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SimJunior™ - vascomedical.gr

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1. 5 Select lt SimJunior Instructor Application SimJunior Program Update gt EX Update All Devices Y Device Information No devices connected L Program Update SimJunior Connection Status Control Unit O Remote Control e Manikin Update Progress Language estern Languages v Update selected device s 6 Select the devices to be updated from the Update drop down menu 7 The Simjunior Program Update application will start identifying software versions currently installed 8 All programs and software versions are listed The update status for each program is displayed under Update 9 Click lt OK gt to begin updating the software 10 Complete the update wizard The Simjunior Update Manager Report displays all updates It also designates those that were performed successfully and those that failed Should an error message appear on the screen during the update click lt Yes gt to continue installing updates 2 lf a module fails to update run the program update again Should the same module fail repeatedly check to see whether all internal wiring is connected and functioning properly Maintenance Opening the Torso Replacing the Manikin Battery Introduction Open the manikin torso to perform procedures such as Open the manikin torso Attaching or replacing limbs Changing the manikin battery Replacing the chest rise bladder and l
2. 6 Connect the Patient Monitor to the USB Hub Advanced System Setup of SimJunior Components Audio cable r a Video cable Monitor onito USB camera 7 Calibrate the Touchscreen Patient Monitor Double click on the Elo logo in the system tray in the lower right corner of the screen Click the lt Align gt button on the dialog box that appears ftarget indicators first appear on the Instructor PC screen press lt Esc gt or wait until they appear on the Patient Monitor When the target indicator appears on the Patient Monitor touch each target as it changes position When the ELO Touchscreen dialog box appears touch the green check box button Click lt OK gt Connect the USB Camera to the USB hub co 9 Connect the VitalSim Control Unit Connect the USB cable from the VitalSim Control Unit to the USB hub Connect the audio cable white mini jack with single wire to the VitalSim Control Unit Connect the power cable to the Control Unit and power source 10 Connect the Manikin to the VitalSim Control Unit Connect the 37 Pin Serial Cable Manikin to VitalSim Cable to the VitalSim Control Unit Place the Blood Pressure cuff on the left arm of the manikin Connect the clear tubing from the Blood Pressure cuff to the VitalSim Blood Pressure connector on the back of the VitalSim Control Unit Connect the Manikin to a power supply
3. After the SimJunior manikin is prepared and all applicable interactive units Remote Control or Instructor PC and Patient Monitor are configured and made ready for use final preparations may need to be performed before SimJunior is ready to run simulations Final simulation preparations include the following activities e Changing Settings for the Internal Compressor e Connecting an External Compressor e Preparing the Intraosseous leg e Administering IV Fluids e Draining Excess IV Fluid e Cleaning the IV Arm e Connecting Defibrillation Adapter Plates e Connecting the Blood Pressure Cuff e Changing the Pupils Using an External Compressor The external compressor connects to the clear tube found in the cable bundle exiting the right side of the manikin For more information on external compressors and regulator panels compatible with SimJunior contact your local Laerdal representative Preparing the IO Leg The manikin s right leg is designed for practicing intraosseous infusion skills Anatomy of the right leg includes knee tibia tibial tuberosity site and medial malleolus site The right leg comes with IV tubing and one IV bag for use as a reservoir during infusion Additional equipment needed e IV bag and administration set e Simulated blood concentrate e 35cc syringe and l6 gauge intraosseous needle To fill the IO leg and prepare it for use I Raise the leg vertically 2 UJ Before storing the
4. Use only Laerdal Airway Lubricant and apply sparingly Rinse clean and dry manikin component modules Defibrillation Hazards Fold the torso skin back and powder the inside of the torso skin gt to decrease friction Do not spill powder into manikin chest cavity elek A conventional defibrillator may be used on the SimJunior During Environment defibrillation the defibrillator and manikin may present a shock In cold conditions wait until the manikin has reached room hazard All standard safety precautions must be taken when using a temperature before starting up the manikin defibrillator on the manikin Read and follow all safety and operating instructions provided To avoid overheating and reduce wear S with your defibrillator and associated equipment Z When using in temperatures above 40 C 104 F always allow is WR 2 Follow defibrillation protocol by avoiding contact between the manikin to cool down between training sessions the external paddles and any of the electrode sites while When using in a bed manikin should not be covered with heavy defibrillating A load of up to 300 joules can be delivered Be IE AD N DIENEN ER AA 3 Failure to follow safety measures could result in injury or death For more information consult your defibrillator s original user manual N Warnings When performing defibrillation use the defibrillator connectors or the zap plate mounted on the manikin s c
5. and Bottom Menu 2 Bottom Menu in order from left to right Press the left double arrow key to display Bottom Menu Selecting the lt Silence Alarm gt button turns active alarm sounds OFF Selecting the Pause Alarms gt button turns all sound alarms off for 3 minutes Pause Alarms e Cardiac Output generates a new reading of Cardiac Output The C O details will be shown in the C O Cardiac part of the Patient Monitor PC Output Select the lt Graph Trends gt button to open and review Graph Trends Selecting the 2 lead ECG button generates a 2 man lead ECG strip Select lt Print gt to request this ECG 12 lead strip be printed The request will display on the ECG Instructor Application Bottom Menu 2 In Order from left to right gt Press the right double arrow key to display Bottom Menu 2 Select the lt QRS Volume gt button to open and adjust volume 0 10 Zu QRS Volume A Select the lt Alarm Volume gt button to open and P adjust volume 0 10 Alarm Volume F 1 Select the lt Radiology gt button to open X ray T images which have been included in the current scenario Radiology Select the Media button to open display Select the lt Close gt button to close the Media display Media Select the Labs button to open Select the Close button to close the Labs display im Labs Select the lt Main Setup gt button to open Options in the l
6. e he internal compressor may be overheated Wait approximately 20 minutes for it to cool down e Chest rise is set to bilateral for example if E T tube is inserted too far into the bronchia e Chest rise bladder is leaking or tubing to chest rise bladder is twisted kinked or disconnected Replace chest rise bladder if it is leaking see Maintenance section Replacing Chest Rise Bladder Check air tubing for leakage check that all connections are intact Replacing tubing section if leaking e Shallow chest movements and the internal compressor runs continuously The internal compressor may be worn Contact Laerdal Technical Service Lungs Problem e Lungs not functioning properly Possible Solutions e Open the torso and chest plate Check that the lungs are free to expand and are not restricted by any cables e Check that the lung bladder is properly connected and that the tubes are not twisted e Check that the lung bladder is in a horizontal position and inserted correctly e Check for flaws or tearing in the lung bladder Troubleshooting e Check that there are no obstructions inside the manikin airways which may block air flow e Ifthere is no change when adjusting lung compliance contact Laerdal Technical Service If there is no change in lung resistance contact Laerdal Technical Service Mechanical Noise during Auscultation In the Instructor Application click lt Auscultation focus gt Pu
7. ncrease or decrease to desired values Edit Calibration SimStore Help SimJunior parameters Edit Monitor Setup Seizure intensity 2 45 0 100 Start Scenario Editor Tongue edema pressure 6 0 7 Close Start Handler Editor Compressor duty cycle 30 0 100 Start Trend Editor Help Files Configuration eae Software Help files can be accessed as follows Microphone Configuration video Recording Configuration l Click the Windows lt Start gt button Set Vital Signs Select lt Programs gt Koraotkoff Controls 2 Start Simunior Dialog f 3 Select lt SimJunior Instructor Applications gt 4 Note Compressor can only be set at 30 50 Set select the lt SimJunior Help File gt compressor at 30 to minimize internal noises and better simulate shallow breathing Set compressor at 50 to maximize breathing density Changing Default Setting Note Once the new default settings are saved the new parameters will become the start up default for future sims Internal Compressor You can configure the RPM setting for the internal compressor From the Instructor Application Select the lt Edit gt menu in the Instructor Application 2 Select Configuration from the drop down menu 3 The Configuration Default program settings window is displayed Click the Compressor RPM gt option under Target Values 20 Manikin Setup Preparing for Simulations
8. Specifications Spare Parts and Accessories 12 i 14 I5 I5 I5 17 E E 18 19 19 19 20 20 20 20 21 2 2 21 2 22 22 22 22 22 23 24 24 24 25 25 26 26 26 27 2 2 28 3l 33 Introduction Introducing SimJunior Simjunior is a realistic life size pediatric patient simulator designed to be used for the education of individuals or teams of healthcare professionals from multiple medical disciplines The Simjunior Simulator comes completely assembled There is no need to assemble parts of the manikin For details on preparing Simjunior for simulation go to Manikin Setup section SimJunior is available in Standard 232 000XX Advanced with Standard Peripheral Kit 233 100XX Advanced with Complete Peripheral Kit 233 000XX Note XX denotes language versions Additional configuration options are available For more information contact your Laerdal representative SimJunior Help Directions for Use DFU Step by step instructions and illustrations for using the Sim unior Simulator Original Manufacturer s User Manuals All separate user manuals and labeling from original manufacturers should be followed The Simjunior Directions for Use does not replace or supersede those from the original manufacturer SimJunior Quick Setup Guide Step by step guide for setup of the SimJunior simulation system VitalSim Directions for Use DFU VitalSim
9. 05250 32 232 1 1950 232 1195 232 05050 200 OOXX 225 09 XX 225 090XX 232 01250 200 10550 245 950XX 245 980XX 245 96050 232 00150 232 00250 232 00350 300 00750 220 00250 2 0 00250 232 03950 3 5 0150 200 03050 200 03050B 3 5 71001 232 01150 232 00450 231 0010 23 00750 232 00950 232 00750 250 2 1050 2 6 15550 277 00150 232 00650 05 10100 05 10000 945004 232 19050 232 00550 2 7 00001 Pediatric Full Body Soft Case SimJunior Hard Case Peripherals Hard Case Laerdal Warranty SimJunior Advanced SW CD amp License Key SimJunior Advanced License Key 1 Simjunior Manikin Only Light VitalSim Complete Peripheral Kit Standard No Patient Monitor Peripheral Kit Advanced With Patient Monitor SimJunior Internal Battery 1 AC Adapter Multi Patient Monitor USB Hub Webcam Shirt Shorts Boxer Shorts Red Simulated Blood IV Bag 500ml IV Bag Transfer Set Chest Rise Bladder Pediatric Skin Vein Set Light Pupil Inserts Kit Blue Pupil Inserts Kit Brown Right IV Arm Left BP Arm BP Arm Skin Pediatric IO Leg Kit Pediatric Right IO Leg Light SimJunior Chest Skin SimJunior Lung Bag Airway Lubricant 45ml Liquid Detergent Baby Powder SimJunior Blood Pressure Cuff Zoll Defibrillator Connector Physio Control Quick Combo Philips Defibrillator Connector Directions for Use Quick Setup Guide Pediatric Trauma Wound Set Light Please contact your local Laerdal Customer Service
10. Directions for Use provides instructions for using the VitalSim Control Unit and the Remote Control with Simjunior Software Help Files The software Help files are accessible from the SimJunior software Help menus Help topics include Instructor Application Interface Debrief Viewer Scenario Editor Handlers Editor Trend Editor Technical Assistance For technical assistance contact your local Laerdal Technical Service Center Web Downloads Visit http www laerdal com to download the latest Directions for Use and SimJunior Software Access the SimCenter website for information on additional products accessories and courseware Simjunior Advanced comes with a SimCenter Welcome Kit which includes a voucher to redeem free relevant scenarios on SimStore Visit www mysimcenter com to learn more Regulatory Information This device complies with Part 15 of the FCC Rules Operation is subject to the following two conditions l his device may not cause harmful interference 2 his device must accept any interference received including interference that may cause undesired operation Caution Changes or modifications not expressly approved by the party responsible for compliance could void the user s authority to operate the equipment C Laerdal Medical AS hereby declares that when carrying the CE mark this product is in compliance with the essential requirements and other relevant provisions
11. PC application main menu click Edit Select Video Recording Configuration Ensure that Use web camera Is checked Manikin Problem e Unpredictable behavior Possible Solutions e Manikin malfunctions may be caused by loose cables tubes or connectors Open the torso and check if any items appear to have become disconnected or are leaking See section Manikin Setup Opening the Torso e Incase of fluid leakage power off the manikin and contact Laerdal Technical Service 28 Airway Contamination Problem e Manikin airways have become contaminated from mouth to mouth rescue breathing Possible Solution e Clean the outside of the manikin with manikin wipes Clean the inside of the oral cavity with manikin wipes Change the lung bladder see section Maintenance Replacing Lung Bladder Chest Movement Problem e No chest rise on manikin Possible Solutions e Check that power to manikin is ON e Check that awRR is not set to zero on Instructor Application Patient Case or scenario e Check that Manikin s Cardiac is set to a perfusing rhythm e Check that airway complications like maximum air resistance or laryngospasm are not set e Verify that the Integrated Compressor Enabled box is checked on the Instructor Application screen See section Turning the Internal Compressor Off e Check that any external compressed air source is switched off and that the air tube is disconnected from the manikin
12. accessed through the Instructor Application s lt Edit gt menu or directly through the Windows lt Start gt menu I Click the Windows lt Start gt button 2 Select lt Programs gt 3 Select lt SimJunior Instructor Applications gt The following list appears Scenario Editor SimJunior Help file SimJunior Instructor Application SimJunior Program Update Trend Editor 4 Select an editor Scenario Editor The Scenario Editor allows you to define relationships between learner events and patient response by drawing lines in a simple graphical editor Trends Trends are sets of physiological parameters pre programmed to increase decrease over time Handlers Handlers are pre programmed sets of events linked to actions Introduction 0 Pur 4 gt 09 I 0 U qu gt yo Advanced System Turning the Internal Compressor OFF Tongue Edema If you are using an external compressor turn off the internal From the Instructor Application compressor by unchecking the box next to the lt Integrated Select the lt Edit gt menu in the Instructor Application Compressor Enabled option in the patient status panel 2 Select lt Configuration gt from the drop down menu Seizure control 3 The Configuration Default program settings window Is Tonic displayed Click the lt Tongue edema pressure gt option Tonic Clonic Integrated Compressor Enabled Seizure AR ES From the Instructor Appl
13. also cause arcing and pitting Do not defibrillate the manikin if the torso skin is not in place Mechanical or Electrical Hazards Do not use the SimJunior manikin if Limbs are not attached to the torso Skins are torn or not properly fastened Internal or external cables tubes or connectors are damaged There is fluid leakage in or on the manikin here are unusual sounds indicating air leakage or mechanical damage There are signs of electrical malfunction such as an unresponsive manikin or unusual smell or smoke A Warning Avoid pinch hazards Do not use the manikin without the external skins Battery Use and Maintenance Always use battery approved to power the Simjunior VitalSim Unit and Remote Control Ensure that the batteries are properly installed Inserting and connecting batteries incorrectly could cause a short circuit A Warnings Dispose of batteries according to local regulations The external battery charger is for indoor use only he manikin battery should only be charged in temperatures ranging from 0 C 40 C 32 F 104 F Do not mistreat disassemble or attempt to repair the battery Do not use the batteries if they are visibly damaged malfunctioning or appear to be leaking ake extreme care to avoid direct contact with electrical hot or smoking parts In case of a leaking battery disconnect and remove the batte
14. drained as they are administered Before each session Attach the IV overflow tube in the manikin s right arm to an overflow container such as an IV bag 2 Allow excess fluid to drain into a container during the simulation Cleaning the IV Arm Clean the IV arm after each session or day of use by flushing the IV Arm with 60 isopropanol or 70 ethanol Installing Defibrillation Adapter Plates The manikin torso is fitted with two stud connectors for defibrillator cables Before attempting defibrillation you must unscrew and remove the defibrillator stud covers Two defibrillation adapter plates are packaged with the manikin The defibrillator adapter plates must be fitted in place before using a live defibrillator with defibrillation paddles or adhesive pads Screw the adapter plates firmly into place During Defibrillation A conventional defibrillator not included may be used on the SimJunior During live defibrillation the defibrillator and manikin may present a shock hazard All standard safety precautions must be taken when using the defibrillator on the manikin Caution he manikin must not be in contact with electrically conductive surfaces or objects during defibrillation 22 N Warnings Defibrillation must be performed on the defibrillator connectors only Do not press too hard over the defibrillation adapters as this may cause arcing and pitting Do not defibrillate the man
15. fall with right mainstem intubation during ventilations Unilateral and bilateral lung sounds Normal and abnormal breath sounds Variable respiration rate 0 60 breaths per minute Anterior auscultation sites 4 The left lung and right lung can be closed independently or together to create a partial or complete airway obstruction The Simjunior manikin can also be used with assisted ventilations Note Lungs are not intended for use with PEEP valves Introduction Circulatory Features Cardiac Extensive ECG library pulses from 0 200 Heart sounds anterior location 1 ECG rhythm monitoring 4 connector 3 lead ECG 2 lead ECG display SimJunior Advanced only Pacing Defibrillation and cardioversion using live defibrillators Defibrillation The number of shocks required for automatic conversion are set in each simulation Patient Case Defibrillation Studs 3 Lead ECG Studs Blood Pressure and Pulses BP measured manually by auscultation of Korotkoff sounds Bilateral carotid pulse Central pulses can be set to Normal Weak Absent Radial Brachial pulses can be set to Normal Weak Absent Carotid brachial radial pulses synchronized with ECG Pulse strength variable with BR Pulse palpation is detected and logged CPR Features Compliant with 2010 Guidelines Compressions generate palpable pulses blood pressur
16. manikin Introduction Open the plug at the heel With a syringe fill the bone with approximately 240 to 250 cc of simulated blood Attach tubing connected to an IV reservoir bag Use roller 9 clamp to open or close the line as needed in order to relieve 2 pressure build up p L Close off tubing that runs into the reservoir bag so that 5 simulated blood will remain in the bone for aspiration ou ne YN When the reservoir bag is filled discontinue infusion and replace with empty bag 4 o gt o I D c A gt 5 lt Q p 9 09 Y R 2 Detach the IV line and reservoir from the foot Allow all fluid to drain Store leg unplugged to allow it to air dry v E Note Do not use saline solution lt may cause deterioration of the leg Use distilled or de ionized water to avoid buildup of 5 minerals d Administering IV Fluids gt The right IV arm supports training for IV drug administration IV insertion infusion and bolus into peripheral veins of forearm antecubital fossa and dorsum of the hand 42 O Use 20 to 22 gauge needle for IV simulation To prevent clogging of 2 the IV system use only distilled or de ionized water to simulate IV D drugs a 2 N C Oo G U gt U Q Q o o ns x S a QD S d Q o Manikin Setup Draining Excess IV Fluid The IV fluid system is an open system IV fluids are
17. problem Note If the VitalSim Control Unit battery needs to be replaced the indicator light will blink alternating between green and red VitalSim Package Contents Control Unit including battery case and batteries 6 C cell Carry case DC power supply Remote Control including batteries 4 AA cell Direction for Use Serial Cable to connect manikin to Control Unit USB cable for connection to PC Introduction to SimJunior Standard The Simjunior Standard includes Manikin and soft carrying case SimJunior Quick Setup Guide VitalSim Control Unit Package Blood Pressure Cuff Set of Consumables Operating Software SimJunior Directions for Use DFU Blood Pressure cuff tube Standard System Setup Summary See below illustration Setup of SimJunior Standard Connect the VitalSim Control Unit Connect the VitalSim Control Units power supply to a wall outlet Connect the Manikin to the VitalSim Control Unit Connect the 37 Pin Serial Cable Manikin to VitalSim Cable to the VitalSim Control Unit Place the Blood Pressure cuff on the left arm of the manikin if desired Connect the clear tubing from the Blood Pressure cuff to the VitalSim Blood Pressure connector on the back of the VitalSim Control Unit Connect the Manikin to a power supply Power on the VitalSim Control Unit The simulation system is now ready to use Power cables may be disconnected when batteries are ch
18. software comes pre installed If you need to reinstall or upgrade the SimJunior software perform the following steps Power on computer and ensure no Simjunior applications are running 2 Uninstall any previous versions of SimJunior software Use the Windows Control Panel to access Add Remove programs 3 Select SimJunior and click lt Uninstall gt 4 Insert the Laerdal SimJunior software DVD and allow auto run If auto run is disabled on your computer manually execute the lt autorun exe gt file on the DVD Follow the on screen instructions to install 5 In the installation menu click the Install SimJunior Software button once This will start copying files to your computer Note The download process takes approximately 2 3 minutes Once the copying process is complete follow instructions in the installation wizard 24 SimJunior Software Program Update VitalSim Software Update N Caution Do not power OFF the VitalSim Control Unit during the following procedure Note The version shown in these screen shots is subject to change Make sure you have installed the software on the Instructor PC as described in the section Installing and Upgrading SimJunior Software 2 Power on the VitalSim Control Unit Do not start the Instructor Application or Patient Monitor Application 3 Connect the USB cable between the VitalSim Control Unit and the Instructor PC 4 Navigate to lt Start All Programs
19. A w N Press the Calibrate quick execution key lower right corner of screen as the pressure is held at exactly 100 mmHg Airway and Breathing Parameters On the main display use the navigation keys to select the Breathing functional area which shows the current breathing rate and lung closure state Set Breathing Rate Use the navigation keys to select the Breathing functional area Use the lt gt and lt gt quick execution keys to change the breathing rate or enter the breathing rate directly with the numeric keys The breathing rate can be set between O and 100 breaths per minute Breathing rate is automatically set to O if BP is O Press the Shift key up arrow key to reveal the alternative quick execution functions Set Airway Parameters Menu When the Breathing functional area is selected Press lt OK gt to open the Set Airway Parameters menu Use the left right navigation keys to select the functional area and then use the quick execution functions to change settings of the parameters Turn Compressor Off with Remote Control With the Remote Control Simjunior Standard System navigate to Standard System the Setup Menu This menu lists Compressor Select Compressor The Quick Execution keys display the Off option 2 Press the Quick Execution key for Off The display to the right of the menu should show the compressor Is Oft Compressor Introduction 0 ras o
20. Control 8 Trend and Handler Control 9 Running Trends 10 Trend Window Instructor Monitor Control Event Windows Running Handlers 12 Scenario Control 13 Seizure Control O U1 Hd 09 ND Auscultation focus off Description of Functions Program Menu Bar 2 Open and edit file re Set up and configure the patient monitor and the simulator Access additional application such as the Scenario Editor o 2 Respiration and Seizure Control 2 Adjust the simulators respiratory rate Start and stop different types of seizures EMDIPEA Shocks to conversion Pacing threshold mA 4 ET 1 7 Ewex T 80 Sinus Rhythm HR 80 BP 120 80 None eo 3 Simulator Sounds Airway and Circulation View and set body sounds for lungs heart stomach and bowel 4 Brachial Pulse 5 Stomach Distention 6 Radial Pulse Tongue Edema 2 Carotid Pulse 3 Blocked Airway Set vocal sounds View sound volume by clicking on the speakers displayed next to the area you want to configure Set lung function on off and pulse function central radial and brachial Note View and configure additional sounds with E onen the lt Edit gt menu located at the top of the screen Advanced System 4 Defibrillation and Pacing Control View and control shocks to conversion and pacing threshold Click the Running rhythm button to exchange the running rhythm and waiting rhythm Click th
21. During start up the manikin s head will shake to indicate a power on self test Main Display Elements The Remote Control main screen shows the current overall status of the manikin and allows for modification of parameters The main display is divided into functional areas and a Quick Execution function line see image below Information is provided on patient status parameters and use of functional controls Use the navigation keys to move the selection box to the desired functional area of the display When the selection is complete press OK to activate the new selection and return to the main display To cancel the selection press C to return to the main display with the previous setting unchanged Remote Control Setup Menu To activate the Setup menu l Power on the Remote Control 2 Press the lt Menu gt key 3 Navigate to a function on the left using the navigation keys Sounds BP 4 Select a function 5 Press OK to save 6 Change the appropriate parameters E Note Press the C key to return to the Main menu without and discard any changes made Breathing Calibration of Blood Pressure To ensure correct measurements of simulated BR the sphygmomanometer used with the cuff needs to be calibrated to the pressure sensor in the SimJunior system Calibrate BP Press the Menu key Scroll down to the Calibrate BP function Inflate the blood pressure cuff to 100 mmHg
22. Laerdal Debrief Viewer gt E Note It is important to save the debrief files for later review 2 From Windows Start menu e Click the Windows lt Start gt button e Select lt All Programs gt e Select the lt Laerdal DebriefViewer gt program folder e Select lt Laerdal DebriefViewer gt The system displays the Debriefing window for the session Laerdal Advanced Video System AVS The Laerdal AVS optional can be installed to allow high quality video capture from up to 4 video cameras during a simulation session and be viewed in the Laerdal Debrief Viewer Note The Laerdal AVS is not included in the SimJunior package but can be purchased from your local Laerdal Sales Company or representative Customizing Scenarios SimJunior scenarios can be created and edited using a set of editors e Scenario Editor e Trend Editor e Event Handler Editor The Patient Monitor layout can be customized via the Scenario Editor Select lt Edit Monitor layout gt from the lt Edit gt menu Common Learner Events can be customized via the Scenario and Event Handlers Editors Select the lt Edit gt menu located at the top of the Instructor Application screen 2 From the drop down menu select Scenario Editor gt 3 The New Scenario SimJunior window opens Select Edit from the menus shown at the top of the window 4 From the drop down menu select Edit Event Menus gt All of the SimJunior editors can be
23. Power on the VitalSim Control Unit The simulation system is now ready to use Prepare the Manikin and its components as needed for specific simulations See the section Manikin Setup Optional External ir Source VitalSim Instructor Software License Instructor PC is shipped from Laerdal Medical with a pre activated license installed Changes or updates of the computer hardware e g new hard drive or mother board may render the license invalid Please contact your local Laerdal support for assistance for re activating the license Instructor PC The Instructor PC uses the Instructor Application software to manage simulation scenarios The instructor can pause a scenario at any time and run the simulation in manual on the fly mode customizing the patient parameters as needed For more information on software and system setup see the Help files Click Windows lt Start gt lt All programs gt 2 Select lt Simjunior Instructor Application gt 3 Select lt Simjunior Help File gt Instructor PC Application Screen Overview The Instructor PC application screen provides functional areas for viewing and controlling patient clinical features 7 Debrief Log 8 Trend and Handler Control Program Menu Bar 2 Respiratory Control 3 Simulator Sounds Airway 9 Running Trends and Circulation Controls 4 Defibrillation and Pacing Control 10 Trend Window 5 nstructor Monitor Control 6 Event
24. Representative for more information on ethnic spare parts and accessories 23 Troubleshooting Maintenance Manikin Setup Advanced System Standard System Introduction Specifications 02 ns Car a C gR Q 99 Notes 24 2011 Laerdal Medical All rights reserved Sa gt 20 03300 Rev A Printed in USA helping save lives
25. Simjunior Directions for Use CR Laerdal www laerdal com helping save lives Introduction Standard System Introduction to SimJunior Standard Setup Summary Remote Control Advanced System Introduction to SimJunior Advanced Setup Summary Instructor Software License Instructor PC Instructor PC Application Screen Overview Running a Scenario Patient Monitor Patient Monitor Interface Importing and Adding Media Files he Laerdal Debrief Viewer The Laerdal Advanced Video System AVS Customizing Scenarios Turning the Internal Compressor Off Changing Settings During Simulation Changing Default Settings Help Files Manikin Setup Preparing for Simulations Using an External Compressor Preparing the lO Leg Administering IV Fluids Draining Excess IV Fluid Cleaning the IV Arm Installing Defibrillation Adapter Plates Connecting the Blood Pressure Cuff Calibrating the Blood Pressure Cuff Changing the Pupils Maintenance Maintenance after each Simulation Session Installing and Upgrading SimJunior software Opening the Torso Replacing the Manikin Battery Charging the Manikin Battery Replacing Chest Rise Bladder Replacing Lung Bladder Replacing Manikin Skins Replacing the Right Arm IV Arm Replacing the Right Leg IO Leg Troubleshooting
26. Windows Running Handlers 12 Scenario Control 3 Seizure Control Introduction Standard System 0 Pus 7 gt 99 yo 0 U Car gt yo Specifications Troubleshooting Maintenance Manikin Setup Spare Parts Advanced System File View Simulation Edit Calibration SimStore Help Respiration RR 2 K Auscultation focus off Seizure control 3 Tonic EMD PEA Tonic Clonic Shocks to conversion EE 1 Sinus Rhythm HR 80 BP 120 80 4 um None 00 Scenario started Healthy patient Summary of vital signs awRR 12 HR 80 BP 120 80 SpO2 98 PAP 25 10 etCO2 34 mmHg Tblood 37 2 C etO2 16 Medication Airway Breathing Circulation re Abort attempt i EH Anesthesia Related Drugs and a B Auscultation amp percussion Benzodiazepines E Awaken the patient 4 69 Cardiac Backdoor for Automatic Manikin 9 4 Conscious Sedation 6 Call for help 5 Induction Medication ConsciousnessCheck H E IV Fluids Examine B Opioids p P m Future H lomos gt E Ae rmi y r Scenario Parameters Healthy patient Frame Initial State Time in Frame 0 52 Patient Time 0 00 Start Scenario Trends Handlers Time 0 52 gt gt Mi Debrief Rec Program Menu Bar 7 Debrief Log Respiratory Control Simulator Sounds Airway and Circulation Defibrilation and Pacing
27. arged Prepare the Manikin and its components as needed for specific simulations See the section Manikin Setup for Simulation E Note If you are using an existing VitalSim Control Unit instead of one ordered with the SimJunior Simulator upgrade the software for the new Simjunior features See the section Maintenance Installing and Upgrading SimJunior Software Setup of SimJunior Basic Vital Signs Simulator VitalSim Introduction 0 y 2 gt 09 qa a mu E Cae Y Specifications Troubleshooting Maintenance Manikin Setup Advanced System Spare Parts Standard System Along with the VitalSim Control Unit the SimJunior Standard System is configured and controlled via a Remote Control The Remote Control provides menus and options with a display screen as Illustrated in the VitalSim DFU Remote Control This portion of the Simjunior DFU describes screens and features unique to the SimJunior Standard simulator The SimJunior VitalSim kit includes a DFU Read the VitalSim DFU for details about operating the VitalSim Control Unit and the Remote Control prior to operating Simjunior Once the Simjunior manikin has been connected to the VitalSim Control Unit power on the VitalSim Control Unit and Remote Control The VitalSim Control Unit will automatically detect the connected manikin and set the parameters to the default values E Note
28. ce 23 Standard System Introduction Advanced System am Pp 9 109 E Y E R 2 Specifications Troubleshooting Maintenance Spare Parts Maintenance Maintenance After Each Simulation Session The following preventive measures are required to ensure longevity of the SimJunior manikin Return manikin and PC to their original condition Power off the VitalSim Control Unit and PCs Charge batteries if necessary Flush the IV arm system and drain the lO leg leave the plug in the bottom of the IO leg open After each session where the lV arm has been used flush the IV arm with 60 Isopropanol alcohol or 70 ethanol Wipe the skin with a moist cloth Remove wet clothes or linens Remove tape residue with a moist cloth or rubbing alcohol Based on the use of the manikin replace modules that are consumed or damaged Replace cables or connectors showing visible damage Servicing should be performed by qualified personnel at regular intervals Always perform a service If liquids have been spilled in or on the manikin After use in dusty environments Before Storage or Shipping Flush the IV arm with 60 Isopropanol alcohol or 70 ethanol Open the drain valve on the bottom of the manikin s right foot For information on and spare parts see section Spare Parts and Accessories Installing and Upgrading SimJunior Software SimJunior
29. ds to prior to inserting any instrument tube or airway device Also C Use gloves during simulation scenarios Avoid using colored lubricate instruments and tubes prior to use 5 plastic gloves as they may cause discoloration of the manikin skin o o mE Do not introduce humidified air into the system during ventilation Do not use felt tipped markers ink pens acetone iodine or E E other staining medications near the manikin Take care not to u Do not use the manikin if the internal tubing and cabling is disconnected place the manikin on newsprint or colored paper Staining may c be permanent Never use the SimJunior manikin outdoors in wet conditions as Clean manikin skins with mild soap and water this may pose a shock hazard or damage the manikin Using a defibrillator in temperatures over 35 C 95 F may Do not attempt to perform the following techniques on this manikin cause overheating due to the inability to properly sanitize the airway Mouth to mouth mouth to mask ventilation N Warning Do not use automated chest compression machines on the manikin Insertion of simulated vomit or fluids for suctioning u Re A Caution Latex his product contains Natural Rubber Ifa training session involves the use of fluids in the IV arm drain N nn A latex which may cause allergic reactions when in contact with Q the arm immediately following the training session az 3
30. e Extrasystole button to insert an extra systole into the running rhythm 5 Instructor Monitor Control View status of patient s vital signs throughout the simulation The patient monitor waveforms and parameters can be set directly by selecting and clicking the individual waveform or numeric parameter with the mouse 6 Event Windows 3 N Contains checklists of events relevant for the simulation An Event is an action or behavior exhibited by the learner Debrief Log Shows all activities performed during the simulation 8 Trend and Handler Control so Trends permit physiologic changes over a period of time Trends box allows the instructor to start and stop trends Event Handlers optional enable Events to trigger simulator responses Handlers box allows the instructor to hide trends Running Trends Window displays running trends Use the lt Start Stop gt button to open the Trend and Handler Control dialogue box and make changes select Trends or Handlers and start or stop both Trends and Handlers Trend Window Window displays the simulation control graph which illustrates the trend in patient parameters of past current and predicted future trends throughout the simulation Running Handlers Window displays currently running handlers Use the Hide Trends button to hide or show trends Scenario Control To start pause or halt scenarios This section also contains the Debrief b
31. e wave form and ECG artifacts Realistic compression depth and resistance Detection of depth and rate of compressions Vascular Features IV Access IV access is possible on the right arm and hand The IV arm can be set up for IV insertion infusion and bolus into Peripheral veins of the forearm Antecubital fossa and dorsum of the hand For use of an optional catheter see your local Laerdal representative Intraosseous Access IO Access for IO infusion is possible ibial luberosity right Medial Malleolus Note SimJunior does not have intra muscular IM injection sites Do not attempt to perform IM injections Sound Settings for SimJunior SimJunior supports multiple sites for auscultation and recognition of heart lung stomach and bowel sounds SimJunior also allows you to set vocal sounds For information on setting sounds for SimJunior see the sections SimJunior Standard System SimJunior Advanced System O ru U E ES oO LE ru E Specifications Troubleshooting Maintenance Manikin Setup Advanced System Standard System Spare Parts Introduction VitalSim Control Unit The VitalSim Control Unit connects to the manikin and enables the SimJunior manikin to simulate a variety of clinical and emergency care situations Simjunior Standard Simulations are controlled by the VitalSim Remote Control device Simjunior Advanced Simulations are contr
32. g DO NOT use outdoors in wet conditions Not tested with salt spray RF Communication Operation range 10 m 30 ft max Material Chart for Manikin Clothes Skins and alrways External hard plastics Inner plastics Cotton Nylon PVC PVC ABS Silicone TPU PVC Nitrile ABS POM Nylon GF Epoxy Polyurethane Metal components Aluminum Brass Steel N Caution Latex This product contains Natural Rubber latex which may cause allergic reactions when in contact with humans Minimum Computer Requirements e Core 2 Duo or better GB RAM 2 GB recommended e GB hard disk space e 1024x768 1280x800 1280x1024 or better e l6bit color resolution or better e 100 DPI required e Optical drive required for installation Minimum Software Requirements e Windows XP or Windows 7 e DotNet 3 5 l 3 Cleaning Fluids To clean the manikin use one of the following 60 Isopropanol alcohol 096 Ethanol Mild solution of liquid soap and water IV Fluids Only use distilled or deionized water to simulate IV and IO fluids Maintenance Manikin Setup Advanced System Standard System Introduction Troubleshooting UN Cc O m R U e U oO ao 09 Spare Parts Notes 32 Spare Parts and Accessories Catalogue Numbers Substitute XX with your local language version number Contact your local Laerdal Customer Service Representative for more information 231 01 150 232 05350 210
33. gt 09 I 49 I C R nh 09 Specifications Troubleshooting Maintenance Manikin Setup Advanced System Spare Parts Advanced System Introduction to SimJunior Advanced Simjunior Advanced includes Manikin and soft carrying case Simjunior Installation Guide VitalSim Control Unit Package Operating Software for the VitalSim Control Unit Instructor Laptop PC Touchscreen Patient Monitor Complete Peripheral Kit Only USB Webcam USB Hub Blood Pressure Cuff Set of Consumables Operating Software for the Instructor PC Simjunior Directions for Use DFU SimJunior Advanced comes with a SimCenter Welcome Kit which includes a voucher to redeem free relevant scenarios on SimStore INSTRUCTOR PC TOUCHSCREEN PATIENT MONITOR Web Camera Instructor PC controls simulations It includes software programs for creating and editing scenarios as well as an application for debriefing simulation sessions with video capture from a web camera and the Patient Monitor Patient Monitor can be configured to replicate most patient monitors It also doubles as a display for other functions such as 2 lead ECG X ray images and lab results to view the patient s case history Web Camera records video and sound of the simulation for use during the debriefing session Setup Summary Note Refer to the Sim unior Quick Setup Guide for detailed instructions on initial si
34. he simulation session To add a comment to the Debrief Log on learner performance click the Add Comment gt button Save Files and Laerdal Debrief Viewer Save the Debrief Log to archive and or review later Click lt Debrief gt to start the Debrief Viewer For more information see The Laerdal Debrief Viewer section of this manual Patient Monitor The optional Patient Monitor has a Touchscreen display and is used to run the Patient Monitor Application The Patient Monitor software simulates a real patient telemetry monitor Video capture from the patient monitor display and the web camera can be stored for use in the Debrief Viewer he Patient Monitor must be started and remain connected throughout the simulation in order to record video and allow screen capture for debrief files Patient Monitor Interface Top menu Press lt 5wave gt in the top menu to view and change monitor display settings Press to open Alarm Volume Introduction 0 o Uu A Y I 0 U S qu gt yo lt Advanced System 2 Parameters Readout Area The learner may also edit scaling alarm limits etc using this interface Clicking the parameter of interest will present a menu with available options Some fields will only be avallable while appropriate sensors are connected to the Manikin 3 Bottom menus There are two bottom menus Press the left or right arrow key to toggle back and forth between Bottom Menu
35. hest Do not use the ECG connectors which are designed exclusively for ECG monitoring Defibrillation on the ECG connectors will damage the internal electronics of the manikin and may cause personal Injury Do not defibrillate the manikin when it is turned OFF or if it is not functioning normally Introduction lo prevent overheating during defibrillaton do not exceed a defibrillation sequence of 3 shocks in 45 seconds followed by minute of CPR After 30 minutes cease all shocking for at least 5 minutes before starting a new sequence Do not repeat this for more than a 4 hour period Also do not provide more than 2 x 300 defibrillator discharges per minute N Warnings The manikin must not come into contact with electrically conductive surfaces or objects during defibrillation A Avoid use in all flammable environments For example high levels of pure oxygen should be avoided during defibrillation Ensure good ventilation if concentrated oxygen is used near the manikin he manikin torso must always be kept dry Allow the manikn to acclimate before defibrillating Sudden changes in temperature may result in condensation collecting on electronic components which could pose a shock hazard lo prevent torso skin electrode pitting do not apply conductive gel or conductive defibrillation pads intended for patient use Pressing down too hard on the defibrillation connectors during defibrillation may
36. ication Select the lt Edit gt menu in the Instructor Application 2 Select lt Configuration gt from the drop down menu Changing Settings During Simulation 3 The Configuration Default program settings window is displayed Click the lt Seizure intensity gt option The Internal Compressor Tongue Edema and Seizure can be adjusted during the simulation by accessing the SimJunior Dialog Menu Any EE caltraion sistere Hep E 7 General r 5 Volume changes made in this window will not effect the default settings of the D E Master sound volume mode Automacti qe Start Scenario Editor S Master sound volume only applies to Manual mode 7 maniki N Start Handler Editor as Ye pele o 5 Start Trend Editor dis EADEM In the Instructor Application click Edit in the Program Menu HR N ae B Microphone Configuration S Seizure intensity 45 ar Video Recording Configuration Tongue edema pressure 6 Set Vital Signs Ses RPM Bo I amp nits 2 Select lt Start SimJunior Dialog gt in the drop down menu Koratkoff Controls E Capnometer unit mmHg Start SimJunior Dialog amp ICP unit mmHg 3 Temperature C C Sort event lists alphabetically Vocal sound when no BP or apnea Disabled 3 Display parameter trend window at startup Enabled GE awRR source ECG 4 CI ick lt Apply gt Override default Start Scenario Folder Disabled E Start Scenario search Folder 3
37. ikin skins may need to be replaced if they are torn perforated or stained Torso Skin To replace the manikin torso skin reference Opening the Torso section Arm Skin To replace the manikin arm skin Remove the old manikin arm skin by working it down over the arm and hand or cut the skin N Warning Do not puncture or cut the mandrel arm 2 Discard old skin 3 Lubricate inside of new arm skin with mild liquid detergent mixed with water 4 Lubricate or lather mandrel with a mix of mild liquid soap and water 5 Slide manikin hand into skin 6 Work skin over fingers as with a glove 7 Work skin up over the arm mandrel Replacing the Right IV Arm Open the torso reference Opening the Torso section Remove old arm by unscrewing the bolt holding the arm to the manikin s shoulder 2 Ensure that the shoulder screw is loose enough to allow the arm axle to slide out easily 3 Discard the old arm according to specified guidelines 27 To attach the new arm Ensure that the shoulder screw is loose enough to allow the arm axle to slide easily into place Connect the arm to the corresponding connection points in the torso Carefully push the arm axle into the shoulder bracket so that the axle is flush with the inside of the bracket Tighten the shoulder screw with an Allen wrench Replacing the Right IO Leg To detach the right lower leg 2 3 4 Ensure that any f
38. ikin without the torso skin in place Connecting the Blood Pressure Cuff The manikin is delivered with a customized blood pressure cuff Connect the tube to the white BP connector on back of the VitalSim Control Unit before use Note he speaker for the Manikin s blood pressure is located in the left antecubital fossa shown below circled The radial and brachial pulses are located in the rectangular areas Calibrating the Blood Pressure Cuff with Instructor PC Select lt Calibration gt from the menu 2 Select lt Calibrate BP gt from the drop down menu 3 Follow the on screen wizard instructions to perform the calibration Calibrating the Blood Pressure Cuff with Remote Control To calibrate the blood pressure cuff with the SimJunior Standard System Remote Control I Navigate to the Setup Menu 2 Select lt Calibrate BP gt 3 Follow the instructions displayed on the screen Manikin Setup Changing the Pupils Simjunior is delivered with normal pupils installed in the eyes A separate kit containing plastic pupil inserts constricted and dilated comes with Simjunior To change the pupils Carefully open the eyelids wide taking care not to tear the manikin face skin 2 Using the suction cup tool provided in the kit or with the edge of your fingernail carefully remove the pupil from the eye 3 Replace the pupil with the desired insert using the suction cup tool or by gently pressing in pla
39. kin battery from the manikin 3 Connect an approved external battery charger with a power cord that meets local specifications to the bottom of the manikin battery Connect the battery chargers power cord into a wall outlet 4 When the battery has finished charging replace the battery in the manikin Replacing the Chest Rise Bladder The chest rise bladder is located in the lower end of the chest plate centered under the lungs Open the torso skin to expose the chest plate See the section Opening the Torso 2 Disconnect the clear tubing from the lung bladder and remove the lung bladder For details on removing the lung bladder see the section Replacing the Lung Bladder Disconnect the clear tubing from the chest rise bladder Discard the old bladder Insert new bladder Re connect the tubing to the new bladder N Oy BL A W Close the torso and replace the torso skin Replacing the Lung Bladder If leaking occurs the lung bladder in the chest cavity should be replaced Open the torso skin 2 Disconnect the clear tubing from under each side of the lung bladder Refer to step 2 illustration in Replacing the Chest Rise Bladder 3 Disconnect the lung bladder clip from the top center of the lung bladder 4 Gently pull the top center portion of the lung bladder up from its socket 5 Reverse process to install the new lung bladder 26 Maintenance Replacing Manikin Skins The man
40. l then notify the Instructor of the order via the Instructor Application The learner may also click on any of the relevant menus to check if the Instructor has made any media files available for viewing Laerdal Debrief Viewer The Debrief Viewer is a debriefing tool that allows you to open and review a saved simulation session The debriefing file consists of the following information logged during a simulation e Session Log Data and events are recorded and time stamped throughout the simulation session Instructor comments are included e Patient Monitor Patient Monitor display can be recorded as a video file e Web camera Video signals from a web camera connected either to the Instructors computer or the Patient Monitor computer e Microphone inputs Voice and sound recording from the web camera s built in microphone is recorded e Review comments Comments can be edited or added to the lt Session Log gt during review in the lt DebriefViewer gt Note Ihe sources are all recorded to the same time line and are always played back simultaneously Accessing the Debrief Viewer The Laerdal Debrief Viewer can be accessed in two ways From the Instructor Application e Click the Stop button lt MI gt The Stop button is located under the Time display e Click the lt Debrief gt button in the Start Scenario gt dialog box e The Debrief files from the session are then transferred and made available in the lt
41. lses Radial and Brachial Problem e Cannot feel pulses Possible Solutions e Skin may be too tight over pulse units re adjust skin and reboot e Ensure blood pressure is set to at least 60 systolic e Ensure compressor is ON Note If the radial pulse is set below 60 peripheral pulses may disappear Manikin Shutdown Problem e The manikin is unresponsive Solution Power off the VitalSim Control Unit 2 Turn the Remote Control off 3 Exit any SimJunior software on the optional Instructor PC and the Patient Monitor 4 Then restart everything If the manikin is still unresponsive contact your Laerdal representative 29 Manikin Setup Advanced System Standard System Introduction Maintenance o0 c 5 O d em i 4 Rn Q gt 9 E Specifications Spare Parts Notes 30 Specifications Overall Dimensions Length Width manikin only 48 in x 9 84 in 120 cm x 42 5 cm Weight manikin only 25 lbs 11 36 kg Manikin Power External power Internal battery Input voltage VDC 5A 7 AV 4 4Ah Lithium lon Only use approved Simjunior external power supply and batteries Air Pressure Internal air tank External air connection Max 6 psi Max 16 psi Temperature Limits Operating temperatures Storage temperatures 4 C to 40 C 39 F to 104 F 5 C to 50 C 5 F to 122 F Environment Manikin only Relative humidity 20 90 non condensin
42. luid in the leg has been drained Remove old IO leg by unscrewing the bolt holding it to the thigh Slide the IO lower leg out from the thigh Discard the old IO leg according to specified guidelines Reverse above process to attach the new lO leg Advanced System Standard System Introduction Manikin Setup QD R QD e E C 2 Specifications Troubleshooting Spare Parts Troubleshooting System Setup Problem e Lost data or total system failure General System failure Possible Solution e Should system shutdown or all data is lost or corrupted please contact your local Laerdal Service Center The Debrief Viewer Problem e Missing video capture the web camera does not record video for debriefing Possible Solutions e Check that the web camera s USB cable is plugged into the USB hub e Check the web camera settings via the Profile Editor Ensure settings match the web camera setup Ensure you use the correct profile file e Ensure that there is only one USB web camera connected to the PE e The video recordings will be stored on the PC connected to the web camera Ensure the computer connected to the webcam is avallable when transferring to debrief Problem e Patient Monitor video capture is not included in the debriefing Possible Solutions e Check that the name of the Patient Monitor PC being used corresponds with the setting in the profile in use e On the Instructor
43. mulator setup Start the Instructor PC Connect the mouse and power supply to the computer and power ON Make sure that the Simjunior simulator icon is displayed on the Instructor PC desktop 2 Install the USB hub Connect Power to the USB hub Connect USB hub to Instructor PC 3 Connect the Patient Monitor Cables Put aside the software CD that comes with the monitor DO NOT INSTALL software CD Route the cables through the Patient Monitor stand and connect them to the corresponding outlets located at the bottom of the screen Video cable USB cable Audio cable blue mini Jack with single wire Power cable Secure the cables using the strain reliefs Connect power cable to a wall outlet and power ON the Patient Monitor 4 Connect the Patient Monitor video cable and 3 way audio cable black mini jack with double wire to the Instructor PC AN IMPORTANT Do NOT connect the USB cable to the Patient Monitor yet 5 Set Up the Instructor PC for Extended Desktop Display to Support the Patient Monitor Right click on the instructor PC desktop Inthe drop down menu select Screen Resolution gt In the lt Multiple Displays gt option select lt Extend these displays gt Click lt Apply gt he Instructor PC display should have a resolution of 600 x 9200 he Patient Monitor display 2 should have a resolution of 1280 x 1024 Click OK
44. nical intervention instructor control and pre programmed scenarios for effective practice of diagnosis and treatment of a patient With spontaneous breathing airway control voice sounds ECG and other clinical features SimJunior is a fully functional pediatric simulator SimJunior allows observation and recognition of most vital signs which enables the instructor to assess the student s skills based on a realistic clinical situation SimJunior Features Realistic airway for simulation of difficult airway management oral and nasal intubation Observable breathing Cardiac features including defibrillation and cardioversion Eyes with interchangeable pupils normal dilated or constricted Convulsions to simulate seizures Chest compressions Vascular access Normal and abnormal heart breath and bowel sounds Automatic Simulation Control based on pre programmed and validated patient scenarios Simulations can run autonomously using scenarios he development of the patients condition is pre programmed and automatically responds according to the student interventions Overall Dimensions Length Width manikin only 48 in x 9 84 in 120 cm x 42 5 cm Weight manikin only 25 lbs 11 36 kg SimJunior Clothing SimJunior comes with custom designed clothing with Velcro openings for easy removal Washing instructions are found on the clothing label Shirt Shorts Boxe
45. of Directive IIEL Dispose of in accordance with local requirements and regulations 2 ES Li ion batteries should be recycled Li ion Disclaimer Use of the Simjunior patient simulation system to train personnel should be undertaken under supervision of suitably trained technical or medical personnel with an understanding of educational principles as well as recognized medical protocols As with all manikins or other such training devices there may be approximations variations and inaccuracies in anatomical features and the physiological modeling This being the case Laerdal does not guarantee that all features are completely accurate Global Warranty See the Laerdal Global Warranty Booklet or see www laerdal com Country of origin SimJunior is made in USA aerdal Medical PO Box 38 226 FM 116 Gatesville lexas 76528 USA Introduction Q U General Manikin Care General Manikin Handling Take the following precautions to avoid personal injury or damage to Follow the instructions below to maintain optimum performance the product and longevity of the manikin and its components Introduce fluids into the manikin only as directed in this document c General Care as this may damage the manikin and its components U To maintain manikin skins wash hands before use and place the m Lubricate the oral and nasal airways with the lubricant provided manikin on a clean surface Laerdal recommen
46. olled with either the Instructor PC or the VitalSim Remote Control device Note The Instructor PC and Remote Control cannot be used simultaneously The VitalSim kit includes a CD with PC software supporting scenario and log functions The software will run on Windows XP and Windows 7 The VitalSim can be connected to the PC through the USB connector Through this connection scenarios made on the PC can be downloaded to the VitalSim for execution Also software updates can be downloaded Logs generated and saved on the VitalSim can be uploaded to the PC for review printing and permanent storage The software functions are documented through Help functions and documents residing on the CD Note Refer to the VitalSim DFU for details about operating the VitalSim Control Unit and the Remote Control After setting up the VitalSim Control Unit and the manikin connect the VitalSim to the manikin with the 37 pin Serial Cable manikin connection cable Press the On Off button once to turn the VitalSim Control Unit ON 2 Press the On Off button again to turn the VitalSim Control Unit OFF 3 If the VitalSim Control Unit has contact with the Remote Control the indicator light glows a steady green At this point the system Is ready for use 4 IftheVitalSim Control Unit does not have contact with the Remote Control the indicator light will blink green Check the connections and the batteries to determine the cause of the
47. r Shorts General Clinical Features Airway Features The airway Is anatomically correct to the trachea The airway can be manipulated by Head tilt chin lift jaw thrust with articulated Jaw Cricoid pressure and manipulation Suctioning oral and nasopharyngeal The manikin may be ventilated by normal and emergency methods Bag mask ventilation Orotracheal intubation Nasotracheal intubation Prior to using airway devices lubricate with Laerdal Airway Lubricant The following equipment or methods are suitable to secure the manikin s airway Laryngeal mask airways size 2 5 Endotracheal tube intubation size ID 4 5 cuffed 5 5 uncuffed Use of a malleable stylet is recommended Make sure it does not extend beyond the ET tube The following manikin conditions indicate incorrect tube placement Right main stem intubation unilateral chest rise Stomach distention Lack of chest sounds see Breathing section Manikin features may be configured to present various airway scenarios Tongue edema normal medium maximum levels Lungs open or closed Breathing Features SimJunior can simulate spontaneous breathing with visible chest rise and fall and variable breathing rates The breathing is generated by an enclosed air compressor in the manikin s right thigh Bilateral chest rise and fall with spontaneous breathing Unilateral chest rise and
48. ry when it is judged safe to do so Exposure to fluids pose an explosion hazard On every 30th charge cycle drain the battery completely before recharging To drain the battery run the manikin on battery power until automatic shutdown Only replace with a Laerdal Simjunior battery Storage and Transportation Never store fully charged batteries for longer than a month The manikin battery can be transported in the manikin during air freight When transporting spare batteries contact the airline or freight company for the latest transport regulations N Warning The SimJunior manikin and accessories are heavy when combined in the carrying case Always ensure that SimJunior is firmly secured during transportation and storage to prevent personal injury or damage to the product Introduction oO ru U 5 U oO ru E Simjunior Simulator D ns o gt 92 hu A E c a n o Connector Comedor S Sternum Defib Plate PF 9 Blood Pressure Arm S AE Apex Defib Plate oa p Right Leg ECG o Connector Left Leg ECG E Connector Y e c c c D o c E Power Cable External Air Connection ES E 37 Pin Serial Cable 5 Manikin to VitalSim Cable 9 L Ta IO Leg O ub IO Leg Fill Port N c Oo ra R U D 7I 2 a 0 c A Introduction SimJunior Simulator SimJunior facilitates interactive training of life saving skills and responds to cli
49. t Main Setup gt menu are identical to the Main similar options displayed on the Menu line Setup D Select the lt Main Screen button to return to the Main Screen and cancels all submenus Submenus can also be closed by selecting the X box of the submenu Importing and Adding Media Files During a session the Instructor can make media files available to learners Media files include Radiology Video and Lab reports Import Media Files lo import media files to make them available for the simulation Sessions In the Instructor Application click lt File gt N Click lt Import Media Files gt in the drop down menu The Instructor may import any of the existing media files or browse to select a personal media file Add Media Files To add media files In the Instructor application click lt File gt 2 Click lt Add Media Files gt in the drop down menu 3 Browse to select a file The Instructor can import and add as many media files as required Instant Display Media files show immediately when transferred JA ver Radiology Media Labs Ordering Radiology Media or Labs The learner can order Radiology Media or Labs by clicking on any of the relevant menus in the Patient Monitor Application Advanced System Ensure that the main menu is displayed Click on the appropriate Radiology Media or Labs button Click lt Order New gt in the dialog box A w N The system wil
50. ung bladder r4 Replacing the torso skin 2 For general inspection 5 N Warning Open the torso from left to right gently unhook the skin Do not pull hard to lift the manikin skin this could damage the chest cables Q Unhook torso skin holders on left side of the torso and each o shoulder o y D c y gt 5 lt a 5 ru 92 Y c 2 2 Fold the torso skin over to the right side 3 Disconnect the Defibrillation connector cable 3 Pull the battery power connection up from inside the manikin Unhook the battery power connection QD R QD e E gR 2 00 c D O O E N L O 5 2 N C Oo 4 The Defibrillation connector cable must be disconnected at the right side of the manikin below the chest form 4 Lift the battery out of the manikin U Q AO bb Cnet is a 5 Replace the charged battery or install a new Laerdal approved de the stomach foam to the manikin e imlurior battery 5 Replace the torso skin by performing steps 4 in reverse 6 Connect the battery to the manikin 7 Replace the torso skin N ns i S a QD i d Q o 25 Maintenance Charging the Manikin Battery The manikin battery charges itself as it is operated If necessary the manikin battery can be charged using an optional external power adapter Power down the manikin via the VitalSim Control Unit 2 Remove the mani
51. utton which will end the current scenario and allows debriefing Seizure Control Tonic 2 3 seconds Tonic Clonic 1 minute Running a Scenario Click lt Start gt to launch the Instructor Application Click Start Scenario This will open a list of scenarios Select and open Click Play button to start Note lt Pause gt button changes to Play button when the scenario is paused The lt Pause Play gt button is located below the Start Scenario button When a simulation is running click this button to pause the session Adjust Patient Parameters During Simulation The Instructors Patient Monitor shows the patient s current status To manually adjust the patient parameters click the individual graphs or numeric parameters Pop up menus allow the instructor to change the relevant parameters Hold the cursor over a numeric parameter for second the selected parameters background will turn to grey and the mouse pointer will change appearance indicating that the scroll wheel can be used to increase or decrease the value Stop Simulation Session When the simulation session is complete click the Stop button lt m gt below the Start Scenario button Debrief Log The Debrief Log records information about patient responses and Learner events that occur during simulation Events can also be added manually by the instructor This information is then made available in debrief files at the end of t

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