CAE Blue Phantom FAST Exam Ultrasound Training... User manual

©2022 CAE 905K004752 v1.0 i
Contents
Contents
Cautions and Warnings..................................................................................................................1
General Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Latex-Free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Needles and Catheters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Fluids System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Service and Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Introduction....................................................................................................................................3
Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
The FAST Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
The Echocardiography & Pericardiocentesis Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Equipment Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Using the Training Model .............................................................................................................7
Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Fluid Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Training . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Ultrasound Scanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Care and Maintenance ............................................................................................................... 13
Storage and Transport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Cleaning the Esophagus (TEE/TOE Models) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Fluid Overfill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Removing Air . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Contents
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©2022 CAE 905K004752 v1.0 1
Cautions and Warnings
Cautions and Warnings
Read this user guide, including all cautions and warnings, before you use your CAE Blue Phantom™
ultrasound training model. Use this product only as described in this guide. If you use the product
incorrectly, it may be unsafe and will void your warranty. Keep this information for future reference.
General Precautions
• Make sure the training model is set up on a stable, sturdy work surface such as a bed, stretcher,
or table that will not collapse and cause injury to users.
•Heavier training models should be placed on a patient bed or stretcher rated to support such
weight.
•Place the model on smooth surfaces only. Rough or uneven surfaces can leave impressions on
the skin and damage the model.
•Do only the procedures supported by each product as described in this guide.
•Use only needles to access fluids.
•Do not use or store other sharp objects such as scissors, scalpels, or box-cutters with the
training model.
•Do not pull on the training model skin. This can cause the skin to tear.
•Do not mark directly on the training model as this will permanently damage it.
•Do not insert any objects or tools into the model except for the equipment, accessories, or
medical supplies intended for use with this model.
•Do not use chemical solvents on the models.
•Clean the training model with water and a light soap solution only. Do not immerse the model or
use large amounts of liquid to wash it.
Latex-Free
• All CAE Blue Phantom training models, products, and accessories are manufactured only of
materials that do not contain latex.
Needles and Catheters
• Use only new, sharp, unbent 18-21 gauge needles or 7F catheters. Smaller needles (higher than
22 gauge) can bend during use and damage the model.
•The self-healing feature of CAE Blue Phantom simulated tissue applies only to needle sticks
from 18-21 gauge needles. Healing is not guaranteed if needles larger than 18 gauge, scalpels, or
other sharp implements are used to cut into or pierce the model.
•Replace needles after ten uses. Dull needles can damage the model.
•Use extreme caution when using needles during training to avoid injury.

Cautions and Warnings
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Fluids System
• Use only CAE Blue Phantom fluids. Other fluids can affect the imaging quality and promote
fungal or bacterial growth, and may void your warranty. Use fluids only as directed.
•Do not substitute any other fluid unless indicated by this guide.
•Do not modify the fluid reservoirs or any assembly components.
•Protect your eyes, skin, and clothing against accidental fluid exposure. Refer to the Material
Safety Data Sheet (MSDS) for guidance.
º May irritate eyes or skin; flush well with water.
º May contain pigments that stain clothing; wash immediately with cold soapy water.
•Fluid is not intended for human consumption. If accidental ingestion occurs, drink a glass of
water and consult a physician.
Service and Repair
• The CAE Blue Phantom training models are not user-serviceable. Only a trained technician may
open or disassemble the product.
•Unauthorized use or handling of the model may void the warranty.
•If you have a problem with your product, contact CAE Customer Support.

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Introduction
Introduction
This user guide describes the features, use, and care of the following training models:
• CAE Blue Phantom FAST Exam Ultrasound Training Model, transthoracic only (BPFAST1800)
• CAE Blue Phantom FAST Exam Ultrasound Training Model, transesophageal (BPFAST1802)
• CAE Blue Phantom Echocardiography and Pericardiocentesis Ultrasound Training Model,
transthoracic only (BPTTE1701-HEAD)
•CAE Blue Phantom Echocardiography and Pericardiocentesis Ultrasound Training Model,
transthoracic and transesophageal (BPTEE1702)
The FAST models are intended as platforms for the practice of Focused Assessment for Trauma with
Sonography (FAST) and pericardiocentesis procedures. Two models are available, one for transthoracic
(TTE) scanning only and one with optional transesophageal (TEE/TOE) scanning.
The Echocardiography models are intended as platforms for the practice of diagnostic cardiac ultrasound
exams and pericardiocentesis procedures. Two models are available, one for transthoracic (TTE) scanning
only and one with optional transesophageal (TEE/TOE) scanning.
NOTE: Transesophageal echocardiogram has two common abbreviations, TEE and TOE (from the
alternate spelling: trans-oesophageal).
Ultrasound Training Model

Introduction
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Anatomy
CAE Blue Phantom training models are constructed using our patented Simulex™ ultrasound tissue which
has imaging characteristics that mimic human tissue. The models contain skeletal components so the user
will encounter the same imaging landmarks as in a human patient.
These training models have a fluid space around the heart. The FAST Exam model also has fluid spaces
around the liver, spleen, and bladder. Tubes that exit through the leg are used to fill the fluid spaces. The
tubes have a female Luer lock connector designed to work with syringes with a male Luer lock connector.
Models are delivered with minimal fluid. Users must infuse additional fluid to prepare the model for use.
More information can be found in the Using the Training Model section of this guide.
The FAST Models
The FAST Exam models contain the following organs:
• H
eart
• L
ungs
•Stomach
• L
iver
•Spleen
•Gallbladder
• K
idneys
• Bowel
• B
ladder
The FAST Exam models have six tubes to fill fluid spaces:
• one each to the right heart, left heart, and pericardial space
•one each to the liver, spleen, and bladder
The TEE/TOE model also has an esophagus and an articulating jaw.
The Echocardiography & Pericardiocentesis Models
These training models contain the heart, but no other organs, and have three tubes:
•one to the right heart
•one to the left heart
•one to the pericardial space
The TEE/TOE model has an esophagus and an articulating jaw.

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Introduction
Equipment Overview
The following items are included with your shipment for both FAST Exam and Echocardiography models:
•Ultrasound training model
•Hard case for storage and transport
•Microfiber cleaning cloth
•Syringes and tubing attachment (TEE/TOE models only)
•Baby powder
•Red ultrasound refill fluid
•Blue ultrasound refill fluid
• Clear ultrasound refill fluid
The following additional items are required for training but not included with shipment:
•Ultrasound system with with cardiac transducer and/or TEE/TOE probe
• U
ltrasoundgel
•Pericardiocentesis equipment per local protocol
CAE Blue Phantom training models are compatible with any diagnostic ultrasound system. General
frequency ranges for diagnostic ultrasound imaging are 2-20MHz.
Optional accessories or consumables for your model are available to purchase on the CAE website:
•BRS180-RED Red ultrasound refill fluid
•BRS181-BLUE Blue ultrasound refill fluid
•BRS182-CLEAR Clear ultrasound refill fluid
• BPFC1704 Hard storage case

Introduction
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Using the Training Model
Using the Training Model
This section has information and instructions about the setup and use of the training model and any specific
training procedures.
Setup
Follow the guidelines below to unpack and set up your CAE Blue Phantom training model.
1. Open the shipping carton:
º Use extreme caution with sharp tools, such as a box cutter, to avoid damage to the training
model or plastic shipping shell.
2. Unpack the training model:
º Open the case and remove the training model. Use proper lifting techniques to prevent
bodily injury, as this model is heavy.
º Make sure you support the head and neck of the model as you remove it from the case.
Excessive stress due to improver support can result in damage to the head or neck.
º Review the equipment, accessories, and supplies. See the Equipment section of this guide
for a list of items included with this model.
3. Set up the training model:
º Put the model in the supine position on a very stable patient bed, stretcher, or table rated
to handle an excess of 200 lbs (91 Kg).
º Do not place the training model on an unstable platform. If it falls, it can cause serious injury
to people and damage the model.
º Place the model on smooth surfaces only. Rough or uneven surfaces can leave impression
on the skin and damage the model.
º Do not mark directly on the training model as this will permanently damage it.
Fluid Setup
The training model is shipped with minimal fluid in the fluid spaces. During periods of non-use, fluid may also
evaporate from inside the model. Before first use, you must add fluid and remove any air.
In these models, three tubes connect to the heart:
•one to fill the right heart
•one to fill the left heart
•one to fill and adjust fluid levels in the pericardial space
NOTE: Within the cardiac anatomy, only the pericardial space has dynamic fluid adjustment to create
different sizes of effusions. The tubes to the left and right heart are used only to refill those spaces if fluid
evaporates over time.

Using the Training Model
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To simulate blood in the pericardial fluid, add a small amount of red fluid to the clear fluid before filling the
pericardial space.
The FAST models have three additional tubes for dynamically adjustable organ effusion spaces:
•one to fill and adjust fluid levels in the liver
•one to fill and adjust fluid levels in the spleen
•one to fill and adjust fluid levels in the bladder
To fill fluid spaces, use one of these methods:
Method A: Syringe Fill (also to remove air)
1. Stand the model upright.
2. Remove the cap of the fill tube.
3. Fill a syringe half-full and connect it to the tube.
4. Hold the tube up and tap it to move any air bubbles upwards.
5. Aspirate the air before before filling for optimal imaging.
6. Inject 10 ml of fluid.
7. Remove 5 ml of fluid along with any air.
8. Repeat steps 4 through 7 until all the air is removed.
9. Continue filling according to the table. Do not exceed the maximum fluid volumes or damage to
your model may occur.
10. Remove the syringe and replace the cap.
Method B: Quick-Fill port for high volume use
1. Connect an IV bag containing CAE Blue Phantom fluid to the fill tube.
2. Hang the IV bag no more than 12 inches (30 cm) above the training model to avoid overfilling.
NOTE: A clear sign of overfill is the appearance of small dimples of simulated blood on the
surface of the model at the sites of previous cannulations. To correct overfill, see the
Troubleshooting section.
Effusion Size Heart Liver Spleen Bladder
Small 50 ml 100 ml 50 ml 25 ml
Medium 100 ml 150 ml 100 ml 50 ml
Large 150 ml 225 ml 150 ml 75 ml
MAXIMUM FILL 500 ml 1000 ml 700 ml 300 ml

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Using the Training Model
3. As users withdraw fluid from the pericardial space, it is refilled continuously from the IV bag.
Training
This section provides information about using your model for training and practice.
Ultrasound Scanning
Note: CAE Blue Phantom products do not teach ultrasound procedures or techniques. Refer to your
institution ortraining program for more information.
Toscan with your training model and conduct a simulated ultrasound-guided procedure:
1. Place the model in the appropriate position for scanning.
2. Place ultrasound gel on the transducer or on the training model in an adequate quantity so that
the transducer slides effortlessly on the model. Add more gel as needed.
3. Adjust the ultrasound system controls per your training protocol and the manufacturer’s
instructions. Optimize the image with the ultrasound controls as needed.
Transesophageal Echocardiogram (TEE/TOE)
To do a TEE/TOE simulation, you will need a transesophageal transducer probe. To use a TEE/TOE probe
in simulation on a training model, you must lubricate both the transducer and the mouth and throat of the
training model with ultrasound gel. This additional step is necessary because unlike live patients, the training
model does not have a naturally-lubricated mouth, throat, and esophagus. Ensure the length of the
transducer is well-lubricated prior to inserting into the esophagus of the training model.
Transducer covers are often used in exams with real patients. Transducer covers are not necessary when
using a training model, but you may use them for realism if desired. If you use a transducer cover, follow
these steps:
1. First, cover the tip of the transesophageal transducer with gel.
2. Next, place the transducer cover over the transducer.
3. Then apply gel to the sheathed transducer in adequate quantities so that the probe slides easily
into the model. Add more gel as needed.
Buildup of dried ultrasound gel should not impair echocardiographic imaging and can easily be cleaned
from the model. For instructions, see the Care and Maintenance section of this user guide.
CAUTION
Adjust the fluid level (effusion size) only in the pericardial space. Do not adjust heart chamber
sizes as this will damage the unit.

Using the Training Model
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In addition, follow these guidelines when using the transesophageal transducer:
• Place a bite guard in the mouth of the model to aid in simulation training.
• Do not hyperextend the mouth on the model. Excessive extension of the jaw and mouth
structures can result in overstressing the mouth tissue. This will cause the tissue to tear.
• As you introduce the probe, you will experience the same anatomical structures as in a live
patient. You may encounter resistance to inserting the transducer at the epiglottis/esophageal
interface. Put your fingers at the base of the tongue to help direct the probe for smoother
introduction.
• If you use the transducer rotary controls per the manufacturer’s user guide to put a slight
forward flex in the probe tip to help with introduction, do not lock the rotary controls in this
position. If the flexed tip is locked, it can perforate the esophagus.
• Do not force the transducer if you encounter resistance moving it through the esophagus. If
there is resistance, end the procedure immediately.
• Do not flex the transducer excessively while the probe is in the model’s esophagus. This can
damage the esophagus.
During imaging, the cardiac structures will come into view as you first pass the great vessels, and then the
cardiac chambers. Full introduction into the stomach is possible. All standard TEE/TOE views are
obtainable.
To end the procedure, verify that all rotary controls are in a neutral and unlocked position, then slowly
withdraw the transducer.
Ultrasound-Guided Procedures
Your CAE Blue Phantom training model is a realistic platform for pericardiocentesis procedural training.
Use your normal protocol and equipment for these procedures, and follow the policies and guidelines of
your institution.
During training, users may withdraw fluid from the model. To maintain the fluid level, any fluid that is
withdrawn must be refilled.
CAUTION
You must lubricate the transesophageal transducer and the mouth and throat of the
training model with ultrasound gel, or damage to the model will occur.
CAUTION
Do not use antiseptics, such as iodine, on your training model. This can cause permanent
damage to the model.

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Using the Training Model
Refill the fluid using one of the filling methods described in the Fluid Setup section of this guide. A third way
is for users to refill fluid by simply re-injecting it:
• During use, the user immediately injects any withdrawn fluid back into the model at the injection
site.
• Take care not to inject any air into the model when using this method.
Different color fluids are used to assist you as you practice the procedure:
• Pericardial fluid is clear (or light red if red fluid was added to the clear fluid to simulate blood in
the pericardial fluid).
• Intracardiac fluid has two colors: Blue in the right heart and red in the left heart.
As you practice pericardiocentesis, you should see clear fluid when you are in the pericardium. If you see
blue or dark red fluid, you have inadvertantly entered the heart. Do not withdraw the needle. To make a
correction, follow these steps:
1. Re-inject the fluid removed from the heart (make sure you do not inject any air).
2. Withdraw the needle until you are in the pericardium.
3. Continue the simulated pericardiocentesis.
NOTE: Never inject fluid withdrawn from the heart into the pericardium, or from the pericardium into the
heart. Do not inject air into the heart or the pericardium because air will obstruct imaging. If air enters the
system, it must be removed. To do this, see the Troubleshooting section of this user guide.

Using the Training Model
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Care and Maintenance
Care and Maintenance
With proper care, your training model will remain in optimal condition and ready for use.
Storage and Transport
Follow these guidelines to properly store or transport your model:
• Storage temperature degree range: 45 to 85 °F (7 to 29 °C)
• Store the model as is, or in a CAE Blue Phantom storage case (if available for your model).
• Do not store in contact with other models or hard objects as the pressure can damage the
Simulex tissue. Do not stack multiple training models on top of each other.
• Ensure any tubes are not pinched or compressed under the model. This will damage the tubes
and void the warranty.
• When models with inserts are stored standing up for long periods of time, gravity may cause the
insert to deform slightly. Remove the insert and let it sit for a few days to regain its shape.
• Store the model with some fluid in any vessels and fluid spaces. If these become dry, it will
damage the model and and cause poor ultrasound imaging.
• If fluid was infused into the model during training, remove excess fluid after each training
session. If you store the model with too much fluid inside, it can cause damage.
• Transport the model securely so it does not fall.
• Do not carry by the tubes or use them as handles as this will damage the model.
Cleaning
To maintain the product skin for the lifespan of the product, clean the exterior of the model after each use.
Follow these steps:
1. Mix one cup of tap water with ¼ teaspoon of mild liquid soap (such as dish soap).
2. Gently clean the model’s exterior with the soap mixture and a soft, non-abrasive sponge or
cloth.
3. Rinse lightly with clean water.
4. Dab or pat with a clean, soft, lint-free cloth to dry the product after cleaning. Do not wipe or rub
the skin, which can damage it.
5. After the model has dried completely, lightly coat the external surface of the model with baby
powder and dust off any excess.

Care and Maintenance
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Cleaning the Esophagus (TEE/TOE Models)
If you encounter reduced quality of the echocardiographic image after extensive use, it may be necessary
to clean the esophagus with the liquid soap/water mixture.
To clean the esophagus:
1. Place the training model in a moderate Trendelenburg position. This positions the head and
neck lower than the torso to help with the draining of fluid during cleaning.
Moderate Trendelenburg Position
2. Apply the 1:1 water and soap mixture to a clean soft cloth.
3. Clean the mouth to remove any visible dried gel. The dried gel looks like a fine powder.
4. Fill the soap mixture into a syringe with tubing attached.
5. Put the tubing into the model’s throat and infuse the soap mixture through the tube into the
esophagus.
6. Flush the esophagus and throat with the soap mixture and allow the fluid to flow back down into
the mouth.
7. To remove the returned fluid from the mouth, aspirate it with the syringe and tubing.
8. Repeat steps 4-7. You will have flushed the esophagus and throat two times.
9. Leave the model in the Trendelenburg position and let it dry. Drying time is approximately three
(3) hours at room temperature.
Troubleshooting
This section provides information to identify and fix problems that may occur with the product.
Fluid Overfill
You can overfill fluid spaces and vessels if you inject too much fluid. Overfill does not usually result in
permanent damage, but you should correct it as soon as possible.

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Care and Maintenance
Withdraw excess fluid to alleviate overfill, or, with the Quick Fill method, make sure the IV bag is not hanging
any higher than 12 inches (30 cm) above the training model.
Removing Air
Fluid can evaporate from the model during shipment or during extended periods of non-use. Air may also
enter through accidental injection during fluid filling or training use. This may cause the Simulex tissue to
stick together in some areas, preventing fluid from circulating. Remove any air from the model for optimal
performance.
To re m ov e a i r :
1. Push 500 ml of fluid into the heart line labeled “Effusion.”
2. Massage the area on the surface of the model around the heart to help circulate the fluid.
3. With a helper, tilt the model up 6-10” (15-25 cm) with the legs higher than the head. Make sure
to support the head/neck.
4. Let the model sit for at least one hour to allow any air to rise toward the spine. You can leave it
overnight for this step, if preferred.
5. Use the included syringe to slowly pull the fluid out of the model.
6. Watch for air bubbles and let them rise to the top of the syringe.
7. Slowly push the fluid back in without pushing the air back in.
8. Repeat Steps 5 to 7 three to four times, as needed.
9. Dispense any remaining fluid back into the container and use the syringe to remove any
additional fluid. When the effusion is empty, the syringe will be under vacuum. Do not put
excessive force on the syringe or the tissue may rupture.
10. If the procedure is not successful, fill the model again with 500 ml of fluid and let it sit overnight.
Then repeat the procedure.

Care and Maintenance
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