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HAL S1030 Quickstart / User Guide

1. 39 HAL S1030 User Guide Select the Wait palette item and enter a transition time then click Add Add Palette Item Palette Item Admitted from OR Apnea Asthma 1 SpO2 incre Asthma 2 5p 2 incre Asthma 3 5p02 decre Asthma Mild Asthma Moderate Asthma Severe Asthma 5p02 8 INCR TM IS 1 N pa E Transition 59 59 max min sec 12 30 Item Description No changes are made to manikin A HHE LAS LA E i Cancel Repeat the process to add more palette items and wait periods Clear Load Scenario Save Scenario Name Transition gt Palette 1 Trauma 00 30 Wait 01 30 Palette 2 Stabilizing 00 00 Wait 03 00 a or Palette HR 80 OSat 96 Scenario No changes are m Selected Item patient is responding No changes are m O 00000 START THE SCENARIO To start the scenario click the play button Previous Palette Next Palette 40 HAL S1030 User Guide Monitor the scenario status panel for information on the palette item currently loaded oo6oo Asthma 2 SpO2 incr SCENARIO POSITION INDICATORS The green position indicator changes between the following states as the scenario progresses Name Description Asthma Severe Rt Raw 8 Lt Raw Wait Indefinitely Hold advance for pa Wait Indefinitely Hold advance for l Asthma 3 5p 2 decr SpO2
2. 2 Upon receiving authorization from Gaumard send the Gaumard product along with copies of 1 the original bill of sale or receipt and 2 this limited warranty document to Gaumard at 14700 SW 136 Street Miami FL 33196 5691 USA 3 If the necessary repairs to the Gaumard product are covered by this limited warranty then the first purchaser will pay only the incidental expenses associated with the repair including any shipping handling and related costs for sending the product to Gaumard and for sending the product back to the first purchaser However if the repairs are not covered by this limited warranty then the first purchaser will be liable for all repair costs in addition to costs of shipping and handling Extended Warranty In addition to the standard one year of coverage the following support plans are available e Two Year Extension covers second and third years Call for pricing USA only 68 CONTACT Us Technical Support E mail Sales and Customer Service Office hours Phone Fax Post support gaumard com sales gaumard com Monday Friday 8 30am 4 30pm EST GMT 5 4 Summer Time Toll free in the USA 800 882 6655 Worldwide 305 667 6085 Gaumard Scientific 14700 SW 136 Street Miami FL 33196 5691 USA HAL S1030 User Guide 01 305 971 3790 Before contacting Tech Support please have the simulator s serial Gaumard Scientific Company 2012 All rights r
3. 0 Sounds P ean P E E P I fror 41 09 ar 12 559 S Heart Rate Ventilation 73 Insp set Only an vallabl C cu Type Adult Humidification Type HME A INSP 13 33 18 Apr 2011 P T Rate 0 Left Lung Chest Rise On Resistance 0 Sounds normal normal 30 60 40 20 0 20 40 60 80 29 15 10 5 0 5 10 15 20 normal E normal a 15 16 Quick Start HAL S1030 Palette Fibrosis Severe Compliance 0 Resp Pattern normal Resp Rate 0 O Sat 98 Compliance 0 Right Lung Chest Rise On Resistance 0 Sounds P ean Poran AS ag Heart Rate Fis 0 a Circuit Type Adult Humidification Type HME P T Rate 0 Left Lung Chest Rise On Resistance 0 Sounds normal E normal a normal normal a Resp Pattern normal Resp Rate 0 O Sat 83 Compliance 6 Right Lung Chest Rise On Resistance 5 Sounds P uean Heart Rate 0 np A Circult Type Adult Huridification Type HME P T Rate 0 Left Lung Chest Rise On Resistance 5 Sounds wheezing i i wheezing i i wheezing il wheezing i PEEP Tray 09 154 10 539 5 62 nt ation continues set Only arr available 13 48 18 Apr 2011 PEEP H 13 43 18 Apr 2011 MANUAL EVENT Quick Start HAL S1030 Palette Bronchitis se
4. m Palette Name Palette Vital Signs Simulator Vital Signs Start Wait palette 01 30 min Resp Rate 10 HR 90 Wait palette 02 00 min Resp Rate 15 HR 100 Total scenario time 03 40 min HAL S1030 User Guide CREATING A NEW SCENARIO Build new scenarios to expand the number of exercises available in a training program Below is a brief overview of the steps necessary to create and save a new scenario For detailed information on scenario planning and theory go to page 62 e Create scenario vital sign palette items e Add vital signs palettes and wait times to the scenario e Play the scenario Modify and edit palettes Save the scenario The first step is to create the vital sign palette items that will be used in the scenario using the Details tab Each palette item will represent a physiological state in HAL s condition It is recommended that all the physiological parameters sound types and volumes are programmed in the scenario s first palette Physiological parameters not specified are inherited from one palette to the next Enter the vital signs for the first physiological state in the scenario and then click the Save as Palette Item button ___ ett Airway Tongue Edema Pharyngeal Swelling Laryngospasm Respiration Pattern _ Heart Rate Apnea x Respirati n Rate 0 l holan lo change Oxygen on oe la Lung Compliance 3 1 xa n Right Lung Left Lung Chest Rise
5. Asthma 3 5p02 decr 00 10 SpO2 decreases 8 Scenario player controls Playing Asthma 2 pQ2 incr 35 36 HAL S1030 User Guide Scenarios are composed of vital signs palette items and wait palette items The progress from one palette item to the next is controlled by the palette s transition time or manually by the facilitator In a scenario each vital signs palette updates HAL s condition As outlined previously palette items are created using the Details tab The transition time trends the increase or decrease of numerical vital signs such as blood pressure over seconds or minutes On palette 2 below vital signs from the previous inherited state will trend to the new vital signs over the span of 5 seconds Note that on palette 1 no transition time is programmed so vital signs are applied immediately Wait palettes do not update or change vital signs Instead a Wait palette item will maintain the inherited vital signs until the transition time expires Alternately a Wait Indefinitely palette will maintain the inherited vital signs until the facilitator manually clicks the next palette item button from the scenario player controls Wait palettes give the provider time to perform an action this may be treatment in response to a complication or a standard assessment of the vital signs The vital signs palette following a wait palette is programmed as if the provider performed the action as expected Scenario walkthrough
6. Chest Rise O No change 2 7 O No change Sounds Sounds Upper normal lvl M N Upper normal il Lower normal il Lower normal il 37 38 HAL S1030 User Guide The Save as Palette Item dialog box is displayed Type in the palette item name and a brief description assign a color tag and click Save ti E Viste n cave as Palette Item Palette Item Name Palette 1 Trauma Palette Item Description HR 80 O5at 96 Color E Healthy Care Required The first vital signs palette is now created Repeat the previous process to create new vital sign palettes for each of the states in HAL s conditions during the scenario Airway Tongue Edema Pharyngeal Swelling La Respiration Pattern Heart Rate After creating all the palettes go to the Scenario tab and click Add to Scenario Palette Scenario Log Actions Load Scenario Save Scenario HAL S1030 User Guide Select the vital sign palette previously programmed to be first on the scenario Enter a transition time and click Add Add Palette Item Palette Item Q Off vent normal 2 Transition 59 59 max OSat Decrease ae SEL OSat Increase o 30 Palette 1 Trauma Item Description Palette 2 Stabilizing HR 80 OSat 96 Palette 3 healthy Pneumothorax Lt Pneumothorax Rt PTR 16 WWait Wait Indefinitely Selected Item O
7. Do not remove the chest skin Internal components are serviced by Gaumard certified technicians only Slide battery plugs into the cavity and secure the skin LAPTOP CONNECTION Connect the Ethernet cable to the USB communication module On HAL s right side connect the Ethernet cable to the communications port and the AC adapter Quick Start HAL S1030 Connect the laptop s AC Adapter and then the communication module to an available USB port Lastly power on the laptop and continue onto the Windows home screen STARTING GIGA MODULE To start the simulator double click on the GIGA Module icon on the laptop s home screen LOAD A PROFILE Select the Quick Start Profile and click Load Hal will establish a connection and power on within 30 seconds of activating the GIGA Module software Dynamic Airway and Lung Compliance Selected Profile DEFAULT PROFILE Profile Description Default Profile Default Quick Start Profile Quick Start Quick Start HAL 1030 GIGA MODULE INTERFACE By default HAL will initialize to a healthy state At this point the ventilator should not be connected to the ETT as the simulator s normal breathing rate could create a conflict with the medical equipment On the main screen HAL s current parameters are seen on the left status panel e GIGA Modules Dynamic Airway and Lung Compl File Setup Help Ga Status Tongue Edema 0 Pharyngeal Swel
8. Inspiration Percentage le Oxygen saturation The oxygen saturation is a virtual value can be expressed either as percentage overall or a percentage of change Place a real oximeter on the left index finger to obtain a reading For more information on calibrating the oximeter equipment navigate to page 49 Carbon dioxide Adjust the exhalation of carbon dioxide when a CO cartridge is installed If no cartridge is found the software will accept the input as a virtual value The maximum output rate is 10 To install a CO cartridge go to page 56 for instructions CO2 LEVELS HAL S1030 User Guide The chart below is an estimate of the duration of CO output for each of the programmable CO levels with the following parameters RR 13 Compliance 8 Airway Resistance 0 VT 550 For information on installing the CO2 cartridge go to page 56 CO Level Approximate kPa 0 1 10 0 1 7 2 8 3 9 4 7 5 5 6 6 7 7 3 7 7 8 5 Approximate duration in minutes of CO cartridge 125 110 75 55 45 35 30 25 25 20 29 30 HAL S1030 User Guide Lung compliance The lung compliance values range from 0 to 9 A lung compliance setting of 0 will provide the lowest tight compliance characteristics while a setting of 9 will provide the highest loose compliance characteristics WARNING Do not change the mechanical ventilator settings while the simulator is adjusting its lung
9. Raw 6 breath sounds absent in base Raw 8 left breath sounds absent Spont RR 12 RR 0 PEEP 0 PTR 16 RR 0 C 7 OSat Decrease 5 OSat Increase 5 Pneumothorax Lt SpO2 decrease to 82 over 1 min lt Apply palette items using the apply menu buttons at the bottom of the page exactly as changes to HAL s condition are applied on the Details tab To modify an existing palette item select the item and click the Edit button The palette item will be loaded in the Details tab and the settings that comprise the selected palette item will be displayed Change them as desired and click the Save as Palette Item button PALETTE ITEM CONTROLS Select a palette from the list to enable the following options View Sort by Name sorts alphabetically by palette name Sort by Color sorts by condition healthy care required critical or other Edit allows revision of the palette item s settings on the Details tab Delete permanently deletes the selected palette item Properties displays a Status panel like summary of the palette item settings 33 34 HAL S1030 User Guide SCENARIO TAB The most advanced method of controlling the HAL system is to use a scenario Scenarios automate most of the changes to HAL s condition so that facilitators can keep their attention on the providers actions The scenario system can also provide standardization of the patient s presentation of symptoms For fa
10. Sounds are synchronized to the breathing cycle What you are really setting here when you choose a lung sound is the condition of the lungs given respiratory drive That is if the patient s respiratory rate were changed from zero what sound would be heard Assuming that the lungs themselves are normal in this scenario you would choose normal for the lung sound setting Then as the scenario progresses if the patient starts breathing there will be no need to set the lung sound again It will already be set The same principle applies to the heart sound and other settings 62 HAL S1030 User Guide 2 Include notes to guide the facilitator during the simulation It is common for scenario designers especially those who act as facilitators to neglect the importance of notes in the scenario They think that they will remember the learning objectives patient history and other details at the time they are ready to conduct the simulation hey usually don t especially when revisiting a scenario months after creating it When you add Wait and Wait Indefinitely steps to a scenario you have an opportunity to edit the item description Use this description field to hold notes to the facilitator Typically scenario designers write notes in that space to indicate what the provider s or facilitator should be doing at that point Further when saving the scenario you may edit the scenario description This is the best place to put pat
11. 52 WORKING WITA HAL iia 53 Connec TAC l O Faaosoft Sai 1001S0000172150101250 1A154121013001870021001123000110061515118 SONG GaSe 54 ABAD A A A n 56 OXVIEN SA UI ION it 58 CARE AND CAU TH N Sii adi 59 ONE AUT WINING St ia 60 APPENDIX NO 61 MES ON CREATINE S CENARIO Sets a e 30210441604 Math 20021602 A1361 ate O 31200 e tt a 62 A C c c T k 63 TROUBLE SHOOTIN Ga cose 6puen c g9 A A 4054E488385038 a a a a 64 WARRANTS ii a ie as 67 EA E o 0 A A OT Tae 69 END USER LICENSE AGREEMENT This is a legal agreement between you the end user and Gaumard Scientific Company Inc Gaumard This software is protected by copyright laws and remains the sole property of Gaumard By installing the GaumardUI the Software media you agree to be bound by the terms of this agreement If you do not agree to the terms of this agreement promptly return the uninstalled media and accompanying items to Gaumard at the address indicated below 1 Grant of License Gaumard hereby grants to you an individual or institution the right to install and activate the Software on one computer for use with one Interactive patient simulator system The software may also be installed on any number of other computers at the same institution so that students may access the learning resources One copy of the software may be made for backup purposes You may not network this Software or allow multiple users
12. User Guide OPTIONS Enter the simulator s serial number to automatically establish a connection on startup Options Environment Enter the Serial Number of the Simulator that THIS computer will control SN on electronics box L 0000000 HELP Click Help to access the diagnostics menu electronic documentation and software version information e GIGA Modules Dynamic Airway and Lui File Setup Help G Statu Tongue Pharync Diagnostics Help About DIAGNOSTICS This window is very useful for troubleshooting because it gives the user feedback on all of the working modules inside the simulator Click Check All Modules and the software checks which modules are responding Legend Active Inactive Mechanical Breathing Lung Right Lung Left Compliance Resistance o Lung Front Upper Right Lung Front Upper Left Lung Front Lower Right Lung Front Lower Left Lung Back Upper Right ae gedan Lung Back Upper Left Check Single Module Check All Lung Back Lower Right ane TE Lung Back Lower Left Pressure O Trachea Intubation O Ventilation Compressor Also check individual modules by clicking on the module to highlight Notice that the name of the module is displayed on the right column Now click on the Check Single Module button Module ae Mechanical Active selected O Breathing Inactive Lung Right _ O L
13. decreases 8 E An unfilled triangle means that the scenario is stopped When the Play button is clicked the item pointed by the indicator is be played E A rapidly blinking triangle means that the scenario is playing the item to which the indicator is pointing A slowly blinking triangle means that the scenario is paused at the item to which the indicator is pointing EDITING A SCENARIO Select a palette item and use the Selected Item panel to modify Alternatively use the right click menu Details Palette Seanariow Log Actions Clear Load Scenario Save Scenario Name Transition ipti Add Palette to gt Palette 1 Trauma 00 30 ame 01 30 Selected Item Edit Transition O Palette 3 healthy Insert Move Remove Duplicate O Properties Edit Palette 41 12 HAL S1030 User Guide Saving a scenario Use the scenario menu to clear any palettes listed on the scenario page load or save a scenario Click the Save scenario button to store the scenario in the current profile Enter a name and a description for the scenario and click Save Save Scenario Scenario Name Sedation Recovery Scenario Description Recover from sedation Spont RR 16 With options PSW trial Recognize fighting ventilator suction with O Sat drop and recovery RESPIRATORY MONITOR On the right of the screen the lung grap
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15. gt options gt Environment Enter the simulator s serial number and save Remove ETT and restart the software Set respiration rate to zero See Calibration section In some simulators the trachea is disconnected from the lungs when they are not on Enable the lungs from Detail page on the User Interface software Symptom Low chest rise or no chest rise at all while breathing Oximeter reading does not coincide with value set CO2 not being exhaled Mechanical Ventilator is not triggered when assisting the simulator Possible Cause Wrong settings or disable lungs Using a different Oximeter Sensor for which the simulator was calibrated Pulse Oximeter Sensor not properly placed Offset value within 2 Empty CO2 canister HAL S1030 User Guide Make sure lungs are enabled and both respiration rate and inspiration percent are different than 0 Try changing the respiration rate to a different value or turn the simulator off and then on again The simulator must be calibrated with the Oximeter instrument that it is going to be used including the Pulse Oximeter Sensor Oximeter Sensors cannot be swapped even with same kind of oximeter s brand and model An oximeter which includes carbon monoxide and or methemoglobin sensing cannot be used Oximeter has been placed on the arm that doesnt have the O2Sat feature Check in the Diagnostic if that arm has the feature installed
16. AUMA Create New Profile Profile Description Selected Profile Create New Profile Profile Name Defaut Profile Default Rename Profile Name Trauma Quae Siar rte Qu Star A S oo Profile Description Session 1 Empty O Include Default Profile O Empty O Include Quick Start Profile O Include Current Profile Include Default Profile O Include Quick Start Profile O Include Current Profile Create Profile The profile name is displayed on the GIGA Module title bar To change profiles without restarting the software click File gt Profiles GIGA Quick Start Profile File Setup Help Status ENVIRONMENT STATUS PANEL HAL S1030 User Guide The Status panel is visible along the left edge of the GUI window at all times It displays the simulators current vital signs volumes and active features y Status 00 00 07 Tongue Edema Pharyngeal Swelling Laryngospasm Resp Pattern Heart Rate normal 32 reee Resp Rate Insp 14 33 O Sat CO 98 0 Compliance P T Rate Right Lung Left Lung Chest Rise Chest Rise On On Resistance Resistance 0 Sounds TREND TIME The status countdown displays the time left for vitals to reach the state programmed on the details page Depending on the trend time the countdown timer will display 10 seconds 30 seconds 1 minute 2 minutes or 5 minutes FEATURE INDICATORS Each of these icons corre
17. BY YOU IF THE SOFTWARE OR WRITTEN MATERIALS ARE DEFECTIVE YOU AND NOT GAUMARD OR ITS DEALERS DISTRIBUTORS AGENTS OR EMPLOYEES ASSUME THE ENTIRE COST OF ALL NECESSARY SERVICING REPAIR OR CORRECTION OTHER THAN EXPRESSLY DESCRIBED ABOVE C NEITHER GAUMARD NOR ANYONE ELSE WHO HAS BEEN INVOLVED IN THE CREATION PRODUCTION OR DELIVERY OF THIS PRODUCT SHALL BE LIABLE FOR ANY DIRECT INDIRECT CONSEQUENTIAL OR INCIDENTAL DAMAGES INCLUDING 5 Quick Start HAL S1030 DAMAGES FOR LOSS OF BUSINESS PROFITS BUSINESS INTERRUPTION LOSS OF BUSINESS INFORMATION AND THE LIKE ARISING OUT OF THE USE OR INABILITY TO USE SUCH PRODUCT OR RELATED TO THIS AGREEMENT EVEN IF GAUMARD HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES GAUMARD SHALL NOT BE LIABLE TO YOU FOR ANY INDIRECT SPECIAL INCIDENTAL OR CONSEQUENTIAL DAMAGES OR LOST PROFITS ARISING OUT OF OR RELATED TO THIS AGREEMENT OR YOUR USE OF THE SOFTWARE AND OR THE RELATED DOCUMENTATION EVEN IF GAUMARD HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES IN NO EVENT SHALL GAUMARD S LIABILITY HERE UNDER IF ANY EXCEED THE PURCHASE PRICE PAID BY YOU FOR THE SOFTWARE ALL RIGHTS NOT EXPRESSLY GRANTED IN THIS LICENSE AGREEMENT ARE RESERVED BY GAUMARD ACKNOWLEDGMENT BY INSTALLATION OF THIS SOFTWARE YOU ACKNOWLEDGE THAT YOU HAVE READ AND UNDERSTAND THE FORE GOING AND THAT YOU AGREE TO BE BOUND BY ITS TERMS AND CONDITIONS YOU ALSO AGREE THAT THIS AGREEMENT 1S THE COMPLETE AND EXCLUSIVE STATEMENT OF AG
18. Calibration and select Oxygen 5 The oxygen saturation calibration dialog box is Saturation Click Next displayed for 98 Calibration Calibration Calibration Wizard Left Oxygen Saturation Calibration Welcome to the Manikin s calibration wizard Proceed only after gt you have reviewed the calibration section in the user manual Use the arrows to increase decrease the OSat reading on the monitor so that it matches the Please select the function you would like to calibrate A E a y J gt Artificial Ventilation Baal Oxygen Saturation cani MI A message box is displayed to remind you to have 6 Using the arrows on the left column of the the oximeter turned off Click OK calibration dialog box adjust the reading on the oximeter monitor screen to match the 98 displayed on the calibration window Calibration Left Oxygen Saturation Calibration Use the arrows to increase decrease the OSat reading on the monitor so that it matches the GaumardUI value then click OK a 3 Select the left index finger Then click Next Calibration Oxygen Saturation Please select the finger you would like to calibrate o O Manikin s LEFT index finger For large increases or decreases use the triple arrows For moderate changes use the double arrows Use single arrows for small changes of lt Back net gt Cancel one or two percent reading only for 98 cali
19. Gaumard Simulators for Health Care Education HAL S1 030 Quick Start User Guide Dynamic Airway and Lung Compliance HAL S1030 12 3 1 2011 Gaumard Scientific Company Inc All Rights Reserved www Gaumard com HAL is an interactive educational system developed to assist a certified instructor It is not a substitute for a comprehensive understanding of the subject matter and not intended for clinical decision making Quick Start Guide HAL S1030 CONTENTS GONTEN Stat talas 3 END USER LIGENSE AGREEMENE lt a ii 5 QUICK STAR Pieta A AA A A A 101040691040 62066 7 WELCOME TO THE FAMILY at AAA Adi 8 AA A o seb lida se oral A A it ouaua0d6 8 STARTING GICA MODUL E nce dacs scent aati es soe acon aits ones oc ee dete tava ators ats gman ein da a 9 LOABAPROFILE o a sau eT ee eee ee 9 GIGA MODULE INTERFACE suss a a aa 10 Gel Sead Sm THE VENTILATOR cta catan a a a r G 17 MENTA TOR SET TINES si a e ao la Rate ae a lea ii oa lc Bala nahin dedo Dn LO 11 SIMULATION EXERC SE onarri O N a 11 LUNO COMPUANCE IOODS A EA 11 PICIOAGCO palele IIOTTSx3 ba ipsoidpssasei e o do dde de 14 USER GUIDE nus ia osdoueatenadaiaduddosansaneds 18 A o e NU o na c an an 19 TERMINES isis ati ASADA AAA AAA AAA AAA A A RITO 19 WORKING WITH GIGA MODULE iia a AA AA AA AAA AAA 20 O A Ca Ca ION 21 a A e PR PO A 60052030014 21 ENVIRONMENT 1222222 a A os 23 TUS DI AD E A AO OE 23 AAA PO o E emacs 23 Feature WCU CAL OS aene SAA A A AS AAA A a 23 A
20. Make sure to slide the Pulse Oximeter Probe all the way into the simulator s finger Make sure the emitter part the red light of the probe is on the nail side of the finger If user is sure that the probe is properly placed it means that it was not when calibration was performed then re calibration is necessary See O2Sat calibration section for more info User should expect a 2 discrepancy between value set and Oximeter reading for O2Sat values above 80 and 3 below 80 Make sure the CO2 canister is in place For S1030 the User Interface displays the Low CO2 message when CO2 pressure is low Notice that CO2 canister must be plug just before the training section starts to get maximum duration If left overnight the canister will slowly empty See CO2 exhalation section The CO2 canister once it is plugged will empty within 24 hours whether it is used or not 65 66 HAL S1030 User Guide Symptom Mechanical Ventilator is not triggered when assisting the simulator Possible Cause CO2 pressure regulator is OFF Settings exceeding the simulator s capabilities Go to Calibration Factory Settings and then press the CO2 Pressure button In the window to the right a value between 3 6 psi ideal 4 5 psi indicates good level Should not be the case call tech support for advanced troubleshooting The simulator is able to trigger the ventilator either when Flow lt 1 Lt
21. N SATURATION Use commercially available monitors on the left index finger to read HAL s oxygen saturation Control the oxygen saturation directly from the Details Tab To calibrate HAL to work with an OSAT monitor go to page 49 Co oximeters that in addition to reading oxygen saturation also read carbon monoxide SpCO and methemoglobin SpMet are not supported and may provide inaccurate readings CARE AND CAUTIONS HAL S1030 User Guide OVERALL WARNINGS Remember that damage caused by misuse is not covered by your warranty It is critical to understand and comply with the following guidelines WARNING There are inherent dangers in the use of some medical devices For simulations that incorporate mechanical ventilation always know your equipment and follow the device manufacturers safety guidelines HAL should be cleaned with a cloth dampened with diluted liquid dishwashing soap If medical adhesives remain on the skin clean with alcohol wipes DO NOT USE GOO GONE as the citric acid in the formula will cause pitting of the various materials comprising your simulator WARNING When connecting the simulator s internal battery leads be sure to match the two color coded connectors to the corresponding color coded battery terminals WARNING Do not attempt to intubate without lubricating the airway adjunct with silicone oil lubricant provided Failure to do so will make intubation very difficult and is likely to result in dam
22. Patient trigger ventilation ventilator assist EVENT TYPES The different types of entries are Actions Applied Changes Detected Events Evaluations and Notes Actions Actions refers to those performed by one of the providers in the session The facilitator can quickly log actions from the Provider Actions section and make the entry more specific using the Team Logging feature The following is an example of an Action entry 00 07 24 Action Assess responsiveness Applied Changes An Applied log entry occurs automatically every time there is a change to the physiological condition of the simulator In other words every time changes are made from the Details page Palette page or from a Scenario a log entry like the following is created 00 04 01 Applied 00 30 Details Rhythm Sinus Cardiac event 0 HR 80 Detected Events Every time one of the various sensors in the simulator detects a provider action it is automatically logged as a Detected entry These actions include electrical therapy pacing defibrillation cardioversion inappropriate shock The following example shows an entry after a provider attempts to perform a chest compression 00 03 26 Detected chest compression integral 140 peak 70 duration 0 4 seconds HAL S1030 User Guide LOG ACTIONS TAB The evaluation field is used to track provider actions and rate individual or team performance All entries made on the evaluation field will be v
23. REEMENT BETWEEN THE PARTIES AND SUPERSEDES ALL PROPOSED OR PRIOR AGREEMENTS ORAL OR WRITTEN AND ANY OTHER COMMUNICATIONS BETWEEN THE PARTIES RELATING TO THE LICENSE DESCRIBED HEREIN QUICK START Quick Start HAL S1030 WELCOME TO THE FAMILY Meet HAL S1030 dynamic airway and lung compliance simulator This Quick Start Guide is intended to provide a basic understanding of HAL s functionality and interaction with a mechanical ventilator Please review the HAL S1030 User Guide and equipment manuals for all the items included with the S1030 system for important safety warnings operation and features information SETUP Quick start items check list Included with HAL Equipment not included HAL S1030 Ventilator e g Puritan HAL AC Adapter MSC USB Communication Patient breathing Module circuit Ethernet cable Lubricant Control Laptop Laptop AC Adapter Please see the shipping manifest for a complete list of the items included with the HAL S1030 system HAL SETUP Place HAL on a flat surface and remove the fixed bolts from the leg joint Connect the CO tubing to the right lower leg and position both lower legs on the knee joint Use the two hexagonal wrenches provided to secure the knee bolts without over tightening INTERNAL BATTERY Locate the battery connectors on HAL s right hand side Gently lift the right corner on the chest skin as shown and connect the battery clips ING
24. accompanying items and any copies thereof to Gaumard 6 LIMITED WARRANTY A THE CD ROM MEDIA THE MEDIA WHICH CONTAINS THIS SOFTWARE IS WARRANTED FOR A PERIOD OF 30 DAYS FROM THE DATE OF PURCHASE TO BE FREE FROM DEFECTS IN MATERIAL AND WORKMANSHIP ELECTRONIC TRANSMISSION IS WARRANTED TO BE FREE FROM DEFECTS AT THE MOMENT OF TRANSMISSION YOUR SOLE AND EXCLUSIVE REMEDY AND GAUMARD S SOLE LIABILITY IS TO REPLACE THE DEFECTIVE MEDIA OR TO REPEAT THE ELECTRONIC TRANSMISSION PROVIDED THAT YOU NOTIFY GAUMARD IN WRITING OF SUCH DEFECT OR DEFECTIVE TRANSMISSION AND RETURN THE DEFECTIVE MEDIA IF ANY DURING THE 30 DAY WARRANTY PERIOD B EXCEPT AND TO THE EXTENT EXPRESSLY PROVIDED IN PARAGRAPH A THE SOFTWARE AND ACCOMPANYING WRITTEN MATERIALS ARE PROVIDED ON AN AS IS BASIS WITHOUT ANY WARRANTIES OF ANY KIND INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE NO ORAL OR WRITTEN INFORMATION OR ADVICE GIVEN BY GAUMARD ITS DEALERS DISTRIBUTORS AGENTS OR EMPLOYEES SHALL CREATE A WARRANTY OR IN ANY WAY INCREASE THE SCOPE OF THIS WARRANTY AND YOU MAY NOT RELY ON ANY SUCH INFORMATION OR ADVICE GAUMARD DOES NOT WARRANT GUARANTEE OR MAKE ANY REPRESENTATIONS REGARDING THE USE OR THE RESULTS OF USE OF THE SOFTWARE OR WRITTEN MATERIALS IN TERMS OF CORRECTNESS ACCURACY RELIABILITY CURRENTNESS OR OTHERWISE AND THE ENTIRE RISK AS TO THE RESULTS AND PERFORMANCE OF THE SOFTWARE IS ASSUMED
25. age WARNING NEVER disconnect the communications module while the GIGA Module software is running The software will halt and the module may be damaged WARNING When simulating drug administration via endotracheal tube providers must use an empty syringe Passing liquids into the trachea or esophagus will cause internal damage Store HAL in a cool dry place Extended storage above 85 degrees Fahrenheit 29 Celsius will cause the simulator to soften and slowly warp It is acceptable to operate HAL at an ambient temperature of 95 degrees Fahrenheit 35 Celsius WARNING HAL is splash proof but not water proof Do not submerge or allow a large volume of fluid to enter the interior of the simulator Do not expose the tablet computer to water or excessive dust unless it is protected by a rugged case available separately Mouth to mouth resuscitation without a barrier device is not recommended as it will contaminate the airway Treat HAL with the same precautions that would be used with a real patient WARNING HAL is not equipped with hemothorax sites puncturing his chest skin will damage the simulator and void the warranty WARNING Do not introduce liquids humidified gases or administer aerosol medications into the airway Moisture in the airway will damage the simulator s internal mechanics WARNING HAL s operating limitations are consistent with that of a real human Treating HAL in a manner that would seriously harm a real p
26. and allows standardized presentation of symptoms Scenario Item a Palette Item that is part of a scenario Scenario Items may also represent a fixed delay period Wait or a pause Wait Indefinitely WORKING WITH GIGA Module HAL S1030 User Guide STARTUP The simulator will establish a connection within 30 seconds of activating the software By default HAL will initialize in a healthy state CAUTION At this point the ventilator should not be connected to the ETT or the ventilator as the simulator s normal breathing rate could create a conflict with the medical equipment Double click the GIGA Module icon on the home screen of the 5 laptop computer to initialize HAL GIGA Module PROFILES MENU A profile is a unique configuration of customized Palettes Scenarios and Options Each profile functions independently in that changes made to one profile have no effect on the others The following profiles are preloaded into GIGA Module Default Profile includes one palette with healthy physiological parameters When creating a new profile it is often useful to include the Default profile contents and begin customization from that foundation Quick Start Profile contains a series of preprogrammed palette items and preprogrammed scenarios 12 Lead ECG Selected Profile DEFAULT PROFILE Profile Description Create New Profile Default Profile Default Rename Profile Name Quick Start Profile Quick St
27. ar icon to cycle through the states disabled enabled and no change A dark circle disables the lung and a light blue circle enables it A clear circle specifies no change from the previous state of the lung Recall that to change HAL s condition all changes must be submitted using the apply menu Disable the lung mechanism to simulate a collapsed lung However to simulate an apneic patient change the respiratory rate to O and keep the lung enabled e Resistance Adjust the resistance of each lung bronchi e Sounds Select an independent sound for the upper and lower lungs Choose between normal none wheezing inspiratory squeaks crackles and rales In addition anterior and posterior volumes can be adjusted and programmed into palettes 31 32 HAL S1030 User Guide PALETTE ITEMS The Details tab is also used to create palette items A palette item stores a set of preprogrammed physiological parameters in a single loadable item Use a palette item to quickly load several physiological parameters at once Palette items are also used in scenarios as covered in the next section To create a palette item set several physiological parameters on the Details tab and click the Save as Palette Item button near the top of the page On the Save as Palette Item window enter the name and palette description Assign one of four color coding labels for easier identification and click Save Save as Palette Item Palette It
28. art Profile Description Empty Include Default Profile O Include Quick Start Profile O Include Current Profile Create Profile It is recommended that first time users select the Quick Start Scenarios profile which was created in conjunction with experienced healthcare instructors and working medical professionals It has applicable Palettes that are useful for simulating common medical emergencies For many applications it serves a convenient starting point that can be customized to fit most simulation objectives Simply select the applicable profile and click Load to continue HAL S1030 User Guide CREATING A NEW PROFILE Create a new profile for each user of the HAL system or a specific academic course For the most detailed exercises it is sometimes useful to devote an entire profile to one particular subject area or even one particular scenario On the left panel and enter a name for the new profile followed by a description 12 Lead ECG Selected Profile QUICK START PROFILE Profile Description Create New Profile Default Profile Default Rename Profile Name Quek Sar Profe Quita Je at Po Delete Profile Description O Empty O Include Default Profile O Include Quick Start Profile O Include Current Profile Create Profile Include items from other profiles by making the appropriate selection below and click Create Profile to finish 12 Lead ECG Selected Profile TR
29. ax P mean PEEP Q Q froi 93 0S 1 22 543 659 Resp Pattern Heart Rate aly sailabl c1 sel Y p normal 75 i i of conti nes as Resp Rate Insp A Circu Lund ie thong 13 36 18 Apr2011 O Sat 83 Compliance P T Rate 4 0 Right Lung Left Lung Chest Rise Chest Rise On On Resistance Resistance 0 0 Sounds Sounds normal normal E normal normal e E MANUAL EVENT Prem P E E P Fror q entiation continue as set nly l Hable normal 75 ti Resp Rate Insp as a 0 Baunddfcslion Type HME 13 37 18 Apr 2011 O Sat 83 Compliance P T Rate 0 0 Right Lung Left Lung Chest Rise Chest Rise On On Resistance Resistance 0 0 Sounds Sounds normal normal E normal normal a ri La 14 Quick Start HAL S1030 PRELOADED PALETTE ITEMS A palette item stores a set of preprogrammed physiological parameters in a single loadable item Click on the palette tab and select the Normal on Vent 1 palette item from the list Click Now to apply the palette item and condition change HAL s Resp Pattern normal Resp Rate 0 O Sat 98 Compliance 7 Right Lung Chest Rise On Resistance 0 Sounds Heart Rate v Insp 0 co2 0 P T Rate 0 Left Lung Chest Rise On Resistance 0 Sounds normal i il normal i i normal aa normal i lll a G S
30. bration 4 Turn on the oximeter and click OK on the dialog box To ensure proper calibration always allow the oximeter to stabilize readings by waiting 3 5 seconds after the onscreen value is displayed After Oximeter Information A Please turn on the pulse OXIMETER the value on the oximeter screen stabilizes click Next to continue calibration 7 Click OK The calibration oval blinks green before showing the next value Calibration Left Oxygen Saturation Calibration Use the arrows to increase decrease the OSat reading on the monitor so that it matches the GaumardUI value then click OK ES pana 8 The oxygen saturation calibration dialog box for 80 is now displayed Calibrate using the instructions from step 6 and 7 Continue the process until the final screen Calibration Left Oxygen Saturation Calibration Use the arrows to increase decrease the OSat reading on the monitor so that it matches the GaumardUI value then click OK a S E 9 After all the checkpoint values are calibrated click Finish to save the calibration Calibration Left Oxygen Saturation Calibration Use the arrows to increase decrease the OSat reading on the monitor so that it matches the GaumardUI value then click OK a Done TESTING THE CALIBRATION With the oximeter on the finger go to the details page and change the oxygen saturation value on the software Observe that t
31. compliance parameters The graph below shows an estimate of the peak inspiratory pressure across HAL s compliance levels while the ventilator s volume is set to 550mL and a flow of 40 Itr min It is assumed that HAL s weight is 75 Kg 165 lbs To accommodate for fluctuations in the results as seen on ventilators values on the graph may differ by 2 Cst vs PIP HAL S1030 User Guide Patient trigger rate Set the rate of shallow inhalations per minute that will trigger the ventilator for breathing assistance The simulator is able to trigger the ventilator either when Flow lt 1 Lts min or Pressure lt 1 cmH20 Patient Trigger Rate 2 Se Facilitator s may need to adjust the flow pressure triggers sensors on the ventilator so the equipment can easily recognize HAL s shallow inhalations gasps Lung controls The lung fields include several settings that work independently on each lung Recall that to change HAL s condition all changes must be submitted using the apply menu e g Now 10 sec 30 sec Right Lung Left Lung Chest Rise Resistance Chest Rise Resistance or e amp on 4 gt sounds E Sounds A P Upper none Gal Upper wheezing e mM Lower none Lower p n e Chest Rise The chest rise mechanism on each lung can be enabled or disabled independently Click on the circul
32. d WARNING Do not change the mechanical ventilator settings while the simulator is adjusting lung compliance parameters HAL S1030 User Guide PHYSIOLOGICAL PARAMETER CONTROLS Airway Airway complications have three states on off and no change To set the complication to active click the circle icon light blue To disable the complication click again to darken the control If no change is to be made from the previous state the control will display clear Recall that to change HAL s condition all changes must be submitted using the apply menu Airway Tongue Edema Pharyngeal Swelling Laryngospasm Respiratory Pattern Select from the following options normal Kussmaul s Cheyne Stokes Biot s Apneustic and Apnea Respiration Pattern normal Kussmaul s Cheyne Stokes Biot s Apneustic Apnea Heart rate The heart is a virtual value can be expressed either as beats per minute or a percentage of change Maximum heart rate is 220 Heart Rate a beats min TH HH HH A HINH HH 5 oO change HINH TH NH HINH HINH HINH H N Respiratory Rate The respiratory rate can be expressed either as breaths per minute or a percentage of change Maximum respiratory rate is 120 Respiration Rate breaths min cut E change A 27 28 HAL S1030 User Guide Inspiration Percentage Control the inspiration percentage by using the numerical input of slider The maximum value is 75
33. d 00 00 Palette now 10 sec 30 sec 1 min 2 min Normai on Vent 1 vi P Normal on vent 1 will set HAL s respiratory rate to 0 patient trigger rate to O and compliance to 7 The new vitals are updated on the status panel located on the left of the screen For information on creating new palette items go to page 32 Palette Normal on Vent 1 Compliance 7 Resp Pattern normal Resp Rate 0 O Sat 98 Compliance 7i Right Lung Chest Rise On Resistance 0 Sounds 0 0 Sounds Poca P aean P E E P Tror v TOT 20 LS 09 122 x 551 6 63 Heart Rate JA Insp P T Rate Left Lung Chest Rise On Resistance normal ae normal normal ag normal air avail able Chec 13 39 18 Apr2011 ls ii Quick Start HAL S1030 Palette Bronchitis Severe Compliance 5 left right lung resistance 4 Resp Pattern normal Resp Rate 0 O Sat 98 Compliance Right Lung Chest Rise On Resistance 4 Sounds PEEP x fror 39 35 44 09 422 12 559 669 Heart Rate Fie Insp 13 52 18 Apr 2011 P T Rate 0 Left Lung Chest Rise On Resistance 4 Sounds normal normal wheezing wheezing MANUAL EVENT Palette Emphysema Lobular Compliance 9 c Status O O O Resp Pattern normal Resp Rate 0 O Sat 98 Compliance 9 Right Lung Chest Rise On Resistance
34. em Name Palette Item Description H Normal Vital Signs Color 0 Healthy O J Care Required Other o Once a palette is created it is listed in the Palette tab library Different palette items are then used to create scenarios For more information on scenarios see page 34 HAL S1030 User Guide PALETTE TAB The palette tab displays all of the palette items in the current profile Each item on the palette stores set of preprogrammed physiological parameters Recall that palette items are created using the Details tab Details Palette scenario View It Search Palette Sort by Name Sort by Color vn ly Delete Properties Description Asthma Moderate Asthma Severe Bronchitis Moderate Bronchitis Severe CHF Improvement 1 CHF Improvement 2 CHF Moderate CHF Severe Emphysema Lobular Emphysema Panlobular Fibrosis Moderate Fibrosis Severe Fighting Vent Lt a w Obst Moderate Lt a w Obst Severe Normal off vent Normal on Vent On Vent PTR 16 Pip 20 PEEP 0 Resistance 0 respiration rate 0 Rt Raw 3 Lt Raw 3 Wheezing in bases bilatera Rt Raw 4 Lt Raw 4 Wheezing in bases and upp Rt Raw 8 Lt Raw 8 Breath sounds absent in bi Compliance 5 Res 2 Compliance 5 Res 4 Peep 5 Peep 10 Vt 550 Pip 30 Peep 0 Vt 550 Pip 40 Peep 0 Left Lung High Compliance emphysema snd on all lungs Compliance 4 Bronchial sounds Compliance 0 Bronchial Sounds RR 20
35. eral logging click the Team Each provider can also be graded using the satisfactory and unsatisfactory buttons The satisfactory entry is show below Evaluation of PATRICIA CA Providers a e re 00 07 41 Patricia Evaluation Care Provided Satisfactory For information on saving the log report navigate to page 48 47 HAL S1030 User Guide MENU BAR The following sections will explain each of the menu bar options G GIGA Quick Start Profile File Setup Help FILE Click File to change between profiles start a new session and save or print the log report HP GIGA Quick Start Profile File Setup Help Profile New Session save Report Print Report Exit PROFILE Click Profile to open the profiles menu window and manage profile options without restarting the software Description Create New Profile Defauk Profile Name Profile Description Empty O Include Defau t Profile indude Quick Start Profile indude Current Profite NEW SESSION Click File gt New Session to e Clear any loaded playing scenario e Clear any loaded playing palette e Reset physiological parameters to normal values e Clear out log page e Restart the session clock The session time can also be reset by clicking on the timer and selecting reset Reset Clock SAVE REPORT Click Save Report to save all the information recorded in the
36. erson is likely to result in damage to the internal mechanics Always treat HAL as a real patient DISCLAIMER HAL should never be used to test the performance functionality and accuracy of a mechanical ventilator WARNING Do not change the mechanical ventilator settings while the simulator is adjusting lung compliance parameters WARNING Do not remove the chest skin Internal components are to be serviced only by Gaumard certified technicians 60 APPENDIX HAL S1030 User Guide TIPS ON CREATING SCENARIOS Thinking in Terms of Palette Items As described previously Palette items represent complete or partial groups of settings that have been stored as a single item We learned how applying partial states will hold constant all settings that are left unspecified Not only does it take time to customize the palette but a very large palette becomes difficult to navigate So it is desirable to minimize the number of Palette Items in each Profile To accomplish this an experienced facilitator tries to create items that are as generally applicable as possible and can thus be applied to a wide range of scenarios The key is to only include in your Palette Items the settings that are directly related to the physiological event represented by that Palette Item Smart Scenarios After reading the Details Palette and Scenarios sections of this guide it should be clear how to build a scenario You may have already tried building yo
37. eserved Gaumard HALO and GIGA are trademarks of Gaumard Scientific Company Inc Patented other patents pending number ready It is located in the left leg under the IM site In addition maintain close proximity to the simulator if troubleshooting is needed Always dispose of this product and its components in compliance with local law and regulations FC CC 69
38. ession Time 01 24 21 Details Palette Scenario View Item Sort by Name Sort by Color lig Edit led Delete J Properties Search Palette pi Description on vent 2 Pt trigger rate 10 BPM Pip 20cmH20 if PEEP 0 Normal on Vent 3 Pt Trigger Rate 12 BPM Pip 20cmH20 if PEEP C Normal on vent 4 Pt trigger rate 16 BPM Pip 20cmH20 if PEEP 0 Normal on vent 5 Pt trigger rate 20 BPM Pip 20cmH20 if PEEP 0 Off vent 1 Bucking vent Spont RR 20 3 It 15 8 SpO2 Off vent normal Spont RR 12 Admitted from OR Pip 20 PEEP 0 Resistance 0 Asthma 1 SpO2 increase sats increase 8 Asthma Mild Rt Raw 3 Lt Raw 3 Wheezing in bases bilatera Asthma Moderate Rt Raw 4 Lt Raw 4 Wheezing in bases and upr Asthma SpO2 8 INCR Rt Raw 4 Lt Raw 4 Wheezing in bases and upr Bronchitis Moderate Compliance 5 Res 2 3 Bronchitis Severe Compliance 5 Res 4 CHF Improvement 1 Peep 5 CHF Improvement 2 Peep 10 CHF Moderate Vt 550 Pip 30 Peep 0 Emphysema Lobular Emphysema sounds bilateral in upper an t and po Emphysema Panlobular Emphysema sounds on auscultation lower areas Fibrosis Moderate Compliance 4 Bronchial sounds Insuff sedation SpO2 recovery Pt trig RR 16 Lt a w Obst Moderate Raw 6 breath sounds absent in base Mucus plug Rt mainst Raw 6 breath sounds absent in base Mucus plug sat recov SpO2 recovers following suction lt IE PEEP 00 08 28 Applied 00 00 Palette 01 16 09 Applie
39. h the following parameters HAL s theoretical weight is 75 Kg 165 Ibs Ventilation Type Volume controlled Respiratory Rate 12 breaths min VT 550 mL Flow 40 ltr min SIMULATION EXERCISE Now that HAL is connected to the ventilator use the manual physiological parameters controls on the details tab to change HAL s condition Quick Start HAL S1030 LUNG COMPLIANCE LOOPS First change the Lung Compliance values in the GIGA software to view the volume pressure graphs on the ventilator screen Start by entering a value of 9 for the compliance level and click Now at the bottom of the window to immediately apply the changes WARNING Do not change the mechanical ventilator settings while the simulator is adjusting lung compliance parameters t Status Heart Rate Tongue Edema normal Respiration Pattern Resp Rate 0 Respiration Rate O Sat breaths min HE ee tin 83 3 0 Tung Comp tance _ Right Lung Chest Rise On Resistance 0 Sounds Left Lung Chest Rise On Resistance 0 Sounds 9 Right Lung Chest Rise Resistance No change Sounds pi noma DO rer nomai g noma p er D sec 30 sec 1 min all if Session Time 00 18 58 The lung compliance values range from 0 to 9 A lung compliance setting of 0 will provide the lowest tight compliance characteristics while a setting of 9 will provide the highest loo
40. he oximeter reading coincides with the value you specified 3 differences are acceptable on readings above 80 Test calibration at two points values between 80 and 95 are recommended HAL S1030 User Guide Now take the oximeter sensor off the finger wait for five seconds and again place the sensor on the finger Slide the finger all the way into the oximeter sensor and in the same position as it was calibrated Check that the oximeter reading coincides with the value specified on the Details page 3 value differences are accepted If it does you are ready to use the oxygen saturation feature with this oximeter If the first second or both readings do not coincide make sure to slide the finger all the way into the oximeter sensor If the reading still does not coincide the feature was not properly calibrated Go back to step one and repeat the calibration procedure For information on troubleshooting this feature refer to the troubleshooting guide in the Appendix Factory Settings On the calibration wizard menu click Factory Settings to restore default settings Calibration Factory Default Settings e Reset Ventilations Sensor e Reset ET Tube Sensor e Reset Left OSat Sensor e CO2 Pressure reading Display reading of the current CO2 cartridge pressure e Cancel Closes Factory Default Settings with no action taken e Finish save the settings and exit 51 52 HAL S1030
41. he possibilities of such damages Some jurisdictions do not allow disclaimers of implied warranties or the exclusion or limitation of consequential damages so the above disclaimers and exclusions may not apply and the first purchaser may have other legal rights This limited warranty applies only to the first purchaser of the product and is not transferable Any subsequent purchasers or users of the product acquire the product as is and this limited warranty does not apply This limited warranty applies only to the products manufactured and produced by Gaumard This limited warranty does not apply to any products provided along with the Gaumard product that are manufactured by third parties For example third party products such as computers desktop laptop tablet or handheld and monitors standard or touch screen are not covered by this limited warranty Gaumard does not provide any warranty express or implied with respect to any third party products Defects in third party products are covered exclusively by the warranty if any provided by the third party 67 HAL S1030 User Guide Any waiver or amendment of this warranty must be in writing and signed by an officer of Gaumard In the event of a perceived defect in material or workmanship of the Gaumard product the first purchaser must 1 Contact Gaumard and request authorization to return the Gaumard product Do NOT return the Gaumard product to Gaumard without prior authorization
42. hic is synchronized with HAL s breathing rate A red half circle will appear beneath the lung graphic every time HAL attempts to trigger the ventilator If HAL is intubated the graphic will also display the approximate location of the ET tube in the airway HAL S1030 User Guide The respiratory monitor displays real time information as detected by the simulator All the readings displayed are approximate values LOG PANEL The Log records entries for every simulation event and parameter change In addition facilitators can log observed provider actions using the evaluation feature To save and print a log report go to page 48 COMPACT LOG VIEW i 00 01 27 i 00 02 14 00 02 18 i 00 02 18 i 00 02 20 i i 00 02 24 00 02 24 00 02 28 00 02 29 00 02 32 00 02 36 00 02 39 00 02 43 00 02 47 00 02 51 00 02 55 00 02 59 gi Scenario Info 00 00 Start scenario Applied 00 00 Palette PTR 16 Details pati Patient trigger ventilation Applied 00 00 Palette Fighting Vent Detail Applied 00 00 Palette On Vent PTR 16 Det Patient trigger ventilation ventilator assist Applied 00 05 Palette OSat Decrease Detai Patient trigger ventilation Applied 00 05 Palette OSat Increase Detail Patient trigger ventilation Patient trigger ventilation Patient trigger ventilation Patient trigger ventilation Patient trigger ventilation Patient trigger ventila
43. ibrate al O Artificial Ventilation EA E Es O gt Oxygen Saturation HAL S1030 User Guide Artificial Ventilations Click Start and follow the on screen instructions A green oval indicates a successfully completed action a red oval indicates a failed action Calibration Artificial Ventilations The values from the last ventilations user calibration are shown below Press START and do 5 correct artificial ventilations one at a time following the text cue Never Calibrated E Oxygen Saturation Calibrating the oxygen saturation sensor located on the left index finger CAUTION Oxygen saturation is calibrated to match a specific oximeter Repeatability is accomplished when using the same oximeter and sensor Even if the oximeter is interchanged with another one from the same brand and model the reading might not coincide To avoid reading discrepancies calibrate this feature each time a different oximeter or sensor is used DISCLAIMER Co Oximeters that in addition to reading oxygen saturation also read carbon monoxide SpCO and methemoglobin SpMet are not compatible with this simulator To calibrate the oxygen saturation feature follow the steps below 1 Make sure that the oximeter is turned off Place the oximeter sensor on the left index finger and verify that the center of the fingertip is covering the emitting and sensing element 49 50 HAL S1030 User Guide 2 Goto Setup gt
44. ic patient weighting 75Kg 165 Ibs Set the ventilation control mode on the GIGA module software By default HAL is set to work with mechanical ventilators operating in volume control mode To set HAL to work with a ventilator set to pressure control toggle the ventilator operating mode button to P on the GIGA module software Mechanical Ventilator Settings Adjust Lung Compliance by Volume 4 Lubricate the endotracheal tube prior to intubating the airway Placement procedures and tube sizes follow the specifications of an adult patient 5 Start mechanically ventilating HAL After HAL is successfully intubated simulate numerous respiratory conditions by changing the physiological parameters WARNING Do not change the mechanical ventilator settings while the simulator is adjusting lung compliance parameters For detailed information on all the lung compliance airway resistance patient trigger rate and other respiratory physiological controls go to page 27 55 56 HAL S1030 User Guide CO EXHALATION When a CO cartridge is installed HAL can exhale real CO through the airway The CO output rate is adjusted using the CO physiological parameter control on the Details tab For more information about the CO output rate physiological parameter control and approximate duration of CO2 release go to page 28 Due to shipping regulations CO2 cartridges are NOT included with the system The req
45. ient history and any other longer notes and instructions 3 Assume that providers will do the right thing Usually you should create a scenario with the assumption that the providers will perform correctly As long as they do the scenario can simply be allowed to continue Naturally you must be prepared for what might happen to HAL when providers deviate from expecta tions The consequences of such deviations can sometimes be included in the scenario punctuated by Wait Indefinitely items In other cases the simulation will require more direct control by the facilitator via either the Palette or Details page FILE STRUCTURE Advanced users may find it helpful to understand the GIGA Module directory structure With direct file manipulation one can easily move palette items and scenarios between profiles as well as move entire profiles from one computer to another PROFILES In the GUI program folder is the profiles sub folder e g C Program Files Gaumard Scientific GIGA Module profiles All user information is saved there and it is the only folder that should be modified manually In the example shown notice that there are two profiles in this installation Default Profile and Quick Start Scenarios PALETTE ITEMS Saved as plt files palette items in each profile are located at the top level of each profile folder To copy palette items from one profile to another simply copy the plt file fou
46. ir assessment of providers and any research application such standardization is key LOADING PREPROGRAMMED SCENARIOS GIGA Module includes several preprogrammed scenarios to simulate a variety of airway and lung pathologies All preprogrammed scenarios are included in the Quick Start Profile First click FILE gt Profile and load the Quick Start Profile Then go to the Scenario tab and click Load Scenario Transition 9 Add Palette The Load Scenario dialog box appears Select a scenario and click on Load Load Scenario Scenarios Acute Pneumo Lt Asthma severe hyperinflated Asthma moderate mild CHF with PEEP Rx Insuff sedation Mucus plug Rt mainst Scenario Description START FROM ANY a STATE Acute pneumothorax B rigtht lung Sats dec to 82 over 1 minute Sats recover r Cancel HAL S1030 User Guide Scenarios are a playlist of palette items played in a linear sequence At any point the facilitator can pause resume rewind fast forward or restart the scenario using the scenario player controls Details Palette Scenario Log Actions Clear Load Scenario Save Scenario Asthma severe hyperinflated Scenario progress indicator Name Transition Description m Palette items mm Wait Indefinitely Hold advance for J pa Asthma 2 SpQ2 incr 00 08 Sn 2 increases 5 EL Wait Indefinitely Hold advance for
47. isible in the log panel near the bottom of the page TEAM LOGGING The Team Logging feature allows the facilitator to designate which member of the team performed a particular action First the facilitator should add all providers in the team one by one by clicking on the Add button Enter the name of the first team member and designate a color Finally click OK to create the new provider There can be up to four different providers each with a corresponding button irl He be Providers ae PR 45 HAL S1030 User Guide To indicate the active provider the evaluation bar will display the providers name While a provider is active every time an action is clicked or Evaluation log entry is created it will have the name of the provider prepended to it Evaluation of PATRICIA Providers mm Basic Airway Breathing Determine sa me Smee E Me 02 device Ventite Extubate PROVIDER ACTIONS The Provider Actions section refers to the collection of buttons in the middle of the window It allows the facilitator to accurately keep track of provider actions The buttons are grouped into 3 groups Basic Airway and Breathing Anytime the facilitator clicks one of the buttons a time stamped log entry is generated with that particular action For example if the Assess responsiveness button is clicked when the session clock reads 00 07 24 the following entry is aut
48. ling Laryngospasm Resp Pattern Heart Rate Resp Rate 12 k First set the respiration rate to 0 on the details tab of the GIGA Module interface C3 Tongue Edema C Pharyngeal S Respiration Pattern Respiration Rate breaths min 0 change 10 Click the V button to adjust HAL s lung compliance by volume Mechanical Ventilator Settings Adjust Lung Compliance by Volume Finally click NOW on the apply controls located at the bottom of the screen to submit the settings Right Lung Chest Rise Resistance C3 No change a AREER Sounds Upper Lower The status panel shows the updated settings HAL is now ready to be mechanically ventilated Resp Pattern Compliance 8 CONNECTING THE VENTILATOR First lubricate and insert the ETT into HAL s airway Then connect the ventilator circuit and power on the ventilator For additional information go to page 54 WARNING Do not introduce liquids humidified gases or administer aerosol medications into the airway Moisture in the airway will damage the simulator s internal sensors and mechanics WARNING HAL s operating limitations are consistent with that of a real human Treating HAL in a manner that would seriously harm a real person is likely to result in damage to the internal mechanics Always treat HAL as a real patient VENTILATOR SETTINGS For this simulation exercise configure the ventilator wit
49. log as a plain text file Organize v New folder gt YY Favorites gt Al Libraries gt e Homegroup gt 1 Computer b Cu Network 4 File name Report1 Save as type Text files b a Hide Folders Enter a name for the log file and click Save PRINT REPORT Print a text file containing all the information in the current log session Click Print Report to open the Print dialog box The shortcut key for this option is Ctrl P EXIT Exit the software and power down HAL SETUP Click Setup to open the Calibration and Options menu G GIGA Modules Dynamic irwra File Setup Help Calibration Options O Pharyngeal Swelling CALIBRATION To view the calibration menu HAL must first establish a connection with the GIGA Module software Once connected the Calibration option will appear in the Setup dropdown During the calibration process the respiratory Rate inspiration percentage O Sat compliance and patient trigger rate are changed to zero CALIBRATION WIZARD Calibration uses multiple steps Navigation through the wizard uses the Next and Back buttons at the bottom of the dialog box Select Artificial Ventilation then Next Calibration Calibration Wizard Welcome to the Manikin s calibration wizard Proceed only after you have reviewed the calibration section in the user manual Please select the function you would like to cal
50. nd in the source profile folder SCENARIOS Scenarios are stored as sub folders within profile directories Scenarios can also be transferred between profiles by copying the scenario folder and its contents Never e modify files in the resources directory or those at the top level of the Gaumard User Interface directory e manipulate files or folders while the GaumardUI software is running e modify or delete dll scn or sys files 63 64 HAL S1030 User Guide TROUBLESHOOTING GENERAL TROUBLESHOOTING GUIDE Use the following table to find causes and solutions to a number of possible problems Symptom Communication never gets established or is lost No signal bars or battery reading Incorrect intubation reading Chest compressions are not properly detected or not detected at all Simulator s chest does not rise with artificial ventilation e g BVM Possible Cause Data cable is not connected USB Module is not connected Serial number on the environment does not match the simulator Simulator indicates that no ETT is present Is the respiratory rate set to 0 min Chest compressions are only detected when the respiratory rate is set to 0 per minute 0 min Otherwise they are ignored All others Simulator is not running Disabled lung s Verify connection of the Ethernet cable and USB module to the computers USB port Navigate to setup
51. omatically generated 00 07 24 Patricia Action Assess Responsiveness Some provider action buttons are accompanied by a special option button The first special button lets the facilitator be a log actions in more detail For example if the button Assess breathing is clicked the following entry is created 00 01 28 Patricia Action Assess breathing On the other hand if the button next to Assess breathing is clicked a list of additional options appears The facilitator can be more specific and choose for example look listen feel Breathing Breathing anterior auscultation posterior auscultation abdominal auscultation axillary auscultation and the following log entry is added 00 01 28 Patricia Action Ventilate look listen feel HAL S1030 User Guide EVALUATION The Evaluation feature allows the facilitator to insert standard evaluations or arbitrary notes into the log Evaluation of PATRICIA Jhe Provider took too long to assess gt 7 patient Standard evaluations are given context by their position in the log relative to detected and observed provider actions To add entries for specific providers select the active provider and type the note in the entry field After clicking OK the following entry is shown in the log panel 00 07 41 Patricia Note provider took too long to assess patient To deactivate deselect the active provider and return to gen
52. r at variable respiratory rates e Capable of holding PEEP e Set inspiratory effort rate to trigger the ventilator for assistance DISCLAIMER HAL is not designed to test the performance functionality and accuracy of a mechanical ventilator WARNING Always follow the mechanical ventilator s guidelines and precautions Do not introduce liquids humidified gases or administer aerosol medications into the airway Moisture in the airway will damage the simulator s internal mechanics HAL s operating limitations are consistent with that of a real human Treating HAL ina manner that would seriously harm a real person is likely to result in damage to the internal mechanics Always treat HAL as a real patient 54 HAL S1030 User Guide Follow the steps below to connect HAL to a mechanical ventilator CAUTION Do not intubate the airway when the simulator is powered off Doing so will result in inaccurate intubation readings when the GIGA software is activated To reset remove the tubing the airway and restart the software 1 By default HAL will initialize to a healthy respiratory rate of 13 breaths per minute If the ventilator is connected at this point the healthy breathing rate may trigger the ventilator alarms and put unnecessary stress on the simulator s breathing mechanism Set HAL s respiratory rate to 0 for at least 8 seconds before continuing to the next step Configure the ventilator settings to treat an apne
53. s min or Pressure lt 1 cmH2O HAL S1030 User Guide WARRANTY EXCLUSIVE ONE YEAR LIMITED WARRANTY Gaumard warrants that if the accompanying Gaumard product proves to be defective in material or workmanship within one year from the date on which the product is shipped from Gaumard to the customer Gaumard will at Gaumard s option repair or replace the Gaumard product This limited warranty covers all defects in material and workmanship in the Gaumard product except 1 Damage resulting from accident misuse abuse neglect or unintended use of the Gaumard product 2 Damage resulting from failure to properly maintain the Gaumard product in accordance with Gaumard product instructions including failure to property clean the Gaumard product and 3 Damage resulting from a repair or attempted repair of the Gaumard product by anyone other than Gaumard or a Gaumard representative This one year limited warranty is the sole and exclusive warranty provided by Gaumard for the accompanying Gaumard product and Gaumard hereby explicitly disclaims the implied warranties of merchantability satisfactory quality and fitness for a particular purpose Except for the limited obligations specifically set forth in this one year limited warranty Gaumard will not be liable for any direct indirect special incidental or consequential damages whether based on contract tort or any other legal theory regardless of whether Gaumard has been advised of t
54. se compliance characteristics For more information on the lung compliance control go to page 30 11 Quick Start HAL S1030 The following screenshots are a side by side comparison between HAL 5 vital signs shown on the GIGA status panel Left and the ventilator s monitor screen right High Compliance Loop Compliance 9 Pa 4 Status a Q Q O Resp Pattern normal Resp Rate 0 O Sat 83 Compliance 9 Right Lung Chest Rise On Resistance 0 Sounds Heart Rate E Insp P T Rate 0 Left Lung Chest Rise On Resistance 0 Sounds wheezing wheezing m wheezing E wheezing a 4 Status a Q Q Q Resp Pattern normal Resp Rate 0 O Sat 83 Compliance 7 Right Lung Chest Rise On Resistance 0 Sounds Heart Rate 75 Insp P T Rate 0 Left Lung Chest Rise On Resistance 0 Sounds normal E normal peg normal normal TH P xay Puan P E E P Tor de nts 03 422 12 560 s entilation continues as set Only a allable aon 4 my 13 34 18 Apr 2011 Insp Area 0 000 F Perc E bos MANUAL Normal Compliance Loop Compliance 7 A P acan PEEP fror ura 20 OS 4 22 12 S T 74 ventilation co as sel Only air available Chee kO soure 13 35 18 Apr 2011 Pome cated Quick Start HAL S1030 Mid Compliance Loop Compliance 4 gt sinus Pr
55. sponds to a complication Active features are marked with light blue icons In this example pharyngeal swelling is enabled while tongue edema and laryngospasm are disabled CURRENT PARAMETERS Vital signs undergoing change are highlighted in blue SOUND AND VOLUME Monitor the sound type and volume level for each lung 23 24 HAL S1030 User Guide CONTROL BAR The lower panel displays the signal battery session time and power options Connection con Ventilator Operating Mode CONNECTION The signal icon is used to monitor the hard wired connection between the laptop and the simulator ol ai The indicator is clear when no attempts to communicate with the simulator are being made for example when the module is not connected to the computer or the system is in STAND BY mode Full bars indicate excellent communication between the computer and the simulator i e normal operation BATTERY INDICATOR The battery charge level is displayed in real time when a connection is established with the simulator E The exclamation mark is shown when there is no communication with the simulator When the battery is so low that the indicator turns blinking red the simulator is sent automatically to STAND BY mode to protect some of the simulator s internal components and will not operate until the simulator is reconnected to the AC adapter Always operate HAL while connected to AC adapter The internal batter
56. tails then the Palette and finally Scenarios The Details page is the first of the tab pages found in the main area of the user interface window This is the simplest form of control available to the facilitator Note that for each item in the Details tab there is a corresponding entry on the Status panel Airway C3 Tongue Edema Pharyngeal Swelling Laryngospasm Respiration Pattern Heart Rate y Tall O A a normal xl P Respiration Rate Inspiration Percentage Ee er crea Oxygen Saturation C02 Mo Se RR s ng a i 98 xe Lung Compliance I l I l I 1 1 l I I I I aS SP T2 T1 4l ie ae AA T I i E T1 10136 T1 TT TI ih Right Lung Chest Rise Chest Rise on LA AAA 168 On sounds Ap Sounds AP Upper normal g MM upper normal ll Lower normal ee SH Lower normal p E 10 sec 30 sec min 2 min 5 min Apply menu APPLY MENU After the physiological parameters are selected click one of the apply buttons to update HAL s condition Click NOW to change the vital signs immediately Alternatively click a timed apply option automate the gradual increase or decrease of numeric physiological parameters e g blood pressure over the span of several minutes It is very important to note that those settings that you do not specify will remain unchange
57. tion Patient trigger ventilation Patient triaaer ventilation ventilator assist ventilator assist ventilator assist ventilator assist ventilator assist ventilator assist ventilator assist ventilator assist ventilator assist ventilator assist gt Ventilations per minute Peek inspiratory pressure Inspiratory time sec Inspiration Expiration Positive end expiratory pressure 43 44 HAL S1030 User Guide EXPANDED LOG VIEW 00 01 27 Scenario Info 00 00 Start scenario 00 02 14 Applied 00 00 Palette PTR 16 Details Patient Trigger Rate 16 bpm Patient trigger ventilation ventilator assist Applied 00 00 Palette Fighting Vent Details Patient Trigger Rate 0 bpm RR 20 Applied 00 00 Palette On Vent PTR 16 Details Patient Trigger Rate 16 bpm RR 0 Patient trigger ventilation ventilator assist Applied 00 05 Palette OSat Decrease Details OSat 93 Y Patient trigger ventilation ventilator assist Applied 00 05 Palette OSat Increase Details OSat 100 Patient trigger ventilation ventilator assist Patient trigger ventilation ventilator assist Patient trigger ventilation ventilator assist Patient trigger ventilation ventilator assist Patient trigger ventilation ventilator assist Patient trigger ventilation ventilator assist Patient trigger ventilation ventilator assist Patient trigger ventilation ventilator assist
58. tor and control HAL s physiologic state from the user interface e Program tongue edema pharyngeal swelling and laryngospasm e Built in software respiratory monitor se _ Pre programmed clinical scenarios e Create new scenarios using our proven easy to use GIGA Module software e Evaluation feature for assessing and logging care provider performance e Profile based log in to support different users or areas of study e Pre programmed airway and lung pathologies including Asthma Chronic Bronchitis CAF Emphysema TERMINOLOGY It is wise to spend a moment familiarizing yourself with some of the terminology that will be used to discuss simulation with the HAL system Facilitator the person conducting the simulation an instructor or lab staff member GUI the Gaumard User Interface is the software application used to control the simulator and evaluate care providers Palette Item A palette item stores a set of preprogrammed physiological parameters in a single loadable item Profile a unique HAL software configuration including custom Palette Scenarios and options Each Profile acts as a separate program in that changes made to one profile have no effect on the others Provider a person participating in the simulation as a healthcare provider Scenario a saved sequence of physiological states like a playlist Scenarios provide a level of automation that unburdens the facilitator
59. uired 16g threaded CO2 3 8 24UNF 2A cartridges can be purchased at most bicycle or hardware stores 12g threaded cartridges are also compatible CO SAFETY AND WARNING CHECKLIST Read all the safety and warning information included with the CO cartridge package before installing e Never point the CO cartridge at yourself or others e Remove the CO cartridge only when the LOW CO warning is displayed on the main screen e Do not use damaged CO cartridges e Do not over tighten the cartridge into the adapter harness Do not puncture the cartridge CO seal manually e Do not expose the CO2 cartridges to high temperatures CO CARTRIDGE INSTALLATION For maximum duration the CO cartridge should be installed just before the simulation begins If left overnight the cartridge will empty within 24 hours whether it is used or not 1 Remove the right leg skin cover HAL S1030 User Guide 2 Remove the tibia bone insert 3 Remove the adapter harness located inside the right lower leg chamber 4 Screw in a new CO cartridge into the harness adapter As the cartridge is tightened the harness 5 adapter will puncture the CO seal The cartridge will feel cool to the touch when the seal is broken Continue to tighten the CO2 cartridge until it is fully secured in the harness adapter Finally insert the adapter into the chamber and replace the tibia insert and skin 57 58 HAL S1030 User Guide OXYGE
60. ung Left Lo Module Compliance Resistance o Active modules report light blue and inactive modules report black If there is a specific module that fails to respond please contact customer support ensure that the module that is unresponsive is not specific to an Add On feature that is not installed on your simulator HELP Click help to open an electronic copy of the HAL S1030 User Guide No internet connection is required to view the file GIGA Quick Start Profile t Statu Heart Ra ABOUT Clicking on About displays the following dialog box About Gaumard Simulators for Health Care Education GIGA Modules Version 1 0 2 0 Firmware 0 0 Copyright 2010 Gaumard Scientific Co www gaumard com Visit www Gaumard com for information on software updates WORKING WITH HAL HAL S1030 User Guide CONNECTING THE VENTILATOR HAL is designed to work with most microprocessor based mechanical ventilators and respond like real patient Review the information below before starting a ventilation exercise FEATURE HIGHLIGHTS The list below outlines some of HAL s patient capabilities e Treat HAL with mechanical ventilators set to operate by volume or pressure control e Ten levels of static compliance from 15 to 90 mL cm H20 e Ten levels of independently controlled airway resistances e Capable being treated with A C and PCV modes of ventilation e Capable of assisting the ventilato
61. unless you purchased a multi user workstation license Sharing this Software with other individuals or allowing other individuals to view the contents of this Software is in violation of this license 2 Copyright The Software is owned by Gaumard and protected by United States copyright laws and international treaty provisions Therefore you must treat this Software like any other copyrighted material You may not make this Software or copies thereof available in any manner or form or use copy or transfer the Software in whole or in part except as provided herein 3 Other Restrictions You may not rent or lease this Software to any other party You may not alter merge modify adapt reverse engineer decompile or disassemble the software or disclose the contents of this Software to any other party 4 Electronic Transmission of Software If you received the Software by electronic transmission or by Internet delivery by installation of the Software you acknowledge that you have read and understand this license agreement and agree to be bound by its terms and conditions 5 Term of Agreement The term of this Agreement and the license granted to you pursuant hereto shall commence upon installation of this Software This Agreement and the license granted herein may otherwise be terminated by Gaumard in the event that you are in breach of any provision of this Agreement In the event of termination you agree to immediately return this Software
62. ur own or modifying some of the factory presets The following four guidelines will refine your ability to build the best possible scenarios 1 How will the scenario begin The first thing to consider is the initial condition of the patient Create a Palette Item to describe this condition Make sure that this first step in the scenario is a complete state That is indicate some selection for each and every available setting on the Details page Remember that only the settings you specify will cause a change in HAL and all other settings will remain constant So by starting with a complete state HAL s condition will always be the same when the scenario starts regardless of what he was doing previously Likewise the transition duration of the first step in the scenario should be zero indicating that changes are applied immediately There is one point that can cause confusion and warrants further explanation It is an extension of the above discussion of partial states The issue is best illustrated through the following example Suppose that you are creating a Palette Item to start your scenario In this case you have decided that the patient will be apneic The question is How should the lung sounds be set Most people s first inclination is to set the lung sounds to none This is incorrect despite apnea Obviously no lung sounds should be heard during apnea but since you have already set respiratory rate to zero none will be
63. vere Compliance 5 left right lung resistance 4 Status P a ii PEEP TOT Resp Pattern normal A H f Ys am 35 11 09 1 22 12 559 669 Resp Rate Insp ron a rot Type 13 52 18 Apr 2011 O Sat 83 Compliance P T Rate 5 0 se oa gt Right Lung Left Lung Chest Rise Chest Rise On On Resistance Resistance 4 4 Sounds Sounds bronchial aa bronchial i wheezing wheezing 17 USER GUIDE User Guide HAL S1030 OVERVIEW The HAL S1030 Dynamic Airway and Lung Compliance Simulator is a training simulator equipped with the following features SIMULATOR FEATURES e BVM intubate or mechanically ventilate e Tongue edema pharyngeal swelling and laryngospasm e Practice intubation and management of anatomic and pathologic conditions e Treat HAL with mechanical ventilators set to operate by volume or pressure control e Ten levels of static compliance from 15 to 90 mL cm H2O e Ten levels of independently controlled airway resistances e Capable being treated with A C and PCV modes of ventilation e Capable of assisting the ventilator at variable respiratory rates e Capable of holding PEEP e Real CO exhalation e 0 Sat readings using a real monitor on the left index finger e Set inspiratory effort rate to trigger the ventilator for assistance e Four anterior and four posterior lung sounds e Articulating adult HAL full size body USER INTERFACE e Moni
64. y only provides temporary power during transport or an outage SESSION TIME Keep track of a simulation s duration using the session timer Log entries are session time dependent Reset the session time counter before starting a new exercise The session timer can be reset from the file menu or by clicking on the session time icon and selecting reset Reset Clock HAL S1030 User Guide VENTILATOR OPERATING MODE By default HAL is set to work with mechanical ventilators operating in volume control mode To set HAL to work with a ventilator set to pressure control toggle the ventilator operating mode button to P on the GIGA module software To prepare HAL for a ventilation exercise go to page 54 Mechanical Ventilator Settings Adjust Lung Compliance by Volume STAND BY HAL uses what is called soft power which means that the simulator is activated from the software After the battery is connected during the setup procedure HAL is always in SLEEP mode HAL will automatically wake up in the ON mode less than 1 minute after starting the GIGA Module software Click the stand by mode to conserve battery during transport To completely power down the simulator click File gt Exit The Simulator is currently in Stand by mode The simulator is currently connected and operational 25 HAL S1030 User Guide DETAILS TAB It is best to think of controlling the simulator in terms of three levels of complexity Firstly De

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