Laerdal SimNewB Advanced User Manual

SimNewB™

ENGLISH Directions for Use

Table of Contents

NTRODUCTION

Introduction and Intended Use . . . . . . . . . . . . . . . . . . . 2

Important Information . . . . . . . . . . . . . . . . . . . . . . . . . 2

SimNewB™ Neonatal Simulator Features

ETUP GUIDE

. . . . . . . . . . . 3

SimNewB™ Package Contents . . . . . . . . . . . . . . . . . . . 4

Catalog no./Description. . . .

Set up of SimNewB Standard Components

. . . . . . . . . . . . . . . . . . . . . . . 5

. . . . . . . . . . 6

Set up of SimNewB Advanced Components. . . . . . . . .

Manikin Connectors

Calibration of Blood Pressure. . . . . . . . . . . . . . . . . . . .

Operation

of Compact Compressor Unit. . . . . . . . . . 10

LINICAL SIMULATION

. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

General Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Preset Patient State Levels. . . . . . . . . . . . . . . . . . . . . . . 12

Airway Simulation Features . . . . . . . . . . . . . . . . . . . . . . 13

Breathing 15 Circulation 17

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Drug & IV Administration . . . . . . . . . . . . . . . . . . . . . . .19

Manikin Preparation Before Use . . . . . . . . . . . . . . . . . 20

Maintenance After Use . . . . . . . . . . . . . . . . . . . . . . . . . 21

Periodic Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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SIMULATIONSETUP GUIDEINTRODUCTION

OMPRESSOR

SPECIFICATIONS

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ENGLISH

OMPACT COMPRESSOR UNIT. . . . . . . . . . . . . . . . . . . . . . . .

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INTRODUCTION

SETUP GUIDE

SIMULATION

Introduction and Intended Use

SimNewB™ Neonatal Simulator

SimNewB™ is an interactive simulator designed by Laerdal with the American Academy of Pediatrics to meet the training requirements of Neonatal emergency medicine and resuscitation courses including the Neonatal Resuscitation Program (NRP). With realistic newborn traits and lifelike clinical feedback, SimNewB is ideal for training for the specific needs of neonates.

Scalable Training Solution

SimNewB is available in standard and advanced versions enabling instructors to vary simulations from the delivery room to the NICU. The Standard version utilizes the

SimPad System and the Advanced version can operate the simulator from either the SimPad System or SimNewB PC Software.

Note:

- When using the PC User Interface, the SimPad should not be used.

- When using the SimPad, the PC User Interface should not be connected to the Link Box.

SimNewB System Description

The Link Box connects to the manikin and allows operation of the simulator. The Link Box can be battery operated, allowing simulations to be performed any where. The operator controls simulations with a user-friendly SimPad, communicating with the Link Box through

radio frequency (RF) communication. RF communication

allows the operator to move freely around the scene,

up to a distance of 10 meters (30 ft.) from the Link Box.

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COMPRESSOR

SPECIFICATIONS

NOTE: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:

- Reorient or relocate the receiving antenna.

- Increase the separation between the equipment and receiver.

- Connect the equipment into an outlet on a circuit different from that to which the receiver is connected.

- Consult the dealer or an experienced radio/TV technician for hel

Caution: Changes or modifications not expressly approved by Laerdal could void the user's authority to operate this equipment.

Hereby, Laerdal Medical AS declares that when carrying the CE-mark, the SimNewB system product is in compliance with

the essential requirements and other relevant provisions of Directive 1999/5/EC.

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Important Information

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.

INT RODUCT ION

SET UP GUIDE

SimNewB™ Neonatal Simulator Features

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Airway Features:

• Anatomically accurate, realistic airway

• ET tube insertion

• LMA insertion

• Sellick Maneuver

• Positive pressure ventilation

• Right mainstem intubation

• Suctioning

• Variable lung resistance

• Gastric tube insertion

Breathing Features:

• Spontaneous breathing, with variable rate

• Bilateral and unilateral chest rise and fall with mechanical

ventilation

exhalation

• CO

• Normal and abnormal breath sounds

• Oxygen saturation (optional PM)

Breathing Complications:

• Central cyanosis presentation

• Pneumothorax

• Unilateral chest movement with mechanical ventilation

• Unilateral breath sounds

• Unilateral needle thoracentesis, mid-axillary

Cardiac:

• Extensive ECG library with rates from 10 – 300 /min.

• ECG monitoring via 3 lead monitor

Circulation:

• Heart sounds

• Umbilical and brachial pulse

• Blood pressure measured manually by auscultation of Korotkoff sounds

Other Features:

• Interchangeable pupils with normal, dilated and constricted pupils

• Movement in all four limbs: limp, tone, spontaneous motion

and seizure

Debriefing viewer: (Advanced version only)

• Web-camera recording

• Review event log together with synchronized recording of the

patient monitor and in-room video

• Stand alone debrief viewer for off-site review

Simulated Patient Monitor: (Optional)

• Highly configurable

• Simulates several parameters including:

• Heart rate

• NIBP

• ECG

• SPO

• ETCO

• Respiratory rate

• Touch screen operation

ENGLISH

Vascular Access:

• Patent, cuttable umbilicus with venous and arterial access for

bolus or infusion

• Intraosseous access, bilateral

• Simulated blood flashback upon cannulation

Sounds:

• Vocal: grunt breathing, crying, hiccups and others

• Lung: normal, stridor, pneumonia and others

• Heart: normal, systolic murmur and others

INTRODUCTION

SETUP GUIDE

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SIMULATION

COMPRESSOR

SPECIFICATIONS

Setup Guide

SimNewB™ package contents

The following parts are included in the SimNewB shipping carton. The kit may change over time.

IV Bag and Tubing Kit

Umbilical

Cords

(4)

Manikin Cable

Baby Hat

Baby Pants

Eye Kit

Blanket

SimNewB Manikin /

SimNewB Advanced Manikin

Liquid

Soap

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Blood Pressure Cuff

Airway

Lubricant

Air/CO2Tube

Baby

Powder

Red

Simulated

Blood

CO2Regulator

Umbi

Simulated

Blood

Not shown: * Laerdal Global Warranty Leaflet * Laerdal WEEE Leaflet * Carry Case

Right IO Mandrel and Leg Skin

Left IO Mandrel

and Leg Skin

Power Cable

(international versions

not shown)

CO2Tube

INTRODUCTION

220-00150 Umbilical Cords (4) 220-00550 Blood Pressure Cuff 220-00250 IV Bag and Tubing Kit 220-00750 Blanket 220-00650 Baby Pants 220-00450 Hat 200-03050 Eye Kit 250-21050 Airway Lubricant 300-00750 Red Simulated Blood, 4 oz 240-00250 Umbi Simulated Blood, 4 oz 276-15550 Liquid Soap 220-00350 Kit, Right IO Mandrel and Leg Skkin

277-00150 Baby Powder 1003296 CO 220-04450 CO 220-01550 Air/CO 220-19050 Directions for Use 5527 Laerdal Global Warrranty 8953 WEEE Statement

Compressor Unit and Power Cable

- Contact Laerdal sales office

SimPad System (Not Shown)

200-30001 (US) 200-30005 (JAP) 200-30033 (EUR) 200-30026 (CHI) 200-30027 (KOR) 200-30003 (UK) 200-30015 (AUS)

- Contact Laerdal Sales Office for other Language Options

Accessories: (not shown)

Optional

381850 Portability Kit 381220

Regulator 220-05350 Transportation Case (Manikin) 210-05250 Transportation Case (Peripherals)

225-09001 Peripheral Kit 225-09101 Peripheral Kit

NOTE: For additional parts provided with the SimNewB ADVANCED, please see the SimNewB Advanced system Installation Guide. This is a brochure shipped with your manikin

noitpircseD .on.taC

and Left IO Mandrel and Leg Skin

Regulator

Connector Tube

Tubes

SETUP GUIDE

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ENGLISH

INTRODUCTION

SETUP GUIDE

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Setup of SimNewB Standard Components

Check that the Link Box and SimPad have charged batteries. The Link Box can also be connected to external power using the DC Power Supply

External Air

- The air tube can be attached to the Compact Compressor or external air regulator.

Manikin Cable

- Connect the manikin to the Link Box, an adapter cable (included) may be required.

Link Box Power

- Power is supplied to the Link Box from battery or from the AC power adapter. The same power adapter can be used to charge the battery. See SimPad DFU for charging instructions.

BP Cuff

- The air tube from the BP cuff is connected directly to the Link Box.

IV Bag

Connect the empty IV-bag set to the Umbilical Reservoir Overflow tube.

Note-The overflow tube has a valve to prevent leakage from the tube when not attached to IV-bag set.

Network

- The Link Box is connected to either the SimPad (wireless or wired) or to a PC. See the associated DFU for connection and setup.

Setup of SimNewB Standard Components

External Air

Source

BP Tube

Network Cable

(Optional)

Link Box

Adapter Cable

Battery

INTRODUCTION

SETUP GUIDE

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SIMULATION

SPECIFICATIONS

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Setup of SimNewB Advanced Components

Start the Instructor Computer

- Connect the mouse and power supply to the computer and power ON.

- Make sure that the SimNewB simulator icon is displayed on the Instructor PC desktop.

Install the USB HUB

- Connect Power to the USB hub

- Connect smaller end of included USB cable into the upstream port of the usb hub.

- Plug the rectangular end of the included USB Cable into a USB port on the Instructor Computer

Connect the Patient Monitor Cables

- Put aside the software CD that comes with the monitor. DO NOT INSTALL software CD.

- Route the cables through the Patient Monitor stand and connect them to the corresponding outlets located at the bottom of the screen.

- Secure the cable using the strain reliefs.

- Connect power cable to a wall outlet and power ON. the Patient Monitor.

IMPORTANT: Do NOT connect the USB cable to the USB hub yet.

Connect the Patient Monitor to the Instructor Computer

- Connect the Patient Monitor video cable and 3-way audio cable (black mini jack with double wire) to the Instructor PC.

IMPORTANT: Do NOT connect the USB cable to the Patient Monitor yet.

Set Up the Instructor PC for Extended Desktop Display to Support the Patient Monitor

- Right click on the instructor PC desktop

- In the drop down menu select <Screen Resolution>.

- In the <Multiple Displays> option, select <Extend these displays>.

- Click <Apply>.

- The Instructor PC (display 1) should have a resolution of 1600 x 900.

- The Patient Monitor (display 2) should have a resolution of 1280 x 1024.

- Click <OK>.

Connect the Monitor to the USB HUB

ENGLISH

IMPORTANT: Do NOT use the Patient Monitor software CD that comes with the Manikin.

Setup of SimNewB Advanced Components

Network Cable

Video Cable

Audio Cable

USB Camera

BP Tube

Link Box

External Air

Source

Manikin Cable

Adapter Cable

Battery

Source

rce

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