EN SimMan 3G User Guide www.laerdal.
CONTENTS INTRODUCTION 4 –– Connecting the Blood Pressure Cuff 25 –– SimMan 3G Patient Simulator 4 –– Calibrating the Blood Pressure Cuff Using LLEAP 25 CAUTIONS AND WARNINGS 5 –– Connecting the SpO2 Probe 25 –– General Simulator Handling 5 –– Changing Genitalia Modules 26 –– Antivirus and Firewalls 5 –– Inserting Urine Catheter 26 –– File Security and Backup of Data 5 –– Changing the Upper Dentures 26 –– Bleeding Modules (Optional) 27
INTRODUCTION SimMan 3G Patient Simulator WLAN Communication Communication between the Patient Simulator and the PCs is based on WLAN communication. The Patient Simulator and PCs can also be connected to a LAN cable network, and WLAN disabled. For Advanced Clinical Simulation SimMan 3G is an advanced patient simulation system that facilitates training of Basic and Advanced Life Support.
General Simulator Handling Hygiene –– To maintain Patient Simulator skins, wash hands before use and place the Patient Simulator on a clean surface. The SimMan 3G Patient Simulator should be operated by trained personnel only. Treat the Patient Simulator as you would treat a real patient. –– Wear gloves as required during simulation scenarios. –– After using the fluid- and/or blood system, follow the cleaning instructions (see Maintenance Section).
FEATURES SimMan 3G Overview DC Input 9-24V X, XA Air / CO2 Inlet Power Panel Air Out Blood Inlet Fluid Inlet Air/CO2 Panel Activate Filling Fluid Fill Panel RFID Antennae Bleeding ports Speakers ECG Connectors Defib Connectors Pulses 6 Blood Outlet
Laerdal Simulation Software Main Anatomical Features To run a simulation, LLEAP (Laerdal Learning Application) must be started from Laerdal Simulation Home on the Instructor PC. Dimensions (Patient Simulator only): 1800mm (l) x 550mm (w) chest (5. 90 ft x 1.80 ft) Weight (Patient Simulator only): 38.5kg (85 lbs) Laerdal Simulation Home Laerdal Simulation Home is an application from where LLEAP and other Laerdal programs related to patient simulation can be found and started.
FEATURES Other Applications Use of a malleable stylet is recommended - make sure it does not extend beyond the ET tube. There are also other programs that are used in conjunction with the simulation sessions, for example License Manager for handling program licenses and Simulator Firmware & Network Fixer for updating the firmware of the simulators or troubleshooting network problems.
Pneumothorax Tension pneumothorax with needle decompression can be performed at bilateral mid clavicle line, 2nd intercostal space. The pneumothorax bladders may be pierced +/-10 times, the pressure inside the bladder will drop after repeated puncturing. The SimMan3G can simulate spontaneous breathing: Warning: Do not ventilate the Patient Simulator with oxygen enriched air or flammable gass. Caution: Do not ventilate Patient Simulator lungs using humidified air.
FEATURES Circulation Patient Monitor Features - Circulation − ECG (12-lead) and heart rate (HR) Cardiac Features − Pulse − Extensive ECG library, pulses from 0-220 − NBP − Heart sounds - for every anterior location − ABP − ECG rhythm monitoring (4-connector, 3-lead ECG) − PAP − 12-lead ECG display − C.O.
Sounds Drugs and IV Two types of sounds can be used in a scenario: –– Vocal Sounds Drugs used by the scenario and corresponding drug concentrations can be registered manually by the instructor in the Event window in LLEAP or automatically, if you use RFID tags. For further information, see LLEAP Help. The sounds can be triggered by the scenario or controlled by the instructor.
FEATURES SimMan 3G Clothing Included with the Patient Simulator: − Shirt, with side zippers − Trousers, with full-length side zippers − Boxer shorts underwear − Belt Note: For washing instructions see care labels. Simulated Removal of the Clothes To simulate cutting with scissors: unzip the zippers placed alongside the seams on both sides.
Inserting and Connecting the Batteries Open the torso as described in steps 1 - 4, Opening the Torso. To remove the batteries, follow the same procedure in reverse. Release the battery clamp by unhooking the clips on either side. Features 1 Cautions and Warnings SETUP After connecting the batteries, connect the Patient Simulator to the external power supply (12V to 24V) while turned OFF.
SETUP The Power Panel Charging the Batteries The power panel is found on the right side of the Patient Simulator, under a loose skin flap. Lift the skin flap and pull out the protective cover. Inside the Patient Simulator 1 Connect the Patient Simulator to the external power supply with a power cord and plug that meets local specifications. 2 Plug the power supply into a wall outlet and connect the power cable to the power inlet on the Patient Simulator’s power panel.
Battery Use External Battery Charging The battery charger comes with 5 international plugs. Connect the appropriate plug to the charger: − Always use two SimMan3G batteries to power the Patient Simulator − Ensure that the batteries are properly connected Cautions and Warnings SETUP − Charge the batteries regularly –– Change both batteries before the battery charge drops below 15% or the battery light indicator is red.
SETUP Battery Warnings Turning the Internal Compressor OFF Using LLEAP Warning: Do not run the Patient Simulator for more than 1 minute on a single battery. To switch OFF the internal compressor (to conserve the simulator batteries and reduce wear), do the following.: Warning: If both batteries are removed while the simulation is paused, the Patient Simulator will shut down and simulation data will be lost. 1 In LLEAP, select the menu.
Air/CO2 Panel Blood and Fluid System The Air/CO2 panel is located on the left side of the torso. To access the panel, lift up the simulator skin flap and remove the protective covering. Connect external Air / CO2. The Patient Simulator has two internal reservoirs, one for blood and one for fluids/secretions. Patient Simulator is also supplied with two fill units - one Blood Fill Unit for blood and one Fluid Fill Unit for fluids/ secretions.
SETUP Fill Internal Blood Reservoir Sim M an B l o o d F i ll U n Mixing of Blood and Fluid it Sim M an B l o o d F i ll U n it nit Sim M l o o d F i ll U n n an B l o o d F i ll U n it Sim M it an B l o o d F i ll U n i t Sim M B l o o d F i ll U n i t 1 Roll the right leg skin down to expose the fill panel. 2 Connect blood fill unit tubes to the blood and air connectors in the right leg panel. 3 Push the fill button on the panel.
1 Remove the neck skin. 4 Locate the restrictor valves in the left and right clavicle area. 3 Activate secretion in the Circulation and Fluids Tab, then tighten or loosen the actual valve as until desired flow rate is achieved. Troubleshooting Maintenance Setup 2 Replace the neck skin. Cautions and Warnings Adjusting Fluid Flow Features SETUP Spare Parts Note: Do not unscrew completely. Please note that only slight adjustment should be necessary.
SETUP Connecting Wounds Kit Simulate Severe Bleeding Using LLEAP SimMan3G comes with a wounds kit that includes 2 wounds and double-sided tape to attach wounds to the Patient Simulator skin. Connect wounds to the bleeding ports on the Patient Simulator torso to simulate a bleeding patient. 1 Select a wound from the wounds kit. 2 Connect the tube from the wound, to the nearest blood port.
The IV Catheters Identifying IV Catheter Sizes The IV modules come with colored IV caps for US and International IV modules. This simulates different catheter sizes. The right IV arm comes with a US catheter type as default. This can be replaced with an international catheter type (commonly used in Europe) with an extra flush port.
SETUP Administering IV Fluids Calibrating the IV Arm Flowmeter Using LLEAP To prevent clogging of the IV system, use only purified water to simulate IV drugs with SimMan 3G. To calibrate the flow meter in the IV arm: Acceptable Types of Purified Water: –– Distilled water OR 1 Click on the , menu in LLEAP, then select the option. 2 Follow the on screen instructions in the Flowmeter calibration wizard.
RFID Tag Setup Using RFID Tags The SimMan 3G RFID (Radio Frequency Identification) system, features two antennae locations: one in the mouth and another in the right arm. Whenever a RFID tagged device comes within range of the antenna, it is automatically registered by the system. For automatic drug recognition to function, ensure that all syringes or devices carry an RFID tag.
SETUP Connecting Defibrillation Adapter Plates During Defibrillation A conventional defibrillator may be used on SimMan 3G. During live defibrillation, the defibrillator and Patient Simulator may present a shock hazard. All standard safety precautions must be taken when using the defibrillator on the Patient Simulator. Adding Defibrillation Adapter Plates The Patient Simulator torso is fitted with two stud connectors for defibrillator cables.
Connecting the SpO2 Probe The Patient Simulator is delivered with a specially adjusted blood pressure cuff. Connect the tube to the white BP connector at the side of the Patient Simulator before use. The SimMan 3G SpO2 probe is made up of a light diode and light sensor. When the beam between the diode and sensor is broken, the Patient Monitor Application registers that the SpO2 probe is connected. 1 Connect the probe’s USB plug to the Patient Monitor PC.
SETUP Changing Genitalia Modules Changing the Upper Dentures The SimMan 3G is shipped with a neutral genitalia pad as its default. The pad can be exchanged for a male or female genitalia pad with urine catheter to simulate urine flow and catheterization. The SimMan3G Patient Simulator comes with a set of soft upper teeth as default. The soft set may be replaced with a hard set of teeth. Note: The Patient Simulator legs do not need to be removed before the genitalia pad can be replaced.
Introduction 1 Unzip the clothing zippers on the right side. Remove the shirt. 2 Unzip the zippers on the left side of the torso. Open the Torso Skin to one side. 3 Open the Stomach Foam to one side. 4 Lift the hinged chest plate to access the arm bolt. 5 Unscrew the left Arm Screw with the allen key and disconnect all Arm cables. Maintenance The SimMan 3G Bleeding Module kit includes trauma modules which can be fitted to SimMan 3G to simulate bleeding patient cases.
SETUP Attaching SimMan 3G Amputation or Shotgun Arm Replacing SimMan 3G Left Leg with Trauma Leg The Arm Adapter and Adapter Screw are designed to attach an Amputation or Gunshot Arm to the Patient Simulator. 1 Remove the SimMan 3G default leg. Open Torso Skin and stomach foam as shown in Maintenance. 2 Unscrew hip joint connector. Remove the leg cables and tubes from the connector. 3 Carefully remove the left leg with cables and tubes.
Attach the Tibial IO bag to the Tibial tube and close off the pinch clamp. 2 Roll the leg band, to expose the Tibial IO module. 3 Remove the IO tape. Then remove the Tibial IO unit from the leg. 4 Remove the tube from the Tibial IO module. 5 Remove the Tibial IO Pad from the Tibial IO chassis. 6 Before replacing the new Tibial IO, ensure that the nipple is retracted in the Tibial IO Pad. 7 Fit the new Tibial IO pad into the chassis.
SETUP 9 Fill the Tibial IO unit with 30 - 35ml of blood, ensure the Tibial Pad is completely full. 10 Connect the Tibial tube to the Tibial IO unit. 11 Replace the Tibial IO Pad and chassis, into the leg cavity. 12 Affix the tape to keep the module in place. Roll the leg skin up over the Tibial module. The Tibial IO is now ready for simulation.
Transporting SimMan 3G Torso Case with Foam Inserts Features The SimMan 3G Simulation System consists of two cases for easy transport and storage; one for the Patient Simulator legs and one for the torso. Cautions and Warnings SETUP Setup Leg Case with Foam Inserts Maintenance Each case has an extendable handle and may be stacked onto the integrated wheel frame for increased mobility. Note: The SimMan 3G System exceeds the weight allowance on most commercial airlines.
MAINTENANCE Daily Maintenance Before Storage or Shipping The following preventive measures are required to ensure longevity of the SimMan3G Patient Simulator. IV Arm Flush the IV Arm system with Isopropanol 60%-70%, and then flush with air. See Regular Cleaning of IV Arm. IV Arm Fluid and Blood System When the day’s sessions are done, flush the IV Arm with air to remove any fluid/liquid in the system.
10 From LLEAP, again check the boxes for Upper and Lower port (making sure Venous bleeding and maximum blood rates are still selected) 10 In LLEAP, again check the boxes for Sweat, Ears, Eyes, Nose, Mouth and Urine (polyuria). 11 Wait until isopropanol is emitted from all the fluid outlets. 11 Allow the blood system to flush until clear fluid runs out of all outlets. 12 When the system is flushed with isopropanol, press fill the button again to deactivate the filling of isopropanol to the reservoir.
MAINTENANCE Installing and Upgrading SimMan 3G Software Removing or Changing Router The router may be changed or removed. Turn off the Patient Simulator before doing so. SimMan 3G software comes pre-installed. When updating LLEAP, check if updates for Patient Monitor, SimDesigner and SessionViewer/SimView are also available. All available software must be updated at the same time. Install or update the software in the following order: 1 Update the Software on the instructor PC.
Opening the Torso Attaching the Left Leg Open the Patient Simulator torso for the following procedures: Note: Assemble the Patient Simulator on a large flat surface. Attach the left leg before the right leg. Attaching or Replacing Limbs Open the torso to access the hip joint connectors. To open the torso follow steps 1 – 4, Opening the Torso.
MAINTENANCE Attaching the Left Arm Left Leg to Pelvis – Cable and Tube Descriptions Name/Label Tube/Cable Color Connector Description Left Pedal Grey cable black with silver coloured connector Popliteal Grey cable black with silver coloured connector Open the torso as described in steps 1 - 4, Opening the Torso. Follow the procedures listed below in reverse to detach the arms. 1 Align the left arm axle with the shoulder socket.
Attaching the Right Arm Replacing IV Arm Catheter/Filter Open the torso as described in steps 1 - 4, Opening the Torso. Follow the procedures listed below in reverse to detach the arms. Replace the IV catheter module if it is damaged or if resistance is unrealistically high when injecting fluids. 1 1 Unzip and fold down the IV arm skin to expose the IV catheter module 2 Using the no. 4 Phillips screwdriver; remove the 4 screws and pull the IV module out of the arm.
MAINTENANCE Replacing Crico Tape/Neck Skin Replacing Chest Drain Pleura After creating an emergency airway through the cricothyroid membrane, replace the perforated membrane before starting a new simulation session. The chest drain module’s pleura skin should be replaced after each use. 1 Remove the neck skin (velcro fasteners behind the neck). 2 Remove the old strip of Crico tape. 3 Replace with a new Crico tape.
Replacing Pneumothorax Bladders Replacing Chest Rise Bladder After multiple pneumothorax decompressions, the bladders may need replacement: If the chest rise bladders leak or are damaged: Disconnect the tube and discard the old bladder. 4 Insert the new bladder into the slot. 5 Reconnect the tube to the new bladder. Disconnect the tube from the bladder. 3 Discard the used bladder. 4 Insert new bladder. 5 Reconnect the tube to the new bladder.
MAINTENANCE Replacing Lung Bladders If leaking occurs, the lung bladders (in the chest cavity) should be replaced. 1 Open the Torso Skin and put the Stomach Foam to the side. 2 Open the hinged chest plate upwards, to access the lungs. 7 3 Remove the chest compression spring for easier access to the lungs. Reverse this process to insert a new lung. Note: Ensure that the compliance bands intersect between the two folds of the lung.
Replacing Blood System Filter If reduced blood flow is experienced, the filter may be clogged and needs replacement. Never run the Patient Simulator without a filter. Blo od Cautions and Warnings MAINTENANCE R 2 Remove genitalia with the catheterization assembly for easy access. 3 Disconnect the filter from the right leg and pelvis blood tubes and remove it. 4 Connect a new filter by reversing the steps above. Setup Turn off the Patient Simulator.
TROUBLESHOOTING Troubleshooting Changing Patient Simulator Wireless Network Display Name System Setup If operating more than one Patient Simulator, ensure that each simulator has its own unique SSID name. For more information see Simulator Firmware & Network Fixer Help. Problem –– Lost data or total system failure (General System failure).
Blood System Simulator> dialog on LLEAP will indicate which Patient Simulator is pulse palpated. Problem –– No blood flow. Airway Contamination Solution Problem –– Make sure that the internal reservoir is filled with fluid. –– Simulator airways have become contaminated from mouth-tomouth rescue breathing Cautions and Warnings TROUBLESHOOTING Solution –– Too low flow. –– Clean the outside of the Patient Simulator with manikin wipes.
TROUBLESHOOTING Lungs Clinical Features - Pneumothorax Bladders Problem Problem –– Lungs not functioning properly. –– Experience problems with pneumothorax bladders. Possible Solution Solution –– Check that the airway resistance is not set to maximum in the Instructor Application. –– Check tubing connection at base of the bladder, to ensure that tubing has not been disconnected. –– Open the torso and chest plate.
Catalogue Numbers Transport and Storage Cases Case soft, torso Case soft, legs Carry Case, Rugged Patient Simulator Parts Consumables 212-00050 212-11350 212-13050 212-14050 212-16060 212-16050 380460 212-12950 212-12850 212-12250 212-12350 212-12450 212-12550 381107 212-14250 212-29650 212-21050 Neck Skin Kit (6) 212-24050 Torso Skin 212-24450 Torso Skin Sternal IO 212-13150 Skin right, arm 212-14150 Skin left, arm 212-15150 Skin right, leg, 3G bleed skin with 1 hole 212-26050 Skin left, leg 212-26250
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