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1. LFO3602U LFO3609U LFO3616U LFO3617U LFO3620U LFO3623U LFO3632U LFO3633U LF03693U LF03699U LF03709U LF03720U LF03750U LF03760U LF03770U LF03953U LF03955U LF03956U LF03965U LF03966U LF04000U LF04200U LF06001U LF06012U LF06200U LF06204U Venatech IM amp Sub Q Special Needs Baby CPARLENE Series Adult Airway Management Trainer with Stand Adult Airway Management Manikin Child Airway Management Trainer with Stand Child CRiSis Manikin Deluxe Child CRiSis Manikin with Arrhythmia Tutor PALS Update Kit Infant Airway Management Trainer with stand Child Intraosseous Infusion Femoral Access Leg on a Stand Child Airway Management Trainer Torso Basic Buddy CPR Manikin Airway Larry Airway Management Trainer Infant CRISis Manikin Baby Buddy Infant CPR Manikin Fat Old Fred Airway Management Cricoid Pressure Trainer Chest Tube CRiISis Manikin complete Deluxe CRiSis Manikin Deluxe Plus CRISis Manikin Adult CRiSis Auscultation Manikin Adult CRiSis Auscultation Manikin with ECG Simulator GERI KERI Manikin Series Adult Sternal Intraosseous Infusion CPR Prompt Adult Child Manikin CPR Prompt Infant Manikin CPR Prompt Keychain Rescue Aid CPR Prompt Rescue and Practice Aid Masco Fort Atkinson 901 Janesville Avenue P O Box 901 Fort Atkinson Wisconsin 53538 0901 1 800 558 9595 www eNasco com E mail lifeform eNasco com2. COPYRIGHT NASCO 2006 PRINTED IN U S A NP 135 06 RV 10 07 Adult Sternal Intraosseous Traini 1 AICO Life form ADULT STERNAL INTRAOSSEOUS INFUSION SIMULATOR LF04200U INSTRUCTION MANUAL Life form Products by Nasco 11 12 07 11 26 05 AM Adult Sternal Intraosseous Train2 2 11 12 07 11 26 05 AM DISCLAIMERS The Life form Adult Sternal Intraosseous Trainer is only intended for use in teaching or other controlled environments in which the skills learned with the trainer are taught or evaluated This trainer should only be used under the supervision of a properly qualified instructor or other healthcare professional proficient in the skills taught with the trainer FA S T 1 SYSTEM is FDA approved and field proven for medical professionals who have completed the FA S T 1 training program If using any other sternal intraosseous injection devices for training carefully read the training manual for any restrictions on use of their training program Available Supplies Replacement Parts related to FA S T 1 LF04200U LF04201U SB41602U SB41603U LF04202U LF01188U SB41607U SB41618U SB41611U SB41608U SB41621U SB41615U SB41616U SB41604U SB41609U SB41620U SB41612U SB41619U SB41613U SB41614U SB41610U SB41605U Life form Adult Sternal Intraosseous Infusion Simulator Life form Total EA S T 1 Adult Sternal Intraosseous Infusion Training System FA S T 1 Train
3. Other Available Life form Simulators LFOO0698U LFOO855U LF00856U LF00901U LF00906U LF00929U LF00957U LF00958U LF00961U LF00984U LF00995U LF00999U LF01005U LFO1008U LFO1012U LFO1019U LFO1027U LFO1028U LFO1034U LFO1036U LFO1037U LFO1038U LFO1042U LFO1062U LFO1063U LFO1064U LFO1069U LFO1070U LFO1082U LFO1083U LFO1084U LFO1087U LFO1095U LFO1108U LFO1121U LFO1131U LFO1139U LFO1142U LFO1143U LFO1152U LFO1155U LFO1162U LFO1174U Adult Injectable Arm White Male Catheterization Female Catheterization Prostate Examination Ostomy Care Surgical Bandaging Enema Administration Pediatric Injectable Arm Intramuscular Injection Breast Examination Arterial Puncture Arm Pediatric Injectable Head First Aid Arm Intradermal Injection Arm Heart Catheterization TPN Ear Examination Peritoneal Dialysis Suture Practice Arm Suture Practice Leg Spinal Injection Hemodialysis Practice Arm Episiotomy Suturing Set Suture Kit Pelvic Normal amp Abnormal Stump Bandaging Upper Stump Bandaging Lower Cervical Effacement Birthing Station Cricothyrotomy Tracheostomy Care Sigmoidoscopic Examination Central Venous Cannulation Blood Pressure Arm Infant Intraosseous Infusion Advanced IV Arm Venipuncture and Injection Arm Advanced IV Hand Auscultation Trainer Testicular Exam Male amp Female Catheter Advanced CPR Dog Venatech IV Trainer NG Tube amp Trach Skills LFO1184U LFO1193U LFO3000U LFO3601U
4. 8 Whenever possible fill the insert ae edge of aidetaica before performing any training one inser procedures To fill an insert that mpnen pa Seen o has already been punctured hold it upright with the syringe beneath it See figure 1 Carefully inject a small amount of blood into the insert Be prepared for leakage D IV Fluids 1 Infusion of IV fluids plain water is recommended may be practiced with blood flashback or without Figure 4 2 When using blood and IV fluids at the same time it may be necessary to refill the insert with blood after each procedure as it will be diluted and drained along with the IV fluid 3 The clamp on the tubing must be opened prior to infusion 4 Be sure to use a suitable catch basin to collect all drainage E Care of the Simulator l ER All reusable components should be cleaned and dried before storage The skin may be washed with mild soap and water and may be removed for cleaning if necessary Do not allow the skin to contact any printed material markers or ink from a ballpoint pen as these will cause permanent stains Do not allow the simulated blood to dry on the trainer it may stain Do not clean the trainer with solvents or corrosive material as they will cause permanent damage Use care when working with the blood concentrate it will stain clothing Stubborn soil may be removed with REN Cleaner available through Nasco 11 12 07 11 26 06 AM
5. ct angle BEFORE exerting any pressure on the trainer and be sure to maintain that angle throughout the entire procedure Figure 2 Some distortion of the simulated soft tissue during insertion is normal and should be ignored C Blood Flashback l i Prepare the artificial blood by stirring a few granules of blood powder into a small amount of water CAUTION The powder is extremely concentrated a little goes a long way and will stain skin and clothing Gloves are recommended Have paper towels on hand to clean up any spills Training can also be done using plain water if desired Disconnect the insert from the tubing Draw 5 10 ml of blood into the 20 ml syringe Connect the syringe to the insert fitting and gently pull back on the plunger to remove air from the insert Stop when resistance is felt See figure I Holding the plunger back turn the assembly so that the syringe is upright with the insert upside down beneath it See figure 2 Adult Sternal Intraosseous Train4 4 6 Push gently on the plunger allowing blood to flow into the insert Never exert strong pressure on the syringe The procedure may be repeated for maximum fill 7 Remove the syringe and wipe away any drips Connect the insert fitting firmly to the luer end of the tubing Pull the tubing through until the insert is in place then clamp the tubing close Figure 3 to the body leaving only enough space for the tubing to rotate
6. e simulated bones that should allow approximately 10 12 punctures each 2 Syringe 3 Tubing 4 Blood mixture 5 Clamp 6 Hard carrying case General Instructions for Use A Setting Up the Simulator 1 Feed the smooth end of the tubing through the hole in the chest and out the bottom of the simulator Connect the luer fitting to the bone insert 3 Pull the tubing through the body until the insert is seated in the chest cavity 4 Slide the clamp onto the other end of the tubing up against the body Leave only enough room for the clamp to turn as the insert and tubing are rotated This will keep the insert in position when the introducer is removed during training B Bone Insert 1 The replaceable bone insert is designed to duplicate the feel of inserting the bone portal into the marrow space of the manubrium The insert fits into the sternal cavity and may be used as is or set up for blood flashback and or IV fluid administration Refer to the literature provided with the F A S T 1 device or other training device that you may be using before beginning any training 2 Always make sure that the entire target area of the patch is positioned over the replaceable bone insert NOT the torso See figure 4 Failure to do so will result in permanent unwarranted damage to the simulator 11 12 07 11 26 05 AM Nasco recommends that only 10 procedures be performed on each insert with an absolute maximum of 12 Tr
7. ing System FA S T 1 System Sternal Bone Replacements Pkg of 20 Replacement Blood SimIO System Target Patch Demo Introducer SimlO Introducer SimStern Marrow SimStern Thick Normal SimStern Thick Hard SimlO Training Patches SimlO Infusion Tube Sterile Packaged Remover Demo Infusion Tube Stylet Supports Training Remover Reset Tool Training Dome FA S T 1 Training Video Note Trainer s Manual and User s Manual are available online Manuals and detailed descriptions can be viewed at www eNasco com fastl Adult Sternal Intraosseous Train3 3 About the Simulator The Life form Adult Sternal Intraosseous Infusion Simulator is a dramatic first of its kind training aid designed to prepare all levels of healthcare profes sionals for use of the sternal intraosseous approach Created with the consulta tion of the experts who developed this technique the simulator s incredible realism and accurate landmarks will allow students to learn this new life sav ing procedure with skill confidence and accuracy This procedure is a quick and simple alternative to conventional IV infusion It saves time and saves lives in demanding emergency environments The simulator uses a replaceable bone that can be rotated and punctured several times extending the life of the simulator The sternum may be filled with simulated blood to better visualize true flashback Three year warranty List of Components 1 10 replaceabl
8. y to space the sites equally around the insert Too many puncture sites or sites that are too close together may cause breakage of the insert Always select a new site by rotating the insert in a clockwise direction See figure 3 When rotating the insert you must rotate the tubing at the bottom of the simulator in the same direction at the same time to ensure that the tubing does not kink or disconnect and that the insert rotates correctly The insert may be rotated or removed manually or with the forceps tool provided For best results use the bone insert with the FA S T 1 adhesive target patch or training patches from the training system you are using although training can be done without the patch if necessary To extend the use of the target patch apply a small amount of baby powder When removing the introducer the bone insert should 4 remain in place if you have clamped the tubing close enough to the base of the simulator When the infusion tube has been correctly placed into the bone it will not pull out until it is extracted with the removal tool Correct insertion of the bone portal may be verified by visual blood flashback if desired see F A S T 1 training manual or training manual from the training system you are using IMPORTANT NOTE The introducer MUST be held at a 90 angle to the sternum Failure to do so will prevent the point of the infusion tube from penetrating the bone Determine the cor re
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