Other Available Simulators

LF01192U Anterior Auscultation Practice Board with Case and SmartScope™

LF01200U Deluxe Auscultation Training Station
LF01220U Adult & Infant Auscultation Training Set
LF03968U Deluxe Plus CRiSis™ Auscultation Manikin

Auscultation Trainer
and SmartScope ™
LF01142U & LF01172U
LF01220U
INSTRUCTION MANUAL

LF01200U

LF03968U

LF01992U

ONLINE: NascoHealthcare.com
EMAIL: [email protected]
PHONE: 1.800.431.4310
ADDRESS: 901 Janesville Ave.
Fort Atkinson, WI 53538
Copyright © 2017 HC190001INM47

HC190001INM47.indd 1-2 6/10/19 1:06 PM

 ANTERIOR/POSTERIOR LUNG SITES
First right
intercostal space

Tracheal Site
First left
Lower anterior intercostal space

Upper posterior
Lower posterior

Midaxillary Midaxillary

Lower Posterior Lung Sites

First Left & Right Upper Posterior
Tracheal Site Two Midaxillary Sites
Intercostal Sites Lung Sites
2 Lower Anterior Sites

1. Normal Lung Tracheal Bronchovesicular Normal Vesicular Normal Vesicular

2. Normal Vesicular Tracheal Bronchovesicular Normal Vesicular Normal Vesicular

3. Wheezes Wheeze Wheeze Wheeze Wheeze Lower Volume

4. Mono Wheeze Mono Wheeze Mono Wheeze Mono Wheeze Mono Wheeze Lower Volume

5. Fine Crackle Fine Crackle Fine Crackle Fine Crackle Fine Crackle

6. Coarse Crackle Coarse Crackle Coarse Crackle Coarse Crackle Coarse Crackle

7. Ronchi Ronchi Ronchi Ronchi Ronchi

8. Stridor Stridor Stridor Stridor Lower Volume Stridor Lower Volume

9. Cavernous Cavernous Cavernous Cavernous Cavernous

10. Bronchovesicular Tracheal Bronchovesicular Normal Vesicular Normal Vesicular

11. Bronchial Bronchial Bronchial Normal Vesicular Normal Vesicular

12. Pulmonary Edema Pulmonary Edema Pulmonary Edema Pulmonary Edema Pulmonary Edema

13. Infant Infant Infant Infant Infant

14. Friction Rub Tracheal Bronchovesicular Friction Rub Friction Rub

15. Egophony Egophony Egophony Egophony Egophony

16. Pectoriloquy Pectoriloquy Pectoriloquy Pectoriloquy Pectoriloquy

HC190001INM47.indd 3-4 6/10/19 1:06 PM

 ANTERIOR HEART SITES ABOUT THE SIMULATOR
The Life/form® Auscultation Trainer Simulator features 28 heart and lung conditions selected by the instructor by
wireless remote control. The simulator duplicates human conditions as closely as modern plastics and electronic
technology allows.
Second left
The remote control does not have to be pointed directly at the manikin or SmartScope™ to operate. One remote
intercostal space control will operate multiple sets of SmartScopes™ and manikins simultaneously. Great for group instruction. The
Second right
intercostal space (pulmonic) range of the remote control is up to 100 feet.
(aortic)
Third left LF01172U includes amplified speaker. LF01142U does not include amplified speaker.
intercostal space LIST OF COMPONENTS
(lower left (Erb’s point)
• Trainer Torso • Amplifier/Speaker System (LF01189U included
sternum) Fourth left • Remote Control in LF01172U only)
intercostal space • Colored Dots • Batteries
Apex
• SmartScope™ with Single- & Dual-Use Headpieces • Hard Carry Case
SET UP
Aortic Second
Pulmonic Second Left
Erb’s Point Fourth Left
Lower Left • Remove product from packaging.
Right Intercostal Third Left Intercostal Apex +
Space
Intercostal Space
Intercostal Space Space
Sternum • Install batteries first in the remote and then in the +
+
SmartScope™. (See Figure 1.) +
Normal, S2 Normal, S2 Accentu- Normal, S2
1. Normal
Accentuated ated Accentuated
Normal Normal Normal • Retain packaging for storage.
Ejection Sound, GENERAL INSTRUCTIONS FOR USE Figure 1
2. Aortic Loud Mid systolic Ejection sound, mild systolic murmur, early diastolic
Regurgitation & soft early blowing murmur Normal Normal 1. To begin using the Auscultation Trainer, press the red power button. This turns on the remote control and sends
diastolic murmur a signal to activate the SmartScope™ as well. After the unit is activated, the display will be in the “status” mode,
Moderate 4th sound, displaying the current menu settings for the heart and lung conditions.
3. Pulmonary harsh late peaking sys-
Stenosis
Normal tolic murmur, soft late Normal Normal Normal Normal 2. To select a new condition, press either the heart or lung button. This will put the display into the menu mode. The
pulmonic 2nd sound user can select a condition by either using the number buttons, or by viewing the conditions in sequence using the
Severe held expi- Constrictive Pericardi- Held expiration, tachy- scroll button.
4. Mitral ration, tachycar- tis/ knock. Inspiratory cardia: opening snap, 3. After the condition is selected, press the enter button to activate.
Normal Normal dia: opening snap augmentation indi- Normal mid diastolic &
Stenosis .03 seconds after cates a gallop of right presystolic murmurs,
loud 2nd sound ventricular origin loud 1st sound The remote control can be programmed to these The remote control can be programmed to these
Patient has mitral regurgitation & frequent heart conditions: lung conditions:
5. Holosystolic premature ventricular contractions. 01 Normal Heart 07 S3 Gallop 01 Normal lung 09 Cavernous
Normal Normal Normal Normal
Murmur Murmur is crescendo-decresendo with late
peaking. Soft S3 in mid diastole. 02 Aortic regurgitation 08 S4 Gallop 02 Vesicular 10 Bronchovesicular
Patient with hypertrophic cardimyopathy 03 Pulmonary stenosis 09 Systolic click 03 Wheezes 11 Bronchial
6. Midsystolic
Murmur
Normal Normal Normal Normal has a murmur that begins after S1 and ends 04 Mitral stenosis 10 ASD 04 Mono wheeze 12 Pulmonary edema
before S2
05 Holosystolic 11 PDA 05 Fine crackle 13 Infant
Patient has a readily heard third heart 06 Mid-systolic 12 VSD 06 Coarse crackle 14 Friction rub
7. S3 Gallop Normal Normal Normal Normal sound. S3 occurs later in diastole than the
opening snap. 07 Ronchi crackle 15 Egophony
Patient with left ventricular hypertrophy has 08 Stridor 16 Pectoriloquy
a fourth sound (S4) that is not heard on
8. S4 Gallop Normal Normal Normal Normal every cycle. The sound is presystolic about Figure 2
.1 second before S1. 4. To listen to the selected sounds, place the ear pieces in ears angled in a forward
9. Midsystolic Patient has mitral prolapse which produces a
position. Place the diaphragm of the SmartScope™ over one of the appropriate
Normal Normal Normal Normal sites on the manikin. (See diagram on pages 4 & 5.)
Click mid systolic click heard during inspiration.
Respiration: mid sys- Respiration: mid 5. As an alternative, an amplified speaker (LF01189U, included with LF01172U)
10. Atrial Septal tolic murmur, fixed split systolic murmur, can be used, allowing an entire classroom to hear at the same time. To connect
Normal Normal Normal Normal
Defect 2nd, soft 3rd, breath fixed split 2nd, mid
sounds with inspiration diastolic murmur the speaker, plug the speaker cord into the speaker jack on the top of the Smart-
11. Patent Ductus Scope™ box. (See Figure 2.) When a speaker is connected to the SmartScope™,
Normal Continuous murmur Normal Continuous murmur Normal Normal
Arteriosus the ear pieces will not work. Place the diaphragm of the SmartScope™ over the
12. Ventricular appropriate sites on the manikin. (See diagram on pages 4 & 5.)
Normal Normal Holosystolic murmur with late crescendo Normal Normal
Septal Defect 6. Colored dots are included with the torso to aid with teaching.
6 3

HC190001INM47.indd 5-6 6/10/19 1:06 PM

 CARE AND MAINTENANCE ANTERIOR HEART AND LUNG SITES
• Clean torso when needed using Nasco Cleaner (LF09919U). +
• Store in hard carry case in a temperature controlled environment, + + Tracheal Site
avoiding extreme hot or cold temperatures. +
• Replace batteries regularly for optimum working condition. First right First left
• It is recommended that batteries are removed when not in use. Figure 3 intercostal space intercostal space
• Avoid getting ink on torso simulator or practice boards. Ink will Second left
transfer indelible stains. Second right intercostal space
intercostal space (pulmonic)
TROUBLESHOOTING (aortic)
• When preparing to use your SmartScope™ and remote, use Third left
batteries that are fully charged and installed correctly. intercostal space
(See Figure 3.) The SmartScope™ is not equipped with a power Figure 4 (Erb’s point)
button; this may drain the useful life of your batteries.
Fourth left
• Due to frequency changes, Adult Auscultation Trainer SmartScopes™ with serial numbers 0 to 4999 are only (lower left intercostal space
compatible with remotes with serial numbers 0 to 4999. SmartScopes™ with serial numbers 5000 and up will sternum)
only work with remotes with serial numbers 5000 and up. The serial numbers are located on the back of the Apex
device and are handwritten in ink. (See Figure 4.)

COMMON CAUSES OF NO SOUNDS

• Incorrect SmartScope™ placement. Move the SmartScope™ slowly over the torso to locate sensors.
See diagrams on page 5 for placement of sensors. You may apply color-coded dots on the heart and lung sites to
assist with training. Lower anterior
• Ear tips facing the wrong way. Verify that the ear tips of the SmartScope™ are facing forward in your ear canal.
• Battery replacement. After installing new batteries, make sure to turn the remote off and back on. This allows
the remote and SmartScope™ to reset.
Note: SmartScope™ does not turn off.
• Battery saver mode. The remote will go into battery saver mode if left on the same setting for 8 minutes.
Sounds will not be heard if the remote is off.
• Using multiple remotes. One remote will operate all SmartScopes™ within 100 ft. simultaneously as long as
the serial numbers are compatible. Using multiple remotes can cause interference. (See Figure 5.)
• Interference. Wireless communication from another transmitter
using 433 MHz may cause sound selection issues or existing sounds
to stop or restart. Reset the remote by turning it off briefly, then on again
and select a different Heart or Lung sound.
• Connecting an external speaker. Insert the jack end of the speaker cord into the top of
the SmartScope™. (See Figure 2.)
• Using an external speaker. When using an amplifier/speaker, no sounds will be heard
through the SmartScope™ ear tips.
• Check volume. Make sure the volume on the amplifier/speaker is turned up.
Figure 5
AVAILABLE SUPPLIES
LF01144U Additional SmartScope™
LF01148U Replacement Remote Control
Midaxillary
LF09919U Nasco Cleaner
SB20146U Amplified Speaker

4
Actual product may vary slightly from photo. Nasco Healthcare reserves the right to change product
color, materials, supplies, or function as needed.
POSTERIOR LUNG SITES 5

HC190001INM47.indd 7-8 6/10/19 1:07 PM

 CARE AND MAINTENANCE ANTERIOR HEART AND LUNG SITES
• Clean torso when needed using Nasco Cleaner (LF09919U). +
• Store in hard carry case in a temperature controlled environment, + + Tracheal Site
avoiding extreme hot or cold temperatures. +
• Replace batteries regularly for optimum working condition. First right First left
• It is recommended that batteries are removed when not in use. Figure 3 intercostal space intercostal space
• Avoid getting ink on torso simulator or practice boards. Ink will Second left
transfer indelible stains. Second right intercostal space
intercostal space (pulmonic)
TROUBLESHOOTING (aortic)
• When preparing to use your SmartScope™ and remote, use Third left
batteries that are fully charged and installed correctly. intercostal space
(See Figure 3.) The SmartScope™ is not equipped with a power Figure 4 (Erb’s point)
button; this may drain the useful life of your batteries.
Fourth left
• Due to frequency changes, Adult Auscultation Trainer SmartScopes™ with serial numbers 0 to 4999 are only (lower left intercostal space
compatible with remotes with serial numbers 0 to 4999. SmartScopes™ with serial numbers 5000 and up will sternum)
only work with remotes with serial numbers 5000 and up. The serial numbers are located on the back of the Apex
device and are handwritten in ink. (See Figure 4.)

COMMON CAUSES OF NO SOUNDS

• Incorrect SmartScope™ placement. Move the SmartScope™ slowly over the torso to locate sensors.
See diagrams on page 5 for placement of sensors. You may apply color-coded dots on the heart and lung sites to
assist with training. Lower anterior
• Ear tips facing the wrong way. Verify that the ear tips of the SmartScope™ are facing forward in your ear canal.
• Battery replacement. After installing new batteries, make sure to turn the remote off and back on. This allows
the remote and SmartScope™ to reset.
Note: SmartScope™ does not turn off.
• Battery saver mode. The remote will go into battery saver mode if left on the same setting for 8 minutes.
Sounds will not be heard if the remote is off.
• Using multiple remotes. One remote will operate all SmartScopes™ within 100 ft. simultaneously as long as
the serial numbers are compatible. Using multiple remotes can cause interference. (See Figure 5.)
• Interference. Wireless communication from another transmitter
using 433 MHz may cause sound selection issues or existing sounds
to stop or restart. Reset the remote by turning it off briefly, then on again
and select a different Heart or Lung sound.
• Connecting an external speaker. Insert the jack end of the speaker cord into the top of
the SmartScope™. (See Figure 2.)
• Using an external speaker. When using an amplifier/speaker, no sounds will be heard
through the SmartScope™ ear tips.
• Check volume. Make sure the volume on the amplifier/speaker is turned up.
Figure 5
AVAILABLE SUPPLIES
LF01144U Additional SmartScope™
LF01148U Replacement Remote Control
Midaxillary
LF09919U Nasco Cleaner
SB20146U Amplified Speaker

4
Actual product may vary slightly from photo. Nasco Healthcare reserves the right to change product
color, materials, supplies, or function as needed.
POSTERIOR LUNG SITES 5

HC190001INM47.indd 7-8 6/10/19 1:07 PM

 ANTERIOR HEART SITES ABOUT THE SIMULATOR
The Life/form® Auscultation Trainer Simulator features 28 heart and lung conditions selected by the instructor by
wireless remote control. The simulator duplicates human conditions as closely as modern plastics and electronic
technology allows.
Second left
The remote control does not have to be pointed directly at the manikin or SmartScope™ to operate. One remote
intercostal space control will operate multiple sets of SmartScopes™ and manikins simultaneously. Great for group instruction. The
Second right
intercostal space (pulmonic) range of the remote control is up to 100 feet.
(aortic)
Third left LF01172U includes amplified speaker. LF01142U does not include amplified speaker.
intercostal space LIST OF COMPONENTS
(lower left (Erb’s point)
• Trainer Torso • Amplifier/Speaker System (LF01189U included
sternum) Fourth left • Remote Control in LF01172U only)
intercostal space • Colored Dots • Batteries
Apex
• SmartScope™ with Single- & Dual-Use Headpieces • Hard Carry Case
SET UP
Aortic Second
Pulmonic Second Left
Erb’s Point Fourth Left
Lower Left • Remove product from packaging.
Right Intercostal Third Left Intercostal Apex +
Space
Intercostal Space
Intercostal Space Space
Sternum • Install batteries first in the remote and then in the +
+
SmartScope™. (See Figure 1.) +
Normal, S2 Normal, S2 Accentu- Normal, S2
1. Normal
Accentuated ated Accentuated
Normal Normal Normal • Retain packaging for storage.
Ejection Sound, GENERAL INSTRUCTIONS FOR USE Figure 1
2. Aortic Loud Mid systolic Ejection sound, mild systolic murmur, early diastolic
Regurgitation & soft early blowing murmur Normal Normal 1. To begin using the Auscultation Trainer, press the red power button. This turns on the remote control and sends
diastolic murmur a signal to activate the SmartScope™ as well. After the unit is activated, the display will be in the “status” mode,
Moderate 4th sound, displaying the current menu settings for the heart and lung conditions.
3. Pulmonary harsh late peaking sys-
Stenosis
Normal tolic murmur, soft late Normal Normal Normal Normal 2. To select a new condition, press either the heart or lung button. This will put the display into the menu mode. The
pulmonic 2nd sound user can select a condition by either using the number buttons, or by viewing the conditions in sequence using the
Severe held expi- Constrictive Pericardi- Held expiration, tachy- scroll button.
4. Mitral ration, tachycar- tis/ knock. Inspiratory cardia: opening snap, 3. After the condition is selected, press the enter button to activate.
Normal Normal dia: opening snap augmentation indi- Normal mid diastolic &
Stenosis .03 seconds after cates a gallop of right presystolic murmurs,
loud 2nd sound ventricular origin loud 1st sound The remote control can be programmed to these The remote control can be programmed to these
Patient has mitral regurgitation & frequent heart conditions: lung conditions:
5. Holosystolic premature ventricular contractions. 01 Normal Heart 07 S3 Gallop 01 Normal lung 09 Cavernous
Normal Normal Normal Normal
Murmur Murmur is crescendo-decresendo with late
peaking. Soft S3 in mid diastole. 02 Aortic regurgitation 08 S4 Gallop 02 Vesicular 10 Bronchovesicular
Patient with hypertrophic cardimyopathy 03 Pulmonary stenosis 09 Systolic click 03 Wheezes 11 Bronchial
6. Midsystolic
Murmur
Normal Normal Normal Normal has a murmur that begins after S1 and ends 04 Mitral stenosis 10 ASD 04 Mono wheeze 12 Pulmonary edema
before S2
05 Holosystolic 11 PDA 05 Fine crackle 13 Infant
Patient has a readily heard third heart 06 Mid-systolic 12 VSD 06 Coarse crackle 14 Friction rub
7. S3 Gallop Normal Normal Normal Normal sound. S3 occurs later in diastole than the
opening snap. 07 Ronchi crackle 15 Egophony
Patient with left ventricular hypertrophy has 08 Stridor 16 Pectoriloquy
a fourth sound (S4) that is not heard on
8. S4 Gallop Normal Normal Normal Normal every cycle. The sound is presystolic about Figure 2
.1 second before S1. 4. To listen to the selected sounds, place the ear pieces in ears angled in a forward
9. Midsystolic Patient has mitral prolapse which produces a
position. Place the diaphragm of the SmartScope™ over one of the appropriate
Normal Normal Normal Normal sites on the manikin. (See diagram on pages 4 & 5.)
Click mid systolic click heard during inspiration.
Respiration: mid sys- Respiration: mid 5. As an alternative, an amplified speaker (LF01189U, included with LF01172U)
10. Atrial Septal tolic murmur, fixed split systolic murmur, can be used, allowing an entire classroom to hear at the same time. To connect
Normal Normal Normal Normal
Defect 2nd, soft 3rd, breath fixed split 2nd, mid
sounds with inspiration diastolic murmur the speaker, plug the speaker cord into the speaker jack on the top of the Smart-
11. Patent Ductus Scope™ box. (See Figure 2.) When a speaker is connected to the SmartScope™,
Normal Continuous murmur Normal Continuous murmur Normal Normal
Arteriosus the ear pieces will not work. Place the diaphragm of the SmartScope™ over the
12. Ventricular appropriate sites on the manikin. (See diagram on pages 4 & 5.)
Normal Normal Holosystolic murmur with late crescendo Normal Normal
Septal Defect 6. Colored dots are included with the torso to aid with teaching.
6 3

HC190001INM47.indd 5-6 6/10/19 1:06 PM

 ANTERIOR/POSTERIOR LUNG SITES
First right
intercostal space

Tracheal Site
First left
Lower anterior intercostal space

Upper posterior
Lower posterior

Midaxillary Midaxillary

Lower Posterior Lung Sites

First Left & Right Upper Posterior
Tracheal Site Two Midaxillary Sites
Intercostal Sites Lung Sites
2 Lower Anterior Sites

1. Normal Lung Tracheal Bronchovesicular Normal Vesicular Normal Vesicular

2. Normal Vesicular Tracheal Bronchovesicular Normal Vesicular Normal Vesicular

3. Wheezes Wheeze Wheeze Wheeze Wheeze Lower Volume

4. Mono Wheeze Mono Wheeze Mono Wheeze Mono Wheeze Mono Wheeze Lower Volume

5. Fine Crackle Fine Crackle Fine Crackle Fine Crackle Fine Crackle

6. Coarse Crackle Coarse Crackle Coarse Crackle Coarse Crackle Coarse Crackle

7. Ronchi Ronchi Ronchi Ronchi Ronchi

8. Stridor Stridor Stridor Stridor Lower Volume Stridor Lower Volume

9. Cavernous Cavernous Cavernous Cavernous Cavernous

10. Bronchovesicular Tracheal Bronchovesicular Normal Vesicular Normal Vesicular

11. Bronchial Bronchial Bronchial Normal Vesicular Normal Vesicular

12. Pulmonary Edema Pulmonary Edema Pulmonary Edema Pulmonary Edema Pulmonary Edema

13. Infant Infant Infant Infant Infant

14. Friction Rub Tracheal Bronchovesicular Friction Rub Friction Rub

15. Egophony Egophony Egophony Egophony Egophony

16. Pectoriloquy Pectoriloquy Pectoriloquy Pectoriloquy Pectoriloquy

HC190001INM47.indd 3-4 6/10/19 1:06 PM

 Other Available Simulators
LF01192U Anterior Auscultation Practice Board with Case and SmartScope™
LF01200U Deluxe Auscultation Training Station
LF01220U Adult & Infant Auscultation Training Set
LF03968U Deluxe Plus CRiSis™ Auscultation Manikin

Auscultation Trainer
and SmartScope ™
LF01142U & LF01172U
LF01220U
INSTRUCTION MANUAL

LF01200U

LF03968U

LF01992U

ONLINE: NascoHealthcare.com
EMAIL: [email protected]
PHONE: 1.800.431.4310
ADDRESS: 901 Janesville Ave.
Fort Atkinson, WI 53538
Copyright © 2017 HC190001INM47

HC190001INM47.indd 1-2 6/10/19 1:06 PM