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SimMan Essential Bleeding
User Manual
46 pgs58.65 Mb0

Laerdal SimMan Essential Bleeding User Manual

SimMan
Essential Bleeding
User Guide
EN
www.laerdal.com
CONTENTS
File Security and Backup of Data 5
Circulation 10
Bleeding 10
Sounds 11
Eyes Settings and Configurations 11
Drugs and IV 11
SimMan Essential Bleeding Clothing 11
SETUP 12
Inserting and Connecting the Batteries 12
The Power Panel 13
Charging the Batteries 13
Battery Use 14
Battery Warnings 15
Using the Internal Compressor 15
Turning the Internal Compressor OFF Using LLEAP 15
Changing Default Compressor Settings Using LLEAP 15
Air/CO
Panel 16
2
Blood and Fluid System 16
Connecting Wounds Kit 18
Removing Wounds 18
Simulate Severe Bleeding Using LLEAP 18
The IV Arm 19
Connecting Defibrillation Adapter Plates 21
Connecting the Blood Pressure Cuff 22
Calibrating the Blood Pressure Cuff Using LLEAP 22
Connecting the SpO
Changing Genitalia Modules 23
Changing the Upper Dentures 23
Changing the Irises 23
Probe 22
2
Inserting Urine Catheter 24
Bleeding Modules (Optional) 24
Replacing and Filling Tibial IO Unit with Blood 27
Transporting SimMan Essential Bleeding 29
Unpacking the Patient Simulator 29
MAINTENANCE 30
Daily Maintenance 30
Before Storage or Shipping 30
Regular Cleaning of Fluid and Blood System 30
Regular Cleaning of the IV Arm 31
Installing and Upgrading LLEAP 32
Removing/Changing Router 32
Opening the Torso 33
Attaching the Left Leg 33
Attaching the Right Leg 34
Attaching the Left Arm 34
Attaching the Right Arm 35
Replacing Crico Tape / Neck Skin 35
Replacing Chest Drain Pleura 36
Replacing Pneumothorax Bladders 36
Replacing Chest Rise Bladder 37
Replacing Lung Bladders 37
Replacing Simulator Skins 38
Replacing Blood System Filter 38
Servicing the Patient Simulator 38
TROUBLESHOOTING 39
SPARE PARTS AND ACCESSORIES 43
3
3
INTRODUCTION
SimMan Essential Bleeding Patient Simulator
For Clinical Simulation
SimMan Essential Bleeding is a patient simulation system that facilitates training of Basic and Advanced Life Support. This system allows the instructor to effectively assess the learner’s individual and team skills based on realistic clinical situations.
SimMan Essential Bleeding allows observation and recognition of most vital signs. This is achieved through direct interaction with the Patient Simulator and observation of the Patient Simulator’s status which can also be viewed on the Patient Monitor PC (optional).
The SimMan Essential Bleeding Simulation System Features Include:
– 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 2005 and 2010 Guidelines.
– Vascular Access (intra-osseous) via the left tibia.
– Internal urine bladder which can be filled with fluid to simulate
urine.
– Bleeding and Wound Modules fed from an internal blood
reservoir. An external Blood Fill Unit may be connected for extended bleeding cases.
– Automatic Simulation Control based on preprogrammed and
validated Patient Cases.
WLAN Communication
Communication between the SimMan Essential Bleeding Patient Simulator and the PCs is based on WLAN communication. The Patient Simulator and PCs can also be connected to a LAN cable network, and WLAN disabled.
The Main Components of the SimMan Essential Bleeding
SimMan Essential Bleeding is an adult life-size wireless Patient Simulator, 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.
The Instructor PC controls the simulation. The headset allows the instructor to simulate interactive voice communication between the patient and the learner.
Software available for use with the simulator includes LLEAP for controlling scenarios, SimDesigner for creating and editing scenarios, SimView server or SessionViewer for debriefing simulation sessions with video capture and a Patient Monitor application.
4
CAUTIONS AND WARNINGS
General Simulator Handling
The SimMan Essential Bleeding Patient Simulator should be operated by trained personnel only. Treat the Patient Simulator as you would treat a real patient.
Warning: Do not ventilate the Patient Simulator with oxygen
enriched air or flammable gases.
− Do not introduce fluids into or onto the Patient Simulator (except as directed in the User Guide), as this may damage the Patient Simulator and it’s components.
− Do not introduce humidified air into the system during ventilation.
− Never perform mouth-to-mouth or mouth-to-nose rescue breathing on the Patient Simulator. The simulator’s airways are not designed for cleaning or disinfection.
− Do not use the Patient Simulator if the internal tubing and cabling is disconnected.
− Never use the Patient Simulator outdoors in wet conditions, as this may pose a shock hazard or damage the simulator.
− Never use the Patient Simulator in temperatures exceeding 40° C (104°F), as this may cause overheating and shut down.
− Never use the Patient Simulator in temperatures below 4 °C (39 °F), as this may damage the fluid system.
− The Patient Simulator should never be stored in temperatures below -15° C (5° F).
− The Patient Simulator will automatically shut down if the battery temperature exceeds 60°C (140°F).
− Using a defibrillator in temperatures over 35° C (95° F) may cause overheating and shut down.
Warning: Avoid pinch hazards - Do not remove protective bushings
from the Patient Simulator’s joints or use it without the external skins.
Warning: Avoid all sharp edges on the Patient Simulator to prevent
personal injury.
Do not use the SimMan Essential Bleeding Patient
Simulator 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 Patient Simulator torso.
− There are unusual sounds indicating air leakage or mechanical
damage.
− There are signs of electrical malfunction, such as an unresponsive Patient Simulator or unusual smell or smoke.
Hygiene
– To maintain Patient Simulator skins, wash hands before use and
place the Patient Simulator on a clean surface.
– Wear gloves as required during simulation scenarios
– After using the Fluid and Blood System, follow the cleaning
instructions (see Maintenance).
– After using the SimMan Essential Bleeding Wound Kit, remove
glue residue from the Patient Simulator skin with Manikin Wipes.
– Use only Laerdal Airway Lubricant in the Patient Simulator’s
airway. Do not spray airway lubricant into the Patient Simulator. Lubricate tools only.
Prevent Stains on Patient Simulator Skins
Avoid using colored plastic gloves, as they may cause discoloration of the Patient Simulator skin.
Do not use felt-tipped markers, ink pens, acetone, iodine or other staining medications near the Patient Simulator. Take care not to place the Patient Simulator on newsprint or colored paper. All staining may be permanent.
Transpor tation and Storage
SimMan Essential Bleeding is heavy; ensure that the Patient Simulator is properly secured during transportation to prevent personal injury or damage to the product.
Antivirus and Firewalls
The SimMan Essential Bleeding Patient Simulator and PCs are not supplied with Antivirus programs. Windows firewall is activated by default. It is the customer’s responsibility to protect the simulation system components from unauthorized access.
The Patient Simulator will revert to factory 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 Essential Bleeding PCs are used only as Patient Simulator controllers. Downloading other Software programs onto these machines may introduce 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.
Cautions and WarningsFeaturesSetupMaintenanceSpare Parts Troubleshooting
5
DC Input 9-24V X, XA
FEATURES
SimMan Essential Bleeding Overview
Bleeding Ports
Speakers
ECG Connectors
Defib Connectors
Pulses
Power Panel
Air Out
Blood
Inlet
Fluid Fill Panel
Air / CO
2
Inlet
Fluid
Activate
Inlet
Filling
Air/CO2 Panel
6
FEATURES
General
Main anatomical features
Dimensions (Patient Simulator only): 1800mm (l) x 550mm (w) chest (5. 90 ft x 1.80 ft) Weight (Patient Simulator only): 38.5kg (85 lbs)
Weight (with clothes): 40 Kg (88 lbs)
Default male body with interchangeable genitalia pads
Configurable Anatomical Features
Genitalia
The Patient Simulator comes with a neutral genitalia pad as default. The pad can be changed for a male or female module, both included with the SimMan Essential Bleeding System. See Changing Genitalia Modules section.
Teeth
Patient Simulator comes with a set of soft teeth as default. These can be exchanged for a hard set of teeth, included with the SimMan Essential Bleeding System. See Changing the Upper Dentures section.
Trauma Modules/Limbs
Left Leg - amputation and bleeding module (optional accessory). Right Arm - amputation and bleeding module (optional accessory). The SimMan Essential Bleeding arm adaptor kit is used to connect the trauma arm modules.
Contact your local Laerdal representative to enquire about other trauma modules compatible with SimMan Essential Bleeding.
Laerdal Simulation Software
To run a simulation, LLEAP (Laerdal Learning Application) must be started from Laerdal Simulation Home on the Instructor PC.
Cautions and WarningsFeaturesSetupMaintenanceSpare Parts Troubleshooting
Laerdal Simulation Home
Laerdal Simulation Home is an application from where LLEAP and other Laerdal programs related to patient simulation can be found and started. Also the help files can be opened from here. Laerdal Simulation Home is located in the Laerdal Medical folder under the Windows start menu (Windows 7).
Software used in a simulation session comprises the following main applications:
− LLEAP (Laerdal Learning Application)
− Voice Conference Application
− Patient Monitor
− SimView Ser ver or Session Viewer
In addition SimDesigner and other applications are also used for designing or preparing a simulation.
LLEAP
LLEAP is the instructor’s application from where the simulation session is run, controlled and monitored. LLEAP can be operated in Automatic or Manual mode. Automatic mode is used for preprogrammed scenarios while Manual mode allows the instructor full manual control of the simulation session. Running simulations in Manual Mode requires some medical expertise to create clinically sound simulations.
Mobility of joints
Neck: Movement can be on a 3-axis movement of head. Range of movement can be restricted. See Airway Features section. Shoulders: 3-axis rotation Lumbar: 1-axis Elbows: Fixed, no mobility Wrists: 3-axis rotation Thumbs: Free mobility Hip joints: 3-axis rotation Knees: 1-axis rotation Ankles: 1-axis rotation
Note: Do not remove protective bushings at shoulder or lower back.
These are present to protect users from pinch points.
Voice Conference Application (VCA)
The VCA Software allows the instructor to communicate through the simulator during the session. VCA can also be used to communicate with other instructors on a network, and create separate channels where only members can communicate.
Patient Monitor
The Patient Monitor application emulates a typical hospital patient monitor. It is the learner’s console and can be set up and controlled by the instructor, as well as by the learner through on-screen touch menus.
Session Viewer And SimView Server
Session Viewer and SimView Server are applications that record video and patient monitor screen captures during simulation, in addition to providing an interface to debrief your session. After a session is ended, log files generated in LLEAP are transferred and merged with the video files in Session Viewer or SimView Server for the debrief.
Session Viewer typically runs locally on the same computer as used for LLEAP, SimView Server runs on a dedicated server in the local network. During the first start-up of LLEAP, you are prompted to select a debriefing system available on your computer or on a local network. This can be changed later.
7
FEATURES
Other Applications
There are also other programs that are used in conjunction with the simulation sessions, for example License Manager for handling program licenses and Simulator Firmware & Network Wizard for updating the firmware of the simulators or troubleshooting network problems.
SimDesigner
The SimDesigner application allows you to configure your own preprogrammed scenarios. It can also be used to analyze and print out a graphical representation of a scenario.
SimDesigner must be installed to allow conversion of legacy instructor application files to LLEAP compatible file formats.
For a full overview of all applications and their help files, start LLEAP Home.
Web Downloads
Visit www.laerdal.com/download to download the latest User Guide and Software.
Airway Features
The airway is anatomically modeled as far as the bronchia.
The airways can be manipulated by a learner:
− Head tilt/Chin lift
− Jaw thrust with articulated jaw
− Cricoid pressure and manipulation
− Suctioning (oral & nasopharyngeal)
If the tongue fallback feature is enabled, head tilt is required to open the airways for mask ventilations. The Patient Simulator may be ventilated by normal and emergency methods:
Use of a malleable stylet is recommended - make sure it does not extend beyond the ET tube.
Recommended styles:
− i-Gel
− Fiberoptic intubation
− Combitube (size small adult is suitable)
− Retrograde intubation
− Needle cricothyrotomy
− Surgical cricothyrotomy
The following Patient Simulator features indicate incorrect tube placement:
− Right main stem intubation – unilateral chest rise
− Stomach distention
− Lack of chest sounds, CO
section)
exhalation (see Breathing Features
2
Configurable Airway Features
Patient Simulator features may be configured to present various airway Scenarios:
− The airway may be closed automatically or manually. There are 2 settings of airway resistance: On/Off
− Tongue edema - multiple levels
− Phar yngeal swelling
− Lar yngospasm
− Decreased cer vical range of motion
− Trismus
− Teeth - soft upper dentures may be replaced with a hard set of
teeth for enhanced realism while practicing intubations.
− Bag-mask ventilation
− Orotracheal intubation
− Nasotracheal intubation
− Transtracheal intubation
Prior to using airway adjuncts, apply a small amount of Laerdal Airway Lubricant to the equipment. Do not spray lubricant directly into the airway,
The following equipment or methods are suitable to secure the Patient Simulator’s airway:
− Lar yngeal mask airways: The airways are designed for use with size #4, but size #5 may also seal correctly.
− Endotracheal tube intubation, Size ID 7.5 - 8.5 is suitable, but using the smaller size reduces wear of the Patient Simulator’s airways.
During simulation, the following conditions can be set:
− Can’t intubate/can ventilate
− Can’t intubate/can’t ventilate
The following information is automatically registered in the SimMan Essential Bleeding simulation session:
− Detection of proper head position.
− Jaw Thr ust
− Pneumothorax decompression
− Ventilations
− Stomach distension
Note: In LLEAP the airway and breathing status for the current simulator is shown in a window. Settings for lung resistance can be made. See LLEAP Help for further information.
8
FEATURES
Breathing Features
The SimMan Essential Bleeding can simulate spontaneous breathing:
− Bilateral and unilateral chest rise and fall
− There are 2 settings for airway resistance: on - off
− Normal and abnormal breath sounds
− 5 anterior auscultation sites and 6 posterior auscultation sites
− Unilateral, bilateral and lobar breath sounds
− Oxygen saturation and phlethysmogram
− CO
Patient Monitor features - Breathing
− SpO
− Airway respiration rate (awRR)
− End-tidal CO
− End-tidal O
− inO
− pH
exhalation for use with third-party End-tidal CO2 detectors
2
(Requires connection to an external CO
Warning: Do not ventilate the Patient Simulator with oxygen enriched air or flammable gass.
Caution: Do not ventilate Patient Simulator lungs using humidified
air.
2
(etCO2)
2
(etO2)
2
2
reservoir)
2
Pneumothorax
Tension pneumothorax with needle decompression can be performed at bilateral mid clavicle line, 2nd intercostal space. The Pneumothorax Bladders may be pierced +/-10 times, the pressure inside the bladder will drop after repeated puncturing.
A 22 (or smaller) gauge needle is recommended for decompression of the chest. Using a smaller gauge needle increases the longevity of the Chest Skin and bladders.
However, a too small gauge prevents automatic detection of the decompression event in the simulation model.
Chest Tube Insertion
Chest tube insertion can be simulated. Exploration and cut can be made at left or right mid-axillary line in the 4th and 5th intercostal space.
Cautions and WarningsFeaturesSetupMaintenanceSpare Parts Troubleshooting
Lung specifications
− Max tidal volume: 1.2 liters
− Max tidal volume registered in the LLEAP is 900ml. All volumes
higher than 900ml will register as 900ml
− Max airway pressure: 80 cm H
− Simulated stomach inflation star ts from approximately 40cm
H
O airway pressure.
2
Note: Lungs are not intended for use with PEEP-valves.
O
2
9
FEATURES
Circulation
Cardiac Features
− Extensive ECG library, pulses from 0-220.
− Hear t sounds - for every anterior location
− ECG rhythm monitoring (4-connector, 3-lead ECG)
− 12-lead ECG display
− Pacing
− Defibrillation and cardio version using live defibrillators
Defibrillation
− With live defibrillators; energy level and waveform model is registered by the Patient Simulator.
− The energy levels and number of shocks required for automatic conversion are set in each simulation Patient Case.
Debrillation Studs 3-Lead ECG Studs
Patient Monitor features - Circulation
− ECG (12-lead) and hear t rate (HR)
− Pulse
− NBP
− ABP
− PA P
− C .O.
Patient Monitor Features - Temperatures
− TPeri
− Tblood
Note: A variety of settings in the Circulation and Fluids window can
be made in LLEAP. See LLEAP Help for further information.
Bleeding
To allow the Patient Simulator to bleed realistically, it has internal reservoirs for simulated blood. See Setup section.
The four bleeding ports and blood flow can be adjusted independently from LLEAP:
− Upper/lower bleeding ports
− Venous/Arterial
− Works with various wound modules and moulage kits
Circulation Features
− BP measured manually by auscultation of Korotkoff sounds
− Carotid, brachial, radial, femoral, dorsalis pedis, and posterior
tibialis pulses synchronized with ECG
− Pulse strength variable with BP
− Pulses are synchronized with ECG when the instructor sets the
pulse strength manually
− Pulse palpation is detected and logged
CPR
− Compliant with 2005 and 2010 Guidelines
− Compressions generate palpable pulses, blood pressure wave
form, and ECG artifacts
− Realistic compression depth and resistance
− Detection of depth, release and frequency of compressions
− Real-time view of Quality of CPR on the Instructor’s PC
Warning: Do not use automated chest compression machines on
the Patient Simulator.
Bleeding Treatment:
− Bandage
− Pressure point
− Tourniquet
− Surgical Clamps
Vascular Access:
− IV access (right arm)
− Intraosseous access (tibia)
Consumables and Spare Parts:
− Laerdal Ar tificial Blood
− Fill Units
− Wound modules
− Replacement trauma arm/leg.
Note: A variety of settings in the Circulation and Fluids window can
be made in LLEAP. See LLEAP Help for further information.
10
FEATURES
Sounds
Two types of sounds can be used in a scenario:
– Body sounds
– Vocal Sounds
The sounds can be triggered by the scenario or controlled by the instructor.
Body Sounds
The body sounds are simulated sounds from a human body, like heart, lungs, and bowel sounds. The sounds are integrated and generated in the Patient Simulator and transferred through the integrated speakers.
Vocal Sounds
The vocal sounds are sounds from the throat like coughing, moaning, and crying as well as spoken words. The sounds are integrated in LLEAP.
In addition, the instructor can communicate through a microphone and the voice is then transferred to the Patient Simulator through the VCA.
Drugs and IV
Drugs and drug concentrations can be registered manually by the instructor in LLEAP.
Patient Monitor Features – Drugs:
– Train-of-Four (TOF)
– in N
O, et N2O
2
– Anesthesia agents
– Lab reports
User-Replaceable Items, Spare Parts:
– Intra-muscular Pad
– Tibial IO Pad
Vascular Access (IV and IO) Locations
Intraosseous access with needle insertion is possible through the left tibia. The IO pads may be punctured numerous times before being replaced.
To replace the IO modules, see the Simulation Setup section.
Cautions and WarningsFeaturesSetupMaintenanceSpare Parts Troubleshooting
Note: A variety of settings for Sounds can be made in LLEAP. See
LLEAP Help for further information
Eyes Settings and Configurations
The calculated Glasgow Coma Scale score for the Patient Case is displayed in LLEAP. The following sources of information helps the learner to judge the state of disability:
Eyes
− Blinking eyelids
− Eyelids: open, closed or par tially open
− Eyelids can be opened for examination by the learner
− Set of interchangeable pupils available
Note: A variety of settings for Circulation and Fluids can be made
in LLEAP. See LLEAP Help for further information.
Caution: Do not inject fluids into these pads unless approved IO
modules with fluid outlets are in place.
Intra-muscular (IM) Injection
Use the pad placed under the Torso Skin on the right buttock for intramuscular injection training.
SimMan Essential Bleeding Clothing
Included with the Patient Simulator:
− Shir t, with side zippers
− Trousers, with full-length side zippers
− Boxer shorts underwear
− Belt
Note: For washing instructions see care labels.
Simulated Removal of the Clothes
To simulate cutting with scissors: unzip the zippers placed alongside the seams on both sides.
11
FEATURES
Inserting and Connecting the Batteries
Open the torso as described in steps 1 - 4, Opening the Torso. To remove the batteries, follow the same procedure in reverse.
1 Release the battery clamp by unhooking the clips on either side.
2 Insert both batteries into the battery tray.
4 Connect the corresponding battery cables from the batteries to
the torso.
After connecting the batteries, connect the Patient Simulator to the external power supply (12V to 24V) while turned OFF.
The batteries will charge if the Patient Simulator is ON and connected to an 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
3 Snap the battery clamp back into place over the batteries.
12
DC Input 9-24V X, XA
POWER
SETUP
The Power Panel
The power panel is found on the right side of the Patient Simulator, 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 Bleeding Patient Simulator.
1
2
Charging the Batteries
Inside the Patient Simulator
1 Connect the Patient Simulator 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 Patient Simulator’s power panel.
Cautions and WarningsFeaturesSetupMaintenanceSpare Parts Troubleshooting
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 Status Indicator Description
Indicator Light Color
Red Power save* 0% - 20% Not charging**
Yellow Star t 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 whenever Patient Simulator is paused.
Power Status Battery Status Charge Status
complete***
3 Press the ON button to power on the Patient Simulator.
Note: During start up, the Patient Simulator’s eyes will blink and
the power status indicator light will be yellow.
Caution: After Patient Simulator is turned off, wait 20 seconds
before restarting. If not, Patient Simulator may not function properly.
13
SETUP
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 Patient
Simulator battery to the charger.
Battery Use
− Always use two SimMan Essential Bleeding batteries to power the Patient Simulator.
− Ensure that the batteries are properly connected.
− Charge the batteries regularly.
− Check LEDs on Patient Simulator’s power panel for battery
status.
– Charge 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 Patient Simulator 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 in LLEAP
Check the power indicator in the Simulator Status window in LLEAP according to the instructions in LLEAP Help.
Changing Batteries during a Simulation Session:
1 Press <Pause Session> on Instructor PC. Access the batteries as
described in Inserting and Connecting the Batteries.
2 Replace one battery at a time to avoid loss of simulation data.
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 Essential Bleeding 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
Storage and Transpor tation
− Never store fully charged batteries for longer than a month.
− Never store the batteries inside the Patient Simulator.
− Store batteries in a refrigerator i.e. temperature 0°C - 4°C
(32°F - 40°F).
− The two simulator batteries can be transported in the Patient Simulator during air freight.
− When transporting 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 Patient Simulator on both batteries until automatic shutdown.
− Expected batter y life: 200 charge cycles.
− Replace only with Laerdal SimMan Essential Bleeding batteries.
14
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