Laerdal SimMan User Manual

Directions for Use

SimMan

www.laerdal.com

Cautions and Warnings

Laerdal SimMan should be operated by trained personnel.

Do not introduce fluids into the torso area or left (BP) arm of the
manikin, as electronic components may become damaged.

Clean with mild soap and water. DO NOT SUBMERGE MANIKIN.

Use on clean surface only. AVOID FELT TIPPED MARKERS, INK
PENS, ACETONE, IODINE OR OTHER STAINING MEDI­CATIONS, AND PLACING THE MANIKIN ON NEWSPRINT OR
INKED LINES OF ANY KIND.

Students should wash their hands prior to using the simulator and
wear gloves when using the simulator. Treat SimMan as you would
a real patient.

Use of a defibrillator for training purposes represents an operational
hazard equivalent to use of a defibrillator on a real patient since it
involves the release of high levels of electrical energy into the
training manikin. Consequently:
All safety precautions for use of defibrillators must be followed, as if
the manikin were a patient. Consult your defibrillator's User Manual.

• Defibrillation should be performed on the defibrillation
connectors only. If defibrillation is performed over one or more
of the ECG connectors, high voltages may be present on
the remaining connectors during the shock.

• To prevent overheating, do not provide more than three (3)
defibrillator discharges (max 360J) in a sequence. Do not exceed
an average of two (2) defibrillator discharges per minute during
the training session.

• The manikin must not be in contact with electrically conducting
surfaces or objects during defibrillation. A flame supporting
atmosphere, for example with a high content of oxygen, should
be avoided during defibrillation.

• The manikin chest must be kept dry. Special attention should be
taken when using IV Arm, Urinary system or Bleeding Control
Modules.

• To prevent chest skin electrode pitting, do not apply conductive
gel or conductive defibrillation pads intended for patient use.

• Do not use cables or connectors having visible damage.

• Do not spill fluids over any component inside the manikin torso,
since this could damage the unit and might also present a possible
hazard for the operator.

• If a training session involves the administration of fluids and/or
drugs into the IV arm, empty the arm immediately following the
training session.

• 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.

• Do not introduce any fluids (except airway lubricant in small
amounts to lubricate the airway) into the esophagus or trachea
of the manikin.

1. Reorienting or relocating the receiving antenna.

2. Increasing the distance between the device and receiver.

3. Connecting the device to an outlet on a circuit different from
that to which the receiver is connected.

4. Consulting the dealer, or an experienced radio/TV technician,
for help.

Latex
The veins in the IV Arm, and Pneumothorax bladders contain latex.
Users who suffer from latex allergy should take precautions while
using or handling the latex parts by wearing non-latex protective
gloves.

Limited Warranty

Please refer Laerdal Global Warranty or see www.laerdal.com

Approvals:

The product is CE-marked and in compliance with
essential requirements of council directive 89/336/EEC;
EMC – directive.

This device generates, uses and possibly radiates radio-frequency
energy. If it is not installed and used in accordance with the
instructions, it may cause harmful interference to radio communi­cations. In that case, the user is encouraged to attempt correction of
the interference by:

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Contents

CAUTIONS AND WARNINGS . . . . . . . . . . . . . . . . . . . . . . . . . .2

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

ITEMS INCLUDED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

GETTING STARTED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

IN USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

TECHNICAL DATA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

PARTS / ACCESSORIES LIST . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Introduction

SimMan is a full body, adult manikin that allows the simulation of
Basic and Advanced Life Support Skills and Assessment to develop
both individual and team skills.

The simulator allows observation and recognition of most vital signs
which are used in emergency medicine either directly on the
manikin itself or on the included simulated Patient Monitor. When
used correctly, these features will support the students’ competence
ability to reach the correct diagnosis based on active observation as
opposed to being prompted by instructor cues.

ENGLISH

The patient monitor also doubles as display for other functions, such
as display of 12-lead ECG and X-rays.

The manikin allows for most relevant medical intervention to be
performed according to their medical guidelines and protocols. The
Laerdal SimMan contains an advanced airway allowing for simulation
of difficult airway management cases. The anatomy can be changed
during the scenario (via remote control) to indicate changes to the
patient condition or as a response to students’ intervention. Correct
form and technique are required to perform direct laryngoscopy
and endotracheal intubation. Correct use of a variety of airway
adjuncts will successfully ventilate the patient simulator.

SimMan is delivered with a set of normal pupils inserted in the
head's eye sockets and a separate case containing 3 sets of replace­ment pupils (normal, constricted, dilated) for simulation of various
medical conditions.

The simulated patient monitor is a replication of the Philips
IntelliVue patient monitor, which includes the ability to set up the
screen layout in various ways. It also allows configuration outside
the IntelliVue’s features to mimic other patient monitor types as
well.

SimMan is operated through a Software (SW) which runs on a PC.
Interaction with the SW is done through a Graphical User Interface
(GUI) where the various vital signs parameters are changed directly
or through pre-programmed scenarios. The SW also allows
automatic and manual logging of scenario events as well as video
capture. The events logged during a scenario can be shown in a
debrief viewer together with video capture. The log is synchronized
with the video capture. This allows the instructor to review both
the log and actual performance during debriefing. The debrief can
also be stored for later review.

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Items included

The Laerdal SimMan includes the following main components:

- Laerdal SimMan Manikin

- SimMan Software CD-ROM

- Directions for Use

- SpO2(Pulse Oximetry Probe)

- Set of Defibrillation Studs:

- Hands Free Defibrillation/Pacing Adaptors
(Heartstart and Physio Control)

- Plates for Manual Defibrillation

- Replaceable Neck Skin Collars (6)

- Roll of Crico-Thyroid Membrane Hy-Tape (2)

- Chest Tube Insertion Modules (6)

- Interchangeable pupil set [case containing 3 pairs of pupil inserts
(normal, constricted, dilated)]

- Airway Lubricant

- Upper Dentures
[one (1) non-breakable installed, and (3) breakable]

- Replaceable Male and Female Genitalia
with Urinary Connection Valves

- Tank Thigh Hardware Kit

- Tool Kit, consisting of:

- Pliers

- Screw-driver

- Nut Driver

- Bolts for attaching optional wound modules to the body

- Maintenance/Repair Kit, consisting of:

- Extra Pneumothorax Bladders

- Modeling Wax

- Talcum Powder

- IV Kit, consisting of:

- Blood Bags with IV Tubing (2)

- Simulated Blood Concentrate

- Hose, Manikin Air and CO

- Blood Pressure Measuring Kit

- Track Suit (jacket and trousers)

In addition, some configurations contain the following:

- Laptop computer

- USB Camera

- Simulated Patient Monitor

- USB Hub

- PDA

- Link Box

Supply

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Connection Cables and Tubing
(may vary depending upon configuration):

- Cable, Link Box to Manikin (15 pin)

- Cable, Link Box to PC (9 pin)

- Cable for Sounds, PC to Link Box

Additional items purchased separately

- Pressurized Air and CO

source (Compressor Unit

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or Regulator Unit)

Getting started

To use your SimMan, carefully follow the instructions provided in
the “Install Guide” (found in the peripheral box) and this document.
Some configurations are delivered with pre-installed software.
If your system is not pre-installed, pay close attention to software
set-up. Your SimMan will not operate correctly if the software is
not properly installed.

Attaching the Legs:

1) Remove the belly by pulling gently on the bottom and place it
aside.

2) Remove the bag from the leg.

3) Remove the cardboard packing tube from the threaded steel
tube protruding from the upper end of the thigh.

Caution: Do not allow tape or packing to pull on the wire or
air tube extending from the steel tube.

4) Open one Tank Thigh Hardware Kit (1008080) and place the
hardware in a convenient spot.

5) Gently feed the electrical wire and plastic air tube through the
pelvis hole and into the pelvic cavity.

6) Push the steel tube on the thigh as far as possible through the
hole and into the pelvic cavity.

DO NOT PULL THE LEG BY THE ELECTRICAL WIRE
OR PLASTIC AIR TUBE

7) Slide the flat washer from the hardware kit over the wire, air
tube, and steel tube.

8) Slide the spring from the hardware kit over the wire, air tube,
and steel tube.

9) Slide the thumb nut from the hardware kit over the electrical
wire first, and then over the air tube.

10) Holding the thigh in a convenient position, thread the thumb
nut onto the steel shaft until the feel of the hip articulation is
satisfactory.

11) Attach the thigh air tube to the open connector on a similar air
tube in the pelvis. Right leg tube goes to the tube on the right
side, and left goes to left.

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12) Attach the thigh electrical connector to the open mating
connector in the pelvis. Right leg wire goes to the wire on the
right side, and left goes to left.

13) Repeat with the other leg.

14) Gently replace the belly.

To remove leg(s), reverse the procedure.

Link Box

The Link Box connects the manikin to the computer.

1)Attach manikin cable to right lower side of manikin’s torso and

to the connector marked “Manikin” on the back of the Link Box.

2)Connect serial cable to connector marked “PC” on the back of

the Link Box and to serial port on back of your computer.

3)Connect clear tubing from blood pressure cuff to the inlet

marked “BP cuff” on the back of the Link Box.

4)Connect the SpO

cable to the SpO2connector on the back

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of the Link Box.

5)The audio cable has three ends. Connect the RCA / phono plug

to the connector marked "Audio input" on the back of the link
box. The stereo jack with single wire shall be connected to the
Simulated Patient Monitor, and the stereo mini jack with double
wire shall be connected to the computer's headphone output.
For illustrations please see the accompanying Install Guide.
If a wireless microphone is used, the receiver should be
connected directly to the Link Box connector marked "Audio
input" instead of the audio cable described above (pre-defined
vocal sounds will not be possible to use in parallel)

6)Plug the Link Box AC power cable into a power supply

(110-240 V AC). If you are using the Portability Kit, attach to
the 12 V DC input according to the Portability Kit instructions.

7)Connect external speakers, if used, to connector marked

"Ext. speaker" on the back of Link Box.

USB Hub

A USB hub is supplied with the system to provide additional USB
ports. Connect the USB Hub to one of the USB connectors at the
back of the PC. Attach the AC adapter to the USB Hub and to a
wall outlet (110 or 230-240V AC).

SpO2Probe

The SpO

finger probe provides enhanced realism for the care

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provider by simulating the use of an actual pulse oximetry probe.
When the probe cable is connected to the Link Box, SpO

will not

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be displayed until the probe is placed on one of the manikin’s
fingers (means that “light” is blocked). If the probe is not attached
to the Link Box, SpO

will only be displayed automatically when

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selected by the operator through the instructor panel on the PC.

Blood system

The blood system includes a blood bag with tubing that can be
connected to the veins and be altered by varying the elevation of
the blood bag.

Air and CO2Source (optional)
Option 1: Compressor Unit

If you have purchased Laerdal SimMan with a Compressor Unit,
attach one end of the double lumen tube into the compressor and
the other to the right axillary side of the manikin.

Start procedure:

1)Check that Power switch (4) is set to off position “0”.

2)Plug power supply cable into plug (5) in Compressor panel.

3)Plug power supply cable into power source.

4)Connect CO

supply to the “Input CO2” connector using

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the black hosing attached (optional feature).

5)Check that Drain valve (1) is closed.

6)Close Air valve (2) and CO

valve (3)

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7)Push Power switch (4) to on position “1”, the Compressor will
start and run for approx. 45 seconds to build up pressure in tank.

8)When Compressor stops, you can start to use the manikin.
Open the Air valve (2) and the CO

valve (3).

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9)The Compressor will start and stop with different intervals
depending on consumption of air.

Stop procedure:

1)Push Power switch (4) to off position “0”, the Compressor will
stop if it is running.

2)Close Air valve (2) and CO

valve (3).

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3)Open Drain valve (1) and drain air out of system.

Warning:

Do not open Compressor box when energized, dangerous voltage inside.
Only to be opened by authorized personnel.

ENGLISH

Important:

If the Compressor Unit is stopped manually with the on/off switch, the
air tank must be drained before restart.

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