SimJunior Advanced includes
– Manikin and soft carrying case
– SimJunior Quick Setup Guide
– SimPad Link Box and Accessories
– Operating Software for the SimPad System
– Instructor Laptop PC
– Operating Software for the Instructor PC
– Touchscreen Patient Monitor (Complete Peripheral Kit Only)
– USB Webcam
– USB Hub
– Blood Pressure Cuff
– Set of Consumables
– SimJunior Directions for Use (DFU)
Setup Summary
Note: Refer to the
instructions on initial simulator setup.
1. Start the Instructor PC
– Connect the mouse and power supply to the computer and
power ON.
– Make sure that the SimJunior simulator icon is displayed on the
Instructor PC desktop
2. Install the USB hub
– Connect Power to the USB hub.
– Connect USB hub to Instructor PC
3. Connect the Patient Monitor Cables
– Put aside the software CD that comes with the monitor. DO
NOT INSTALL software CD.
– Route the cables through the Patient Monitor stand and connect
them to the corresponding outlets located at the bottom of the screen.
-- Video cable
-- USB cable
-- Audio cable ( ck labeled monitor)ja
-- Power cable
-- Secure the cables using the strain reliefs.
– Connect power cable to a wall outlet and power ON the Patient
Monitor.
SimJunior Quick Setup Guide
for detailed
Introduction
Standard System
Advanced SystemManikin SetupMaintenanceSpare Parts TroubleshootingSpecifications
INSTRUCTOR P C
OUCHSCREEN PAT IENT MON ITOR
T
Web Camera
Instructor PC controls simulations. It includes software programs for creating and editing scenarios, as well as an application for debriefing simulation sessions with video capture from a web camera and the Patient Monitor.
Patient Monitor .srotinom tneitap tsom etacilper ot derugfinoc eb nac It also doubles as a display for other functions, such as 12-lead ECG, X-ray images, and lab results to view the patient’s case history.
Web Camera records video and sound of the simulation for use during the debriefing session.
4. Connect the Patient Monitor video cable and 3-way audio cable (black mini jack with double wire) to the Instructor PC.
IMPORTANT: Do NOT connect the USB cable to the Patient Monitor yet.
5. Set Up the Instructor PC for Extended Desktop Display to Support the Patient Monitor.
– Right click on the instructor PC desktop
– In the drop down menu select <Screen Resolution>
– In the <Multiple Displays> option, select <Extend these
displays>.
– Click <Apply>.
– The Instructor PC (display 1) should have a resolution of 1600
x 900.
– The Patient Monitor (display 2) should have a resolution of 1280
x 1024.
– Click <OK>.
6. Connect the Patient Monitor to the USB Hub.
9
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