Laerdal VitalsBridge User Manual
VitalsBridge
Directions for Use
MODEL VB2.0
VitalsBridge Directions for Use
Table of Contents
Regulatory Information ..........................................................................................................2
Support .................................................................................................................................3
Warnings and Caution ............................................................................................................4
Requirements Checklists ........................................................................................................6
VitalsBridge Overview ............................................................................................................7
Powering the VitalsBridge ......................................................................................................8
External Power .................................................................................................................... 8
Internal Battery ................................................................................................................... 8
Internal Fan ......................................................................................................................... 8
Network Connections .............................................................................................................9
Overview ............................................................................................................................. 9
Installation of the VitalsBridge Software ............................................................................... 11
Cables, Tubing, and Regulator Setup/Configuration .............................................................. 14
Pulse Oximetry (SpO2) ....................................................................................................... 14
Configuration of a Compressed CO2 Source ..................................................................... 16
Capnography (Side-stream End Tidal CO2) ....................................................................... 19
Non-invasive Blood Pressure (NIBP) ................................................................................. 19
Invasive Blood Pressure (IBP)............................................................................................ 21
Temperature ..................................................................................................................... 22
Respiration Impedance via Electrocardiogram (ECG) ....................................................... 23
Running the VitalsBridge ...................................................................................................... 24
VitalsBridge Software Features ............................................................................................ 27
SpO2 Calibration ................................................................................................................ 27
Enabling CO2 Simulation ................................................................................................... 29
CO2 Calibration .................................................................................................................. 30
Zeroing the Invasive Blood Pressure(s) ............................................................................. 31
Invasive Blood Pressure Offset ......................................................................................... 33
Network Configuration Tool Software .................................................................................. 34
VitalsBridge Frequently Asked Questions .............................................................................. 36
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VitalsBridge Directions for Use
Regulatory Information
Use statement: The VitalsBridge is for use in the United States and Canada only.
Federal Communications Commission Statement: This device complies with part 15 Subpart B of the
FCC rules.
Caution: Only use cables supplied with the VitalsBridge and accessories approved for use
with the VitalsBridge. Changes or modifications not expressly approved by the party
responsible for compliance could void the user's authority to operate the equipment.
Disposal/Recycling: Recycle and dispose of in accordance with all governing requirements and
regulations. The VitalsBridge contains a Li-ion battery, which should be recycled.
The VitalsBridge instrumentation and its associated cables are latex free.
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VitalsBridge Directions for Use
Support
For technical assistance, contact your local Laerdal Technical Service Center.
Disclaimer
Use of the VitalsBridge to train personnel should be undertaken under supervision of suitably trained
medical personnel with an understanding of clinical monitoring, patient simulation educational
principles, and recognized medical protocols. As with all simulation training devices, there may be
approximations, variations, and inaccuracies in the information being presented.
Global Warranty
See the Laerdal Global Warranty, www.laerdal.com.
Manufacturer
The VitalsBridge is made in the USA and is manufactured for Laerdal Medical AS by:
Dynasthetics LLC.
3487 W. 2100 S. #300
Salt Lake City, Utah, 84119
USA
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VitalsBridge Directions for Use
Warnings and Caution
Follow all cautions and warnings outlined in the SimMan3G Directions for Use.
The VitalsBridge is intended solely for use during patient simulation. It is not a medical device.
Warning: Never connect the VitalsBridge to a patient.
Warning: Never connect the VitalsBridge to a Vital Signs monitor that is connected to a patient.
Warning: The VitalsBridge is not waterproof. Protect the VitalsBridge in damp conditions and
keep away from liquids.
Warning: The VitalsBridge contains a lithium ion battery, which if damaged, could cause risk of
fire or explosion.
Compressed Gases and Regulators
Use only sources of compressed CO2 with the VitalsBridge. Adequate training and expertise is required
to work with compressed gases.
The VitalsBridge is supplied with a portable CO2 regulator that uses cartridges of highly pressurized CO
gas. Take care when handling these cartridges as they pose a potential risk of injury if used improperly.
Cartridges should be stored and operated at temperatures below 120o F (49o C) and punctures should be
prevented. They should not be heated. They should not be used or stored ate temperatures above 120o
F or 49o C. Do not inhale the CO2 gas.
Warning: Do not use compressed oxygen (fire hazard) or any other flammable substance with or
near the VitalsBridge.
Warning: CO2 cartridges may become extremely cold when discharging. Protect eyes and hands
when installing and handling CO2handling CO2 cartridges.
Warning: Mishandled CO2 cartridges may become a projectile.
Caution: CO2 cartridges may not be transported by air.
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VitalsBridge Directions for Use
Defibrillation Hazards:
During defibrillation the defibrillator and VitalsBridge may present a shock hazard. All standard safety
precautions must be taken when using a defibrillator with the SimMan3G and VitalsBridge.
The respiration cable connector on the manikin is designed exclusively for respiration monitoring via
ECG impedance signals.
Warning: Defibrillation on the ECG connectors will damage the internal electronics of the
VitalsBridge and may cause personal injury.
Warning: Never connect any cables from the VitalsBridge to the designated defibrillator
connectors on the SimMan3G manikin.
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VitalsBridge Directions for Use
Requirements Checklists
Checklist of Included Cables and Accessories:
Please verify the following has been included in your shipment; all of the following cables and
accessories are REQUIRED to properly operate the VitalsBridge. If you are missing any of these items, or
they are damaged, please contact Laerdal for replacements.
1. VitalsBridge power supply, 24V, with wall plug.
2. CO
3. Non-Invasive blood pressure tubing (2, one with green fitting, one with red fitting).
4. Invasive blood pressure transducer cable (3 RJ11 cables, connects from VitalsBridge to monitor’s
5. Temperature transducer cable (2, connects from VitalsBridge to monitor’s temperature
6. Respiration via ECG cable (connects from VitalsBridge to manikin).
7. SpO
8. Installation software CD.
9. These directions for use.
Regulator with mounting bracket.
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blood pressure cable(s)).
cable(s)).
Extension Cable (connects from VitalsBridge to manikin).
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Checklist of Required Cables and Accessories Not Included (Must be Purchased
Separately from Laerdal)
1. Non-Invasive Blood Pressure Cuff Kit.
2. Invasive Blood Pressure Monitor Cables.
Computer and Software Requirements
1. Windows Operating System.
2. SimMan3G Instructor Application Software.
3. Ethernet (LAN) or Wireless (WLAN) Communication Capability.
4. VitalsBridge Software (Included on Installation Software CD).
Additional Requirements
1. VitalsBridge Device.
2. SimMan3G manikin.
3. Commercially Available Vital Signs Monitor.
4. AC Power Source (i.e. a wall outlet).
5. Source of Compressed CO
another external source).
(either a disposable cartridge for use with included regulator, or
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VitalsBridge Directions for Use
VitalsBridge Overview
The VitalsBridge consists of a device that allows vital signs from the SimMan3G to be presented on a
clinical vital signs monitor. It is intended to increase the fidelity of simulation for users where they may
view, interact, and control a vital signs monitor that is used in their clinical practice. The VitalsBridge
presents opportunities for high-fidelity simulations that involve critical care, training and education on
clinical monitoring, patient information systems testing, just to name a few.
The VitalsBridge is designed to function with commercially available vital signs monitors. It presents the
following vital signs on a clinical monitor: heart rate, respiration via Electrocardiogram (ECG)
impedance, plethysmography waveform, SpO2, capnography waveform, end-tidal CO2, non-invasive and
invasive blood pressure (arterial, central venous, pulmonary artery), and temperature. Vital signs cables
are usually connected to sensors attached to the patient. With the VitalsBridge, some of these cables
attach to the patient, and some are connected to the VitalsBridge device. Connectors for the respiration
via ECG impedance and SpO2 have been pre-installed on the SimMan3G manikin.
The VitalsBridge converts the SimMan 3G’s digitized vital signs waveform and numbers into signals that
are compatible with a vital signs monitor. Compressed CO2 gas is used for non-invasive blood pressure
and capnography to generate the signal. The vital signs created by the VitalsBridge are controlled using
the SimMan3G Instructor Application. Additional software is used to communicate vital signs
information between the SimMan 3G and the VitalsBridge.
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VitalsBridge Directions for Use
Powering the VitalsBridge
External Power
To power the VitalsBridge via wall power, simply connect the external power adapter and plug into any
standard wall outlet.
Caution: Use only the included 24V power supply. Using an incorrect power supply may damage
the VitalsBridge and void the warranty.
Internal Battery
The VitalsBridge contains an internal, non-replaceable Lithium-Ion battery to allow for unplugged
operation of the unit. When fully charged, this will allow for at least 3 hours of use. To charge the
battery, connect the external power supply. The power supply will charge a fully depleted battery in 612 hours. When the unit is switched on, the battery indicator on the top panel will flash when there is
less than 15% of battery life remaining; if you need to continue using the VitalsBridge, connect the
external power.
Internal Fan
The VitalsBridge contains an internal fan to keep the battery cool while charging and discharging during
use. The fan will be active under the following conditions:
1. Any time the VitalsBridge is connected to the external power supply.
2. When the VitalsBridge is switched on and not connected to the external power supply.
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VitalsBridge Directions for Use
Network Connections
Overview
The VitalsBridge communicates with the SimMan 3G using via the SimMan 3G’s internal router. The
VitalsBridge may be connected to the internal router by an Ethernet cable or by Wifi. In addition to the
information below, it is important to follow the procedure for running the VitalsBridge as described on
page 24. The VitalsBridge internal Wifi must also be configured to have the same SSID and password as
the SimMan 3G’s internal router using the VitalsBridge Network Configuration Tool (see page 34).
Note: Do not connect the VitalsBridge directly to the SimMan 3G Instructor Application PC with an
Ethernet cable.
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VitalsBridge Directions for Use
When connecting the VitalsBridge to the SimMan 3G manikin using an Ethernet cable, ensure the cable
is functional and is securely connected to the Ethernet ports of the VitalsBridge and the SimMan 3G
manikin. The top of the VitalsBridge indicates when it has established an Ethernet or Wifi connection
with the SimMan 3G manikin’s internal router.
(Ethernet Connection)
(Wifi Connection)
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VitalsBridge Directions for Use
Installation of the VitalsBridge Software
The VitalsBridge software may be installed on a PC that is able to establish a network connection with
the SimMan 3G manikin or to an instance of the virtual manikin. The SimMan 3G’s instructor application
PC is recommended for installation of the VitalsBridge software. Download the appropriate VitalsBridge
installation software from www.laerdal.com and, if necessary, copy the software to the computer on
which it will be installed. Navigate to the installation software file and open in. Follow the on-screen
installation instructions. Upon successful installation, a VitalsBridge icon will be created on the PC's
desktop. Restart the computer if the installation software does not prompt for a reboot.
Note: Choose the appropriate VitalsBridge installation software carefully. There may be specific
installation software that is particular to the version of software running on the SimMan 3G (e.g., LLEAP
versus legacy versions of SimMan 3G software).
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