Adam,Rouilly AR251 User manual

Instruction Manual
AR251/AR251-B INJECTION, VENEPUNCTURE, CANNULATION & INFUSION ARM

2
• Intravenous cannulation - on the back of the hand or forearm
• Setting up and monitoring infusions including application of dressings to secure cannula in
place
• Withdrawal of blood using syringe or vacutainer
• Dorsal metacarpal
• Cephalic
• Median cubital
• Basilic
Skills
Accessible Veins
• Easy to set up
• Flexible wrist for improved realism
• Closed blood system which is clean to use
• The skin is moulded from a specially selected grade of silicone for improved feel, durability
and palpation of the veins
• Many procedures can be carried out before a replacement skin is required
• A realistic sensation is felt when the skin and vein are penetrated
• When charged with artificial blood, a realistic ‘flashback’ confirms correct needle location in
the vein and blood can then be withdrawn
• Continuous vein system, and innovative two bottle sealed blood assembly, greatly reduce the
risk of leakage
• The working veins, which can be identified from the ‘blind veins’ by palpation, are made from
a material with self sealing characteristics that can be penetrated many times
• The self-sealing material used for the veins, as well as the silicone skin, enhance durability
• Automatic pressure relief valve
• Replacement skins and veins are simple to fit
Features
Thank you for purchasing this AR251 Venepuncture and Infusion Arm.
Cast from life, it shows a well developed male left arm in fine detail. The arm features a flexible
wrist for added realism, durable silicone skin and is simple to set up, operate and maintain.
Please read this instruction manual carefully and retain it for future reference.

3
Safety and Precautions
Contents
It is recommended that 21 gauge or smaller cannulae and needles be used for
practice on the arm to avoid accelerated wear of the skin and veins.
Equipment used with all our training models should be selected according to
local policy guidelines.
Please treat the Infusion Arm with the same care you would a patient.
Do not leave the blood system pressurised when not in use.
Do not mark the skin with ink from ball point pens, marking pens or newsprint
as these cannot be removed.
Parts
- Supplied With
4
5
Before Use
- Making the Blood Concentrate
- Setting Up the Arm Rest and Connecting the Veins to the Bottles
- Pressurising the Blood System
7
7
7
During Use
- Using Vascular Access Devices and Keeping the System Pressurised
- When Blood Has Passed from One Bottle to the Other
9
9
After Use
- Empty the Vein System of Blood
- Disconnect the Veins from the Bottles
- Using the Blanking Plugs for Transportation
- Flushing the Vein System and Bottles
- Cleaning the Skin and Removing Adhesive Residues
11
11
11
13
13
Replacing the Skin and Veins
- 1. Remove the Old Skin and Vein System
- 2. Insert the New Vein System
- 3. Installing the New Arm Skin
15
17
19
The veins in this arm contain natural latex which may cause an allergic
reaction to some individuals. If a reaction occurs, discontinue use immediately
and seek medical advice.

4
i
j
i
f
e
k
d
l
Parts
a
b
g
h
c
d
e
f

5
If you require replacement parts please contact our Sales Department,
quoting codes where applicable.
Supplied With
aInfusion Arm (made up of Skin, Vein, Core)
c
S251/11 TUBE AND BULB CONNECTOR
b
S251/8 BLANKING PLUGS (x 2)
e
S251/4C BOTTLE (x 2)
dWhite bottle cap (x 2)
fBlue bottle valve (x 2)
g
S341/7 ORANGE PRESSURE RELEASE CAP
i
S251/6 BLUE VEIN CONNECTOR (x 2)
j
S201/2A ARM REST
k
S251/4D RUBBER WASHER (X 2)
l
S251/7 PRESSURE RELEASE VALVE ASSEMBLY
h
S341/6 BULB
Scan the QR code to access the product video.
https://youtu.be/Y9wr5EP300o
AR204 BLOOD CONCENTRATE
S251/3 CARRYING BAG

6
2b
2c
2a
1a
Before Use
1b 1c
10 g
(x1 teaspoon)
3b3a
x2

7
2a
1a
1c
1b
2b
3b
2c
Unscrew the cap of the bottle with the tube and bulb attached.
Replace cap and shake well to mix.
Prepare artificial blood by putting 10 grams (Approx. 1 teaspoon) of artificial blood
powder concentrate in the bottle and fill with water to the “Max Level” line.
Connect the arm veins to both bottles using the blue connectors.
Locate the connector and insert fully into the valve.
Continue to pump the bulb until blood begins to flow through the arm and into the
other bottle.
Twist the connector clockwise until it locks into place.
Making the Blood Concentrate
Ensure the work area is clean and dry.
Keep paper towels nearby in case of any spillage.
Locate the bottles in the arm rest holder positioning the blue connectors to the
slots in the back.
Place the arm with the palm of the hand facing down, supporting the arm at the
shoulder end on the arm rest.
Setting Up the Arm Rest and Connecting the Veins to the Bottles
Pressurising the Blood System
3a Pump the bulb to charge the vein system.
Do not over pressurise the system. The pressure release valve on the second
bottle will automatically open if the system is over pressurised.
There should be no visible air bubbles in the veins before use. If bubbles are
present, keep charging the system until there is a steady flow of blood.

8
During Use
5a
4a 4b
5b
5c
5d
5e 5g
5f

9
Using Vascular Access Devices and Keeping the System Pressurised
When Blood Has Passed from One Bottle to the Other
5a
5c
5d
5f
5g
5e
To depressurise the system, open the orange cap on the bulb and allow air to
escape.
Remove the pressure release valve from the second bottle by turning it anti-
clockwise and pulling it out of the bottle valve.
Remove the bulb and tube from the first bottle by turning the connector anti-
clockwise and pulling it out of the bottle valve.
Locate the pressure release valve fully into the first bottle valve and turn clockwise
until it locks into place.
Re-charge the system by pumping the bulb until blood begins to flow into the first
bottle.
The arm is now ready for use again.
Swap both the bulb and pressure release valve onto the alternate bottles. Locate
the tube and bulb connector fully into the second bottle valve and turn clockwise
until it locks into place.
5b Once the system has depressurised, close the orange cap again.
4a
4b
A range of vascular access devices may be used to take blood from the arm such as
syringes, vacutainers and cannulae.
Periodically pump the bulb to maintain pressure in the system during use.
It is recommended that 21 gauge or smaller cannulae and needles be used
on the arm to avoid accelerated wear of the skin and veins.
During use, blood will eventually pass from one bottle to the other.
The bulb can easily be swapped to the other bottle so use may continue relatively
uninterrupted.
Before the first bottle is completely empty and air enters the vein system,
discontinue use and depressurise.

10
After Use
6a 6b
6c
7a
x2
x2
8a
8b
8c

11
6a After use, pump the bulb until blood has collected in one bottle and the vein system
is empty.
Empty the Vein System of Blood
6b
6c
Locate the pressure release valve fully into the first bottle valve and turn clockwise
until it locks into place.
Once the system has depressurised, close the orange cap.
7a
Disconnect the Veins from the Bottles
Disconnect both veins from both bottles before transportation or storage.
To disconnect, turn the blue connectors anti-clockwise and pull out of the bottle
valves.
When not in use, the bottles should be completely emptied of blood and
washed out.
When not in use, the bottles should be completely emptied of blood and
washed out.
Using the Blanking Plugs for Transportation
8a
8c
Remove the bulb and tube from the bottle by turning the connector anti-clockwise
and pulling it out of the white bottle valve.
Insert blanking plugs into both bottles by locating plugs fully into bottle valves and
turning clockwise until they lock into place.
8b Remove the pressure release valve from the bottle by turning it anti-clockwise and
pulling out of the bottle valve.
The supplied blanking plugs may be placed into both bottles for easy
transportation.

12
Storage and Transportation
11
After Use
9a 9b
10

13
18
Do not store or transport the arm with blood inside.
Do not store the arm near heat or where it may experience extremes in
temperature and humidity.
After use and before storage the cleaned and dried arm, bottles and stand should
be placed in the supplied Carrying Bag.
Using the Supplied Carrying Bag
Flushing the Vein System and Bottles
9a To clean the bottles and veins the system should be flushed with warm water.
Fill the first bottle with warm water and attach the bulb and tube.
Before storage, or at the end of a training session, the vein system must be
flushed through with clean water to prevent mould growth.
Do not use soap, detergents or any other chemical cleaners to
clean the vein system or bottles.
9b Set up the infusion arm as before, connecting both veins to both bottles in the
stand.
Pump the bulb to begin flushing the system. Allow all of the water to flush through
the system and pass into the second bottle. Maintain system pressure by pumping
the bulb.
Depressurise the system and empty the bottles. Allow the system to dry fully.
10
Cleaning the Skin and Removing Adhesive Residues
The arm skin may be washed with a soap solution.
Methylated spirits can be used to remove residues from adhesive tapes and
dressings etc.
Do not mark the skin with ink from ball point pens, marking pens or newsprint
as these cannot be removed.

14
Replacing the Skin and Veins
11a
11b
11c 11d
x2

15
Pull the old arm skin o the inner arm core and throw away.
Replacement Skin and Vein Sets
Excessive force during vein removal may cause damage to the core.
1. Remove the Old Skin and Vein System
Replacement skin and vein sets are available from Adam,Rouilly or
your local distributor:
AR253 SKIN AND VEIN SET, WHITE for AR251
AR253-B SKIN AND VEIN SET, BLACK for AR251-B
The veins in this arm contain natural latex which may cause an allergic
reaction to some individuals. If a reaction occurs, discontinue use immediately
and seek medical advice.
Replacing the skin and vein set is a relatively simple procedure, as below.
However we can carry out this service for you. Please contact our Sales
Department for more information.
11a
11b
11d
11c
Remove the two blue vein connectors from each arm vein.
Keep these safely for re-fitting onto the new vein set later.
Detach the white end cap from the shoulder of the arm and pull off from the two
veins completely.
Remove the old vein system from the core by carefully removing it from the
channels in the arm core.
Be sure to remove the veins carefully from tunnels and so that the core is
not damaged.
Continues, please see next page...

16
Replacing the Skin and Veins (Continued)
1/2
1/2
11e
11f
11g 11h

17
11e
11f
11g
2. Insert the New Vein System
To insert the new vein, first loop it through tunnel in the back of the hand.
Pull the vein through so that there are equal halves on each side of the tunnel.
With the back of the core facing you, loop the first half vein around the right
channel in the back of the hand and down the arm to tunnel
Insert the vein through tunnel
11h Loop the other half of the vein around the left channel in the back of the hand.
Continues, please see next page...

18
Replacing the Skin and Veins (Continued)
11i 11j
11k
11l 11m
11n
x2

19
AR253 AR253-B
11l
11m
11k With the end of the arm core facing you, slide the arm core over the hand end of
the core, all the way to the shoulder.
Be sure that the new vein system is still in the vein channels in the arm core. If the
vein is not in the channel in the core it can be pushed back into the channel through
the skin.
Replace the end cap by threading both ends of the vein through the two holes,
pushing firmly into place
11i
11j
Insert the rest of the vein system into its corresponding channels in the arm core,
keeping the two ends of remaining vein out of the way during installation of the
new arm skin.
Apply the lubricant (as supplied in the / kit) liberally down the
inside of the new skin and work it down by rubbing sides together.
2. Insert the New Vein System (Continued)
3. Installing the New Arm Skin
Please observe the warnings on the lubricant label.
11n Replace both blue vein connectors in each end of the new vein system.
The arm is now ready for use again.
Ensure that the veins are kink free and pulled fully through the end cap.

As part of our policy of continual product development, the specification of
products may alter without prior notice.
Adam,Rouilly has over 100 year’s experience in providing quality medical
models and simulators.
Should you require any further information please contact our Sales
Department who will be pleased to help with your enquiry.
Adam,Rouilly Limited
Castle Road
Eurolink Business Park
Sittingbourne
Kent
United Kingdom
ME10 3AG
T: [phone]
F: [phone]
E: [email protected]
www.adam-rouilly.co.uk
©Copyright 2020 S0017 NBY M6
2 Year Guarantee
All products manufactured by Adam,Rouilly are covered by our full 2 Year
Guarantee. This guarantee applies to models which have been used correctly and
covers durability and functionality.