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laerdal SimMan Essential User Manual

laerdal SimMan Essential
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SimMan
Essential

Table of Contents

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laerdal SimMan Essential Specifications

General IconGeneral
CategoryMedical Equipment
Product NameSimMan Essential
TypePatient Simulator
ManufacturerLaerdal Medical
Wireless OperationYes
Airway ManagementYes
CPR FeedbackYes
ECGYes
SpO2Yes
Blood PressureYes
Breathing SoundsYes
Heart SoundsYes
Pulse PointsYes
IV ArmYes
CatheterizationYes
DefibrillationYes
PacingYes
Seizures SimulationYes
Wireless ControlYes
ConnectivityWi-Fi

Summary

Introduction to SimMan Essential

Disclaimer and Product Accuracy

States that the SimMan Essential system should be used under supervision and acknowledges potential inaccuracies in anatomical features and physiological modeling.

Global Warranty Information

Directs users to the Laerdal Global Warranty or www.laerdal.com for warranty information.

Patent Status

Informs that US and International patents are pending for the SimMan Essential.

Country of Origin Details

Specifies that SimMan Essential is made in Norway, with manufacturing details provided.

SimMan Essential Help and Resources

SimMan Essential Help Guide

Introduces the document and its purpose in providing comprehensive instructions and illustrations for SimMan Essential functionality.

Quick Setup Guide

Describes the included illustrated step-by-step poster for assembling the manikin and listing spare parts, consumables, and accessories.

Software Help Files Access

Explains that software help files are accessible via the SimMan Essential software help menus for instructors and system administrators.

Technical Assistance Contact

Advises users to contact the local Laerdal Technical Service Center for technical assistance.

Original Manufacturer's Manuals

Emphasizes following original manufacturer's manuals and clarifies the DFU does not replace them.

SimMan Essential System Overview

Clinical Simulation Capabilities

Describes the SimMan Essential as a patient simulation system for Basic and Advanced Life Support training, aiding skill assessment.

Key Features of SimMan Essential

Lists key features including configurable airway, interchangeable pupils, QCPR, vascular access, and automatic simulation control.

Main System Components

Details the adult manikin, instructor application, and PC software programs for scenario creation and debriefing.

WLAN Communication

Explains the use of WLAN for communication between the manikin and tablet PCs, with options for LAN connection.

Optional Components

Mentions optional components like the Patient Monitor PC, SpO2 probe, and web-camera for enhanced simulation and debriefing.

Important Information and Handling Guidelines

General Manikin Handling

Outlines general handling procedures, emphasizing operation by trained personnel and treating the manikin like a real patient.

Hygiene Best Practices

Provides guidelines for maintaining manikin hygiene, including hand washing, using gloves, and using specific airway lubricant.

Preventing Manikin Skin Stains

Warns against using colored gloves or staining materials that could discolor the manikin's skin.

Environmental Considerations

Advises allowing the manikin to reach room temperature before switching it on.

Transportation and Storage Safety

Stresses the importance of securing the manikin during transport due to its weight to prevent injury or damage.

Anti-Virus and Firewall Requirements

Clarifies that the system is not supplied with anti-virus programs and highlights the user's responsibility for security and updates.

File Security and Data Backup

States the customer's responsibility for file security and backup of simulation data according to local regulations.

Cautions and Warnings for Safe Operation

General Manikin Handling Precautions

Lists critical precautions for handling the manikin, including avoiding fluids, humidified air, and improper use during ventilation or in extreme conditions.

Defibrillation Hazards and Safety

Details safety precautions for defibrillation, emphasizing correct connectors and avoiding specific conditions to prevent shock hazards and damage.

Safety Precautions and Servicing Recommendations

Mechanical and Electrical Hazard Warnings

Warns about pinch hazards and sharp edges on the manikin, advising to avoid them to prevent personal injury.

Battery Use Information

Refers to the Manikin Setup section for detailed information on battery use and other battery-related procedures.

Manikin Servicing Guidelines

Recommends regular full servicing by qualified personnel and specifies conditions requiring immediate service, like liquid spills.

Transportation and Storage Procedures

Manikin Disassembly and Packing

Instructs on disassembling the manikin legs from the torso and packing them into respective cases for transport or storage.

Case Weight Considerations for Airlines

Notes that storage cases may exceed airline weight allowances and some parts might need separate transport.

SimMan Essential Overview Diagram

Manikin Component Identification

Illustrates and labels key components of the SimMan Essential manikin, including speakers, connectors, power panel, and fluid fill panel.

Power and Air/CO2 Panel Locations

Shows the location of the power panel and the air/CO2 panel on the manikin for easy reference.

Manikin Setup - Torso and Limbs

Procedures for Torso Access

Details procedures for opening the manikin torso, including unzipping, removing pads, and folding the skin.

Attaching or Replacing Limbs

Outlines procedures for attaching/detaching manikin legs and arms, and exchanging default arms for specialized ones.

Routine Maintenance Tasks

Lists common maintenance tasks such as changing batteries, replacing bladders, skins, IO modules, and general inspection.

Manikin Setup - Leg Attachment

Attaching the Left Leg

Provides step-by-step instructions and diagrams for attaching the left leg to the manikin torso.

Left Leg Connection Details

Details the cable and tube connections for the left leg to the pelvis, including color coding and connector descriptions.

Attaching the Right Leg

Offers step-by-step instructions and diagrams for attaching the right leg to the manikin torso.

Right Leg Connection Details

Details the cable and tube connections for the right leg to the pelvis, including color coding and connector descriptions.

Manikin Setup - Arm Attachment

Attaching the Left Arm

Provides step-by-step instructions and diagrams for attaching the left arm to the manikin torso.

Left Arm Connection Details

Details the cable connections for the left arm to the torso, including labels and connector descriptions.

Attaching the Right Arm

Offers step-by-step instructions and diagrams for attaching the right arm to the manikin torso.

Right Arm Connection Details

Details the cable connections for the right arm to the torso, including labels and connector descriptions.

Manikin Setup - Battery Installation

Inserting and Connecting Batteries

Provides step-by-step instructions with images for inserting and connecting the manikin batteries.

Battery Cable Descriptions

Lists the battery cable name/label, tube/cable color, and connector description for proper connection.

Manikin Setup - Power Panel and Charging

The Power Panel Overview

Describes the location and access to the manikin's power panel and its overview.

Power Panel LED Status Indicators

Explains the meaning of different LED colors for power status, battery status, and charging status.

Charging Batteries Inside the Manikin

Details the procedure for connecting the manikin to an external power supply to charge the internal batteries.

Manikin Setup - Battery Charging Procedures

Internal Battery Charging Process

Instructs on connecting the manikin to external power for battery charging, noting the manikin does not need to be switched on.

External Battery Charging Method

Explains how to charge batteries using an external battery charger, including plug selection and charging time.

Charger Light Status Indicators

Provides a table detailing the indicator light colors and characteristics for the external battery charger.

Manikin Setup - Battery Use and Maintenance

Battery Use Guidelines

Lists precautions for using, charging, transporting, and storing SimMan Essential batteries for optimal performance and safety.

Viewing Battery Status via Instructor App

Explains how to check battery status using the Instructor Application's technical status window.

Changing Batteries During Simulation

Details the procedure for replacing batteries during a simulation session, emphasizing replacing one at a time.

Battery Storage and Transport

Provides guidelines for storing and transporting batteries, including temperature recommendations and air freight compatibility.

Battery Maintenance Schedule

Outlines maintenance tasks like draining batteries every 30 charge cycles and specifies expected battery life.

Critical Battery Warnings

Lists critical warnings related to battery handling, charging, and potential hazards like explosion or damage.

System Setup - Initial Configuration

Preparing SimMan Essential for Simulation

Guides users through the initial setup of the SimMan Essential manikins and Instructor PC, including unpacking and connecting power.

Manikin Assembly Procedure

Refers to the Manikin Setup section for assembling the manikin torso and legs after unpacking.

Manikin Battery Connection

Instructs on connecting the manikin batteries and closing the torso skin for simulation readiness.

Manikin Power On Sequence

Details the sequence for switching on the manikin and the Instructor PC, including a waiting period for the manikin to start breathing.

Patient Monitor PC Setup Steps

Guides on starting the Patient Monitor PC, connecting the web-camera, and starting the Patient Monitor Application.

Instructor PC and Application Startup

Explains how to start the Instructor PC, connect the headset, and launch the Instructor Application software.

Simulation Startup Process

Describes selecting a patient case or scenario to begin the simulation and notes that power cables can be disconnected once batteries are charged.

System Setup - Software and Network Configuration

Activating Instructor Software License

Explains the process for activating the Instructor Application license, including internet and manual activation methods.

Wireless and LAN Configuration Tool

Introduces the SimMan3G Network Configuration Tool (SNCT) for managing network behavior and refers to its help file.

Configuring Network Modes

Details the two ways the manikin's router can be configured: Access Point mode or Station/Client mode.

Manikin Network (Access Point Mode)

Describes the default AP mode where the manikin creates a network named SimMan3G, with WPA2/PSK-AES security.

System Setup - Network Connectivity Options

Connecting to an Existing Network

Explains how to connect the manikin and Instructor PC to an existing network by changing the router switch to client mode.

Wired Operation (Disabling WLAN)

Describes how to disable WLAN using the SNCT for environments where wireless transmission is prohibited.

Removing or Changing the Router

Provides instructions on how to remove or change the router, including connecting Ethernet cables directly if the router is removed.

System Setup - Instructor PC Modes and Auto Mode

Disabling or Enabling WLAN

Advises contacting Laerdal representatives for instructions on turning off radio transmission in specific environments.

The Instructor PC Role

Explains that the Instructor PC uses the Instructor Application software, which supports Auto Mode and Instructor Mode for managing simulations.

Auto Mode Overview

Provides an overview of Auto Mode, directing users to help files for more information on software and system setup.

System Setup - Instructor Application Interface Elements

Simulation Control Panel and Session Log

Describes the simulation control panel for monitoring and modifying pathology, and the session log for recording events.

All Learner Events Menu

Explains the use of the 'All learner events' menu for registering events not listed under 'Common learner events'.

Performance Monitoring Window

Details the 'Performance' window for viewing learner ventilation and compression effectiveness, either as an average or in real-time.

Instructor's Patient Monitor

Describes the 'Instructor's Patient Monitor' window for displaying the patient's vital signs throughout the simulation.

Airway Status Display

Explains the 'Airway Status' window for real-time animation of the patient's airway and symptom list.

Neurology Status and Eye Animation

Describes the 'Neurology' status list for patient position on the Glasgow Coma Scale and Visual Analog Scale, including eye animation.

Circulation & Fluids Information

Explains the 'Circulation & Fluids' tab for controlling pulses and bleeding information.

Body Sounds Configuration

Details the 'Body Sounds' button for accessing sound settings for heart, bowel, and lungs.

Technical Status Monitoring

Describes the 'Technical Status' window for monitoring the manikin system's technical status, including battery life and connectivity.

System Setup - Instructor Mode Features

Common Learner Events Tracking

Lists learning objectives and required events for a scenario, allowing instructors to record learner actions in the Session Log.

Simulation Control and Session Log

Explains how Simulation Control manages pre-programmed aspects and how the Session Log records patient responses and learner events.

All Learner Events Menu

Describes the menu for registering all available learner events, with common events listed for easier access.

Performance Evaluation Window

Details the 'Performance' window for assessing learner effectiveness in ventilation and compressions during simulation.

System Setup - Instructor Mode Monitor and Views

Instructor Patient Monitor Controls

Explains how to monitor and directly adjust patient monitor waveforms and parameters in Instructor Mode.

Eye Settings and Configuration

Describes the 'Eyes' window for configuring the state of the patient's eyes, including animation and blinking frequency.

Airway and Breathing Configuration

Details the 'Airway/breathing' tab for configuring airway and breathing settings and status.

Circulation & Fluids Configuration

Explains how to use the 'Circulation & fluids' tab to control pulses and configure fluid settings.

Sounds Configuration

Describes the 'Sounds' tab for controlling body sounds and vocal sounds from the manikin.

Technical Status Monitoring

Explains the 'Technical Status' window for monitoring system technical details like battery life and connectivity.

3G View and Classic View Options

Presents two view options for simulation: 3G View for SimMan Essential scenarios and Classic View for older versions.

System Setup - Starting Auto Mode Simulation

Opening an Auto Mode Patient Case

Guides users through launching the Instructor Application, selecting a manikin, and opening a patient case from the library.

Simulation Start and Pause Control

Explains how to start or pause a simulation using the spacebar or the 'Start session'/'Pause session' button.

System Setup - Running and Monitoring Auto Mode Sessions

Monitoring and Adjusting Patient Parameters

Instructs instructors to monitor and adjust patient status using master controls, including severity sliders and restore buttons.

Patient Status Display Areas

Identifies areas displaying patient status: Simulation control graph, timer, Instructor's Patient monitor, and Airway status window.

Monitoring and Registering Learner Events

Guides instructors on registering learner events using 'Common Learner Events' or the 'Learner Events menu'.

Common Learner Events Window

Explains the 'Common Learner events' window for listing required events and registering learner performance with a check-mark.

Learner Events Menu Functionality

Describes the Learner Events Menu for registering events by clicking manikin body parts or using an event search function.

System Setup - Instructor Mode Scenario Operations

Opening an Instructor Mode Scenario

Details how to launch the Instructor Application and select a manikin to start a simulation in Instructor Mode.

Scenario Selection and Startup

Guides on browsing the scenario library, selecting a scenario, and starting or pausing the session.

System Setup - Managing Instructor Mode Scenarios

Monitoring and Controlling the Scenario

Instructs instructors to monitor patient status, simulation progress, and adjust trends using the Simulation control graph.

Adjusting Patient Parameters During Simulation

Explains how to manually adjust patient parameters via pop-up menus or using the scroll wheel on numeric parameters.

Monitoring and Registering Learner Events

Guides on registering learner events using 'Common Learner events' or the 'Learner Events menu'.

Interacting with Learners

Describes using the Voice Conference Application to communicate with learners and respond via microphone.

System Setup - Patient Monitor PC Operations

Ending a Simulation Session

Instructs on how to end a simulation session using the 'End session' button.

Saving Files and Using DebriefViewer

Guides on saving session logs for debriefing and starting the Debrief Viewer.

Starting the Patient Monitor Application

Details the steps to start the Patient Monitor Application, including selecting the manikin.

The Patient Monitor Interface

Shows an example of the Patient Monitor interface, displaying various vital signs and parameters.

System Setup - Patient Monitor Interface Controls

Top Menu Options

Explains the functions of the top menu, including display settings, alarm volume, and parameter readout area.

Bottom Menu 2 Functions

Describes the functions of the second set of bottom menu buttons, such as QRS Volume, Alarm Volume, Radiology, Media, and Labs.

Bottom Menu 1 Controls

Details the controls in the first bottom menu, including Silence Alarm, Pause Alarms, Start/Stop, Zero Press, Cardiac Output, Wedge, TOF, and Graph Trends.

System Setup - Managing Media Files

Transferring Media Files to Learners

Guides on how the instructor can make media files (radiology, video, lab reports) available to learners during a session.

Delayed vs. Instant Media Display

Explains the options for displaying media files immediately or after a selected time delay.

Ordering Radiology, Media, or Labs

Describes how learners can order radiology, media, or labs through the Patient Monitor Application.

System Setup - Voice Communication Features

Laerdal Voice Conference Application

Introduces the Voice Conference Application for two-way vocal communication, adding realism to simulations.

Accessing Voice Conference Application

Details ways to access the application, including from an open simulation or via the Windows Start menu.

Microphone and Speaker Controls

Explains the ON/OFF button, microphone button (SPEAK), and loudspeaker volume adjustment for voice communication.

System Setup - Debriefing and Session Review

Instructor Channels and Member Management

Describes how to add instructor channels for communication among instructors and add members to these channels.

The Laerdal Debrief Viewer

Introduces the Debrief Viewer tool for reviewing saved simulation sessions, including session logs, patient monitor video, and microphone inputs.

Accessing the Debrief Viewer

Outlines two methods to access the Debrief Viewer: from the Instructor Application after ending a session or from the Windows Start menu.

System Setup - Scenario Conversion and Help Resources

SimMan Scenarios to SimMan Essential Conversion

Explains the process for converting SimMan Scenarios from previous versions to be compatible with SimMan Essential.

Accessing Software Help Files

Guides users on how to access software help files via the Windows Start menu and the F1 key within applications.

Simulation Setup - Internal Compressor Management

Using the Internal Compressor

Explains that the manikin's movement and systems are driven by compressed air, with an internal compressor in the right leg.

Avoiding Overheating and Reducing Wear

Advises on cooling the manikin and avoiding covering it to prevent overheating and reduce wear.

Turning the Internal Compressor Off

Details how to switch off the internal compressor from the Instructor Application to conserve batteries and reduce wear.

Changing Default Compressor Settings

Explains that default compressor settings can be changed via the Profile Editor.

Simulation Setup - Air and CO2 Supply

Air/CO2 Panel Location

Indicates the location of the Air/CO2 panel on the manikin's left torso side and how to access it.

Connecting External Air and CO2 Supply

Provides instructions for connecting external compressed air and CO2 sources to the manikin for extended use or specific simulation needs.

Simulation Setup - IV Arm Functionality

The IV Arm

Introduces the IV Arm for SimMan Essential, stating the manikin must be switched ON for its use.

IV Arm with Skin Configuration

Illustrates the IV Arm with skin, highlighting the filling/priming port, priming switch, IV Arm Pad, and drain tube.

IV Arm without Skin Configuration

Illustrates the IV Arm without skin, showing the filling/priming port, priming switch, tourniquet area, IV Arm chassis, and drain tube.

The IV Arm Pad

Describes the IV Arm Pads' capability for multiple insertions and suggests optimal insertion points to maximize pad life.

Simulation Setup - IV Arm Filling Procedure

Filling and Priming the IV System

Provides detailed step-by-step instructions with diagrams for filling and priming the IV arm system with simulated blood.

Simulation Setup - IV Arm Pad Replacement and Refill

Removing and Replacing the IV Arm Pad

Guides on how to remove and replace the IV Arm Pad, ensuring it is pressed firmly into place.

Refilling the IV Arm with Blood

Instructs on refilling the IV arm with blood if veins do not respond, emphasizing slow filling to avoid leaks.

Simulation Setup - IV Arm System Cleaning

Cleaning the IV Arm System

Provides step-by-step instructions for cleaning the IV Arm system after each session and before storage using water and air.

Troubleshooting - IV Arm Issues

IV Arm Vein Energizing Problems

Lists solutions for when the IV arm veins do not energize, including checking connections, reservoir levels, and pressure.

IV Arm Injection Issues

Addresses problems with fluid visibility in the drain tube during injection and issues with injecting more than 16ml of fluid.

IV Arm Leakage Problems

Provides solutions for leaks between the IV Arm Pad and chassis, and issues with flashback during catheter insertion.

Simulation Setup - Tibial IO Module Replacement

Replacing and Filling Tibial IO Module

Guides on how to remove, replace, and fill the Tibial IO module with simulated blood.

Simulation Setup - Tibial IO Module Installation and Approved Devices

Tibial IO Module Installation

Continues instructions for installing the Tibial IO module, including filling with blood and securing the skin.

Approved Tibial IO Devices

Lists tested and approved devices for use with the Tibial IO module, such as the BIG Automatic Intraosseous Device and Jamshidi needles.

Simulation Setup - Genitalia Module Exchange

Changing Genitalia Modules

Explains how to change the default neutral genitalia pad for male or female pads to simulate urine flow and catheterization.

Genitalia Pad Replacement Procedure

Provides step-by-step instructions for removing the current genitalia pad and connecting the new module.

Simulation Setup - Right Leg Fill Panel and Fluid System

Essential Right Leg Fill Panel

Describes the location and function of the right leg fill panel for filling fluid reservoirs.

Filling the Manikin Fluid Reservoir

Details the procedure for filling the manikin's fluid reservoir using the fill panel and fluid fill unit.

Emptying the Internal Fluid Reservoir

Explains how to empty the manikin's internal fluid reservoir by connecting an empty fluid fill unit.

Running Manikin with External Fluid

Guides on filling the manikin with external fluid after draining the internal reservoir, and charging the system.

Cleaning the Fluid System

Provides instructions for cleaning the fluid system using an isopropanol solution to prevent clogging.

Simulation Setup - Defibrillation Connections and Safety

Connecting Defibrillation Adapter Plates

Instructs on fitting adapter plates onto the torso stud connectors for defibrillator cables before use.

Adding Defibrillation Adapter Plates

Details how to fit foam pads around the defibrillator studs for sessions involving live defibrillation.

Defibrillation Safety Precautions

Outlines critical safety precautions for defibrillation, including using correct connectors and avoiding specific conditions to prevent hazards.

Simulation Setup - Connecting Monitoring Devices

Connecting the Blood Pressure Cuff

Guides on connecting the specially adjusted blood pressure cuff to the manikin's white BP connector.

Calibrating the Blood Pressure Cuff

Explains how to calibrate the blood pressure cuff using the BP cuff calibration wizard accessed via the Tools menu.

Connecting the SpO2 Probe

Details how to connect the SpO2 probe to the Patient Monitor PC and place it on the manikin.

Simulation Setup - Facial Feature Customization

Changing the Upper Dentures

Provides instructions for replacing the default soft upper teeth with a hard set for enhanced realism during intubation practice.

Changing the Irises

Guides on changing the manikin's irises using a suction wand to simulate different clinical states, with instructions to stop blinking function first.

Clinical Features - Anatomical and Clothing Details

Main Anatomical Features

Lists the manikin's dimensions, weight, and notes the default male body with interchangeable genitalia pads.

Configurable Anatomical Features

Details configurable features like genitalia pads, teeth, and the mobility of various joints on the manikin.

SimMan Essential Clothing

Describes the manikin's custom-designed clothing, including shirts, trousers, and boxer shorts with zippers for easy removal.

Simulated Removal of Clothes

Explains how to simulate clothing removal by unzipping the full-length zippers found along the seams.

Clinical Features - Airway Management

Airway Features and Manipulation

Describes the anatomically correct airway and how learners can manipulate it, including techniques like head tilt and jaw thrust.

Airway Manipulation Methods

Lists suitable airway adjuncts and methods for securing the manikin's airway, such as Laryngeal mask airways and endotracheal tubes.

Incorrect Tube Placement Indicators

Identifies features that indicate incorrect tube placement, like right main stem intubation, stomach distention, and lack of chest sounds.

Configurable Airway Features

Explains how airway features can be configured to simulate various scenarios, including obstruction levels and edema.

Clinical Features - Airway and Breathing Configuration

Left Lung Resistance Settings

Details how to set left lung resistance to simulate obstruction, correlating 'Off' to resistance 0 and 'On' to resistance 3 in the scenario editor.

Stomach Distention Control

Explains how to activate or deactivate stomach distention and allow trapped air to exit.

Exhale CO2 Functionality

Describes how to enable or disable CO2 exhalation, noting the requirement for an external CO2 reservoir.

Tongue Fallback Simulation

Explains how to simulate tongue fallback, which occurs unless head tilt or jaw thrust is applied.

Instructor Mode Airway/Breathing Tab

Details the Airway/breathing tab for configuring patient breathing status and settings.

Clinical Features - Breathing Mechanics and Specifications

Breathing Features

Lists the manikin's breathing simulation capabilities, including chest rise, breath sounds, and CO2 exhalation.

Patient Monitor Breathing Features

Outlines optional breathing parameters displayable on the patient monitor, such as SpO2, awRR, and CO2 levels.

Lung Specifications

Provides specifications for the manikin's lungs, including max tidal volume and airway pressure limits.

Clinical Features - Thoracic Interventions

Pneumothorax Simulation

Explains how to simulate tension pneumothorax with needle decompression, noting bladder piercing limits and recommended needle gauge.

Chest Tube Insertion Simulation

Describes how to simulate chest tube insertion at specific intercostal spaces on the manikin.

User-Replaceable Thorax Items

Lists replaceable parts for the thorax, including lung bladders, pneumothorax bladders, and chest drain modules.

Clinical Features - Circulation and CPR

Cardiac Features

Details the manikin's cardiac features, including ECG library, heart sounds, ECG monitoring, pacing, and defibrillation capabilities.

Defibrillation Energy and Waveform

Explains that defibrillator energy level and waveform are registered, and sets energy levels for automatic conversion.

Circulation Features

Lists circulation features like BP measurement, synchronized pulses, and pulse palpation detection.

CPR Compliance and Performance

States CPR compliance with guidelines and describes how compressions generate palpable pulses, waveforms, and are monitored for depth and frequency.

Clinical Features - Circulation Monitoring Parameters

Patient Monitor Circulation Parameters

Lists circulation parameters displayed on the patient monitor, including ECG, heart rate, NBP, ABP, PAP, and C.O.

Patient Monitor Temperature Parameters

Lists temperature parameters (TPeri, Tblood) displayed on the patient monitor.

Circulation and Fluids Tab

Describes the Circulation & Fluids tab for controlling pulses and selecting settings like Normal, Weak, or Absent.

Clinical Features - Sound Simulation Settings

Sounds Settings and Configuration

Explains how to use the 'Sounds' tab to control body sounds and vocal sounds from the manikin.

Heart Sounds Selection

Lists options for heart sounds, including normal, murmurs, and pericarditis, selectable from a dropdown menu.

Lung Sounds Selection

Lists options for left and right lung sounds, such as normal, stridor, crackles, and pneumonia, selectable from dropdown menus.

Clinical Features - Advanced Sound Controls and Vocalizations

Bowel Sounds Selection

Lists options for bowel sounds, including normal, hyperactive, hypoactive, and various types of ileus or diarrhea.

More Body Sounds Control

Describes accessing advanced sound controls for fine-tuning sound settings and volumes for each speaker.

Auscultation Focus Function

Explains how to use 'Auscultation Focus' to temporarily disable mechanical noise for 30 seconds.

Vocal Sounds Management

Details how the manikin can vocalize sounds automatically or through instructor interaction via the loudspeaker.

Clinical Features - Eye Settings and Configuration

Eyelid Status Configuration

Explains how to set the eyelid status to Closed, Half open, Wide open, or combinations of open/closed eyes.

Blinking Frequency Settings

Describes how to configure the blinking frequency of the manikin's eyes, with options from Off to 1 both.

Clinical Features - Drug Administration and Vascular Access

Registering Drugs

Guides on manually registering administered drugs and concentrations via the Instructor Application's Register Drug dialog.

Manual Drug Registration Steps

Details the steps for selecting drug categories, finding drugs via quick search, and selecting administration routes.

Vascular Access Locations

Identifies vascular access points, including the left tibia for intraosseous access and the right buttock for intramuscular injections.

Intra-muscular (IM) Injection Pad

Mentions the IM injection pad located under the torso skin on the right buttock.

Maintenance - Post-Simulation Procedures

Maintenance After Each Simulation Session

Lists preventive measures required after each session to ensure the manikin's longevity.

IV-Arm System Flushing Procedure

Instructs to flush the IV arm system with 60% Isopropanol alcohol after each session where it was used.

Powering Off Manikin and PCs

Advises powering off the manikin and PCs and charging batteries if necessary.

Skin Wiping and General Clean-up

Guides on wiping the skin with a moist cloth to remove stains and cleaning glue residue from wound modules.

Replacement of Single Use Modules

Lists single-use modules like cricothyrotomy tape, chest drain pleura, and IO-modules that may need replacement.

Replacement of Multiple Use Modules

Lists multiple-use modules such as IV-catheters, bladders, skins, and the urine tank that may require replacement.

Preparation for Storage or Shipping

Instructs to flush the IV arm and clean the blood system before storage or shipping, and detach/pack the manikin's legs.

Maintenance - Software Installation and Updates

Installing and Upgrading Software

Explains that SimMan 3G software comes pre-installed and guides on downloading and installing updates from Laerdal.com.

Instructor PC and Patient Monitor PC Setup

Details prerequisites for PC setup, including powering on computers and ensuring no SimMan applications are running.

Manikin Update Procedure

Provides step-by-step instructions for updating the manikin's software via a wired network connection, emphasizing not switching off the manikin during the process.

Maintenance - Manikin Software Update and Neck Skin Replacement

Manikin Update Manager Report

Explains how the Update Manager Report displays the status of software updates for various manikin components.

Troubleshooting Software Updates

Offers solutions for common software update issues, such as component update failures or the 'Some problem occurred' message.

Replacing Crico Tape / Neck Skin

Guides on replacing the crico tape and neck skin after creating an emergency airway, ensuring a proper seal.

Maintenance - Replacing Thorax Components

Replacing Chest Drain Pleura

Instructs on replacing the chest drain module's pleura skin after each session of use.

Replacing Pneumothorax Bladders

Details how to replace pneumothorax bladders after multiple decompressions, including disconnecting tubes and inserting new bladders.

Replacing Chest Rise Bladder

Guides on replacing chest rise bladders located in the chest plate assembly, including disconnecting tubes and inserting new ones.

Maintenance - Replacing Lung Bladders

Chest Rise Bladder Tube Descriptions

Lists the tube color and connector description for the chest rise bladders (Pneum L/R, Chest L/R).

Replacing Lung Bladders

Provides step-by-step instructions for replacing lung bladders if leaking occurs, including opening the chest plate and ensuring correct band placement.

Maintenance - Replacing Manikin Skins

Replacing Manikin Skins

Explains when and how to replace manikin skins that are torn, perforated, or stained, including powdering for reduced friction.

Troubleshooting - Network and Voice Issues

System Setup Problems

Addresses issues with lost data or total system failure, advising to contact Laerdal Service Center.

WLAN Stability and Performance

Details common causes and solutions for lost WLAN connectivity, including interference and configuration checks.

WLAN Connection Issues

Provides troubleshooting steps for when the manikin works via LAN but not WLAN, including checking security keys and dongle settings.

Manikin Wireless Network Name

Advises on ensuring unique SSID names for multiple manikins and refers to the Wireless and LAN configuration section.

Voice Conference Application Sound Problems

Addresses issues with the instructor microphone not picking up sound, suggesting checks for headset connection, device selection, and mute status.

Troubleshooting - Communication and Manikin Functionality

Voice Conference Application Headset Issues

Offers solutions for instructor microphone issues, including unplugging/replugging the headset and checking sound device settings.

Debrief Viewer Video Capture Issues

Provides troubleshooting steps for missing video capture in the debrief viewer, checking web-camera connection and settings.

Manikin Malfunctions Troubleshooting

Advises checking for loose cables, tubes, or connectors, and contacting service for fluid leaks or unpredictable behavior.

Airway Contamination and Cleaning

Explains how to clean contaminated manikin airways and advises against mouth-to-mouth rescue breathing or disinfection.

Chest Movement Problems

Lists potential causes for no chest rise, including power status, sleep mode, valve settings, airway complications, and compressor issues.

Manikin Limbs Motion Issues

Addresses lack of motion in the legs, suggesting loosening and readjusting hip joint nuts.

Troubleshooting - Lungs, Noise, Batteries, and Pulses

Lung Functionality Problems

Provides solutions for lung malfunction, including checking airway resistance, cable restrictions, bladder connections, and for flaws.

Mechanical Noise During Auscultation

Suggests using the 'auscultation focus' feature in the Instructor Application to mitigate mechanical noise.

Battery Life Issues

Offers solutions for short battery life, including checking battery age and potential compressor malfunction.

Pulse Palpation Problems

Suggests readjusting skin and rebooting if pedal pulses cannot be felt.

Pneumothorax Bladder Functionality

Provides solutions for non-functioning pneumothorax bladders, primarily checking tubing connections.

Manikin Shutdown Procedure

Explains how to force shutdown the manikin by pressing and holding the ON/OFF button for 10 seconds.

Specifications and Regulatory Information

Main Specifications

Lists key physical and power specifications for the manikin, including dimensions, weight, and power requirements.

Minimum Software Requirements

Specifies the minimum software requirements for using the SimMan Essential, including operating systems and .NET framework.

Acceptable Fluids for Manikin Use

Lists acceptable cleaning fluids (Isopropanol alcohol) and simulated IV fluids (purified water) for the manikin.

Minimum Hardware Requirements for Tablet PCs

Lists minimum hardware specifications for tablet PCs used with the SimMan Essential system.

Regulatory Information Overview

Provides FCC statement regarding compliance with Part 15 of FCC Rules and cautions about modifications.

Federal Communications Commission Statement

Details the FCC compliance statement and cautions regarding interference and user authority.

Environmental and Disposal Compliance

European Directive 2012/19/EU (WEEE)

Explains WEEE marking and proper disposal procedures for the appliance to prevent negative environmental and health consequences.

Li-ion Battery Recycling

Advises that Li-ion batteries should be recycled according to local regulations.

Spare Parts and Accessories Catalog

Consumables List

Lists consumable items for the SimMan Essential, such as bladders, drain kits, and skin sets.

Transport & Storage Cases

Lists the soft cases designed for transporting and storing the manikin torso and legs.

PC and Equipment List

Lists required PC hardware and accessories, including Instructor PCs, Patient Monitors, and webcams.

Power Cords and Supplies

Lists various power cords, external battery chargers, and power supplies for the system.

Manikin Parts List

Lists individual manikin components that can be replaced, such as adapters, bushings, connectors, and batteries.

Modified Clinical Accessories

Lists accessories used for clinical procedures, like BP cuffs, defib adapters, and SpO2 probes.

Software and Tools

Lists software licenses and tools, such as the Instructor Application license and arm replacement tools.

Support Material List

Lists available support materials, including the Directions for Use manual and the Quick Setup Guide poster.

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