Ambu MultiMan Manual

Direction for use
Ambu®MultiMan
The CPR simulator with hygienic system
Deutsch: Bedienungsanleitung. Ambu®MultiMan - CPR-Simulator mit hygienischem System
Français : Mode d’emploi. Ambu®MultiMan - Simulateur de RCP avec système hygiénique
Italiano: Istruzioni d’uso. Ambu®MultiMan - Simulatore CPR con sistema igienico
Dansk: Brugsanvisning. Ambu®MultiMan - CPR simulator med hygiejnisk system

English:
Instruction manual ................................ Page 3
Deutsch:
Bedienungsanleitung...........................Seite 18
Français :
Mode d’emploi ...................................Page 33
Italiano:
Istruzioni d’uso ................................ Pagina 48
Dansk:
Brugsanvisning ....................................Side 63
© Copyright 2006 Ambu A/S, Denmark. All rights reserved.
No part of this programme or the programme documentation may be reproduced in any form,
including photocopying, without the prior written permission of the copyright owner.

Contents Page
1. Introduction 3
2. Specifications and Materials 3
3. Function 4
4. Hygienic System 5
5. Preparation for Training 6
6. Training 10
7. Removal of Face Piece and Head Bag 13
8. Cleaning and Disinfection 13
9. Assembly of Face Piece 15
10. Packing of Ambu MultiMan 15
11. Accessories 17
12. Mounting of ACD CPR Board on Ambu MultiMan 18
Ambu and MultiMan are registred trade marks of Ambu A/S
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1. Introduction
The Ambu MultiMan comprises of four instruction and training manikins for simulating realistic and
correct anatomical and physiological conditions during cardiopulmonary resuscitation by means of
insufflation and chest compression.
The Ambu MultiMan incorporates the well-known Ambu hygienic system similar to Ambu’s other
training manikins and an indicator for compression depth during chest compression.
For easy and compact transport, the Ambu MultiMan is designed as a four manikin unit folded up
in two two-torso units.
The Ambu MultiMan has the size of an average adult. The fold-out design of two or four units
encourages the instruction of a large number of trainees due to its simplicity and easy transport.
When a number of Ambu MultiMan are in use, we recommend the addition of an Ambu Man
with instrumentation or with computer interface. In this way extensive hands-on training can be
performed on the Ambu MultiMan before a test is made on the Ambu Man showing the result of
various parameters.
2. Specifications and Materials
Dimensions:
Including carrying bag: Height: 50 cm
Diameter: 50 cm
Unfolded: 4 pcs. In a square: 125 cm x 125 cm
2 pcs. End to end: 170 cm x 25 cm
1 torso with head: Length: 70 cm
Width: 25 cm
Height: 20 cm
Weight incl. carrying bag: 4 pcs. In a square with 4 face pieces
And 100 head bags: 8 kg
Max. insufflation volume: 1,8 litre
(Indicated by expansion of the chest)
Max. chest compression: 57 mm
(Shown by a chest compression indicator)
Storage temperature: -20°C to +70°C
After storage in low temperatures the Ambu MultiMan must be warmed up to normal room
temperature before training.
ACD CPR (ACD = Active Compression Decompression) can be trained by mounting a special ACD
CPR base board.
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Materials
Part Material
Skull PP, Polypropylene
Face piece PVC, soft
Head bag PE, Polyethylene
Neck PPN, Polypropylene
Chest sheild LDPE, Polyethylne, soft
Lung bag PVC
Lung plate PPR, Polypropylene
Basic unit PPN, Polypropylene
Console PPN, Polypropylene
3. Function
When air is blown into the mouth or nose of the face piece (1), the head bag (2) fills, displacing the
air in the skull (3) through the valve (4) which only opens if the head is tilted.
The ambient air is displaced through the neck tube (5) down into the lung bag (6), which expands
and raises the chest (7).
When the chest compression is performed, the chest and the spring (8) are squeezed together. The
movements during chest compression are transmitted mechanically to the instrument at the waist
(9) which has a green indicator for correct compression depth and a red for incorrect compression
depth.
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4. Hygienic System
Schematic diagram
The head bag has been mounted in the skull and the face piece applied.
Insufflation has just started.
Insufflation is concluded and expiration has just started.
NOTE!
If a leak occurs around the mask or if insufflation proves difficult, it is normally due to incorrect
positioning when lifting the chin or to insufficient tilting of the head.
To comply with the requirements of the hygienic system and to achieve a proper seal and accurate
measuring results, a head bag must always be used.
All trainees must use only their own face piece and head bag during training.
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5. Preparation for Training
5.1 Unpacking
Place the carrying bag upside down and pull
from the Ambu MultiMan.
The carrying bag has been taken off the Ambu
MultiMan.
Separate the Ambu MultiMan. Grip the two
chest parts as shown.
Lift up the two units of the Ambu MultiMan to
separate them from the two lower units.
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The Ambu MultiMan separated into two sets of
two units.
Training on the Ambu MultiMan can also be
performed on the four units as a cruciform.
5.2 Mounting the head
Lift the body from the ground. Release the head
by turning it outwards in the direction of the
arrow. To control the head during disassembly
place the thumb into the opening of the skull.
Squeeze the two sides of the neck against each
other to release the pins on the neck from the
body (See the arrows) and at the same time
turn the neck into upright position.
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Hold the neck bushing with one hand and push
the head into position in the bushing with the
other hand until it clicks into position. Continue
in the same way with the other torsos.
Do not press the red button when fitting the
head.
5.3 Mounting of head bag and face piece
Unfold the head bag and hold it as shown.
Fold the head bag as shown.
Fold the head bag as shown.
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Insert the bag in the skull.
Smooth out the edge along the opening in the
skull.
Hold the face piece by the ears and position on
the skull so that the top is flush with the
hairline.
Put the face piece into position by pressing on
the area around the nose. Button left ear onto
the skull. Proceed in the same way with the
right ear.
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6. Training
The Ambu MultiMan is designed to meet all the training recommendations of the AHA (American
HeartAssociation) and the ERC (European Resuscitation Council).In general,however, it is recommended
that instruction should be based on the techniques and provisions applicable locally.
Following training can be performed:
Opening the airways by head tilt.
Insufflation using the following techniques:
Mouth-to-mouth ventilation
Mouth-to-nose ventilation
Mouth-to-mask ventilation
Resuscitator/mask-to-mouth ventilation
Chest compression
The ACD CPR method (ACD = Active Compression Decompression)
The movements of the chest can be clearly observed during insufflation and expiration.The expired
air can be felt and heard from the mouth and nose of the Ambu MultiMan with no risk of infection,
this air being the same as that insufflated by the trainee in the head bag.
TrainingACD CPR requires a special base to keep theAmbu MultiMan to the ground during decompression.
Correct and incorrect compression depth is
indicated on the instrument at the waist.
Following indications are shown:
No compression.
Beginning green field to full green field:
Compression depth between 38 and 51 mm.
Beginning red field after green field:
Incorrect compression depth, above 51 mm.
Green
Red
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7. Removal of Face Piece and Head Bag
7.1 Face piece
Pull the ears outwards to release them from the
two prongs on each side of the skull. Pull the
mask upwards by the ears until free of the skull.
7.2 Head bag
Grip the bag on each side, but avoid closing the
opening. Pull the bag slowly upwards, twisting
from side to side if necessary to facilitate removal.
8. Cleaning and Disinfection
With the hygienic system of the Ambu MultiMan, using exchangeable face pieces and head bags,
no internal cleaning and disinfection is necessary.
8.1 Head bag
The head bag is disposable and should always be discarded after training.
8.2 Face piece
The face piece may be reused after
cleaning and disinfection. Remove
the dental insert before cleaning
and disinfection by pulling it
from the face piece as shown in
the photos.
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8.3 Manual cleaning
A. Rinse face piece and dental insert in clean water.
B. Wash items in warm water, max 65°C (150°F), using a mild detergent.
C. Rinse thoroughly in clean water to remove all traces of detergent and let the parts dry.
8.4 Mechanical cleaning
The face piece and dental insert can be washed in a washing machine. Use the normal
measure of detergent and washing program with a maximum temperature of 65°C (150°F).
Leave the parts to dry before packing.
8.5 Disinfection
After separating and cleaning the face piece and dental insert, disinfection can be performed
as follows:
A. Place the item in a sodium hypochlorite solution with minimum 500 ppm freely accessible
chlorine (1/4 a cup of liquid household bleach per gallon (Approx. 4 litres) of tap water for
10 minutes). This solution must be fresh and should be discarded after use. (This method
is recommended by AHA).
B. Place the items in a 70% alcohol chlorhexidine solution for 2 minutes (70% ethylalcohol
and 0,5% chlorhexidine). (This method of disinfection is recommended by the Australian
Resuscitation Council).
C. Chemical disinfection can also be performed using recognized disinfectants suitable for
use with polyvinylchloride (PVC) The supplier’s directions on solution strength and
disinfection period should be closely followed.
D. Always rinse the items in clean water after disinfection and allow to dry before storing.
NOTE! Face pieces must not be boiled, autoclaved or gassterilised.
8.6 Cleaning of skull, neck and body
The skull, neck and body of the Ambu MultiMan 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.
Marks on the Ambu MultiMan left by lipstick or ball pen can penetrate the material and should
therefore be removed as quickly as possible using alcohol.
8.7 Cleaning of carrying bag
The carrying bag should be washed in a mild detergent using cloth or soft brush, rinsed in clean
water and then dried.
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9. Assembly of Face Piece
Assemble the face piece by fitting the dental
insert as shown and press it into the face piece
so that only the flange and collar remain
outside.
First, press the collar of the dental insert into the
groove on one side of the face piece. Next, press
the edge over the flange on the dental insert
until the flange is seated in the groove in the
mask all the way round.
10. Packing the Ambu MultiMan
Begin by removing all face pieces and head bags as shown in section 7.
Lift the body and head to an upright position.
Press the red button on the neck bushing. While
pressing the red button, lift the skull off the neck
bushing. To control the head during separation
from the body put your thumb into the opening
of the skull.
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Turn down the neck into a horizontal position.
A click indicates correct locking.
Place the connecting piece of the head in the
bushing of the chest. Push the head into position
(Follow the direction of the arrow). To facilitate
the process place your thumb in the opening of
the skull.
If the Ambu MultiMan has been separated into
2 units these should be reassembled into a
four unit configuration as shown.
Catch the basic plates at the hole and lift.
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Fold the torsos as shown.
Pull the carrying bag over the folded Ambu
MultiMan. Invert and close the bag.
11. Accessories
234 000 702 Head bag, set of 100 pcs.
234 000 703 Face piece, set of 5 pcs.
268 000 702 ACD CPR base board, set of 2 units
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12. Mounting the ACD CPR Board on Ambu MultiMan
1. ACD CPR board with knee protectors.
2. Put the quadrangular pipe through the hole
of the basic plate of Ambu MultiMan.
3. The quadrangular pipe mounted in the basic
plate of Ambu MultiMan.
4. Normal distance between the ACD CPR board
and Ambu MultiMan. The distance can be
changed as required.
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Inhaltsverzeichnis Seite
1. Einleitung 19
2. Spezifikationen und Materialien 19
3. Funktion 20
4. Das Hygienesystem 21
5. Vorbereitung für die Ausbildung 22
6. Ausbildung 26
7. Entnahme von Gesichtsmaske und Luftbeutel 27
8. Reinigung und Desinfektion 27
9. Montage der Gesichtsmaske 29
10. Zusammenpacken des Ambu MultiMan 29
11. Zubehör 31
12. Montage der ACD-CFR Fixierplatte am Ambu MultiMan 32
Ambu und MultiMan sind eingetragene Warenzeichen von Ambu A/S
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1. Einleitung
Mit dem Übungsgerät Ambu MultiMan steht eine fortschrittliche Ausbildungshilfe zur Simulierung
realistischer und korrekter Gegebenheiten bei der Kardiopulmonalen Reanimation mit Hilfe von
Atemspende und Herzdruckmassage zur Verfügung.
Der Ambu MultiMan ist wie die anderen Übungsgeräte von Ambu mit dem bekannten Ambu
Hygienesystem versehen und hat einen Indikator für die Kompressionstiefe bei der Herzkompression.
Um den Transport so leicht wie möglich zu machen und damit die Übungsgeräte so wenig Platz
wie möglich wegnehmen, ist der Ambu MultiMan als Vierfach-Konfiguration oder in Einheiten mit
jeweils zwei Torsos aufgebaut.
Der Ambu MultiMan hat die Größe einer erwachsenen Normalperson, und die Konfiguration mit 2
oder 4 Übungsgeräten ist wegen dem einfachen Aufbau und der leichten Transportmöglichkeit für
den Unterricht einer größeren Anzahl von Personen geeignet.
Bei der Anwendung des Ambu MultiMan empfehlen wir, dass ebenso ein Ambu Man mit
ingen punkt. oder Computeranschluss zur Verfügung steht. DasTraining kann dann am Ambu Multi-
Man geübt und nachfolgend am Ambu Man getestet werden.
2. Spezifikationen
Abmessungen:
Maße mit Tragetasche: Höhe: 50 cm
Durchmesser: 50 cm
Größe (entfaltet): 4 Stück im Quadrat: 125 cm x 125 cm
2 Stück hintereinander: 170 cm x 25 cm
1 Torso mit Kopf: Länge: 70 cm
Breite: 25 cm
Höhe: 20 cm
Gewicht einschl. Tragetasche: 4 Stück im Quadrat mit 4 Masken
und 100 Luftbeuteln: 8 kg
Maximale Insufflationsmenge: 1,8 Litre
(Durch Erheben des Brustkorbs angezeigt)
Maximale Brustkompression: 57 mm
(Durch einen Brustkompressionsindikator angezeigt)
Aufbewahrungstemperatur: - 20°C bis + 70°C
Nach Aufbewahrung bei niedrigen Temperaturen ist der Ambu MultiMan vor der Übung auf
normale Raumtemperatur zu erwärmen.
ACD (Active Compression-Decompression) kann durch Montage einer besonderen ACD/CPR-
Fixierplatte geübt werden.
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Materialien
Teil Material
Schädel PP, Polypropylen
Gesichtsmaske PVC, weich
Luftbeutel PE, Polyethylen
Hals PPN, Polypropylen
Brustkorb LDPE, Polyethylen, weich
Lungenbeutel PVC
Lungenplatte PPR, Polypropylen
Basiseinheit PPN, Polypropylen
Konsole PPN, Polypropylen
3. Funktion
Wird durch den Mund oder die Nase der Gesichtsmaske (1) Luft eingeblasen, wird der Luftbeutel (2)
aufgefüllt. Die im Schädel befindliche Luft (3) wird durch das Ventil (4) verdrängt, das sich öffnet,
wenn der Kopf korrekt überstreckt ist.
Die im Ambu MutiMan befindliche Luft (umgebende Luft) gelangt anschließend durch den
Halsschlauch (5) in den Lungenbeutel (6) und führt dort zum sichtbaren Anheben des Thorax (7).
Bei der Herzdruckmassage werden der Brustkorb und die Feder (8) punkt her, Die durch
Herzdruckmassage hervorgerufenen Bewegungen werden ebenfalls auf das Überwachungsinstrument
mechanisch übertragen.
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