SimMan
SimMan Essential & SimMan Essential Bleeding
Directions for Use
www.laerdal.com
CONTENTS
Using this Document |
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6 |
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SimMan Essential Help |
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6 |
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SimMan Essential and SimMan Essential Bleeding |
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7 |
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Important Information |
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8 |
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Caution and Warnings |
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9 |
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Transport and Storage |
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11 |
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SimMan Essential Overview |
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12 |
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SimMan Essential Bleeding Overview |
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13 |
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Manikin Setup |
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14 |
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• |
Open the Torso Skin |
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14 |
• Attaching the left leg |
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15 |
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• Attaching the right leg |
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15 |
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• Attaching the left arm |
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16 |
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• Attaching the right arm |
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16 |
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• |
Inserting and Connecting the Batteries |
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17 |
• |
Power panel |
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18 |
• |
Charging the batteries inside the manikin |
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18 |
• |
Battery Use |
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20 |
System Setup |
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21 |
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• Activating the Instructor Software license |
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22 |
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• Wireless and LAN configurations |
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22 |
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• |
Configuring your Network |
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22 |
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Disabling / Enabling WLAN |
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24 |
• |
The Instructor PC |
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24 |
• |
Auto Mode Overview |
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24 |
• |
Instructor Mode Overview |
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26 |
• |
3G View and Classic View |
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27 |
• Opening an Auto Mode Patient Case |
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28 |
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• Running a Session in Auto Mode |
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29 |
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• Opening an Instructor Mode Scenario |
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30 |
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• Running a Scenario in Instructor Mode |
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31 |
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• The Patient Monitor PC |
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32 |
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• The Patient Monitor Interface |
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32 |
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• |
Transferring Media Files |
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34 |
• |
The Laerdal Voice Conference Application |
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35 |
• |
The Laerdal Debrief Viewer |
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36 |
• |
The Laerdal Advanced Video System (AVS) |
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37 |
• |
Customizing Scenarios |
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37 |
• SimMan Scenarios to SimMan Essential |
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38 |
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• |
Help Files |
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38 |
3
CONTENTS
setup for simulation |
39 |
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• Using the Internal Compressor |
39 |
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• |
Air/CO2 Panel |
40 |
• |
Blood System |
40 |
• |
Connecting The Wounds Kit |
42 |
• |
Removing Wounds |
43 |
• |
The IV Arm |
43 |
• Filling the Sternal IO Pad with blood |
48 |
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• |
Filling Tibial IO module with Blood: |
49 |
• |
Changing Genitalia Modules |
51 |
• |
Urine system |
52 |
• |
Connecting Defibrillation Adapter Plates |
54 |
• Connecting the Blood Pressure Cuff |
55 |
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• Connecting the SpO2 Probe |
55 |
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• Changing the Upper Dentures |
56 |
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• |
Changing the Irises |
57 |
Clinical Features |
58 |
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• |
Airway Features |
59 |
• |
Breathing Features |
61 |
• |
Circulation |
63 |
• |
Bleeding |
66 |
• |
Sounds |
67 |
• Eye Settings and Configuration |
69 |
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• |
Drugs and IV |
70 |
maintenance |
71 |
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• Installation and Upgrading Software |
72 |
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• |
Replacing Crico Tape / Neck Skin |
73 |
• Replacing Chest Drain Pleura |
74 |
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• |
Replacing Pneumothorax Bladders |
74 |
• Replacing Chest Rise Bladder |
74 |
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• |
Replacing Lung Bladders |
75 |
• |
Replacing Manikin Skins |
76 |
• Replacing Blood System Filter |
76 |
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troubleshooting |
77 |
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Specifications |
80 |
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REgulatory information |
81 |
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Spare parts & accessories |
81 |
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4
INTRODUCTION
DISCLAIMER
Use of the SimMan Essential and SimMan Essential Bleeding 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.
GLOBAL WARRANTY
See the Laerdal Global Warranty, or see www.laerdal.com
PatentS PENDING
US and International patents pending.
COUNTRY OF ORIGIN
SimMan Essential and SimMan Essential Bleeding are made in Norway
Printed in Norway
Manufactured by Laerdal Medical AS Tanke Svilandsgate 30
P.O. Box 377 4002 Stavanger Norway
5
INTRODUCTION
Using this document
Please note that this document contains user instructions for both the SimMan Essential and SimMan Essential Bleeding mankins. All information is relevant for both products unless marked otherwise with an icon. Sections relevant to a specific model are marked with the following icons:
Information for SimMan Essential only |
Info SimMan Essential Bleeding only |
SimMan Essential Help
Directions for Use
This Directions for Use (DFU) includes comprehensive instructions and illustrations showing SimMan Essential and SimMan Essential Bleeding functionality and features.
Note:The illustrations may vary slightly from product.
Quick Setup Guide
SimMan Essential and SimMan Essential Bleeding come with an illustrated step-by-step poster. The Quick Setup Guide shows how to assemble both manikins and includes a list of spare parts, consumables and accessories for both SimMan Essential and SimMan Essential Bleeding.
Software Help files
The software help files are accessible from the SimMan Essential software help menus.
For First-time Instructors:
•Instructor Application: Auto Mode
•Voice Conference Application
•Debrief Viewer
Note: A Patient Monitor can be purchased separately.
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.
Original Manufacturer’s User Manuals
All separate user manuals and labeling from original manufacturers should be followed. The SimMan Essential & SimMan Essential Bleeding DFU does not replace or supersede those from the original manufacturer.
6
INTRODUCTION
SimMan Essential and SimMan Essential Bleeding
For Clinical Simulation
SimMan Essential and SimMan Essential Bleeding are patient simulation systems that facilitate training of Basic and Advanced Life Support. These systems allow the instructor to effectively assess the learner’s individual and team skills based on realistic clinical situations.
Both manikins allow observation and recognition of most vital signs.This is achieved through direct interaction with the manikin and observation of the manikin’s status which can also be viewed on the Patient Monitor PC (optional).
Features common to both Simman essential and SimMan Essential Bleeding
•An advanced configurable airway - allowing simulation of difficult airway management cases.
•Eyes with interchangeable pupils and adjustable blinking function.
•Focus on Quality CPR (QCPR): measurement and feedback according to the 2000 and 2010 Guidelines.
•Vascular Access (intra-osseous) via the left tibia and sternum.
•Internal urine bladder which can be filled with fluid to simulate urine.
•Automatic Simulation Control based on pre-programmed and validated Patient Cases.
Features unique to Simman essential bleeding
In addition to the basic features offered by SimMan Essential, the SimMan Essential Bleeding manikin allows clinical simulation of bleeding patient cases or scenarios. SimMan Essential Bleeding comes with Bleeding and Wound Modules. When attached to the blood ports, these modules will bleed from an internal blood reservoir. An external Blood Fill Unit may be connected for extended bleeding cases.
Main components of the simman essential and simman essential bleeding system
•Adult life-size wireless manikin, with internal battery power, internal air compressor. Interventions by learners are registered by the system in the session log, and used for later debriefing.
•The Instructor Application 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 pases.The development of the patient’s condition is preprogrammed 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 optional Patient Monitor PC.
WLAN Communication
Communication between both the SimMan Essential and SimMan Essential Bleeding manikin and the tablet PCs is based on WLAN communication.The manikin and PCs can also be connected to a LAN cable network, and WLAN disabled.
Optional Components
The Patient Monitor PC, including SpO2 probe can be purchased separately. SpO2 probe can also be purchased seperately. The web-camera records video and sound from the simulation for use during the debrief 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.
7
INTRODUCTION
Important Information
Follow the instructions below when working with the SimMan Essential or the SimMan Essential Bleeding manikins, in order to maintain optimum performance and longevity of both manikins and their components.
General Manikin Handling
The manikin should be operated by trained personnel only. During simulation, treat the manikin as you would 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.
•Use only Laerdal Airway Lubricant in the manikin airways. Do not spray airway lubricant into the manikin. Lubricate tools only.
Prevent Stains on Manikin Skins
Avoid using colored plastic gloves as they may discolor 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.
Environment
Wait until the manikin has reached room temperature before switching the manikin ON.
Transportation and Storage
The manikin is heavy - Ensure that the manikin is properly secured during transportation to prevent personal injury or damage to the product.
Anti-virus and Firewalls (Software for Essential)
The 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 and components from unauthorized access.
The manikin will revert to factory settings each time it is switched off.
The customer should install all recommended Windows updates from Microsoft. General security measures should be taken before browsing the internet.
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.
8
INTRODUCTION
Cautions and Warnings 
The following precautions should be taken when using SimMan Essential or SimMan Essential Bleeding, to avoid personal injury or damage to the product.
Note: all warnings are valid for both SimMan Essential and SimMan Essential Bleeding.
General Manikin Handling
•Do not introduce fluids into or onto the manikin (except as directed in these 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 tubes and cables are disconnected.
•Never use the manikin outdoors in wet conditions, as this may pose a shock hazard or damage the manikin.
•Never use the 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.
The weight of the assembled manikin is approximately 38,5kg (85 lbs). Use proper lifting techniques when ever lifting and/or moving the manikin.
•The assembled manikin should always be lifted and/or handled by at least two persons.
•Do not handle or lift the manikins if you have a recent history of back pains, or have been advised against carrying heavy loads. Always ensure that the manikins are properly secured during handling and transport to prevent personal injury, or damage to the manikin.
Do not use the Manikin if:
•The 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.
Defibrillation Hazards
Both the SimMan Essential and SimMan Essential Bleeding allow for defibrillation in accordance with 2000 and 2010 international guidelines for CPR.
A conventional defibrillator may be used on the manikin. 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.
The ECG connectors are designed exclusively for ECG monitoring and must not be used for defibrillation. Defibrillation on the ECG connectors will damage the internal electronics of the manikin and may cause personal injury.
Warning: Do not exceed a maximum of 3 shocks in 45 seconds, cease shocks for at least 15 minutes before starting a new sequence. 
Warning:The manikin must not come into contact with electrically conductive surfaces or objects during defibrillation.
9
INTRODUCTION
Warning: Do not defibrillate the manikin in a flammable or oxygen enriched atmosphere.
Warning: Intensive defibrillation performed under hot conditions, may cause thermal shutdown of the manikin.
Warning:The manikin torso must always be kept dry. Allow the manikin to acclimate before defibrillating. Sudden changes in temperature (moving the manikin from a cold environment to a warm environment and vice versa) may result in, condensation collecting on the base board and pose a shock hazard.
Caution: Do not apply conductive gel or conductive defibrillation pads intended for patient use, as this will cause pitting of the manikin skins. Caution: Do not press down too hard on the defibrillation connectors during defibrillation as this may also cause arcing and pitting.
The manikin 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 manikins when it is turned OFF or if it is not functioning normally.
Warning: Do not defibrillate the manikins if the torso skin is not in place.
Warning: Do not use automated chest compression machines on SimMan Essential or SimMan Essential Bleeding.
Mechanical or Electrical Hazards
•Warning: Avoid pinch hazards - Do not remove protective bushings from the manikin’s joints or use the manikin without the manikin skins.
•Warning: Avoid all sharp edges on the manikin to prevent personal injury.
Battery Use
For more information see: Manikin Setup - Battery Use and Other Battery.
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.
10
MANIKIN SETUP
Transportation and Storage
The SimMan Essential and SimMan Essential Bleeding Systems each consists of two cases for easy transport and storage; one for the manikin legs and one for the torso.
Each case has an extendable handle and may be stacked onto the integrated wheel frame for increased mobility.
Note:The storage cases and contents exceed 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.
Disassemble the legs from the torso and pack 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 firmly secured during transportation and storage so as not to cause personal injury or damage to the product.
Torso Case with foam inserts |
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leg Case with foam inserts |
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For more information on SimMan Essential and SimMan Essential Bleeding accessories, see: - Spare Parts, Consumables & Accessories.
11
MANIKIN SETUP
SimMan Essential Overview
Speakers
ECG Connectors
Defib Connectors
Pulses |
DC Input 9-24V X, XA
Air / CO2
Inlet
Urine
inlet
Air/CO2 panel
12
MANIKIN SETUP
SimMan Essential Bleeding Overview
Bleeding Ports |
Speakers |
ECG Connectors |
Defib Connectors |
Pulses |
DC |
Input 9-24V X, XA |
Power panel
Air / CO2 |
Urine |
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Inlet |
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inlet |
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Air Out |
Blood |
Activate |
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Inlet |
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Filling |
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Air/CO2 panel |
Fluid fill panel |
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Blood
Outlet
13
MANIKIN SETUP
Manikin Setup
Open the manikin torso for the following procedures:
Attaching or replacing limbs
•Attaching or disassembling the manikin legs and arms.
•Exchanging default arms for optional IV or 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.
•For general inspection.
opening the torso skin
Note: DO NOT disconnect the tubes and cables connecting the stomach foam to the manikin.
1Unzip the zippers on the left shoulder and side of the manikin torso.
2Remove the genitalia pad and release the skin flap from the pelvis.
3 Fold the torso skin over to one side.
4Open the stomach foam to one side.Take care not to tug on the connected tubes and cables.
To replace the stomach foam and close the torso skin, perform steps 1- 4 in reverse.
14
Attaching the Left Leg
Note: Assemble the manikin on a large flat surface. Attach the left leg before the right leg.
1Open the torso to access the thigh joint connectors. See steps 1 – 4, Opening the Torso.
2Align the left leg bolt and cable with the pelvis socket. Do not pull the leg by the cable.
3Feed the leg bolt and cable through the socket and into the torso.
4Carefully push the leg in towards the pelvis to form a snug fit.
5With the rounded end of the connector facing downward; place the leg cable into the side slot of the connector.
6Slide the connector downwards along the cable and screw it onto the leg bolt. Connect the leg so that it is able to rotate freely around the thigh joint connector.
7Ensure and that the cable is fitted properly within the connector. Avoid twisting the cable.
8Connect the cables to the corresponding cables in the torso.
Thigh joint connector with side slot
Left leg connection for SimMan Essential & simman Essential Bleeding
Left Leg to Pelvis – Cable and Tube Descriptions
Name/Label |
Tube/Cable Color |
Connector Description |
Left Pedal |
Grey harness cable |
black with silver colored connector |
Attaching the Right Leg
1 Align the right leg bolt and cables with the pelvis socket. Feed the leg bolt and cabling through the leg socket.
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 below:
Simman essential only
Right Leg to Pelvis – Cable and Tube Descriptions
Name/Label |
Tube/Cable Color |
Connector Description |
Right leg |
Black harness cable |
Black rectangular connector, 4 lead |
Air from leg |
Colorless transparent tube |
White twist and lock connector |
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SiMMan essential Bleeding only |
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Right Leg to Pelvis – Cable and Tube Descriptions |
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Name/Label |
Tube/Cable Color |
Connector Description |
Blood right leg |
Transparent red tube |
Black twist and lock connector |
Right leg |
Black harness cable |
Black rectangular connector, 4 lead |
Air from leg |
Colorless transparent tube |
White twist and lock connector |
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MANIKIN SETUP
15
MANIKIN SETUP
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.
1Align the left arm axle with the shoulder socket.
2Ensure that the shoulder screw is loose enough to allow the arm axle to slide easily into place.
3Feed 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.
6 Connect the arm cables to the corresponding connection points in the torso. |
Left arm connections for SimMan Essential & simman Essential Bleeding |
Name/Label |
Tube/Cable Color |
Connector Description |
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LA Pulses |
Grey cable |
Black rectangular |
connector, 6 lead |
BP |
Grey cable |
Black rectangular |
connector, 2 lead |
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 Align the arm axle with the shoulder socket and feed the cables from the arm axle through the shoulder socket
2Push the axle into the bracket until it is flush with the inside of the bracket.
3 Tighten the shoulder screw with the Allen wrench.
4 Connect the corresponding cables as shown below.
right arm connections for SimMan Essential & simman Essential Bleeding
Name/Label |
Tube/Cable Color |
Connector Description |
Right Arm |
Black harness cable |
Black rectangular connector, 4 lead |
Air |
Transparent tube |
White tube connector twist |
Right Radial |
Grey harness cable |
Black with silver colored connector |
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MANIKIN SETUP
Attaching Bleeding Modules
To simulate severe bleeding patients a separate ‘Bleeding Module’ kit can be purchased.The Bleeding Module kit contains:
•Amputated Arm SimMan 3G
•Gunshot Arm SimMan 3G
•Amputated Leg SimMan 3G
•Gunshot Leg SimMan 3G
For more information on how to assemble the Bleeding Module, please see the Directions for Use for the Bleeding Module kit.
Inserting and Connecting the Batteries
Open the torso as described in steps 1 - 4, Opening the Torso.To remove the batteries, follow the procedure listed below in reverse order. 
1 Release the battery clamp by unhooking the clips on either side.
2 Insert both batteries into the battery tray.
3 Snap the battery clamp back into place over the batteries. |
4 Connect the corresponding battery cables from the |
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batteries to the torso. |
After connecting the batteries, connect the manikin to the external power supply while the manikin is OFF.
Battery - Cable Descriptions
Name/Label |
Tube/Cable Color |
Connector Description |
Battery 1 |
Black harness cable |
White rectangular connector, 6 lead |
Battery 2 |
Black harness cable |
White rectangular connector, 6 lead |
For more information on charging the batteries see section, Manikin Setup, Battery Charging and Use.
17
MANIKIN SETUP
The Power Panel
The power panel is situated 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 Essential and SimMan Essential Bleeding manikin.
Power panel overview |
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Power ON / OFF button |
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Power status indicator |
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Battery status indicator |
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Charging status indicator |
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LAN network cable connector |
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External power supply connector |
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DC Input 9-24V X, XA
Power Panel LEDs Description
LED Color |
Power Status |
Battery Status |
Charge Status |
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Red |
Power Status* |
0% - 20% |
Not charging** |
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Yellow |
Start up |
20% |
- 70% |
Charging |
Green |
Running |
70% |
- 100% |
Charge almost complete*** |
No light |
Off |
Off |
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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.
Charging the Batteries inside the Manikin
1Connect 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.
18
MANIKIN SETUP
1Connect the power cable to the power inlet on the manikin’s power panel.
2The batteries will begin charging when the external power supply has been connected up.
Note:The manikin does not need to be switched ON for the batteries to charge. During start-up the power status indicator will show a yellow (start-up) light.This process may take some minutes.
External battery charging
The external battery charger comes with 5 international plugs. Connect the appropriate plug to the charger:
1Connect the charger to a power outlet and connect the manikin battery to the charger.
2The indicator light on the battery charger shows charge status.
3 Charging time is approximately 3 hours. |
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The external battery charger should only be used with |
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SimMan Essential batteries. |
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Charger light showing battery status |
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Status |
Light Color |
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Characteristics |
Standby |
Yellow |
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Steady |
Pre-charge |
Yellow |
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Normal Blink |
Rapid charge |
Green |
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Rapid |
Maintain |
Green |
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Normal Blink |
Ready |
Green |
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Steady |
Wait |
Alternating |
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Alternating |
Error |
Yellow |
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Rapid |
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MANIKIN SETUP
Battery Use
Take the following precautions when using, charging, transporting and / or storing SimMan Essential or SimMan Essential Bleeding batteries.
•Always use two SimMan Essential or SimMan Essential Bleeding batteries to power the manikins.
•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 in the Instructor Application.
•The manikin will automatically shut down if: 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
The AC battery symbol in the <Technical status> window, indicates that the manikin is connected to an external power source.
When the manikin is run from the batteries, the battery life indicator will indicate remaining time / life.
Changing batteries during a simulation session:
1Press <Pause Session> in the Instructor Application. Access the batteries as described in Manikin Setup Inserting and Connecting Batteries.
2Replace one battery at a time to avoid loss of simulation data.
Battery Storage and transport
•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 transported in the manikin during air freight.
•When transporting spare batteries please contact the airline or freight company for the latest transport regulations.
Battery maintenance
•On 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 SimMan Essential or SimMan Essential Bleeding batteries.
Battery Warnings
•Do not run the manikin for more than 1 minute on a single battery.
•If the batteries are removed while the simulation is paused, the manikin will shut down and simulation data will be lost.
•Dispose of the battery according to local regulations.
•The external battery charger is for indoor use only.
•The batteries should only be charged in temperatures ranging from 0 °C - 40°C (32 °F - 104 °F)
•Inserting and connecting batteries incorrectly, short circuiting or exposure to fluids pose an explosion hazard.
•Do not mistreat, disassemble or attempt to repair the battery.
•Do not use the batteries if they are visibly damaged, malfunction or appear to leak electrolyte.
•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.
For more information on battery use and battery hazards, please see the battery manufacturers’ Directions for Use.
20
SYSTEM SETUP
System setup
Preparing SimMan Essential for Simulation
Follow these instructions for setting up the SimMan Essential or SimMan Essential Bleeding manikins and Instructor PC. A separate Patient Monitor PC may be purchased separately.
Unpack the Instructor PC and connect it to the power supply to charge the batteries.
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Instructor PC with Headset |
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Patient Monitor PC |
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1Unpack the manikin torso and legs.
Assemble the legs and torso as described under the
Manikin Setup section.
2 Connect and fill all Bleeding ports and modules Fill the urine bladder if necessary.
SimMan Essential Manikin
if |
necessary. |
3 Connect the manikin batteries and close the torso skin. See 
section: Inserting and Connecting Batteries for further instructions. 
4 Connect the external power supply to the manikin to charge the manikin batteries. See section: Battery Charging and Use.
5 Close the condensation valve on the back of the manikin’s right leg. See section: Opening the Condensation Valve.
6Switch on the manikin.Wait until the manikin begins breathing before switching on the Instructor PC.
7Start the separate Patient Monitor PC if applicable and connect the Web-camera to the USB port of the PC.
8Start the Patient Monitor Application software. The SpO2 USB probe can also be connected to the Patient Monitor PC. See section: Starting the Patient Monitor Application.
9Start the Instructor PC and connect the headset.
10Start the Instructor Application software. The application will search for all available manikins. See section: Launching Instructor Application.
11Select a patient case in Auto Mode or pre-programmed scenario via Instructor Mode to start the simulation.
12The simulation system is now ready to start the simulation. Power cables may be disconnected when batteries are charged.
Note: Also refer to the Quick Setup Guide for detailed instructions on initial system setup.
21
SYSTEM SETUP
Activating the Instructor Software license
The Instructor Application license need only be activated once. Instructor PCs shipped from Laerdal Medical have a pre-activated 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.
To activate the license:
1Select <Activate through Internet> or select <Activate using other options> in the License key dialog box.
2Activate the license manually by following the on-screen instructions.
Note:The SimMan Essential software comes with 3 license keys. For more license keys please contact your local customer service office.
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 to assistance with re-activating the license.
Wireless and LAN configuration
The SimMan3G Network Configuration Tool (SNCT)allows you to configure the network behavior of the SimMan3G manikin.
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 |
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.
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SYSTEM SETUP
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.
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.
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.
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SYSTEM SETUP
Disabling / Enabling WLAN
When using manikin in aircraft or other environments where use of WLAN transmitters is prohibited: Contact your local Laerdal representative for instructions on how to turn off radio transmission.
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.
The Instructor Application supports the 3 different manikins:
•SimMan 3G
•SimMan Essential
•SimMan Essential Bleeding.
Only SimMan Essential and SimMan Essential Bleeding are covered in this Directions for Use.The Instructor application will adapt the user interface according to the manikin selected or connected to.
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.
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SYSTEM SETUP
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.
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
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 and rate of bleeding.
Note: Bleeding is only available for SimMan Essential Bleeding and NOT for SimMan Essential.
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
TheTechnical status window provides information about the technical status of the SimMan Essential manikin system, including battery life, wireless (WLAN) connection signal strength, blood tank drainage, communication channels in use and video recording.
25
SYSTEM SETUP
Instructor Mode Overview
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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 pre-programmed 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.
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.
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