RespiPatient User`s Manual - 80 31 805 Rev-1
Contents
1. APY S08 LE OG JeNueW Sas JuaHedidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists 2 Introduction 2 1 Overview RespiPatient is a specialized respiratory feature centered torso manikin with bilateral chest rise and intubation grade normal and difficult airway In addition it allows for training of needle decompression pneumothorax chest tube insertion as well as cricothyrotomy and tracheotomy procedures RespiPatient enables you to train the full range of airway management and CPR skills with anatomically correct airway rib cage three layered tissue real feel skin covering and realistic chest rise Replaceable tissue sets allow each learner a life like and unique experience for training RespiPatient consists of a torso manikin that connects to the RespiPatient Interface box The RespiPatient Interface box drives the features of the RespiPatient manikin using IngMar Medical s ASL 5000 Breathing Simulator to provide high fidelity spontaneously breathing lungs 2 2 Available Options Options that can be added to the base system include e Mobile Cart Integrates ASL 5000 and RespiPatient for in situ simulation training wherever a ventilator is located e RespiScope Advanced Auscultation Enables realistic practice and mastery of auscultation skills critical for diagnosis Lung heart and bo2. e Start the ASL 5000 Software as directed in the ASL 5000 User s Manual clicking on the ASL 3 5 icon on the computer s desktop e Connect to the ASL 5000 simulator based on the user defined connection type Ethernet or USB Serial 4 4 Operating RespiPatient 4 4 1 Chest Rise Activate RespiPatient s chest rise by running a simulation from the ASL 5000 or RespiSim software Once a simulation is running the Pump LED on the front of the RespiPatient Interface box illuminates and the manikin s chest rises and falls OO oO INGMAR MEDICAL ms RespiPatient Interface Figure 4 1 Pump On Off LED Resistance Compliance and Muscle Effort if applied in the patient model used in the simulation directly affects the visual chest rise The amount of chest rise seen is directly related to the volume waveform shown in the ASL software s Central Run Time window or Run Time Home window For example e Greater effort with high compliance and low resistance will result in a larger chest rise e Smaller effort with lower compliance and higher resistance will result in a smaller chest rise e For a sedated patient receiving controlled breaths from an ICU ventilator chest rise is in the same way a function of breath size CLOT Y LOZ PHT JE2 IPe szewsu O L AN S08 LE OG JeNueW sasn uaHedidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGM
3. cceeeeeeeeeeeeeeeeeeeeeees 13 TS SUIS IS SFG E O E nese 17 TOR E e tine sateemcne ee E 11 14 Tongue Inflation Tubing 11 Trachea Connections esseeeeeeeeeeeeerereerrrerreee 10 Tracheal Deviation ccccceeeeeeeeceeeee ees 7 12 13 Tracheal RINES esnearen n eiT 15 Tracheostomy ccein ai 15 Venous Engorgement seessisespiivaseissnessie 12 13 Warning and Caution Statements eeee 6 23
4. 6 0 mm ID Oral Intubation 8 0 mm ID LMA laryngeal masks Size 3 5 Similar respective sizes for other supraglottic devices 20 INGMAR MEDICAL Respiratory Simulation Specialists 6 4 Environmental Specifications 6 4 1 Storage Temperature 10 C to 50 C allow device to reach approximate room temperature before use Humidity 10 to 95 noncondensing 6 4 2 Operation Temperature 10 C to 40 C Humidity 10 to 95 noncondensing NOTE Specifications are subject to change without notice S LOZ t LOZ PHT POW JeWsu APY S08 LE OG JenueW Sas JuaHedidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists 7 Support Resources IngMar Medical is dedicated to customer support We encourage you to visit our website at www ingmarmed com for support options While the primary source of user information is this User s Manual there are a number of other ways to receive support e Updated editions of this User s Manual can be downloaded from the IngMar Medical website e Answers to Frequently Asked Questions FAQs are accessible via our website e We provide in depth hands on small group customer site training Please contact Customer Care at 1 800 583 9910 ext 107 about purchasing additional support plans or training Email us at info ingmarmed com Or contact us from the Contact Us
5. Inflatable Tongue Figure 4 7 Relief Valve Figure 4 8 Tongue Bulb Relief Valve 4 4 4 Breakaway Teeth The breakaway teeth provide a good representation of the fragility of human teeth RespiPatient s teeth attach to the gums with a small plastic tether If the teeth break off during an unskilled attempt at intubation they remain tethered to the upper gums Reset them by pressing them back into position in the upper gums 14 INGMAR MEDICAL Respiratory Simulation Specialists Figure 4 9 Breakaway Teeth 4 4 5 Intubation RespiPatient provides the most anatomically correct airway in the industry Intubation training can be performed through the mouth or either nostril See the Ancillary Materials specifications at the end of this manual for recommended sizes RespiPatient can be used to train on any ventilator The connection is made either with any invasive airway management device or with a mask for non invasive ventilation just like with a real patient 4 4 6 Chest Drain Each side of RespiPatient incorporates a removable chest drain cavity which can be filled with liquids to represent a hemothorax or pleural effusion Incisions can be made through the fifth sixth and seventh intercostal spaces The cavity insert is a consumable part that will require replacement after incisions are made 4 4 7 Cardiopulmonary Resuscitation The anatomically correct chest structure allows for easy identifi
6. Quick Setup Diagram ce eeeeeeeeteteees 8 3 2 Step by Step RespiPatient Setup 00 9 3 2 1 Manikin to Interface Box cece 9 3 2 2 Manikin to ASL 5000 Connections 10 3 2 3 Tongue Inflation Tubing ee 11 3 2 4 Bypass Mode aj sscnsasossaasaigaensarruesaniontentodnes 11 4 OperaNON sses enn 12 AT How Works sissioisrsrssiiesasriois 12 4 2 Preparing RespiPatient for Use 06 12 Aoa SAUNE WMO r E 12 4 4 Operating RespiPatient eee 12 4 4 1 Chest Ris ecccescccccccccsesensneneeeeeeeasaees 12 4 4 2 Tension Pneumothorax Venous Engorgement Tracheal Deviation 13 4 4 3 Swollen Tongue cccceccceeseeeeeeeeeeeeeees 14 4 4 4 Breakaway Teeth cccccccseeeeseeeeeeeeee 14 4 4 5 MAU AIC Wii cigdcseeeseccepevradecertvasen secaoneecene 14 4 4 6 Chest Drain s sssssneeeeeeseessssssssssssssssss 14 4 4 7 Cardiopulmonary Resuscitation 14 4 4 8 Carbon Dioxide Infusion 00008 14 4 4 9 Cricothyroidotomy and Tracheostomy 15 RespiPatient User s Manual D gt Maimtenance sesionarios 17 5 1 Service and Calibration Intervals 17 5 2 Cleaning and Storage e 17 5 3 Replacing Tissue Inserts ceeeeeeeeeeeeees 17 5 3 1 Replacing Needle Decompression Inserts ea ee ene eens 17 5 3 2 Replacing Chest Drain Inserts 18 5 3 3 Replacing Neck Skin and Larynx Membrane Ins
7. e Ensure all airway devices are prepared to the manufacturer s recommendations and Instructions S LOZ t LOZ PHT EDIPew JeWsu 1 APY S08 LE OG JenueW Sas JuaHedidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists Before insertion of the airway device generous amounts of lubricant should be used to cover the surfaces in contact with the airway the cricothyroid membrane and the tracheal rings To ensure full functionality securely attach pieces using the hook and loop type fasteners RespiPatient User s Manual 19 RespiPatient User s Manual 6 Specifications 6 1 Electrical Specifications 6 1 1 Supply Voltage Input Output 100 to 240 V AC 6 2 Physical Specifications 6 2 1 RespiPatient Dimensions lying on tabletop 27 5 X 18 25 X 9 5 69 85 cm X 46 36 cm X 24 cm Weight Approx 23 Ibs 10 4 kg 6 2 2 RespiPatient Interface Box Dimensions 17 25 X 0 625 X 5 125 43 815 cm X 21 9 cm X 13 cm Weight Approx 24 Ibs 10 9 kg 6 2 3 Hard Sided Transport Case External Dimensions 37 X 27 2 X 14 4 94 cm X 69 cm X 36 6 cm Weight Approx 110 Ibs 49 9 kg Complete system in transport case 6 3 Ancillary Materials Specifications Obtain the ancillary materials listed below using the stated parameters for selecting the correct Sizes Nasal Intubation
8. gt INGMAR MEDICAL RespiPatient User s Manual IngMar Medical Ltd 2014 2015 This page intentionally left blank RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists Legal Information Product Warranty Educational tools and test instruments manufactured or distributed by IngMar Medical Ltd are fully warranted covering materials and workmanship for a period of one year from the date of shipment except for products with stated warranties other than one year IngMar Medical reserves the right to perform warranty service s at its factory at an authorized repair station or at the customer s installation IngMar Medical s obligations under this warranty are limited to repairs or at IngMar Medical s option replacement of any defective parts of our equipment except fuses and batteries without charge if said defects occur during normal service Claims for damages during shipment must be filed promptly with the transportation company All correspondence concerning the equipment must specify both the model name and number and the serial number as it appears on the equipment Improper use mishandling tampering with or operation of the equipment without following specific operating instructions will void this warranty and release IngMar Medical from any further warranty obligations The above is the sole warranty p
9. page of our website www ingmarmed com RespiPatient User s Manual 21 RespiPatient User s Manual amp Consumables Replacement Consumable items are available for RespiPatient including e Lubrication Part 15 30 744 e Airway Sealing Tape Part 31 10 780 e Overlay Neck Skin Cover pack of 5 Part 4 31 10 781 e Replaceable Combo Larynx Part 31 10 782 e Subcutaneous Fat Tissue pack of 5 Part 4 31 10 783 e Chest Drain Inserts Three Layer set Part 31 10 784 e Chest Drain Inserts One Layer set Part 31 10 785 e Larynx Membrane Inserts pack of 50 Part 31 10 786 Please contact Customer Care at 1 800 583 9910 ext 107 if you are interested in purchasing consumable items Email us at info ingmarmed com Or contact us from the Contact Us page of our website www ingmarmed com Alternatively contact TruCorp for consumable items by visiting http www trucorp com consumables 22 INGMAR MEDICAL Respiratory Simulation Specialists S LOZ t LOZ PHT POW JeWsu APY S08 LE OG jenueW Sas JuaHedidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists 9 Index Airway Management sgsinivecdrtanssesiacevasvertancarceanwanss Ancillary Materials Specifications see 20 ASL 5000 Trachea Connection ssssssssssssssss
10. to manually press the Pneumo L or R buttons on the RespiPatient Interface box RespiPatient User s Manual O inc Man Menca RespiPatient Interface Manual Interface Box Pneumo Activation Figure 4 3 e The second method is to activate the pneumothorax through the RespiSim software Refer to the RespiSim Manual for instructions on running a simulation with a tension pneumothorax venous engorgement and tracheal deviation Figure 4 4 RespiSim Pneumo Activation When the pneumo button real or virtual is engaged the three cavities will inflate to a pressure of approximately 70 mbar Sensors in the RespiPatient Interface box prevent over inflation of the three cavities If an unintentional inflation occurs the user can release the air within the cavities by removing the needle decompression insert and reinserting the air tube Figure 4 5 Removing the Needle Decompression Insert 13 RespiPatient User s Manual Remove and Reinsert Air Tube Figure 4 6 4 4 3 Swollen Tongue RespiPatient s tongue can be inflated to simulate a swollen tongue This creates increased resistance in the airway as well as making it difficult to intubate the manikin To initiate the tongue inflation shut the relief valve turn clockwise on the connected tongue inflation bulb and squeeze the bulb enough to see the jaw adjust To relieve pressure in the tongue open the valve counterclockwise on the tongue bulb
11. AR MEDICAL Respiratory Simulation Specialists The system also has the ability to provide bilateral individual left right chest rise if using a dual lung model with varying left and right lung compliance and resistance settings Please see the ASL 5000 Breathing Simulator User s Guide for information on building a lung model 4 4 2 Tension Pneumothorax Venous Engorgement Tracheal Deviation RespiPatient provides the ability to simulate a combination tension pneumothorax venous engorgement and tracheal deviation These inserts are located in the second intercostal space at the mid clavicular line E P j Figure 4 2 Needle Decompression Each insert is composed of durable tissue capable of handling 30 needle punctures The venous engorgement and tracheal deviation are internal to the manikin and connected to the same air line that fills the needle decompression sites When the user initiates the inflation of these regions the following changes occur e The needle decompression insert inflates e A pillow inside the manikin inflates causing the trachea to shift tracheal deviation e A pillow in the neck inflates creating a bulge in the neck venous engorgement Piercing the needle decompression site will result in a hissing sound and will deflate all pillows to stabilize the patient There are two methods available for the user to force these cavities to inflate e The first method is
12. CO2 source should be replaced To adjust the CO2 flow from the ASL 5000 software access the RespiSim software and load a preconfigured module From the Instructor Dashboard adjust the CO2 Settings mL min RespiPatient slide bar or place a desired value into the input box Please note that setting increments are in steps of 10 mL min Tean het M Ls tes M al o ee Figure 4 10 Interface Box Side Panel Ss Figure 4 11 CO Output Connector oot ill i gt Figure 4 14 CO Settings in RespiSim 4 4 9 Cricothyroidotomy and Tracheostomy RespiPatient provides allows for performance of needle and surgical cricothyroidotomy and percutaneous tracheostomy RespiPatient has anatomically accurate simulated cricoid Figure 4 12 CO Input Connector laryngeal cartilages and palpable tracheal rings allowing easier identification of the correct landmarks to begin needle and surgical cricothyroidotomy and percutaneous tracheostomy procedures The push button switch on the side of the RespiPatient Interface box drives the CO2 flow Figure 4 13 CO On Off Switch and LED 15 RespiPatient User s Manual The system also includes replacement neck skin and larynx membrane inserts Membrane inserts provide life like resistance for the cricothyroid membrane and tracheal cartilages When performing these procedures make sure to reseal the airway with the inc
13. EMENT IngMar Medical Ltd shall not be liable for nor shall buyer be entitled to recover any special incidental or consequential damages or for any liability incurred by buyer to any third party in any way arising out of or relating to the goods Trademarks RespiPaitent is a registered trademark of IngMar Medical Ltd All other trademarks or registered trademarks are property of their respective owners Copyright 2014 2015 IngMar Medical Ltd No parts of this document may be reproduced stored in a retrieval system translated transcribed or transmitted in any form or by any means without identifying its authorship as IngMar Medical Ltd This page intentionally left blank RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists Contents 1 Operator Safety cccccsssssssssssssscsseceeeeees 6 1 1 Warnings and Caution Statements 6 1 2 Intended WSC so ceseeot nretcietrocemantnmeroerete 6 1 3 General Precautions seeeeeeeeeeeeeeeeees 6 2 AU ONC TIO sce asco sesesoccsaustcaeeseesecececce eases 7 Zee INN r Ea A E 2 2 Available Options ssssssesesesesesessssssssssss 7 De FOIOS serr n ean quieeeaseunios 23l RespiPatient Features jawsts scrniswn carbs sareeeateeons 7 Zedek LUNO FEO orenen a pecimemee ees 7 3 RespiPatient Setup cccccccssssesssscernsccconeecess 8 3 1
14. Left Pneumo Connection RespiPatient Right Pneumo Connection Insert the black tubing into the port labeled Tension Pneumo Right Then turn the connector slightly to the right clockwise to snap it into place fension Pneumo Right Figure 3 8 Right Pneumo Connection 3 2 2 Manikin to ASL 5000 Connections Trachea Connections RespiPatient Trachea Connections Insert the elbow end of the trachea tube into the port labeled ASL 5000 Trachea as shown 10 INGMAR MEDICAL Respiratory Simulation Specialists Figure 3 9 RespiPatient Trachea Connection ASL 5000 Trachea Connection Insert the other end of the trachea tube into the front panel of the ASL 5000 as shown Figure 3 10 ASL 5000 Trachea Connection Power Connections RespiPatient Interface box to ASL 5000 Short Power Cord Connection Connect one end of the 6 Power Cord into RespiPatient Interface box power socket as shown and the other end into the ASL 5000 power socket Interface box to ASL 5000 Short Power Cord Connection Figure 3 11 CLOT Y LOZ PHT JLLpPOW szewsu O L AN S08 LE 08 JeNueW sasn JuaHedidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists RespiPatient Interface box Power Connection Connect the power cord to the RespiPatient Interface box as shown Insert the other end into an AC power sour
15. cation of all anatomical landmarks RespiPatient can be adjusted for head tilt chin lift and jaw thrust in order to prepare the patient for proper resuscitation training and simulation The chest cavity has realistic recoil during compressions as well 4 4 8 Carbon Dioxide Infusion The RespiPatient Interface box provides the ability to control carbon dioxide flow into the patient airstream The system supports a range of O to 600 mL min Control the flow from the ASL 5000 software on the Instructor Dashboard Access the Instructor Dashboard from the RespiSim Debrief window Consult the RespiSim Manual for more information CLOT Y LOZ PHT JE2 IPe szewsu O L AN GOS LE OG JeNueW sasn JuaHedidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL RespiPatient User s Manual Respiratory Simulation Specialists The green LED indicates when the flow has RespiPatient includes two connectors for input reached user input settings as follows and output of the CO stream The CO source is not included and must be limited to 25 PSI 175 e When the LED is a solid green The CO2 flow KPa for proper operation CO pressures is within the set value range exceeding this limit may result in inaccurate flows e When the LED is toggling on and off Either into the airstream the CO2 flow has not yet reached the set value or the external CO2 supply is too low and the
16. ce Figure 3 12 Interface Box Power Connection Interconnect Cable Connect one end of the interconnect cable into the back of the RespiPatient Interface box and the other end of the cable into the back of the ASL 5000 as shown Figure 3 13 Interface Box Kespi Patient Analog Digital In Out Out Ne Figure 3 14 ASL Interconnect Cable Connection on ASL 5000 RespiPatient User s Manual 3 2 3 Tongue Inflation Tubing Insert the connector end of the tongue inflation tube into the manikin in the black connector labeled Tongue Inflation as shown Then turn the connector slightly to the right clockwise to engage ASL 5000 Trachea Tongue inflation Figure 3 15 RespiPatient Tongue Connection 3 2 4 Bypass Mode To operate RespiPatient in stand alone mode without the ASL 5000 connect the Bypass Tubing as shown in Figure 3 16 Figure 3 16 Bypass Mode 11 RespiPatient User s Manual 4 Operation 4 1 How It Works The ASL 5000 Breathing Simulator sends signals to the RespiPatient Interface box driving RespiPatient s chest rise venous engorgement tracheal deviation and tension pneumothorax The ASL 5000 serves as the simulated lungs for RespiPatient using the ASL 5000 trachea port connection to the base of the manikin through the manikin s trachea and the manikin s mouth This means that the air flowing in and out of the chest rise bags in the mani
17. emoval e Dispose of the tissue insert safely e If liquid has been used to illustrate hemothorax dry the internal structure to ensure there have been no leakages e Chest drain inserts are labeled L for left and R for right for easy identification e Align the set with the slotted rib compartments e If using liquid remove the red sealing cap and insert the desired fluid we recommend water to avoid staining e Fill the cavity to the desired level and tighten the cap e A small amount of lubrication can be added to reduce the friction upon entry The insert should fit into position with little force e Ensure again that the insert is parallel and aligned with the outer skin Run your finger around the edge of the insert for correct alignment 5 3 3 Replacing Neck Skin and Larynx Membrane Inserts A new larynx membrane insert can be used for each trainee to provide a unique experience The piece can be easily removed and replaced e Ensure that the larynx is pushed down as far as it will go against the sternum wall so it will be in the right position e When practicing airway management procedures cut a piece of sealing tape approximately 2 2 5 inches 5 6 cm and attach it over the Crico and Trach hole in the airway For proper adhesion make sure the airway is clean and dry before attaching the tape for proper adhesion e Lubricate the internal airway and the nasal passage with the silicone lubricant provided
18. erts seeeeeeeeeeeeeeees 18 6 Specifications socsscecscecsssvscssscsssaiesessasiacesecevenss 20 6 1 Electrical Specifications eee 20 6 1 1 Supply Voltage iis ciscscusasspewertessavwsregomers 20 6 2 Physical Specifications eeeeeeeeeeeeeeees 20 Ozke RESPIF AUEN orn E 20 6 2 2 RespiPatient Interface BOX 0 00 eee 20 6 2 3 Hard Sided Transport Case e 20 6 3 Ancillary Materials Specifications 20 6 4 Environmental Specifications 20 Oale ONI E wranese eau sectennas eaten tartsnsceceae 20 Oe Ze OPAO eene TE 20 7 Support Resources secs csccsescnscccsacsosessowancosestones 21 8 Consumables Replacement cccccecceeees 22 9 NOEK so EE 23 RespiPatient User s Manual 1 Operator Safety To insure correct and effective use of RespiPatient read and follow all instructions WARNINGS and CAUTION statements in this manual If the product is not used as instructed the safety protection provided may be impaired 1 1 Warnings and Caution Statements WARNING Indicates a potentially harmful condition that can lead to personal injury CAUTION Indicates a condition that may lead to equipment damage or malfunction NOTE Indicates points of particular interest or emphasis for more efficient or convenient operation 1 2 Intended Use IngMar Medical s RespiPatient is a specialized respiratory manikin with an anatomically correct airway and chest
19. kin are completely separate from the breathing air flowing through the trachea 4 2 Preparing RespiPatient for Use e Remove RespiPatient from the black carrying case e Ensure that all components are present and the tissue sets are connected and secure e Place RespiPatient on its back e Please ensure all airway devices are prepared to the manufacturer s recommendations and instructions Before insertion of any device generous amounts of lubricant should be used to cover the surfaces in contact with the airway 4 3 Starting Up NOTE Because the ASL 5000 controls the Interface box first connect the RespiPatient Interface box and then follow these steps in the order listed to run the full system properly For further information on the ASL 5000 operation in the steps below consult the ASL 5000 User s Manual To start operation of RespiPatient with the ASL 5000 follow these steps e Use the green switch on the back of the ASL 5000 to turn on power to the ASL 5000 The small blue LED inside the IngMar Medical logo on the front panel will indicate that power Is on e Use the green switch on the back of the RespiPatient Interface box to turn on power to 12 INGMAR MEDICAL Respiratory Simulation Specialists RespiPatient Note that the light in the switch will illuminate indicating that power is on you will not hear any sounds e Wait for the red indicator light on the front of the ASL 5000 to turn off
20. luded Airway Sealing Tape before the next use Figure 4 15 Cricothyroid Membrane amp Tracheal Cartilages 16 INGMAR MEDICAL Respiratory Simulation Specialists GLOZ Y LOZ PHT JesIpe JeWsu O AY S08 LE OG JeNueW s Jasq JuUaHegidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists 5 Maintenance 5 1 Service and Calibration Intervals There are no calibration or servicing requirements for RespiPatient or RespiPatient Interface box For details about service needs or extended warranty plans please contact IngMar Medical Customer Care at 1 800 683 9910 or 1 412 441 8228 ext 107 or e mail to info ingmarmed com 5 2 Cleaning and Storage e Store RespiPatient in clean dry conditions away from heat and direct sunlight avoid contact with metals solvents oils or greases and strong detergents e Please ensure that the airway is cleaned after use as necessary When appropriate wash the RespiPatient airway with warm soapy water until all visible foreign matter and residue is removed CAUTION Prior to cleaning the RespiPatient Airway be sure that the trachea line to the ASL 5000 is disconnected to prevent introducing liquids into the ASL 5000 e When cleaning the airway use a small soft bristle brush approximately 1 2 inch or 12 5mm in diameter Gently insert the br
21. ng Quickly access patient models as a basis for your particular situation or create your own unique scenarios You can always change patient parameters on the fly when needed e Reproducible patients Ensure consistent instruction and skills assessment For further information on the operation and use of the ASL 5000 Breathing Simulator please refer to the ASL 5000 User s Manual RespiPatient User s Manual 3 RespiPatient Setup 3 1 Quick Setup Diagram INGMAR MEDICAL Respiratory Simulation Specialists INGMAR MEDICAL RespiPatient Quick Setup Diagram Respiratory Simulation Specialists Interconnect Cord ASL 5000 to RespiPatient Interface Box ASL 5000 Back View E 6 inch Power Cord ASL 5000 to RespiPatient Interface Box RespiPatient Interface Box Back View RespiPatient Interface Box to Wall Electrical Outlet RespiPatient Interface Box Side View gt e ir A2000 E Trachea RespiPatient TA z Tube so Go Right Lung Tube Left Lung Tube A Tongue E Inflation RespiPatient Quick Setup Diagram 80 31 801 INGMAR MEDICAL 2014 z 0 gt n Figure 3 1 RespiPatient Quick Setup Diagram CLOT Y LOZ PHT JLOLPOW szewsu O L AN S08 LE 08 ENUeW sasn JuaHedidsay RespiPatient User s Manual 80 31 805 Rev 1 IngMar Medical Ltd 2014 2015 INGMAR MEDICAL Respiratory Simulation Specialists 3 2 Step by S
22. orrectly as a faulty connection will affect the operation of the feature 5 3 2 Replacing Chest Drain Inserts There are two options for the chest drain replacement tissues economy or premium RespiPatient comes equipped with the economy option which consists of one solid layer of special silicone blend This is the more economical option for training e g for use in ATLS courses The premium product provides a three layered tissue representing skin fat tissue and muscle Each of these layers are pigmented to the applicable color anatomically and provide a realistic feel and touch The insert position which is between the ribs allows for realistic palpations of the correct intercostal landmarks chest tube insertion can be carried out in the 5 6 7 intercostal space The inserts provide the option of inserting fluid not provided to the cavity simulating the experience of breaking into the pleural cavity with a gush of fluid released We recommend using water to avoid staining RespiPatient with blood like substances The chest drain insert is designed so that the tube can be sutured in place Each intercostal landmark can be used once or twice depending on the size of the incision performed 18 INGMAR MEDICAL Respiratory Simulation Specialists To replace the chest drain inserts e Tuck the chest skin out from the insert and remove from the ribs If liquid has been introduced please take extra care during r
23. rovided by IngMar Medical Ltd No other warranty expressed or implied is intended Representatives of IngMar Medical are not authorized to modify the terms of this warranty For factory repair service call Toll free 1 800 583 9910 International 412 441 8228 Facsimile 412 441 8404 or contact us via e mail at info ingmarmed com Our shipping address IngMar Medical Ltd 5940 Baum Blvd Pittsburgh PA 15206 USA Please note that a valid return merchandise authorization RMA number is always required before sending in any products for repair calibrations or updates RespiPatient User s Manual Limitation of Liability IngMar Medical Ltd s liability whether arising out of or related to manufacture and sale of the goods their installation demonstration sales representation use performance or otherwise including any liability based upon above defined product warranty is subject to and limited to the exclusive terms and conditions as set forth whether based upon breach of warranty or any other cause of action whatsoever regardless of any fault attributable to IngMar Medical and regardless of the form of action including without limitation breach of warranty negligence strict liability or otherwise THE STATED EXPRESSED WARRANTIES ARE IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY FITNESS FOR ANY PARTICULAR PURPOSE OR NONINFRING
24. ss0 10 Breakaway Teeth viivisesssosecasnnsbunssoeensevuesesnraccetes 14 Bypass Mode ceeeeececeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeees 11 Capnhoptap y eseri ci i 7 Carbon Dioxide Infusion ssssssssseesesessseeeeses 14 Cardiopulmonary Resuscitation ssssseseseees 14 CHED eE E 14 22 Chest Drain Inserts csscceccccesccsccenssnneaceeeeess 18 TS RIC E E 12 Cleaning and Storage eeeeeeeeeeeeneeeteees 17 Consumables Replacement eeeeeeeeeeeee 22 Cricothyroid Membrane cceeeeeeeeeeneeeees 16 Cricothyroidotomy cceeeeeeeeeeeeeeeeeeeeeeeeeaeees 15 Electrical Specifications cacueiaicienannsenswacreianestsenece 20 Environmental Specifications eeeeeeeees 20 Cer aE E 7 General Precautions cxrceepecnsbssinesvaapevaeracancecsenen 6 Hard Sided Transport Case sseeeeeeeeeeeees 20 How It Works 2 0 e eee ee eee e cece eeeeeeeeeeeeeeeeeeeeeeeees 12 iended Use cise stosaventscsenna denser 6 Interconnect Cable ccccccccsssesesesssstseeseeeees 11 Interface Box Pneumo Connection eee 9 Pa COSTA O E 7 14 20 Laryngeal Cartilages ccc ceeeeeseeeeeeeeeeeeeeeeeeees 15 Left Lung Connection tcesssaavennexesnnsbsenessuneosenneeage 9 Limitation of Liability eeeeeeeeeeeeeeesssssssssssssse 3 LUNO CAC r a E E 7 Lunts CONMECHONS essre E d Manikin To ASL 5000 Connections 10 Manikin To Interface BOX ssssss
25. sssssssseseeeeeeeseessses 9 Mouth To Mouth Resuscitation eee 7 Needle Decompression 10seeeeeeeees 7 13 Needle Decompression Inserts eeeee 17 RespiPatient User s Manual Operator SAICTY renoneer 6 DIGITS ea E O S E O 7 Physical SpecifiCatiOns sccccsssesesssseverceesess 20 PT OUIION NORA enrogir 9 Power Connec iON Serei 10 Preparing Respipatient For Use eccess 12 Product IN osecete coca rette tem seannesenretinecdeneeaeas 3 Quick Setup Diagram ccycepssenesiansddensaasnsengwernasraons 8 Replacing Chest Drain Inserts eeeeeeeees 18 Replacing Neck Skin and Larynx Membrane MVS CIS eee sun aenansninna vee ccnmscaty E A A 18 Replacing Needle Decompression Inserts 17 Replacing Tissue Inserts seseeeeeeeeeeeeeeeees 17 RESDID AMEN FP OATU FCS 5 0 ssascuraetssanvavescutupaesesieseisese 7 Respipatient Interface Box Power Connection 11 Respipatient Left Pneumo Connection 9 Respipatient Right Pneumo Connection 10 Respipatient Trachea Connection 000e 10 ICS OSC ONC aa a NEE E E A sedate 7 Right Lung Connection seeeeeeeeeeeeeeeeeeeeees 9 Service and Calibration Intervals 17 SPCCHICATIONS asson e tenes 20 Step By Step Respipatient Setup eee l SUPPO RESOUICCS presini tahiri NEE 21 Swollen TONBUGC 0c5 cssusestosssewsvereiandvesjeouversssoreeas 14 Tension Pneumothorax
26. structure RespiPatient is intended to be used for demonstrations in services and training respiratory staff in skills such as resuscitation and comprehensive ventilator management RespiPatient is part of IngMar Medical s RespiSim system a platform for respiratory care instruction with time saving features for instructors to provide higher quality and more consistent training content higher skill levels for students and ultimately better patient care INGMAR MEDICAL Respiratory Simulation Specialists WARNING Always follow ventilator manufacturers instructions and recommendations regarding use and operation of ventilator equipment in conjunction with RespiPatient IngMar Medical Ltd does not recommend any specific ventilator and no portion of these instructions shall be construed as doing so WARNING NOT FOR CLINICAL USE RespiPatient is not intended for the purpose of assisting in clinical decisions regarding actual patients 1 3 General Precautions CAUTION Electrical Supply Connect device only to a properly grounded wall outlet providing 100 240 V AC 50 60 Hz CAUTION Do not operate the RespiPatient Interface box when it is wet due to spills or condensation Never sterilize or immerse the device in liquids CAUTION Do not operate the RespiPatient Interface box if it appears to have been opened dropped or damaged S LOZ t LOZ PHT POW JeWsu 1
27. tep RespiPatient Setup To connect RespiPatient the RespiPatient Interface box and the ASL 5000 Breathing Simulator start by placing RespiPatient the RespiPatient Interface box and the ASL 5000 on a table in close proximity to each other Stack the ASL 5000 on top of the RespiPatient Interface box by placing the ASL 5000 feet into the orange cups on top of the Interface box 3 2 1 Manikin to Interface Box Lung Connections Left Lung Connection Insert the female end of a lung tube into the Interface box Lung port labeled L Insert the male end of the same lung tube into the RespiPatient Left Lung port Figure 3 2 Interface Box Left Lung Figure 3 3 RespiPatient Left Lung Connection Right Lung Connection Insert the male end of a lung tube into the Interface box Lung port labeled R Insert the female end of the same lung tube into the RespiPatient Right Lung port RespiPatient User s Manual Figure 3 5 RespiPatient Right Lung Pneumothorax Connection Interface Box Pneumo Connection Insert the single connector end of the Pneumothorax tubing into the Interface box port labeled Pneumo Interface Box Pneumo Connection Figure 3 6 RespiPatient User s Manual RespiPatient Left Pneumo Connection Insert the clear tubing end into the port labeled Tension Pneumo Left Then turn the connector slightly to the right clockwise to snap it into place Figure 3 7
28. ush through the airway taking care not to damage the material Extra care must be taken when cleaning around the vocal cords e Carefully inspect the device to ensure that all visible foreign matter has been removed e The head and neck skin of RespiPatient is made from durable and very elastic polymer material It can be cleaned using a lightly soapy damp cloth Please do not use detergents or cleaning agents on the skin material e During chest drain procedures with the addition of fluid blood like fluid in the RespiPatient User s Manual cavity the model may experience some residual deposits These can be cleaned using warm soapy water and dried using a cloth CAUTION Please DO NOT USE any of the following when cleaning RespiPatient e Germicides disinfectants or chemical agents such as glutaraldehyde e g Cidex e Ethylene oxide phenol based cleaners or iodine containing cleaners Such substances are absorbed by RespiPatient materials resulting in exposing the user to unnecessary risk and possible deterioration of the device Do not use a device that has been cleaned with any of these substances 5 3 Replacing Tissue Inserts The needle decompression and chest drain inserts are designed for multiple uses RespiPatient comes ready for use with needle decompression chest drain and neck skin inserts in place After exhausting the use of the inserts they should be replaced as described belo
29. w To obtain replacement tissue inserts refer to Section 8 Consumables 5 3 1 Replacing Needle Decompression Inserts Failure of the needle decompression insert will be evident when the air tightness of the manikin s decompression insert begins to decrease and there is a lack of hiss when performing the needle decompression maneuver The insert may work successfully for more than 30 needle incisions Conduct regular inspections to ensure optimal performance To replace the needle decompression inserts e Remove the outer chest skin to gain access to the needle decompression insert site e Gently remove the insert away from the slotted rib structure This will reveal the internal tubing 17 RespiPatient User s Manual e Slowly separate the tubing from the needle decompression insert to free the insert e Dispose of the insert safely e Inserts are labeled L for left and R for right for easy identification e Insert the tubing end into the hole Ensure the tubing end is inserted all the way to the last barb e Reinsert the tissue set into the slotted rib structure A small amount of lubrication can be added to reduce the friction upon entry e Push the tubing inside the chest cavity e Re assemble the chest skin and tuck back into position e Make sure the tissue set is flush with the outer skin and is positioned correctly in relation to the ribs e Take time to ensure the tissue inserts are inserted c
30. wel sounds are provided Consult the RespiScope User s Manual for operation of RespiScope and the RespiScope software 2 3 Features 2 3 1 RespiPatient Features e Cardiopulmonary resuscitation life like recoil during chest compressions e Intubation orotracheal nasotracheal combitube LMA placement difficult airway tongue edema e Bag valve mask ventilation techniques RespiPatient User s Manual e Tension pneumothorax Identification of tracheal deviation and jugular vein distension Right or left tension pneumothorax Needle decompression with familiar hiss sound e Chest tube insertion Recognition of correct position in the 5 6 and 7 intercostal space Blunt dissection through chest wall e Surgical skills Cricothyrotomy Tracheotomy e CO production for capnography e Torso manikin easier to move and store than full body manikin NOTE Mouth to mouth resuscitation is NOT recommended on RespiPatient as the airway is not designed to handle hygienic precautions for use by multiple students 2 3 2 Lung Features At the core of RespiPatient is the spontaneously breathing ASL 5000 Breathing Simulator the world s most sophisticated breathing simulator e Spontaneous breathing controls Examine patient ventilator interaction with a spontaneously breathing patient including coughs apnea active exhalation playback of actual patient recordings even snoring e Disease state modeli
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