Ambu Airway Man Manual

Ambu®Airway Man
Directions for use

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Contents Page
1. Introduction 3
2. Specifications 3
3. Monitoring instrument 4
4. Preparation for training 5
4.1 Carry bag/training mat 5
4.2 Mounting the legs on the torso 5
4.3 Instrument 5
4.4 Carotid pulse 6
4.5 Adjusting chest stiffness 6
5. Instructions 7
5.1 Intubation 8
6. Cleaning of skull, neck and body 9
6.1 Cleaning of clothing 9
6.2 Cleaning of carry bag 9
7. Computer and printer link-up 10
English: These directions for use may be updated without futher notice. Copies
of the current version are available from the manufacturer. Ambu®is registered
trademark of Ambu A/S, Denmark. Ambu is certified according to ISO 9001.
Ambu Airway Man is in compliance with the directive 2004/108/EC of the
European Parliament and of the Council on electromagnetic compatibility

1. Introduction
The Ambu® Airway Man is an advanced instruction and training manikin
for the simulation of realistic and correct anatomical and physiological conditions
during cardiopulmonary resuscitation and resuscitator ventilation. Ambu Airway
Man can be used for insertion of different airway management devices i.e.
Guedel, Laryngeal Mask, ET-Tubes etc.
The Ambu Airway Man has the size of a normal adult and provides an exception-
ally lifelike representation of the human anatomy, particularly of those features
important to training in modern resuscitation techniques.
The built-in instrumentation shows the effectiveness of the resuscitation, including
results achieved for insufflation volume and depth of external chest compression,
and indicates any stomach inflation and incorrect hand positioning as well.
For more advanced training and an in-depth analysis of resuscitation effectiveness
the Ambu Airway Man can be combined with a computer.
2. Specifications
Weight
Torso with Training Mat approx. 13 kg
Full body with Training Mat approx. 17 kg
Total length
Torso approx. 80 cm
Full body approx. 170 cm
Part/Material
Basic unit Polyethylene
Instrument part ABS plastic
Skull PVC, hard
Chest skin PVC, soft
Face piece PVC, soft
T-shirt 100% cotton
Tracksuit 50% cotton and 50% polyester
Training mat PVC coated nylon material
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3. Monitoring instrument
Readings on the Ambu Airway Man monitoring instrument can be viewed from
two sides. By activating a cover plate on the side facing the trainee, instrument
readings can be concealed from trainees undergoing a CPR test, while allowing
the training instructor to monitor the effectiveness of the CPR on the opposite
side.
The monitoring instrument is divided into two halves. The left-hand side registers
ventilation, including inspiration volume (1.1), and provides indication of stomach
inflation (1.2). The right-hand side of the instrument registers chest compression,
including depth of compression in millimeters (1.3), and provides indication of
incorrect hand positioning (1.4).
The gauges for insufflated volume and depth of compression are designed to dis-
play green when the correct volume and chest compression have been reached,
and red when the measurement recorded is outside the correct range.
All Ambu training manikins and training products comply with the ILCOR
“Guidelines 2005”. Member organizations of ILCOR are AHA, ARC, ERC, HSFC,
CLAR, NZRC and RCSA.
It is possible to order instrument plates with old recommendations. (AHA and ERC
2000 Guidelines).
The instrument registers inflation in the stomach (1.2) and incorrect hand position-
ing (1.4) by changing from black to red color display.
4. Preparation for training
The Ambu Airway Man training manikin is normally supplied in a special carry bag
which, when opened, folds out to provide a mat for the trainee during training.
When supplying the Ambu Airway Man as a full body model, the legs will be in a
separate carry bag.
4.1. Carry bag/training mat
The strong bag which gives excellent protection to the Ambu Airway Man during
transportation.
Unfold the bag. Make sure that the manikin is firmly secured to the training mat

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by inserting the fitting on the training mat into the recess high up on the back of
the manikin, see 3.
4.2. Mounting the legs on the torso
Unpack the legs.
During transportation the legs can be folded, thus taking up a minimum of space,
see 4.
Assembly of legs:
Pull down the trousers a little around the hips. Place the legs in a position so that
the 2 dowels on the hip part can slide into the corresponding dents at the bottom
of the Ambu Airway Man body, see 5.
Press the two Velcro straps firmly to the body, see 6.
To remove legs: Pull off the Velcro straps and the legs will be disengaged.
4.3. Instrument
Activate the instrument by depressing the catch. No damage is done to the Ambu
Airway Man or the instrument during chest compression in case the instrument is
not activated (pulled out), see 7.
During the CPR test, the cover plate may conceal the side of the monitoring instru-
ment visible to the trainee, see 8.
4.4. Carotid pulse
Fit the tube with bellows onto the tube connector.
The instructor can now activate the carotid pulse manually by compressing the bel-
lows, see 9.
4.5. Adjusting chest stiffness
The stiffness of the chest can be adjusted as required by loosening the thumb
screw on the back of the manikin: For reduced stiffness set to ‘LOW’ position, for
increased stiffness set to ‘HIGH’ position, see 10.
The values shown, 6N/mm and 11 N/mm (N=Newton), indicate the force that
must be applied to compress the chest by 1 mm.
Example: Compressing the chest by 40 mm at the ‘LOW’ setting, a force of 240
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Newton (6Nx40mm) must be applied.
The normal setting is ‘MEDIUM’ corresponding to approx. 8.5 N/mm.
5. Instructions
The Ambu Airway Man is designed to meet the training recommendations of the
International Guidelines 2005 committed to by the American Heart Association
(AHA) and the European Resuscitation Council (ERC).
In general, however, it is recommended that instructions should be based on the
techniques and provisions applicable in the country in which training will take
place.
The movements of the chest can be clearly observed during insufflation and expira-
tion. The insufflated volume is displayed directly on the monitoring instrument.
Accidental stomach inflation is simulated and can be observed in the stomach
region and viewed directly on the monitoring instrument.
External chest compression can be practiced, and the depth of compression will be
displayed on the monitoring instrument in millimeters.
It is possible to adjust the stiffness of the chest to simulate a patient with a soft,
normal or hard chest. To ensure that the correct point of compression is applied
during chest compression, the instrument also provides indication of incorrect
hand positioning.
The Ambu Airway Man is not supplied with a hygienic system, as normally a resus-
citator is used. Mouth-to-mouth ventilation must therefore not be
used.
Ventilation can be performed by using a resuscitator with mask, or intubated and
ventilated via endotracheal tube.
5.1 Intubation
The Ambu Airway Man can be intubated through the mouth (oral intubation), the
use of an 8 mm I.D. endotracheal tube is recommended. Intubation through the
nose (nasal intubation) is not possible. The insertion of the laryngoscope and

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endotracheal tube is to be made very carefully as if it was a real patient. It is
important to grease the tongue part from the oral cavity down to the white stripes
simulating the vocal chords using the accompanying water-soluble lubricating gel
and lubricate as often as the tongue part feels dry. Do not pour lubricating gel
down the tongue parts but grease the parts with a thin layer of lubricating gel.
Furthermore, it is important also to grease the tracheal tube and laryngoscope well
with lubricating gel.
Lack of lubrication can destroy the parts, especially the tongue part, but can also
disconnect the face piece from the tongue part. The face piece and the tongue
part can be cleaned with a cloth moistened with water.
Silicone oil or Silicone spray must not be used as the parts can become sticky and
almost impossible to clean. The user must not remove the face piece. Disassembly
should only take place during service or repair.
Different airway management devices i.e. Laryngeal Mask or Combitube® can also
be used on the Ambu Airway Man.
Correct ventilation makes the Ambu Airway Man’s chest raise and fall. When
doing bag/mask ventilation there is a possibility for stomach inflation, which
causes the Ambu Airway Man’s stomach to rise. This happens if the ventilation is
too fast, the volume is too high or if the head is not tilted correctly. As in real-life
situations, ventilating through the intubation tube eliminates the risk of stomach
inflation.
The carotid pulse can be felt on both sides of the larynx during chest compression,
or simulated manually by the instructor.
6. Cleaning of skull, neck and body
The skull, neck and body of the Ambu Airway Man should be wiped over with a
cloth moistened in a mild detergent and then wiped over once more using a cloth
moistened in clean water.
When washing, never allow detergent or water to enter the skull, body or instru-
ment unit. If necessary, cover the connection between body and instrument unit
with a cloth.
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Marks on the Ambu Airway Man left by lipstick or a ball pen can penetrate the
material and should therefore be removed as quickly as possible using alcohol.
6.1 Cleaning of clothing
The tracksuit of the full body model is made of 50% cotton and 50% polyester
and is washable at max. 40 °C.
6.2 Cleaning of carry bag
The carry bag can be washed in a mild detergent using a cloth or soft brush,
rinsed in dean water and then dried.
7. Computer and printer link-up
For more advanced instruction, those models which are equipped for computer
link-up can be used together with a computer.
Link-up to data-processing equipment enables curve traces to be displayed on the
computer monitor during ventilation and chest compression.
Further information on the computer program can be found in the Directions for
use for the Ambu CPR Software Kit.
The Ambu AirwayMan can also be connected to an Ambu CPR Printer.
Further information about the printer can be found in the Directions for use for the
Ambu CPR Printer.
Both the computer and the printer are connected to the Ambu Airway Man via the
plug at the side of the instrument.

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Indhold Side
1. Indledning 11
2. Specifikationer 11
3. Overvågningsinstrument 12
4. Forberedelse til undervisning 12
4.1 Bæretaske/øvelsesmåtte 12
4.2 Montering af ben på torsoen 13
4.3 Instrument 13
4.4 Halspuls 13
4.5 Regulering af brystkassens stivhed 13
5. Undervisning 14
5.1 Intubering 14
6. Rengøring af kranium, hals og krop 15
6.1 Rengøring af tøj 16
6.2 Rengøring af bæretaske 16
7. Tilslutning til computer og printer 16
Dansk: Denne brugsanvisning kan ændres uden yderligere varsel. Kopi af gæl-
dende version kan rekvireres fra fabrikanten.
Ambu®er et registreret varemærke tilhørende Ambu A/S, Danmark. Ambu er
certificeret i henhold til ISO 9001.
Ambu Airway Man følger 2004/108/EC-direktivet fra Det Europæiske Parla-
ment og Rådet for elektromagnetisk kompatibilitet.