Gaumard S230.40 User manual

User Guide 14.9.1
© Gaumard Scientic Company, 2014
All Rights Reserved
www.Gaumard.com
Breast Palpation
Simulator For Clinical
®
Gaumard
Simulators for Health Care Education
The Breast Palpation Simulator For Clinical Teaching is an interactive
educational system developed to assist a certied instructor. It is not a
substitute for a comprehensive understanding of the subject matter and not
intended for clinical decision making
Teaching
S230.40

2 | User Guide | Breast Palpation Simulator For Clinical Teaching |

| Breast Palpation Simulator For Clinical Teaching | User Guide | 3
Care and Cautions
Overall Warnings .................................................................................................. 5
General ................................................................................................................................................ 5
Storage ................................................................................................................................................ 5
Cleaning .............................................................................................................................................. 5
Getting Started
Overview................................................................................................................ 7
Appearance of the simulator................................................................................................................ 7
Other.................................................................................................................................................... 7
Contents................................................................................................................ 7
Terminology .......................................................................................................... 7
Equipment Set Up
Breast Assembly .................................................................................................................................. 9
Positioning ........................................................................................................................................... 9
Working with the Simulator
Instructions For Use........................................................................................... 11
Breast Pathology................................................................................................ 11
Description Of Included Breasts ........................................................................................................ 11
Appendix
Replacement Parts List...................................................................................... 14

4 | User Guide | Care and Cautions |
Care and Cautions

| Care and Cautions | User Guide | 5
Overall Warnings
Damage caused by misuse may void the
manufacturer’s warranty. Failure to comply with
the following guidelines may result in injury or
damage to the equipment. Additional warnings
are found throughout the document.
GENERAL
This simulator is constructed of material that
approximates skin texture. Therefore, in handling
the model, use the same gentle techniques as
you would in working with a patient.
Do not wrap this or any other Gaumard product
in newsprint.
Indelible marks made with ballpoint pens, ink or
marker cannot be removed.
Have trainees wash their hands prior to use.
Palpate using the pads of the middle three
ngers. (Do not palpate using the ngernails as
this might tear the skin)
Do not use alcohol, acetone, Betadine® or any
other antiseptic which contains iodine in this or
any Gaumard® simulator. These products could
damage or stain the skin of the simulator.
STORAGE
Improper storage may damage the simulator.
Keep it stored in the box and/or bag provided.
Store the simulator with the breasts facing
upwards in the carrying case provided.
Store the simulator in a cool, dry place.
Extended storage should be between 32 - 85
degrees F (0-29 Celsius). Other temperatures
will cause the simulator to soften and slowly
warp.
Do not stack or store heavy materials on top
of the box and/or bag.
It is acceptable to operate the simulator at an
ambient temperature of 95 degrees Fahrenheit
(35 Celsius) for a short period of time.
CLEANING
Clean the skin of the simulator after every
training session. The skin should be cleaned
with a cloth, dampened with diluted liquid dish
washing soap.
Do not clean with harsh abrasives.
Dry thoroughly.
The simulator is “splash-proof” but not water-
proof. Do not submerge or allow water to enter
the interior of the simulator.
When thoroughly dry, apply a small amount of
talcum powder to return the surface to a skin-
like feel and appearance.

6 | User Guide | Getting Started |
Getting Started

| Getting Started | User Guide | 7
Terminology
FACILITATOR - the person conducting the
simulation; an instructor or lab staff member.
PROVIDER - a person participating in the
simulation as a healthcare provider.
Overview
The S230.40 Breast Palpation Simulator for
Clinical Teaching, is an advanced training tool
used to illustrate breast examination techniques
and identication of abnormalities.
Gaumard’s S230.40 Breast Examination
Simulator combines state-of-the-art materials to
create a realistic look, feel and texture in addition
to lifelike softness and durability. The breasts,
nipples and areola have realistic features. The
cysts and masses located in the breasts have
distinct textures useful in recognizing normal
and abnormal conditions.
As such, the simulator provides an excellent
platform on which trainees can learn how
to perform a breast examination as well as
demonstrate breast self-examination to women
who want to learn how to do it.
APPEARANCE OF THE SIMULATOR
The simulator consists of an adult upper torso
with interchangeable right and left breasts
including axillary regions. Medium skin tone is
the standard simulator color; light and dark skin
is available at no extra charge.
OTHER
• One year limited warranty
Contents
Item Quantity Description
1 3
Interchangeable left breasts
demonstrating chronic
mastitis, benign growth, and
scirrhous carcinoma
2 3
Interchangeable right
breasts demonstrating
carcinoma, the “orange
skin” effect, giant sarcoma,
and normal breast tissue.
3 1 Upper torso
4 1 Instruction Manual
51 Soft Carrying bag

8 | User Guide | Equipment Set Up |
Equipment Set Up

| Equipment Set Up | User Guide | 9
BREAST ASSEMBLY
The package comes with one torso and 3 pairs
of differing left and right breasts. The S230.40
Breast Palpation Simulator is shipped with one
pair of left and right breasts already attached to
the torso.
1. Collect the torso assembly and the breasts
you wish to use for the procedure.
2. If necessary, remove the pre-assembled
left and right breasts: gently lift up each breast
until your ngers touch the Velcro attachment,
then remove the breast by separating it from
the torso. When removing the breast from the
torso, do not apply force directly to the breast
tissue.
3. Please ensure that the torso is clean and
that nothing will obstruct the placement of the
breasts
4. Align and gently press the breast’s Velcro
strip onto the torso’s Velcro strip.
POSITIONING
The Manikin is made to function in the upright
(vertical) or prone (horizontal) position. Do not
rest the manikin on its breasts as this can result
in damage to the breasts.

10 | User Guide | Working with the Simulator |
Working with the
Simulator

| Working with the Simulator | User Guide | 11
Instructions For
Use
Left and Right Breasts
All 6 breasts can be used to identify the masses
and cysts using the spiral method or up-and-
down (grid) method. With either method, be sure
to include the tail of the breast which extends up
into the axilla.
Spiral Method of Palpation
Up-and-Down Method of Palpation
Breast Pathology
The S230.40 Breast Palpation Simulator’s
six interchangeable breasts include a variety
of different pathologies for training of breast
examination. An assortment of malignant
and benign tumors is included within both the
mammary and axilla regions.
DESCRIPTION OF INCLUDED BREASTS
1. Right Breast #1: Normal
2. Left Breast #1: This breast represents (in a
slightly exaggerated form) various stages of
brocystic disease (chronic mastitis) which
is due to an endocrine imbalance and may
be found in many normal women. There are
six discreet brocystic nodes on the lower
outer quadrant and a somewhat larger node
on the upper inner quadrant. Two additional
malignant tumors can also be palpated in the
upper, outer quadrant; one resulting from an
enlarged lymph node.
Normal Right Breast and Left Breast with
Chronic Mastitis.
Left Breast Number Diameter (mm)
Malignant
Tumor L1, L2 20mm
Fibrocystic
Mass L3, L8 16mm
Fibrocystic
Mass L4 9mm
Fibrocystic
Mass L5, L7 10mm
Fibrocystic
Mass L6 6mm

12 | User Guide | Working with the Simulator |
5. Right Breast #3: This breast shows a
retracted nipple with “orangeskin” effect,
and on careful palpation, a mass can be felt
immediately under the nipple. The breast
represents a carcinoma in one of the milk
ducts.
6. Left Breast #3: This form of breast cancer
(scirrhus carcinoma) is one of the more
commonly encountered malignant tumors
of the breast. When palpating, note the
inltrating nature of the growth. It has no well-
dened borders and cannot be moved within
the breast.
Right breast showing a retracted nipple with
“Orangeskin” effect, and Left Breast with
Scirrhus Carcinoma.
Right Breast Number Diameter (mm)
Benign Tumor R1 20mm
Left Breast Number Diameter (mm)
Malignant
Inltrating
Tumor
L1
30mm
3. Right Breast #2: This breast shows a
comparatively rare but palpable tumor: a
giant sarcoma (or giant mammary myxoma)
of which the wildly growing masses can
be easily felt. The Giant Sarcoma can be
palpated in the lower outer quadrant, and the
sarcomas, including a columnar mass, are
scattered within the upper quadrants.
4. Left Breast #2: This breast shows one of
the most common types of benign growths
(broadenomas) for women under the age of
30. Three broadenomas varying in size from
10-16mm and an additional 20mm benign
tumor are scattered around the breast.
Right Breast with Giant Sarcoma and wildly
growing masses and Left Breast with benign
growths.
Right Breast Number Diameter (mm)
Giant Sarcoma R1 25mm
Sarcoma R2, R3 10mm
Sarcoma R4, R9 20mm
Sarcoma R5, R6 12mm
Sarcoma R7, R10 15mm
Sarcoma,
Columnar R8 15mm
Left Breast Number Diameter (mm)
Smaller
Fibroadenoma L1 11mm
Benign Growth L2 25mm
Larger
Fibroadenoma L3, L4 15mm

| Appendix | User Guide | 13
Appendix

14 | User Guide | Appendix |
REPLACEMENT PART LIST
Item Number Name Description
S230.40.853R.1 Right Breast #1 Normal Breast with carrying bag
S230.40.853R.2 Right Breast #2 Giant Sarcoma with wildly growing masses with
carrying bag
S230.40.853R.3 Right Breast #3 Retracted nipple with "orange skin" effect with
carrying bag
S230.40.853L.1 Left Breast #1 Chronic Mastitis with carrying bag
S230.40.853L.2 Left Breast #2 Benign Growth with carrying bag
S230.40.853L.3 Left Breast #3 Scirrhus Carcinoma with carrying bag
S230.40.870 Adult Upper Torso Adult Upper Torso with carrying bag

| Appendix | User Guide | 15
Warranty
EXCLUSIVE ONE-YEAR LIMITED WARRANTY
Gaumard warrants that if the accompanying Gaumard product proves to be defective in material or
workmanship within one year from the date on which the product is shipped from Gaumard to the
customer, Gaumard will, at Gaumard’s option, repair or replace the Gaumard product.
This limited warranty covers all defects in material and workmanship in the Gaumard product, except:
Damage resulting from accident, misuse, abuse, neglect, or unintended use of the Gaumard product;
Damage resulting from failure to properly maintain the Gaumard product in accordance with Gaumard
product instructions, including failure to property clean the Gaumard product; and
Damage resulting from a repair or attempted repair of the Gaumard product by anyone other than
Gaumard or a Gaumard representative.
This one-year limited warranty is the sole and exclusive warranty provided by Gaumard for
the accompanying Gaumard product, and Gaumard hereby explicitly disclaims the implied
warranties of merchantability, satisfactory quality, and tness for a particular purpose. Except
for the limited obligations specically set forth in this one-year limited warranty, Gaumard will not
be liable for any direct, indirect, special, incidental, or consequential damages, whether based on
contract, tort, or any other legal theory regardless of whether Gaumard has been advised of the
possibilities of such damages. Some jurisdictions do not allow disclaimers of implied warranties or the
exclusion or limitation of consequential damages, so the above disclaimers and exclusions may not
apply and the rst purchaser may have other legal rights.
This limited warranty applies only to the rst purchaser of the product and is not transferable.
Any subsequent purchasers or users of the product acquire the product “as is” and this limited warranty
does not apply.
This limited warranty applies only to the products manufactured and produced by Gaumard.
This limited warranty does not apply to any products provided along with the Gaumard product that
are manufactured by third parties. For example, third-party products such as computers (desktop,
laptop, tablet, or handheld) and monitors (standard or touch-screen) are not covered by this limited
warranty. Gaumard does not provide any warranty, express or implied, with respect to any third-party
products. Defects in third-party products are covered exclusively by the warranty, if any, provided by
the third-party.
Any waiver or amendment of this warranty must be in writing and signed by an ofcer of Gaumard.
In the event of a perceived defect in material or workmanship of the Gaumard product, the rst
purchaser must:
Contact Gaumard and request authorization to return the Gaumard product. Do NOT return the
Gaumard product to Gaumard without prior authorization.
Upon receiving authorization from Gaumard, send the Gaumard product along with copies of (1) the
original bill of sale or receipt and (2) this limited warranty document to Gaumard at 14700 SW 136
Street, Miami, FL, 33196-5691 USA.
If the necessary repairs to the Gaumard product are covered by this limited warranty, then the rst
purchaser will pay only the incidental expenses associated with the repair, including any shipping,
handling, and related costs for sending the product to Gaumard and for sending the product back
to the rst purchaser. However, if the repairs are not covered by this limited warranty, then the rst
purchaser will be liable for all repair costs in addition to costs of shipping and handling.
Extended Warranty In addition to the standard one year of coverage, the following support plans are
available: Two-Year Extension (covers second and third years)
Call for pricing (USA only)

Contact Us
E-mail Technical Support: [email protected]
Before contacting Tech Support you must:
1. Have the simulator’s Serial Number
2. Be next to the simulator if troubleshooting is needed.
E-mail Sales and Customer Service: [email protected]
Phone: Toll-free in the USA: [phone]
Worldwide: 01 [phone]
Fax: [phone]
Post: Gaumard Scientic
14700 SW 136 Street
Miami, FL 33196-5691
USA
Ofce hours: Monday-Friday, 8:30am - 4:30pm EST (GMT-5, -4 Summer Time)
General Information
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© Gaumard Scientic Company, 2014
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Patented; Other Patents Pending
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