CAE Juno User manual

User Guide
Your worldwide
training partner
of choice

Proprietary Notice
This document, including the information contained herein, is condential and/or proprietary to CAE Inc., and shall not be
reproduced or disclosed in whole or in part, or used for any purpose whatsoever without the prior written authorization of CAE Inc.
Trademark Information
Trademarks and/or registered trademarks of CAE Inc. and/or its aliates include but are not limited to Apollo, Ares, AresAR,
Athena, BabySIM, Caesar, CathLabVR, EndoVR, HPS Human Patient Simulator, iStan, Juno, LapVR, Lucina, LucinaAR, Luna,
Maestro, Muse, NeuroVR, Orion, PediaSIM, Vimedix, VimedixAR and Vivo. All other brands and product names are trademarks or
registered trademarks of their respective owners. All logos, tradenames and trademarks referred to and used herein remain the
property of their respective owners and may not be used, changed, copied, altered, or quoted without the written consent of the
respective owner. All rights reserved.
CAE ©2023

©2023 CAE 905K600152 v1.4 i
Contents
CONTENTS
Cautions and Warnings .............................................................................................. 1
Electrical Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Product Use Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Manikin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Fluids System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Simulator Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Battery Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Battery Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Precautions for Handling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Potential Health Effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Safety Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Transport Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Specifications .............................................................................................................. 7
Size and Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Ambient Temperature Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Maximum Altitude . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Rechargable Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
System Requirements ................................................................................................ 9
Software and Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CAEMaestro Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Windows® Operating System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Approved Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Equipment Overview................................................................................................ 11
Standard Equipment and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Full Body Manikin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Articulated Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
IV Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Male and Female Genitalia, Chest Skins and Wigs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Tools and Supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Live and Complete Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
NIBP and Pulse Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Contents
ii ©2023 CAE 905K600152 v1.4
CAEJuno
Electronics Live Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
CAE Maestro Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Surface Go Tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Tablet Carrying Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
CAE SymEyes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Optional Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Articulated Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Blue Phantom Ultrasound IV-PICC Arm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Fundus Assessment Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Breast Examination Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Post-Mastectomy Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Basic Wound Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Complete Wound Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Moulage Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Geriatric Face Mask . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Meet Juno................................................................................................................... 27
Simulator Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Setup .......................................................................................................................... 31
Unpacking the Manikin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Setup Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Setup Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Setup Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Step 1: Place Juno in the Work Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Step 2: Prepare Juno for Legs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Step 3: Attach Juno’s Legs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Step 4: Attach Juno’s Arms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Step 5: Install the NIBP Arm (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Step 6: Modify a Blood Pressure Cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Step 7: Place Juno’s Wig . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Juno Features ............................................................................................................ 43
Adult Manikin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Physiological and Pharmacological Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Articulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Neurologic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Respiratory System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
Cardiovascular System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

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Contents
Gastrointestinal System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Genitourinary System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
Medication Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
Simulated Clinical Experiences. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
System Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Application Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
System Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Using Juno.................................................................................................................. 51
Neurologic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Neurologic System Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Respiratory System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Nasal Packing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52
Airway Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Intubation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Endotracheal Tube Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Chest Tube. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Cardiovascular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Cardiovascular System Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Pulses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
IV Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Subclavian Catheter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Intramuscular (IM) Subcutaneous (SQ) Injection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Intraosseous (IO) Cannulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Gastrointestinal System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Gastric Gavage and Lavage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Nasogastric Tube Placement for Gavage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Ostomy Site Care and Irrigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
Enema Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Genitourinary System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Changing the Simulator’s Genitalia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Reproductive System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78
Breast Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

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iv ©2023 CAE 905K600152 v1.4
CAEJuno
Post-Mastectomy Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79
Fundus Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79
Medication Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Administration via Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Intravenous, Intramuscular/Subcutaneous, and Intraosseous Medication. . . . . . . . . .80
Administering Suppositories or Enemas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Ear Irrigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Eye Irrigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
Auscultated Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
Heart, Lung and Bowel Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
Care and Maintenance ............................................................................................. 85
General Simulator Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Breakdown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Step 1: Clean the Manikin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
Step 2: Drain and Clean the Rectum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
Step 3:Drain and Flush the IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
Step 4: Maintaining IM Injection Site . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Step 5: Power off the Instructor Tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Step 6: Power Off the Manikin (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90
Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Short-Term Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Long-Term Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Appendix A - Recommended Clinical Supplies ...................................................... 93

©2023 CAE 905K600152 v1.4 1
Cautions and Warnings
CAUTIONS AND WARNINGS
It is important to read and understand these cautions and warnings before you use the Product.
Note: Any cautions about Electrical Safety or Battery-related information do not apply to Juno Basic.
Electrical Safety
IMPORTANT: Do not use the product in any manner other than specified, as safety features designed
for protection may be impaired.
•This product must be connected to an electrical outlet that is properly grounded. Take
precaution to ground or polarize correctly.
•Connect only to a 100-240 VAC 50/60Hz power source.
•Always use the supplied power cords. Do not substitute.
•Always use the supplied power adapter to run the simulator from AC.
•Do not allow excess fluids to flow on or into electronic parts.
• Do not attempt to disassemble the simulator or service any of the electrical components
without receiving instructions from Customer Service.
•Do not operate the manikin in rain. Apply water to the manikin only in accordance with the
supported clinical procedures explained in this guide.
Product Use Warnings
Manikin
• Make sure the manikin is set up on a stable, sturdy work surface that will not collapse and
cause injury to users.
•Operate the manikin in ambient temperatures below 104°F (40°C).
Note: This only applies when using the manikin without the tablet where CAEMaestro
software is installed. For information about temperature ranges for the tablet, see
Ambient Temperature Range in the Specifications section of this User Guide.
•Do not place foreign substances into the airway, with the exception of small amounts of
approved lubricant. Only perform invasive procedures supported by the Product as
described in the applicable sections of the User Guide.
•Do not insert any materials into the manikin except the equipment or probes supplied.
• Do not lift the manikin by its limbs. Support the head and lift it from the torso. If
necessary, have another person help you lift and move the manikin using a patient
transfer device such as a patient transfer board, when available.

Cautions and Warnings
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• Keep the manikin plugged in between training sessions due to a slow drain of the battery
that occurs.
• Under normal circumstances, unplugging the external DC power used for powering and
charging the manikin is not necessary because the charging stops when the battery is full.
A topping charge is only applied when the battery voltage drops to a certain level.
• Do not spill fluids over the manikin’s chest, abdomen, or inside the manikin’s torso. This
could damage the system and may also present a possible hazard for the operator.
Special attention should be taken while using the the various fluid features.
• Do not use the manikin or equipment in locations where children are likely to be present.
Fluids System
For manikins such as Juno that are equipped with fluid systems:
• Do not modify the reservoirs or any assembly component.
• Always protect your eyes, skin, and clothing against accidental exposure.
Battery
Manikins and tablets use lithium batteries that all have special handling requirements to avoid
hazardous situations.
For more information about battery specifications, see the Specifications section. For more
information about battery safety, see the Battery Safety Information section.
Simulator Batteries
• Always store the polymer lithium-ion battery pack indoors.
• Always keep the battery away from objects or materials with static electric charges.
• Batteries can be charged while the manikin is between 32°F (0°C) and 113°F (45°C).
• Do not store, use or charge the battery inside of an automobile as temperatures can
exceed 176°F (80°C).
Manufacturer RRC power solutions GmbH
Technologiepark 1, D-66424 Homburg-Saar, Germany
Mail: [email protected]
Emergency phone
number
[phone] (8.00 – 16.00, MEZ), or contact your national poison
information center.

©2023 CAE 905K600152 v1.4 3
Cautions and Warnings
Battery Replacement
• If the simulator battery power diminishes significantly, contact Customer Service to
replace the battery. For safety, only replace the battery with an approved make and
model.
•Before disposing of a simulator battery, apply vinyl tape to its positive (+) and negative (-)
terminals to avoid short circuits.
• Ifasimulatorbatteryneedsto be replaced, immediately remove the old battery from the
equipment to ensure no damage occurs.
•Do not dispose of the simulator battery into a fire. Dispose of or recycle batteries
responsibly.
Battery Safety Information
For information about battery specifications, see the Specifications section of this user guide.
Important: Refer to the battery manufacturer’s Safety Data Sheet (SDS) for complete safety
instructions and handling information.
Precautions for Handling
Hazards are associated with the contents of the cell or battery. Under recommended use conditions,
the electrode materials and liquid electrolyte are non-reactive, as long as the cell or battery integrity
remains, and the seals remain intact.
Potential exposure should not exist unless the cell or battery:
• leaks,
• is exposed to high temperatures,
•is mechanically, electrically or physically abused/damaged.

Cautions and Warnings
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If the cell or battery is compromised and starts to leak, based upon the battery ingredients, the
contents are classified as hazardous. In general, if liquid leaks from the battery or foul odor is
detected, DO NOT use the battery and keep it away from heat or flame.
• Avoid short circuiting the battery. Do not store with coins, screws or other similar objects.
• Do not immerse in water.
• Do not disassemble or deform the battery.
• Do not expose to, or dispose of the battery in fire.
• Avoid excessive physical shock or vibration.
• Keep out of the reach of children.
• For rechargeable batteries, the battery must be charged in an approved charger.
• Never use a modified or damaged charger.
• Store in a cool, dry, and well-ventilated area.
• Never use a battery that has been damaged or deformed.
• Do not short-circuit the positive (+) and negative (-) terminals.
• Do not place the battery in a device with the positive (+) and negative (-) terminals in the
wrong positions.
• Do not solder a battery directly.
Potential Health Effects
• Acute (short term): In the event that the cell or pack ruptures, the electrolyte solution
contained within the cell will corrode and can cause burns to skin and eyes.
• Inhalation: Inhaling materials from a sealed cell is not an expected route of exposure.
Vapors or mists from a ruptured cell can cause respiratory irritation.
• Ingestion: Swallowing materials from a sealed cell is not an expected route of exposure.
Swallowing the contents of an open cell can cause serious chemical burns to mouth,
esophagus, and gastrointestinal tract.
• Skin: Contact between the cell and skin will not cause any harm. Skin contact with the
contents of an open cell can cause severe irritation or burns to the skin.
• Eye: Contact between the cell and the eye will not cause any harm. Eye contact with the
contents of an open cell can cause severe irritation or burns to the eye.
• Interactions with other chemicals: Immersion in high conductivity liquids can corrode
or breach the cell or battery enclosure. The electrolyte solution inside of the cells can react
with alkaline (basic) materials and present a flammability hazard.

©2023 CAE 905K600152 v1.4 5
Cautions and Warnings
Safety Measures
Review the precautions for handling before replacing a battery utilizing guidance from CAE.
Should exposure to hazardous battery components occur, or in the event of a fire, follow all local first
aid measures and safety protocols.
Transport Information
CAE complies with the most current International Air Transport Association (IATA) Dangerous Goods
Regulations when transporting and shipping Li-ion batteries. The following terms are defined as
follows:
Consignment - Equivalent to the term "shipment,” meaning one or more packages of
hazardous materials accepted from one shipper at one time and at one address, receipted
in one lot, and moving to one consignee at one destination address.
Equipment - The device or apparatus for which the lithium cells or batteries will provide
electrical power for its operation.
It is the shipper’s responsibility to ensure that the consignment is packed in compliance to the latest
edition of the applicable regulations. Regulations require appropriate training for shipping dangerous
goods. Shipping regulations and requirements may vary depending upon:
• Wattage of the battery.
• Whether the battery is shipped independent of, contained within, or packed with the
equipment.
When transporting batteries CAE follows these documentation and labeling requirements:

Cautions and Warnings
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Item Description
Batteries Shipped Independent of
the Manikin, Tablet, and Laptop
Batteries contained in or packed
with the Manikin, StethoSym,
Tablet, Laptop, and HoloLens
UN No. 3480N No. 33480480 3481
UN Shipping
Name:
Lithium-ion Batteries Lithium-ion Batteries
Transport Hazard
Class:
99
Labeling:

©2023 CAE 905K600152 v1.4 7
Specifications
SPECIFICATIONS
All hardware and software needed for operating the simulator are provided with the shipment. In the
event there is a need to extend the instructor tablet to other manikins or computers, contact CAE
Healthcare for further instructions.
Size and Weight
Ambient Temperature Range
Maximum Altitude
Equipment Size Weight
Manikin/Simulator 69” H x 22” W x 15” D
(175 cm x 56 cm x 38 cm)
48.5 lbs (22 kg)
Instructor Tablets Galaxy S3
9.34” H x 6.65” W x 0.24” D
(2.4 cm x 32.5 cm x 22.7 cm)
Galaxy S3
15.1 oz (429 g)
Surface Go
9.65” x 6.9” x 0.33”
(24.5 cm x 17.5 cm x 0.83 cm)
Surface Go
1.15 lb (522g)
Item Operation Storage Relative Humidity
Manikin/Simulator 40°F to 104°F
(4°C to 40°C)
40°F to 122°F
(4°C to 50°C)
0% to 90%
non-condensing
Tablet 50°F to 95°F
(10°C to 35°C)
-13°F to 113°F
(-24°C to 45°C)
0% to 90%
non-condensing
Item Operation Storage Shipping
Tablet 10,000 ft (3,048 m) 15,000 ft (4,572 m) 35,000 ft (10,668 m)

Specifications
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Rechargable Battery
Power
Communications
Item Description
Commercial product name RRC2054
Note: Juno Basic does not contain batteries
Additional Information Battery-System: Lithium-ion
Nominal Voltage: 14.4 V
Nominal Capacity per battery: 3.40 Ah
Item Description
Power Adapter • AC Input: AC 100 – 240 VAC, 50/60 Hz
• DC Output: 19 VDC
• Consumption: Maximum 60 W (charging), 25 W (charged),
Typical 13 W
Manikin/Simulator • Internal Batteries: Rechargeable
• Run Time: 3 hours (typical)
Tablet • Input: 5 V
• Non-removable Battery: 6000 mAh battery
• Run Time: 2 to 4 hours (typical)
Patient Monitor • See the product’s user guide for power specifications.
Manikin/Simulator Power
Adapter
• AC Input: AC 100 – 240 VAC, 50/60 Hz
• DC Output: 19 VDC
• Consumption: Maximum 60 W (charging), 25 W (charged),
Typical 13 W
Item Description
Simulator Network • Wired: 10/100 Ethernet
• Wireless: IEEE 802.11 g

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System Requirements
SYSTEM R EQUIREMENTS
This section describes the minimum and optimal requirements to run the simulator.
Software and Hardware
Any computer (or tablet) used to operate the Maestro or Patient Monitor software must meet
minimum hardware and software requirements. However, optimal requirements should be met to
enhance performance. These requirements also apply to devices running Maestro Standalone.
CAEMaestro Software
The following table identifies the software version associated with the release of this user guide.
Note: There are periodic system updates for Maestro that can be downloaded from any device with
an Internet connection. The updates are available at: https://www.caehealthcare.com/support/
software-updates/
Windows®Operating System
Document Document Version Software Version
Maestro for Juno 905K600552 v2.2 CAE Maestro v2.9
Juno User Guide 905K600152 v1.4 CAE Maestro v1.3 - 2.9
Minimum Requirements
Software • Win 10 Pro
• .NET 4.8
Hardware • Surface Go 2
• Intel Pentium Gold Processor 4425Y
• 4 GB DDR3 RAM
• 32 GB Hard Drive space available
• 1920x1280 screen resolution
• USB-C
• Wireless 802.11 a/b/g/n/ac/ax

System Requirements
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Approved Devices
Note: Upon installation, the software takes up 1.2 GB of hard drive space. For standalone versions of
Maestro, the software can store approximately 30.8 GB of patient record files. If this storage capacity
is expected to be maximized, plan for additional hard drive space.
Make/Model • Samsung Galaxy Tab S3 / SM-T820 / 9.7 in.
Software • Android version 7.0
• Chrome version 60 or higher
Hardware • 2.15 GHz Quad-Core
• 4 GB LPDDR4 RAM
• 10 GB Hard Drive space available
• 2048 x 1536 screen resolution
• USB (Multipurpose) Port
• Wireless 802.11a/b/g/n/ac
Make/Model • Microsoft Surface Go
Software • Windows 10
• Chrome version 62 or higher (not required for use with Maestro v1.8 or
later)
Hardware • Intel Core 2 Duo, 2.0 GHz
• 8 GB DDR3 RAM
• 32 GB Hard Drive space available
• 1366x768 screen resolution
• USB-C Port
• Wireless 802.11b/g/n Ethernet card 100BASE-T Ethernet Adapter

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Equipment Overview
EQUIPMENT OVERVIEW
The manikin includes standard equipment based on its configuration (Base, Live or Complete).
Optional equipment is available to enhance learning scenarios. For more information, see Simulator
Configurations in this user guide.
Standard Equipment and Accessories
Juno comes with standard equipment for each of the three configurations.
Full Body Manikin
Juno offers a comprehensive, realistic solution for emergency care team training and advanced life
support training. This simulator is mobile, lightweight, easy-to-use, and anatomically accurate for
better skills proficiency and clinical assessment.
CAE Juno™ Full Body Manikin
Base Configuration Equipment
Full Body Manikin
Articulated Arm
IV Arm
Male and Female Genitalia, and Chest Skins
Male and Female Wigs
Inventory Kit

Equipment Overview
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Articulated Arm
The articulated arm comes with a removable deltoid injection pad for IM injections.
Articulated Arm
IV Arm
The IV arm comes with a removable IM deltoid injection pad.
IV Arm

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Equipment Overview
Male and Female Genitalia, Chest Skins and Wigs
All Juno configurations come with interchangeable male and female genitalia, chest skins, and wigs.
Female and Male Genitalia and Chest Skins
Male and Female Wigs

Equipment Overview
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Tools and Supplies
Additional supplies are included with the simulator.
IO Pad, Gown, and Arm Sleeves
Screwdriver, Tape, Laryngospasm Assembly, and Lubricant