SimMan 3G Quick Reference Guide Rev A

The SimMan3G Quick Reference Guide is designed to aid with daily setup and maintenance. See Directions for Use and software help files for further reading. All separate user manuals and labeling from the original manufacturers should be followed. SimMan3G Direction for Use do not replace or supercede the original manufacturer’s user manuals or labeling. Assembling and configuring the simulator This Quick Reference Guide starts off from the point where the SimMan3G simulator has already been assembled and configured, as illustrated in the Directions For Use and Quick Setup Guide. See the Directions for Use for all information about maintenance. See the Software Help files on the Instructor PC for how to use the Instructor Application and the Patient Monitor Application.

Specifications / Cautions / Warnings Please read the Cautions and Warnings section in the Directions for Use prior to using the SimMan3G simulation system. For technical specifications please see the Directions for Use.

3

Introduction

Introduction

Bleeding ports RFID antennas Air / CO2 Inlet

Heart and BP Speakers Fluid Inlet

Blood Outlet

Lung Speakers

DC Input 9-24V X, XA

power panel

Blood Inlet

fluid panel

Bowel Speakers Back Speakers Defib Connectors ECG Connectors Pulses

4

Power ON Locating the Power Panel

Power ON

The simulator's power panel is located at the left side of the torso. Open the simulator’s clothes and remove the protective cover to expose the power panel.

DC Input 9-24V X, XA

LED Light Setup on Power Panel LED Color Power Status

Battery Status

Charge Status

Red

Power Save*

0% - 20%

Not charging**

Yellow

Start up

20% - 70%

Charging

Green Running 70% - 100%

Charge almost complete***

No light

No charge****

Off

Off

* Blinking light ** One or both batteries missing *** Not recommended to charge the batteries too long **** No power input, batteries are charged. Power Save is activated when ever simulator is paused.

5

Power ON Connecting External Power Supply 1 - Connect the SimMan3G simulator power supply to a suitable wall power connector. 2 - Connect the power supply cord to the simulator’s power connector (left side of torso)

Charging batteries For wireless operation of the simulator, the two internal batteries must be charged. Batteries are charged when the external power supply is connected to the simulator. If the simulator is charged from a low-voltage source, running and charging the simulator at the same time is not possible. Batteries can also be charged outside the simulator using the external battery charger.

6

Power ON 1. Power up the Simulator

Power ON

Press the ON/OFF switch once and wait for simulator to start breathing.

2. Start the Instructor PC 1 - Start Instructor PC 2 - Connect the USB headset 3 - Start the Instructor Application software 4 - Select the simulator to connect to

3. Start the Patient Monitor PC 1 - Start the Patient Monitor PC 2 - Connect the Web camera 3 - Start Patient Monitor Application 4 - Select which simulator to connect to

4. Start the Simulation (from the Instructor Application) 1 - Select to run the simulation in either Auto Mode or in Instructor Mode. 2 - Select the Patient Case or Scenario to run. 3 - Start the Voice Conference Application. 4 - Begin the simulation session by pressing the space bar. After the simulation has been completed, save the session and open the Debrief Viewer Application. 7

Power ON Changing the Batteries The simulator’s internal batteries can be changed while the simulation session is ongoing. 1 - Unzip and unhook the simulator’s torso skin. Fold the skin and the stomach foam carefully to the left side. 2 - Unhook the battery clamp by unhooking the clips on either side.

3 - Disconnect the battery cable connector and remove the battery. 4 - Reinsert a fully charged battery and connect to the simulator. 5 - Replace the second battery in the same manner.

6 -Snap the battery clamp back into place over the batteries.

8

Equipment Applying RFID tags to Syringes and Airway Devices

3 - If desired, apply a local drug label to the RFID tag for increase recognition. 4 - USE ONLY PURIFIED WATER IN THE SYRINGES (see directions for use)

Setup up for drug administration - US IV Catheter To administer drugs only, the SimMan 3G - US IV catheter comes with one inlet for drug administration. Extention tubing may be used, but ensure insertion point is within the range of the antenna. For US Catheter Drip solution, contact your local Laerdal Service Center.

OPIN ATR /ml g 1 m

9

Equipment

The simulator has RFID antennas for automatic recognition and registration of RFID tagged syringes and airway devices. The RFID locations are near the IV cathter on the right arm and near the mouth. n the right arm and one near the mouth. RFID tags must be applied correctly to syringes and devices. 1 - Apply a Velcro loop adhesive strip to the syringe or device. The tag must be within the range of either of the antennas for automatic registration. 2 - Find the appropriate RFID tag and apply it to the syringe or device.

Equipment Discharging IV Fluids The IV-arm is an open system. Fluid injected into the IV-arm is discharged from a port under the simulator’s right arm. A tube may be attached to the port to lead the fluid away from the simulator.

Calibrating the IV Arm Flowmeter If the IV arm's internal flowmeter is inaccurate, it must be recalibrated. 1 - Open the Instructor Application 2 - Select "Tools" on the top menu line 3 - Select "Maintenance" 4 - Select the Calibrate IV flow meter... option 5 - Follow the instructions from the Flowmeter calibration wizard

A confirmation message will appear if the calibration was successful.

10

Equipment Filling the Simulator’s Fluid Reservoirs The internal fluid reservoirs can hold approximately 400ml of simulated blood and 200ml of clear fluid.

2 - Fill the External Blood unit a 1/2 to 3/4 full with deionized water and mix in Laerdal simulated blood if required. To simulate froth from the simulator’s mouth, add a drop of white liquid soap for every liter or quart. 3 - Connect the tube to the Air/CO2 and Fluid panel on left side of the simulator. 4 - Close the tank and pump 15-20 times to build pressure.

SimMan 3G Fluid Fill Unit

5 - When the filling seems to slow down and stop, the simulator’s reservoir is full. Additional pumping may be necessary. 6 - Disconnect the tube and replace the protective panel. 7 - Close the tank drain valve under the simulator’s right leg.

11

Equipment

1 - Open the tank drain valve under the simulator’s right leg.

Equipment Connecting External Fluid Units When severe bleeding is required, the external tank may be refilled and reconnected to the simulator. Pump regularly during bleeding to refill the simulator's internal reservoir. The condensation valve must be left open.

Attaching and Connecting Bleeding Wounds Attach a wound to the simulator with dual-adhesive tape. Connect it to the nearest bleeding port on the simulator torso. Remove any glue residue with Laerdal Manikin Wipes.

12

Equipment Changing Genitalia Modules

1- Remove the simulator’s genitalia pad by gripping the pad at the top and pulling forward and down. Disconnect any tubes or cables (if changing between male and female). 2 - Connect the new genitalia module’s urine tube and the catheterization sensor cable from inside the simulators pelvis to the urine bladder module. 3 - Place the new genitalia module back into the simulator’s pelvis. 1

2

3

13

Equipment

The SimMan3G simulator is shipped with a neutral genitalia pad as default. This has no outlet for urine and cannot be catheterized. The pad can be exchanged for a male or female genitalia pad with urine catheter to simulate urine flow and catheterization. Use water based lubricant.

Equipment Connecting External Air and CO2 Sources An internal compressor is located in the right leg of the simulator. It is recommended to use an external source of compressed air whenever the simulator is stationary over extended periods of use. Connect a Laerdal double-lumen Air/ CO2 tube from an external Laerdal Compressor (not included) or regulator panel, to the Air/CO2 Inlet on the simulator. Connect CO2 only if the simulator is required to exhale CO2 with each ventilation. Exhaled CO2 can be detected with a real capnograhic device. The simulator will only exhale CO2 when a capnograph is registred as being connected to the system. Air / CO2 Inlet

Fluid Inlet

Blood Inlet

Blood Outlet

Switching off the simulator’s internal compressor When the external air compressor is connected to the simulator, the built-in compressor should be switched off. This preserves the service life of the built-in compressor. 1 - Open the Instructor Application on the Instructor PC. 2 - Select the Tools menu from the menu line. 3 - Select "Manikin setup". 4 - Tick "Turn off internal compressor". Untick to turn on internal compressor

14

Equipment Connecting the SpO2 Probe

Connecting the Blood-Pressure Cuff Connect the pressure tube from the SimMan 3G blood pressure cuff to the BP port at the simulator's left chest side.

15

Equipment

Connect the SimMan3G SpO2 probe USB-connector to the Patient Monitor PC. Attact the probe to a simulator finger to block the light. The Patient Monitor will then show oxygen saturation and pulse-rate data.

Equipment IO modules Do not insert any fluids. Used IO-modules must be replaced after each session. After extensive use, the simulator skins may be too perforated and should be replaced. Sternal IO module 1 - Open the torso skin to expose the chest plate 2 - Rotate the lock that holds the IO module in place, counter-clockwise. 3 - Lift the old IO module out. 4 - Insert the new module and rotate the lock clockwise to secure it in place. 5 - Replace torso skin. 1

2

3

Tibial IO module 1 - Unzip the skin on the left leg and roll up to expose the tibial IO module. 2 - Remove the tape securing the module in place, extract the it and discard. 3 - Insert a new module and secure in place with a length of tape. 4 - Zip the leg skin back into place. 1

2

IM module Located at the lower right back of the torso. Do not insert any fluids into the IM module. 16

3

4

Equipment Defib & ECG Connectors DO NOT SHOCK OVER ECG CONNECTORS! Using a defibrillator with connectors

Equipment

The simulator torso is fitted with two stud connectors for defibrillator cables. Foam pads may be fitted around the defibrillator studs during the session as illustrated below shown:

Adding defibrillation adapter plates The defibrillator connectors must be covered with defibrillation adapter plates before using paddles. Press the apdapter plates firmly into place.

17

After Use After each simulation session the simulator must be prepared for storage.

Before turning off the power Flushing the IV system After use, prepare a syringe with a 30% alcohol and 70% deionized water solution. Flush the fluid through the IV catheter. An RFID tag must be in range of the IV antenna. Cleaning the Blood and Fluid Systems 1 - Attach bleeding wounds to the simulator’s 4 bleeding ports. 2 - From the Instructor’s Application, Instructor Mode, start bleeding from all four ports until the blood reservoir is empty. See Software help files for instructions. 3 - Prepare the fill unit with a 30% alcohol and 70% deionized water solution and fill the simulator’s blood reservoir with the solution, as described on page 11. Start bleeding again through all four ports until the discharged fluid is clear. Continue until the fluid reservoir is empty. Use the same procedure to clean the clear fluids system. Ensure the 30% alcohol and 70% deionized water solution is flushed through all simulator’s fluid ports.

18

After Use System Shut Down 1. Click the End Session button in the lower left corner of the screen. 2. Save the Simulation session, for later debriefing. 3. Shut down the Instructor PC and Patient Monitor. 4. Turn off the Simulator, by pressing the ON/OFF button on the power panel.

Open Drain Valve / Condensation Valve

After Use

Open the tank drain valve under the simulator’s right leg, to drain out condensation from the compressor tank. Let the valve be open until next use of the simulator.

Cleaning the Simulator Skins Clean the simulator skins with a moist cloth. After wounds are removed, any tape residue can be cleaned with Laerdal Manikin Wipes

19

After Use Inspect and replace modules Based on the use of the simulator, replace modules that are spent or damaged. See Directions for Use how to replace these modules. Single-use modules: IO-modules (tibial and sternum) Cricothyrotomy: Crico-tape and neck-skin Chest drain module pleura Multiple-use modules - replace when neccessary: Fluid filter IV-catheter filter IV-catheter Pneumothorax bladders Chest rise bladders Lung bladders Simulator skins (body, legs, arms)

Before Storage or Shipping Fill the IV arm and fluid systems with 30% alcohol and 70% deionized water.

20

Trouble-shooting System Setup Lost data or total system failure (General System failure) Should system shutdown or all data is lost or corrupted, please download the SimMan 3G recovery file at: http://www.laerdal.com or visit the SUN user site: http://simulation.laerdal.com/

Simulator General Simulator issues Problem - Unpredictable behavior Solutioni - Simulator malfunctions may be caused by loose cables, tubes or connectors. Open the torso and check if any items appear to have become disconnected or are leaking. See DFU section: Opening the Torso, pg 22 - In case of fluid leakage, power off the simulator and contact Laerdal Technical Service.

RFID - Drug and device recognition

Solution - Administered IV drugs, not registered by IV antennae. Check that IV catheter is setup within range of RFID antennae. - Airway device not registered by mouth antennae. Reposition the RFID tag so it is in closer proximity to the mouth - Ensure that RFID function has not been switched OFF. - Both drugs and devices can also be registered manually via the Instructor Application. For instructions on correct RFID tagging, see DFU section RFID Setup and Use, pg 28

21

Troubleshooting

Problem RFID drugs or devices not registered.