Simman Als User Guide

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SimMan ALS
User Guide

www.laerdal.com
Intended Use
SimMan ALS is a realistic interactive Training Simulator for simulating a wide range of
advanced life saving skills in pre-hospital emergencies. It is tetherless, Wifi operated,
with a flexible control solution (SimPad PLUS or Laerdal Learning Application (LLEAP))
depending on training needs. The simulator responds to clinical intervention, instructor
control, and pre-programmed scenarios for effective practice of diagnostic skills and
patient treatment.

With spontaneous breathing, airway control, voice, sounds, ECG and many other clinical
features, the SimMan ALS is the fully functional pre-hospital simulator.

Caution
The following techniques should not be performed on this simulator due to the inability to
properly sanitize the airway if they are performed:
• Mouth-to-mouth/Mouth-to-mask ventilation
• Insertion of simulated vomit for suctioning

For information on how to connect to SimPad PLUS or LLEAP refer to the Quick Set Up
Guide.

Read the enclosed Important Product Information booklet before use.

Refer to the Laerdal Global Warranty for terms and conditions. For more information
visit www.laerdal.com.

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Overview

Microphone Microphone

Pneumothorax Cricothyroidotomy

ShockLink Area Blood Pressure Arm

Chest Drain ShockLink Area

IV Port

Main Panel

I/O Tibia

Pulse

ECG connectors

Speakers

SonoSim RFID Tags

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Overview

IM pad

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BD

The SimMan ALS System Overview


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Airway and Breathing Features


• Position the head to simulate opening the airway (neck tilt, jaw thrust)
• Practice Bag Valve Mask (BVM) Ventilation
• Identify spontaneous breathing (visible chest rise)
• Identify unilateral chest rise
• Perform Endotracheal (ET) Tube intubation
• Visualize Right Main stem Intubation
• Use supraglottic devices like Laryngeal Mask Airway (LMA), King Laryngeal Tube (LT)
and Combitube
• Insert an Oropharyngeal Airway (OPA) and Nasopharyngeal Airway (NPA)
• Identify a tongue oedema
• Identify cyanosis (linked to SPO2)
• Nasal Cannulation
• Perform chest (bi-lateral) needle decompression
• Perform bi-lateral chest drainage
• Perform needle and surgical cricothyroidotomy
• Identify stomach distension
• Perform the Sellick Maneuver
• Auscultate the lungs (anterior/posterior)
• Break the teeth by wrong intubation techniques using a laryngoscope
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Cardiac Features
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• Perform manual chest compression following the latest ILCOR guidelines


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• Use an extensive ECG library


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• Perform defibrillation using ShockLink technology (sternum/apex)


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• Perform external pacing


• Auscultate the Korotkoff sounds

Circulation Features
• Auscultate the heart sounds (anterior)
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• Use the Patient Monitor with presentation of cardiac rhythms via 3-lead, 5-lead and
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12-lead ECG monitoring


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• View the SPO2 via Simulated Monitor


• View the Blood Pressure via Simulated Monitor
• Auscultate the blood pressure via the BP cuff
• Palpate the systolic blood pressure using the BP cuff
• View the heart rate via Simulated Monitor
• Palpate the left radial, carotid (bi-lateral) and femoral (bi-lateral) pulses

Vascular Features
• Use a pre-ported IV access in the right antecubical fossa
• Insert an IO in the left tibia
• Administer IM injections in the right musculus gluteus maximus
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English
SimMan ALS - Regulatory Information SimMan ALS - Regulatory Information

Patient Simulator Power - Battery Torso Skin


Federal Communications This Class B digital apparatus complies with:
Warnings Warnings Commission Statement (FCC)
• Only use the designated Laerdal approved • Ultrasound Live Scan (LS) tags must not
This device complies with Part 15 of the SimPad PLUS
battery in SimMan ALS. be used on anyone using a pacemaker, FCC Rules. Operation is subject to the
• Do not use the Laerdal Li-Ion Battery for implantable cardioverter defibrillator, FCC ID: QHQ-20430150
following two conditions:
other purposes than specified. or other electronic medical devices. IC: 20263-20430150
• Use only the AC charger adapter supplied Components of the technology may 1. This device may not cause harmful
with the product. interfere with such medical devices interference, and Link Box PLUS
• Do not use the battery in temperatures • Do not use ultrasound gel and avoid
2. This device must accept any FCC ID: QHQ-20430250
above what is specified in this Important exposing the LS Tags to any liquids.
interference received, including
Product Information. IC: 20263-20430250
interference that may cause undesired
• Do not heat or incinerate. Do not crush
operation.
the battery.
• Do not short circuit the battery contact. Caution
This equipment has been tested and found
• Do not immerse in water. Changes or modifications not expressly
to comply with the limits for a Class B
digital device, pursuant to part 15 of the approved by the party responsible for
Note FCC Rules. These limits are designed to compliance could void the user’s authority to
The Patient Simulator contains electronic provide reasonable protection against operate the equipment.
components. All components, including the harmful interference in a residential
battery must be recycled and disposed of installation. This equipment generates, uses EU
in compliance with applicable laws and and can radiate radio frequency energy The product is in compliance with
regulations. and, if not installed and used in accordance the essential requirements of
with the instructions, may cause harmful Council Directive 1999/5/EC on
For other battery related information, interference to radio communications. radio and telecommunications
consult User Guide. However, there is no guarantee that terminal equipment (R&TTE).
Patient Simulator - External Power interference will not occur in a particular The product is in compliance with
installation. If this equipment does cause Council Directive 2011/65/EU on
Warnings harmful interference to radio or television restriction of the use of certain
• Only connect the Patient Simulator to a
reception, which can be determined by hazardous substances (RoHS).
Laerdal approved external power supply turning the equipment off and on, the
dedicated to use on SimMan ALS. user is encouraged to try to correct
• Do not use the Patient Simulator close to
the interference by one or more of the
real patients when it is connected to the following measures:
external power supply. • Reorient or relocate the receiving

Air Tank antenna


• Increase the separation between the
Warnings
equipment and the receiver
• Do not disassemble or attempt to repair
• Connect the equipment into an outlet
the internal parts of the right thigh.
on a circuit different from that to which
• Do not puncture.
the receiver is connected
• Consult the dealer or an experienced
radio/TV technician for help.

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English
SimMan ALS - Regulatory Information SimMan ALS - Regulatory Information

Waste Handling SimMan ALS is operated on a Specifications


Lithium Ion (Li-Ion) battery. Li-Ion
The Patient Simulator contains electronic Size and Weight
batteries should be recycled or
components. Dispose of it at the applicable
disposed of in accordance with local Dimensions (Patient Simulator only) 1800 mm (l) x 550 mm
recycling facility in accordance with local
regulations. (b) chest (5.90 ft x 1.80 ft)
regulations.
Care, Maintenance and Cleaning Weight (Patient Simulator only) 33 kg (73 lbs)
European Directive • Keep the simulator clean and in a Weight (with clothes) 34 kg (75 lbs)
2012/19/EU (WEEE) hygienic condition.
• Clean all skin parts regularly. Patient Simulator Power
WEEE: this appliance is marked according
• Use warm soapy water or
to the European directive 2012/19/EU on External Power Input voltage 12VDC, 3,33A. 40W
Laerdal Manikin Wipes.
Waste Electrical and Electronic Equipment
(WEEE). Internal Battery (one) Each 7.2V, 4400mAh, 32Wh, Lithium-Ion
Symbol Glossary
By ensuring this product is disposed of Battery Time 2 hours
correctly, you will help prevent potential The simulator is CE marked
negative consequences for the environment Temperature Limits
in accordance with Council
and human health, which could otherwise Directive 1999/5/EC relating to Operating Temperature 0 ºC to 40 ºC (32 ºF to 104 ºF)
be caused by inappropriate waste handling Radio and Telecommunications
of this product. Terminal Equipment (R&TTE), Storage Temperature -15 ºC to 50 ºC (5 ºF to 122 ºF)
and Council Directive 2011/65/ Battery Charging 19 ºC to 25 ºC (66 ºF to 77 ºF)
The symbol on the product, or on the EU on Restriction on the use
documents accompanying the product, of certain hazardous substance Environment - Patient Simulator Only
indicates that this appliance may not be (RoHS).
treated as household waste. Instead it Relative Humidity 20% -90% (non-condensing)
shall be handed over to the applicable Manufacturer Do not use outdoors in wet conditions
collection point for the recycling of electrial
and electronic equipment. Disposal must Date of Manufacture Not tested with salt spray
be carried out in accordance with local Dispose of in accordance RF Communication
environmental regulations for waste with your country’s
disposal. For more detailed information recommendations. WLAN Frequency Ranges - 2.4 GHz WLAN, channels 1-11
about treatment, recovery and recycling - 5 GHz WLAN, channels 36, 40, 44 and 48
of this product, please contact your local Reference order number
city office, your household waste disposal WLAN Operation Range 100 m (300 ft) outdoors
service or the Laerdal representative where Warning/Caution
Pressure Data (Compressor)
you purchased the product. Li-Ion batteries should be
recycled or disposed of Working Pressure 1.5 bar
in accordance with local Working Temperature 0 ºC to 40 ºC (32 ºF to 104 ºF)
regulations.
Capacity of the vessel (V in l) 0.3 l

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Français
SimMan ALS - Regulatory Information SimMan ALS - Informations réglementaires

Avertissements et mises en garde Mises en garde


Material Chart for Patient Simulator Ne versez aucun liquide (hormis ceux
Un avertissement identifie les conditions, •
Clothes Cotton, Nylon les risques ou les mauvaises pratiques indiqués dans le mode d'emploi) dans
pouvant blesser gravement une personne ou sur le simulateur patient pour ne pas
Skins and airways PVC (DEHP free) ou provoquer sa mort. endommager le système et ses composants.
Une mise en garde identifie les conditions, • Ne mettez aucun matériau biologique ou
External hard plastics PP, PA, PC, PC/PET les risques ou les mauvaises pratiques autre matériau dans les voies respiratoires
pouvant blesser des personnes ou du simulateur. Elles ne sont pas conçues
Inner plastics Silicone, TPU, TPE, PVC, Nitrile PA, PA+GF,
endommager le mannequin. pour être nettoyées ou désinfectées.
PC, ABS, POM, HDPE, PET • N'introduisez pas d'air humidifié dans le
Metal components Aluminium, Brass, Steel système pendant la ventilation.
Notes • Ne réalisez jamais de ventilation par
Recommended Hardware Specifications Informations importantes relatives au bouche-à-bouche ni par bouche-à-nez
produit ou à son utilisation. sur le simulateur patient. Les voies
Intel i5 processor or newer respiratoires ne sont pas conçues pour
Clause de non-responsabilité être nettoyées ou désinfectées.
CPU Mark with Score over 3500 PassMark - CPU Mark L'utilisation du système de simulateur • N'utilisez pas le simulateur patient si la
4 GB RAM patient SimMan ALS à des fins de formation tubulure ou le câblage interne est débranché.
doit être supervisée par du personnel • Ne stockez pas et n'utilisez pas ce produit
120 GB hard disk space médical suffisamment formé, ayant dans des conditions de stockage et de
connaissance des principes pédagogiques fonctionnement différentes de celles
1366x768 or better et des protocoles médicaux reconnus. indiquées dans ce manuel.
Comme pour tous les simulateurs patient • N'utilisez pas de dispositif de compression
Headset w/microphone
et les dispositifs de formation similaires, thoracique automatique sur le simulateur patient.
USB ports – 2 des approximations, des variations et des • N'utilisez pas le simulateur patient dans
inexactitudes au niveau des caractéristiques les avions en cours de vol.
Minimum Software Requirements anatomiques et des modèles physiologiques • Ne stockez pas le simulateur avec du
sont possibles. Laerdal Medical ne saurait fluide dans le système de bras de perfusion.
Windows 7 Pro, 7 Ultimate, 8 Pro, 8.1 Pro, 10 Pro. donc garantir l'exactitude totale de toutes Utilisez une seringue pour enlever les restes
100% DPI les fonctionnalités. d'eau injectée dans les tubulures et les
composants avant le stockage.
Simulated Medications and IV Fluids Manipulation du simulateur en général
Pour optimiser les performances et la Défibrillation
Only use purified water for simulated medications and IV fluids. durée de vie des composants, suivez bien Avertissements
les instructions ci-dessous ainsi que les • Ne pratiquez pas de défibrillation sur les
autres informations utilisateur. connecteurs d'ECG ou d'autres pièces
conductrices.
Avertissements • Ne fixez les électrodes du défibrillateur du
• Ne fournissez aucune respiration artificielle dispositif médical et ne placez les palettes du
au simulateur patient en utilisant de l'air défibrillateur sur aucune pièce du simulateur.
enrichi en oxygène ou des gaz inflammables. • Ne pratiquez pas de défibrillation sur le
• Les valises de transport sont lourdes. simulateur patient dans un environnement
Vous risquez des douleurs musculaires si inflammable ou enrichi en oxygène. Cela
vous les soulevez seul. constitue un risque d'incendie.
Pour plus d'informations, consultez le livret
des informations importantes sur le produit
fourni avec ShockLink.
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