Gaumard Clinical Chloe S222 User manual

Clinical Chole Patient 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 22.04.02
©Gaumard Scientific Company, 2022
All Rights Reserved
www.gaumard.com
S222 & S222.250 & S222.100
CLINICAL CHLOE
USER GUIDE

TABLE OF CONTENTS
1. INTRODUCTION 5
1.1 SPECIFICATIONS 5
1.2 TERMINOLOGY 5
1.3 CARE AND MAINTENANCE 5
2. FEATURES 8
3. INITIAL SETUP 10
3.1 CARE AND CAUTIONS DURING UNBOXING 10
3.2 PACKAGE CONTENTS 10
3.3 LOWER BODY ASSEMBLY 11
3.4 LEG ASSEMBLY 13
3.5 POWERING ON OMNI 14
3.6 POWERING ON OMNI 2 (S222.250) 15
4. WORKING WITH CHLOE 17
4.1 SYSTEMIC 17
4.2 AIRWAY 19
4.3 CIRCULATION 26
4.4 INTRAVENOUS (IV) ARM (S222.100) 28
4.5 REPLACING THE IV ARM SKIN (S222.100) 35
4.6 BREAST EXAMINATION 37
4.7 GASTROINTESTINAL 41
4.8 CATHETERIZATION 42
4.9 ENEMA 46
4.10 ULCERS 46
4.11 GYNECOLOGIC EXAMINATION 47
4.12 AMPUTATION STUMP 47
5. OPTIONS 49
5.1 HEART AND LUNG SOUNDS FEATURE (S222.100) 49
5.2 BLOOD PRESSURE LEFT ARM (S222.100) 52
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S222 & S222.250 & S222.100 | USER GUIDE

5.3 BLOOD PRESSURE LEFT ARM (S222.250) 57
5.4 GERIATRIC FACE SKIN 61
6. WORKING WITH THE OMNI® CONTROLLER 63
6.1 OMNI® CONTROLLER FEATURES 63
6.2 NAVIGATION SUBMENU 64
7. WORKING WITH THE OMNI®2 TABLET 67
7.1 OMNI®2 TABLET FEATURES 67
7.2 BATTERY USAGE 69
7.3 TURNING OFF THE SIMULATOR 70
8. ROUTINE MAINTENANCE 71
8.1 FLUSHING THE FLUID RESERVOIRS 71
9. TROUBLESHOOTING 75
9.1 OMNI® IS NOT TURNING ON 75
9.2 CONNECTIVITY TO THE SIMULATOR CANNOT BE ESTABLISHED
OR IS LOST 75
9.3 OMNI® OR OMNI®2 IS NOT DETECTING ANY COMPRESSIONS OR
VENTILATIONS 76
9.4 OMNI®2 TAKES TOO LONG TO BOOT UP 76
9.5 CPR IS NOT DETECTED IN OMNI®2 76
10. APPENDIX 77
10.1 CONSUMABLE PARTS LIST 77
10.2 SUPER CHLOE AND CLINICAL CHLOE FEATURES 77
10.3 GAUMARD SALES TERMS AND CONDITIONS 79
10.4 END USER LICENSE AGREEMENT 81
10.5 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 84
10.6 CONTACT TECHNICAL SUPPORT 85
10.7 GENERAL INFORMATION 85
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Introduction | 5
1. INTRODUCTION
1.1 SPECIFICATIONS
• 40 lbs (18.1 kg)
• 5'5 in (165 cm)
1.2 TERMINOLOGY
Facilitator: The person conducting the simulation; an instructor or lab sta member
Provider A person participating in the simulation as a healthcare provider
1.3 CARE AND MAINTENANCE
The lubricant and other accessories provided are for use with the accompanying patient
simulator only. The lubricant and other accessories are not suitable for human use or
medical treatment/diagnosis and should never be used for such purposes.
CAUTION: Damage caused by misuse may void the manufacturer’s warranty. Failure to
comply with the following guidelines could result in damage to the equipment.
General
• Do not wrap this or any other Gaumard product in newsprint.
• Marks made with ballpoint pens, ink or marker cannot be removed.
• Replacement parts are available from Gaumard or from your distributor.
• Only use simulated blood provided by Gaumard. Other simulated blood containing
sugars and other additive may cause blockage of the fluid system.
Operating Conditions
• Operating the simulator outside these ranges may aect performance:
• Operating temperature: 50°- 95° F (10°- 35° C).
• Humidity: 5%-95% (non-condensing).

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6 | Introduction
Cautions
• Treat the simulator with the same precautions used with a real patient.
• 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 may contaminate the airway.
• Do not use povidone iodine on the simulator.
CAUTION: The tubing simulating veins is made of latex which may cause allergic
reactions. Users allergic or sensitive to latex should avoid direct contact with
the tubing. Seek medical attention if an allergic reaction occurs.
Storage
• Store the simulator in a cool, dry place. Extended storage should be between 32 - 85° F (0 -
29° C). Storage above 85° F (29°C) 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 box.
• Please store and ship in the bag and box 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.
• When simulating drug administration via endotracheal tube, providers must use an empty
syringe. Passing liquids into the trachea or esophagus may cause internal damage.
• 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
• Remove all traces of lubricant at the end of each simulation session.
• Remove the fluid using the fill kit provided.
• Drain all the fluid from the dispensing bag and IV Arm by unclamping the drainage
tube and pumping the squeeze bulb attached to the dispensing bag.
• Flush the fluid reservoirs and venous system with a 30:70 mix of isopropyl alcohol to water after each
day of simulation then suction all fluid out. You may also fill the dispensing bag with this mixture.
• The simulator is “splash-proof” but not water proof. Do not submerge in water.
• The simulator should be cleaned with a cloth dampened with diluted
liquid dishwashing soap. Do not clean with harsh abrasives.
• Dry thoroughly after every cleaning.

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Introduction | 7
Stoma Care
• Do not clean with alcohol or aggressive solvents.
• Clean the stomas using a mild solution of soap and water.
• Apply baby powder to return the surface to a skin-like feel and appearance. Reapply as needed.
• Always remove the stomas when preparing for transport.
• Do not pack any sharp objects with the stomas.
• Do not press the stomas against soiled surfaces, ink, or newsprint. The stoma material is absorbent.
IV Arm
• Only use Gaumard’s simulated blood provided in the standard package. Any other simulated blood
containing sugar or any additive may cause blockage and/or interruption of the veins in the IV arm.
• The use of needles larger than 22 to 23 gauge will reduce the lifetime of the arm skin and veins.
• Always purge with clean water, then drain the vein reservoirs at the end of each simulation
session. Doing so will retard the formation of mold and prevent clogging of the system.
• The skin of the training arm can be cleaned with a mild detergent, or soap and water. After drying the
arm, lightly dust it with talcum powder. This will keep the training arm supple and easy to use.
• We recommend flushing veins with a 70:30 mix of clean water to isopropyl
alcohol (IPA) after each use to prolong the life of the vasculature.
• For more information regarding the replacement of veins and other consumable items
please contact technical support. Contact information is provided in section 8.3.
WARNING: Vein tubing contains latex which may cause allergic reactions. Users allergic or sensitive to latex
should avoid contact. Stop using the product and seek medical attention if an allergic reaction occurs.

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8 | Features
2. FEATURES
General
• Medium skin tone is the standard simulator color; light or dark is available at no extra cost
• Realistic hair for haircare exercises and surgical draping
• Realistic eyes for ophthalmic exercises
• Eyes open in an upright position and close in a supine position (One pupil is dilated)
• Removable upper and lower dentures for oral hygiene
• Simulated ear canal for irrigation exercises
• Interchangeable male and female breast inserts
• Strong, realistic joints that facilitate lifelike movements. The simulator
has articulated head, jaw, knees, and ankles.
Airway
• Anatomically accurate airway
• Realistic tongue, epiglottis, vocal chords and esophagus.
• Trachea, bronchi, and lungs enable assessment of airway management skills
• Oral and nasal intubation
• Nasogastric and oral gastric feeding
• Tracheostomy placement and care
• Use an ET tube, LMA, or BVM
CPR
• Practice CPR
• Practice BVM exercises with realistic chest rise
• Ventialtions and chest compressions are logged with the included OMNI Code Blue Pack
Circulation
• Bilateral manual carotid and right radial palpable pulses
• Subcutaneous injection sites located on the deltoids, quadriceps, and upper buttocks.
• Interchangeable male and female organs (included)
• Realistic urethral passage and bladder for catheterization exercises
Other
• Transverse colostomy, ileostomy, and suprapubic stomas to practice irrigation
• Opening for gastronomy
• Enema administration capability
• Vaginal douching and pap smear exercises with realistic vagina and cervix

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Features | 9
S222.100 Feature Specific
• Site specific Heart and Lung Sounds with Virtual Stethoscope
• Left Blood Pressure Arm with programmable, palpable radial pulse
• Right Intravenous Access Arm
• Breast palpation capability with 7 abnormal breasts
• Ulcerated foot
GYN TRAINING
• Bi-manual pelvic examination
• Palpation of normal and pregnant uteri
• Vagninal examination including insertion of speculum
• Visual recognition of normal and abnormal cervices
• Uterine sounding
S222 Options
• Ulcerated foot
• Left Blood Pressure Arm with programmable, palpable radial pulse
• Right Intravenous Access Arm
• Site Specific Heart and Lung Sounds with Virtual Stethoscope
S222 & S222.100 Options
• OMNI 2 Link
• Beside Virtual Monitor
• Geriatric Face Skin Accessory

3.2 PACKAGE CONTENTS
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10 | Initial Setup
3. INITIAL SETUP
3.1 CARE AND CAUTIONS DURING UNBOXING
• The simulator is shipped partially assembled. Avoid lifting the simulator
by the arms as this may cause damage to the joints.
• Remove the simulator from the box with at least two people. Hold and lift
it out of the protective case from both sides of the torso.
• Rest the simulator on a bed or clean, flat surface capable of supporting the weight of a real adult patient.
NOTE: Remove the legs when transporting the simulator inside the protective case.
1. Upper Body Assembly
2. Lower Body Assembly
3. Right and Left Leg Assembly
4. Neck Brace
5. Decubitus Ulcer
6. Ulcerated Left Foot (S222.100)
7. Heart and Lung Sounds Kit (S222.100)
8. Rubber stoppers
9. Urethra adapter
10. Stomas
11. Detachable Male Genitalia
12. Trachea Tape Roll
13. Pulse Squeeze Bulb Kit
14. Gynecologic Package (S222.100)
15. Modified BP Cu (S222.100)
16. Power Supply
17. AC Adapter for Speakers (S222.100)
18. Breast Palpation Kit (S222.100)
19. Mineral Oil
20.OMNI Code Blue Pack

3.3 LOWER BODY ASSEMBLY
1. Unscrew one knob at the end of the
rod that passes through the midsection
by twisting it counterclockwise.
2. Pull the rod out and set it aside.
3. .Connect the hose from the upper
torso to the lower torso
4.Carefully place the lower torso into the
upper torso and align the holes on each
side of the waist to insert the waist rod.
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Initial Setup | 11

5. Replace the waist knob and twist it
clockwise to lock it in place.
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12 | Initial Setup

3.4 LEG ASSEMBLY
1. To attach the legs, remove the wing nuts,
washers, and springs from the bolts on the hips.
2. Remove the IM pad from each leg and
slide the leg into the hip joint by inserting
the bolt through the orifice in the leg.
3. Assemble the fasteners onto the hip bolt in this
order: washer, spring, washer, and wing nut.
4.Reach through the IM site and tighten the wing
nut until the spring is compressed slightly.
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Initial Setup | 13

5. Place the IM pad back on the leg.
3.5 POWERING ON OMNI
1. Connect the power supply to the power jack
2. Connect the blue communication
cable to Chloe's left side.
NOTE: Always operate Clinical Chloe
with the power supply connected
3. Connect the other end of the blue communication
cable to the OMNI Code Blue Pack
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14 | Initial Setup

4.The OMNI will proceed to the main
screen after the startup screen.
WARNING: Do not connect the simulator or OMNI to a computer, LAN network
or unauthorized diagnostic equipment using the communication cable (Ethernet
cable). Doing so will cause serious damage to the equipment.
3.6 POWERING ON OMNI 2 (S222.250)
OMNI® 2 controls Chloe’s responses with the touch of
a button. The tablet operates Chloe wirelessly.
Chloe can be operated using a wired
connection. Please refer to the OMNI 2 user
guide to set up a wired connection.
2. Turn on OMNI® 2 by pressing and holding the ON
button on the right side of the tablet.
3. Select “Allow” to turn on Bluetooth for the tablet.
1. Connect the power supply to the power jack
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Initial Setup | 15

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”
NOTE: Please complete the tutorial once or
it will continue to appear at start-up
After the tutorial, OMNI® 2 will automatically proceed
to the Favorites page and establish a connection to
Clinical Chloe.
WARNING: Do not connect Clinical Chloe
or OMNI 2 to a computer, LAN network or
unauthorized diagnostic equipment. Doing so
will cause serious damage to the equipment.
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16 | Initial Setup

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Working with Chloe | 17
4. WORKING WITH CHLOE
4.1 SYSTEMIC
Hygiene
The simulator has a wig that allows for combing,
shampooing and head draping exercises.
Denture Care
• The simulator is supplied with
average size teeth and tongue.
• The upper and lower dentures are removable
and the tongue can be moved side by side.
1. To remove the teeth, insert one finger into the
upper or lower jaw and pull it out gently.
2. To attach the teeth, gently press the denture
into the mouth Velcro side down.
CAUTION: Care must be taken to not damage
the teeth while placing an endotracheal
tube using a conventional laryngoscope. Use
the same caution as with a real patient.

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18 | Working with Chloe
Ear, Nose, and Throat
• Left ear: the interior of the ear contains
a simulated ear canal that allows
for ear irrigation exercises.
• Nasal/oral openings are both connected
to the stomach reservoir.
• The nostrils can be pinched for CPR simulations.
• A gastric reservoir (capacity: 750 ml) is provided,
with an opening connected to the throat.
CAUTION: Always use the mineral oil
lubricant prior to the introduction of an
endotracheal tube or any other device.
Bandaging
The toes of the simulator are separated to permit
bandaging exercises. The surface of the simulator is
smooth and resistant to water, oil, and liniments.

Procedure Recommended Device Size
Intubation (Blade size) Miller4 or MAC 3.5
LMA Size 4
Nasal Intubation 12-16 Fr catheter
Oral Intubation ETT 7.0 (cued) or 7.5 (no cu)
WARNING: Always lubricate tubing prior to
performing any nasal or oral intubation
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Working with Chloe | 19
Range of Simulated Movement
The joints are strong and their movements are lifelike
and realistic. The simulator bends at the neck, waist,
knees and ankles and the jaw articulates.
The simulators’s airway can be intubated through
the left nasal opening, the trachea, and the
mouth using LMA or endotracheal tubes.
4.2 AIRWAY
Nasal and Oral Intubation
S222 has articulating elbows and wrists.

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20 | Working with Chloe
Tracheostomy Care
The simulator is supplied with a
tracheostomy opening.
Pierce the replaceable trachea and insert a
tracheostomy tube. Reseal the trachea with
the tape provided after each exercise.
Surgical Trachea Repair
1. Gently lift the chest skin of the simulator to reveal
the chest cavity.
2. Locate the trachea. and remove the tape
enclosing the trachea.