AT Kelly Torso Directions for Use Rev A

Laerdal Medical Documentation – Check Revision Before Use

AT Kelly Torso

Directions for Use

Laerdal Medical Documentation – Check Revision Before Use

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Laerdal Medical Documentation – Check Revision Before Use

Table of Contents Laerdal Recommends

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Items Included

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Skills Taught

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Preparing the Manikin for Use

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Head

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Lungs

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Abdominal Thrust

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Instructions for Use

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Airway Management

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Manually Generated Carotid Pulse

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Tension Pneumothorax Decompression

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Central Vein Cannulation

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Care and Maintenance

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Warranty

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Replacement Parts

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The AT Kelly Torso is a lifelike manikin, which realistically simulates a male patient. It is specifically designed for training professionals in the practice of pre-hospital trauma skills. The manufacturing quality of this simulator should provide many sessions of training when reasonable care and maintenance are practiced.

Laerdal Recommends: Endotracheal tube - Size 7.5 ID to 8.5 ID Stylet to assist when intubating Straight or curved laryngoscope blade - Size 3 or 4 Tension pneumothorax decompression -16 or 18-gauge IV catheter

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Items Included: (1) AT Kelly Torso Trainer (1) Bladder Replacement Kit (1) Manikin Lubricant (1) Tank Top (1) Carry Case

Skills Taught: Airway Management Skills: • Oral Intubation • Nasal Intubation • Oropharyngeal airway insertion • Nasopharyngeal airway insertion • Digital Intubation • EOA/EGTA/PTL • Combitube® Insertion • Suctioning Circulatory Skills: • Subclavian Cannulation Other Skills: • Pneumothorax Decompression (Bilateral MidAxillary Sites and Bilateral Mid-Clavicular) • Chest Compressions • Abdominal Thrust • Stomach Auscultation to verify proper airway positioning

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Preparing Manikin for Use: Head: Head is connected to torso with a long bolt at base of neck, secured with a wing nut. To remove: 1. Unfasten chest skin at shoulders. 2. Pull it back to expose chest cavity. 3. Lift hard chest plate to locate lungs and esophagus. 4. Lift esophagus, trachea and lungs out of way. 5. Unscrew and remove the wing nut and washer at base of neck. 6. Head will now slip out of torso. To attach, reverse procedure. Lungs: Lungs may be removed from bronchial tubes by unscrewing them from connectors. To replace, reverse procedure. Abdominal Thrust: To remove abdominal thrust module, remove screws from each side of manikin. Module will slide out. To replace, reverse procedure.

Instructions for Use: Airway Management: • Spray inside of pharynx, both nostrils and all intubation tubes with a liberal amount of Manikin Lubricant or liquid soap. • Recommended endotracheal tube size is 7.5 ID to 8.5 ID. • The use of a stylet to assist when intubating is recommended. • Straight or curved laryngoscope blades, size 3 or 4 are recommended. Manually Generated Carotid Pulse: Locate red carotid pulse bulb on right side of manikin. Squeeze bulb to generate desired pulse rate.

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Tension Pneumothorax Decompression: 1. Locate black blood pressure bulb on right axillary side of the torso. 2. Tighten air release knob so that no air escapes as you pump bulb. 3. Pump bulb several times to prepare each of four (4) sites for decompression. 4. Insert either a 16 or 18 gauge IV catheter. Puncturing correct intercostal space will allow “hissing of air” as chest is decompressed. To repair external puncture sites: 1. Use a tongue depressor or small spatula to apply a thin layer of putty wax to puncture site. 2. Smooth out to desired appearance. To replace internal bladder bags: (A) Bilateral Mid-Clavicular Sites: • Remove chest skin from torso. • Lift chest plate exposing underside. • Remove screws that secure Velcro® strap. (Figure 1)

Fig. 1

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Remove foam pads. Disconnect bladder hose from inline hose connector, being sure hose does not fall through hole and into torso. Remove bladder from site cavity and slip hose out of cable tie.

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Laerdal Medical Documentation – Check Revision Before Use

•

• • • • •

Trim bladder tubing to match original tubing length to fit this manikin style. Insert new pneumothorax bladder into site cavity and reposition hose under cable tie. Reconnect hose to inline hose connector. Replace foam pads over pneumo bladders. Secure Velcro® strap to chest plate with screws removed previously. Return chest plate to proper position on torso. Replace chest skin over torso, being sure to secure skin at shoulders.

(B) Bilateral Mid-Axillary Sites:

• • • • •

• •

Remove chest skin from torso. Remove pneumo pad from side of torso. (Figure 2) Disconnect bladder hose from inline hose connector, being sure hose does not fall through hole and into torso. Remove bladder from pneumo pad and discard. Trim bladder tubing to match original tubing length to fit this manikin style. Connect new bladder hose to inline hose connector. Insert new pneumo bladder into pneumo pad. Replace chest skin over torso, being sure to secure skin at shoulders. Fig. 2

Central Vein Cannulation: Two central veins may be cannulated: internal jugular (central approach only) and subclavian. 1. Attach IV bag and tubing to central vein tube located on right side of manikin. (It is in same location as blood pressure bulb and carotid pulse bulb). 2. Fill IV bag with desired amount of fluid and infuse. 3. Aspirate line using a needle and large syringe until fluid is drawn. To remove, reverse procedure.

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Care and Maintenance: 1. Clean with mild soap and water; do not submerse manikin or parts in cleaning fluids or water. 2. Use only on clean surface. Avoid felt tipped markers, ink pens, acetone, iodine or other staining products and avoid placing the manikin on newsprint or inked lines of any kind. 3. To ensure longevity, each manikin should be cleaned after each training session and a general inspection should be conducted regularly. 4. Modules and all other parts should be drained and airdried thoroughly before storage and disinfected when needed. After use of injection pads (use water only), accumulated water should be squeezed out. Do not store wet foam pads in the skin. To prevent mildew or mold, pads can be soaked in a mild solution of disinfectant and water or bleach and water. Squeeze excess solution from pads, allow them to dry, then store or reinsert in manikin. 5. Articulating parts will benefit from a light application of talcum powder prior to training sessions. 6. Store properly between teaching sessions.

Warranty Laerdal Medical warrants to the purchaser that its products are free from defects in material and workmanship for a period of one (1) year from the date of purchase by the original user. During the designated one (1) year period, Laerdal Medical will, upon receipt of a product found to be defective due to materials or workmanship from the purchaser and notification in writing of the defect, at its option repair or replace any parts found to be defective or the entire product. Warranty period does not renew with replacement or repair of original product. Products found to be defective and notification of defects may also be sent to the authorized Laerdal Medical dealer from whom the product was purchased. All postage, shipping or handling charges shall be the sole responsibility of the purchaser. Laerdal Medical is responsible for the effects of safety, reliability and performance of its product(s) only if:

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– service, repair, readjustment or modification is carried out by Laerdal Medical or persons authorized by Laerdal Medical. – the electrical installation of the room where the product is used complies with pertinent equipment requirements. – the product is used in the proper manner in strict compliance with its Directions for Use. Laerdal Medical shall not be liable under this warranty for incidental or consequential damages, or in the event any unauthorized repairs or modifications have been made or attempted, or when the product, or any part thereof, has been damaged by accident, misuse or abuse. This warranty does not cover batteries, fuses, normal wear and tear, excessive use, staining, discoloration or other cosmetic irregularity which does not impede or degrade product performance. Some states in the USA do not allow the exclusion or limitation of incidental or consequential damages, so those limitations or exclusions may not apply to you. There are no other express or implied warranties, whether of merchantability, fitness or purpose, or otherwise, on the product, its parts and accessories.

Cautions and Warnings This product contains Natural Rubber latex which may cause allergic reactions when in contact with humans.

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Replacement Parts: Product Number: 1000492 1002996 1001869 1000871 1000116

Description: Intubation Head Chest Plate Pnuemo Assembly Pads, Pneumo - Left Abdominal Thrust Module Bulb Assembly with Connectors Pulse Simulator Assembly Manikin Lubricant Bladder Replacement Kit Tank Top Carry Case

9500-02-0014 1000068 1000262 1000658 9500-10-0012 CC-0020

Please contact Customer Service Representatives for more information on Replacement Parts in other skin tones.

(C) Copyright Medical Plastics Laboratory, Inc., Gatesville TX Document #1002751 rev A April 4, 2003

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Laerdal Medical Documentation – Check Revision Before Use Norway: LAERDAL MEDICAL AS P.O. Box 377, N-4002 Stavanger Tel. +47 51 51 17 00, Fax +47 51 52 35 57 E-mail: [email protected]

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New Zealand: LAERDAL NEW ZEALAND Ltd (GST Number 79-403-636) PO Box 302664, North Harbour, Auckland 1330 Tel. +61 3 9564 4066, Toll free 0800 523 732 Fax +61 3 9563 3368, Toll free 0800 528 852 E-mail: [email protected] Portugal: LAERDAL ESPANA, Sucursal em Portugal Rua da Bela Vista à Graca, no.31 A. Escritorio 9, 1170-054 Lisboa Tel. (+351)-21-816-6567, Fax (+351)-21-816-6568, Mob. (+351)-918765367 Spain: LAERDAL ESPANA, S.L. Manuel Tovar 19, 28034 Madrid Tel. (+34) 902-291110, Fax (+34) (91)-7291125 E-mail: [email protected] Sweden: LAERDAL MEDICAL AB Box 2064, Paviljongvägen 3-5, 132 02 Saltsjö-Boo Tel. +46 (0)8-55614610, Fax +46 (0)8-55614619 E-mail: [email protected] United Kingdom: LAERDAL MEDICAL LTD. Laerdal House, Goodmead Road, Orpington, Kent BR6 0HX Tel. +44 (0)1689 876634, Fax +44 (0)1689 873800 E-mail: [email protected] USA LAERDAL MEDICAL CORPORATION 167 Myers Corners Road, P.O. Box 1840 Wappingers Falls, New York 12590-8840 Tel. (800) 431-1055, +1 (845) 297-7770 Fax (800) 227-1143, +1 (845) 298-4545 E-mail: [email protected] LAERDAL TEXAS P.O. Box 38, 226 FM 116 South Gatesville, Texas 76528-0038 Tel. (800) 433-5539, (254) 865-7221 Telefax (254) 865-8011 E-mail: [email protected]

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