Service Manual Simman
Technical Manual SimMan Mk.2 211-19550 Revision 1. Functionality Description a. Technical Service Manual Function 2. Pre-press Description a. 4,0 MB - English. QSG, SimMan Ess. 4,1 MB - English. User Guide, SimMan Essential English. 62,7 MB - English.
. EN SimMan Essential User Guide www.laerdal. CONTENTS INTRODUCTION 4 MAINTENANCE SimMan Essential Patient Simulator 4 Daily Maintenance 26 CAUTIONS AND WARNINGS 5 General Simulator Handling 5 Antivirus and Firewalls 5 File Security and Backup of Data 5 FEATURES 6 26 Before Storage or Shipping 26 Regular Cleaning of Fluid System 26 Regular Cleaning of the IV Arm 27 Installing and Upgrading LLEAP 27 Removing/Changing Router 28 Opening the Torso 28 SimMan Essential. INTRODUCTION SimMan Essential Patient Simulator WLAN Communication Communication between the SimMan Essential 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 Clinical Simulation SimMan Essential is a 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 Essential Patient Simulator should be operated by trained personnel only. Treat the SimMan Essential Patient Simulator as you would treat a real patient. –– Wear gloves as required during simulation scenarios. –– After using the Fluid and Blood System, follow the cleaning instructions (see Maintenance). FEATURES SimMan Essential Overview Speakers ECG Connectors Defib Connectors Pulses DC Input 9-24V X, XA Power Panel Air Out Fluid Inlet Air / CO2 Inlet Activate Filling Air/CO2 Panel Fluid Fill Panel 6. 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 is an application from where LLEAP and other Laerdal programs related to patient simulation can be found and started. The help files can also be opened from here. 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 SimMan Essential can simulate spontaneous breathing: − Bilateral and unilateral chest rise and fall − There are 2 settings for airway resistance: on - off. FEATURES Circulation Patient Monitor features - Circulation Cardiac Features − Pulse − ECG (12-lead) and heart rate (HR) − 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: Drugs and drug concentrations can be registered manually by the instructor in LLEAP. –– Body sounds –– Vocal sounds The sounds can be triggered by the scenario or controlled by the instructor. Patient Monitor features – Drugs Body Sounds –– in N2O, et N2O Cautions and Warnings FEATURES –– Anesthesia agents The body sounds are simulated sounds from a human body, like heart, lungs, and bowel sounds. SETUP 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. 1 Release the battery clamp by unhooking the clips on either side. After connecting the batteries, connect the Patient Simulator to the external power supply (12V to 24V) while turned OFF. 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 Features 1 Connect the Patient Simulator to the external power supply with a power cord and plug that meets local specifications. SETUP Battery Use External battery charging The battery charger comes with 5 international plugs. Connect the appropriate plug to the charger: − Always use two SimMan Essential batteries to power the Patient Simulator. − Ensure that the batteries are properly connected. − Charge the batteries regularly. − Check LEDs on Patient Simulator’s power panel for battery status.
–– Charge both batteries before the battery charge drops below 15% or the battery light indicator is red. 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. Cautions and Warnings SETUP 1 In LLEAP, select the menu. SETUP Air/CO2 Panel The IV Arm 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.
Follow these instructions when using the IV Arm for SimMan Essential. Air / CO2 Inlet The Patient Simulator must be switched ON when performing the following. Removing and Replacing the IV Arm Pad 1 Ensure that the IV Arm is connected to the Patient Simulator and the Patient Simulator power is ON. 1 Ensure that the Tourniquet Area is not activated i.e.
Remove the tourniquet. 2 Ensure that the IV Arm Pad is fitted correctly.
2 Remove the IV Arm Pad by pulling at the tabs on edge of the IV pad. Features Filling and Priming the IV System Cautions and Warnings SETUP 3 Attach a collector bag to the drain tube of the IV Arm. SETUP Cleaning the System After each session and before storage, clean the IV Arm system: 1 Make sure the collector bag is connected to the drain tube. 2 Connect a syringe filled with Isopropanol 60%-70% to the IV Catheter. Press the prime switch, and flush the IV Arm system with Isopropanol. Release the prime switch when done. 3 Connect a syringe filled with air to the IV Catheter.
Press the prime switch, and flush the IV Arm system until only air exits the drain tube. Essential Right Leg Fill Panel The Right Leg fill panel is located at the top of the right leg near the pelvis. The fill panel contains connectors for filling the fluid reservoirs. Note: Make sure the Patient Simulator power is on. Cautions and Warnings SETUP Fill Simulator Fluid Reservoir 1 Roll the right leg skin down to expose the fill panel. Features 2 Connect fluid fill unit tubes to the fluid and air connectors in the Right Leg panel. 3 Push the fill button on the panel.
SETUP Connecting Defibrillation Adapter Plates During Defibrillation A conventional defibrillator may be used on SimMan Essential. 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 Essential 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 Essential is shipped with a neutral genitalia module as its default.
The module can be exchanged for a male or female genitalia module with urine catheter to simulate urine flow and catheterization. The SimMan Essential Patient Simulator comes with a set of soft upper teeth as default. The soft set may be replaced with a hard set of teeth. 1 Remove the teeth from the mouth. 2 Roll the leg band, to expose the Tibial IO unit. 3 Remove the IO tape.
Then remove the Tibial IO unit from the leg. 4 Remove the tube from the Tibial IO unit. 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. 8 Secure the Tibial IO pad in place by pressing the rear of the pad with thumbs until the nipple moves forward and locks the unit in place. 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 Essential Torso Case with foam inserts Features The SimMan Essential 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. MAINTENANCE Daily Maintenance Before Storage or Shipping The following preventive measures are required to ensure longevity of the SimMan Essential Patient Simulator.
IV Arm Flush the IV Arm system with Isopropanol 60%-70%, and then flush with air. See Regular Cleaning of IV Arm section. IV Arm Fluid System When the day’s sessions are done, flush the IV Arm with air to remove any fluid/liquid in the system. 1 Power on your simulator computers and ensure no simulator applications are running.
12 Leave the isopropanol fill bottle connected for approx. 30 seconds to let the internal reservoir drain completely.
2 Visit www.laerdal.com/downloads to download the latest version of LLEAP and/or Laerdal Patient Monitor installers. Execute the file after it has been downloaded. Follow the on-screen instructions to complete the installation. 13 Remove Urine Catheter and disconnect the fill bottle.
MAINTENANCE Removing/Changing Router Opening the Torso The router may be changed or removed. Turn off the Patient Simulator before doing so.
Open the Patient Simulator torso for the following procedures: Attaching or Replacing Limbs − Attaching or dismantling the Patient Simulator legs and arms. − Exchanging default arms for optional IV or trauma arms. Maintenance Tasks − Changing the Patient Simulator batteries. Attaching the Left Leg Attaching the Right Leg Note: Assemble the Patient Simulator on a large flat surface. Attach the Left Leg before the Right Leg.

Please take the same precautions as when attaching the Left Leg. 1 Align the Right Leg bolt and cables with the pelvis socket. Feed the leg bolt and cabling through the pelvis socket. 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 Attaching the Right Arm Open the torso as described in steps 1 - 4, Opening the Torso. Follow the procedures listed below in reverse to detach the arms. 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. 1 Align the arm axle with the shoulder socket. 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 Open the Torso Skin and remove the module from the chest. Cautions and Warnings MAINTENANCE Features 1 Remove the neck skin (velcro fasteners behind the neck). MAINTENANCE 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: 1 Open the Torso Skin to expose the Chest Plate. There is one bladder on each side of the Chest Plate assembly. 1 Open the Torso Skin to expose the chest plate.
Lift the Chest Plate to reveal the Pneumothorax Bladders located in slots in the side of the Chest Plate assembly. 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.
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2 Open the hinged Chest Plate upwards, to access the lungs. Setup 7 Reverse this process to insert a new lung. Cautions and Warnings Replacing Lung Bladders Features MAINTENANCE Note: Ensure that the compliance bands intersect between the two folds of the lung. MAINTENANCE Servicing the Patient Simulator A full service, including cleaning of the base board, should be performed at regular intervals.
Caution: All servicing must be performed by qualified service personnel. Always perform a service: − If liquids have been spilled in the Patient Simulator − After use in dusty environments. Caution: Do not use cables or connectors showing visible damage. 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). TROUBLESHOOTING Airway contamination Lungs Problem Problem –– Simulator airways have become contaminated from mouth-tomouth rescue breathing.
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–– Lungs not functioning properly. Solution –– Check that the airway resistance is not set to maximum in LLEAP.
Possible Solution –– Clean the outside of the Patient Simulator with Manikin Wipes. Clean the inside of the oral cavity with Manikin Wipes.
Change the Lung Bladders; see: Maintenance - Replacing Lung Bladders. Clinical Features - Pneumothorax Bladders Problem –– Experience problems with Pneumothorax Bladders. Solution –– Check tubing connection at base of the bladder, to ensure that tubing has not been disconnected. Cautions and Warnings TROUBLESHOOTING Simulator Shut down Features Problem –– The Patient Simulator is unresponsive. Solution Press and hold the button for 10 seconds to force the Patient Simulator to shut down. Spare Parts and Accessories Spare Parts Troubleshooting Maintenance Setup Features For latest version of Spare Parts and Accessories, visit www.laerdal.
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www.laerdal.com 20-07893 Rev A © 2014 Laerdal Medical AS. All rights reserved. Manufacturer: Laerdal Medical AS P.O. Box 377, Tanke Svilandsgt.
58 57 Troubleshooting Main Specifications Size, weight Dimensions (manikin only): 1800mm (l) x 550mm (b) chest (5.90 ft x 1.80 ft) Weight (patient manikin only): 38,5kg (85 lbs) Weight (with clothes) 40 Kg (88 lbs) Manikin power External power: Input voltage 24VDC, 6.25A Internal batteries (two): Each 14.8V, 4.6Ah, Lithium-Ion Only use the SimMan 3G external power supply and batteries. Air & CO 2 Pressure Internal air tank: Max 0.85 bar External air connection: Max 1.4 bar External CO 2 to manikin: Max 1.4 bar Temperature Limits Operating temperatures: +4 ºC to 40 ºC (39 ºF to 104 ºF) Storage temperatures.: -15 ºC to 50 ºC (5 ºF to 122 ºF). Clean the blood and fluid systems as indicated prior to long term storage. Environment - Manikin only Relative humidity: 20% -90% (non-condensing) DO NOT use outdoors in wet conditions. Not tested with salt spray. RF Communication WLAN frequency ranges: 2.4 GHz WLAN, channels 1-11.
5 GHz WLAN, channels 36, 40, 44 and 48. Operation range: 100 m (300 ft) outdoors. RFID frequency ranges: 13.56 MHz Operation range.