simman tech service manual
Contents
1. Connectors 4500 J501 5V Vcc Lr 5V 9 V 5V 5V Reg Reg pov RXD Break Reset RXD_EXT_0 Detector gt Circuit RXD EXT 1 RS 232 YBSL_ Reset RXD EXT EPROM lt CAN 2 0167 Tranc Microcontroller RAM ECG PWM PULSE PWM Analog inputs 10 SSC 3 Board Digital IO L 8 Field PWM4 Speaker SOUND PWM J800 Been B SOUND EN L 2 Cat No 211 19550 Rev A Page 6 of 44 3 4 Expansion Board The Expansion Board FST1858 expands the UMR board with and additional sound channel for BP sound generation plus pressure measurement for BP cuff pressure In addition the board contains an IR remote control receiver and a status LED an amplifier for the operator voice simulation and interface for a simulated SpO 3 4 1 Expansion Board Block diagram Expansion Board UMR 5V Pressure Sensor and Amplifier Pressure AN4 Sound LP filter PWM4 Volume control Speaker Driver CS Data CAPCOMS 10 CAPCOM11 Mixer Amplifier Volume control and CAPCOM15 Speaker driver CAPCOM12 CAPCOM14 SpO2 LED driver CAPCOM13 Spo2 Probe amplifier PulseOxout AN5 PulseOxDetect ANG PWM_ECG a PWM PULSE RXD Manikin EXT TXD CANH CANL 2 CANH CANL AN7 9V GND Cat No 211 19550 Rev A Page 7 of2. F00 0010 Rev Attached is one native pdf file REV DESCRIPTION OF CHANGE CHANGE REFERENCE ORIGINATOR VERIFIED APPROVED DATE AND SIGN DATE AND SIGN DATE AND SIGN DATE AND SIGN DATE AND SIGN DATE AND SIGN tl Bi A Initial Release LN 06 101 odnestol DMR THE INFORMATI ON CONTAI NED HEREIN IS x PROPRI ETARY TO LAERDAL AND SHALL NOT BE USED FOR ANY PURPOSE DETRIMENTAL TO OR BE DHF REPRODUCED WITHOUT PERMISSION OF LAERDAL helping save lives REFERENCE REPLACES REV TITLE N A N A Technical Manual SimMan 2 PRODUCT GROUP TOOL PART NO REV DOCUMENT NO PAGE ATTACH REV 211 N A 211 19550 A PRO PRO2 0017 1 of 3 1 A PRO PRO2 0017 Rev A Specification of Printed Matter Technical Manual SimMan 2 211 19550 Revision A Technical Service Manual CD DocuShare Proof print to Laerdal Ref CD DocuShare I Silk ot 0 0116 mm nside 1 Ref Purchase Order 48 pages without front and back page Ref item 9 below Ref item 9 below F01 0069E Rev A Page 2 of 3 PRO PRO2 0017 Rev _ Boxes marked with art no PO and how many in the box Yes Ref Purchase Order Ref Purchase Order Additional informatic Ref item 3 h above Jacket Front page is transparent plastic foil Back page is white plastic foil Front and back pages is just a dust jacket without print Insides White paper
3. 5 CR30 CR31 R54 R55 N 70 C CR33 CR32 R CR35 RSG az Bn _ N 5 CR34 PN CJ Y 260 eJ 859 C67 C66 C68 M A A Z UA 0124 125 BEBE Cat No 211 19550 Rev A Page 13 of 44 DGND 3 12 Main Board functions 3 12 1 ECG output The ECG signal is a 20 kHz 2 kHz 0 5V Pulse width modulated signal originating at the SimMan Link Box The circuit shown below demodulates the PWM signal R53 R54 Defib STERNUM ent sensor Defib APEX 10K 7W ECG RA ECG LA ECGLL RL The circuit provides two demodulators one for defibrillator connection and one for connection to monitoring leads The analog ECG waveform is regenerated across capacitors C70 and C71 Further attenuation by resistors creates correct ECG amplitudes The circuit provides safety against leakage current by the use of AC coupling through capacitors C66 C69 Typical peak peak ECG amplitude at 5Hz PWM modulated from 10 9096 Defib Apex Defib STERNUM 4 8mV ECG RA ECG LL 6mV ECG RA ECG LA 3mV 3 12 2 Pacing
4. P5 3 AN3 30 Movement Signal representing acceleration in the horizontal plane at 90 of chest compressions Analog voltage 0 5V range 3 13 Spare Driver The board has one uncommitted low side driver open drain Transistor driver BSH102 Q22 Maximum voltage 30V Maximum current 850 Driver resistance 0 40 nom 3 13 1 Driver signal at the Microcontroller Port Pin Name Function Note name P3 4 69 P3 4 Spare low side Open drain 30V max 850mA max driver Cat No 211 19550 Rev Page 19 of 44 3 14 Difficult Airway Functions The airway has the following difficult airway functions Trismus 4 Will dramatically lock the teeth together and severely limit mandibular movement Controlled by inflating an air bladder in the skull When the bladder is inflated it holds the pressure for at least 3 min The distance between upper and lower teeth when Trismus active is set to 6 10 mm The required force to open jaw to 25 mm distance between teeth is set to 100 N 22 4815 Tongue Edema Tongue becomes severely enlarged causing visual obstruction of the epiglottis Controlled by inflating an air bladder in the tongue When the bladder is inflated it shall hold the pressure for at least 3 min Decreased Cervical Range of Motion 4 Locks the neck at a position slightly more for
5. Cat 211 19550 Rev 43 of 44 Oo 8 38 08 10 Pad Set Shoulder and Hip 38 0405 380406 Bladder Assy Mid Clavicubr Bladder Set Mid Axciliary Pneumothorax Chest Pneumothorax Side 42 38 1300 38 04 35 Pulse Coametry Probe Breathing Bladder 245 16350 Cable Assy Manikin Link Box 15 pin D sub 38 10 10 27 15 00 Tubing Assy Cable PC to Lirk Compressor Manikin 9 pin D s ib AlriCO Cat No 211 19550 Rev A Page 44 of 44
6. 6 Activate Decreased Lt Lung Confirm that It Lung is not filled and not shown as filled on computer screen Activate Decreased Rt Lung and Decreased Lt Lung Confirm that ventilation attempts do not result in chest rise that lungs are not shown as filled on computer screen and that no capnograph waveform is created 48 Activate Stomach Decompression Confirm that mask ventilation causes air to be held in abdomen and that deactivation of that function allows the air to be released 9 Activate Rt Pneumothorax Confirm inflation of pneumothorax bladders x 4 blocking of rt Lung fill and absence of rt Lung sounds 50 Activate Lt Pneumothorax Confirm inflation of pneumothorax bladders x 4 blocking of It Lung fill and absence of It Lung sounds 51 Activate Pharyngeal Obstruction Visually confirm activation Confirm complete deflation upon deactivation 52 Activate Tongue Swelling Visually confirm activation Confirm complete deflation upon deactivation IN B 3 Activate Decreased Cerv ROM Visually confirm activation Confirm complete deflation upon deactivation 4 Activate Trismus Visually confirm activation Teeth will close to an opening of no less than 6mm and no greater than 10mm Confirm complete release upon deactivation 55 Activate Laryngospasm Confirm that vocal cords close to a point of complete opposition and that a 3 EET cannot be inser
7. Defibrillation Input A current sensing circuit as shown below detects defibrillation and Pacing The circuit generates two similar signals both analog 0 5V Pacing Defib is connected to the SimMan Link Box trough connector J 1 Pacing Defib is connected to the Micro controller input P5 4 ANA The defibrillation impedance is 1500 MC34182 Defib Pacing Current Current Sensor DGND Cat No 211 19550 Rev Page 14 of 44 Typical signals from the circuit are shown below Defib 3 9 V Pacing 3 49V Zero 2 04V Pacing 0 59V Defib 0 2 V A A D Input Voltage 5 m Defibrillation threshold 1 85 V from Zero Pacing pulses 4 1 2 from Offset xj Offset 0 25 V from Zero 3 12 3 Defib ECG connection J4 Connector type AMP 10 pos Male header MTA 156 Pin 2 3 and 8 9 are removed from connector J4 Pin Signal Note Annotation 1 Defib APEX Defibrillation Apex connection 4 ECG RA ECG Monitoring Right Arm Lead 5 ECG LA ECG Monitoring Left Arm Lead 6 ECG LL ECG Monitoring Left Leg Lead 7 ECG RL ECG Monitoring Right Leg Lead 10 Defib Defibrillation Sternum STERNUM connection 3 12 4 Pulse Detection Drive The board will detect and drive a total of 6 Laerdal Pulse units Item 2154 In addition a driver is provided for a 12V Air valve Solenoid used to generate Carotid Pulse by bladders
8. If the Compressor Unit is stopped manually with the on off switch the air tank has to be drained before restart Close Compressor Unit Drain Close 2 Input CO 4 6 bar Output to Manikin 60 90 psi Open 3 CO ON Off Power Supply Cat No 211 19550 Rev A Page 38 of 44 e Keep the unit clean both inside and outside e Always drain air after use e Close all valves after use Service at every 2 year e Exchange filter on the compressor air silencer Fig 1 Part number 500 510 e Open air ventilation lock on the tank Fig 2 turn the to let water out of the tank This procedure must be adjusted depending on experience of use and climatic conditions where used e Check filter on the water separator Fig 2 and exchange if necessary Part number 049 381 9607 Water tap for tank Fig 1 Water trap filter Pressure regulator Fig 2 Cat No 211 19550 Rev A Page 39 of 44 160 20 Red Bleed Blue Air Blue Co2 Co2 Oe 1 1 Wawan que mon L SO IN 1 waa n ee ctm cmt D A a y n CRC 0 2 Cat No 211 19550 Rev A Page 40 of 44 5 4 Spare Parts List Consumables Cat no Description 380305 Cable main board to
9. If your compressor is experiencing any of the following symptoms listed below follow the described steps not functioning will not turn on has leak will not hold air is smoking runs continuously making an unusual noise etc A Is the compressor being started for the first time If the answer is yes then e Ask for confirmation that the start procedure in the User Guide Compressor Unit has been followed e Follow the start procedure step by step If the answer is no then follow step B Restarting of the compressor If the compressor has been running OK before first go through the Stop Shut Down Steps and then the Start procedure C Does compressor run and rest in alternating cycles All the compressors have a defined normal cycle of running and resting cooling e Use the compressor in a typical mode of compressor and manikin set up and then verify that the compressor does run and stop in intervals If the compressor does not start and stop in intervals then e Check the drain valve 1 on the compressor unit This valve shouldl be closed in normal operation mode If the compressor still runs continuously with the drain valve closed e Turn the air valve 2 to the closed position while the compressor is running If the compressor runs continuously for more than 2 minutes after the air valve is s
10. Q2 2154 PULSE UNIT SIM MAN ARM PELVIS Sur REV A2 PROTON sur 20r 2 Cat No 211 19550 Rev A Page 29 of 44 4 8 SimMan torso drawing amp BOM 73007 A1 DECIMALS DO NOT SCALE M P L DRAWING AND ANGLES professional health educators STANDARD DATE 1 22 04 TITLE PRD APPVL DWN R amp DAPPVL Simman Torso w Numbers HK C ENG C SCALE SIZE DWG NO REV one JA sora A THIS DOCUMENT 15 AND CONTAINS CONFIDENTIAL AND TRADE SECRET INFORMATION OF MEDICAL PLASTICS LABORATORY INC BOX 38 GATESVILLE TEXAS 76528 0038 THIS DOCUMENT IS LOANED FOR LIMITED PURPOSES ONLY AND REMAINS THE PROPERTY OF MEDICAL PLASTICS LABORATORY IT IS TO BE RETURNED UPON REQUEST AND IN ALL EVENTS UPON COMPLETION OF THE PURPOSE OF THE LOAN NEITHER IT NOR THE INFORMATION IT CONTAINS MAY BE REPRODUCED USED OR DISCLOSED TO PERSONS NOT NEED TO KNOW CONSISTENT WITH THE PURPOSE OF THE LOAN WITHOUT WRITTEN CONSENT OF MEDICAL PLASTICS LABORATORY Cat No 211 19550 Rev A Page 30 of 44 0 0 W KD 42 o 5 9 9 Q Q0 3 2 Q6 9 10050335 IVR 5100SNDP 1005170S 1005069S 2140 1000191S 1000841S 2117 05 0032 FST1857 1005054S 4719 05 0606 1005053S 1005090 1005059S 4719 05 7506 1005026 2111 05 0008 1601 05 0006 1002906 1005166 6325 01 0008 6325 01 0002 1005085 2111 05 0004 3429 2713 2712
11. confirm presence of carotid pulse x 2 femoral pulse x 2 brachial pulse and radial pulse With systolic BP set at 65 mmHg confirm presence of carotid pulse x d 2 only 27 With systolic BP set at 75 mmHg confirm presence of carotid x 2 and femoral x 2 pulses onl 7 28 Confirm sense on computer screen and event log for Femoral x 2 Brachial Radial pulses Carotid pulses x 2 29 Verify that the red light is illuminated on the probe when the unit is lugged into the back of link box 30 Confirm that when the SpO2 probe is plugged in and not on SimMan finger there is no waveform or numerical value produced on the patient data display monitor 31 Confirm that when the SpO2 probe is plugged in and on SimMan finger a waveform or numerical value is produced on the patient data display monitor ECG and Electrical Therapy 32 Confirm presence of at 34 lead and at hands free sternum and apex White lead on patient s right shoulder black lead on patient s left shoulder and red lead on patient s left lower torso 33 With running rhythm set at VF waiting rhythm at NSR and ignore shock is active confirm that defibrillation at 360 WILL NOT move waiting to running rhythm Three 3 shocks at 360J are to be delivered as rapidly as possible 34 With running rhythm set at VF waiting rhythm at NSR and shock enabled confirm that defibrillation at a minimum of 50 WILL move the waiting rhythm to th
12. 44 3 5 Signals and outputs ECG and Pulse output The Link box generates ECG and Pulse signals as Pulse with Modulated signals The signals are routed to the Manikin and are generated based on samples and data received from the PC Signal frequency for ECG is 20 kHz and for Pulse 39kHz QRS Beep output QRS beep is generated on an internal speaker in the Control Unit when SpO2 probe is attached and when SpO2 probe is not connected Beep volumes could be set to Off Low Medium and High The beep frequency will depend on SpO2 setting Blood pressure function The pressure transducer measures the blood pressure cuff pressure with a signal scale of 12mV mmHg 100mmHG 1 2V When the Cuff pressure is set between the set Systolic and Diastolic pressure Korotkoff sounds phase 1 4 dependent on BP are generated on the BP sound output 3 6 Manikin Audio Input Output The Link has an audio input that accepts input from an audio line output source This audio input makes it possible to mix with the BP sound output The Link has an audio speaker output with volume control The output is connected to the manikin and to an external speaker connector PWM demodulator HeadShtDwn To Manikin BP Sound Output Amifier Audio Input Pre amplifier SpO Probe Input The Link have connection to SpO2 probe that allows simulation of probe attachment detachment The probe has an LED and a photo detec
13. 6325 01 0007 1700 19 0002 SIMMAN TORSO W ARMS ASSEMBLY LAYOUT DWG 01 0002 Number to BOM Reference TORSO SIMMAN W BACKPLT SCAN ARM ASSY AM RT IV MV NO DELT ARM ASSY BLOOD PRESSURE SKIN CHEST SIMMAN SCAN BACKPLATE SIM AIRMAN PAD ASSY AM DELT SCAN PLUG ARM ADLT 1 PC SCAN RHPMS 1 4 20 UNC X 4 PCB ASSY SIMMAN LID CHESTPLT SIM AIRMAN SCAN FCHPSTS 8 18 X 3 4 LG CHESTPLT BACK SIMMAN BLADDER ASSY MID CLAVICULAR PLATE BLADDER RETAINING OCWHPSTS 8 18 X 3 4 LG SHAFT COMP SIMMAN RHPMS 8 32 UNC X 1 WASHER 8 FLAT SPRING COMPRESSION SIM AIRMAN BLADDER BREATHING TIE CABLE 6 NYLON TIE CABLE 5 6 X 13 NYLON BRONCHIAL SOCK RHPMS 8 32 UNC X 1 2 CLIP WIRE HARNESS BRANCH BRONCHIAL TREE LT BRANCH BRONCHIAL TREE RT TIE 3 16 X 12 CABLE SILICONE PLUG amp amp amp 6 6 amp 1005037S 1004490 1005060S 4715 05 0604 2995 2706 1601 06 0009 1005088S 1005133 1005038S 2566 4719 05 0604 1609 08 0017 2701 4754 05 9606 2708A 1401 06 0108 1725 01 0001 1601 05 0009 1427 05 0017 1005169S 1005072 2400 4719 05 10006 1422 05 0011 1205 02 0006 1005173 2707 FM 73007 A1 COVER SPKR LFT MID AXILLARY SPKR ASSY MID AXILLARY SIMMAN MNT ECG LEADS SIMMAN FCHPSTS 6 20 X 1 2 LG POST ECG MONITORING SOCKET ECG POST SIMMAN WASHER FLAT 1 4 SST PAD ALCS PNEUMO RT SCAN B
14. Cat No 211 19550 Rev A Page 15 of 44 3 12 5 Pulse drive circuit Laerdal pulse units The pulse drive circuit is shown below V DGND Pulse Drive Coil SI9956DY The PULSEPWM signal is supplied from the SimMan Link Box The signal is 0 5V 39 kHz pulse width modulated The PULSEPWM signal is common to all pulse units The pulse is enabled by the Pulse EN signal There is one Pulse EN signal pr pulse unit The pulse units can be driven at two amplitude levels When the Pulse Strength signal is active the pulse is driven to full amplitude Pulse amplitude can be set individually for Radial Brachial and Femoral pulse units The pulse drive coils will mechanically demodulate the pulse from the digital drive to analog mechanical movement A total of 6 drive circuits are provided on the board 3 12 6 Pulse Drive signals on the Microcontroller Port Pin Name Function Note name P3 9 76 R Bra Pulse EN Right Brachial Pulse Enable Enables 12V PWM drive to pulse unit P3 7 74 L Bra Pulse EN Left Brachial Pulse Enable Enables 12V PWM drive to pulse unit P3 8 75 R Rad Pulse EN Right Radial Pulse Enable Enables 12V PWM drive to pulse unit P3 6 73 L Rad Pulse EN Left Radial Pulse Enable Enables 12V PWM drive to pulse unit P3 13 80 R Fem Pulse EN Right Femoral Pulse Enable Enables 12V PWM drive to pulse unit P3 15 81 L Fem Pulse EN Left Femoral Pulse Enable Enables 12V PWM drive to p
15. Ref item 6 c above Jacket is bigger then insides On head foot and right side except on the side who shall be spiral binded left side Ref item 6 h Spiral binding Insides need to be printed on both sides F01 0069E Rev Page 3 of 3 SimMan Universal Patient Simulator TECHNICAL SERVICE MANUAL AND MANIKIN BLOCK DIAGRAMS CAT No 211 00050 A AN Laerdal helping save lives CE Laerdal helping save lives Cat No 211 19550 Rev A Page 1 of 44 Table of content page 1 0 General 3 2 0 Technical Specifications 3 3 0 Functional Description 4 3 1 General System Overview SimMan 4 3 2 Link Unit Overview 5 3 3 Main Board 6 3 3 1 Main Board Block diagram 6 3 4 Expansion Board 7 3 4 1 Expansion Board Block diagram 7 3 5 Signals and Outputs 8 3 6 Manikin Audio Input Output 8 3 7 Communications 9 3 7 1 System Communication Block Diagram 9 3 7 2 Link Box Distribution of RS 232 Communication signals 9 3 8 PC Monitor Communication 9 3 8 1 Link Manikin Communication 9 3 8 2 Programming of Link amp Manikin Boards 10 3 9 Manikin Functions 10 3 9 1 Solenoid Control block diagram 11 3 9 2 Solenoid Controls on the Microcontroller 11 3 9 3 Solenoid Functions 11 3 9 4 Solenoid Block diagram 12 3 10 LED output 13 3 11 Manikin Main Board layout 13 3 12 Main Board functions 14 3 12 1 ECG output 14 3 12 2 Pacing Defibrillator Input 14 3 12 3 Defib ECG connector J 4 15 3 12 4 Pulse detectio
16. link 271500 Cable 9 pin D sub PC to Link Box 320256 Power resistor 150R 380100 Link box 380200 Arm cpl Blood pressure SimMan 380201 Arm bolts set 380210 Cuff assy blood pressure SimMan 380300 Main board SimMan 381107 Upper teeth soft 380350 Compression board SimMan 380400 Chest plate cpl SimMan 380401 Speaker set chest plate 8 ohm w tape 380402 Speakers Mid auxiliary set of 2 380409 Mounting strips pkg of 100 380410 Studs ECG amp Defib set 380411 Wire Harness chest plate Defib and speakers 380412 Wire Harness Data distribution 380413 Wire Harness solenoid SimMan 380420 Lung 380430 Tubing set SimMan 380435 Breathing Bladder 380446 Chest Foam 380445 Top of compression spring 380455 Chest skin SimMan 382460 Genitalia blank 380461 Genitalia Female w connectors 380462 Genitalia Male w connectors 380470 Belly plate 380471 Plug belly plate 380475 Pelvic pin 380480 Abdominal thrust cpl stomach cpl 380481 Stomach shut off valve 380482 Stomach valve 381201 Jet vent adapter kit 380484 Stomach bladder 380485 Speakers for the stomach w wire harness and foam 8 ohm speakers 380491 Femoralis pulse right 380492 Femoralis pulse left 380493 Wire Harness Femoralis pulses 380600 Leg plain left 380650 Leg plain right 380700 IV arm right 380800 Plain arm left 380801 Hand left 380810 Pad set shoulder and hip 380901 Jacket SimMan 380902 Trousers SimMan 381000 Solenoid block cpl 381
17. overall appearance and free movement into and out of torso cavity Inspect torso to pelvis attachment screws Each should be properly secure check with screwdriver Pelvis Assembly 10 Inspect for overall appearance o il 11 Inspect femoral pulse for proper feel Right arm Assembly 12 Inspect skin and veins for holes or damage j 13 Inspect arm to torso attachment screw phillips head and properly EE ssssssss s Left arm Assembl kuskaka proper feel 15 Inspect arm to torso attachment screw phillips head and properly Inspect deltoid pad for damage Ti Cable and Air CO2 Connections 17 Check connector and cable for damage and for easy connection to t mating parts Sounds To be ausculated with a stethoscope and verified for quality and clarity of sound All sounds to be in default volume of 5 then allow volume increase and decrease Confirm presence of heart sound change heart sound and reconfirm NT reconfirm x 6 locations a eee x 6 locations Cat No 211 19550 Page 32 of 44 Confirm presence of bowel sound change bowel sound and reconfirm Test and inspection method 22 Confirm presence of BP sound in left arm Sound should be present at EN set systolic pressure and diminish to absent at diastolic Confirm correct function of auscultatory gap U Confirm presence of vocal sounds x 3 25 With BP set at 120 80
18. 010 Tubing Assy Compressor Manikin Air CO2 381011 Quick connectors twin female rec 381050 Manifold cpl 381100 Head cpl Cat No 211 19550 Rev A Page 41 of 44 381101 Head skin w airway 381102 Fasteners for neck skin Pkg 10 381104 Speaker Assy head SimMan 381106 Upper teeth rigid 381110 Head bladders set 381120 Shroud w pulse and sensors 381130 Bronchial tree cpl 211 19550 SimMan SW 3 0 Technical Service Manual 211 19950 SimMan CD SW 3 X 245 990XX PDA XX Laguage codes 245 96050 USB WEB Camera 245 98050 USB Hub 245 16750 Audio Cable 245 16350 Cable 15 pin D sub Link Box to Manikin 245 18050 Transportation Case for Patient Monitor etc 210 01050 Compressor 230V 240 V 210 01150 Compressor 110V 381655 SimMan Manikin Transport Case 381220 Regulator Unit 381850 Portability Kit 260305 Power cord US 260306 Power cord EUR 260307 Power cord UK 380405 Bladder Assy mid clavicular 380406 Bladder set mid axillary 380407 Pneumo pad set of 2 381105 Neck skin pkg 6 381133 Sock bronchial tree 381300 Pulse Oximetry probe 383110 Chest drain modules pkg 6 245 95050 Patient monitor w touch screen 312029 Skin amp vein IV Arm 200 00250 Tape crico thyroid Cat No 211 19550 Rev A Page 42 of 44 i ae wih arway 281105 Shin pl 6
19. 38 T ANED FOR LIMITED PURPOSES 0 A ENG APPVI 7 PPV Page 28 of 44 Cat No 211 19550 Rev A SIMMAN PELVIS W LEGS ASSEMBLY LAYOUT PRO T 048 Number to BOM Reference 1005027S PELVIS SIMMAN W FEM PULSE HOLES STD 1000169 PIN PELVIS 1000174S THIGH ADLT RT STD REF DWG 01 0004 1000181S LEG ADLT RT LOWER STD 1002898 VALVE ASSY AIR BANK SIM AIR MAN 1000185S FOOT ADLT RT STD 1005040 INSERT FOAM SIM AIR MAN PELVIS 1000175S THIGH ADLT LFT STD 2117 05 0020 RHPMS 1 4 20 UNC X 2 1 2 1000182S LEG ADLT RT LOWER STD 2117 05 0036 RHPMS 1 4 20 UNC X 4 1 2 1000186S FOOT ADLT LFT STD 2117 05 0020 RHPMS 1 4 20 UNC X 2 1 2 1000176S PAD ASSY ADLT THIGH STD 1427 05 0017 NUT HEX CAP 1 4 20 UNC NYLOC 1001329 HARDWARE SET ADLT MNKN LEG PELVIS 1005076 INSERT FOAM FEMORAL BP ARM PULSE 1000163S PAD ASSY AM GLUTEAL STD 1601 05 0009 WASHER FLAT 1 4ZINK PLTD 1000160 ASSY AM VENTRAL GLUTEAL STD 1005052 SKIN FEMORAL PLUSE LFT SIM STD 1005028 SKIN FEMORAL PLUSE RT SIM STD 1000168 ADLT MALE BLANK STD 1000203 BELLYPLT CONV AM 1 HOLE RSVR STD 10006905 PLUG BELLYPLT RSVR ADLT PEDI STD 1005062S SKIN ABD THRUST SIM AIR MAN STD 1005063 INSERT FOAM ABD THRUST UP SIM AIR 1005064 SPKR ASSY ABDOMINAL THRUST SIM AIR 1001334 COVER SPKR ABD THRUST HOSP CHESTPL 2 KD 42 D ED 1005113 BLADDER STOMACH AUSCULTION Simman Pelvis w Legs
20. G SPEAKER FEMORAL PULSE RIGHT LEG EC DEFIB Cat 211 19550 Rev Page 23 of 44 4 3 SimMan pneumatic hose layout 11 6 00 SIMMAN PNEUMATIC HOSE LAYOUT VID ANLLARY THORAX Nane amp Ping Pig on doticer of Mary fox Ariat 202 2 SARCTIN PUISE gt 3 LEFT LUNG 4 TRISMUS 5 PHARYNGEAL CESTRUCTION PNEUMO THORAX PNEUMO THORAX UPPER Eb MIL AXILLARY Piaplace Mane amp PUY THORAX for AMA 7 RESPIRAT ON a RESPIRAT RESPIRAT ON 10 LARYNGEAL SPASM 11 UZHM 11 LOWER 11b UFFER CAM 12 TONGUE 13 RIGHT LING I EEE 14 STOMACH N mapa ra 15 RIGHT 16 TO PCB LEFT 17 RESPIRAT BLADDER 132202 N See AirMan Pneumatic Hose Layout 19 lt AIR Cat No 211 19550 Rev A Page 24 of 44 4 4 Solenoid layout Valve type 15 PSI IN Function D Sub Conn DIX4882 lt DIX488 1 PIN to se energise d DIX488 1 4 Allow stomach decompression DIX488 2 2 Decreased Right Lung Compliance 3 Tongue Ederna MCI ous eo feo fo oe 5 Laryngo Spasm 6 Respiration rj Pneumo Thorax 01488 2 00059671 8 Pharyngeal Obstruction 17 9 Trismus 5 IX488 2 1 Decreased Left Lung Compliance 18 004882 01486 Carotid Pulse 6 Allow Stomach decompression 13 x Decreased
21. LADDER MID AXILLARY COVER SPKR RT MID AXILLARY SCREW PHPMS 4MM X 20MM FCHPSTS 8 18X1 2 LONG WASHER FENDER 1 8 ID X 9 16 OD SPACER 55MM LONG 4MM THRE PHPSTS 3 5MM X 10MM POST ASSY DEFIB LAERDAL NUT HEX 6MM SS SPRING COMP 75 LONG WASHER FLAT 1 4 ZINK PLTD NUT HEX CAP 1 4 20 UNC NYLOC CHEST DRAIN MODULE CHEST FOAM LUNG BAG SIMMAN PHPSTS 8 18 X 3 4 NUT HEX 8 32 NYLOC TUBE CONN STRAIGHT 5 32 TUBING LEFT MID AXIL PNEUMO SOCKET DEFIB POST TITLE Simman Torso w Numbers DWG NO PRO T 157 Cat No 211 19550 Rev A Page 31 of 44 5 0 Service and Maintenance 5 1 Test and inspection SimMan Unit S N Date Tested by Equipment Heartstart 4000 or Equivalent Stethoscope PC Intubation equipment Ventilation bag Test and inspection method Head Neck Assembly Inspect head skin for overall appearance Inspect for silicone closure at back of head and neck total of 3 Perform direct laryngoscopy inspect epiglottis vocal cords upper trachea esophageal area for damage rupture or leakage 1 D Q LA Inspect teeth and neck assembly for overall appearance orso Assembly Inspect skin for overall appearance Check that that ECG studs and defib connectors are clean Inspect for overall external appearance 7 Ensure head assembly to torso hardware is tight and that head rotates freely from side to side and forward and backward EE Inspect chest plate for
22. POSE OF THE LOAN WITHOUT WRITTEN CONSENT OF MEDICAL PLASTICS LABORATORY Cat No 211 19550 Rev A Page 26 of 44 73007 2 SIMMAN ASSEMBLY LAYOUT PRO T 047 Number to BOM Reference 9500 04 0001 EYE HALF GLOBE3N BLUE 1005057 PALATE ASSY SIM AIRMAN 4719 05 0606 FCHPSTS 8 18 X 3 4 LG 1005145 TEETH UPPER SIM AIRMAN HD VINYL 1005020 LOWER SIM AIRMAN SOFT 2026 PULSE SENSOR CAROTID 1005094 TUBING ASSY CAROTID PULSE 3431 SHROUD FRONT MACHINED SIM AIRMAN 6325 01 0001 TIE CABLE 4 X 100 NYLON 1005091 PROTECTOR BLADDER MYLAR 1005018 BLADDER SHROUD 2704 SHROUD BACK SIM AIRMAN 4754 05 9606 PHPSTS 3 5MM X 10MM FOR PLAST 1005092 TUBING ASSY SHROUD BLADDER LARYNGO 1005110 TUBING SHROUD BLADDER PHARYNGEAL 2711 BIFURCATION BRONCHIAL TREE SIM AIRMAN 1000237 FITTING 1 2 MALE NPT TO 7 8 OD BLACK 6325 01 0002 TIE CABLE 5 6 X 13 NYLON 1609 05 0007 WASHER FENDER 5 16 X 1 1 4 1422 05 0019 NUT HEX NYLOC 5 16 18 UNC 729 STRAP SILICONE HEAD SKIN SIM AIRMAN DA 1002S TAPE CRICO THYROID 1005159 CRICO THYROID CARTILAGE 1005177 CAROTID INSERT 1200 02 0003 TUBING 1 8 X 1 4 17IN 4715 05 0604 FCHPSTS 6 20 X 1 2 LG 1005086S SKIN HD SIM AIRMAN STD 1005013 AIRWAY SIM AIRMAN ADLT MALE HEADS 1005006 TONGUE SIMMAN 1005013 DAM TONGUE DA HEAD PINK 1005083 BLADDER 4715 05 0605 FCHPSTS 6 20 X 5 8 LG 1005002S SKULL BOTTOM SIM AIRMAN STD 1005042 PLATE TRISMUS STOP 1005015 CABLE TRISMU
23. Right Lung Compliance 25 DIX490 xs ec DIX489 Tongue Edema 12 Decreased CROM 24 DIX4882 DIX488 1 Laryngo Spasm 11 Respiration 23 Pnuemo Thorax 10 Pharyngeal Obstruction 22 01 488 2 eo DIX488 1 Trismus 9 Decreased Left Lung Compliance 21 amp Carbon Dioxide 19 DIX4882 amp DIX488 1 Note Pins 1 11 are the supply lines Pins 12 21 are the DIX488 2 DIX488 1 Exhaust lines Pin 22 the co2 supply line Pins 7 8 and 20 are all common 12Volt lines DIX490 DIX517 1 4 5 Split view drawings The BOM reference numbers on the illustrated pages are NOT spare part numbers that can be ordered The drawings and number are for illustration please refer to the page 50 for the spare parts Cat No 211 19550 Rev A Page 25 of 44 4 6 SimMan Head Assembly drawing DECIMALS DO NOT SCALE DRAWING ANGLES professional health educators STANDARD DATE 9 24 03 ENG APPVL CHK SCALE DWG NO REV MERE MONE PRO T 047 satlor2 B THIS DOCUMENT IS AND CONTAINS CONFIDENTIAL AND TRADE SECRET INFORMATION OF MEDICAL PLASTICS LABORATORY INC PO BOX 38 GATESVILLE TEXAS 76528 0038 THIS DOCUMENT IS LOANED FOR LIMITED PURPOSES ONLY AND REMAINS THE PROPERTY OF MEDICAL PLASTICS LABORATORY IT IS TO BE RETURNED UPON REQUEST AND IN ALL EVENTS UPON COMPLETION OF THE PURPOSE OF THE LOAN NEITHER IT NOR THE INFORMATION IT CONTAINS MAY BE REPRODUCED USED OR DISCLOSED TO PERSONS NOT HAVING A NEED TO KNOW CONSISTENT WITH THE PUR
24. S ACTUATION 4 406 LON 1005012 PLATE TRISMUS ACTUATOR 1005100 TUBING TRISMUS BLADDER SIM AIRMAN 1005080 BLADDER TRISMUS ACTUATION 1007006S SKULL TOP SIM AIRMAN SCAN 2117 05 0020 RHPMS 1 4 20 UNC X 2 1 2 2705 MANDIBLE SIM AIRMAN 2109 05 0005 RHPMS 6 32 UNC X 5 8 1422 05 0009 NUT HEX NYLOC 6 32 UNC 1007010 COVER SPKR HEAD ADV DLX ALS 1007014 SPKR ASSY HEAD AD DLX ALS 1005093 TUBING ASSY CRM BLADDERS SIM AIR M 1005081 BLADDER LOWER DECREASED CRM SIM AI 2232 NECK BODY SIM AIRMAN 2233 LEVER NECK SIM AIRMAN 2234 LOCK LEVER NECK SIM AIRMAN 2248 ROLL NECK SIM AIRMAN 2436 ROD NECK SIM AIRMAN 2435 O RING NECK SIM AIRMAN 1005005S NECK CRADLE SIM AIRMAN SCAN 2117 05 0028 RHPMS 1 4 20 UNC X 3 1 2 1422 05 0017 NUT HEX NYLOC 1 4 20 UNC 4709 05 0604 FCHPSTS 4 24 X 1 2 LG 1005079 COVER NECK SIM AIRMAN 1005017 BLADDER UPPER DECREASED CRM SIM A SIZE DWG NO A2 PRO T 047 sHr 20r 2 Cat No 211 19550 Rev A Page 27 of 44 8 8 amp 8 8 amp 8 OOOOO SIMMAN HEAD ASSEMBLY 0 2 3 2 2 E E 2 4 7 SimMan Pelvis w leg drawing amp BOM 029 130 3O0 OD a 0 g 8 DO NOT SCALE DECIMALS DRAWING ANGLES DATE 10 14 02 Simman Pelvis w Legs STANDARD PRD APPVI R amp D APPVL CHK SCALE SIZE DWG NO REV NONE A PRO T 048 sar1 or 2 BORA 8 B LE TEMA 6528 00
25. SOL 11 100 3 9 4 Solenoids Block Diagram Manikin CO2 Air Connector Control Air Solenoid Block Unit 78 78 20 20 Spontanious SOL 6 16 16 Breathing SOL 17 23 23 Exhaust Air and 2 SOL 22 19 19 To Airway 5k Right Lung SOL 2 14 14 Complianace SOL 13 25 25 Left Lung SOL 10 18 18 Complianace SOL 21 21 21 pu Peumothorax SOL 7 4 4 SOL 18 10 10 LaryngoSpasm SOL 5 3 3 SOL 16 11 11 Pharyngeal SOL 8 17 17 Obstruction SOL 19 22 22 Tongue SOL 3 2 2 Edema SOL 14 12 12 Trismus SOL 9 5 5 SOL 20 9 9 Decreased cerv ran f motion SOL 4 15 15 ange of motio SOL 15 24 24 LK gt Allow stomach SOL_1 1 1 Decompression SOL_12 13 13 gt lt L De Carotid SOL_11 6 6 Pulse Cat No 211 19550 Rev Page 12 of 44 3 10 LED output The Red LED indicates the status and if the LED blinks at a frequency of 1Hz the Link has no connection with PC host program LED shall be steady on with a very short blink every second when Link has connection with PC host program When valid Remote Control signal is received the Led is blinking with the frequency of 10 Hz 3 11 Manikin Main Board layout o O C o
26. Two pressure measurement circuits are provided for right and left lung The pressure sensors used are a piezoresistive bridge configuration with a linear pressure rage of 5 psi 260 mmHg An instrumentation amplifier AD620 amplifies the output from the pressure sensor The instrumentation amplifier has a forced positive offset of approx 1V in order to avoid a deadband if the pressure sensors exhibit a negative offset Sensitivity 70mV mmHg Maximum pressure 30 mmHg Nominal output for 20 mmHg 2 4V Maximum output for 20 mmHg 3 0V Minimum output for 20 mmHg 1 7V Cat No 211 19550 Rev A Page 18 of 44 3 12 12 Chest Compressions The manikin uses an accelerometer based sensor in order to detect chest compressions The compression sensor generates pulse width modulated signals representing acceleration in the horizontal and vertical plane The PWM signal is 0 5 1 kHz The compression sensor has measurement range of 2g At 0 g the sensor output is PWM at 50 duty cycle The compression sensor has bandwidth of 0 100Hz The board demodulates the PWM by use of a 2 pole low pass filter as illustrated below The filter has 3dB point at 100Hz PWM Input V DGND DGND Demodulated Accelerometer Signal 3 12 13 Accelerometer Signals at the Microcontroller Port Pin Name Function Note name P5 2 AN2 29 COMPR Signal representing acceleration from chest compressions Analog voltage 0 5V range
27. al to Manikin 9 Pacing Defib Pacing Defib detection from Manikin Not used 10 11 BPSp BPSn BP sound output to Manikin 12 13 Headp Headn Head Sound output to Manikin 14 15 Vcc Power to Manikin 12V nom 3 8 2 Programming of Link and Manikin Boards Both the Link and manikin boards contain Flash EPROM that can be programmed from the PC through the serial line 3 9 Manikin Functions Inflation and deflation of bladders control the functions in the manikin The Control Unit controls the manikin functions by activating air solenoids in the manikin Each function have an inflate solenoid and a deflate solenoid Only one inflate solenoid is activated at a time Deflate solenoids can be activated simultaneously When several solenoids are activated simultaneously the system puts the activations on queue and activates them consecutively The air solenoids are activated based on key commands from the PC Keyboard or the Remote Control LED indicators on the Keyboard indicate which airway functions are active and which are not A valve block controls the air bladders Routing of the different control tubes is integrated in a manifold placed in the manikin torso The manifold has nipples for connection to the individual bladders and to the bronchi and lungs The manifold also includes the Left and Right lung valve Cat No 211 19550 Rev A Page 10 of 44 3 9 1 Solenoid Control Block diagram 91 1 P3 0 Solenoid Latch and Dr
28. ction of the manikin and Link Box as well as information on the mechanical assembly of the manikin The Directions for Use manual provided with every new unit should be consulted for detailed information on use as well as the Software Help Files Service of the SimMan should only be performed by authorized service personnel Service by others may invalidate the warranty of the device Refer to the local purchaser for service on the PC or Video Audio equipment ELO Patient Monitor PDA USB WEB Camera is serviced by manufacturer and has to be returned to site of purchase Warning Do not open the air compressor with compressed air in the tank always drain the compressed air before service 2 0 Technical Specification 2 1 Power consumption Link Box and manikin Input 110 220VAC 1 4A Output 12VDC 5 0A Patient Monitor Input 110 220VAC 2 0A Compressor Unit Input 110VAC 1 94 internal thermo protection Input 220VAC 1 0A internal thermo protection 2 2 Air CO2 pressure Compressor air outlet 1 1 bar 10 15 95psi Compressor CO2 outlet 0 7 bar 15 10 15psi 2 3 Weight and size SimMan manikin 23kg 50 4 Ibs 106x55x23cm Ixhxd Legs 2 x 3 25kg 75x12cm Compressor 15kg 32 9 165 40x43x24cm Regulator unit 1 5kg 3 3 Ibs 20 5 16 11 Patient Monitor 7 kg 15 3 16 40x35x15cm Link box 2 4kg 5 3 165 21x10x22cm 2 4 Environmental condition Operating temperature 10 C 40 Storage temperature 15 C 50 Humi
29. des four individual potentiometers of 50 kQ The Micro controller can set each of the potentiometers with 8 bits of resolution The audio circuitry is powered from a dedicated 5V regulator in order to avoid voltage dips on the logic power Volume 256 levels linearly divided Max gain 0 83 Nominal Bandwidth 20 3000 Hz Min Speaker impedance 40 differential output symmetrical with respect to Audio PWM BK DGND Digital Pot U26 Serial Data H Micro controlle Audio Output DGND Cat No 211 19550 Rev A Page 17 of 44 3 12 10 Sound Signals at the Microcontroller Port Pin Name Function Note name P7 0 19 R_LungPWM Right Lung PWM Sound Amplifier output R_Lungp R_Lungn P7 1 20 L LungPWM Left Lung PWM Sound Amplifier output L Lungp L Lungn P7 2 21 HeartPWM Heart PWM Sound Amplifier output Heartp Heartn P7 3 22 BowelPWM Bowel PWM Sound Amplifier output Bowelp Boweln P6 7 8 SDI P Serial data for Potentiometer setting P6 6 7 CLK P Serial CLK for Potentiometer setting P6 5 6 CS P Potentiometer Chip Select 3 12 11 Lung Pressure The board calculates manikin lung inflation by measuring lung pressure The pressure measurement circuit is illustrated below 5 Pressure port v L vS Output 3 Output 26PCBA2G DGND AD620 Pressure Output 100N 54 V DGND
30. dity 15 90 RH non condensing 2 5 Approvals Council Directive 89 336 EEC EMC directive Cat No 211 19550 Rev Page 3 of 44 3 0 Functional Description 3 1 General System Overview SimMan The SimMan Training System consists of the following components Laerdal SimMan Manikin SimMan Software CD ROM Ver 3 0 Directions for Use PDA User Guide Quick Installation Guide SpO Pulse Oximetry Probe Set of Defibrillation Studs Hands Free Defibrillation Pacing Adaptors Heartstart and Physio control Plates for Manual Defibrillation Replaceable Neck Skin Collars 6 Roll of Crico Thyroid Membrane 2 Chest Tube Insertion Modules 6 Airway Lubricant Upper Dentures one 1 non breakable installed and 3 breakable Replaceable Male and Female Genitalia with Urinary Connection Valves Tool Kit consisting of Pliers Screw driver Nut Driver Bolts for attaching legs to body with locking wing nuts Maintenance Repair Kit consisting of Extra Pneumothorax Bladders Modeling Wax Talcum Powder IV Kit consisting of Tubing 2 Simulated Blood Concentrate IV Bag 2 Blood Pressure Measuring Kit Track Suit jacket and trousers AN For further details on the SimMan system refer to Directions for Use Cat 211 19550 Rev Page 4 of 44 3 2 Link Unit Overview The Link Box is used in the SimMan Training System to maintain the following functions Powe
31. e running rhythm 35 With the running rhythm set at NSR at 40 pacing threshold set at 40mA and pacing disabled confirm that pacing at 200mA WILL NOT capture 36 With the running rhythm set at NSR at 40 pacing threshold set at 40mA and pacing enabled confirm that pacing greater then 80mA WILL produce capture and create a pulse rate matching that set on TCP device Spontaneous Respirations from both computer and remote controls computer remote controls 39 When manikin producing spontaneous respirations confirm presence of respiratory sounds at manikin s mouth opening Cat No 211 19550 Page 33 of 44 Confirm presence of capnograph waveform on patient monitor to match each respiratory cycle Chest Movement 41 Confirm detection and logging of Single precordial thump CPR compressions Bag valve mask while ventilating WE SS display monitor when chest compressions are being performed Airway All with apnea activated For all bladders inspect upon initial inflation and leave inflated for 3 min and recheck If any failure replace bladder Perform inspection of the entire airway including bronchial trees 43 i i i i i i i 44 Confirm that mask ventilation produces acceptable chest rise capnograph waveform displayed lung filling on computer screen and breath sound 5 Activate Decreased Lung Confirm that rt Lung is not filled and not shown as filled on computer screen
32. g 1 0 15 Total Lung volume 1 8 2 3 L During bag mask or bag tube ventilation a volume of 300 ml total will give visible chest rise of min 3 mm Chest rise shall be bilateral If one lung is closed a volume of 200 ml will give visible chest rise on the open lung side shall be exhaled through the lungs above bronchi side the lung compliance valves Exhalation of CO is controlled by the CO valve At the rate 20 breaths min The 96 exhaled CO will be in the range 2 20 Spontaneous Breathing The manikin is able to simulate spontaneous breathing with a variable rate up to 40 min with a chest rise of min 3 mm During spontaneous breathing the manikin will give realistic chest rise Spontaneous breathing is be controlled by inflation and deflation of and air bladder The bleed air from the breathing bladder is exhaled through the lungs above bronchi side the lung compliance valves Pneumothorax The manikin is able to simulate left and right tension pneumothorax Proper insertion of a catheter into the appropriate site gives airflow out of the thorax area The pneumothorax function has 4 bladders two on each side of the chest The bladders are self sealing and allow at least 10 punctures before they must be replaced Stomach The manikin has stomach connected to the esophagus via stomach valves It is possible to insert a gastr
33. hut this could indicate internal leakage with potential overheating as a consequence If the compressor is still not working correctly after going through the above steps then the compressor will need to be serviced or repaired Cat No 211 19550 Rev A Page 37 of 44 User guide Compressor Unit Start procedure 1 NOME 10 Check Unit for transport damage Check that Power switch 4 is set to off position 0 Plug power supply cable into plug 5 in Compressor panel Plug power supply cable into power source Connect all hoses to manikin Check that Drain valve 1 is closed Close Air valve 2 and CO valve 3 Push Power switch 4 to on position 1 the Compressor will start and run for approx 45 seconds to build up pressure in tank When Compressor stops you can start to use the manikin Open the Air valve 2 and the CO valve 3 CO supply to be connected to the Input CO connector using the black hosing attached The Compressor will start and stop with different intervals depending on consumption of air Stop procedure 1 Push Power switch 4 to off position 0 the Compressor will stop if it is running 2 Open Drain valve 1 and drain air out of system 3 Close Drain valve 1 and disconnect all hoses Warning Do not open Compressor box when energized dangerous voltage inside Only to be opened by authorized personnel Important
34. ic tube into esophagus and simulate stomach distention decompression The stomach input valve opens if the pressure exceeds 15 5 Stomach cmH20 Decompr The stomach input valve will release air from the stomach if the Valve pressure exceeds 45 5 cmH0 The stomach decompression valve will be open or closed for air in both directions controlled by inflation of an air bladder Esophagus Stomach Input Valve When gas air is trapped in the stomach bladder it is able to hold the pressure for at least 3 min There is a noticeable rise on the outside of the stomach when air is trapped inside the stomach Cat No 211 19550 Rev A Page 21 of 44 4 0 Mechanical Constructions 4 1 Manifold and Valve block diagram To Head Tongue Pulse Right Lung a Left Lung ensor lt lt Bonchi e Q Bonch m A Y lt lt Lung Lung uum o Valve E on off 5 ener amp e O ryn Somach rax stru ism U Lun O 0 e C02 Cat No 211 19550 Rev A Page 22 of 44 4 2 SimMan Torso top view ri uu SIMMAN TORSO TOP VIEW gt P RIGHT ARM ECG Ba tii LEFT ARM ECG P4 N E HEAD SPEAKER C CC 4 ww N wA P C C E LT LEFT LUN
35. ivers CLC SOL1 7 2 8 SOLENBL P3 13 Solenoid latch and Drivers Solenoid latch and Drivers 3 9 2 Solenoids Controls on the Microcontroller Port name P3 0 P3 0 P3 6 Logic Output P3 0 P3 6 Solenoid 1 to 7 P3 6 Bus signal Solenoid 8 to 14 P3 0 P3 7 Solenoid 15 to 22 P2 8 8 Logic output Latch on Low gt High CLC SOL1 7 Latch for SOL 1 7 P2 9 CAPCOMO Logic output Latch on Low gt High SOL8 14 Latch for SOL 8 14 P3 15 81 CPU Logic output Latch on Low gt High 50115 22 Latch for SOL 15 22 P3 13 80 SSC CLC Logic output LOW Solenoid drive Enable SOLENBL Solenoids Enable 3 9 3 Solenoid Functions Function Inflation Inflation time Deflation Deflation time Solenoid ms Solenoid ms Respiration SOL 6 SOL_17 Period Inflation Exhale CO SOL 22 500 Right Lung SOL 2 450 SOL 13 2700 Left Lung SOL_10 450 SOL 21 2700 Pneumothorax SOL 7 1420 SOL 18 4480 Laryngospasm SOL 5 600 SOL 16 2520 Pharyngeal Obstruction SOL 8 700 SOL 19 4000 Tongue SOL 3 808 SOL 14 2540 Trismus SOL 9 1060 SOL 20 2640 Decreased Cervical SOL 4 1060 SOL 15 2640 Cat No 211 19550 Rev A Page 11 of 44 Function Inflation Inflation time Deflation Deflation time Solenoid ms Solenoid ms ROM Stomach SOL_1 300 SOL_12 2700 Decompression Pulse
36. n Drive 15 3 12 5 Pulse drive circuit Laerdal pulse unit 16 3 12 6 Pulse Drive signals on the Microcontroller 16 3 12 7 Detection Palpation Carotid pulse 17 3 12 8 Carotid Pulse detection on the Microcontroller 17 3 12 8 1 Drive carotid pulse 17 3 12 8 2 Carotid pulse drive on the Microcontroller 17 3 12 9 Sound output 17 3 12 10 Sound signals at the Microcontroller 18 3 12 11 Lung Pressure 18 3 12 12 Chest Compressions 19 3 12 13 Accelerator signals at the Microcontroller 19 3 13 Spare driver 19 3 13 1 Driver signal at the Microcontroller 19 3 14 Difficult Airway Functions 20 amp 21 4 0 Mechanical Construction 22 4 1 Manifold and Valve Block diagram 22 4 2 SimMan Torso top view 23 4 3 SimMan pneumatic hose layout 24 4 4 Solenoid pin layout 25 4 5 Split View drawings 25 4 6 SimMan Head Assembly drawing amp BOM 26 amp 27 4 7 SimMan Pelvis w leg drawing amp BOM 28 amp 29 4 8 SimMan Torso drawing amp BOM 30 amp 31 5 0 Service and Maintenance 32 33 amp 34 5 1 Test and inspection SimMan 34 5 2 SimMan Trouble Shooting Guide 35 5 2 1 Short Form 36 5 3 Compressor Troubleshooting Guide Maintenance and Service 37 38 39 amp 40 5 4 Spare parts list 41 42 43 amp 44 Cat No 211 19550 Rev Page 2 of 44 1 0 General The information provided in this manual is limited to what is required for checking maintenance and repair of the SimMan manikin This service manual provides general understanding of the design and fun
37. nk box LED Blinking 50 off and 50 on Indicates that the link box has power but has no connection with SimMan PC program Almost always on just shut off for a very short time at regular intervals Indicates that the link box is communicating with the SimMan PC program Always on or always off SimMan Link box is not running Try to switch power off and on again Color of Manikin field in SimMan host program window This window is displayed when after the SimMan program is started clicking on the red heart icon in the right bottom corner off the screen on the windows task bar Color is green Indicates that the Manikin is properly connected and running Color is red Indicates that the Manikin is not properly connected Check connections and try to restart Link box Clock display in upper left corner of Patient Monitor after SimMan program is started The clock is not displayed The Patient Monitor is not properly connected Check connections or try to restart Monitor Clock is displayed and is running Shall have the same time as the event logging clock of the SimMan program The Patient Monitor is communicating with the SimMan program Clock is displayed but is frozen While SimMan program event clock is not paused Try to restart the Patient Monitor Cat No 211 19550 Page 36 of 44 5 3 Compressor Troubleshooting Guide Maintenance and service
38. r supply for Link and Manikin Remote control receiver Interconnect to Monitor Interconnect to Manikin SpO2 dummy probe input Blood pressure function Cuff pressure and sound generation Audio input and sound output for Manikin speech and oral sounds ECG and Pulse generation including Defibrillation and Pacing detection QRS beep RC Cuff pressure LED H W Link Box 15 Pin D Sub Connection Female Board UMR Board Manikin revised lt gt ECG RXD_Manikin Defib Pacing wi Pulse Generation JTXD_Manikin B BP Cuff pressure QRS Beep IR Receiver Communication SpO2 Probe input Ext Speaker Microphone input Speaker output Audio Input 8 Pin miniDIN SpO2 Probe lt 2 TXD Mon Monitor 3 RXD Mon xp IEC 320 Power Supply lt 90 250 V AC 12 5 Cat 211 19550 Rev Page 5 of 44 3 3 The main board in the Link box is FST1826 is the same board that is used the HeartSim 4000 Not all the functions on the board are used in this application Unique functions and connections for the SimMan Link application shall be implemented on the SimMan Link Expansion Board which are connected to one of the expansion connectors 500 501 3 3 1 Board Block diagram This block diagram shows the functions that are used in this application Expansion
39. ted between the cords 6 Upon intubation of the right mainstem bronchus confirm that only the right lung is inflated that the chest rises only on the right and that only the right lung is shown filled on the computer screen during ventilation 57 With the tube in place as shown in the above item confirm that activation of CO2 causes an adult EasyCap CO2 detector to have the correct change in colour for both inspiration and exhalation jii cic when reactivated it should turn yellow on exhalation 9 Upon correct insertion and use of Combitube trainer confirm proper chest rise displayed lung fill icon and chest rise upon ventilation with infant pedi manual bag valve device Upon correct insertion and use of 4 LMA Classic LMA Unique LMA Fastrack confirm proper chest rise displayed lung fill icon and chest rise upon ventilation with infant pedi bag valve device Cat No 211 19550 Page 34 of 44 Ui 5 2 SimMan Trouble Shooting Guide Before using this guide you should ensure that 1 All components are connected as shown in the directions for use 2 The Link box just has been powered up 3 The Monitor just has been powered up 4 The PC is powered up and is not running any SimMan software Cat No 211 19550 Page 35 of 44 5 2 1 Short form The SimMan system has built in a few indicators that give a quick overview of the running status of the system 1 1 1 Indicator 1 1 2 Status 1 1 3 Description Li
40. tor that is possible to turn on and off from the microcontroller Cat No 211 19550 Rev Page 8 of 44 3 7 Communication 3 7 1 System Communication Block diagram Link Manikin RS232 PC lt lt lt lt m To Other Node s gt Monitor uC uC CAN 3 7 2 Link box distribution of RS 232 communication signals 15 An D Sub Connection Female Board 3 8 PC Monitor Communication The RS 232 receive signal from the PC is hardwired further to the Monitor connector The receive signal from the Monitor is bussed into the transmit line from the Link to the PC See figure above The communication speed is set to 19200 baud 8 bit No parity and 1 stop bit 3 8 1 Link Manikin Communication The Link shall communicate with the Manikin through the CAN bus All communication from PC to Link is repeated on the CAN bus All Communication received on the CAN bus by the Link is repeated to the PC with communication speed of 125 kb s Cat No 211 19550 Rev Page 9 of 44 Manikin Connector Connector type 15 pin D sub Female Connector attachment Screw M3 Pinout Pin Signal Description 1 2 GND Ground 3 4 CANH CANL CAN bus High and Low 5 TXD RS 232 from Link PC to Manikin 6 RXD RS 232 from Manikin to Link PC 7 PulsePWM Generated Pulse PWM signal to Manikin 8 ECGPWM Generated ECG PWM sign
41. ulse unit 4 7 92 Rad_P_Strength Brachial Radial Pulse Amplitude Enables full pulse amplitude P4 4 89 Fem P Strength Femoral Pulse Amplitude Enables full pulse amplitude Cat No 211 19550 Rev A Page 16 of 44 3 12 7 Detection palpation Carotid Pulse Switches located in the manikin do pulse detection of the carotid pulse Port Pin Name Function Note name P2 1 48 R_Car_Pulse Right Carotid Pulse Low logic level when switch in manikin is operated Detection P2 0 47 L_Car_Pulse Left Carotid Pulse Low logic level when switch in manikin is operated Detection 3 12 8 Carotid Pulse detection on the Microcontroller 3 12 8 1 Drive Carotid pulse The carotid pulse is bladder based It uses one 12V Air valve solenoid The drive for this solenoid is provided by Q23 3 12 8 2 Carotid Pulse drive on the Microcontroller Port name Pin Name Function Note P3 5 70 Car_Pulse Right Left Carotid Pulse Drive Low side solenoid drive through Q23 3 12 9 Sound Output The board generates sounds in order to simulate Heart Lung and Bowel sound The audio circuit is illustrated below The board has 4 identical audio channels The Audio PWM signal is 0 5V 78 kHz pulse width modulated The audio circuit consists of a demodulator in the form of a two pole low pass filter and an audio amplifier Volume control is performed by a digital potentiometer circuit U26 The digital potentiometer provi
42. ward than neutral position Controlled by inflating two air bladders in the head neck When the bladder is inflated it shall hold the pressure for at least 3 min The required force to move the neck 5 is set to min 10 2 25lbs At the forehead Pharyngeal Obstruction The posterior pharyngeal surface swells into the anterior pharyngeal cavity Controlled by inflating an air bladder behind the pharyngeal wall When the bladder is inflated it shall hold the pressure for at least 3 min Laryngospasm 4 Closing of the vocal cords Controlled by inflating two air bladders one each side of the vocal cords When the bladders are inflated it shall hold the pressure for at least 3 min Decreased Lung Compliance x Xx Close air entry to the right and or left lung Each lung shall be controlled individually Controlled by closing and opening a valve for each lung The valves are controlled by pressured air When the bladders are inflated it shall hold the pressure for at least 3 min When closed the valves withstand a pressure of 0 3 bar 4 35psi Cat No 211 19550 Rev A Page 20 of 44 Lungs The manikin has two independent lungs The lungs have realistic compliance of 10 50 ml cm H20 and a resistance of 2 8 H20 l sec Normal 2 4 cm H20 l sec In the range 400 700 ml The volume of each lun
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