SimMan 3G

Directions for Use

www.laerdal.com

Contents

Introduction 4 Simulation Setup 29

• SimMan 3G Help  4 • Using the Internal Compressor  29
• Regulatory Information  4 • Turning the Internal Compressor OFF  29
• SimMan 3G Patient Manikin  5 • Changing default Compressor Settings  29
• Air/CO2 and Fluid Panel  30
Important 6 • Blood and Fluid System  30
• Draining of Fluids and Blood reservoirs  32
• General Manikin Handling  6
• Cleaning the Fluid and Blood system  32
• Anti-virus and Firewalls  6
• Adjusting Fluid Flow 33
• File Security and Backup of Data  6
• Connecting Wounds Kit  33
• Removing Wounds  34
Cautions and Warnings 6 • Simulate Severe Bleeding  34
• General Manikin Handling  6 • The IV Catheters  34
• Defibrillation Hazards  6 • Administering IV Fluids 35
• Mechanical or Electrical Hazards  7 • Draining Excess IV fluid 36
• Battery Use  7 • Cleaning the IV Arm 36
• Servicing the Manikin  7 • Calibrating the IV Arm Flowmeter 36
• Connecting Defibrillation Adapter Plates  36
Manikin Setup 8 • Connecting the Blood Pressure Cuff  37
• Calibrating the Blood Pressure Cuff  37
• Transporting SimMan 3G  8
• Connecting the SpO2 Probe  37
• SimMan 3G Overview  9
• Changing Genitalia Modules  38
• Opening the Torso  10
• Inserting Urine Catheter  38
• Attaching the Left Leg  10
• Changing the Upper Dentures  38
• Attaching the Right Leg  11
• Replacing & FiIling Tibal IO Modules with Blood 39
• Attaching the Left Arm  11
• Attaching the Right Arm  12
• Attaching the Trauma Module or IV Arm  12 Clinical Features 41
• Inserting and Connecting the Batteries  12 • General  41
• The Power Panel  13 • SimMan 3G Clothing  42
• Charging the Batteries inside the Manikin  14 • Airway Features  43
• Charging Batteries with External Charger  14 • Breathing Features  44
• Battery Use  15 • Circulation  45
• Other Battery Warnings  15 • Bleeding  47
• Sounds  47
System Setup 16 • Eyes Settings and Configurations 48
• Drugs and IV  49
• RFID Tag Setup  16
• Using RFID Tags  16
• Preparing SimMan 3G for Simulation  17 Maintenance 49
• SimMan 3G PCs  17 • Maintenance after each Simulation Session  49
• Activating the Instructor Software license  17 • Installation and Upgrading SimMan 3G software  50
• Configuring Your Network  18 • Replacing IV Arm Catheter / Filter 51
• The Instructor PC  19 • Replacing Crico Tape / Neck Skin  52
• Auto Mode Overview  19 • Replacing Chest Drain Pleura  52
• Instructor Mode Overview  20 • Replacing Pneumothorax Bladders  53
• 3G View and Classic View  21 • Replacing Chest Rise Bladder  53
• Opening an Auto Mode Patient Case  22 • Replacing Lung Bladders  54
• Opening an Instructor Mode Scenario 23 • Replacing Manikin Skins  55
• The Patient Monitor PC  24 • Replacing Blood System Filter 55
• The Patient Monitor Interface  25
• Transferring Media Files  26 Troubleshooting  56
• The Laerdal Voice Conference Application  26
• Accessing the Voice Conferencing Application 27
• Accessing the Debrief Viewer 28 Main Specifications 58
• Help Files  28
Spare Parts and Accessories 59

3
 Introduction Introduction

Manikin Setup

SimMan 3G Help Regulatory Information SimMan 3G Patient Manikin Also included are PC software programs for creating and editing
Scenarios, as well as an application for debriefing simulation sessions
Federal Communications Commission Statement with video capture from a web-camera and the SimMan 3G Patient
Monitor PC.
Directions for Use This device complies with Part 15 of the FCC Rules. Operation is For Advanced Clinical Simulation
The Directions for Use includes comprehensive step-by-step subject to the following two conditions: SimMan 3G is an advanced patient simulation system that facilitates
WLAN Communication
instructions and illustrations for using SimMan 3G. training of Basic and Advanced Life Support. The system allows the
1 This device may not cause harmful interference, and instructor to effectively assess the learner’s individual and team skills Communication between the SimMan 3G manikin and the laptop PCs
Note: The illustrations may vary slightly from product. based on a realistic clinical situation. is based on WLAN communication. The manikin and PCs can also be

System Setup
2 This device must accept any interference received, including
connected to a LAN cable network, and WLAN disabled.
interference that may cause undesired operation.
SimMan 3G allows observation and recognition of most vital signs.
Original Manufacturer’s User Manuals Caution This is achieved through direct interaction with the manikin and Disclaimer
All separate user manuals and labeling from original manufacturers Changes or modifications not expressly approved by the party observation of the manikin’s status as viewed on the SimMan 3G Use of the SimMan 3G patient simulation system to train personnel
should be followed. The SimMan 3G Directions for Use does not responsible for compliance could void the user’s authority to operate Patient Monitor PC. should be undertaken under supervision of suitably trained medical
replace or supersede those from the original manufacturer. the equipment. personnel with an understanding of educational principles as well
as recognized medical protocols. As with all manikins or other
FCC-ID: QHQ-212-00001 The SimMan 3G simulation system features include: such training devices there may be approximations, variations and
Quick Setup Guide (212-19250) • An advanced configurable airway, comprised of adjustable lung inaccuracies in anatomical features and the physiological modeling.

Simulation Setup
compliance and resistance - allowing simulation of difficult airway This being the case, Laerdal does not guarantee that all features are
The Quick Setup Guide is an illustrated
The product is in compliance with the essential requirements management cases. completely accurate.
step-by-step guide for initial assembly and setup of the SimMan
3G system. The Quick Setup Guide also includes an overview of of Council Directive 1999/5/EC on radio and
telecommunications terminal equipment (R&TTE). • Eyes that respond to light and react according to the clinical Global Warranty
spare parts, consumables and accessories for SimMan 3G. state of the manikin.
The product is in compliance with Council Directive 2011/65/ See the Laerdal Global Warranty, or see www.laerdal.com
EU on restriction of the use of certain hazardous substances • RFID Technology for automatic recognition of drugs and airway
(RoHS). devices. Patents Pending
Software Help files
• Auto-measurement of volume and concentration for drugs and US and International patents pending.
The software Help files are accessible from the SimMan 3G software
IV fluids.
Help menus. Country of origin - SimMan 3G is made in Norway

Clinical Features
Dispose of in accordance with local requirements and • Bleeding and Wound Modules are fed from an internal blood
For first-time Instructors: regulations. reservoir. An external Blood Fill Unit may be connected for Printed in Norway
− Instructor application: Auto Mode extended bleeding cases.
• Simulated Secretions: Sweat, tears, froth, urine and ear fluids are Manufactured by Laerdal Medical AS
− Patient Monitor for learners
fed from an internal fluid reservoir. An external Fluid Fill Unit Tanke Svilandsgate 30
− Voice Conference application Li-ion batteries should be recycled. may be connected for extended use. P.O. Box 377
− Debrief Viewer
Li-ion 4002 Stavanger
• Convulsions simulate seizures or small hand movements. Norway
• Focus on Quality CPR (QCPR): measurement and feedback
Additional features for Advanced Instructors: according to the 2000 and 2010 Guidelines.
− Instructor application: Instructor Mode

Maintenance
• Vascular Access (intra-osseous) via the tibia and sternum.
− Scenario Editor
• Automatic Simulation Control based on pre-programmed and
− Handlers Editor validated Patient Cases.
− Trend Editor
The Main Components of the SimMan 3G System:
For System Administrators: SimMan 3G is an adult life-size wireless manikin, with internal battery
power, internal air compressor and fluid reservoirs. Interventions by
− Network configuration (WLAN setup)
learners are registered by the system in the session log, and used for
− Profile Editor later debriefing.

Troubleshooting
Patient Monitor PC can be configured to replicate most patient
Technical Assistance monitors. The web-camera records video and sound from the
For technical assistance, contact your local Laerdal Technical Service simulation for use during the debriefing session. The Patient Monitor
Center. PC also doubles as a display for other functions, such as 12-lead ECG,
X-ray images and lab results to view the patient’s case history.
Web Downloads The Instructor PC controls the simulation. The headset allows the
Visit www.laerdal.com to download the latest Directions for Use and instructor to simulate interactive voice communication between the
Software. patient and the learner.

The simulation can run autonomously using pre-defined Patient Cases.

The development of the patient’s condition is pre-programmed and

Spare Parts
automatically responds according to the learner interventions.

4 5
 Important
Cautions and Warnings
Cautions
and Warnings

Manikin Setup
It is important to follow the instructions below in order to maintain
optimum performance and longevity of the manikin components.
General Manikin Handling Warning: In hot conditions, intensive defibrillation may cause Battery Use
thermal shutdown of the manikin.
Warning: Do not ventilate the manikin with oxygen enriched air or For more information see section: Manikin Setup - Battery Use and Other
General Manikin Handling flammable gasses. Warning: The manikin torso must always be kept dry. Allow the
manikin to acclimate before defibrillating. Sudden changes in
Battery Warnings, for more information on battery use and battery
hazards, please see the battery manufacturer’s Directions for Use.
The SimMan 3G manikin should be operated by trained personnel − Do not introduce fluids into or onto the manikin (except as temperature (moving the manikin from a cold environment to a
only. Treat the SimMan 3G manikin as you would treat a real patient. directed in the SimMan 3G Directions for Use) as this may warm environment and vice versa) may result in condensation
Hygiene damage the manikin and its components. collecting on the base board and pose a shock hazard. Servicing the Manikin

System Setup
• To maintain manikin skins, wash hands before use and place the − Do not introduce humidified air into the system during Take care to avoid spillage when using the manikin fluid systems while A full service, including cleaning of the base board, should be
manikin on a clean surface. ventilation. the manikin is under defibrillation. performed at regular intervals.
• Wear gloves as required during simulation scenarios − Never perform mouth-to-mouth rescue breathing on the
manikin. The manikin’s airways are not designed for cleaning or To prevent torso skin electrode pitting, do not apply conductive gel or
conductive defibrillation pads intended for patient use. Caution: All servicing must be performed by qualified service
• After using the fluid and/or blood system, follow the instructions disinfection. personnel.
in Cleaning the Fluid and Blood System.
− Do not use the manikin if the internal tubing and cabling is Pressing down too hard on the Defibrillation connectors during
• After using the SimMan 3G Wound Kit, remove glue residue disconnected. defibrillation may also cause arcing and pitting. Always perform a service:
from the manikin skin with Laerdal Medical Wipes. − If liquids have been spilled in the manikin
− Never use the SimMan 3G manikin outdoors in wet conditions,

Simulation Setup
• Use only Laerdal Airway Lubricant in the manikin’s airway. Do SimMan 3G will automatically shut down whenever it detects a
as this may pose a shock hazard or damage the manikin. − After use in dusty environments.
not spray airway lubricant into the manikin. Lubricate tools only. significant increase in internal temperature. If automatic shutdown
− Never use the SimMan 3G manikin in temperatures exceeding occurs, allow the manikin to cool down before resuming the training Caution: Do not use cables or connectors showing visible damage.
Prevent Stains on Manikin Skins 40° C (104°F), as this may cause overheating and shutdown. session. Open the torso skin to speed up the cooling process.
Avoid using colored plastic gloves, as they may cause discoloration of − The manikin should never be stored in temperatures below
the manikin skin. Warning: Do not defibrillate the manikin when it is turned OFF or if
-15° C (5° F).
it is not functioning normally.
− The manikin will automatically shutdown if the battery
Do not use felt-tipped markers, ink pens, acetone, iodine or other Warning: Do not defibrillate the manikin if the torso skin is not in
temperature exceeds 60°C (140°F).
staining medications near the manikin. Take care not to place the place.
manikin on newsprint or colored paper. All staining may be permanent. − Using a defibrillator in temperatures over 35° C (95° F) may

Clinical Features
cause overheating and shutdown. Warning: Do not use automated chest compression machines on
Transportation and Storage the manikin
− Do not use the manikin on soft mattresses and/or under heavy
SimMan 3G is heavy; ensure that the manikin is properly secured blankets. This may cause overheating and reduce the lifetime of
during transportation to prevent personal injury or damage to the
product.
the compressor. Mechanical or Electrical Hazards
For storage - Flush the manikin’s fluid system with a solution of 60% Defibrillation Hazards Warning: Avoid pinch hazards - Do not remove protective bushings
Isopropanol alcohol or 70% ethanol to inhibit algae. Follow cleaning from the manikin’s joints or use the manikin without the external
procedure for fluid and blood system. SimMan 3G allows for defibrillation in accordance with 2000 and 2010 skins.
international guidelines for CPR.
Warning: Avoid all sharp edges on the manikin to prevent personal
Anti-virus and Firewalls injury.

Maintenance
A conventional defibrillator may be used on the SimMan 3G. During
The SimMan 3G manikin and PCs are not supplied with anti-virus live defibrillation, the defibrillator and manikin may present a shock
programs. Windows firewall is activated by default. It is the customer’s hazard. All standard safety precautions must be taken when using
a defibrillator on the manikin. For more information, consult your Do not use the SimMan 3G manikin if:
responsibility to protect the simulation system components from
defibrillator’s Directions for Use. − Limbs are not attached to the torso.
unauthorized access.
− Skins are torn or not properly fastened.
The manikin will revert to factory settings each time the power is Warning: Defibrillation must be performed on the defibrillator
connectors only. − Internal or external cables, tubes or connectors are damaged.
switched off.
The ECG connectors are designed exclusively for ECG monitoring − There is fluid leakage inside the manikin torso.
The customer should install all recommended Windows updates

Troubleshooting
and must not be used for defibrillation. Defibrillation on the ECG − There are unusual sounds indicating air leakage or mechanical
from Microsoft. General security measures should be taken before connectors will damage the internal electronics of the manikin and damage.
browsing the internet. may cause personal injury.
− There are signs of electrical malfunction, such as an unresponsive
It is recommended that the SimMan 3G PC’s are used only as manikin To prevent overheating during defibrillation do not exceed a manikin or unusual smell or smoke.
controllers. Downloading other software programs onto these defibrillation sequence of 3 shocks in 45 seconds followed by 1 minute
machines may introduced unexpected errors. of CPR. After 30 minutes, cease all shocking for at least 15 minutes
File Security and Backup of Data before starting a new sequence. Do not repeat this for more than a
4 hour period.
The customer is responsible for file security and backup routines for all
simulation session data. All use and storage of simulation session data Warning: The manikin must not come into contact with electrically
should be in accordance with local rules, regulations or laws, and is the conductive surfaces or objects during defibrillation.

Spare Parts
sole responsibility of the customer. Warning: Do not defibrillate the manikin in a flammable or oxygen
The following precautions should be taken when using this product, to enriched atmosphere.
avoid personal injury or damage to the product.
6 7
 Manikin Setup
Manikin Setup

Manikin Setup
Transporting SimMan 3G Torso Case with foam inserts
SimMan 3G Overview
The SimMan 3G Simulation System consists of two cases for easy
transport and storage; one for the manikin legs and one for the torso.

System Setup
Simulation Setup
Leg Case with foam inserts

DC Input 9-24V
Air / CO2
X, XA Inlet Blood
Outlet

Clinical Features
power panel

Each case has an extendable handle and may be stacked onto the Air/CO2 panel
integrated wheel frame for increased mobility.
Air Out Blood
Fluid Activate
Inlet
Inlet Filling

The SimMan 3G System exceeds the weight allowance on most

commercial airlines. Some parts may have to be transported
separately. For more information on weight restrictions contact the fluid fill panel
relevant airline.

Maintenance
Disassemble the legs from the torso and pack them into their
respective cases before transportation or storage.

For instructions on how to disassemble the legs, see: Manikin Setup -

Attaching the left and Attaching the right leg.
For more information on SimMan 3G accessories, see section:
Warning: The suitcases are heavy. Always ensure that they firmly Spare Parts, Consumables & Accessories.
secured during transportation and storage so as not to cause

Troubleshooting
personal injury or damage to the product. RFID Antennae
Please be aware that both cases appear identical. Each case contains
compartments for all accessories. Bleeding ports

Speakers

ECG Connectors

Defib Connectors

Pulses

Spare Parts
8 9
 Manikin Setup
Manikin Setup

Manikin Setup
Opening the Torso Attaching the Left Leg Left Leg to Pelvis – Cable and Tube Descriptions
Attaching the Left Arm
Name/Label Tube/Cable Color Connector Description
Open the manikin torso for the following procedures: Note: Assemble the manikin on a large flat surface. Attach the left Open the torso as described in steps 1 - 4, Opening the Torso.
Left Pedal Grey cable black with silver
leg before the right leg. Follow the procedures listed below in reverse to detach the arms.
coloured connector
Attaching or replacing limbs Open the torso to access the hip joint connectors. To open the torso Popliteal Grey cable black with silver 1 Align the left arm axle with the shoulder socket.
− Attaching or dismantling the manikin legs and arms. follow steps 1 – 4, Opening the Torso. coloured connector
− Exchanging default arms for optional IV or trauma arms.

System Setup
1 Align the left leg bolt and cables with the pelvis socket.
Maintenance tasks
− Changing the manikin batteries.
Attaching the Right Leg
− Replacing the pneumothorax bladders, chest-rise bladders, lung Please take the same precautions as when attaching the left leg.
bladders, IO modules and chest drain modules.
1 Align the right leg bolt and cables with the pelvis socket. Feed the
− Replacing the torso skin.
leg bolt and cabling through the pelvis socket.
− Performing a general inspection.
− Removing WLAN adapter.

Simulation Setup
2 Ensure that the shoulder screw is loose enough to allow the arm
To open the torso skin
axle to slide easily into place.
1 Unzip the zippers on the manikin’s left shoulder and torso.
3 Feed the cables from the arm axle through the shoulder socket.
2 Feed the leg bolt and cables through the socket and into the
torso. Do not pull the leg by the cables and/or tubes. 4 Carefully push the arm axle into the shoulder bracket, so that the
axle is flush with the inside of the bracket.
3 Carefully push the leg in towards the pelvis to form a snug fit.
5 Tighten the shoulder screw with the Allen wrench.
Hip joint connector with side slot for
inserting cables and tubes (shown right)

Clinical Features
2 Carefully push the leg in towards the pelvis to form a snug fit.
4 Position the connector rounded end 3 Secure the cables and tubes in the connector. Screw the connector
facing downward. Place the leg cables in place on the leg bolt.
2 Remove the genitalia pad and release the skin flap from the pelvis. and tubes into the side slot of the
connector.
5 Slide the connector downwards along
the tubes and cables and onto the leg bolt. Ensure that the nut
and bolt are aligned, and that all cables and tubes are secured
within the connector.
6 Screw the connector onto the leg bolt. Avoid twisting the tubes

Maintenance
and cables. Tighten the connector so that the leg is able to rotate
freely around the hip joint connector.
3 Fold the torso skin over to one side.
BP
ES
LS
PU
LA NV
4 Connect the corresponding tubes and cables as shown in the CO
LA
table below:

Right Leg to Pelvis – Cable and Tube Descriptions

Troubleshooting
Name/Label Tube/Cable Color Connector Description
6 Connect the arm cables to the corresponding connection points
Blood Right leg Transparent, Black twist and in the torso.
4 Open the stomach foam to one side, taking care not to tug on the red tube lock connector
connecting tubes and cables. Left Arm to Torso – Cable and Tube Descriptions
Right leg Black harness cable Black rectangular
connector, 4 lead Name/Label Tube/Cable Color Connector Description
Note: DO NOT disconnect the tubes and cables connecting the 7 Connect the corresponding leg tubes and cables as shown in the LA Pulses Grey cable Black rectangular
Fluid from leg Tube, blue White twist and
stomach foam to the manikin. following table: connector, 6 lead
lock connector
5 Replace the stomach foam and close the torso skin, perform steps Air from leg Colourless White twist and BP Grey cable Black rectangular
1- 4 in reverse. transparent tube lock connector connector, 2 lead

Spare Parts
LA Conv Black harness cable Black rectangular
connector, 8 lead

10 11
 Manikin Setup
Manikin Setup

Manikin Setup
Attaching the Right Arm Attaching the Trauma Module/IV Arm The Power Panel
Open the torso as described in steps 1 - 4, Opening the Torso. Please see the instructions supplied with the Arm adapter kit for The power panel is found on the right side of the manikin, under a
Follow the procedures listed below in reverse to detach the arms. information on attaching the Trauma Module or IV Arm. loose skin flap. Lift the skin flap and pull out the protective cover.

1 Align the arm axle with the shoulder socket.

Inserting and Connecting the Batteries
Open the torso as described in steps 1 - 4, Opening the Torso, follow

System Setup
the procedures listed below in reverse to remove the batteries.

1 Release the battery clamp by unhooking the clips on either side.

After connecting the batteries, connect the manikin to the external

power supply (12V to 24V) while the manikin is OFF.

Simulation Setup
The batteries will charge if the manikin is ON and connected to and To ensure easy access, use the zippered clothing provided with the
external power supply in the range of (20V - 24V) SimMan 3G manikin.
2 Feed the cables from the arm axle through the shoulder socket
3 Push the axle into the bracket until it is flush with the inside of Battery - Cable and Tube Descriptions
the bracket. 1
Name/Label Tube/Cable Color Connector Description
4 Tighten the shoulder screw with the Allen wrench. Battery 1 Black harness cable Black rectangular 2
connector, 6 lead
3
Battery 2 Black harness cable Black rectangular
2 Insert both batteries into the battery tray. connector, 6 lead 4

Clinical Features
DC Input 9-24V
X, XA

5
For more information on charging the batteries see section, Manikin
Setup, Battery Charging and Use. 6

Power panel overview

1 Power ON / OFF button
2 Power status indicator
3 Battery status indicator

Maintenance
4 Charging status indicator
5 LAN network cable connector
JA
W
AN
T AR

6 External power supply connector

RI M
LA

GH
CO

T
NV

3 Snap the battery clamp back into place over the batteries.
Power Panel LEDs Description
LED
Power Status Battery Status Charge Status
5 Connect the corresponding cables as shown below. Color

Troubleshooting
Red Power save* 0% - 20% Not charging**
Right Arm to Torso – Cable and Tube Descriptions Yellow Start up 20% - 70% Charging
Name/Label Tube/Cable Color Connector Description Green Running 70% - 100% Charge almost
complete***
Right Arm Black harness cable Black rectangular
connector, 4 lead No light Off Off No charge****
Jaw Ant Coax Round silver connector * Blinking light
** One or both batteries missing, overheated,
To LA Conv Black, insulation Black rectangular
damaged or otherwise not able to charge
connector, 8 lead
*** Not recommended to charge the batteries too long
**** No power input, batteries are charged.
Power Save is activated when ever manikin is paused.

Spare Parts
4 Connect the corresponding battery cables from the batteries to
the torso.

12 13
 Manikin Setup
Manikin Setup

Manikin Setup
Charging the Batteries with an External Charger Battery Use Other Battery Warnings
Charging batteries inside the manikin
− Always use two SimMan3G batteries to power the manikin. Warning: Do not run the manikin for more than 1 minute on a
inside the Manikin single battery.
1 Connect the manikin to the external power supply. − Ensure that the batteries are properly connected.
1 Connect the manikin to the external power supply with a power
cord and plug that meets local specifications. 2 The battery indicator on the power panel shows the charge status − Charge the batteries regularly.
of for the internal batteries. Warning: If both batteries are removed while the simulation is
− Check LEDs on manikin’s power panel for battery status. paused, the manikin will shut down and simulation data will be

System Setup
External battery charging • Change both batteries before the battery charge drops below lost.
The battery charger comes with 5 international plugs. Connect the 15% or the battery light indicator is red. This can be monitored
appropriate plug to the charger: in the technical status window on the Instructor PC.
Warning: Dispose of batteries in accordance with local regulations.
• The manikin will automatically shut down if: Battery temperature
rises above 60°C (140°F) or the remaining charge falls below
6 % on one of the two batteries. Warning: The external battery charger is for indoor use only.

2 Plug the power supply into a wall outlet and connect the power
cable to the power inlet on the manikin’s power panel. View Battery Status via Instructor Application Warning: The batteries should only be charged in temperatures
When the AC battery symbol in the <Technical status> window is ranging from 0 °C - 40°C (32 °F - 104 °F)

Simulation Setup
visible, the manikin is connected to an external power source.
Warning: Inserting and connecting batteries incorrectly, short
circuiting or exposure to fluids pose an explosion hazard.
POWER

Warning: Do not mistreat, disassemble or attempt to repair the

battery.
1 Connect the charger to a power outlet and connect the manikin
battery to the charger. When the manikin is battery powered, the battery life indicator
indicates the remaining battery life in minutes. Warning: Do not use the batteries if they are visibly damaged,

Clinical Features
malfunction or appear to leak electrolyte.
Changing batteries during a simulation session:
1 Press <Pause Session> on Instructor PC. Access the batteries
3 Press the ON button to power on the manikin. Warning: Take extreme care to avoid direct contact with electrolyte,
as described in Section: Manikin Setup Inserting and Connecting
hot or smoking parts. In case of the above, disconnect and remove
Batteries.
the battery when it is judged safe to do so.
2 Replace one battery at a time to avoid loss of simulation data.

Storage and transportation

− Never store fully charged batteries for longer than a month.

Maintenance
− Never store the batteries inside the manikin.
− Store batteries in a refrigerator i.e. temperature 0°C - 4°C
2 The indicator light on the battery charger shows charge status. (32°F - 40°F).
3 Battery charging time is approximately 3 hours. − The two manikin batteries can be transported in the manikin
The external battery charger should only be used with SimMan 3G during air freight.
Note: During start-up, the manikin’s eyes will blink and the power batteries. − When transporting spare batteries please contact the airline or
status indicator light will be yellow. freight company for the latest transport regulations.
Charger light showing battery sign

Troubleshooting
Caution: After manikin is turned off, wait 20 seconds before Light Code Light Color Characteristic Battery maintenance
restarting. If not, manikin may not function properly. Standby Yellow Steady − On approximately every 30th charge cycle, drain the battery
Pre-charge Yellow Normal Blink completely before recharging. To drain the batteries run the
manikin on both batteries until automatic shutdown.
Rapid charge Green Rapid
− Expected battery life: 200 charge cycles.
Maintain Green Normal Blink
Ready Green Steady − Only replace with Laerdal SimMan3G batteries.
Wait Alternating Alternating
Error Yellow Rapid

Spare Parts
14 15
 System Setup
System Setup

Manikin Setup
RFID Tag Setup Using RFID Tags Preparing for Simulation 8 Start the Instructor Application software. The application will
search for all available manikins. See: Launching Instructor Application.
The SimMan 3G RFID (Radio Frequency Identification) system, See the Instructor Mode help file for more information on how drugs Unpack the laptop PCs and connect them to their respective power 9 Select a patient case in Auto Mode or pre-programmed scenario
features two antennae locations. One in the mouth and another in and drug concentrations can be registered manually by the instructor. supplies to charge the batteries. via Instructor Mode to start the simulation.
the right arm. Whenever a RFID tagged device comes within range of
the antenna, it is automatically registered by the system. For automatic RFID tag use for Airway Devices Instructor PC with Headset 10 The simulation system is now ready for use. Power cables may be
drug recognition to function, ensure that all syringes or devices carry disconnected when batteries are charged.
For reliable RFID recognition in the mouth region, ensure that the
an RFID tag. RFID tagged device is brought within range of the antenna. The range

System Setup
of the mouth antenna is approximately 10cm. Note: Also refer to the Quick Setup Guide for detailed instructions
RFID tagging Syringes / Airway devices on initial system setup.
The RFID tags come as part of the SimMan 3G Drug and Airway IV Setup for RFID recognition
Tag Kit. Tags are pre-printed with information to identify drugs, drug You and use your own equipment to set IV extension tubing. Keep in
concentration or device names. mind that the point of insertion but be within range of the antenna
located around the IV port. If the point of insertion is out of range,
drugs will not be registered. SimMan 3G PCs
See the correct and incorrect IV setup for SimMan 3G, US catheter The SimMan3G simulation system includes one Instructor PC with
Patient Monitor PC with Web-camera the pre-installed Instructor Application and one Patient Monitor PC to

Simulation Setup
below:
simulate an actual patient monitor. The Patient Monitor PC runs the
Correct Incorrect Patient Monitor Application.

Activating the Instructor Software

license
The Instructor Application license need only be activated once.
Instructor computers shipped from Laerdal Medical will have a pre-
1 Attach a strip of hook and loop tape (ie Velcro) to the syringe or OPIN
ATR /ml
1 m
g

activated license installed. Two spare licenses are provided for use on
airway device of your choice. other computers. Should the software need to be re-installed, it is not

Clinical Features
necessary to reactivate the software license.
SimMan 3G Manikin
It may take some seconds before the RFID tag is registered. Activate the software via the Internet or select <Activate> using
<other options> in the License key dialog box.
Note: Only one RFID device can be registered at a time. Allow only
one device at a time to come within range of the antenna. The SimMan 3G software comes with 3 license keys. For more
license keys please contact your local customer service office.

Activate the license manually by following the on-screen instructions.

Maintenance
2 If you are using stickers, place the RFID sticker on the pre-printed
RFID tag.
1 Unpack the manikin torso and legs.
Assemble the legs and torso as described in Manikin Setup.
2 Fill the bleeding and fluid system if necessary. See Blood and Fluid
System.

Troubleshooting
3 Connect the manikin batteries and close the torso skin. See:
Inserting and Connecting Batteries.
4 Connect the external power supply to the manikin to charge the
manikin batteries. See: Battery Charging and Use.
Note: When applying tags to syringes, ensure that the tag is as Changes or updates of the computer hardware (e.g. new hard drive
close as possible to the needle end. 5 Press the start button on the manikin. Wait until the manikin or mother board) may render the license invalid. Please contact your
begins breathing before switching on the Instructor PC. Start the local Laerdal support for assistance for re-activating the license.
Instructor PC and connect the headset.
Note: When applying tags to other devices, place them on the Note: Should you experience problems re-activating the
part of the device that is closest to the manikin. 6 Start the Patient Monitor PC, if applicable, and connect the Web-
application license, contact your local Laerdal support for
camera to the USB port of the PC.
re-activation.
You can choose to use your own drug labels on the RFID tags. Ensure
7 Start the Patient Monitor Application software, if applicable, attach

Spare Parts
that the drug identification and concentration is consistent with that
the SPO2 probe to the patient monitor PC. See: Starting the
of the RFID tag’s coding.
Patient Monitor Application.

16 17
 System Setup
System Setup

Manikin Setup
Wired operation (disabling/enabling WLAN) The Instructor PC 5 - Performance
<Performance> window shows the effectiveness of learner
The wireless network may be disabled in AP mode. This can be
The Instructor PC uses the Instructor Application software to manage ventilations and compressions during the simulation.
achieved by using the SimMan3G Network Configuration Tool. When
simulations. The Instructor Application runs in two modes:
using manikin in environments where use of WLAN transmitters are
Learner performance data can be viewed either as an average or in
prohibited: Contact your local service representative for instructions
• Auto Mode, for running pre-programmed, validated patient real-time.
on how to turn off radio transmission.
cases.
Instructor Mode, for on-the-fly, customized patient scenarios. The performance window, below the manikin figure, is minimized as
Removing/Changing router •

System Setup
default. Click the expand button to open the window.
The router may be changed or removed. Turn off the manikin before
doing so. Auto Mode Overview 6 - Instructor’s Patient Monitor
<Instructor’s Patient Monitor> shows the status of patient’s vital signs
For more information on software and system setup, please see the throughout the simulation.
Help files:
Click Windows <Start> <All programs> <Laerdal SimMan 3G> 7 – Airway Status
<Documentation> <Airway Status> window shows the state of the patient’s airway in a
real-time animation with a list of symptoms.
1 4 6

Simulation Setup
Wireless and LAN configuration Indicators also show the resistance of the left and right lungs, and total
The SimMan3G Network Configuration Tool (SNCT) allows you to lung compliance.
configure the network behavior of the SimMan3G manikin.
Note: Ensure that you select the Airway Status tab.
Open the pelvis and locate the router. Remove the two Ethernet
2
For more information on Wireless and LAN configuration, see the cables and black power cable.
SimMan3G Network Configuration Tool Help file (Press the <F1> 7 8 9 10 8 - NEUROLOGY
key on the PC keyboard). If you would like to operate the manikin without a router, then attach <Neurology> - The Neurology status list shows information about
a through-adapter between the two Ethernet cables. 3
the patient’s position on the Glasgow Coma Scale and Visual Analog
Scale.
Configuring Your Network If you would like to install a new router, attach the power cable to the

Clinical Features
11
DC plug and the Ethernet cables back into the router again. 5 <Eyes> animation is a real-time representation of the status of
The SimMan3G is equipped with a small router that provides
the eyes of the patient/manikin and is shown when clicking on the
WLAN connectivity. This router can be configured two ways: Either
the manikin creates a wireless network (Access Point mode) or the
1 - Common Learner Events Neurology tab.
manikin is hooked up to an already existing network (station/client <Common learner events> window lists all required events for a
selected patient case. Clicking the events in the list records them in the 9 - Circulation & fluids
mode).The mode of operation is selected by changing a switch on the
Session Log, together with the time that each event was performed <Circulation & Fluids> - Displays information about the health of
router, located inside the manikin’s pelvis.
by the learner. the patient with regards to pulses, rate of bleeding, secretions and
All other events available to the learner can be found under the <All convulsions.
Manikin created network (Access point mode) [default]
learner events>
10 – Body Sounds

Maintenance
2 - Simulation control graph Clicking <Body Sounds> button calls up <Body Sounds> dialog box.
The dialog shows the current sound scheme and volume for each
Simulation control graph illustrates the patient parameters in terms of
speaker attached to the various body parts: heart, bowel, and anterior/
past, current, and predicted future trends throughout the simulation.
posterior view of the lungs.
3 - Simulation Control Panel and 11 - Technical Status
USB Reset Router AP Client USB Reset Router AP Client
Session Log <Technical status> window provides information about the technical
<Simulation Control> panel contains the main tools used in running status of the SimMan 3G manikin system, including battery life,
the selected patient case. Parameters controlling the underlying wireless (WLAN) connection signal strength, blood tank drainage,
pathology in the simulation can be monitored, and modified during a communication channels in use and video recording.
The default operation is AP, i.e. where manikin creates a wireless

Troubleshooting
simulation session by using the <Simulation Control> panel.
network. The switch on the router is set in AP mode. The manikin is
<Session Log> records information about events in response to the
set up to create a network called SimMan3G. WPA2/PSK-AES is the
patient case. This information is then made available in debrief files at
preferred security/encryption setting and also the default. The default
the end of the simulation session.
preshared key is SimMan3G. This should however, be changed with
the SimMan 3G Network Configuration Tool.
4 - All Learner Events
<All Learner Events> menu is used to register all other available
Connecting to an Existing Network
events, not listed under <Common Learner Events>. Events can be
If you would like to connect your manikin and the instructor PCs to registered in any of the following ways to <Session Log>:
an already existing network, please move the switch on the router
to the client mode, ref picture above. Please use the SimMan3G • Using <General Events> button
Network Configuration Tool to enable connection to an already

Spare Parts
existing network. • Using <Event Search> function
• Using interactive manikin figure

18 19
 System Setup
System Setup

Manikin Setup
Instructor Mode Overview 7 – Airway / Breathing 3G View and Classic View
<Airway / breathing> tab shows the airway/breathing status of the
1 - Common Learner Events patient, and is used to configure these settings. For more information There are two view options when running a simulation in
<Common Learner Events> window typically lists the learning on configuring the airway and breathing, see section: <Clinical <Instructor Mode>:
objectives specific for the current scenario. It also lists the learner Features>.
events required to proceed from one scenario frame to another, as Instructor Mode 3G view
well as Learner events included in any rules from an active Handler. 1 3 5 Scenarios made for SimMan 3G and will display the 3G view:
Clicking the events in the list records them in the Session Log,

System Setup
indicating the time that each event was performed by the learner.

All other events can be found in <All Learner Events>.

2 6
2 - Simulation Control and Session Log
In <Instructor Mode>, the Simulation control is used in managing all 7 8 9
pre-programmed aspects of the selected patient case:

Scenario progress

Simulation Setup
• Trends 4 10

• Handlers
8 – Circulation & Fluids
<Session Log> records information about patient responses and
The settings of <Circulation & Fluids> tab are used to control the
Learner events that occur during simulation. This information is then
secretion of fluids and blood from the Manikin during simulation.
made available in debrief files at the end of the simulation session. Instructor Mode Classic view
Convulsions are also controlled from <Circulation & Fluids> tab.
* For more information on Trends and Handlers, see section: Recommended for experienced users of older SimMan versions:
If <Airway / breathing> is hidden, click on the tab name to access
Customizing Scenarios.
the window. For more information on configuring fluids see <Clinical
Features>.
3 - All Learner Events

Clinical Features
<All Learner Events> menu is used to register the events performed 9 – Sounds
by learners during a simulation, and contains all events which can be
The settings of <Sounds> tab are used to control the body sounds
registered. For easy access, the events necessary to treat the selected
and vocal sounds from the manikin.
scenario correctly are listed in <Common Learner Events>.
To open <Sounds> menu, click on the tab name. For more information
4 - Performance on configuring sound settings see <Clinical Features>.
<Performance> window, below the manikin figure, shows the
effectiveness of learner ventilations and compressions during the 10 – Technical Status
simulation. <Technical Status> window provides information about the technical

Maintenance
status of the SimMan 3G manikin system, including battery life, wireless
Learner performance data can be viewed either as an average or in connection signal strength, blood tank drainage, communication
real-time.The window is minimized as a default.To view the full display, Classic view makes use of the Learner event libraries of previous
channels in use and video recording.
Click <Expand> button to open the window. SimMan versions; so that custom-made scenarios made with older
SimMan software can be used seamlessly with SimMan 3G. Therefore
SimMan Scenarios made before SimMan 3G will by default display the
5 - Instructor Patient Monitor Classic view after conversion.
<Instructor’s Patient Monitor> shows the current physiological state
of the simulation.
In <Instructor Mode> only, the patient monitor waveforms and
parameters can be set directly by selecting and clicking the individual

Troubleshooting
waveform or numeric parameter with the mouse pointer arrow.

6 - Eyes
<Eyes> window is used to configure the state of the eyes of the
patient during simulation.

The Eyes animation is a real-time representation of the eyes of the

Manikin. For more information on configuring the eyes see section:
<Clinical Features>.

Spare Parts
20 21
 System Setup
System Setup

Manikin Setup
Opening an Auto Mode Patient NOTE: When a simulation is running, the ‘Start session’ button
becomes the ‘Pause session’ button. Click this button at any time
Common Learner Events
The <Common Learner Events> window lists the required events/
Opening an Instructor Mode
Case during a simulation to pause the session. learning objectives for the selected patient case. To register that a
learner has performed an event, click the relevant item in the list. Scenario
A check-mark appears to the left of the item when it has been
To start a simulation in Auto Mode: Running a Session in Auto Mode Use Instructor Mode to simulate isolated medical procedures. The
registered.
Instructor Mode enables full manual control of all manikin features
1 Launch the <Instructor Launch the Instructor Application, open an Auto Mode patient case
and parameters.
Application> on the and start the session as described in Opening an Auto Mode Patient Learner Events Menu

System Setup
Instructor PC. Case.
The Learner events menu contains all Learner events. To register that When setting up simulations manually using Instructor Mode, the user
2 Select the Manikin you wish to connect to and click ‘OK’. a learner has performed an event using the Learner events menu: is responsible for the clinical accuracy of the simulation.

• Click the relevant body part of the clickable Manikin figure and 1 Click <Start> from the
select the event from the drop down list. Windows <Start> menu
OR to launch the Instructor
• For events not specific to a particular anatomical area of the Application.
Manikin, click the <General Events> button and select the event 2 Select a manikin from the list to connect to and click <OK>. You
from the drop down list. may use the <Virtual manikin> entry if you want to run without

Simulation Setup
OR connecting to a real manikin. This will start a manikin emulation
• Search for an event using the Event search field, then select the program on your computer.
event from the drop down list.
3 Click ‘Start Auto Mode Patient Case’. This will open the Patient
Case Library.
Session Log
All learner events added both automatically by the manikin system
Monitor and adjust patient parameters
and manually by the instructor are recorded in the Session Log. This
during simulation
information is available at the end of the simulation session in the
Throughout the simulation session, the instructor should monitor and
debrief files.

Clinical Features
control the patient’s status as exhibited by the Manikin.The severity of
symptoms can be modified using the master patient controls.
To add a comment on learner performance to the Session Log, click
the <Add Comment> button.
Move the appropriate slider to the left to decrease the severity of 3 Click Start <Instructor Mode> Scenario. This will open the
the symptoms exhibited by the Manikin, or to the right to increase Scenario Library.
severity. Click the appropriate restore button to restore the Manikin
3 Interact with the learners
to its original state. Open the Voice Conference Application on the Instructor PC. Use
the USB headset to listen in on the learners’ communication with the
Patient status and simulation progress are displayed in the manikin, and respond back through the microphone.
following areas:
4 Browse the patient cases using the library menu on the left. The On request or when appropriate, provide Radiology, Lab results
The Simulation control graph shows the patient status in terms of past,
menus can be expanded and collapsed by clicking on the ‘+’ and or background media files to the learners via the Learner’s Patient

Maintenance
current and predicted future trends throughout the simulation. The
‘–’ buttons. Monitor using the <Transfer Media Files> menu.
timer shows the time elapsed since the start of the simulation.

The Instructor’s Patient monitor shows the patient’s current vital signs
End simulation session
and clinical parameters. When the simulation session is complete, click the <End Session>
button.
The patient status and the <Airway status> window provide at-a-
glance data about the patient’s current status. Save files and debrief learners
Save the session log for later debriefing or documentation. Click
Monitor and register learner events <Debrief> to start the Debrief Viewer. 4 Browse the Scenarios using the library menu on the left. Click the

Troubleshooting
during simulation desired scenario to select it and then press <OK> button. The
As the learner responds to the patient case, the instructor should chosen scenario will open with the session paused.
register Learner events as they are performed using the <Common
5 Start the simulation session when ready by pressing space bar
Learner Events> list and/or the <Learner events menu>.
on your keyboard OR click the <Start Session> button in the
bottom left corner of the screen.
Some events are registered automatically by the SimMan 3G manikin.
These events are highlighted blue and are marked with a wireless When a simulation is running, the <Start Session> button becomes
manikin icon. the <Pause Session> button. Click this button at any time during a
5 Choose a patient case and click ‘OK’. simulation to pause the session.

6 The patient case will open with the simulation being PAUSED.
When you are ready to begin the simulation, press the spacebar.

Spare Parts
OR click the ‘Start session’ button in the bottom left corner
of the screen.

22 23
 System Setup
System Setup

Manikin Setup
Running a Scenario in Instructor Save files and Laerdal DebriefViewer 1 - Top menu
Mode Save the session log for later debriefing or documentation. Click 1 - Press #wave in the top menu to view and
Selecting the 12-lead ECG button generates a 12-
<Debrief> to start the Debrief Viewer. For more information see lead ECG strip. Select <Print> to have this ECG
change monitor display settings.
section The Laerdal Debrief Viewer. strip printed on the default printer available from
your Patient Monitor computer.
Pressing the Alarm Volume icon on the top menu
The Patient Monitor PC line opens the <Alarm Volume> menu.
Bottom Menu 2

System Setup
The Patient Monitor PC can be purchased separately. The Patient 2 - Parameters readout area. The learner may also edit scaling, alarm
Monitor PC has a touch-display and is used to run the Patient Monitor Bottom menu buttons in order from left to right:
limits etc using this interface. Clicking the parameter of interest will
Application. present a menu with available options.
Selecting the <QRS Volume> button opens the
Some fields will only be available while appropriate sensors are
The Patient Monitor software emulates a real patient monitor as <QRS Volume> menu, shown below. Select the
connected to the Manikin.
found in hospitals and ambulances. During a simulation, learners can desired volume (0-10).
observe and monitor changes in a patient’s clinical status via the
Patient Monitor software. 3 - Bottom menus
There are effectively two menus. Press the left or Selecting the <Alarm Volume> button opens the
Video capture from the patient monitor display and the web-camera

Simulation Setup
right arrow key to toggle back and forth.
Monitor and Control the Scenario can be stored for use in the Debrief Viewer. <Alarm Volume> menu, shown below. Select the
desired volume (0-10).
The instructor should monitor and control the patient’s status as
The Patient Monitor PC must be started and remain connected
represented by the manikin.
throughout the simulation, in order to record video and allow screen
Bottom Menu 1 (in order from left to
capture for debrief files.
right):
The Simulation control graph shows the patient status in terms of
Select the <Radiology> button to open the
past, current and predicted trend lines. The timer in the top right Selecting the <Silence Alarm> button turns active
corner shows how long the simulation has been running. Starting the Patient Monitor <Radiology> display. X-ray images which have been
alarm sounds OFF.
Application included in the current scenario are shown.
Depending on the scenario, pre-programmed trends become active 1 First click the Windows <Start> button, and then select the
and affect the predicted trend lines. The instructor can also add trends <Laerdal SimMan3G> program folder from the Windows

Clinical Features
to the scenario, and can decide to freeze or delete active Trends. The programs list. Selecting the <Pause Alarms> button turns all
trend lines will be updated accordingly. sound alarms off for 3 minutes.
2 Select the Patient Monitor Application program in the <Laerdal
SimMan3G> program folder. The Select manikin window will Select the <Media> button to open the <Media>
Adjust patient parameters during appear. Select a manikin in the list and click <OK>. display. Select the <Close> button to close the
simulation Media display.
The Instructor’s Patient Monitor shows the patient’s current status. To 3 The Patient Monitor application will open in full screen mode. The NBP Start begins inflation of the modified
manually adjust the patient parameters: 4 If the SimMan3G program folder or the Patient Monitor SimMan 3G blood pressure cuff. NBP details will
Application program is not available on your computer, see the register in the NBP section of the monitor.
Click the individual graphs or numeric parameters. Pop-up menus Patient Monitor Application - Troubleshooting section - in the
allow the instructor to change the relevant parameters, OR SimMan3G Help files. Select the Labs button to open the Labs display.
Hold cursor over a numeric parameter for 1 second. The selected <Zero Press> button opens a submenu from which Select the <Close> button to close the <Labs>

Maintenance
parameter’s background will go grey and the mouse pointer will you can select zeroing of the ABP, PAP or CVP display.
change appearance, to indicate that the scroll wheel can be used to transducers.
increase or decrease the value.
The Patient Monitor Interface
Monitoring and Registering Learner Cardiac Output generates a new reading of Cardiac
Events 1 2
Output. The C.O. details will be shown in the C.O. Selecting the <Main Setup> button opens the
As the learner responds to the patient case, the instructor should part of the Patient Monitor PC. <Main Setup> menu. Options in the <Main Setup>
register <Learner Events> as they are performed using the <Common menu are identical to the similar options displayed
Learner Events> list and/or the <Learner Events Menu>. on the Menu line.

Troubleshooting
<The Wedge> button temporarily substitutes the
Some events are registered automatically by the SimMan 3G manikin. 3 PAP wave and numbered parameters with the WP
These appear with blue text and have a wireless manikin icon next wave and parameters. The wedge curve switches
to them. back automatically after 10-15sec. Selecting the <Main Screen> button enables an
immediate return to the <Main Screen>, and
Interact with the learner cancels all submenus. Submenus can also be closed
Open the <Voice Conference Application> on the Instructor’s PC. The TOF <Train of Four> button generates a ew by selecting the “X” box of the submenu.
Use the headset to listen to the learners’ communication and respond reading of the TOF state of the patient. The TOF
via the microphone. details will be shown in the TOF part of the Patient
Monitor PC.
End simulation session
When the simulation session is complete, click the <End Session> Selecting the <Graph Trends> button opens the
4

Spare Parts
button in the bottom left of the Instructor screen. Graphical Trends window. By using the menu
buttons, you can review the history of the available
Trend parameters.

24 25
 System Setup
System Setup

Manikin Setup
Transferring Media Files For an overview on patient monitor menus, see section System Setup -
Patient Monitor Menus.
Accessing the Voice Conferencing Instructor Channels
Click the empty channel bar to add an Instructor channel.This channel

Ordering Radiology, Media or Labs Application allows communication with other instructors who are connected to
the network and have the Voice Conference Application active on
The learner can order Radiology, Media or Labs by clicking on any of The Voice Conference Application will launch automatically when their computer.
the relevant menus in the Patient Monitor Application. connecting to a manikin.

The Voice Conference Application can also be accessed in two other

System Setup
ways:

1 From an Open simulation session (Instructor Application)

From the <Tools> menu, select <Voice Conf. App…>

2 From the Windows Start menu

1 Click the Windows <Start> button.
2 Select the <Laerdal SimMan3G> folder from the program list

Simulation Setup
3 Select the Laerdal Voice Conference Application program.

Add Members
During a session, the Instructor can make media files available to On/ Off button To add members to an Instructor channel, click the icon . Select
learners. Media files include Radiology, Video and Lab reports. Click the on/off button to activate or deactivate the communication from the available members in the list.
1 Click <Order New > in the dialog box. channel.
To transfer media files to the learner’s patient monitor: For more information on using the Voice Conferencing Application, see the
2 The system will then notify the Instructor of the order via the
1 In the Instructor Application, click <File> <Transfer media files> Voice Conference software Help file.
Instructor Application. Microphone Button SPEAK
SPEA
A
AK SPEAK
SP
PEAK
2 The Instructor may upload any of the existing media files or

Clinical Features
The connected microphone for the communication channel becomes
browse to upload their own media files. The learner may also click on any of the relevant menus to check if the active by clicking the <SPEAK> button or by pressing the F5 key on The Laerdal Debrief Viewer
3 To add media files: Click <Add files> and browse to select a file. Instructor has made any media files available for viewing. the keyboard.
The Debrief Viewer is a debriefing tool that allows you to
4 The Instructor can upload as many media files as required. open and review a saved simulation session.

5 The Instructor may wish to display the media file(s) immediately, The channel is outlined with green, to clearly identify when the
The debriefing file consists of the following information logged during
or after a pre-selected time delay. The Laerdal Voice Conference microphone is active.
a simulation:

Application Technical status Speak

For a Delayed Display: Session Log

AC~ WLAN: AP mode
Data and events are recorded and time stamped throughout the
Click the drop down menu icon below <Delay> to select a time delay. Tank drain: 0 ml
Rec.
simulation session. Instructor comments are included.

Maintenance
The Voice Conference Application is a tool for two-way vocal
communication through the SimMan 3G and manikin. This Patient Monitor
function adds realism to simulation sessions by enabling Keep the <SPEAK> button activated, by holding the
Patient Monitor display can be recorded as a video file.
vocal interaction between learners and the “patient”. control key <Ctrl> while pressing F5 or any of the
other function
Technicalkeys if there are more channels.
status Speak
Web-camera
On the tablet PC: Tap the <SPEAK> button in the technical status
AC~ WLAN: AP mode Video signals can be recorded.
window to speak through the manikin.
Rec.
Tank drain: 0 ml
Microphone inputs
Note: unless muted or deactivated, sound from all connected
Voice and sound recording from the Web-camera’s built-in
channels will be playing in the headphones/speakers at all times.
microphone is recorded.

Troubleshooting
Review comments
Loudspeaker Output Volume Comments can be edited or added to the <Session Log>, during
Adjust the loudspeaker or headset volume for an individual channel review in the <Debrief Viewer>.
Both manikins have a built-in loudspeaker and microphone located in with the volume slider. The volume bar indicates the received signal
the head. When the Voice Conference Application is started on the strength. Note: The sources are all recorded to the same timeline and are
instructor’s computer, a voice communication channel is created to always played back simultaneously.
Instant Display: the connected manikin.
Media files show immediately when transferred.
Instructor channels, that allow voice conferences between instructors
can be added.

Spare Parts
26 27
 System Setup
Simulation Setup

Manikin Setup
Accessing the Debrief Viewer Using the Internal Compressor Changing Default Compressor
The Laerdal Debrief Viewer can be accessed in two ways: The SimMan3G manikin’s chest movements, airway modes and
fluid systems are driven by compressed air. The right leg contains a
Settings
compressor and tank with separate reservoirs for clear and simulated Change default compressor settings via the Profile Editor.
blood fluids.
1 Open the Profile Editor from the <Tools> menu in Instructor
For extended periods or stationary use, it is recommended to connect Application.

System Setup
to an external source of compressed air. This reduces wear on the
internal compressor and extends battery life of the manikin. 2 Select the <General> tab in the Profile Editor.
3 From the compressor setup option, choose the Internal or
For instructions on connecting an external compressor and adjusting External compressor as default.
compressor default settings see – Connecting external Air and CO2
Supply.

To avoid overheating and reduce wear

− If using the manikin in high temperatures, always allow the
manikin to cool down between training sessions.

Simulation Setup
− If the manikin is placed in a bed, it should never be covered with
1 - From the Instructor Application: a comforter, duvet or quilt as these prevent heat transfer from
• Click <End Session> the manikin.

• Click the <Debrief> icon in the <End Session> dialog box.

• The Debrief files from the session are then transferred and
made available in the <Laerdal Debrief Viewer>
Turning the Internal Compressor
OFF
Note: It is important to save the debrief files for later review.

Clinical Features
Switch OFF the internal compressor to conserve the manikin batteries
and reduce wear.
2 - From Windows Start menu:
• Click the Windows <Start> button. Turn OFF the internal compressor from the Instructor Application:
1 Select the <Tools> menu.
• Go <All Programs>
2 From <Manikin Setup>, click the Turn off internal compressor.
• Select the <Laerdal Debrief Viewer> program folder
• Click the <Laerdal Debrief Viewer> icon.

Maintenance
Help Files
Software Help-files can be accessed as follows:
• Click the Windows <Start> button
• Select the <Laerdal SimMan 3G> folder from programs
• Select the <Documentation> folder
• Select the help file of your choice

Troubleshooting
Most applications will also display the corresponding Help file
when pressing the <F1> key

Spare Parts
28 29
 Simulation Setup
Simulation Setup

Manikin Setup
Air/CO2 Panel Blood and Fluid System Fill Manikin Blood Reservoir Mixing of Blood and Fluid
Sim M
an B l o o d F i ll U n
it

The Air/CO2 panel is located on the left side of the torso. To access The manikin has two internal reservoirs, one for blood and one for
the panel, lift up the manikin skin flap and remove the protective fluids/secretions. SimMan 3G is also supplied with two fill units - one
covering. Connect external Air / CO2. Blood Fill Unit for blood and one Fluid Fill Unit for fluids /secretions.
Sim M
an B l o o d F i ll U n
it

SimMan 3G Right Leg Fill Panel Sim M

an B l o o d F i ll U n i t

The right leg fill panel is located at the top of the right leg near the

System Setup
Sim M
an B l o o d F i ll U n
it

Sim M
an

pelvis. The fill panel contains connectors for filling the blood and fluid
B l o o d F i ll U n i t
Sim M
an B l o o d F i ll U n
it

reservoirs. Sim M Sim M

an B l o o d F i ll U n i t
an B l o o d F i ll U n i t

Note: Make sure the manikin power is on. 1 Roll the right leg skin down to expose the fill panel. To simulate clear fluids and secretions: Fill the Fluid Fill Unit with of
Sim M
an B l o o d F i ll U n i t
de-ionized water (approx 3/4 full) only and tighten the cap.
Fill Manikin Fluid Reservoir 2 Connect blood fill unit tubes to the blood and air connectors
in the right leg panel. To mix simulated blood: Fill the Blood Fill Unit with de-ionized water.
1 Roll the right leg skin down to expose the fill panel. 3 Push the fill button on the panel. The button will light up and Add 5-10 drops of Laerdal Blood colored concentrate, mix and
blood will flow into the manikin. tighten the cap.

Simulation Setup
2 Connect fluid fill unit tubes to the fluid and air connectors Air Out Blood
Inlet
Fluid
Inlet
Activate
Air Out Blood
Inlet
Fluid
Inlet
Activate
Filling

4 When the flow stops, disconnect the fill unit.

Filling

in the right leg panel.

5 Push the fill button on the panel. The light will go out.
Air Out Blood
Air Out Air Out

3 Push the fill button on the panel. The button will light up and
Blood Inlet
Fluid Activate Blood
Fluid

Air / CO2 panel has 2 connection ports

Fluid Activate
Inlet Filling Inlet
Inlet
Activate
Inlet Filling
Inlet Filling

fluid will flow into the manikin.

Air / CO2 4 When the flow stops, disconnect the fill unit. Note: Disconnect tubes from the manikin before pushing the fill Air Out Blood
Inlet
Fluid Activate
Inlet Inlet
Blood button. Pushing the button before disconnecting the tubes will Filling

Outlet 5 Push the fill button on the panel. The light will go out. initiate draining of the tank.
Note: Disconnect tubes from the manikin before pushing the fill
Sim M
an B l o o d F i ll U n
it

Air Out Blood

Fluid

button. Pushing the button before disconnecting the tubes will Inlet Activate
Inlet Filling

Clinical Features
initiate draining of the tank. Sim M
an B l o o d F i ll U n i t

Air Out Air Ou

Blood

Empty Internal Fluid Reservoir

Fluid Activate
Inlet
Inlet Filling

1 Connect an empty fluid fill unit to fluid connector in Run Manikin with External Blood
the right leg panel. 1 Drain the internal reservoir. Follow instructions for “Empty
Connecting External Air and CO2 Supply Air Out Blood
Fluid Internal Blood Reservoir”.
2 Fluid from the internal reservoir will drain into the bottle.
Inlet Activate
Inlet Filling

An internal compressor is located in the right leg of the manikin. It is 2 After draining the internal reservoir, fill the blood fill unit and
recommended to use an external source of compressed air whenever 3 When the flow stops, disconnect the fluid connector.
connect to the manikin.
the manikin is stationary over extended periods of use.
Empty Internal Blood Reservoir
Air Out

3 Push the fill button on the panel. The button will light and blood
Blood
Fluid Activ
Inlet
Inlet Filli

If the manikin is required to exhale CO2, with each ventilation, connect will flow into the manikin.

Maintenance
1 Connect an empty blood fill unit to blood connector Air Out Blood
Inlet
Fluid Activate

external CO2.
Inlet Filling

in the right leg panel. 4 Charge the system for 60 seconds before starting bleeding
Connect CO2 only if the manikin is required to exhale CO2 with each Air Out Blood
Fluid
simulation.
2 Blood from the internal reservoir will drain into the bottle.
Inlet Activate
Inlet
ventilation. Exhaled CO2 can be detected with a real capnographic
Filling

device. The manikin will only exhale CO2 when a capnograph is 3 When the flow stops, disconnect the blood connector. Warning: Connecting a full blood fill unit to a manikin with a full
registered as being connected to the system. Sim M
an Fl u i d F ill U n i t
internal reservoir will result in system overflow. Blood will drain out
of the right leg. Repeatedly overflowing the system may damage
1 Connect a suitable CO2 source to a Laerdal external compressor the product.
or regulator panel.
2 Connect a Laerdal double-lumen Air/CO2 tube from the external Run Manikin with External Fluid

Troubleshooting
compressor or regulator panel to the Air/CO2 inlet on the panel. 1 Drain the internal reservoir. Follow instructions for “Empty
For more information on external compressors and regulator panels Internal Fluid Reservoir”.
compatible with SimMan 3G, contact your local Laerdal representative. 2 After draining the internal reservoir, fill the fluid fill unit and
connect to the manikin.
3 Push the fill button on the panel. The button will light and fluid
will flow into the manikin.
4 Charge the system for 60 seconds before starting simulation.
Warning: Connecting a full fluid fill unit to a manikin with a full
internal reservoir will result in system overflow. Fluid will drain out

Spare Parts
of the right leg. Repeatedly overflowing the system may damage
the product.

30 31
 Simulation Setup
Simulation Setup

Manikin Setup
Cleaning the Fluid and Blood Cleaning the Blood System Adjusting Fluid Flow
1 From the <Instructor Application>, open Circulation and fluids
System tab, check the boxes for Upper port and Lower port, then select
Venous from the adjacent drop-down menus. Move the sliders (to
1 Remove the neck skin.

After using the bleeding and or fluid system, the system must be the right) to maximum bleeding rates.
cleaned to prevent residue from clogging the valves and tubes. Keep
any wounds used connected while flushing the system with a cleaning
solution.

System Setup
1 Ensure the manikin power is on.
2 Ensure the manikin’s internal reservoirs are drained. See procedure
for emptying..
3 Fill a bottle with a 60% isopropanol solution or 70% ethanol
solution. Replace the neckskin.
4 Connect the bottle containing the alcohol solution to either the
blood or fluid fill connector and air connector to fill the manikin 2 Locate the restrictor valves in the left and right clavicle area.

Simulation Setup
with cleaning solution. Perform this action for both reservoirs. If
the manikin will be stored for long periods of time or transported
in freezing conditions, it is recommended to fill the reservoirs with
2 Allow the Bleeding system to flush with the cleaning solution until
the internal reservoir is empty.
Connecting Wounds Kit
one of the recommended alcohol solutions to prevent damage 3 The blood system should be flushed repeatedly until the SimMan3G comes with a wounds kit that includes 2 wounds and
and preserve the integrity of the blood and fluid systems. discharged fluids are clear. double-sided tape to attach wounds to the manikin skin.
Connect wounds to the bleeding ports on the manikin torso to
4 When finished, uncheck all of the boxes (in the Instructors simulate a bleeding patient.
Cleaning the Fluid System application).
Note: To speed up the flushing process, follow the instruction for 1 Select a wound from the wound kit.
Unclogging Fluid Tubes.

Clinical Features
1 From the Instructors application, open <Circulation and fluids>
tab, check the Secretions box for urine, and then select polyuria.
Check the Secretions boxes for Sweat, Ears, Eyes, Nose and
Mouth.
3 Activate secretion in the Circulation and Fluids Tab, then tighten
or loosen the actual valve as until desired flow rate is achieved.

2 Connect the tube from the wound, to the nearest blood port.

Maintenance
There are four blood ports with
twist and lock connectors, as
Illustrated on the right.

− Ensure the area to which

the wound will be attached
is clean and dry.
2 Allow the Fluid system to flush with the cleaning solution until the
internal reservoir is empty. − Apply adhesive tape to the
back side of the wound.

Troubleshooting
3 When finished, uncheck all of the Secretions boxes.
− Remove the protective
liner from the adhesive
Note: Do not unscrew completely. Please note that only slight tape on the wound and fix
adjustment should be necessary. it in the desired position on
the skin.

Spare Parts
32 33
 Simulation Setup
Simulation Setup

Manikin Setup
Removing Wounds
Flush all ports and tubes with 60% isopropanol alcohol or 70%
ethanol while the wounds are still attached. When the fluid runs
clear, disconnect the tube from the fluid outlet. After the wound is
removed, any tape residue can be cleaned from the manikin skin with
Laerdal Manikin Wipes.

System Setup
Note: When removing Wounds from the blood ports, cover the
manikin skin with a cloth to prevent staining.

Trauma modules can be purchased separately to replace default

limbs to add realism to simulation.
3 Disconnect the two fluid tubes from the IV module The drip port may also be used with fluids other than distilled water
while only purified water should be used in the injection port.
The IV Catheters 4 Discard the old module and insert it into the IV arm.

Simulate Severe Bleeding The right IV arm comes with a US catheter type as default. This can
5 Fasten the two screws and zip the skin back into place. For more information on connecting the US IV drip catheter, contact your

Simulation Setup
local Laerdal service centre.
Start a Bleeding patient case from the Instructor Application be replaced with an international catheter type (commonly used in
Europe) with an extra flush port.
Identifying IV catheter sizes

US Catheter International Catheter

The IV modules come with colored IV caps for US and International
IV modules. This simulates different catheter sizes. Administering IV Fluids
To prevent clogging of the IV system, use only purified water to
US IV caps / International IV caps simulate IV drugs with SimMan 3G.

Acceptable types of purified water:

Clinical Features
• Distilled water OR
• De-ionized water.

Priming the IV Arm System

Note: remove arm skin before changing the catheter. Use caution
when handling the manikin skins. It is essential to prime the IV arm before first session each day. Before
administering any simulated drugs and to prevent backflow, inject
purified water in a continuous stream into the IV system.
US IV Catheter Setup
Changing IV Catheters Setup for drug administration
Major movement/transportation of the manikin can result in air
1 Unzip and fold down the IV arm skin to expose the IV catheter pockets being introduced into the IV system and may require

Maintenance
To administer simulated drugs using the RFID system, the SimMan 3G additional priming.
module.
US IV catheter comes with one inlet for drug administration.

To extend bleeding patient simulations, a scale factor can be used.

Ensure, when the external Blood fill Unit is empty; replace it with
another Blood fill Unit filled with simulated blood. Repeat this process
for as many times as is necessary.

Troubleshooting
If the external fill unit runs empty, during a bleeding scenarios, air
will be introduced to the blood system, causing inaccurate reading.

2 Using a #4 Phillips screwdriver; unscrew the two screws of the Setup for IV drip and drug administration
module and pull the IV module out of the arm. To simulate an IV drip, connect the international catheter and tube
setup as shown.

Spare Parts
34 35
 Simulation Setup
Simulation Setup

Manikin Setup
Draining Excess IV fluid Connecting Defibrillation Adapter During Defibrillation Connecting the Blood Pressure Cuff
A conventional defibrillator may be used on SimMan 3G. During
The IV fluid system is an open system. IV fluids are drained as they
are administered.
Plates live defibrillation, the defibrillator and manikin may present a shock
hazard. All standard safety precautions must be taken when using the
The manikin is delivered with a specially adjusted blood pressure
cuff. Connect the tube to the white BP connector at the side of the
defibrillator on the manikin. manikin before use.
Before Each Session Adding Defibrillation Adapter Plates
1 Attach the IV overflow tube to the fluid drain under the manikin’s Note: Defibrillation must be performed on the defibrillator
The manikin torso is fitted with two stud connectors for defibrillator
right arm. connectors only.
cables. Foam pads may be fitted around the defibrillator studs during

System Setup
2 Allow excess fluid to drain into a container during the simulation. the session as illustrated below: To prevent overheating during defibrillation, do not exceed a
defibrillation sequence of 3 shocks in 45 seconds followed by
1 minute of CPR.

After 30 minutes there must be at least 15 minutes with no shocking

before starting a new sequence.

Note: Do not repeat this for more than a 4 hour period.

Calibrating the Blood Pressure Cuff

Simulation Setup
Caution: The manikin must not be in contact with electrically
1 Select <Tools> <Maintenance> and choose <Calibrate BP...>
conductive surfaces or objects during defibrillation.

Caution: In hot conditions, intensive defibrillation may cause

thermal shutdown of the manikin.

Special care should be taken when using the manikin fluid systems.
Cleaning the IV Arm To prevent torso skin electrode pitting, do not apply conductive gel or
Flush the IV arm with 60% isopropanol or 70% ethanol at the end of conductive defibrillation pads intended for patient use.

Clinical Features
each day.
The defibrillator studs must be fitted in place before using a live Note: Do not defibrillate the manikin when it is OFF or if it is not
defibrillator with defibrillation paddles or adhesive pads. functioning normally.
The manikin must always be powered on when injecting fluids into the
IV arm. Do not apply force when administering drugs to the IV arm. Note: Do not press too hard over the defibrillation adapters as
this may cause arcing and pitting.
Fill a syringe with alcohol and administer it through the IV catheter. 2 Follow the onscreen wizard instructions to perform the calibration.
Note: Do not defibrillate the manikin without the torso skin.

Calibrating the IV Arm Flowmeter A full service, including cleaning of the base board and its compartments
should be performed at regular intervals.

Maintenance
To calibrate the flow meter in the IV arm:

1 Click on the <Tools>, <Maintenance> menu in the Instructor

Application, then select the <Calibrate IV flow meter…> option.

Press the adapter plates firmly into place.

Connecting the SpO2 Probe

Troubleshooting
The SimMan 3G 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.

2 Follow the on screen instructions in the Flowmeter calibration 1 Connect the probe’s USB
wizard. plug to the Patient Monitor
PC.

Spare Parts
3 A confirmation message will appear if the calibration was
successful. 2 The probe can be placed on any suitable area on the manikin,
Ensure that the probe is always firmly fixed in position.

36 37
 Simulation Setup
Simulation Setup

Manikin Setup
Changing Genitalia Modules Changing the Upper Dentures Replacing and Filling Tibial IO Module with Blood
The SimMan 3G is shipped with a neutral genitalia pad as its default. The SimMan3G manikin comes with a set of soft upper teeth as
The pad can be exchanged for a male or female genitalia pad with default. The soft set may be replaced with a hard set of teeth.
urine catheter to simulate urine flow and catheterization.
1 Remove the teeth from the mouth.
Note: The manikin legs do not need to be removed before the
2 Align the new set of teeth with the gums and push them back
genitalia pad can be replaced.
until the teeth engage and lock onto the gums.

System Setup
1 Remove the manikin’s genitalia pad by gripping the pad at the top 3 Ensure that the new set of teeth is properly aligned with the gums
and pulling forward and down. before pushing them into places.

1 Attach the Tibial IO bag to the Tibial tube and close off 2 Roll the leg band, to expose the Tibial IO module.
the pinch clamp.

Simulation Setup
2 Disconnect any tubes or cables.
3 Connect the new genitalia module’s urine tube and the
catheterization sensor cable from inside the manikin pelvis to the
urine bladder module.

3 Remove the IO tape. Then remove the Tibial IO unit 4 Remove the tube from the Tibial IO module.

Clinical Features
from the leg.

4 Place the new genitalia module back into the manikin’s pelvis.

Inserting Urine Catheter

Maintenance
5 Remove the Tibial IO Pad from the Tibial IO chassis. 6 Before replacing the new Tibial IO, ensure that the nipple
Always use a water based lubricant liberally when inserting a urine is retracted in the Tibial IO Pad.
catheter.

Use the following catheter sizes:

Female genitalia – Foley 14Ch and Lofric 16Ch
Male genitalia – Foley 16Ch and Lofric 16Ch

Troubleshooting
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.

Spare Parts
38 39
 Simulation Setup
Clinical Features

Manikin Setup
General
Main anatomical features
Dimensions (manikin only): 1800mm (l) x 550mm (w) chest
(5. 90 ft x 1.80 ft)
Weight (patient manikin only): 38.5kg (85 lbs)
Weight (with clothes): 40 Kg (88 lbs)

System Setup
Default male body with interchangeable genitalia pads

9 Fill the Tibial IO unit with 30 - 35ml of blood, ensure the 10 Connect the Tibial tube to the Tibial IO unit. Configurable Anatomical Features
Tibial Pad is completely full. Genitalia
The manikin comes with a neutral genitalia pad as default. Pad can be
changed for a male or female module, included with the SimMan 3G
System. See section, Changing the Genitalia,

Teeth

Simulation Setup
Manikin comes with a set of soft teeth as default. These can be
exchanged for a hard set of teeth, included with the SimMan 3G
System. See section, Changing upper dentures.

Trauma Modules/Limbs
Left leg - amputation and bleeding module (optional accessory).
11 Replace the Tibial IO Pad and chassis, into the leg cavity. 12 Affix the tape to keep the module in place.
Right arm - amputation and bleeding module (optional accessory)
The SimMan 3G arm adaptor kit is used to connect the trauma arm
Roll the leg skin up over the Tibial module. The Tibial IO is now ready for simulation. modules.

Clinical Features
Contact your local Laerdal representative to enquire about other
The following devices have been tested and are approved for use with the simulator:
trauma modules compatible with SimMan 3G.
• BIG Automatic Intraosseous Device
• EZ-IO-G3, 15G x 1”, 1.8mm x 25mm Mobility of joints
• Jamshidi ® Illinois Bone Marrow Aspiration/Intraosseous Infusion Needle. 18 Ga. 9/16” (14mm)-1 ½” (38mm). Neck: movement can be on a 3-axis movement of head.
Range of movement can be restricted. See Airway
section under Clinical features.
Note: in some cases, there will be no blood backflow when using the BIG Automatic Intraosseous Device
Shoulders: 3-axis rotation
Lumbar: 1-axis
Elbows: Fixed, no mobility

Maintenance
Wrists: 3-axis rotation
Thumbs: Free mobility
Hip joints: 3-axis rotation
Knees: 1-axis rotation
Ankles: 1-axis rotation

NOTE: Do not remove protective bushings at shoulder or lower

back. These are present to protect users from pinch points.

Troubleshooting
Spare Parts
40 41
 Clinical Features
Clinical Features

Manikin Setup
SimMan 3G Clothing Airway Features Configurable Airway Features
The airway is anatomically modeled as far as the bronchia. Manikin features may be configured to present various airway
Included with the SimMan 3G manikin is a custom designed set of Scenarios:
clothing – with full-length zippers designed for easy removal. Washing The airways can be manipulated by a learner: − The airway may be closed automatically or manually. There are
instructions are found on the label inside each article of clothing. − Head tilt/Chin lift four levels of resistance and compliance within the airway.

− Shirt, with side zippers − Jaw thrust w/ articulated jaw − Tongue edema - multiple levels

− Trousers, with full-length side zippers − Cricoid pressure and manipulation − Pharyngeal swelling

System Setup
− Boxer shorts underwear − Suctioning (oral & nasopharyngeal) − Laryngospasm

− Belt − Decreased cervical range of motion

If the tongue fallback feature is enabled, head tilt is required to open − Trismus
the airways for mask ventilations. The manikin may be ventilated by
normal and emergency methods; − Teeth - soft upper dentures may be replaced with a hard set of If the patient suffers from insufficient breathing the animation remains
− Bag-mask ventilation teeth for enhanced realism while practicing intubations. blue.

− Orotracheal intubation Note that the airway/breathing settings can be altered by clicking
During simulation, the following conditions can be set: on the relevant area of the airway/breathing animation.
− Nasotracheal intubation

Simulation Setup
− Can’t intubate / can ventilate
− Transtracheal intubation When the mouse is hovered over the animation, the clickable areas
− Can’t intubate / can’t ventilate
become highlighted in grey and tooltip help is provided.

Prior to using airway adjuncts, apply a small amount of Laerdal Airway The following information is automatically registered in the SimMan3G 2 - Preset
Lubricant to the equipment. Do not spray lubricant directly into the simulation session:
airway, Select one of the following from the dropdown menu:
− Detection of proper head position.
The following equipment or methods are suitable to secure the − Intubation device used (if fitted with RFID tag) − Normal
manikin’s airway: − Can’t intubate / can ventilate
− Jaw Thrust
− Laryngeal mask airways: The airways are designed for use with

Clinical Features
size #4, but size #5 may also seal correctly. − Pneumothorax decompression − Can’t intubate / can’t ventilate

Simulated removal of the clothes − Endotracheal tube intubation, Size ID 7.5 - 8.5 is suitable, but − Ventilations
Unzip the full length zippers found along the seams of the manikin’s using the smaller size reduces wear of the manikin’s airways. 3 - Right Lung Resistance
− Stomach distension
clothing to simulate removal by cutting with a pair of scissors. Select from 4 resistance levels from 0(Normal) - 3 (Extreme).
Use of a malleable stylet is recommended - make sure it does not
extend beyond the ET tube. 4 - Left Lung Resistance
Instructor Mode Airway / breathing Tab Select from 4 resistance levels from 0(Normal) - 3 (Extreme).
− i-Gel
The Airway / breathing tab shows the status of the patient’s breathing
− Fiberoptic intubation and allows configuration of <Airway / breathing> settings. 5 - Total Lung Compliance
− Combitube (size small adult is suitable) To set compliance for both lungs: select one of the 4 compliance levels

Maintenance
− Retrograde intubation 0(Normal) - 3 (Extreme).
1 2
− Needle cricothyrotomy Note: The lung compliance function cannot be changed while the
manikin is being actively ventilated.
− Surgical cricothyrotomy
3 4 5
The following manikin features indicate incorrect tube placement: 6 6 - Allow Stomach Distention
− Right main stem intubation – unilateral chest rise 7 Check or uncheck the box to activate stomach distention or uncheck
8 the box to allow trapped air to exit.
− Stomach distention

Troubleshooting
− Lack of chest sounds, CO2 exhalation (see Breathing section) 1 - Animation and Settings 7 - Exhale CO2
The airway/breathing animation is a real-time movie of the airway/ Check or uncheck the box to enable or disable CO2 exhalation.
breathing status of the patient. (Requires connection to an external CO2 reservoir)

Healthy breathing with low resistance is shown by an inhalation in blue 8 - Tongue Fallback
which then turns white. Check the box to simulate tongue fallback. Uncheck the box to
disable this function. Tongue fallback symptoms will occur unless head
is tilted back or jaw thrust maneuver is applied.

Spare Parts
42 43
 Clinical Features
Clinical Features

Manikin Setup
Breathing Features A 22 (or smaller) gauge needle is recommended for
decompression of the chest. Using a smaller gauge needle
Circulation − Pulse
− NBP
The SimMan3G can simulate spontaneous breathing: increases the longevity of the chest skin and bladders. Cardiac features:
− Extensive ECG library, pulses from 0-220. − ABP
Warning: Do not ventilate the manikin with oxygen enriched air or However, a too small gauge prevents automatic detection
− Heart sounds - for every anterior location − PAP
flammable gass. of the decompression event in the simulation model.
− ECG rhythm monitoring (4-connector, 3-lead ECG) − C.O.
Caution: Do not ventilate manikin lungs using humidified air. Chest Tube Insertion
− 12-lead ECG display

System Setup
Chest tube insertion can be Patient Monitor features - Temperatures
− Bilateral and unilateral chest rise and fall simulated, and exploration − Pacing
− TPeri
− There are 4 compliance settings, from normal to extremely stiff and cut can be made at left or
right mid-axillary line at (4th − Defibrillation and cardio version using live defibrillators
− Tblood
− There are 4 settings for airway resistance, from normal to and) 5th intercostals space.
extremely tight. Defibrillation
− Normal and abnormal breath sounds − With live defibrillators; energy level and waveform model is About the Circulation & fluids tab
registered by the manikin. The settings of the <Circulation & fluids> tab are used to control
− 5 anterior auscultation sites and 6 posterior auscultation sites
− The energy levels and number of shocks required for automatic the secretion of fluids and blood from the Manikin during simulation.
− Unilateral, bilateral and lobar breath sounds

Simulation Setup
conversion are set in each simulation Patient Case. Convulsions are also controlled from the <Circulation & fluids>.
− Oxygen saturation and phlethysmogram
To open the <Airway / breathing> menu if it is hidden, click on the
− Cyanosis - indicated by blue lights on the lips Defibrillation Studs 3-Lead ECG Studs tab name.
− CO2 exhalation for use with third-party etCO2 detectors
(Requires connection to an external CO2 reservoir) Circulation fluids settings and configuration
The possible circulation fluids settings and details of how to configure
them are outlined below.
Patient Monitor features - Breathing
− SpO2

Clinical Features
− Airway respiration rate (awRR)
1 8 9
− End-tidal CO2 (etCO2)
10 11
− End-tidal O2 (etO2)
− inO2 12 13
2 3 4 5 6
− pH
7
Lung specifications
− Max tidal volume: 1.2 liters Circulation features

Maintenance
− BP measured manually by auscultation of Korotkoff sounds
− Max tidal volume registered in the Instructor Application is 1 - Convulsions
900ml. All volumes higher than 900ml will register as 900ml − Carotid, brachial, radial, femoral, popliteal, dorsalis pedis, and Select convulsions using the drop-down menu:
posterior tibialis pulses synchronized with ECG − None
− Max airway pressure: 80 cm H2O
− Pulse strength variable with BP − Tonic
− Simulated stomach inflation starts from approximately 40cmH2O
airway pressure. − Pulses are synchronized with ECG when the instructor sets the − Tonic-Clonic
pulse strength manually
Note: Lungs are not intended for use with PEEP-valves. Convulsions
− Pulse palpation is detected and logged
Convulsions may be seen in both hands.

Troubleshooting
− Seizure/Fasciculation
Pneumothorax CPR
Tension pneumothorax with
− Compliant with 2000 and 2010 Guidelines 2 - 6 Pulses
needle decompression can be
performed at bilateral mid − Compressions generate palpable pulses, blood pressure wave Move the slider to the appropriate position. Moving the central slider
clavicle line, 2nd intercostal form, and ECG artifacts (5) sets the overall pulse limit shown by the red line.
space. The pneumothorax
− Realistic compression depth and resistance
bladders may be pierced +/-10 7 - Secretions
times, the pressure inside the − Detection of depth, release and frequency of compressions Check or uncheck the boxes to activate/deactivate secretions.
bladder will drop after repeated When froth is activated, all other secretions are deactivated to ensure
− Real-time view of Quality of CPR on the Instructor’s PC
puncturing. correct fluid pressure.

Spare Parts
Patient Monitor features - Circulation Secretions (clear fluid)
− ECG (12-lead) and heart rate (HR) − Sweat on forehead / diaphoresis

44 45
 Clinical Features
Clinical Features

Manikin Setup
− Tears, both eyes 14 - Select Lower Bleeding Port 5 - More Body Sounds
− Ears, both Select bleeding type using drop down menu. Click the <Adv. Sounds Control> to open the sounds control popup.
7 From here you can control sound settings and volume for each
− Nose, right side 1 speaker.
− Mouth, right side
− Froth from mouth, right side.
Bleeding 2
3
− Urine output To allow the manikin to bleed realistically, the manikin has internal
4

System Setup
reservoirs for simulated blood. See the Manikin Setup.
5 6
Urine The four bleeding ports and blood flow can be adjusted independently
Check the box for urine from the SimMan 3G Instructor Application:
− Normal − Upper / lower bleeding ports 8 9

− Polyuria − Venous / Arterial 10

− Micturition − Works with various wound modules and moulage kits
Uncheck to disable urine. 1 - Heart Sounds

Simulation Setup
Bleeding Treatment: Select one of the following from the dropdown menu:
Urine output − Bandage − No Sound
− Foley catheterization
− Pressure point − Normal
− Urine (variable)
− Tourniquet − Aortic Stenosis 6 - Auscultation Focus
− Surgical Clamps − Mitral valve Prolapse This will disable features generating mechanical noise in the manikin
8 – Bleeding / Flow Rate for 30sec.This includes stopping the compressor and preventing chest
The number shown in the Flow box indicates the total bleeding rate − Diastolic Murmur rise.
for both upper and lower bleeding ports. Flow rate is shown in ml Vascular Access:
− Combined aortic insufficiency and stenosis
per min. − IV access (right arm) 7 - Vocal Sounds

Clinical Features
− Pericarditis
− Intraosseous access The manikin can vocalize sounds:
9 - Bleeding rate scale factor − Automatically, via playback of pre-recorded sound clips
− Systolic Murmur
1:1 to 1:10 − (tibia and sternum)
To conserve blood from the manikin’s internal reservoir, set a higher − Aortic insufficiency − The instructor can communicate and interact directly through
− Drugs - use of Automatic the loudspeaker in the manikin’s head.
scale factor to scale down the manikin bleeding in relation to the
Drug Registration System
blood loss presented on the Instructor screen. 2-3 Left and Right Lung Sounds Select from the list of Vocal Sounds by clicking on the name.
(identifies drug & measures
dose) and pre programmed drug responses. Select one of the following from the dropdown menu:
10 - Upper Port Bleeding 8 - Controlling Sounds
− Normal
Activate the checkbox to open the upper bleeding port open. Move Consumables and Spare Parts: Click the same button to <Play> or <Pause> sounds.
slider to the left or click the ‘–‘ button to decrease bleeding rate. Move − Laerdal Artificial − Stridor
slider to the right or click the ‘+’ button to increase bleeding rate. − Wheezes 9 - Repeat Vocal Sounds

Maintenance
− Fill Units
− Crackles To loop selected sounds, click <Loop sound vocals>. The loop symbol
11 – Connecting Wound Modules − Wound modules turns green when sound loop is activated.
Wound modules can be placed on the skin. Connect the wound − Replacement trauma arm / leg. − Basal crackles
modules to bleeding outlets. For information on wound setup see 10 - More Sounds
section: Setup for Simulation - Connecting Wounds Kit. − Bronchopneumonia
A wider selection of sounds can be selected from the <More
− Lower lobar pneumonia
The percentage shown in the box indicates the valve opening. The Sounds − COPD exacerbation
Sounds....> button.
percentage can also be entered by typing the desired percentage into
the box. The settings of the <Sounds> tab are used to control the body

Troubleshooting
sounds and vocal sounds from the manikin.
12 - Select Upper Port Bleeding Type
To view the <Sounds> menu click on the <Sounds> tab.
4 - Bowel Sounds
Select one of the following from the dropdown menu:
Eyes Settings and Configurations
Select bleeding type using drop down menu. Sounds settings and configuration − Normal The calculated Glasgow Coma Scale score for the Patient Case is
− Venous Overview of sound settings in Instructor Mode displayed in the Instructor Application - Auto Mode. In Instructor
− Hyperactive
mode, the following sources of information help the learner to judge
− Arterial − Hypoactive the state of disability:
− Borborygmus
13 - Lower Port Bleeding Eyes
To adjust lower port settings, follow instructions as stated under item 10. − Hypoactive postop − Blinking eyelids
− Hyperactive diarrhea − Eyelids: Open, closed and partially open
The percentage shown in the box indicates the valve opening of the
− Hypoactive constipation

Spare Parts
lower bleeding port.The percentage can also be entered by typing the − Eyelids can be opened for examination by the learner
desired percentage into the box. − Paralytic ileus − Pupil dilation: constricted, dilated or in between

46 47
 Clinical Features
Maintenance

Manikin Setup
− Pupillary accommodation 6 - Light Sensitivity SimMan 3G has an extensive drug library with automatic or adjustable Wipe the skin with a moist cloth
Select one of the following settings from the drop down menu: physiological responses. The system is able to identify many pre- Wipe the skin with a moist cloth to remove stains. Remove wet
− Synchrony / asynchrony
− Slow registered RFID tags. clothes or linens. Glue residue from the wound module tapes may be
− Normal and sluggish speed of response removed with a moist cloth.
− Normal
The IV arm can be set up with a US or International-type catheter, see
− None section: Changing IV Catheter Type. General clean-up
− R Direct only/L None − Return manikin and PCs to original state
4 5 Patient Monitor features – Drugs:

System Setup
− R None/L Direct Only − Train-of-Four (TOF) − Collect all RFID tags and prepare them for next session.
6
1 2 3 − in N2O, et N2O
Single use modules
− Anesthesia agents
Drugs and IV − Lab reports
Based on the use of the manikin, replace modules that are spent or
damaged:
1 - Right Pupil Size − Cricothyrotomy: Crico-tape and neck-skin
There are two RFID antenna locations in the manikin. One near the User-replaceable items, spare parts:
Select one of the following settings from the drop down menu: mouth and the other in the right IV arm. When RFID tagged syringes − IV catheter (US and International versions) − Chest drain module pleura
− Small and airway devices come within range of the antennas, they are
automatically registered by the system. The IV arm antenna registers − IV fluid filter
− Normal

Simulation Setup
drug type and concentration. − Intra-muscular pad
Multiple-use modules
− Large − Fluid filter
The RFID antenna in the mouth can also be used to register RFID tags
Vascular Access (IV and IO) Locations − IV-catheter filter
2 - Link Pupil Sizes used for drugs administered into the
sternum IO module. Always ensure Intraosseous access with needle insertion is possible through the − IV-catheter
Select either linked or unlinked by clicking on the link icon:
that the RFID tag comes within sternum and left tibia. The IO pads may be punctured numerous
Linked When the right pupil size is adjusted, the left also changes − Pneumothorax bladders
range of the antenna. times before being replaced.
accordingly.
Unlinked Right and left pupil size can be changed independently. − IO-modules (tibia and sternum)
Drugs and drug concentrations To replace the IO modules see the please see the Maintenance section.
can also be registered manually by − Chest rise bladders

Clinical Features
the instructor in the SimMan3G Caution: Do not inject fluids into these pads unless there are − Lung bladders
3 - Left Pupil Size
Instructor Application. approved IO modules with fluid outlets in place.
Select one of the following settings from the drop down menu: − Manikin skins (body, legs, arms)
− Small Manual Registration of Intra-muscular (IM) injection
− Normal Administered Drugs The right buttock has a pad under the torso skin, for training intra- Before Storage or Shipping
To manually register when a learner muscular injections. Flush the IV arm and fluid systems with 60% isopropanol solution or
− Large
has administered drugs to the 70% ethanol solution.
4 - Eyelid Status manikin:
Select one of the following settings from the drop down menu: Detach the manikin’s legs from the torso and pack into the transport
− Wide open 1 Click the relevant area of the Maintenance After Each cases as illustrated in “Manikin Setup.”
manikin figure and select Drugs
− Half open
Simulation Session

Maintenance
from the pop-up menu.
− Closed 2 In the Register Drug dialog box, use the Select category drop
down menu to filter drugs according to type. View the results in The following preventive measures are required to ensure longevity
of the SimMan3G manikin.
Installing and Upgrading SimMan
5 - Blinking Frequency <Select Drug> window.
Select one of the following settings from the drop down menu: 3 Use the Quick Search function to find specific drugs quickly and After Every Simulation Session
3G software
When activated, these settings will change the blink pattern. easily. Type the first letters of the drug name and choose a drug IV-arm system (manikin power on) SimMan 3G software comes pre installed.
− Off from the drop down list.
After each session where the IV-arm has been used, flush the IV arm
− Infrequently 4 When a drug is selected from the <Select Drug> list, icons with 60% isopropanol alcohol solution or 70% ethanol solution. See
Instructor PC and Patient Monitor PC

Troubleshooting
showing route of drug administration appear directly below the Cleaning the IV Arm.
− Normal
window. Select administration route by clicking the appropriate 1 Power on computer and ensure no SimMan 3G applications are
− Frequently icon. Blood and fluid system (manikin power on) running.
− 1 left After sessions where the blood and fluid system have been used, flush 2 DO NOT uninstall the SimMan 3G software from your computer.
the reservoirs with 60% isopropanol alcohol solution or 70% ethanol Visit www.laerdal.com/downloads to download the latest version
− 1 right solution. See Cleaning the Fluid and Blood System. of SimMan 3G and Laerdal Debrief Viewer. Select SimMan 3G and
− 1 both press “Click to Download” then follow the on-screen instructions
Power off the manikin and PCs to install.
When activated, these settings will cause the manikin to blink one
Charge batteries if necessary.
time. 3 In the installation menu – click the <Install SimMan 3G Software>
5 Change the dosage and concentration values under button once. This will start copying files to your computer.
<Select concentration> and <Select amount>.

Spare Parts
Note: That the copying process takes approximately 2-3minutes.
Once the copying process is finished, please follow instructions in the
installation wizard.

48 49
 Maintenance
Maintenance

Manikin Setup
Manikin Update Replacing IV Arm Catheter / Filter Replacing Crico Tape / Neck Skin
Caution: Do not switch OFF the manikin during the following. Never
update the simulator over WLAN (wireless): Replace the IV catheter module if it is damaged or if resistance is After creating an emergency airway through the cricothyroid
unrealistically high when injecting fluids. membrane, replace the perforated membrane before starting a new
Note: Please note that the version shown in these screenshots are simulation session.
subject to change. 1 Unzip and fold down the IV arm skin to expose the IV catheter
module 1 Remove the neck skin (velcro fasteners behind the neck).
1 Make sure you have installed the software on the
Instructor PC as described in the previous section. 2 Using the no. 4 Phillips screwdriver; remove the 4 screws and pull

System Setup
the IV module out of the arm.
2 Turn off the WLAN.
3 Switch on the manikin. Restart the manikin if it has been in use. Do
not start the Instructor Application or Patient Monitor Application.
4 Connect a network cable from the manikin to the Instructor PC.
Allow 60 sec from the time the manikin starts breathing, for a
connection to be established.
5 Execute < Start><All Programs> 9 Click <OK> to begin updating the software.

Simulation Setup
<Laerdal SimMan 3G><Manikin Update>.
10 Complete the update wizard.

2 Remove the old strip of Crico tape.

3 Replace with a new Crico tape.
3 Lift the IV catheter up and out, exposing the recess where the
filter is located.

Clinical Features
Note that some components might fail updating on first
attempt. Please ignore this and allow the update process
to continue.
6 Identify your manikin in the <Select Manikin> dialog and select
<Software update>, press <OK>.
The <SimMan3G> <Update Manager – Report> will show all
7 The Manikin Update program will start identifying software
updates and show which ones were performed successfully or failed. 4 Ensure Crico-tape completely covers and seals the opening to
versions currently installed. This will take about 2 minutes.
• Repeat from step 5 until all components are successfully prevent leakage while ventilating the manikin.

Maintenance
8 All programs and software versions are listed. The update updated. 4 Lift out the IV filter and replace with a new filter.
status for each program is displayed under <Update>.
• Allow manikin time to save changes and reboot. Do not power
off manikin until it starts breathing again.

Troubleshooting
1 Should the following message appear on the screen during the
update, click <Yes> to continue the installing updates.

Troubleshooting
2 If a module fails to update, run the <Manikin Update> again.

Spare Parts
Should the same module fail repeatedly, check to see whether
all internal wiring is connected and functioning properly.

50 51
 Maintenance
Maintenance

Manikin Setup
Replacing Chest Drain Pleura Replacing Pneumothorax Bladders Replacing Chest Rise Bladder
The chest drain module’s pleura skin should be replaced after After multiple pneumothorax decompressions, If the chest rise bladders leak or are damaged:
each use. the bladders may need replacement:
1 Open the torso skin to expose the chest plate.
1 Open the torso skin and remove the module from the chest. 1 Open the torso skin to expose the chest plate. There is one bladder on each side of the chest
Lift the chest plate to reveal the pneumothorax plate assembly.
bladders located in slots in the side of the chest
2 Disconnect the tube from the bladder.

System Setup
plate assembly.
2 Slide out the used pneumothorax bladder.
3 Disconnect the tube and discard the old bladder.

Simulation Setup
2 Remove the old pleura skin, and replace with a new skin and
replace the module.
3 Discard the used bladder.
4 Insert new bladder.
5 Reconnect the tube to the new bladder.
4 Insert the new bladder into the slot.
5 Reconnect the tube to the new bladder.

Clinical Features
Left Leg to Pelvis – Tube Descriptions
Name/Label Tube Color Connector Description
Pneum L Silicon Barb connector
Pneum R Silicon Barb connector
Chest L Silicon Barb connector
Chest R Silicon Barb connector

Maintenance
Troubleshooting
Spare Parts
52 53
 Maintenance
Maintenance

Manikin Setup
Replacing Lung Bladders Replacing Manikin Skins
If leaking occurs, the chest rise bladders (in the chest cavity) should The manikin skins may need to be replaced if they become torn,
be replaced. perforated, or stained.

1 Unzip and unroll the skin.

System Setup
1 Open the torso skin and put the stomach foam to the side.
2 Open the hinged chest plate upwards, to access the lungs.
7 Reverse this process to insert a new lung.

Simulation Setup
2 Applying powder to the inside of arm, torso and leg skins will help
reduce friction and make replacing the skins easier.
To prevent the zippers from separating from the skin, make sure to
properly position the skin halves and hold them together while zipping
them closed.

3 Remove the chest compression spring for easier access to the

Replacing Blood System Filter

Clinical Features
lungs. Note: Ensure that the compliance bands intersect between the
two folds of the lung. If reduced blood flow is experienced, the filter may be clogged and
needs replacement.

Never run the manikin without a filter.

Blo
od
R

igh
tL
eg

Maintenance
4 Unhook the yellow Lung Compliance bands from each side of the
lung assembly.

1 Turn off the manikin.

Troubleshooting
2 Remove genitalia with the catheterization assembly for easy access.
3 Disconnect the filter from the right leg and pelvis blood tubes
and remove it.
4 Connect a new filter by reversing the steps above.

5 Open the hinged lung plate.

Spare Parts
6 Pull the old lung out from its socket.

54 55
 Troubleshooting
Troubleshooting

Manikin Setup
Troubleshooting • Ensure that the microphone is positioned in the cup located
towards the top of the ear with the black surface facing
of the Instructor Application will indicate which manikin is pulse
palpated.
Solution
• Clean the blood system.
System Setup outwards.
• Check the flow setting in the Instructor Application.
Problem Airway contamination
Voice Conference Application Problem • The blood system may need to be re-calibrated. Contact your
• Lost data or total system failure (General System failure).
local service representative.
Problem • Manikin airways have become contaminated from mouth-to-
Solution
mouth rescue breathing • Replace filter.
• Should system shutdown or all data is lost or corrupted; please • Instructor microphone not picking up sound.

System Setup
contact your local Laerdal Service Center. Solution Problem
• Clean the outside of the manikin with manikin wipes. Clean the • Air when bleeding
Possible Solutions
inside of the oral cavity with manikin wipes. Change the lung
STABILITY AND CONNECTION IN MANIKIN • Unplug and re-plug the headset to your computer bladders; see: Maintenance - Replacing Lung Bladders.
Solution
CREATED NETWORK • Bleed the blood reservoir empty, then refill.
• Ensure correct sound device is selected. In Voice Conference Note: The manikin airways are not designed for mouth to
Problem Application main menu, select <Options>, <Select Device>. mouth rescue breathing or to be disinfected. Problem
• Connection between the Instructor Application and/or Patient
• Check volume settings in Windows. Ensure microphone is not • Simulated blood is leaking from the back of the right leg during
Monitor and manikin is lost.
muted. filling or when the manikin is turned off.
Causes Chest movement
Solution

Simulation Setup
• Other software on PCs may interfere with our Instructor Problem
Application or Patient Monitor. The Debrief Viewer • No chest rise on manikin.
• The internal reservoir may need to be replaced. Contact your
Problem local service representative.
• Multiple network connections may interfere with transmissions Solution
between our software and manikin. • Missing video capture - If the web-camera does not record • Check that manikin is switched ON.
Problem
video for debriefing. • Can’t fill the blood reservoir.
Possible Solutions • Check that manikin is not in sleep mode due to inactivity.
Possible Solutions Reactivate the manikin. Solution
• Remove unnecessary software on PCs.
• Check that the web-camera’s USB-cable is plugged into the • The filter may be clogged. If so, order a replacement fill bottle.
• Disable other networks. • Check that awRR is not set to zero on Instructor Application
Patient Monitor PC.
(Patient Case or scenario)
• Check the web-camera settings via the Profile Editor. Ensure Manikin Limbs

Clinical Features
• Check that airway complications like maximum air resistance or
STABILITY AND CONNECTION IN CLIENT settings match the web-camera setup.
laryngospasm are not set. Problems
MODE • Ensure you use the correct profile file.
• Check if the internal compressor is switched off. See: Turning the • Lack of motion in the legs.
Problem
• Ensure that there is only one USB web-camera connected to Internal Compressor Off/On. Possible Solution
• Connection between Instructor Application and Patient Monitor
the PC.
and manikin is lost. • Check that any external compressed air source is switched off • Loosen and re-adjust the hip joint nuts on the inside of the
• The video recordings will be stored on the PC connected to and that the air tube is disconnected from the manikin. pelvis. See: “Manikin Setup” for details on how to attach the legs
Causes the web-camera. Ensure the computer connected to the
• Manikin has been positioned where limited connectivity to • The internal compressor may have overheated. Wait
web-camera is available when transferring to the debrief viewer.
approximately 20 minutes for it to cool down. Remove blankets Lungs
external network exists.
Problem or covers from the manikin, open the torso skin to facilitate Problem
• Other software on PCs may interfere with our Instructor cooling. • Lungs not functioning properly.

Maintenance
• Patient Monitor video capture is not included in the debriefing.
Application and/or Patient Monitor.
Possible Solutions • Chest-rise is set to bilateral (for example if ET-tube is inserted Possible Solution
Possible solutions too far into the bronchia).
• Check that the name of the Patient Monitor PC being used • Check that the airway resistance is not set to maximum in the
• Move manikin to improve connectivity to external network. Instructor Application.
corresponds with the setting in the profile in use. • Chest-rise bladder is leaking or tubing to chest-rise bladder is
• Remove unnecessary software on PCs. twisted, kinked or disconnected. Replace chest-rise bladder if it • Open the torso and chest plate. Check that the lungs are free to
is leaking, see Maintenance: Replacing Chest Rise Bladders.
Manikin expand and are not restricted by any cables.
Changing Manikin Wireless Network Problem • Check air tubing for leakage; check that all connections are intact. • Check that the lung bladders are properly connected, and that
Display name • Unpredictable behavior
Replacing tubing if necessary. the tubes are not twisted.

Troubleshooting
If operating more than one manikin, ensure that each manikin has its • Shallow chest movements and the internal compressor runs
Possible Solutions • Check that the lung bladders are in a horizontal position and
own unique SSID name. For more information see, section Wireless continuously. The internal compressor may be worn - contact
• Manikin malfunctions may be caused by loose cables, tubes or inserted correctly. Ensure that the lung compliance O-rings lie
and LAN configuration. Laerdal Technical Service.
connectors. Open the torso and check if any items appear to between the folds of the lung bladders.
have become disconnected or are leaking. See section: Manikin • Check for flaws or ruptures in the lung bladders.
Voice Conference Application Setup - Opening the Torso. BLOOD SYSTEM
Problem • Check that the two lung compliance O-rings are fitted correctly.
Problem • In case of fluid leakage, power off the manikin and contact Replace O-rings if they appear to be damaged.
• Sound from manikin to Instructor Application not working. Laerdal Technical Service. • No blood flow.
• Check that there are no obstructions inside the manikin airways
Possible Solutions Problem Solution which may block air flow.
• Check that the microphone has not slipped out of place. Open • Identifying a single manikin when there are multiple manikins on • Make sure that the internal reservoir is filled with fluid.
• If there is no change when adjusting lung compliance, contact
the head skin zipper, located at the back of the head, enough to a network? Problem Laerdal Technical Service.

Spare Parts
reveal the ears.
Solutions • Too low flow. • If there is no change in lung resistance, contact Laerdal Technical
• When checking the manikin’s pulse, the <Select Manikin> dialog Service.

56 57
 Troubleshooting
Spare Parts

Manikin Setup
Mechanical Noise during
Auscultation
Main Specifications Minimum Software Requirements
• Windows XP or Windows 7
Spare Parts and Accessories
In the Instructor Application, click <auscultation focus>. Size, weight • DotNet 3.5.1 Catalogue Numbers
Dimensions (manikin only): 1800mm (l) x 550mm (b) chest Substitute XX with the number for your local language version
Batteries (5.90 ft x 1.80 ft)
Problem Weight (patient manikin only): 38.5kg (85 lbs) Acceptable Fluids for Manikin Transport and Storage Cases
• Battery life is less than 150 minutes with healthy patient and fully Weight (with clothes) 40 Kg (88 lbs) Cleaning Fluids 212-17950 Case soft, torso
charged batteries. To clean the manikin’s fluid system use one of the following: 212-18050 Case soft, legs

System Setup
Manikin power • 60% Isopropanol Alcohol 212-07150 Carry Case, Rugged
Possible Solutions External power: Input voltage 24VDC, 6.25A
• 70% Ethanol
• Batteries may be old, (recommended lifetime is 200 discharge Internal batteries (two): Each 14.8V, 4.6Ah, Lithium-Ion Manikin Parts
cycles). Insert new batteries. 212-00050 SimMan 3G Manikin - Standard Version
Only use the SimMan 3G external power supply and batteries. Simulated IV Fluids
• Compressor may not function properly; consult your local 212-11350 Arm bushing (left and right)
Laerdal Technical Services Centre. Only use purified water to simulate IV fluids: 212-13050 Arm right, IV arm complete
Air & CO2 Pressure • Distilled Water 212-14050 Arm left, BP Arm complete
Pulses Internal air tank: Max 0.85 bar 212-16060 Leg right, complete
• Deionized Water
Problem External air connection: Max 1.4 bar 212-16050 Leg left, complete

Simulation Setup
External CO2 to manikin: Max 1.4 bar 380460 Neutral Genitalia (default)
• Cannot feel pedal pulses
212-12050 Genitalia Kit with Urine Catheterization
Possible Solutions Temperature Limits module
• Skin may be too tight over pulse units – readjust skin and reboot. Operating temperatures: +4 ºC to 40 ºC (39 ºF to 104 ºF) 212-12250 Battery manikin, internal (pkg. 2)
Storage temperatures*: -15 ºC to 50 ºC (5 ºF to 122 ºF) 212-12350 Thigh-joint connector

Clinical Features - Pneumothorax * Clean the blood and fluid systems as indicated prior to long term
212-12450
212-12550
Battery clip, manikin internal
Panel cover (left and right)
bladders storage. 381107 Soft Teeth
Problem 212-14250 Arm Adaptor SimMan/SimMan 3G
• Experience problems with pneumothorax bladders. Environment - Manikin only
Power cords

Clinical Features
Relative humidity: 20% -90% (non-condensing)
Solution
DO NOT use outdoors in wet conditions. 260305 US cord
• Check tubing connection at base of the bladder, to ensure that
Not tested with salt spray. 260306 EUR cord
tubing has not been disconnected.
212-18650 PC Power Pack (110-240V)
RF Communication 260307 UK cord
Manikin Shutdown WLAN frequency ranges: 212-07050 External Battery Charger
Problem 2.4 GHz WLAN, channels 1-11.
5 GHz WLAN, channels 36, 40, 44 and 48. PCs and Equipment
• The manikin is unresponsive.
Operation range: 100 m (300 ft) outdoors. 212-18250 Sleeve Instructors PC
Solution RFID frequency ranges: 13.56 MHz 212-090XX Instructor PC, 12”
Press and hold the <ON/OFF> button for 10 seconds to force the Operation range: < 0.2m 212-18150 Sleeve Patient Monitor

Maintenance
manikin to shutdown. 212-092XX Patient Monitor, 12”
Material Chart for Manikin 212-19650 Headset with microphone
Clothes: Cotton, Nylon 245-96050 Webcam
Skins and airways PVC (DEHP free)
External hard plastics: PP, PA, PC, PC/PET SimMan 3G Clothing
Inner plastics: Silicone, TPU, TPE, PVC, Nitrile 212-17450 Shirt
PA, PA+GF, PC, ABS, POM, HDPE, PET, 212-17650 Boxer Shorts
212-17750 Belt
Metal components: Aluminum, Brass, Steel 212-17550 Trousers

Troubleshooting
Minimum Hardware Requirements: Fluid and Blood System Equipment
• Core 2 Duo or better 212-17150 Blood Fill Unit
212-18950 Fluid Fill Unit
• 1 GB RAM (2 GB recommended)
300-00750 Blood Concentrate
• 1GB hard disk space, 210-20050 Wound Tape Kit
212-18550 Wounds Kit
• 1024x768, 1280x800, 1280x1024 or better
• 16bit color resolution or better
• 100% DPI required
• Optical drive required for installation

Spare Parts
58 59
 Spare Parts

Drugs and RFID Tags

210-70050 Drug / Airway Tag Kit
212-17850 Sleeve Medication / Airway Tags
212-23150 IV Filter (pkg. 6)
212-23250 Velcro hooks for RFID base
212-23350 Vial Kit (5 x 10ml & 5 x 20ml)
212-13450 Lock Kit for catheter, International (4 sets of 2)
212-13550 Lock kit for catheter, US (4 sets of 2)
212-13650 IV Catheter, luer lock, male (pkg. 40)
212-13250 IV Catheter with lock, US version (one port)
212-13350 IV Catheter with lock, International version
(two ports)

Consumables
212-21050 Neck Skin Kit (6)
212-24050 Torso Skin
212-24450 Torso Skin Sternal IO
212-13150 Skin right, arm
212-14150 Skin left, arm
212-15150 Skin right, leg
212-26050 Skin left, leg
212-26250 Leg Skin Left Tibial IO
381106 Rigid Teeth
212-24150 Pneumothorax Bladder Set (pkg. 2)
212-24250 Pleura, chest drain (pkg. 20)
212-11050 Chest Rise Bladder (pkg. 4)
212-21150 SimMan 3G Cricothyroid Tape
250-21050 Airway Lubricant
212-24150 Pneumothorax Bladder Set (pkg. 2)
212-24250 Pleura, chest drain (pkg. 20)
212-24350 Sternal IO Unit (pkg. 4)
212-25250 IM Pad (Intra-muscular Pad) (pkg. 4)
212-26150 Tibial IO Unit (pkg. 4)
212-11150 Lung Bag (pk. 2)
212-11250 Chest Drain Ribs Set (left and right)
212-25350 Inline Filter, Blood (pkg 5)

Modified Clinical Accessories
212-17050 SpO2 probe with USB connector
200-00550 Cuff assy, Blood pressure

Tool Kit
212-18350 Repl. Tool Arm, Allen Key 8mm
212-18450 Repl. Tool, IV filter, Screwdriver Pozi no. 1

Support Material
212-19150 Directions for Use
212-19350 Quick Setup Guide, poster

SimMan 3G Software
212-19550 License (1) Instructor Application

60 61
© 2013 Laerdal Medical AS. All rights reserved
N1298 Rev M