Troubleshooting - Nordic Simulators
Contents
1. When doing so place a tagged syringe on the syringe holder Fluid reservoir is full CO not being exhaled Empty CO canister CO pressure regulator is OFF Mechanical Ventilator Settings exceeding the is not triggered when simulator s capabilities assisting the simulator ooo IV Medication Infusion section The maximum amount of fluid injected properly read before purging the internal reservoir is 50 cc Make sure to purge the reservoir or permanently connect a purging line see instructions Make sure the CO canister is in place For 3201 the User Interface displays the Low CO2 message when CO pressure is low Notice that CO canister must be plug just before the training section starts to get maximum duration If left overnight the canister will slowly empty See COQ exhalation section The CQ2 canister once it is plugged will empty within 24 hours whether it is used or not For 3201 go to Calibration Factory Settings and then press the CO 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 1 Lts min or Pressure 1 cmH202. simulator is checked Gaumardul has set The battery on the simulator In Hal Revision 14 and lower replace battery for a charged the power mode to is depleted one For 3004 S3009 and S3010 plug the external power STAND BY supply For all others including Hal Revision 15 and above automatically plug in the charger RF module not RF module not connected Connect the RF module to any USB port found message is displayed when z RF module not identified by Close the software and disconnect the RF module for 10 GaumardUl is started the computer seconds then plug it back in and restart the software Chest compressions is the communication signal See Scan RF Channels section are not properly strength indicator detected or not consistently low detected at all Is the respiratory rate setto Set respiration rate to zero 0 min Chest compressions are only detected when the respiratory rate is set to 0 per minute 0 min All others See Calibration section Artificial ventilations ls the communication signal See Scan RF Channels section are not properly strength indicator detected or not consistently low detected at all All others See Calibration section Korotkoff sounds do BP sensors are offset Recalibrate BP cuff sensors on the simulator as per not match systolic Calibration section and or diastolic set values Wrong placement of BP Cuff See correct cuff placement under
3. section Circulation only for simulators with tetherless BP cuff feature Simulator s chest Simulator is not running In some simulators the trachea is disconnected from the does not rise with lungs when they are not on artificial ventilation e g BVM Disable lung s Enable the lungs from Detail page on the User Interface software Surgical insert is installed The ventilation trachea insert provides a better seal for ventilation Low chest rise or no Wrong settings or disable Make sure lungs are enabled and both respiration rate and chest rise at all while lungs inspiration percent are different than 0 Try changing the breathing respiration rate to a different value or turn the simulator off and then on again Loss of brachial pulse Brachial pulses disable Make sure to enable brachial pulse on Details tab page Wrong reading of Brachial pulse is cut off when BP cuff pressure is above corresponding BP sensor Systolic If it is not connected then recalibrate BP cuff sensors on the simulator as per Calibration section Reporting intubation Wrong sensor reading Reset ET Tube sensor on simulator as per Calibration when it is not section Do not turn on or power cycle the simulator while being intubated doing so would cause the sensor to report wrong intubations Pre built scenarios Select Quick Start Scenarios when starting the software don t show up Should user forget
4. to do so there s no need to shut down the software and open it again in order to load the pre built scenarios Go to File Profile menu and then select Modeled Scenarios A sound is not heard Volume not set to user s Every sound has a volume control Play with volume or heard not at criteria control to get it to desired level desired volume level Cyanosis intensity is too much or too little Cyanosis intensity is Cyanosis intensity not set to Set Cyanosis level to a desired level by playing with the too much or too little user s criteria Set Max cyanosis level control Pupils either one or Wrong dilation calibration Set pupil dilation level properly by following procedure both dilating either described in the manual under section Options and while blinking or when more see Tolerances Tab not supposed to Pupils constricting This might happens either Try the Set to Ambient Light feature under dilating constantly when the simulator is under Options Tolerances see section Tolerances intense light or wrongfully calibration Oximeter reading Using a different does not coincide with Oximeter Sensor for which value set the simulator was calibrated 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
5. Troubleshooting General Troubleshooting Guide Use the following table to find causes and solutions to a number of possible problems Communication never Battery is discharged or gets established or is damaged blinking communication Computer is too far away indicator is consistently from simulator Trying to communicate with a different simulator Starting more than one simulator simultaneously Simulator doesn t run Battery not charge properly for the time specified on the manual Simulator doesn t respond to any command even that blinking communication indicator is consistently green The computer is properly communicating with a simulator but not necessarily the one you intend to control Commands are taking Distance between computer longer than usual to take effect or simulator is not limit or there are too many obstructions in between and simulator is reaching its Plug the charger and if communication is established then charge battery as per procedure explained in the manual Get simulator closer to computer Make sure to select the right simulator when opening the software In a multiple simulator environment Setup Options menu make sure to enter the right Serial Number Select different channels for each of the simulators and then try to turn them on one at a time which means to wait until a link have been established between the tablet and the first simulator Only after t
6. hat start the User Interface software in the second tablet and so on for the rest of the simulators To do so go to menu Setup gt Options gt Environment gt Select Auto change to channel X X number from 1 11 Close the User Interface software and unplug the RF module for at least 5 seconds then plug it back in Restart the software and wait for initialization Make sure that LED indicator on battery charger goes thru the sequence described in its label usually red or orange after plugging it and then green when charge is completed If LED does not go thru label s indications then e Check plug connection making sure it is all the way in e Make sure you are using the appropriate charger which is labeled with its simulator name If you have more than one simulator in your facility make sure that your computer is properly set up to control the simulator that you wish to control Go to Options on the Setup pull down menu and check the Environment preferences Get simulator closer to computer or move away from obstructions reporting every action walis etc Signal strength indicator is low There s too much RF nw _ changing the RF channel by going to menu ee gt interference either from Options gt Environment gt Select Auto change to channel another Gaumard tetherless X X number from 1 11 simulator in the vicinity or an RF radiator Sound quality while Noisy cha
7. nnel or another Select a different channel see Options and more streaming audio is Gaumard tetherless section When more than one simulator is in the vicinity poor simulator is nearby allow one channel between simulators Computer too far from Streaming audio can t reach as far as normal data with a simulator range of up to 150 ft 50 meters line of sight between simulator and PC Keep antenna upright for maximum range Sound too low or too loud Sound volume at PC side is managed from PC s volume control Simulator sound volume is managed thru Output Gain slider under the Speech Streaming Options tab Always talk as close as possible as microphone in order to improve quality Using a headset is recommended Respiration and other Since simulator s microphone sensitivity is high in order to undesirable sounds are capture the voice of providers it also captures all heard by instructor surrounded noises on or around the simulator This is normal and it is not a malfunction Disable the tablet s onboard microphone and enable the headset input using the Windows audio setting Streaming audio does Single simulator is Make sure to select multiple simulator environment not work streaming checked under Setup Options menu and enter the Serial Number of voice controls are not Setup Options menu the simulator you are trying to communicate Streaming shown audio does not work when Single
8. which includes carbon monoxide and or methemoglobin sensing cannot be used Oximeter has been placed on the arm that doesn t have the O2Sat feature Check in the Diagnostic if that arm has the feature installed Pulse Oximeter Sensor not Make sure to slide the Pulse Oximeter Probe all the way properly placed 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 Offset value within 2 User should expect a 2 discrepancy between value set and Oximeter reading for O2Sat values above 80 and 3 below 80 Drug ID is not being Syringe has not been See IV Medication Infusion section read programmed Syringe is not in the field of This could happen when injecting the cephalic vein close the RFID reader to the hand and having the syringe sideways to the plane of the forearm Wrong calibration Calibrate the drug arm as per calibration instructions Injecting too fast Maximum injection rate is 9999 mi hr This rate won t be exceeded when injecting into the veins using a 22 g needle Not reading the syringe ID If RFID tag on syringe is not read the system tends to read fewer amounts than actually injected This could happen when infusing the drug thru the side port on the arm
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