Gaumard ADVANCED ZACK S230.200 User manual

S230.200 Advanced ZACK Simulator is an interactive educational system developed to
assist a certified instructor. It is not a substitute for a comprehensive understanding of
the subject matter and not intended for clinical decision making.
User Guide 21.09.01
©Gaumard Scientific Company, 2021
All Rights Reserved
www.gaumard.com
S230.200 ADVANCED ZACK™
MULTIPURPOSE MALE CARE TASK
TRAINER
USER GUIDE

S230.200 ADVANCED ZACK™ | USER GUIDE
ii |

TABLE OF CONTENTS
1. INTRODUCTION 4
1.1 SPECIFICATIONS 4
1.2 CARE AND MAINTENANCE 4
2. OVERVIEW 6
3. INITIAL SETUP 7
3.1 UNBOXING 7
3.2 PACKAGE CONTENTS 7
4. WORKING WITH ADVANCED ZACK 8
4.1 PROSTATES 8
4.2 SCROTUM, TESTES, & VAS DEFERENS 9
4.3 PENIS, GLANS, & URETHRA 14
4.4 CATHETERIZATION 18
4.5 COLON & RECTUM 20
5. ROUTINE MAINTENANCE 21
5.1 REPLACING THE VAS DEFERENS 21
5.2 CLEANING THE COLON & RECTUM 25
6. APPENDIX 27
6.1 TROUBLESHOOTING 27
6.2 PARTS LIST 27
6.3 GAUMARD SALES TERMS AND CONDITIONS 28
6.4 END USER LICENSE AGREEMENT 32
6.5 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 35
6.6 CONTACT TECHNICAL SUPPORT 36
6.7 GENERAL INFORMATION 36
S230.200 ADVANCED ZACK™ | USER GUIDE
Table of Contents | iii

S230.200 ADVANCED ZACK™ | USER GUIDE
4 | Introduction
1. INTRODUCTION
1.1 SPECIFICATIONS
Adult Male Torso:
• Length: 15.50"/ 39.37 cm
• Width: 17.00"/ 43.18 cm
• Height: 11.125"/ 28.26 cm
• Weight: 22.8 lbs/ 10.3 kg
1.2 CARE AND MAINTENANCE
Damage caused by misuse is not covered by your warranty. It is critical to understand and comply with the
following guideline.
The lubricants and other accessories provided are for use with the accompanying patient simulator only. The
lubricants and other 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.
Operating Conditions
• Operating temperature: 50°-95° F (10°-35° C)
• Humidity: 5%-95% (non-condensing)
WARNING: To avoid damage to the simulator, please store and ship it in the clear poly bag provided.
Storage Conditions
• Store the 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 case the simulator is stored in.
WARNING: To avoid damage to the simulator, please store and ship it in the clear poly bag provided.

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Introduction | 5
Procedures
• Do not attempt to catheterize without lubricating the catheter adjunct with mineral oil lubricant. Failure to
lubricate the device will make catheterization very dicult and is likely to result in damage to the simulator.
• Do not attempt to perform a prostate exam or colonoscopy without lubricating the device adjunct with mineral
oil lubricant. Failure to lubricate the device will make performing the prostate exam or colonoscopy very dicult
and is likely to result in damage to the simulator.
• Treat the simulator with the same precautions that would be used with a real patient.
WARNING: Only the appropriate mineral oil lubricant that is sent with the simulator.
General Cleaning
• The simulator is "splash-proof" but not water-proof. Do not submerge or allow water or other liquids to enter
the interior of the simulator.
• The simulator should be cleaned with a cloth dampened with diluted liquid dishwashing soap and clean water.
• Dry thoroughly after every cleaning.
• A secondary cleaning with a cloth dampened with 70% isopropyl alcohol can be performed if required.
• Do not clean with harsh abrasives.
• Dry thoroughly after every cleaning.
• After drying, application of talcum powder can return the simulator to its lifelike feel.

S230.200 ADVANCED ZACK™ | USER GUIDE
6 | Overview
2. OVERVIEW
The adult male torso, S230.200 Advanced ZACK, has the following features:
• Realistic lifelike feel and appearance (includes 3 skin tones - Light, Medium, Dark- to choose from)
• Colon with nine (9) dierent masses including:
»(1) Melanoma
»(2) Ulcerative Adenocarcinoma
»(1) Adenomatous Polyp
»(2) Sessile Adenocarcinoma
»(1) Advanced Polypoid Adenoma
»(1) Pedunculated Adenomatous Polyp
»(1) Pedunculated Polyp
• Rotating disc of four (4) dierent prostate inserts including:
»Enlarged benign prostate
»(2) Discreet nodules prostate
»Large Mass prostate
»Malignant Invasive Cancer prostate
• Easily detachable scrotum skin
• Four (4) testes:
»(2) Normal Testes
»(1) Cancerous Testis 1
»(1) Cancerous Testis 2
• Reel of simulated Vas Deferens tubing to allow for multiple vasectomy procedures
• Male genitalia with patent urethra and rectum
• Urinary bladder to perform catheterizations
• Removable lid for easy internal access

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Initial Setup | 7
3. INITIAL SETUP
3.1 UNBOXING
• Remove the simulator from the box carefully with the assistance of at least two persons.
• Rest the simulator on a patient bed or table capable of supporting the weight of a real patient.
3.2 PACKAGE CONTENTS
1. S230.200 Advanced ZACK Task Trainer assembly,
Including:
(1) Scrotum,
(2) Normal Testes,
(1) Rotational Prostates Assembly, and
(1) Vas Deferens Assembly
(1) Glans
2. Vas Deferens Assembly (spare)
3. Scrotum (spare)
4. Cancerous Testis 1
5. Cancerous Testis 2
6. Fill and Drain Kit
7. Talcum Powder
8. Mineral Oil
9. Squeeze Pump Assembly
10. User Guide
1
2
3
45
6
8
7
9

The S230.200 Advanced ZACK has four (4) dierent, color-coded prostates:
• Enlarged Benign prostate - (Yellow)
• (2) Discreet Nodules prostate - (Green)
• Large Mass prostate - (Red)
• Malignant Invasive Cancer prostate - (Blue)
To rotate the prostates:
1. Identify the slight bump on the pelvic
region of the simulator that identifies
where the button is to rotate the internal
disc that the prostates are mounted on.
NOTE: The prostates are mounted on to a
rotational disc that is pre-assembled inside the
simulator. On the outside of the simulator there
is a slight bump in the pelvic region to indicate
where a button is. Press this button to rotate
the prostates and perform examinations.
2. Press the button down firmly twice.
NOTE: It is necessary to press down
on the button twice to rotate to the
next prostate for examination.
Be sure to do two separate and complete
pushes to properly rotate the prostates.
(2 button presses = 1 rotation)
S230.200 ADVANCED ZACK™ | USER GUIDE
8 | Working with Advanced ZACK
4. WORKING WITH ADVANCED ZACK
4.1 PROSTATES

3. Thoroughly lubricate your gloved hand with the
mineral oil before performing a prostate exam.
NOTE: When performing a digital prostate
exam, insert the digit in an upwards
direction to palpate the prostate.
The S230.200 Advanced ZACK has a scrotum, (2) normal testes, and the Vas Deferens assembly pre-installed.
Scrotum
The scrotum covers the connected testes and connected Vas Deferens on
the simulator. An additional scrotum is provided as a spare.
To remove the scrotum:
1. Gently pull on the scrotum to
disengage it from the simulator.
NOTE: The scrotum is simply held in place
by tucking the edges into the cavity.
To reinstall the scrotum:
1. Tuck the testes and Vas Deferens
into the scrotum.
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Working with Advanced ZACK | 9
4.2 SCROTUM, TESTES, & VAS DEFERENS

2. Tuck the edge of the scrotum into the
skin of the simulator to secure it.
NOTE: The scrotum is simply held in place
by tucking the edges into the cavity.
Testes
Two (2) normal testes are pre-installed on the simulator and two (2) additional testes -
Cancerous Testis 1 & 2 - are available to change out for testicular examinations.
To access and change the testes:
1. Remove the scrotum.
Normal Testes Cancerous Testis 1 Cancerous Testis 2
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10 | Working with Advanced ZACK

2. Cut or untie the currently attached testes.
3. Pull on the Vas Deferens for additional length.
4.Insert the Vas Deferens tubing through the
smaller opening of the chosen testis.
5. Pull the Vas Deferens through the testis
and tie a knot at the end to secure it.
NOTE: Insert the Vas Deferens tubing
through the smaller end of the testis.
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Working with Advanced ZACK | 11

NOTE: Tie the knot like as if tying a
knot on a balloon. Tuck the knot into
the larger end of the testis.
6.After securing one or both testes
tuck them into the scrotum.
7. Replace the scrotum onto the simulator.
S230.200 ADVANCED ZACK™ | USER GUIDE
12 | Working with Advanced ZACK

NOTE: The Vas Deferens mechanism is internally
installed on the simulator and contains a
reel of tubing. The length of Vas Deferens
used to connect the testes is adjustable.
Vas Deferens
The Vas Deferens Assembly is simulated with a 48 inch length of tubing loaded onto a reel that is pre-
installed in the simulator. An additional Vas Deferens Assembly is provided to reload the reel as needed.
Refer to section "5.1 Replacing the Vas
Deferens" on page 21 for instructions
on how to reload the Vas Deferens reel.
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Working with Advanced ZACK | 13

S230.200 ADVANCED ZACK™ | USER GUIDE
14 | Working with Advanced ZACK
4.3 PENIS, GLANS, & URETHRA
The penis of the S230.200 Advanced ZACK is
attached to the lower body of the simulator
with a built-in urethra and removable glans.
It is not necessary to remove the glans, however, if it is damaged it may be necessary to purchase a replacement
item. Refer to section "6.2 Parts List" on page 27 for part numbers to order for additional replacements.
To remove the glans:
1. Gently use the pads of your fingers to
remove the glans from the penis, stretching
the foreskin and pulling the glans out.
Glans
Penis
NOTE: The glans is held in place by
the surrounding skin of the penis.

S230.200 ADVANCED ZACK™ | USER GUIDE
Working with Advanced ZACK | 15
To re-install the glans:
1. Insert the glans bottom first into the penis.
2. Ensure that the bottom of the
glans is firmly seated.
3. Adjust the surrounding skin.

S230.200 ADVANCED ZACK™ | USER GUIDE
16 | Working with Advanced ZACK
Urethra
The urethra on the S230.200 leads to a bladder that can be filled for catheterization procedures.
To fill the bladder:
1. Obtain the syringe from the "Fill and Drain Kit"
and screw the fill connector to the syringe.
2. Fill the syringe with clean distilled water.
3. Lift up the skin flap on the right side of the
simulator to reveal the labelled ports. One
is for "AIR" and one is for "LIQUID".
NOTE: The "AIR" port should only have
air inputted. This port fills an air reservoir
to assist with pressurizing the liquid
bladder bag next to it. How to use this
port is explained in the next section.
The "LIQUID" port should only have fluid
inserted. This will be the source of fluid
when catheterization is performed.

S230.200 ADVANCED ZACK™ | USER GUIDE
Working with Advanced ZACK | 17
4.Connect the syringe to the white
"LIQUID" bladder port.
5. Fill the bladder.
NOTE: The bladder can hold up
to 450 mL of volume.
6.Disconnect the syringe.

Procedure Recommended Device Size
Catheterization 18 Fr Urinary Catheter
S230.200 ADVANCED ZACK™ | USER GUIDE
18 | Working with Advanced ZACK
1. Fill the bladder as instructed
in the previous section.
2. Obtain the recommended device sized catheter
and lubricate with the appropriate mineral oil.
3. Insert the lubricated catheter into the urethra
to an appropriate distance and have a waste
collection container nearby to collect fluid.
NOTE: Insert catheter at a 45 degree
angle to activate the bladder valve.
4.4 CATHETERIZATION
To catheterize the Advanced ZACK:
4.To control the flow of fluid exiting the catheter,
obtain the squeeze pump assembly.
5. Connect the squeeze pump assembly
to the black "AIR" reservoir port.

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Working with Advanced ZACK | 19
6.Tighten the knob on the squeeze pump
and begin squeezing the pump to
pressurize the system. This will assist in
the flow of fluid exiting the catheter.
NOTE: Loosen the knob on the squeeze
pump to release air from the system and
lessen the pressure. This will decrease
the flow of fluid exiting the catheter.
7. Once done performing catheterization,
disconnect the squeeze pump assembly.

Procedure Recommended Device Size
Colonoscopy ≤0.5 inch diameter
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20 | Working with Advanced ZACK
4.5 COLON & RECTUM
The rectum of the S230.200 Advanced ZACK leads to a truncated colon that has nine (9) dierent masses including:
• (1) Melanoma
• (2) Ulcerative Adenocarcinoma
• (1) Adenomatous Polyp
• (2) Sessile Adenocarcinoma
• (1) Advanced Polypoid Adenoma
• (1) Pedunculated Adenomatous Polyp
• (1) Pedunculated Polyp
Procedures such as colonoscopies and biopsy/polyp removal with non-electrocautery devices can be performed.
To prepare for a colonoscopy:
1. Obtain the appropriate colonoscopy
device and lubricate generously with
the appropriate mineral oil.
NOTE: Use the recommended device sizes.
Refer to section "5.2 Cleaning the Colon &
Rectum" on page 25 for instructions on how
to access and flush the colon and rectum.