Laerdal SimMan 3G Mystic User Manual

SimMan 3G Mystic

Directions for Use

www.laerdal.com

CONTENTS

Introduction 1

• SimMan 3G Help 1

• Regulatory Information 1

• SimMan 3G Patient Manikin 2

Important 3

• General Manikin Handling 3

• Anti-virus and Firewalls 3

• File Security and Backup of Data 3

Cautions and Warnings 3

• General Manikin Handling 3

• Defibrillation Hazards 3

• Mechanical or Electrical Hazards 4

• Battery Use 4

• Servicing the Manikin 4

Manikin Setup 5

• Transporting SimMan 3G 5

• SimMan 3G Overview 6

• Opening the Torso 7

• Attaching the Left Leg 7

• Attaching the Right Leg 8

• Attaching the Left Arm 8

• Attaching the Right Arm 9

• Inserting and Connecting the Batteries 9

• The Power Panel 10

• Charging the Batteries inside the Manikin 11

• Charging Batteries with External Charger 11

• Battery Use 12

• Other Battery Warnings 12

System Setup 13

• Preparing SimMan 3G for Simulation 13

• SimMan 3G PCs 13

• Activating the Instructor Software license 13

• Configuring Your Network 14

• The Instructor PC 15

• Auto Mode Overview 15

• Instructor Mode Overview 16

• 3G View and Classic View 17

• Opening an Auto Mode Patient Case 18

• Opening an Instructor Mode Scenario 19

• The Patient Monitor PC 20

• The Patient Monitor Interface 20

• Transferring Media Files 22

• The Laerdal Voice Conference Application 22

• Accessing the Voice Conferencing Application 23

• Accessing the Debrief Viewer 24

• Scenario Editor 24

• To Convert SimMan Scenarios to

SimMan 3G Scenarios 24

• Help Files 24

Setup for Simulation 25

• Using the Internal Compressor 25

• Turning the Internal Compressor OFF 25

• Changing default Compressor Settings 25

• Air/CO2 and Fluid Panel 26

• Blood and Fluid System 26

• Draining of Fluids and Blood reservoirs 26

• Cleaning the Fluid and Blood system 28

• Adjusting Fluid Flow 29

• Administering IV Fluids 29

• Cleaning the IV Arm 29

• Connecting Wounds Kit 30

• Removing Wounds 30

• Simulate Severe Bleeding 30

• Attaching the Amputated Arms 31

• Replacing the Left Leg with the Amputated Thigh 32

• Installing the Amputated IM Thigh Skin 32

• Installing the Amputated Lower Calf Skin 33

• Installing the Left and Right IM Thigh Skins 34

• Connecting Defibrillation Adapter Plates 35

• Connecting the Blood Pressure Cuff 36

• Calibrating the Blood Pressure Cuff 36

• Connecting the SpO2 Probe 36

• Changing Genitalia Modules 36

• Inserting Urine Catheter 36

• Changing the Upper Dentures 36

• Replacing & FiIling IO Modules with Blood 37

• Replacing & FiIling the Tibial IO Modules with Blood 38

Clinical Features 40

• General 40

• SimMan 3G Clothing 40

• Airway Features 41

• Breathing Features 42

• Circulation 43

• Bleeding 44

• Sounds 45

• Eyes Settings and Configurations 46

• Drugs and IV 46

Maintenance 48

• Maintenance after each Simulation Session 48

• Installation and Upgrading SimMan 3G software 48

• Replacing Crico Tape / Neck Skin 50

• Replacing Chest Drain Pleura 50

• Replacing Pneumothorax Bladders 51

• Replacing Chest Rise Bladder 51

• Replacing Lung Bladders 52

• Replacing Manikin Skins 53

• Replacing Blood System Filter 53

Troubleshooting 54

Main Specications 57

Spare Parts and Accessories 58

INTRODUCTION

SimMan 3G Help

Directions for Use

The Directions for Use includes comprehensive step-by-step
instructions and illustrations for using SimMan 3G.

Note: The illustrations may vary slightly from product.

Original Manufacturer’s User Manuals

All separate user manuals and labeling from original manufacturers
should be followed. The SimMan 3G Directions for Use does not
replace or supersede those from the original manufacturer.

Software Help les

The software Help files are accessible from the SimMan 3G software
Help menus.

For rst-time Instructors:

− Instructor application: Auto Mode

− Patient Monitor for learners

− Voice Conference application

− Debrief Viewer

Regulatory Information

Federal Communications Commission Statement

This device complies with Part 15 of the FCC Rules. Operation is
subject to the following two conditions:

1 This device may not cause harmful interference, and

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.

FCC-ID: QHQ-212-00001

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.

Additional features for Advanced Instructors:

− Instructor application: Instructor Mode

− Scenario Editor

− Handlers Editor

− Trend Editor

For System Administrators:

− Network configuration (WLAN setup)

− Profile 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 Software.

Li-ion batteries should be recycled.

Li-ion

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System SetupSetup for SimulationClinical FeaturesMaintenanceTroubleshootingSpare Parts

INTRODUCTION

SimMan 3G Patient Manikin

For Advanced Clinical Simulation

SimMan 3G is an advanced patient simulation system that facilitates
training of Basic and Advanced Life Support. The system allows the
instructor to effectively assess the learner’s individual and team skills
based on a realistic clinical situation.

SimMan 3G allows observation and recognition of most vital signs.
This is achieved through direct interaction with the manikin and
observation of the manikin’s status as viewed on the SimMan 3G
Patient Monitor PC.

WLAN Communication

Communication between the SimMan 3G manikin and the laptop PCs
is based on WLAN communication. The manikin and PCs can also be
connected to a LAN cable network, and WLAN disabled.

Disclaimer

Use of the SimMan 3G patient simulation system to train personnel
should be undertaken under supervision of suitably trained 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.

The SimMan 3G simulation system features include:

• An advanced configurable airway, comprised of adjustable lung
compliance and resistance - allowing simulation of difficult airway
management cases.

• Eyes that respond to light and react according to the clinical
state of the manikin.

• Bleeding and Wound Modules are fed from an internal blood
reservoir. An external Blood Fill Unit may be connected for
extended bleeding cases.

• Simulated Secretions: Sweat, tears, froth, urine and ear fluids are
fed from an internal fluid reservoir. An external Fluid Fill Unit
may be connected for extended use.

• Focus on Quality CPR (QCPR): measurement and feedback
according to the 2000 and 2010 Guidelines.

• Vascular Access (intra-osseous) via the tibia and sternum.

• Automatic Simulation Control based on pre-programmed and

validated Patient Cases.

Manikin Setup

The Main Components of the SimMan 3G System:

SimMan 3G is an adult life-size wireless manikin, with internal battery
power, internal air compressor and fluid reservoirs. Interventions by
learners are registered by the system in the session log, and used for
later debriefing.

Patient Monitor PC can be configured to replicate most patient monitors.
The web-camera records video and sound from the simulation for use
during the debriefing session. The Patient Monitor PC 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.

The Instructor PC controls the simulation. The headset allows the
instructor to simulate interactive voice communication between the
patient and the learner.

The simulation can run autonomously using pre-defined Patient Cases.
The development of the patient’s condition is pre-programmed and
automatically responds according to the learner interventions.

Also included are PC 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 SimMan 3G Patient
Monitor PC.

2

Important

Cautions and Warnings

It is important to follow the instructions below in order to maintain
optimum performance and longevity of the manikin components.

General Manikin Handling

The SimMan 3G manikin should be operated by trained personnel
only. Treat the SimMan 3G manikin as you would treat a real patient.

Hygiene

• To maintain manikin skins, wash hands before use and place the
manikin on a clean surface.

• Wear gloves as required during simulation scenarios

• After using the fluid and/or blood system, follow the instructions

in Cleaning the Fluid and Blood System.

• After using the SimMan 3G Wound Kit, remove glue residue
from the manikin skin with Laerdal Medical Wipes.

• Use only Laerdal Airway Lubricant in the manikin’s airway. Do
not spray airway lubricant into the manikin. Lubricate tools only.

Prevent Stains on Manikin Skins

Avoid using colored 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. All staining may be permanent.

Transportation and Storage

SimMan 3G is heavy; ensure that the manikin is properly secured
during transpor tation to prevent personal injur y or damage to the
product.

For storage - Flush the manikin’s fluid system with a solution of 60%
Isopropanol alcohol or 70% ethanol to inhibit algae. Follow cleaning
procedure for fluid and blood system.

Anti-virus and Firewalls

The SimMan 3G manikin and PCs are not supplied with anti-virus
programs. Windows firewall is activated by default. It is the customer’s
responsibility to protect the simulation system components from
unauthorized access.

The manikin will revert to factor y settings each time the power is
switched off.

The customer should install all recommended Windows updates
from Microsoft. General security measures should be taken before
browsing the internet.

It is recommended that the SimMan 3G PC’s are used only as manikin
controllers. Downloading other software programs onto these
machines may introduced unexpected errors.

File Security and Backup of Data

The customer is responsible for file security and backup routines for all
simulation session data. All use and storage of simulation session data
should be in accordance with local rules, regulations or laws, and is the
sole responsibility of the customer.

The following precautions should be taken when using this product, to
avoid personal injury or damage to the product.

General Manikin Handling

Warning: Do not ventilate the manikin with oxygen enriched air or
flammable gasses.

− Do not introduce fluids into or onto the manikin (except as
directed in the SimMan 3G Directions for Use) as this may
damage the manikin and its components.

− Do not introduce humidified air into the system during
ventilation.

− Never perform mouth-to-mouth rescue breathing on the
manikin. The manikin’s airways are not designed for cleaning or
disinfection.

− Do not use the manikin if the internal tubing and cabling is
disconnected.

− The manikin can be operated in wet, rainy, snowy, and misty
conditions. The manikin should be clothed. Use the clothing
provided or clothing of equal or greater protection. During
heavy percipitation, the eyes should be protected by goggles
and care should be taken to keep water out of the mouth. The
manikin cannot be submerged in water and should not be left in
standing water.

− Never use the SimMan 3G manikin in temperatures exceeding
40° C (104°F).

− The manikin should never be stored in temperatures below

-15° C (5° F).

− The manikin will automatically shutdown if the battery
temperature exceeds 60°C (140°F).

− Using a defibrillator in temperatures over 35° C (95° F) may
cause overheating and shutdown.

− Do not use the manikin on soft mattresses and/or under heavy
blankets. This may cause overheating and reduce the lifetime of
the compressor.

Defibrillation Hazards

SimMan 3G allows for defibrillation in accordance with 2000 and 2010
international guidelines for CPR.

A conventional defibrillator may be used on the SimMan 3G. During
live defibrillation, the defibrillator and manikin may present a shock
hazard. All standard safety precautions must be taken when using
a defibrillator on the manikin. For more information, consult your

defibrillator’s Directions for Use.

Warning: Defibrillation must be performed on the defibrillator

connectors only.

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.

Warning: The manikin must not come into contact with electrically

conductive surfaces or objects during defibrillation.

3

Cautions and Warnings

Warning: Do not defibrillate the manikin in a flammable or oxygen

enriched atmosphere.

Warning: In hot conditions, intensive defibrillation may cause

thermal shutdown of the manikin.

Take care to avoid spillage when using the manikin fluid systems while
the manikin is under defibrillation.

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.

SimMan 3G will automatically shut down whenever it detects a
significant increase in internal temperature. If automatic shutdown
occurs, allow the manikin to cool down before resuming the training
session. Open the torso skin to speed up the cooling process.

Warning: Do not defibrillate the manikin when it is turned OFF or if

it is not functioning normally.

Warning: Do not defibrillate the manikin if the torso skin is not in

place.

Warning: Do not use automated chest compression machines on

the manikin

Servicing the Manikin

A full service, including cleaning of the base board, should be
performed at regular intervals.

Caution: All servicing must be performed by qualified service

personnel.

Always perform a service:

− If liquids have been spilled in the manikin

− After use in dusty environments.

Caution: Do not use cables or connectors showing visible damage.

Manikin SetupSystem SetupSetup for SimulationClinical FeaturesMaintenanceTroubleshootingSpare Parts

Mechanical or Electrical Hazards

Warning: Avoid pinch hazards - Do not remove protective bushings

from the manikin’s joints or use the manikin without the external
skins.

Warning: Avoid all sharp edges on the manikin to prevent personal

injury.

Do not use the SimMan 3G manikin if:

− 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 inside the manikin torso.

− 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.

Battery Use

For more information see section: Manikin Setup - Battery Use and
Other Battery Warnings, for more information on battery use and
battery hazards, please see the battery manufacturer’s Directions for Use.

4

Manikin Setup

Transporting SimMan 3G

The SimMan 3G Simulation System consists of two cases for easy
transport and storage; one for the manikin torso and one for the legs.

Disassemble the legs from the torso and pack them into their
respective cases before transportation or storage.

For instructions on how to disassemble the legs, see: Manikin Setup -

Attaching the left and Attaching the right leg.

Warning: The suitcases are heavy. Always ensure that they are

firmly secured during transportation and storage so as not to cause
personal injury or damage to the product.

Please be aware that both cases appear identical. Each case contains
compartments for all accessories.

Torso Case with foam inserts

Each case has an extendable handle for increased mobility.

Warning: The suitcases are heavy. Always use two people when

lifting.

The SimMan 3G System exceeds the weight allowance on most

commercial airlines. Some parts may have to be transported
separately. For more information on weight restrictions contact the
relevant airline.

Leg Case with foam inserts

For more information on SimMan 3G accessories, see section: - Spare
Parts, Consumables & Accessories.

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System SetupSetup for SimulationClinical FeaturesMaintenanceTroubleshootingSpare Parts

DC Input 9-24V X, XA

Manikin Setup

SimMan 3G Overview

Manikin Setup

power panel

Air Out

fluid fill panel

Bleeding ports

Speakers

Air / CO

2

Inlet

Blood

Fluid

Inlet

Activate

Inlet

Filling

Air/CO2 panel

Blood
Outlet

Defib Connectors

Pulses

6

Manikin Setup

Opening the Torso

Open the manikin torso for the following procedures:

Attaching or replacing limbs

− Attaching or dismantling the manikin legs and arms

− Exchanging default arms for trauma arms.

Maintenance tasks

− Changing the manikin batteries.

− Replacing the pneumothorax bladders, chest-rise bladders, lung

bladders, IO modules and chest drain modules.

− Replacing the torso skin.

− Performing a general inspection.

− Removing WLAN adapter.

To open the torso skin

1 Unzip the zippers on the manikin’s left shoulder and torso.

Attaching the Left Leg

Note: Assemble the manikin on a large flat surface. Attach the left

leg before the right leg.

Open the torso to access the hip joint connectors. To open the torso
follow steps 1 – 4, Opening the Torso.

1 Align the left leg bolt and cables with the pelvis socket.

2 Feed the leg bolt and cables through the socket and into the

torso. Do not pull the leg by the cables and/or tubes.

3 Carefully push the leg in towards the pelvis to form a snug fit.

Hip joint connector with side slot for
inserting cables and tubes (shown right)

2 Remove the genitalia pad and release the skin flap from the pelvis.

3 Fold the torso skin over to one side.

4 Open the stomach foam to one side, taking care not to tug on the

connecting tubes and cables.

Note: DO NOT disconnect the tubes and cables connecting the

stomach foam to the manikin.

4 Position the connector rounded end

facing downward. Place the leg cables
and tubes into the side slot of the
connector.

5 Slide the connector downwards along

the tubes and cables and onto the leg bolt. Ensure that the nut
and bolt are aligned, and that all cables and tubes are secured
within the connector.

6 Screw the connector onto the leg bolt. Avoid twisting the tubes

and cables. Tighten the connector so that the leg is able to rotate
freely around the hip joint connector.

7 Connect the corresponding leg tubes and cables as shown in the

following table:

5 Replace the stomach foam and close the torso skin, perform steps

1- 4 in reverse.

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Manikin SetupSystem SetupSetup for SimulationClinical FeaturesMaintenanceTroubleshootingSpare Parts

LA PULSES BP

LA CONV

P

B

Manikin Setup

Left Leg to Pelvis – Cable and Tube Descriptions

Name/Label Tube/Cable Color Connector Description

Left Pedal Grey cable black with silver

coloured connector

Popliteal Grey cable black with silver

coloured connector

Attaching the Left Arm

Open the torso as described in steps 1 - 4, Opening the Torso.

Follow the procedures listed below in reverse to detach the arms.

1 Align the left arm axle with the shoulder socket.

Attaching the Right Leg

Please take the same precautions as when attaching the left leg.

1 Align the right leg bolt and cables with the pelvis socket. Feed the

leg bolt and cabling through the pelvis socket.

2 Ensure that the shoulder screw is loose enough to allow the arm

axle to slide easily into place.

3 Feed the cables from the arm axle through the shoulder socket.

4 Carefully push the arm axle into the shoulder bracket, so that the

axle is flush with the inside of the bracket.

5 Tighten the shoulder screw with the Allen wrench.

2 Carefully push the leg in towards the pelvis to form a snug fit.

3 Secure the cables and tubes in the connector. Screw the

connector in place on the leg bolt.

4 Connect the corresponding tubes and cables as shown in the

table below:

Right Leg to Pelvis – Cable and Tube Descriptions

Name/Label Tube/Cable Color Connector Description

Blood Right leg Transparent,

red tube

Right leg Black harness cable Black rectangular

Fluid from leg Tube, blue White twist and

Air from leg Colourless

transparent tube

Black twist and
lock connector

connector, 4 lead

lock connector

White twist and
lock connector

6 Connect the arm cables to the corresponding connection points

in the torso.

Left Arm to Torso – Cable and Tube Descriptions

Name/Label Tube/Cable Color Connector Description

LA Pulses Grey cable Black rectangular

connector, 6 lead

BP Grey cable Black rectangular

connector, 2 lead

8

Manikin Setup

Attaching the Right Arm

Open the torso as described in steps 1 - 4, Opening the Torso.

Follow the procedures listed below in reverse to detach the arms.

1 Ensure the white Arm Adapter is in place. If not, fit the Arm

Adapter into the hole in the arm bracket from inside the torso.
Ensure that the flat edge of the adapter is facing the chest hinge.

2 Feed the washer, then spring, then washer onto the bolt and feed

through the arm.

Inserting and Connecting the Batteries

Open the torso as described in steps 1 - 4, Opening the Torso, follow
the procedures listed below in reverse to remove the batteries.

1 Release the battery clamp by unhooking the clips on either side.

2 Insert both batteries into the battery tray.

3 Tighten the screw with a Phillips head screw driver.

4 Replace the deltoid pad.

3 Snap the battery clamp back into place over the batteries.

4 Connect the corresponding battery cables from the batteries to

the torso.

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Manikin SetupSystem SetupSetup for SimulationClinical FeaturesMaintenanceTroubleshootingSpare Parts

DC Input 9-24V X, XA

Manikin Setup

The Power Panel

After connecting the batteries, connect the manikin to the external
power supply (12V to 24V) while the manikin is OFF.

The batteries will charge if the manikin is ON and connected to and
external power supply in the range of (20V - 24V)

Battery - Cable and Tube Descriptions

Name/Label Tube/Cable Color Connector Description

Battery 1 Black harness cable Black rectangular

connector, 6 lead

Battery 2 Black harness cable Black rectangular

connector, 6 lead

For more information on charging the batteries see section, Manikin

Setup, Battery Charging and Use.

The power panel is found on the right side of the manikin, under a
loose skin flap. Lift the skin flap and pull out the protective cover.

To ensure easy access, use the zippered clothing provided with the
SimMan 3G manikin.

1

2

3

4

5

6

Power panel overview

1 Power ON / OFF button

2 Power status indicator

3 Battery status indicator

4 Charging status indicator

5 LAN network cable connector

6 External power supply connector

Power Panel LEDs Description

LED
Color

Red Power save* 0% - 20% Not charging**

Yellow Start up 20% - 70% Charging

Green Running 70% - 100% Charge almost

No light Off Off No charge****

* Blinking light
** One or both batteries missing, overheated,
damaged or otherwise not able to charge
*** Not recommended to charge the batteries too long
**** No power input, batteries are charged.

Power Save is activated when ever manikin is paused.

Power Status Battery Status Charge Status

complete***

10

POWER

Manikin Setup

Charging the Batteries

INSIDE THE MANIKIN

1 Connect the manikin to the external power supply with a power

cord and plug that meets local specifications.

2 Plug the power supply into a wall outlet and connect the power

cable to the power inlet on the manikin’s power panel.

WITH AN EXTERNAL CHARGER

Charging batteries inside the manikin

1 Connect the manikin to the external power supply.

2 The battery indicator on the power panel shows the charge status

of for the internal batteries.

External battery charging

The battery charger comes with 5 international plugs. Connect the
appropriate plug to the charger :

1 Connect the charger to a power outlet and connect the manikin

battery to the charger.

3 Press the ON button to power on the manikin.

Note: During start-up, the manikin’s eyes will blink a couple of

times and the power status indicator will show a yellow (start-up)
light.

2 The indicator light on the battery charger shows charge status.

3 Battery charging time is approximately 3 hours.

The external battery charger should only be used with SimMan 3G
batteries.

Charger light showing battery sign

Light Code Light Color Characteristic

Standby Yellow Steady

Pre-charge Yellow Normal Blink

Rapid charge Green Rapid

Maintain Green Normal Blink

Ready Green Steady

Wait Alternating Alternating

Error Yellow Rapid

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System SetupSetup for SimulationClinical FeaturesMaintenanceTroubleshootingSpare Parts

Manikin Setup

Battery Use

− Always use two SimMan3G batteries to power the manikin.

− Ensure that the batteries are properly connected.

− Charge the batteries regularly.

− Check LEDs on manikin’s power panel for battery status.

• Change both batteries before the battery charge drops below

15% or the battery light indicator is red. This can be monitored
in the technical status window on the Instructor PC.

• The manikin will automatically shut down if the battery
temperature rises above 60°C (140°F) or the remaining charge
falls below 6 % on one of the two batteries.

View Battery Status via Instructor Application

When the AC batter y symbol in the <Technical status> window is
visible, the manikin is connected to an external power source.

When the manikin is battery powered, the battery life indicator
indicates the remaining battery life in minutes.

Changing batteries during a simulation session:

1 Press <Pause Session> on Instructor PC. Access the batteries

as described in Section: Manikin Setup Inserting and Connecting
Batteries.

2 Replace one battery at a time to avoid loss of simulation data.

Other Battery Warnings

Warning: Do not run the manikin for more than 1 minute on a

single battery.

Warning: If both batteries are removed while the simulation is

paused, the manikin will shut down and simulation data will be
lost.

Warning: Dispose of batteries in accordance with local regulations.

Warning: The external battery charger is for indoor use only.

Warning: The batteries should only be charged in temperatures

ranging from 0 °C - 40°C (32 °F - 104 °F)

Warning: Inserting and connecting batteries incorrectly, short

circuiting or exposure to fluids pose an explosion hazard.

Warning: Do not mistreat, disassemble or attempt to repair the

battery.

Warning: Do not use the batteries if they are visibly damaged,

malfunction or appear to leak electrolyte.

Warning: Take extreme care to avoid direct contact with electrolyte,

hot or smoking parts. In case of the above, disconnect and remove
the battery when it is judged safe to do so.

Manikin Setup

Storage and transportation

− Never store fully charged batteries for longer than a month.

− Never store the batteries inside the manikin.

− Store batteries in a refrigerator i.e. temperature 0°C - 4°C

(32°F - 40°F).

− The two manikin batteries can be transpor ted in the manikin
during air freight.

− When transpor ting spare batteries please contact the airline or
freight company for the latest transport regulations.

Battery maintenance

− On approximately every 30th charge cycle, drain the battery
completely before recharging. To drain the batteries run the
manikin on both batteries until automatic shutdown.

− Expected battery life: 200 charge cycles.

− Only replace with Laerdal SimMan3G batteries.

12

System Setup

Preparing for Simulation

Unpack the laptop PCs and connect them to their respective power
supplies to charge the batteries.

Instructor PC with Headset

Patient Monitor PC with Web-camera

SimMan 3G Manikin

8 Start the Instructor Application software. The application will

search for all available manikins. See: Launching Instructor Application.

9 Select a patient case in Auto Mode or pre-programmed scenario

via Instructor Mode to start the simulation.

10 The simulation system is now ready for use. Power cables may be

disconnected when batteries are charged.

Note: Also refer to the Quick Setup Guide for detailed instructions

on initial system setup.

SimMan 3G PCs

The SimMan3G simulation system includes one Instructor PC with
the pre-installed Instructor Application and one Patient Monitor PC to
simulate an actual patient monitor. The Patient Monitor PC runs the
Patient Monitor Application.

ACTIVATING THE INSTRUCTOR SOFTWARE
LICENSE

The Instructor Application license need only be activated once.
Instructor computers shipped from Laerdal Medical will have a pre­activated license installed. Two spare licenses are provided for use on
other computers. Should the software need to be re-installed, it is not
necessary to reactivate the software license.

Activate the software via the Internet or select <Activate> using
<other options> in the License key dialog box.

1 Unpack the manikin torso and legs.

Assemble the legs and torso as described in Manikin Setup.

2 Fill the bleeding and fluid system if necessary. See Blood and Fluid

System.

3 Connect the manikin batteries and close the torso skin. See:

Inserting and Connecting Batteries.

4 Connect the external power supply to the manikin to charge the

manikin batteries. See: Battery Charging and Use.

5 Press the start button on the manikin. Wait until the manikin

begins breathing before switching on the Instructor PC. Start the
Instructor PC and connect the headset.

6 Start the Patient Monitor PC, if applicable, and connect the Web-

camera to the USB port of the PC.

7 Start the Patient Monitor Application software, if applicable,

attach the SPO2 probe to the patient monitor PC. See: Starting

the Patient Monitor Application.

The SimMan 3G software comes with 3 license keys. For more

license keys please contact your local customer service office.

Activate the license manually by following the on-screen instructions.

Changes or updates of the computer hardware (e.g. new hard drive
or mother board) may render the license invalid. Please contact your
local Laerdal support for assistance for re-activating the license.

Note: Should you experience problems re-activating the
application license, contact your local Laerdal support for
re-activation

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Manikin SetupSetup for SimulationClinical FeaturesMaintenanceTroubleshootingSpare Parts

System Setup

Wired operation (disabling/enabling WLAN)

The wireless network may be disabled in AP mode. This can be
achieved by using the SimMan3G Network Configuration Tool. When
using manikin in environments where use of WLAN transmitters are
prohibited: Contact your local service representative for instructions
on how to turn off radio transmission.

Removing/Changing router

The router may be changed or removed. Turn off the manikin before
doing so.

WIRELESS AND LAN CONFIGURATION

The SimMan3G Network Configuration Tool (SNCT) allows you to
configure the network behavior of the SimMan3G manikin.

System Setup

For more information on Wireless and LAN configuration, see the

SimMan3G Network Configuration Tool Help file (Press the <F1>
key on the PC keyboard).

Configuring Your Network

The SimMan3G is equipped with a small router that provides WLAN
connectivity. This router can be configured two ways: Either the
manikin creates a wireless network (Access Point mode) or the
manikin is hooked up to an already existing network (station/client
mode). The mode of operation is selected by changing a switch on
the router, located inside the manikin’s pelvis.

Manikin created network (Access point mode) [default]

USB Reset Router AP Client

The default operation is AP, i.e. where manikin creates a wireless
network. The switch on the router is set in AP mode. The manikin is
set up to create a network called SimMan3G. WPA2/PSK-AES is the
preferred security/encryption setting and also the default. The default
preshared key is SimMan3G. This should however be changed with
the SimMan 3G network configuration tool.

USB Reset Router AP Client

Open the pelvis and locate the router. Remove the two Ethernet
cables and black power cable.

If you would like to operate the manikin without a router, then attach
a through-adapter between the two Ethernet cables.

If you would like to install a new router, attach the power cable to the
DC plug and the Ethernet cables back into the router again.

Connecting to an Existing Network

If you would like to connect your manikin and the Instructor PCs to
an already existing network, please move the switch on the router
to the client mode, ref picture above. Please use the SimMan3G
Network Configuration Tool to enable connection to an already
existing network.

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System Setup

The Instructor PC

The Instructor PC uses the Instructor Application software to manage
simulations. The Instructor Application runs in two modes:

• Auto Mode, for running pre-programmed, validated patient
cases.

• Instructor Mode, for on-the-fly, customized patient scenarios.

Auto Mode Overview

For more information on software and system setup, please see the
Help files:
Click Windows <Start> <All programs> <Laerdal SimMan 3G >
<Documentation>

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1 - COMMON LEARNER EVENTS

The <Common learner events> window lists all required events
for a selected patient case. Clicking the events in the list records
them in the Session Log, together with the time that each event was
performed by the learner.
All other events available to the learner can be found under the <All
learner events>

2 - SIMULATION CONTROL GRAPH

The Simulation control graph illustrates the patient parameters in
terms of past, current, and predicted future trends throughout the
simulation.

3 - SIMULATION CONTROL PANEL AND

SESSION LOG

The <Simulation Control> panel contains the main tools used
in running the selected patient case. Parameters controlling the
underlying pathology in the simulation can be monitored, and modified
during a simulation session by using the <Simulation Control> panel.
The <Session Log> records information about events in response to
the patient case. This information is then made available in debrief files
at the end of the simulation session.

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5 - PERFORMANCE

The <Performance> window shows the effectiveness of learner
ventilations and compressions during the simulation.

Learner performance data can be viewed either as an average or in
real-time.

The performance window, below the manikin figure, is minimized as
default. Click the expand button to open the window.

6 - INSTRUCTOR’S PATIENT MONITOR

The Instructor’s Patient Monitor shows the status of patient’s vital
signs throughout the simulation.

7 – AIRWAY STATUS

The Airway Status window shows the state of the patient’s airway in a
real-time animation with a list of symptoms.

Indicators also show the resistance of the left and right lungs, and total
lung compliance.

Note: Ensure that you select the Airway Status tab.

8 - NEUROLOGY

<Neurology> - The Neurology status list shows information about
the patient’s position on the Glasgow Coma Scale and Visual Analog
Scale.

The <Eyes> animation is a real-time representation of the status of
the eyes of the patient/manikin and is shown when clicking on the
Neurology tab.

9 - CIRCULATION & FLUIDS

<Circulation & Fluids> - Displays information about the health of the
patient with regards to pulses, rate of bleeding, and secretions.

10 – BODY SOUNDS

Clicking the <Body Sounds> button calls up the <Body Sounds>
dialog box. The dialog shows the current sound scheme and volume
for each speaker attached to the various body parts: heart, bowel, and
anterior/posterior view of the lungs.

11 - TECHNICAL STATUS

The Technical status window provides information about the technical
status of the SimMan 3G manikin system, including battery life,
wireless (WLAN) connection signal strength, blood tank drainage,
communication channels in use and video recording.

4 - ALL LEARNER EVENTS

The <All Learner Events> menu is used to register all other available
events, not listed under the <Common Learner Events>. Events can
be registered in any of the following ways to the <Session Log>:

• Using the <General Events> button

• Using the <Event Search> function

• Using the clickable manikin figure

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Manikin SetupSystem SetupSetup for SimulationClinical FeaturesMaintenanceTroubleshootingSpare Parts

System Setup

Instructor Mode Overview

1 - COMMON LEARNER EVENTS

The <Common Learner Events> window typically lists the learning
objectives specific for the current scenario. It also lists the learner
events required to proceed from one scenario frame to another, as
well as Learner events included in any rules from an active Handler.
Clicking the events in the list records them in the Session Log,
indicating the time that each event was performed by the learner.

All other events can be found in <All Learner Events>.

2 - SIMULATION CONTROL AND SESSION LOG

In Instructor Mode, the Simulation control is used in managing all pre­programmed aspects of the selected patient case:

Scenario progress

• Trends

• Handlers

The Session Log records information about patient responses and
Learner events that occur during simulation. This information is then
made available in debrief files at the end of the simulation session.

* For more information on Trends and Handlers, see section:
Customizing Scenarios.

3 - ALL LEARNER EVENTS

The <All Learner Events> menu is used to register the events
performed by learners during a simulation, and contains all events
which can be registered. For easy access, the events necessary to
treat the selected scenario correctly are listed in <Common Learner
Events>.

4 - PERFORMANCE

The <Performance> window, below the manikin figure, shows the
effectiveness of learner ventilations and compressions during the
simulation.

on configuring the airway and breathing, see section: Clinical Features.

8 – CIRCULATION & FLUIDS

The settings of the <Circulation & Fluids> tab are used to control
the secretion of fluids and blood from the Manikin during simulation.

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2

If the <Airway / breathing> is hidden, click on the tab name to access
the window. For more information on configuring fluids see Clinical
Features.

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9 – SOUNDS

The settings of the <Sounds> tab are used to control the body
sounds and vocal sounds from the manikin.

To open the <Sounds> menu, click on the tab name. For more
information on configuring sound settings see Clinical Features.

10 – TECHNICAL STATUS

The <Technical Status> window provides information about
the technical status of the SimMan 3G manikin system, including
battery life, wireless connection signal strength, blood tank drainage,
communication channels in use and video recording.

Learner performance data can be viewed either as an average or
in real-time. The window is minimized as a default. To view the full
display, Click the <Expand> button to open the window.

5 - INSTRUCTOR PATIENT MONITOR

The <Instructor’s Patient Monitor> shows the current physiological
state of the simulation.
In Instructor Mode only, the patient monitor waveforms and
parameters can be set directly by selecting and clicking the individual
waveform or numeric parameter with the mouse pointer arrow.

6 - EYES

The <Eyes> window is used to configure the state of the eyes of the
patient during simulation.

The Eyes animation is a real-time representation of the eyes of the
Manikin. For more information on configuring the eyes see section:

Clinical Features.

7 – AIRWAY / BREATHING

The <Airway / breathing> tab shows the airway/breathing status of the
patient, and is used to configure these settings. For more information

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System Setup

3G View and Classic View

There are two view options when running a simulation in Instructor
Mode:

INSTRUCTOR MODE 3G VIEW

Scenarios made for SimMan 3G and will display the 3G view:

INSTRUCTOR MODE CLASSIC VIEW

Recommended for experienced users of older SimMan versions:

Opening an Auto Mode Patient
Case

To start a simulation in Auto Mode:

1 Launch the <Instructor

Application> on the
Instructor PC.

2 Select the Manikin you wish to connect to and click ‘OK’.

3 Click ‘Start Auto Mode Patient Case’. This will open the Patient

Case Library.

Classic view makes use of the Learner event libraries of previous
SimMan versions; so that custom-made scenarios made with older
SimMan software can be used seamlessly with SimMan 3G. Therefore
SimMan Scenarios made before SimMan 3G will by default display the
Classic view after conversion.

4 Browse the patient cases using the library menu on the left. The

menus can be expanded and collapsed by clicking on the ‘+’ and
‘–’ buttons.

5 Choose a patient case and click ‘OK’.

6 The patient case will open with the simulation being PAUSED.

When you are ready to begin the simulation, press the spacebar.
OR Click the ‘Start session’ button in the bottom left corner
of the screen.

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