Gaumard PREMIE Blue S108.250 User manual

S108.250
PREMIE™Blue
User Guide
User Guide 17.1.1
©2017 Gaumard Scientific
All Rights Reserved
www.gaumard.com
PREMIE™ Blue S108.250 is an interactive educational system developed
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making.

PREMIE™ Blue S108.250 | User Manual
Table of Contents | iii
Contents
End User License Agreement v
1. Introduction 1
1.1 Specifications 1
Premie™ Blue 1
1.2 Care and Maintenance 1
General 1
IV Arm 1
Operating Conditions 2
Storage Conditions 2
Procedures 2
Cleaning 2
2. Getting Started 3
2.1 Overview 3
Airway 3
Appearance 3
Artificial Respiration 3
Circulation 3
Simulator 3
Venous Access 4
2.2 Terminology 4
Facilitator 4
Provider 4
3. Equipment Setup 5
3.1 Overview 5
Unpacking 5
Power Supply 5
OMNI® 2 Connection 5
4. Premie® Blue Features 8
4.1 Airway Management 8
Pulmonary Ventilation 8
Intubation 8
Suction 9

PREMIE™ Blue S108.250 | User Manual
Table of Contents | iv
4.2 Circulation 9
Palpable Pulses 9
IV Access 9
Directions for Use 10
IV Maintenance 11
4.3 Intraosseous Access 13
Directions for Use 14
Replacing the Tibia Bones 15
4.4 Cyanosis 17
4.5 Umbilical Catheterization 17
Directions for Use 17
Heelstick 18
5. Using OMNI® 2 19
5.1 Main Screen 19
Changing a Vital Sign 19
5.2 Hypoxia 20
5.3 CPR 21
Feedback Graphics 21
Actions 22
Calibration 22
6. Virtual Monitor Setup (Optional) 25
7. Appendix 28
7.1 Selected Parts List 28
7.2 Troubleshooting 29
Communication/Power Issues 29
Miscellaneous Issues 29
8. Warranty 30
8.1 Exclusive One-Year Limited Warranty 30
8.2 Extended Warranty 30

PREMIE™ Blue S108.250 | User Manual
End User License Agreement | v
This is a legal agreement between you, the end user, and Gaumard® scientific company, inc. (“Gaumard”). This software is protected by copyright
laws and remains the sole property of Gaumard. By installing the UNI™ (the “software”) media, you agree to be bound by the terms of this agreement.
If you do not agree to the terms of this agreement, promptly return the uninstalled media and accompanying items to Gaumard at the address
indicated below.
1. Grant of License: Gaumard hereby grants to you (an individual or institution) the right to install and activate the software on one computer for use
with one interactive patient simulator system. The software may also be installed on any number of other computers at the same institution so that
students may access the learning resources. One copy of the software may be made for backup purposes. You may not network this software, or
allow multiple users unless you purchased a multi-user workstation license. Sharing this software with other individuals or allowing other individuals
to view the contents of this software is in violation of this license.
2. Copyright: The software is owned by Gaumard and protected by United States copyright laws and international treaty provisions. Therefore, you
must treat this software like any other copyrighted material. You may not make this software or copies thereof available in any manner or form or
use, copy or transfer the software, in whole or in part, except as provided herein.
3. Other Restrictions: You may not rent or lease this software to any other party. You may not alter, merge, modify, adapt, reverse engineer, decompile
or disassemble the software, or disclose the contents of this software to any other party.
4. Electronic Transmission of Software: If you received the software by electronic transmission or by internet delivery, by installation of the software,
you acknowledge that you have read and understand this license agreement and agree to be bound by its terms and conditions.
5. Term of Agreement: The term of this agreement and the license granted to you pursuant hereto shall commence upon installation of this software.
This agreement and the license granted herein may otherwise be terminated by Gaumard in the event that you are in breach of any provision of this
agreement. In the event of termination, you agree to immediately return this software, accompanying items, and any copies thereof to Gaumard.
6. Limited Warranty:
(A) The cd-rom media (the “media”) which contains this software is warranted, for a period of 30 days from the date of purchase, to be free from
defects in material and workmanship. Electronic transmission is warranted to be free from defects at the moment of transmission. Your sole and
exclusive remedy, and Gaumard’s sole liability, is to replace the defective media or to repeat the electronic transmission provided that you notify
Gaumard in writing of such defect or defective transmission and return the defective media, if any, during the 30-day warranty period.
(B) Except and to the extent expressly provided in paragraph (a), the software and accompanying written materials are provided on an “as is” basis,
without any warranties of any kind, including, but not limited to, any implied warranties of merchantability or fitness for any particular purpose. No oral
or written information or advice given by Gaumard, its dealers, distributors, agents or employees shall create a warranty or in any way increase the
scope of this warranty, and you may not rely on any such information or advice. Gaumard does not warrant, guarantee, or make any representations
regarding the use or the results of use, of the software or written materials in terms of correctness, accuracy, reliability, currentness, or otherwise, and
the entire risk as to the results and performance of the software is assumed by you. If the software or written materials are defective, you and not
Gaumard or its dealers, distributors, agents, or employees, assume the entire cost of all necessary servicing, repair or correction other than expressly
described above.
(C) Neither Gaumard nor anyone else who has been involved in the creation, production or delivery of this product shall be liable for any direct,
indirect, consequential or incidental damages (including damages for loss of business profits, business interruption, loss of business information,
and the like) arising out of the use or inability to use such product or related to this agreement even if Gaumard has been advised of the possibility
of such damages. Gaumard shall not be liable to you for any indirect, special, incidental, or consequential damages or lost profits arising out of or
related to this agreement or your use of the software and/or the related documentation, even if Gaumard has been advised of the possibility of such
damages. In no event shall Gaumard’s liability here under, if any, exceed the purchase price paid by you for the software.
All rights not expressly granted in this license agreement are reserved by Gaumard.
ACKNOWLEDGMENT
By installation of this software, you acknowledge that you have read and understand the foregoing and that you agree to be bound by its terms
and conditions. You also agree that this agreement is the complete and exclusive statement of agreement between the parties and supersedes all
proposed or prior agreements, oral or written, and any other communications between the parties relating to the license described herein.
End User License Agreement

PREMIE™ Blue S108.250 | User Manual
6 | Introduction

PREMIE™ Blue S108.250 | User Manual
| 1
1. Introduction
1.1 Specifications
Premie™ Blue
· Weight: 2 lbs (0.907 kg)
· Length: 17” (43.2 cm)
1.2 Care and Maintenance
WARNING: Damage caused by misuse is not covered by your warranty.
It is critical to understand and comply with the following guidelines.
WARNING: The lubricants and other accessories provided are for use
with the accompanying patient simulator only. The lubricants and oth-
er accessories are not suitable for human use or medical treatment/
diagnosis and should never be used for such purposes.
General
· Ball point pens, ink, and markers permanently stain the skin.
· Do not wrap this or any other Gaumard product in newsprint.
· Replacement parts are available from Gaumard Scientific or from your
Distributor
IV Arm
· Only use Gaumard’s provided simulated blood. Any other simulated
blood containing sugar or any additive may cause blockage and/or
interruption of the vasculature system.
· The use of needles larger than 25 to 27 gauge will reduce the lifetime
of the lower arms’ skin and veins.
· Always purge with clean water and then drain the vein reservoirs at the
end of the simulation session. Doing so will retard the formation of
mold and prevent clogging of the system.
· We recommend flushing veins with 70:30 solution of clean water to
isopropyl alcohol (IPA) at least once per month to prolong the life of
the vasculature.
· When the arm skin and/or arm requires replacement, refer to the
“Consumables” section of this guide. For more information regarding
the replacement of consumable items please contact customer service.

PREMIE™ Blue S108.250 | User Manual
2 | Getting Started
Operating Conditions
· The simulator will only power on when connected to the AC power supply.
· Operating temperature: 50°-95° F (10°-35° C)
· Humidity: 5%-95% (non-condensing)
Storage Conditions
• Store Simulator in a cool, dry place. Extended storage above 85 degrees
Fahrenheit (29 Celsius) will cause the simulator to soften and slowly warp
• Humidity: 40%-60% (non-condensing)
• Do not stack or store heavy materials on top of the carton.
WARNING: To avoid damage to the simulator, please store and ship it
in the clear poly bag provided.
Procedures
· Do not attempt to intubate without lubricating the airway adjunct with
mineral oil lubricant. Failure to lubricate the device will make intubation very
dicult and is likely to result in damage to the simulator.
· Mouth to mouth resuscitation without a barrier device is not recommended,
as it will contaminate the airway.
· Treat the simulator with the same precautions that would be used with a real
patient.
Cleaning
· The simulator should be cleaned with a cloth dampened with diluted liquid
dish washing soap.
· Remove all traces of any lubricant.
· Do not clean with harsh abrasives.
· Do not use povidone iodine on the simulator.
· Dry thoroughly.
· The simulator is “splash-proof” but not water-proof. Do not submerge or
allow water to enter the interior of the simulator.

PREMIE™ Blue S108.250 | User Manual
Getting Started | 3
2. Getting Started
2.1 Overview
• Powerful yet intuitive user controller and interface software
• Resuscitation modeling
• Quality CPR with measured and logged feedback
Airway
• Oral and nasal intubation
• Use an ET tube or LMA
• Oral intubation plus suctioning
• Perform Sellick’s maneuver
Appearance
• Color responds to hypoxic events and interventions (healthy, mild
cyanosis, severe cyanosis)
• Articulated head, neck, jaw, arms and legs
Artificial Respiration
• Bilateral lung expansion with realistic chest rise
• Accommodates assisted ventilation
• Ventilation is measured and logged
Circulation
• Chest compressions are measured and logged
• Umbilical pulse
Simulator
• Physical size is 50th percentile at 28-30 weeks gestational age
• Realistic airway with tongue, vocal cords, trachea and esophagus
• Heart, lungs and ribs

PREMIE™ Blue S108.250 | User Manual
4 | Equipment Setup
Venous Access
• Patent umbilicus
• Intraosseous access at tibia
• IV training arm
2.2 Terminology
Facilitator
The person conducting the simulation; an instructor or lab sta member.
Provider
A person participating in the simulation as a healthcare provider.

PREMIE™ Blue S108.250 | User Manual
Equipment Setup | 5
3. Equipment Setup
3.1 Overview
Unpacking
Lift the simulator from the soft blue case carefully with two hands.
Remove the clear poly bag and lay him on a flat surface.
WARNING: To avoid damage to the simulator, please store and ship it
in the clear poly bag provided.
Power Supply
Connect the power supply to the
power input located on Premie
Blue’s left side, and then connect the
power supply to the wall outlet.
Always operate Premie Blue with
the power supply connected.
OMNI® 2 Connection
OMNI® 2 controls Premie Blue’s responses with the touch of a button. The
tablet operates Premie Blue wirelessly.
Premie Blue can be operated using a wired connection. Please refer to
the OMNI® 2 user guide to set up a wired connection.
Follow the steps below to connect to OMNI® 2:
1. Turn on OMNI® 2 by pressing and holding the ON button on the right
side of the tablet.
2. Select “Allow” to turn on
Bluetooth for the tablet.

PREMIE™ Blue S108.250 | User Manual
6 | Equipment Setup
3. A startup screen is shown
while OMNI® 2 is detecting
the simulator features.
4. Follow the on-screen tutorial
for a brief overview of the
features of OMNI® 2.
5. Move onto the next steps
in the Tutorial by selecting
“GOT IT”.
6. Exit the Tutorial at any time
by selecting “HOME”.
Please complete the tutorial
once or it will continue to ap-
pear at start-up.

PREMIE™ Blue S108.250 | User Manual
Equipment Setup | 7
After the tutorial, OMNI® 2 will
automatically proceed to the
Favorites page and establish a
connection to Premie Blue.
WARNING: Do not connect
Premie Blue or OMNI® 2 to
a computer, LAN network
or unathorized diagnostic
equipment. Doing so will
cause serious damage to the
equipment.

PREMIE™ Blue S108.250 | User Manual
8 | Premie Blue Features
4. Premie® Blue Features
4.1 Airway Management
Pulmonary Ventilation
Practice BVM techniques using
an infant sized mask. Bilateral lung
expansion is perceived with realistic
chest rise. Eective CPR with Premie
Blue and obtain feedback information
via the OMNI® 2 tablet on the cadence
and depth of chest compressions and
airway ventilations.
Practice BVM techniques using an infant sized mask having a thick seal.
Intubation
Premie Blue airway can be intubated
orally and nasally using a 2.5 mm ID
Endotracheal tube. An LMA can be
used to ventilate Premie Blue orally.
WARNING: Nasogastric intubation is only for teaching placement
technique. Fluids cannot be inserted through nasogastric tubes as
internal damage will result.
WARNING: Before inserting ET, NP, or OP tubes always lubricate the
distal end of the tube with provided lubricant. Failure to do so will
damage the airway.
Procedure Device Size
Laryngoscope Miller 0
LMA Size 1
Nasal Intubation 8 Fr catheter
Oral Intubation ETT 2.5 no cu, 6 Fr suction catheter

PREMIE™ Blue S108.250 | User Manual
Premie Blue Features | 9
Suction
Premie Blue can be used to simulate suction procedures.
4.2 Circulation
Palpable Pulses
Generate palpable umbilical pulses using the squeeze bulb.
Connect the squeeze bulb to the port on the left side of the simulator.
IV Access
Premie Blue has IV access in the
lower right arm that can be used for
bolus or intravenous infusion as well
as for draining fluids.
The lower arm contains a vein groove
which is fitted with a soft tube closely
simulating the consistency of the veins.
Applying pressure via the syringe permits the vein to stand out, simu-
lating a clenched fist or a tourniquet situation. Release of the pressure
simulates collapsed veins.
The IV training kit includes a blood dispensing syringe, synthetic blood
concentrate, and spare arm skin.

PREMIE™ Blue S108.250 | User Manual
10 | Premie Blue Features
Directions for Use
Filling IV System
Tube 1: filling
Tube 2: drainage tube
1. Place the end of the tube 2 into
a drainage container and open
the adjustable clamp.
Drainage container not included
in kit.
2. Fill the dispensing syringe with
fluid.
3. Connect the syringe to the filling
tube.
4. Allow fluid to flow through the
system and into the drainage
container.
5. Close the adjustable clamp of
drainage tube.
6. Remove the syringe from the fill-
ing tube.
For IV simulations, place the end of the tube into a drainage container
and open the adjustable clamp.
1
2
2

PREMIE™ Blue S108.250 | User Manual
Premie Blue Features | 11
WARNING: Use only Gaumard’s provided simulated blood. Any other
simulated blood brand containing sugar or any additive may cause
blockage and/or interruption of the vasculature system.
Use a 25-27 gauge needle set.
IV Maintenance
Replacing the arm skin
1. Gently pull the IV arm skin.
2. Add a small amount of lubri-
cant to the arm.
3. Slide the replacement skin
onto the arm.
Replacing IV arm
Replace the lower arm in case of damage or excessive fluid leakage.
The lower arm is connected to the upper arm at the elbow joint with a
screwdriver and its recessive socket.
1. Undo the screw at the elbow joint.

PREMIE™ Blue S108.250 | User Manual
12 | Premie Blue Features
2. Remove the screw and its
socket from the joint.
3. Gently pull out the lower arm
until the black electrical con-
nector is visible.
4. Unfasten the connector by
pressing on the clip.
5. The male electrical connector
resides in the upper arm.
6. Locate the replacement item.
7. Take the female connector of
the lower arm and attach to the
male connector of the upper
arm.
8. Push in the black electrical
connector into the upper arm
of the simulator.

PREMIE™ Blue S108.250 | User Manual
Premie Blue Features | 13
9. Attach the lower arm to the
elbow joint.
10. Insert the screw socket into
the elbow joint colser to the
median plane of the simulator.
11. Place the screw into the other
side of the elbow joint and
fasten until the connection is
secure.
4.3 Intraosseous Access
Setting up an intraosseous access
line is an invasive procedure that
can be simulated with the Premie
Blue.
The intraosseous access kit in-
cludes: modified tibia bones, a fluid
dispensing syringe, synthetic blood
concentrate, and an additional skin
cover.

PREMIE™ Blue S108.250 | User Manual
14 | Premie Blue Features
The tibia bones supplied with your simulator are made from hard plastic
that can be pierced by an intraosseous needle. Once holes have been
made in the tibia it can leak. We have minimized leakage by controlling
fluid pressure in the bone using inlet and drain valves.
Directions for Use
Tube 1: filling
Tube 2: drainage tube
1. Place the end of tube 2 into a
drainage container and open
the adjustable clamp.
2. Fill the dispensing syringe
with fluid.
3. Connect the syringe to tube 1
and release the fluid. Allow fluid
to flow through the system and
into the drainage container.
4. Once fluid is seen draining,
close the tube 1 adjustable
clamp.
Use 17-20 gauge bone aspiration
needle to perform IO exercises.
12
2
1