Directions for Use Resusci Anne Simulator 2004-10-08 1
Table of Contents Table of Contents .............................................................................. 2 Introduction ..................................................................................... 3 Cautions and warnings ....................................................................... 3 Standards/Approvals.......................................................................... 4 Items included ..................................................................................
Introduction The Resusci Anne Simulator offers a variety of capabilities within basic and intermediate life support training for healthcare providers. The most significant capability is that of training in teams to improve teamwork and problem resolution skills.
Standards/Approvals 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. Note: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules.
Items included Please check that all listed contents below are included.
Connect Blood Pressure Arm Cuff to torso 1. Place Blood Pressure cuff on the arm. 2. Connect the clear tubing on cuff to the blood pressure connector on simulator’s torso (see photo). Insert the connector and twist slightly clockwise until it clicks into place.
Getting started with Resusci Anne Simulator Airway Head 1. Head Tilt and Chin lift: Head tilt and chin lift can be performed on the head. If the head tilt is performed, and airway obstruction is not activated, the airway valve will be open allowing air passage to the lungs 2. Jaw Thrust: The jaw thrust maneuver can be performed on the head. If the jaw thrust is performed, and airway obstruction is not activated, the airway valve will be open allowing air passage to the lungs 3.
delivered with a default setting of “Manual” mode and means that the airway closing valve is always in the open position. It may be manually closed with the use of the remote control. Two other automatic settings can be selected via the remote control to drive the airway obstruction feature. See later section titled “Set Airway Obstuction (Open /Closed) Mode” found under Remote Conrol for more detail. Note: When the Resusci Anne Simulator is “Off” the airway will remain open.
monitored across these connectors. Using the remote control, the instructor can select the “ignore defib” function to control whether or not the defibrillation shall result in conversion to a perfusing rhythm. Paddle adapters are supplied for use with manual defibrillators. Need a picture with ”4-Lead” 3. Stomach: The simulator is equipped with a stomach and pressure valve system that allows stomach distension at inspiratory pressures of more than 25 cmH2O. To deflate press gently on the stomach. 4.
Remote Control Communication between the remote control and the simulator is based on low power radio frequency (RF) communication. If the remote control device is used in an environment where RF communication is not desirable, or where interference from other sources makes the remote control device inoperable, it is recommended to use the cable connection between the remote control and the simulator. Using the direct cable connection disables the RF circuits in both the remote control and the simulator.
For Remote Control to properly recognize the Simulator 1. Turn on the simulator by pressing the “On/Off” button located on the right side of the simulator’s torso. 2. Turn on the remote control by pressing the On/Off key (indicated by the letter J in remote control picture above). The remote control will automatically detect the simulator and set the initial parameters accordingly. A splash screen will be displayed for a few moments until the main display is shown.
Operation 1. Using left/right navigation buttons (located to the left and right side of the “OK” button) tab to the desired functional area of the display. Once the desired area is highlighted, use the up/down navigation buttons to scroll through to the desired selection. 2. When the desired functional area is highlighted, press OK to edit the settings. (For example, to set the rhythm, highlight the ECG functional area and push the OK button).
Setup: Remote Control Settings To activate the Setup Menu, press the Menu button. Use the navigation buttons to select function. Use quick execution buttons or the navigation buttons to make a selection. Press OK to save. Display backlight can be turned on or off. Unless used in a dark room, it is recommended to have the backlight off to preserve batteries. Note: The default setting is “off”. Display Contrast can be adjusted between 9 (darker) and 1 (lighter). Note: Default setting is 5.
To preserve batteries, the Autopower off function turns off the remote control if there has been no keyboard activity for a set number of minutes decided by the user between 5–60 minutes. A warning will be given one minute before the unit turns off. Note: Default setting is 15 minutes. Com. Channel To be able to operate several Resusci Anne Simulator units in the same vicinity, it is possible to select 5 different communication channels.
Calibrate Blood Pressure (BP) To ensure correct measurements of simulated BP, the sphygmomanometer used with the cuff needs to be calibrated to the pressure sensor in the simulator. This is done by selecting the Calibrate BP function, inflating the cuff to 100mm Hg and pressing the Calibrate quick execution button as the pressure is held at exactly 100mm Hg. Language Language selection affects the texts on the remote control display.
Remote control battery status is indicated in the upper right corner of the display. is indicated. When the Batteries should be replaced immediately when battery empty batteries are totally empty, the remote control will turn itself off without any warning. Replace the remote control batteries with 4 AA size alkaline batteries. Programming ECG Set Running Rhythm On the main display, use the left/right navigation buttons to highlight the ECG functional area and press OK to edit the functions.
Selecting Rhythm Using the navigation buttons, highlight the desired rhythm and press OK. Rate and QRS type can be modified using the quick execution buttons, OR By highlighting the QRS or Rate area using the left/right navigation buttons, and then use the numeric pad or up/down buttons. QRS types can be set to A through G: Available rates are dependent on the selected rhythm. Setting PEA sets the BP to 0.
When a Waiting rhythm is selected, two additional quick execution buttons appear in the quick execution area: • Activate Activates the Waiting rhythm, substituting the Running with the Waiting. • Parox. Activates the Waiting rhythm, and exchanges the Waiting and Running rhythm. Set Defibrillation Enabled/Disabled When Defib. Enabled is selected the Waiting rhythm will be automatically activated and replace the Running rhythm when a shock is delivered to the simulator.
Sounds On the main display, using the left/right navigation buttons highlight the sounds functional area. The sound volume for the selected sound can be set directly from the main display using the - and + quick execution buttons. The selected Vocal sound can be activated using the quick execution button. When ”Cough” is the selected vocal sound, the button will be labeled Cough. The Recall quick execution button reactivates the previously selected sound for the highlighted sound type.
The sounds can be selected using the up/down navigation buttons or using the numeric buttons. The arrow on the bottom right of the selection field indicates that there are more selections than presented on the screen. Volumes can be adjusted using the +/- quick execution buttons, or by highlighting the volume field and then use the up/down navigation buttons or the numeric buttons. Set LL and Set RL quick execution buttons are alternative ways to select individual (unilateral) lung sounds.
Set Vocal Sounds On the main display, using the left/right navigation keys, highlight the Sounds functional area. To alter the Vocal sound, scroll down and highlight Vocal. Note: Whenever the Sounds area is selected, the selected Vocal sound can be activated using the quick execution button. Most sounds are activated once. The continuous sounds are toggled on/off. When Vocal is selected, the three last used sounds are available as quick execution buttons.
Set Blood Pressure On the main display, using the left/right navigation buttons highlight the Blood Pressure functional area. Press OK to activate the BP menu or adjust BP directly using the BP +/quick execution buttons Using the BP +/- buttons When both systolic and diastolic are highlighted, both pressures will change and maintain the difference. When systolic is highlighted, only systolic will change, but diastolic will be kept at least 10mm Hg below systolic.
Set BP menu: Use left/right navigation buttons to select function. Systolic and Diastolic BP can be adjusted using the up/down buttons, the BP +/- quick execution buttons or entered directly by using the numeric buttons. If the running rhythm is VF or Asystole, BP cannot be set. Volume can be adjusted using the +/- or the up/down buttons or directly through the numeric buttons. Ausculatory Gap (Korotkoff sound disappears in part of Phase II) can be toggled on/off using the up/down buttons.
Breathing Parameters On the main display, using the left/right navigation buttons highlight the Breathing functional area. Airway obstruction, spontaneous breathing, supplemental oxygen and breathing rate settings can be set directly from the main display using the quick execution buttons located at the bottom of the screen. Set Breathing Rate On the main display, using the left/right navigation buttons, highlight the Breathing functional area.
Set Airway Obstruction (Open/Closed) Mode On the main screen use the left/right navigation buttons, highlight the Breathing functional area and press OK to advance to the Set Airway Parameters menu. . The user may also press OK to activate the Set Breathing Parameters menu. Here the user may manually change the “Open/Closed” setting using up/down buttons and pressing OK.
On the main menu screen use the left/right navigation buttons, highlight the Breathing functional area. Using the quick execution buttons press “Mode” to advance to the “Set Airway Obstruction Mode” screen. Here the user may choose between the three different options. Open and Close the Airway - Manual (M) Mode When the simulator is set to Manual (M) mode the airway is always in the open position. While in the manual mode the user may then “Open/Close” the airway two different ways: 1.
The airway will automatically open and close in this setting. If the head and chin is pressed downward against the chest, or in the “flexed” position, the airway will automatically close. At any time the user may override the Bag-Mask Only mode by manually changing this parameter. Manually changing the status of the airway will bring the setting back to “Manual” (M) mode. Set Spontaneous Breathing On/Off On the main screen use the left/right navigation buttons, highlight the Breathing functional area.
Supplemental Oxygen On/Off On the main display, using the left/right navigation buttons highlight the Set Breathing Rate functional area. Press OK to activate the Set Breathing Rate menu or change supplemental oxygen status “On/Off” directly from the quick execution button. Use the left/right navigation buttons to select the O2 Supplied menu. Use the up/down navigation buttons to toggle between “On/Off”. Press OK to activate your selection and to return to the main display.
Maintenance Preventive maintenance is the best method of ensuring long and trouble free operation. A general inspection should be conducted at regular intervals. Periodic cleaning Periodically wash all skin parts that are not regularly sanitized during and after each class, using warm soapy water or Virkon. Outer skin and moulded hair Most stains can be removed using warm soapy water, Virkon or Manikin Wipes (ethanol). However, the older the stains are, the more difficult they are to remove.
3. Position the head, airway and cables into the torso’s head opening with the head in the downward position. 4. Insert the airway and cables through the opening. 5. Press head firmly towards torso, making sure the anchoring tab is sufficiently inserted to the opening. 6. Twist the head into the upright, or proper, position. 7. Attach esophagus to the stomach by connecting the stomach valve to the esophagus. 8.
Changing the lung 1. Detach the chest skin. 2. Detach the tubing from the airway closure valve located under the chest compression plate. 3. Pull the lung off the compression plate. 4. Attach the new lung. 5. Reattach the chest skin. Changing the Stomach 1. Detach the chest skin. 2. Take away the stomach bladder by lifting the simulated stomach bladder from the torso. Undo the stomach bladder from the “feet” of the stomach pouch and detach the tubing from stomach valve. Picture showing this procedure 3.
4. Attach new spontaneous breathing bladder. 5. Reattach lung to chest compression plate. 6. Reattach chest skin. Filling the spontaneous breathing air container Note: This simulator comes with a manual air pump to fill the spontaneous breathing air container. This allows utilization of the system without the need for an external power source. The user may choose to purchase an electrical or battery operated air pump for this operation. Manual Air Pump (provided with simulator) 1.
Connecting external microphone (not supplied by Laerdal) 1. Detach chest skin. 2. Carefully lift chest compression plate away from the compression spring and gently lay to the side being careful not to detach any wires. 3. Locate the external microphone jack on the simulator’s main circuit board. 4. Plug external microphone into this jack. 5. Reattach chest skin. Connecting PC 1. Locate the USB connector in the cable bundle on the right side of the torso. 2. Plug in USB cable to this connector.
4. Clamp off flow of water from open vein. The arm is now ready to practice venipuncture. A 22 gauge needle or smaller is recommended to extend the life of the IV Arm. When using an IV catheter, lubricate with manikin lubricant for easier insertion. When excessive leaking occurs at puncture sites, either a new vein system or skin should be installed to reduce loss of fluid. We recommend working at a sink when replacing the skin and vein system.
Troubleshooting If an error message appears on the remote control stating “no reception”, make sure that the simulator is turned on. If spontaneous breathing is activated and no chest rise is observed, make sure that there is enough air in the air container. Check also that the breathing bladder has no leakage.
Parts 150-10150 150-10250 150-10450 150-10550 150-10650 150-10750 150-10950 150-11050 150-11150 150-120xx 150-19050 150-19850 150-19950 200-00350 200-10550 200-11250 282100 300-00650 300-00750 380600 380650 IV Arm, left Blood Pressure Arm, right Air pump Breathing Bladder Lung Stomach bladder Clothing Airway Head Resusci Anne Simulator Pupils (pkg 6) Remote Control Software CD with USB interface cable Educational Support Binder Directions for Use Carrying case full body AC Adapter (multi) Cable, Operating
