Laerdal VitalSim User Manual [en, es, fr, it]
VitalSim
Directions for Use
Instrucciones de uso
Mode d'emploi
Istruzioni per l’uso
www.laerdal.com
Table of Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Important Information . . . . . . . . . . . . . . . . . . . . . . . . . 4
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Programming ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Blood Pressure and Pulse . . . . . . . . . . . . . . . . . . . . . . 13
Breathing Rate
- Breathing/ Airway Control (ALS Simulator) . . . . . . 14
Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Scenario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Set up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PC Software Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
3
Introduction and Intended Use
Important Information
VitalSim is designed to be used for realistic medical
training within emergency care and nursing. It can be
used with different types of manikins to simulate vital
signs such as breathing, pulse, blood pressure, ECG,
heart, lung and bowelsounds.Vocal (spoken sounds)
are also generated.
MegaCode Kelly
ALS Simulator
Nursing Kelly
VitalSim Task Trainers
MegaCode Kid
Nursing Anne
Nursing Baby
Nursing Kid
The VitalSim base unit performs all simulations and
connects to the manikin.The base unit can be battery
operated, allowing simulations to be performed anywhere.The operator controls the simulations with a
user-friendly remote control, communicating with the
base unit 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 base unit.
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.
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.
- Consult the dealer or an experienced radio/TV
technician for help.
- 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 help.
Included in the system is a PC-based Scenario Builder
program, allowing the user to preprogram scenarios.
These custom built scenarios may then be downloaded
and run by VitalSim. Scenarios can control all output
parameters of the VitalSim and make parameters
change based on certain events. The VitalSim will also
generate logs that can be uploaded to a PC for review
and printing.
Caution: Changes or modifications not expressly approved
by Laerdal could void the user's authority to operate this
equipment.
Hereby, Laerdal Medical declares that when
carrying the CE-mark, the VitalSim product
is in compliance with the essential
requirements and other relevant provisions
of Directive 1999/5/EC.
4
VitalSim package contents:
- Carry case
- Base unit including battery case and batteries
(6 C-cell)
- Remote control including batteries (4 AA-cell)
- Remote control to base unit connection cable
- USB cable for connection to PC
- DC power supply
- Direction for Use
- Operating software on CD-ROM
Use with Laerdal Manikins
VitalSim is designed to work with a variety of manikins
manufactured by Laerdal.VitalSim will automatically
detect which type of manikin is connected (adult male
simulator, adult male, adult female, child or infant) and
adjust physiological and menu functions accordingly.
Refer to the specifications chapter for details on the
different manikin parameters. Manikin selection may be
manually overridden from the Setup Menu.
NOTE: The ALS Simulator requires VitalSim Software
version 3.0 or higher.
Features
ECG, Defibrillation and Pacing
- Extensive ECG library
- External defibrillation (10-360 J)
- Automatic rhythm change after defibrillation
- Responds to external pacing with settable pacing
threshold 20 – 200 mA
Heart, Lung, Bowel and Spoken Sounds
- Extensive sounds libraries
- Volume of each sound can be adjusted individually
- Heart sounds synchronized with ECG
- Lung sounds synchronized with adjustable breathing
rate, 0 – 60 BPM
- Individual lung or bilateral sound selection
- Normal and abnormal bowel sounds
- Fetal heart sounds for female manikins
- Synthesised vocal sounds such as Vomit, Cry, Moan
- Voice input via microphone
Airway Control (ALS Simulator)
- Spontaneous respirations
- Breathing rate
- Left, right or both lung blockage
Blood Pressure
- Auscultated and palpated blood pressure simulation
- Korotkoff sounds synchronized with ECG
- Systolic and diastolic pressure individually settable
in steps of 2 mmHg up to 300 mmHg
- Auscultatory gap, on or off
- Blood pressure can be palpated at radial pulse
Pulses
- Brachial, radial, and carotid pulses
- Pulses synchronized with ECG
- Pulse strength settable to weak, normal or strong
- Pulse strengths dependent on blood pressure
Scenario Function
- Pre-programmed scenarios eases operation
and simulations
- PC Scenario builder program
- Up to 10 scenarios can be stored in base unit
Logging
- Save logs for after action review.
- User definable events
- Log(s) can be retrieved by a PC through
the USB connection
- Up to 25 logs can be stored in base unit
RF Communication
Communication between the remote control and base
unit is based on low power radio frequency communication.The equipment meets the standards and
requirements of FCC and EC. If VitalSim is used in
an environment where RF communication is not
desirable, or where interference from other sources
makes VitalSim inoperable, it is recommended to use
cable connection between the remote control and
the base unit. Using the direct cable connection
disables the RF circuits in both units.
The cable is included in the VitalSim package.
5
Overview
A. On/Off button and Indicator.
Press once to turn the unit on.
Press again to turn the unit off.
The indicator is steady green if the base unit has contact
with the remote control. If there is no contact with the remote
control the indicator will be blinking green.
If battery needs to be replaced, the indicator will blink,
alternating between green and orange.
B DC power supply input: Used for stationary training and to limit
battery consumption.
C Manikin Connector: Connects the base unit to the manikin.
D Microphone input: External microphone attachment.
Wireless microphone is sold separately.
E USB port: For connection to PC. Used for transfer
of scenarios and logs.
F Remote connector: Used for direct connection
with the remote control. RF communication is disabled
when the units are connected via cable.
G Blood Pressure connector: Connects the tube from
the blood pressure cuff.
H Battery: Holds 6 replaceable C-cell batteries.
I LCD display: Displays status and operation information.
J Quick execution buttons: Function keys.The function of each
button is labelled on the display above the button.
K Navigation keys: Use keys to navigate and select functions
on the display.
L OK / Select key: Use this key to activate selected functions.
M Cancel / Back key: Go back from sub menus without any changes.
N Numerical keys: Use these keys to enter numerical data
or to select numbered parameters.
Can also be used as alphanumerical keys to enter fileand event-names
O Menu/Setup: Enter Setup Menu.
P Scenario: Use this button to start a scenario.
Q Shift key
R On/Off key: Press once to turn the unit on.
Press again to turn the unit off.
A
H
G
F
E
D
C
B
I
J
L
O
P
Q
K
M
N
R
6
Start
Once your manikin has been connected to the VitalSim,
turn the base unit and remote control on.
The VitalSim will automatically detect the connected
manikin and set the initial parameters accordingly.
Main Display
The main display screen shows the current status, and allows
for modifying some parameters directly using the quick
execution buttons.
The main display is divided into five functional areas and a quick
execution area.
1. The upper area is the Logging and Scenario status area.
The log status and clock are presented here together with
the remote control battery status and a radio reception
indicator.
2. The ECG section is indicating Running Rhythm on the first
line,Waiting Rhythm on the second line.
”Defib. Enabled” allows change to Waiting Rhythm
when a defibrillatory shock is given.
1
2 3
4
5
Pacing capture can be enabled / disabled and if enabled
the threshold for capture can be set.
3. The sounds section controls the selected Lung, Heart,
Bowel and Vocal (spoken) sounds.
Volume for each sound can be controlled individually.
4. The Blood Pressure (BP) section shows the set BP,
Pulse Strength and the Korotkoff sound volume.
5. The Breathing rate section shows the set breathing rate.
The Airway section shows the set breathing rate, airway
blockage (ALS Simulator only) and chest rise/fall
(ALS Simulator only).
At the bottom of the display are the quick execution button
menus.The functions of the buttons will change with the
selected function area.
7
Operation
Using left / right navigation buttons, tab over to the desired
functional area of the display. Once the desired area is highlighted, use the up / down navigation buttons to scroll through
to the desired selection.
When the desired functional area is highlighted, press OK to
edit the settings. (For example, to set the rhythm, highlight the
ECG functional area and push the OK button.)
When the selection is complete, press OK to implement
the new selection and return to the main display.
To cancel the selection, press C and return to the main
display with the previous setting unchanged.
8
Programming ECG
Set Running Rhythm
On the main display, using the left / right navigation buttons, highlight the ECG functional area and press OK to edit
the functions.
Note: Some functions may be changed directly from the main
display using the quick execution buttons.
• HR+ and HR– Changes the heart rate up and down.
• Extrasyst. generates an extrasystole of the selected kind
(on Sinus rhythms only), immediately after the button
is pushed. If no extrasystole is selected, a Unifocal PVC will
be generated.
Selecting Rhythm
Using the navigation buttons, highlight the desired rhythm
and press OK.
Rate and QRS type can be modified using
the quick execution buttons,
OR
By highlighting the QRS or Rate area using the left / right
navigation buttons and then use the numeric pad or up/
down buttons.
QRS types can be set to A through G:
Available rates are dependent on the selected rhythm.
Setting PEA sets the BP to 0.
9
Set Waiting Rhythm
From the main display use the left / right navigation buttons to
highlight the ECG functional area. Scroll down to Waiting rhythm. Press OK to edit the selection.
Select a Waiting rhythm in the same way
as the Running rhythm.
When a Waiting rhythm is selected,two additional quick
execution buttons appear in the quick execution area:
• Activate Activates the Waiting rhythm, substituting
the Running with the Waiting.
• Parox. Activates the Waiting rhythm, and exchanges
the Waiting and Running rhythm.
Set Defibrillation Enabled / Disabled
When Defib. Enabled is selected the Waiting rhythm will
be automatically activated and replace the Running rhythm
when a shock is delivered to the manikin.
Enable /Disable is selected by toggling OK or
the quick execution button labeled Disable / Enable
Pacing Threshold
If pacing is enabled pacing pulses on the manikin with a current
higher or equal to the set threshold will activate heartbeats.
Pacing threshold can be adjusted directly from the main display
using the Thres. +/- quick execution buttons when the Pacing
field is selected.
Press OK to set the pacing threshold in a sub menu.
Threshold can be adjusted using the up/ down navigation
buttons, the Thres.+/- keys (steps of 10) or entered directly
using the numeric buttons.
10
Sounds
On the main display, using the left / right navigation buttons highlight the sounds functional area.
The sound volume for the selected highlighted sound can
be set directly from the main display using the - and + quick
execution buttons.
The selected Vocal sound can be activated using the quick
execution button.(When ”Cough” is the selected vocal sound,
the button will be labeled Cough.)
The Recall quick execution button reactivates the previously
selected sound for the highlighted sound type.
Set Lung Sounds
Normally Right and Left lung sounds are highlighted together
indicating that the sound for the right and left lung is set the
same (bilateral).
To set Right and Left sounds individually, press the Set Unilat.
quick execution button.
When the sounds are later reset to bilateral, the sound in
the right lung will be used for both lungs.
To alter a lung sound, highlight the sound and press OK.
This will activate the sound selection sub-menu.
The sounds can be selected using the up / down navigation
buttons or using the numeric buttons.
The arrow on the bottom right of the selection field indicates
that there are more selections than presented on the screen.
Volumes can be adjusted using the + / - quick execution
buttons, or by highlighting the volume field and then use the
up / down navigation buttons or the numeric buttons.
Set LL and Set RL quick execution buttons are alternative ways
to select individual (unilateral) lung sounds.
Press OK to implement the new selection and return
to the main screen.
Press C to return without any changes.
11
Set Heart Sounds
Heart sounds are set in the same manner as Lung sounds.
On the main display, using the left / right navigation buttons highlight the sounds functional area. Scroll down to the Heart
sound.
Use the + / - quick execution buttons to alter volume directly,
or Recall to recall the previously selected Heart sound.
Press OK to get to the Heart sounds selection menu.
Set Bowel Sounds
Bowel sounds are set in the same manner as Lung and Heart
sounds.
On the main display, using the left / right navigation buttons highlight the sounds functional area. Scroll down to the Bowel
sound.
Use the + / - quick execution buttons to alter volume directly,
or Recall to recall the previously selected Bowel sound.
Press OK to get to the Bowel sounds selection menu.
Set Vocal Sounds
On the main display, using the left / right navigation keys highlight the Sounds functional area.
Notice that whenever the Sounds area is selected, the selected
Vocal sound can be activated using the quick execution button.
Most sounds are activated once.The continuous sounds are
toggled on / off.
To alter the Vocal sound, scroll down and highlight Vocal.
Note that when Vocal is selected, the three last used sounds
are available as quick execution buttons.
Use the quick execution buttons to activate a new sound
directly or press OK to get to the Vocal sounds selection menu.
Some vocal sounds are continuous.A continuous sound will be
repeated until the sound is selected again or another sound is
activated.
Use the + / - keys to alter volume directly.
12
Blood Pressure and Pulse
The set blood pressure (BP) affects the pulse strength as described in the specifications chapter.
The Normal pulse can be adjusted to three levels,Weak, Normal or Strong. If the pulse is set to be normally
weak, a weak pulse because of low BP will be almost impossible to detect.
If the Running rhythm is a rhythm with no BP, i.e.VF or Asytole, BP will automatically be set to 0/0.
The BP is not automatically set back to normal if a perfusing rhythm is chosen.
Set Blood Pressure
On the main display, using the left / right navigation buttons highlight the Blood Pressure functional area.
Press OK to activate the BP menu or adjuste BP directly using the BP +/- quick execution buttons
Using the BP+/- buttons
When both systolic and diastolic are
highlighted, both pressures will change
and maintain the difference.
When systolic is highlighted, only systolic
will change, but diastolic will be kept at
least 10 mmHg below systolic.
When diastolic is highlighted, only diastolic
will change, but systolic will be kept at
least 10 mmHg above diastolic.
The up / down navigation buttons are used to change selection.
Set PEA quick execution button will set BP to 0/0. Reset PEA will set the BP back to what it was
before Set PEA was selected.
Use the + / - quick execution buttons to alter volume of Korotkoff sounds directly.
Pulse strength is indicated as P:N (Normal), P:W (Weak) or P:S (Strong)
Set BP menu:
Use left / right navigation buttons to select function.
Systolic and Diastolic BP can be adjusted using the up / down
buttons, the BP +/- quick execution buttons or entered directly
by using the numeric buttons.
If the running rhythm is VF or Asystole, BP cannot be set.
Volume can be adjusted using the + / - or the up / down
buttons or directly through the numeric buttons.
Auscultatory Gap (Korotkoff sound disappears in part
of Phase II) can be toggled on / off using the up / down
buttons.
Pulse strength can be adjusted using the up / down buttons.
13
Breathing Rate/Airway Control (ALS Simulator)
Breathing rate is automatically set to 0 if BP is 0.The breathing rate
is not automatically set back to normal if a BP is set.
Breathing rate can be adjusted between 0 and 60 breaths
per minute.
Set Breathing Rate
On the main display, using the left / right navigation buttons, highlight the Breathing rate functional area.
Press OK to activate the Breathing rate menu or adjust BR
directly using the BR + / - quick execution buttons.
Set Apnea will set breathing rate to 0. Reset Apnea will
restore the previously set breathing rate.
When Breathing rate is 0, the quick execution button
1 Breath becomes available.This function will activate one
breath cycle, allowing for generating breath sounds on
the manikin in synchronism with forced ventilations.
Breathing rate can be adjusted using the up / down navigation
buttons, the BR + / - quick execution buttons (steps of 5)
or entered directly using the numeric buttons.
Chest rise and fall (ALS Simulator only)
Chest rise is default off. However the lungs sounds and breathing
rate will default to normal when the unit is turned on.
To set the chest rise
- On the main display, highlight the Airway functional area.
- Press OK to activate the Airway menu or turn the chest rise
on or off using the quick execution buttons.
- "Set apnea" will set breathing rate to 0 and allow no chest
rise.
- When breathing rate is 0 there will be no chest rise.
- To control the rate of chest rise set the breathing rate by
using the up/down navigation buttons, the BR +/- quick
execution buttons (steps of 5) or by entering the rate
directly using the numeric buttons.
14
Set lung blockage
- On the main display highlight the airway functional area
and then the desired function.
- Press OK to activate the Airway menu or select the desired
airway open, left/right or both lungs blocked using the quick
execution buttons.
- When both lungs are blocked the breathing rate will set to 0.
Log
The top section of the main functional area controls log and
scenario.
The VitalSim automatically generates a log of events from the
moment the unit is turned on. Elapsed time and name for the
current log is displayed in the upper left corner of the display.
Unless saved, the log will be erased when the base unit is
turned off. The Log / Scenario section have controls for Pause
and Resume, Restart and Save logs. In addition it is possible to
log manual events from the remote control.
Saved logs can be retrieved later using the VitalSim PC utility
program. Logs can be transferred to the PC for permanent
storage, additional comments and printing.
Log Controls
On the main display; using the left / right navigation buttons highlight the Log functional area.
Press OK to activate the Log Control menu or select functions
directly from quick execution buttons.
Pause: Stops the clock. Any events or changes in settings
will not be logged. Resume logging and clock.
Restart: Restart the log. Erase current log.
Save Log. Saves the current log. Log is given a default name by
VitalSim, Logxx, where xx is a sequential number.This name can
be modified, using the backspace quick execution
button and the alphanumeric buttons.
Up to 25 logs can be saved. Logs are erased when
transferred to a PC, or they can be erased using
the Clear All Logs function.
15
Log Events
The Event function allows for entering an event into the log.
The events are chosen from a list of up to 14 that are stored
in the remote control.
To log an event, select the event using the navigation buttons,
and press OK.
The first seven events are preprogrammed. They can be
deleted using the Delete quick execution button and then
be reprogrammed by the user.
The Default quick execution button restores the factory
setting of preprogrammed events.
The last seven events are left open (“---“) for the user
to program.
To program an empty event, highlight the event and press the
Add quick execution button.
Enter the event name using the alphanumeric buttons and the
backspace quick execution button. The shift key is
functional for upper or lower case characters. Up to 13
characters can be used for the event name.
Scenario
The VitalSim can run preprogrammed scenarios, generated
on a PC-based scenario builder program.These scenarios can
be transferred to the base unit using the VitalSim PC utility
program.
Execution of a scenario is started using the Scen button
on the remote control.
Logs and scenarios are synchronized in the following manner:
• A new log is started when a scenario is started.
• Pause and Resume affects both scenario and log.
16
To star t a scenario, press the Scen button.
Note: It usually takes a little time to transfer all of the scenario
information to the remote control.
Select the desired scenario and press OK.
The scenario will start with the clock set to 0 and a new log
will begin.The current log will be erased, unless it is saved
before the scenario is started.
When running a scenario the top line of the main display
shows the scenario name and number of the current frame.
Pause. Stops the clock and scenario execution. Any events
or changes in settings will not be logged or affect the scenario.
Resume logging and scenario execution.
Restart the scenario. Erase current log and restart logging.
Stop scenario execution. Logging and clock will continue in
normal operation.
Scenario Events
When running a scenario, the Log Events are replaced with
Scenario Events that are programmed individually for each
scenario. Scenario Events are programmed in the PC Scenario
Builder program.
Selected events will go into the log, and can also be used as
events in the scenario, bringing the scenario from one frame
to the next.
To select a Scenario Event, press the Event quick execution
button. Select the event from the menu using the arrow
buttons, and press OK.
17
Setup
To activate the Setup Menu, press the Menu button.
Use the navigation buttons to select function. Use quick
execution buttons or the navigation buttons to make a
selection. Press OK to save.
Display backlight can be turned on or off. Unless used in a
dark room, it is recommended to have the backlight off
to preserve batteries.
Factory setting is off.
Display Contrast can be adjusted between 9 (darker)
and 1 (lighter).
Factory setting is 5.
To preser ve batteries, the Autopower off function turns off the
remote control if there has been no keyboard activity for the
set number of minutes.A warning will be given one minute before the unit turns off.
Factory setting is 15 minutes.
The base unit has no autopower off function. System status is
stored in the base unit, so turning the remote control off will
not affect it’s operation or settings.
18
Com. Channel
To be able to operate several VitalSim units in the same vicinity,
it is possible to select 5 different communication channels.
Factory setting is channel 1.
Communication channels can only be changed if the remote
control and base unit are connected via cable.
Calibrate BP
To ensure correct measurements of simulated BP,
the sphygmomanometer used with the cuff needs to be
calibrated to the pressure sensor in the VitalSim.
This is done by selecting the Calibrate BP function, inflating
the cuff to 100 mmHg and pressing the Calibrate quick
execution button as the pressure is held at exactly 100 mmHg.
Language
One of several languages can be selected. Language selection
affects the texts on the remote control display. Selection of a
new language will also affect the “Yes” and “No” vocal sounds.
Factory setting is English
19
Battery Status
The battery status in the remote control is indicated in the
upper right corner of the display. Batteries should be replaced
immediately when battery empty is indicated.
When the battery is totally empty, the remote control will
turn itself off without any warning.
Replace the remote control batteries with 4 AA size alkaline
batteries.
The battery status for the base unit is not continuously
indicated, as it is for the remote control.
When the battery has reached a state where less than 20%
capacity is remaining, a “Battery low” message will be displayed
by the remote control.
When the remaining capacity in the base unit battery is less
than 10%, a “Replace battery” warning will by given on the
remote control, and the indicator in the base unit will be
flashing alternating between orange and green.
When the battery is totally empty, the base unit will turn itself
off without any warning.
Replace the batteries in the base unit battery case wit 6 C-cell
alkaline batteries.
20
PC Software Utilities
Included in the VitalSim package is a CD with PC software suppor ting scenario and log functions.
The software will run on Windows 2000 and Windows XP.
The VitalSim can be connected to the PC through the USB connector. Through this connection scenarios
made on the PC can be downloaded to the VitalSim for execution. Logs generated and saved on the VitalSim
can also be uploaded to the PC for review,printing and permanent storage.
The software functions are fully documented through help functions and documents residing on the CD.
The intention of this chapter is to give an overview.
Software Installation
Insert the software CD in the CD-Rom drive and wait for the installation program to start. If it does not
start automatically, run the Setup.exe program located on the CD.
Follow the instructions from the installation program.
Note.The VitalSim Scenario Builder requires Microsoft Java Virtual Machine to be installed on your PC.
This will be installed as part of the VitalSim software installation.
USB Driver Installation
The first time the VitalSim is turned on and connected
to the PC,Windows will detect that new hardware is connected,
and start a wizard for driver installation.
Insert the VitalSim CD in the CD-rom drive and follow the
instructions from the wizard to install the VitalSim USB driver.
21
Scenario Builder
This is a graphical editing tool that allows you to create, edit
and save scenarios to be downloaded and run on the VitalSim.
Start the Scenario builder from the Start button:
For further instructions on how to use the program, refer
to the Help function in the Scenario Builder.
After you have built the scenario,save it and then use
the Log and Scenario Control utility to load the scenario
into the VitalSim unit.
Log and Scenario Control
This utility is used to load scenarios into the VitalSim, and to retrieve logs that have been saved in the VitalSim.
Connect the VitalSim to the PC using the USB cable.Turn the
VitalSim on, and star t the Log and Scenario program from the
Start Menu.
Scenarios and logs in the VitalSim are presented when the PC
has made connection with the VitalSim.
To load a scenario, click Add and select the scenario from
the file menu.
To transfer logs, click Transfer Logs and select the logs to
transfer. Once logs have been transferred they are normally
deleted in the VitalSim unit.
Refer to the Help function for complete description.
22
Specifications
Remote Control
Batteries: 4 AA type (LR6) Alkaline batteries.
Battery life: Approximately 20 hours.
LCD display: High Resolution B&W LCD display.
Base Unit
Batteries: 6 C type (LR14) Alkaline batteries
Batteriy life: 10 - 20 hours
DC input: 9V DC, 1.5 A max
Sound input: Line input level.
Cuff pressure input: 0 – 300 mm Hg.
ECG rhythms:
Rhythm Adult Manikin Child Manikin Infant Manikin
Sinus
Sinus w/ Unifocal PVCs*
Sinus w/ Couplet. PVCs*
Sinus w/ Multifocal PVCs*
Sinus w/ PACs*
Sinus w/ PJCs*
Atrial Tachycardia
Atrial Flutter
Atrial fibrillation*
Junctional
Idioventricular
Ventricular Tachycardia
Ventricular Fibrillation
Asystole
1º AV-Block
2º AV-Block type 1
2º AV-Block type 2
3º AV-Block
- Wide QRS on rate 30
Pacemaker
- Ventr. Pacemaker.
- No atrial activity.
* Rates are nominal ventricular rates. Actual rate may vary.
Backlight can be turned On / Off
in Setup menu.
Rates
20-200
20-200
20-200
20-200
20-200
20-200
140-260
75-150
60-200
30-160
10-60
120-240
Very Coarse,
Coarse,
Std,
Fine,
Very Fine
N/A
20-200
50 @ 5:4
60 @ 4:3
70 @ 3:2
44 @ 4:3
55 @ 4:3/3:2
54 @ 2:1
30, 50,60
80
Default
Rate
80
80
80
80
80
80
180
100
160
50
40
180
N/A
N/A
80
60
44
50
80
RF Communication
Frequency ranges. Europe version 868,0 – 868,6 MHz
Operation range: 10 m (30 ft) max.
Rates
20-200
20-200
20-200
20-200
20-200
20-200
140-320
75-150
60-320
30-160
10-60
120-320
Very Coarse,
Coarse,
Std,
Fine,
Very Fine
N/A
20-200
50 @ 5:4
60 @ 4:3
70 @ 3:2
44 @ 4:3
55 @ 4:3/3:2
54 @ 2:1
30, 50,60
Default
Rate
90
90
90
90
90
90
180
100
160
50
40
180
N/A
N/A
80
60
44
50
80
US version 915,5 – 916,4 MHz
Rates
20-200
20-200
20-200
20-200
20-200
20-200
140-320
75-150
60-320
30-160
10-60
120-320
Very Coarse,
Coarse,
Std,
Fine,
Very Fine
N/A
20-200
50 @ 5:4
60 @ 4:3
70 @ 3:2
44 @ 4:3
55 @ 4:3/3:2
54 @ 2:1
30, 50,60
Default
Rate
100
100
100
100
100
100
180
100
160
50
40
180
N/A
N/A
80
60
44
50
80
23
QRS Types:
Seven different QRS waveforms named “A”to “G” can be selected. Available QRS types vary with each basic rhythm.
Supraventricular QRS types for: Sinus, A-tach, A-flutt, A-fib, Junctional,1°AVB, 2°AVB types 1 and 2, 3°AVB (high rates),
PACs and PJCs
A. Normal upright QRS-T.
B. Upright QRS with ST depression and T inversion.
C. Upright QRS with ST elevation.
D. BBB. Broad R-wave with T inversion.
E. Biphasic QRS with T inversion.
F. QS with ST elevation.
G. BBB. Broad S-wave with upright T.
Ventricular QRS types for: Idioventricular,V.Tach. and PVCs:
A. Broad rS wave.
B. Broad R wave.
C. Broad QS wave
D. Broad QS wave. Same as C.
E. Broad R wave.
F. Broad Rr Wave.
G. Broad Rr Wave. Same as F.
Heart sounds:
Heart sounds are synchronized to ECG.
Adult Child Infant
Heart sounds: Manikin Manikin Manikin
Normal •••
Aortic Stenosis •••
Austin Flint Murmur •••
Mitral Valve Prolapse •
Systolic Murmur •••
Diastolic Murmur •
Friction Rub •
Opening Snap @70 msec •
Stills Murmur ••
Atrial Septal Defect (ASD) ••
Ventricular Septal Defect (VSD) ••
Pulmonary Stenosis •
24
Lung sounds:
Lung sounds are synchronized to breathing rates, adjustable from 0 – 60 breaths / min.
Adult Child Infant
Manikin Manikin Manikin
Default breathing rates: (BPM) 14 20 24
Adult Child Infant
Lung sounds: Manikin Manikin Manikin
Normal Breath Sounds •••
Fine Crackles •••
Coarse Crackles •••
Pneumonia •••
Wheeze •••
Stridor •••
Pleural Rub •
Rhonchi •••
No sound •••
Bowel sounds:
AdultManikin Child Infant
Bowel sounds: Male Female Manikin Manikin
Normal •• • •
Borborygmus •• • •
Hyperactive •• • •
Hypoactive •• • •
Fetal Normal 140 BPM •
Fetal Brady 100 BPM •
Fetal Tachy 200 BPM •
No sound •• • •
Vocal sounds:
Vocal sounds are adjusted for age and gender of manikin.
Male
Manikin
Vomit
Cough
Moan
SOB Breathing
Scream
Ye s
No
Female
Manikin
Vomit
Cough
Moan
SOB Breathing
Scream
Ye s
No
Child
Manikin
Vomit
Cough
Moan
SOB Breathing
Scream
Ye s
No
Infant
Manikin
Cry
Cough
Content
Hickups
Scream
25
Blood Pressure:
Pressure range 0 - 300 mmHg
Accuracy +/- 4 mmHg
Calbration: Pressure sensor must be calibrated to sphygmomanometer. See Setup menu.
Adult Child Infant
Manikin Manikin Manikin
Default Blood Pressures (mmHg) 120/80 100/70 94/66
Pulse:
Available pulses: Carotid, Brachial and Radial
Only 2 pulses can be palpated simultaneously. (Power considerations).
Palpated BP: Radial pulse turns off at systolic BP.
Brachial pulse turns off at 20 mmHg, to prevent noise generation in
auscultation area.
Pulses are adjusted to BP as follows:
Systolic BP Carotid Pulse Radial/Brachial Pulse
>= 88 Normal Normal
< 88 Normal Weak
< 80 Normal Absent
< 70 Weak Absent
< 60 Absent Absent
Accessories
200-11350 Base Unit Battery Case
200-11450 Remote Control Battery Cover
200-11250 Remote Control to Base Unit Cable
200-10250 USB Cable
200-10550 DC Power Supply
200-12050 Direction for Use
200-11150 Operating Software on CD-Rom
200-10150 Carry Case
26
Índice
Introducción . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Información importante . . . . . . . . . . . . . . . . . . . . . . . 28
Características . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Visión general . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Inicio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Programación del ECG . . . . . . . . . . . . . . . . . . . . . . . . 33
Sonidos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Presión sanguínea y pulso . . . . . . . . . . . . . . . . . . . . . . 37
Frecuencia respiratoria
- Control de las vías respiratorias/
de la respiración (ALS Simulator) . . . . . . . . . . . . . . .38
Sesión . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Escenario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Configuración . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Utilidades del software informático . . . . . . . . . . . . . . 45
Especificaciones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
27
Introducción y uso previsto
Información importante
VitalSim ha sido diseñado para ser utilizado para conseguir una formación médica realista dentro de los
ámbitos de las urgencias y la enfermería. Puede
emplearse con distintos tipos de maniquíes para simular
las constantes vitales, como la respiración, el pulso, la
tensión arterial, el ECG,sonidos cardíacos, pulmonares e
intestinales.También se generan sonidos vocales.
MegaCode Kelly
ALS Simulator
Nursing Kelly
VitalSim Task Trainers
MegaCode Kid
Nursing Anne
Nursing Baby
Nursing Kid
La unidad base VitalSim realiza todas las simulaciones y
se conecta al maniquí. Puede funcionar mediante baterías, lo que permite realizar las simulaciones en cualquier
lugar. El operador controla las simulaciones a través de
un mando a distancia de fácil manejo, y se comunica
con la unidad base a través de comunicación de radiofrecuencia (RF). La comunicación RF permite al operador moverse libremente por toda la zona hasta una distancia de 10 m (30 pies) de la unidad base.
El sistema incluye un programa informático creador de
escenarios, lo que permite al usuario programar previamente los escenarios. Estos escenarios creados a
medida pueden descargarse y ejecutarse en el VitalSim.
Los escenarios pueden controlar todos los parámetros
de salida del VitalSim y provocar cambios en los parámetros sobre la base de determinadas circunstancias.
El VitalSim también genera sesiones que pueden cargarse en un PC para su revisión e impresión.
Este dispositivo cumple la Parte 15 de las normas FCC.
El funcionamiento está sujeto a las dos condiciones
siguientes:
(1) Este dispositivo no puede provocar interferencias
nocivas, y (2) este dispositivo debe aceptar cualquier interferencia recibida, incluidas las interferencias que
pueden provocar un funcionamiento no deseado.
NOTA: Este equipo ha sido comprobado y se ha demostrado que cumple los límites establecidos para los
dispositivos digitales de Clase B, en virtud de lo dispuesto en la Parte 15 de las normas FCC. Estos límites
están diseñados para proporcionar una protección
razonable contra interferencias nocivas en una instalación doméstica. Este equipo genera, emplea y
puede irradiar energía de radiofrecuencia y, si no se instala y utiliza de acuerdo con las instrucciones, puede
provocar interferencias nocivas con las comunicaciones
de radio. No obstante, no existen garantías de que no
se producirán interferencias en una instalación en
concreto. Si este equipo provoca interferencias nocivas
para la recepción de radio o televisión, lo que puede
determinarse apagando y encendiendo el equipo, el
usuario puede intentar corregir la interferencia aplicando una o más de las siguientes medidas:
- Reorientar o reubicar la antena receptora.
- Consultar al distribuidor o a un técnico
de radio/TV experimentado.
- Aumentar la separación entre el equipo
y el receptor.
- Conectar el equipo a un enchufe de un circuito
distinto a aquél al que está conectado el receptor.
- Consultar al distribuidor o a un técnico
de radio/TV experimentado.
Atención: Los cambios o las modificaciones no
aprobadas expresamente por Laerdal pueden invalidar
la autoridad del usuario para utilizar el equipo.
Por el presente documento,Laerdal Medical
declara que, al llevar la marca CE, el producto
VitalSim cumple los requisitos fundamentales
y otras disposiciones relevantes de la
Directiva 1999/5/CE.
28
El paquete de VitalSim contiene:
- Bolsa de transporte
- Unidad base que incluye compartimento de baterías
y baterías (pila 6 C)
- Mando a distancia que incluye baterías (pila 4 AA)
- Cable de conexión del mando a distancia con
la unidad base
- Cable USB para la conexión a un PC
- Suministro eléctrico CC
- Instrucciones de uso
- Software de funcionamiento en CD-ROM
Uso con los maniquíes Laerdal
VitalSim está diseñado para funcionar con diversos
maniquíes fabricados por Laerdal.VitalSim detectará
automáticamente el tipo de maniquí que está conectado (simulador adulto hombre, varón adulto, mujer
adulta, niño o lactante) y ajustará las funciones fisiológicas y
de menú según corresponda. Remítase al capítulo de
especificaciones para consultar detalles sobre los
diferentes parámetros de los maniquíes.
La selección del maniquí puede anularse manualmente
desde el menú inicial.
ADVERTENCIA:ALS Simulator exige la utilización del
software VitalSim versión 3.0 o superior
Características
ECG, desfibrilación y marcapasos
- Amplia biblioteca de ECG
- Desfibrilación externa (10-360 J)
- Cambio automático del ritmo tras la desfibrilación
- Responde al marcapasos externo con un umbral
de marcapasos variable entre 20 – 200 mA
Sonidos cardíacos, pulmonares, intestinales y vocales
- Amplias bibliotecas de sonidos
- El volumen de cada sonido se puede ajustar
individualmente
- Los sonidos del corazón están sincronizados
con el ECG
- Los sonidos pulmonares están sincronizados con el
ratio respiratorio,0 – 60 Inspiraciones por min.
- Selección del sonido pulmonar unitaleral o bilateral
- Sonidos intestinales normales y anormales
- Tonos cardiacos fetales para maniquíes femeninos
- Vibraciones vocales sintetizadas como vómito, lloro,
lamento
Control de las vías respiratorias (ALS Simulator)
- Respiraciones espontáneas
- Frecuencia respiratoria
- Bloqueo del pulmón derecho, del pulmón izquierdo
o de ambos
Presión sanguínea
- Simulación de la presión sanguínea auscultada
y palpada
- Sonidos de Korotkoff sincronizados con el ECG
- Presión sanguínea sistólica y diastólica que puede
seleccionarse individualmente
en márgenes de 2 mmHg hasta 300 mmHg
- Intervalo de brecha auscultatoria, activado
o desactivado
- La presión sanguínea puede palparse en el pulso radial
Pulsos
- Pulso braquial, radial y carotídeo
- Pulsos sincronizados con el ECG
- Fuerza del pulso variable (débil, normal o fuerte)
- Las fuerzas del pulso dependen de la presión
sanguínea
Función de los escenarios
- Los escenarios preprogramados facilitan el
funcionamiento y las simulaciones
- Programa informático para la creación de escenarios
- En la unidad base pueden almacenarse hasta
10 escenarios
Sesión activa
- Guarde las sesiones para revisarlas tras la acción
- Eventos creados por el usuario
- Las sesiones pueden volcarse a un PC
a través de la conexión USB
- En la unidad base pueden almacenarse hasta
25 sesiones
Comunicación RF
La comunicación entre el mando a distancia y la unidad
base se fundamenta en la comunicación de radiofrecuencia de baja potencia. El equipo cumple las normas
y los requisitos del FCC y la CE. Si el VitalSim se utiliza
en un entorno en el que no es deseable la existencia de
comunicación RF, o en el que la interferencia procedente
de otras fuentes hace que el VitalSim no funcione, se
recomienda utilizar una conexión de cable entre el
mando a distancia y la unidad base. Al utilizar la conexión
de cable directa se deshabilitan los circuitos RF en ambas
unidades. El cable está incluido en el paquete VitalSim.
29
Visión general
A. Botón de encendido/apagado e indicador.
Púlselo una vez para encender la unidad.
Púlselo de nuevo para apagar la unidad.
El indicador muestra una luz verde fija si la unidad base tiene
contacto con el control remoto. En caso de no existir contacto
con el control remoto, el indicador parpadeará en verde.
Si es necesario reemplazar las baterías, el indicador parpadeará
alternando entre verde y naranja.
B Entrada del suministro eléctrico CC: Se utiliza para la formación
en un emplazamiento fijo y para limitar el consumo de baterías.
C Conector del maniquí: Conecta la unidad base al maniquí.
D Entrada del micrófono: Para conectar un micrófono externo.
El micrófono inalámbrico se vende por separado.
E Puerto USB: Para la conexión a un PC. Se utiliza para
la transferencia de escenarios y sesiones.
F Conector remoto: Se utiliza para la conexión directa
con el mando a distancia. La comunicación RF está deshabilitada
cuando las unidades están conectadas por medio del cable.
G Conector de la presión sanguínea: Conecta el tubo desde
el manguito de la presión sanguínea.
H Batería: Aloja 6 pilas C-cell reemplazables.
A
H
G
F
E
D
C
B
I Pantalla LCD: Muestra información del estado y de funcionamiento.
J Botones de ejecución rápida: Teclas de función. La función de cada
botón está especificada en la pantalla sobre el botón.
K Teclas de navegación: Utilice las teclas para navegar y seleccionar
funciones en la pantalla.
L Tecla OK / Seleccionar: Utilice esta tecla para activar las funciones
seleccionadas.
M Tecla Cancelar / Atrás: Regresa desde los submenús sin realizar
cambios.
N Teclas numéricas:Utilice estas teclas para introducir datos numéricos
o para seleccionar parámetros numerados.
También se pueden utilizar como teclas alfanuméricas para introducir
nombres de archivo y evento.
O Menú/Inicial: Se accede al menú inicial.
P Escenario: Utilice este botón para iniciar un escenario.
Q Tecla Mayúsculas
R Tecla de encendido / apagado:
Púlselo una vez para encender la unidad.
Púlselo de nuevo para apagar la unidad.
30
I
J
L
O
P
Q
K
M
N
R
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