USER’S GUIDE ALS Cardiac Training Simulator BT-ACTB
1.
Index 1. Cautions 1 2. Product composition 2-1 Components 2 2-2 How to store the product 3 2-3 Assemble/Disassemble the legs 4 2-4 Manikin power supply 5 3. Function 3-1 Eyes 6 3-2 Airway management 6 3-3 Circulation 7 3-4 Breathing 8 3-5 CPR 9 3-6 Vascular access 9 3-7 Speech 9 4. Checking O/S specification 4-1 O/S Specification 10 5. Checking H/W speficication 5-1 H/W Specification 11 6. Install application 6-1 Developer settings 12 6-2 Install app package file 13~14 7.
8. AppFacilitator Feature 8-1 Manual mode 20 8-2 Top menu 21 8-3 Bottom menu 22 8-4 Left menu 23 8-5 Right menu 24 8-6 Patient monitor (Graph monitor) 25 8-7 Patient monitor (Numeric monitor) 26 8-8 Patient status viewer 27 8-9 Change the patient status 28 8-10 Scenario mode 29~36 8-11 Result viewer 37~40 9.
2. Product composition 2-1.
2-2. How to store the product ※ The neck protector must be worn during storage or transportation.
2-3. Assemble/Disassemble the legs 1. Connect the cables and tubes. 2. Insert the hinge pin. 3. Assemble the knob bolt. ※ Disassembly is the reverse order of assembly.
2-4.
3. Function 3-1. Eyes Light Reflex / Consensual Light Reflex 2 Adjust pupil size - 1~8mm 3 Adjust light reflex speed - Prompt / Slow 4 Eyelids : Open / Closed 1 3-2.
3-3.
3-4.
3-3. CPR 3-5. 순환 1 Chest compression - Compression depth - Hand position (Correct/Upper/Lower/Left/Right) - Compression rate - Incomplete release - Hands-off time 2 Artificial respiration - Ventilation volume - Ventilation time - Ventilation per minute 3-6. Vascular access 1 2 3 4 IV (Right arm) IO (Right tibia / Right humerus) IM (Right humerus) Medication (Software) 3-7.
4. Checking O/S specification 4-1. O/S Specification Minimum System requirements : Windows 10, Version 1809 or later 1 Search winver at the search box next to windows start menu icon. 2 Window version can be checked at the pop-up screen.
5. Checking H/W speficication 5-1. H/W Specification Resolution : 1920 X 1080 Text Size : 100% 1 Search Display settings at the search box next to windows start menu icon. 2 Set the Change the Text size and Resolution as below.
6. Install application 6-1. Developer settings 1 Search Developer settings at the search box next to windows start menu icon. 2 Activate Developer mode at the screen.
7. 앱 설치하기 6-2. Install app package file 1 Open the app package folder and start the PowerShell by clicking the right mouse button. 2 Install the app by following instructions. - It may take some time depending on the PC's specification.
3 When the installation is completed the app will be on the windows start menu. 4 The app can be moved to the desktop screen by dragging the mouse.
7. Start Application 7-1. Application Settings 1 Start the app and select Preferences menu at the left side. < Home screen > 2 Select the file system from the App setting permissions at the right side of the screen. 3 Activate the file system at the app permissions screen. 4 When the app is automatically closed, restart the app.
8. 앱 시작하기 7-2. Conncet AppFacilitator and AppMonitor 1 Connect Wi-Fi - Connect AppFacilitator and AppMonitor to the offered Wi-Fi router. 5G 2 AppFacilitator Settings - Click the Start button at the top menu.
3 AppMonitor Settings - Click the Wi-Fi button at the top menu. AppMonitor 4 When the two apps are connected, you can see the message as shown below.
8. 앱 시작하기 7-3. Connect AppFacilitator and Manikin 1 Turn the manikin power on. 2 Click the Bluetooth button at the top menu. 3 Find the manikin's serial number on the Bluetooth list and connect it with the manikin.
4 The Bluetooth connection state can be checked in the upper-right corner. ※ If the manikin is not paired, proceed with the pairing.
8. AppFacilitator Feature 8-1. Manual mode 1 Select "Manual mode" from the home screen.
8-2. Top menu 1 2 1 Patient monitor settings 2 Home 3 Save results 4 Wi-Fi settings 5 Start training 6 End training 7 Bluetooth settings 8 Training time 9 Synchronize 3 4 5 6 7 8 9 : Change settings of the layout of patient monitor and the audio. : Go to the home screen. : Save the training result. : Connect with AppMonitor. : Start and pause the training. : End the training. : Connect AppFacilitator to Manikin. : Display the training time.
8-3. Bottom menu 2 1 3 1 Event Logs - Record changes to parameters, medications, treatments, checklists, and simulators. - You can select and view the items you want by using the filter. 2 Mute : Turn the sound ON/OFF. 3 Full screen mode : Turn on and off full screen mode.
8-4. Left menu 1 2 3 4 5 1 CPR : Show the CPR feedback in real-time with graph and chart. 2 Guidelines : You can create CPR guidelines. 3 Checklists : You can create the checklist for the training. 4 Patient Records - Set or check the patient profile. - Send the patient history and diagnostic result. - Set or check the initial patient status. 5 Maintenance : Check the pneumatic operation status of the simulator.
8-5. Right menu 1 2 3 4 5 6 7 8 9 10 1 Library : You can set and save patient parameters at once. 2 Cardiac : You can set cardiac parameters such as cardiac rhythm, heart rate, cardiac output. 3 Respiratory : You can set respiratory parameters such as chest rising, airway obstruction, respiratory rate. 4 Neuro : You can set nervous parameters such as ICP, body temperature. 5 Pulse : You can adjust pulse status and the intensity. 6 Eyes : You can set the pupil status.
8-6. Patient monitor (Graph monitor) 2 1 1 Graph monitor - Display ECG, ABP, PAP, ETCO2 waveform. - You can change the ECG waveform. 2 Graph monitor settings - You can add or delete waveforms to the graph monitor. - You can change the color of the waveform. - You can block the waveform’s signal. - You can adjust the graph scale. - You can set the alarm.
8-7. Patient monitor (Numeric monitor) 2 1 1 Numeric monitor - Display numeric values such as HR, CO, ABP. 2 Numeric monitor settings - You can add or delete patient parameters in the numeric monitor. - You can change the color of the patient parameters. - You can show or hide patient parameters. - You can set the alarm.
8-8. Patient status viewer 1 1 Display or change the current patient status. - Display the patient profile. - Display the hand position during chest compression. - Display the pulse intensity and the position of palpation. - Display the cuff pressure. - Display heart sounds, lung sounds and the Korotkoff sounds status. - Display the airway angle. - Display the jaw thrust maneuver. - Display the force on incisor. - Display the position of intubation. - Display the stomach inflation.
8-9. Change the patient status 1 2 3 1 Select patient parameter menu - Select the patient parameter menu that you want to change. 2 Set the parameter - Change the parameter and transient time. 3 Check the patient status - When the parameter is changed, you can check the changed value at the marked place in the above picture.
8-10. Scenario mode 1 2 1 Start scenario mode - Select the scenario mode from the home screen. 2 Create a scenario - Click the add scenario button and enter a scenario name.
3 4 3 Confirm scenario creation - You can check the scenario created date and name. - You can check the selected initial patient status. - You can change the scenario name. - You can delete the scenario. - You can copy the scenario. - You can export or import scenarios. 4 Edit the scenario - Click the Edit button and edit the scenario.
5 6 7 5 Set the patient profile - Set the patient's name, gender, age, height and weight. - Record the brief information about the patient. 6 Add patient file - File can be saved as image, audio, video, PDF, RTF, text format. 7 Setting up patient files - When adding the file, you can add the brief description and set the display expiration time.
8 9 8 Select the initial patient status - Select the initial patient status from the library. 9 Create new patient status - You can create a new patient status. - You can change the patient status name. - You can delete the patient status. - You can copy the patient status. - You can export or import patient status.
10 11 10 11 Add patient status - Click the add button to create a patient status needed for the training. Set the patient status - Click the edit button to change the patient status.
12 13 12 13 Create transition - You can create transition conditions for changing patient status. - There are timer, vital signs, treatments and medications for the transition. Check the transition - Check the transition condition and the next patient status.
14 15 14 1 Save the모드 scenario 시나리오 실행 - Click the save button to save the scenario. 홈 화면에서 시나리오 모드를 실행합니다. 15 2 Start the생성하기 시나리오 scenario - Select 시나리오the 추가 scenario 버튼을 누르고 for the 시나리오 training 이름을 from입력합니다. the scenario list.
16 16 1 2 Run the 모드 scenario 시나리오 실행 - Can start or stop the scenario from the scenario menu. 홈 화면에서 시나리오 모드를 실행합니다. - Can check the set patient status. 시나리오 생성하기 - 시나리오 추가 버튼을 누르고 시나리오 이름을 입력합니다.
8-11. View results 1 2 1 Select result viewer - Select result viewer from the home screen. 2 View saved results - Select the desired result from the result list.
1 3 2 1 2 1 Review the event logs - Review the data such as changed parameters during the training. - You can view event logs by grouping them. 2 Export to excel file - You can export the event logs as an excel file format. 3 Save excel file - You can edit the event logs in Excel or save it with a another name.
2 1 1 View CPR Graph - Chest compression and ventilation data can be review. - You can check the CPR data at the desired time using the graph search function. 2 CPR graph options - Show or hide chest compressions and ventilation data generated during CPR training.
1 2 1 View CPR chart - You can see the CPR results as a chart. 2 Export to image file - Export or print in image file format.
9. AppMonitor Feature 9-1.
9-2. Top menu 1 2 1 Patient monitor settings 2 Wi-Fi settings 3 Start training 4 End training 5 Training time 6 Wi-Fi status 3 4 5 6 : Change settings of the layout of patient monitor, the audio and NIBP. : Connect with AppFacilitator. : Displays the training start and stop status. : Displays the training end status. : Display the training time. : Show connection status with AppFacilitator.
9-3. Bottom menu 1 2 3 1 Settings 2 Patient records 3 Snapshot 4 NiBP 5 Medications 6 Treatments 7 Mute 8 Full screen mode 4 5 6 7 8 : You can check the preferences and S/W information. : You can check the patient profile, patient history and diagnostic result. : Record the current patient status and print. : You can start measuring NiBP. : You can make medications needed for the training. : You can train defibrillation, pacing, oxygen therapy. : Turn the sound ON/OFF.
9-4. Patient monitor (Graph monitor) 1 2 11 2 1 Graph monitor - Display ECG, ABP, PAP, ETCO2 waveform. 2 Graph monitor settings - You can add or delete waveforms to the graph monitor. - You can change the color of the waveform. - You can block the waveform’s signal. - You can adjust the graph scale. - You can set the alarm.
9-5. Patient monitor (Numeric monitor) 2 1 1 1 Numeric monitor - Display numeric values such as HR, CO, ABP. 2 Numeric monitor settings - You can add or delete patient parameters in the numeric monitor. - You can change the color of the patient parameters. - You can show or hide patient parameters. - You can set the alarm.
9-6. Patient monitor settings 1 2 3 1 Patient monitor layout settings - You can save and load the layout of the graph monitor and numeric monitor. 2 Audio settings - You can set the heart rate alarm, patient monitor alarm, and NiBP sound. 3 NiBP settings - You can set the NiBP auto cycling.
9-7. Patient records 1 2 3 1 Patient profile - You can check the current patient profile. 2 Patient files - Patient files sent from AppFacilitator are saved. 3 Check the patient file - Click the open file button to view the patient file.
9-8. NiBP 1 1 1 1 Measure NiBP - Click the mouse to start the NiBP measurement. - NiBP is automatically measured when the NiBP auto cycling is set.
9-9. Medications 1 1 2 1 1 Create a medication - You can make medications needed for the training. 2 Administration of medication - Select the type of medication and set the dosage and medication method.
9-10. Defibrillator 2 1 1 1 1 Defibrillator - You can train synchronous and asynchronous defibrillation. - You can select the type and energy of the defibrillation waveform. 2 Defibrillation waveform - Defibrillation waveforms are displayed on the ECG graph during defibrillation.
9-11. Pacer 2 1 1 1 1 Pacer - You can set pacing current and rate. - You can set the patient threshold current. 2 Capture beats - When pacing current is applied, capture beats are displayed on ECG graph.
9-12. Oxygen therapy 1 1 2 1 1 Select oxygen therapy - You can choose the oxygen therapy that such as fraction of inspired oxygen and nasal cannula. 2 Set the oxygen therapy - You can set appropriate FiO2 and flow rate for the patient treatment.
9-13. Snapshot 1 1 2 1 3 1 Record the patient status - Click the capture button to record the current patient status 2 Set filters - Use the filter to add or delete the currently recorded patient status parameters. 3 Print snapshot - Click the print button to print the snapshot.
Precautions This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. Changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment.