Gaumard CODE BLUE III ADULT User manual

The Code Blue III Adult 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 18.6.1
©Gaumard Scientific Company, 2018
All Rights Reserved
www.gaumard.com
S300.100.250.PK
CODE BLUE III ADULT
USER GUIDE

TABLE OF CONTENTS
1. INTRODUCTION 6
1.1 SPECIFICATIONS 6
1.2 CARE AND MAINTENANCE 6
2. OVERVIEW 9
2.1 FEATURES 9
2.2 OMNI® 2 WIRELESS CONTROL INTERFACE 10
3. INITIAL SET-UP 11
3.1 UNBOXING CARE AND CAUTIONS 11
3.2 PACKAGE CONTENTS 11
3.3 EQUIPMENT SETUP 11
3.4 BATTERY CHARGER 12
3.5 CONNECTING TO OMNI 2 14
3.6 POWERING OFF THE SIMULATOR 15
4. WORKING WITH THE SIMULATOR 16
4.1 AIRWAY 16
4.2 BREATHING 19
4.3 CARDIAC 20
4.4 CIRCULATION 26
5. WORKING WITH OMNI® 2 37
5.1 MAIN SCREEN 37
5.2 CHANGING A VITAL SIGN 38
5.3 CPR 39
5.4 BLOOD PRESSURE 40
5.5 SPEECH 42
5.6 SCENARIOS 43
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S300.100.250® | USER GUIDE

6. OPTIONS 45
6.1 UNI TABLET 45
6.2 VIRTUAL PATIENT MONITOR 46
6.3 MODIFIED DEFIBRILLATION SNAP 49
7. APPENDIX 51
7.1 MAINTENANCE 51
7.2 TROUBLESHOOTING 52
7.3 OMNI LINK SETUP NOTIFICATION APPEARS 53
7.4 PARTS LIST 54
8. WARRANTY 55
8.1 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 55
8.2 EXTENDED WARRANTY 55
9. CONTACT GAUMARD 56
9.1 CONTACT TECHNICAL SUPPORT 56
9.2 GENERAL INFORMATION 56
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S300.100.250® | USER GUIDE

End User License Agreement | v
S300.100.250® | USER GUIDE
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 OMNI® 2 (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

S300.100.250® | USER GUIDE
6 | Introduction
1. INTRODUCTION
1.1 SPECIFICATIONS
Dimensions
Weight: 56 lbs with legs (25.4 kg)
Height: 70 in (177.8 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 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.
· Marks made with ballpoint pens, ink or marker cannot be removed.
· Replacement parts are available from Gaumard Scientific or from your Distributor
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 should be between 32-85 degrees Fahrenheit (0-29
Celsius). Other temperatures 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.

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Introduction | 7
CAUTION: Do not store the simulator with a discharged battery. It is good practice to
recharge the battery at the end of every simulation session. In addition, make sure the
battery is recharged at least once every month even if the simulator is not being used.
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.
IV Arm
WARNING: Vein tubing contains latex which may cause allergic
reactions. Users allergic or sensitive to latex should avoid contact.
Discontinue use of this product and seek medical attention if an
allergic reaction occurs.
· 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 or 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.
· 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.

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8 | Introduction
Electrical Therapy
WARNING: Defibrillation is only allowed on the large sternum and
apex sites. NEVER deliver a shock to ECG electrode targets on the
shoulders or waist. Doing so will not create a fire hazard, nor is there a
risk of shock to the provider, but internal damage in the simulator may
result. This situation is considered improper use and is NOT covered
by the simulator warranty. The system will require repair.
· Always treat the simulator as a real patient.
ECG and Electrical Therapy Cheklist and Warnings
· Only deliver electrical therapy when the simulator is fully assembled, dry, and undamaged.
· Make sure the defibrillation patches on the simulator are in good condition, including removing any and all gel
residue on the defibrillation patches from previous use(s).
· It is good practice to remove gel residues after every use. Failure to do so will leave behind a film of electrode
gel that hardens causing arcing and pitting.
· Do not re-use the gel-adhesive pads. Do not leave them on for next day use.
· Use hard paddles or wet-gel pads preferably.
· Avoid using solid-gel pads since they present higher risk of burning the simulator's skin.
· Gel pads have a shelf life. Make sure they are not expired to avoid arcing.
· Make sure the simulator is not in contact with any electrically conductive surfaces.
· Use the simulator only in a well-ventilated area, free of all flammable gases.
· NEVER attempt to service or modify any of the electrical connections, especially those between conductive
skin sites and the internal electronics.
· Discontinue use if any wires are found exposed with damaged insulation.
· Real medical products, especially electrodes, sometimes use powerful adhesives that can be dicult to remove.
A gentle, degreasing cleanser may be needed.
· Electrode gel on the skin between any two electrode targets can become a pathway for electrical current, just
as in real life. If this occurs, Adult’s skin can be burned.
· Do not allow defibrillation pads to overlap ECG sites. Doing so may damage the simulator and cause arcing.
· Should dark traces appear on the conductive patches due to gel residue or previous arcing, use a pencil eraser
to remove the traces and then clean with alcohol.
· DO NOT SCRATCH the conductive patches with abrasive objects; doing so will cause irreversible damage to the
conductive sites and subsequently cause arcing.

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Overview | 9
2. OVERVIEW
2.1 FEATURES
Airway
· Airway sounds and vocal responses
· Supports bag mask ventilation
· Visible vocal cords
· Head tilt-chin lift and jaw thrust
· Oral/Nasal intubation (ET)
· Intubation depth detection
· Preprogrammed speech responses
· Bilateral lung expansion with bag-valve ventilation
· Unilateral chest rise with right main-stem intubation
· Oral suctioning
· Gastric distension with excessive BVM
Breathing
· Bilateral lung sounds
· Programmable chest rise and fall
· Built-in air compressor for continuous breathing
Circulation
· Intraosseous access at right tibia
· IV traning arm
· Oximeter sensor placement detection
· Multiple palpable pulses
· Blood pressure auscultation
· Korotko sounds
· Visible cyanosis
Cardiac
· CPR chest compression and ventilation performance sensors
· Chest compressions generate palpable pulses
· Defibrillate and pace using real medical devices
· Heart and lung sounds
· 4 lead ECG using real medical equipment

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10 | Overview
Options
· Bedside virtual monitor
· Mobile virtual monitor
· Snap compatible defib cables
· UNI tablet
2.2 OMNI® 2 WIRELESS CONTROL INTERFACE
• Intuitive touchscreen interface with built-in wireless connectivity
• Make physiological changes on the fly or trend them over time
• Event Log records participant actions, vital signs changes, and input notes to support debriefing
• Monitor CPR quality metrics in real time
• Time to CPR
• Compression Depth/Rate
• Chest Recoil
• Compression Interruptions
• Ventilation Rate
• Excessive Ventilation
• Interactive checklist lets you easily track provider actions during the exercise
• Export CPR performance reports for debriefing

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Initial Set-Up | 11
3. INITIAL SET-UP
3.1 UNBOXING CARE AND CAUTIONS
Code Blue III Adult is shipped partially assembled. Remove
the simulator from the box with at least two people. Avoid
lifting the simulator by the arms or legs as this may cause
damage to the joints. Rest the simulator on a flat surface
capable of supporting the weight of a real adult patient.
WARNING: To avoid damage to the simulator, please store and ship it
in the clear poly bag provided.
3.2 PACKAGE CONTENTS
· Lower left leg
· Lower right I/O leg
· Modified BP cu
· Replacement bones for I/O leg
· Filling kit
· Replacement vein kit
· Allen-key set
· Charger
· Mineral oil lubricant
· OMNI Link
· OMNI 2 tablet
3.3 EQUIPMENT SETUP
Leg Assembly
Follow the steps below to install the lower legs.
1. Remove the bolts from the knee joints using
the hexagonal wrench included

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12 | Initial Setup
2. Align the lower leg with the upper leg
3. Insert the bolt and tighten the hardware
with the hexagonal wrench
3.4 BATTERY CHARGER
The simulator is shipped with the internal battery
disconnected. Connect the battery lead as part of the
first install process.
1. Remove the left leg IM injection site
2. Connect the battery leads and
replace the IM injection site

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Initial Setup | 13
The Code Blue III Adult is equipped with a
built- in rechargeable battery. The simulator
has a battery life of up to 2.5 hours.
To charge the battery:
1. Plug the charger into a wall outlet and into the simulator
2. Allow to charge until the light turns green
3. Disconnect charger when charged
CAUTION: Do not store the simulator with a discharged battery. It is good practice to
recharge the battery at the end of every simulation session. In addition, make sure the
battery is recharged at least once every month even if the simulator is not being used.

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14 | Initial Setup
3.5 CONNECTING TO OMNI 2
1. Turn on the OMNI 2 controller by pressing
and holding the power button.
2. Connect the OMNI 2 Link to the wired connection
port on the right side of the simulator.
3. Enable the bluetooth connection on the simulator
by pressing the ON button on the OMNI 2 Link.
4.Select "Allow" for turning on the
tablet's Bluetooth. The simulator will
connect automatically to the tablet.
NOTE:A startup screen is shown while OMNI
2 is detecting the simulator's features.

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Initial Setup | 15
1. Follow the tutorial for a brief overview of
the features of OMNI 2. Tap " GOT IT" to
move on to the next step of the tutorial.
2. Exit the tutorial at any time by selecting "HOME".
NOTE: Completing the tutorial one time will
avoid it from appearing at start-up in the
future. To view the tutorial again, tap on the
Menu icon and select "Show Tutorial".
3. After the tutorial, OMNI 2 will proceed
automatically to the "Favorites" page and
establish a connection to the simulator.
WARNING: Do not connect the simulator or OMNI 2 to a computer, LAN network, or unauthorized
diagnostic equipment. Doing so will cause serious damage to the equipment.
3.6 POWERING OFF THE SIMULATOR
To turn o the simulator, turn o the OMNI 2
tablet by pressing and holding the power button,
then select "Power O" in the pop-up window..

S300.100.250® | USER GUIDE
16 | Working with the Simulator
4. WORKING WITH THE SIMULATOR
4.1 AIRWAY
Nasal and Oral Intubation
Procedure Recommended Device Size
Intubation (Blade size) Miller 4 or MAC 3.5
LMA Size 4 or 5
Nasal Intubation 8 mm outer diameter max
Oral Intubation ETT 7.0 or 7.5 (no cu)
The simulator’s airway has anatomical landmarks and can be intubated orally, nasally, and
through the trachea using an endotracheal tube, nasopharyngeal tube, or LMA.
Before intubating,
1. Turn the respiratory rate to zero
2. Lubricate the adjunct with mineral oil
WARNING: Always lubricate tubing prior
to performing any nasal or oral intubation.
Failure to do so will make intubation very
dicult and will result in damage to the
airway. Do not apply silicone or mineral
oil directly into the mouth and airway.

S300.100.250® | USER GUIDE
Working with the Simulator | 17
Intubation Sensor
• Once intubated, sensors detect the
depth of the intubation tube.
• Right main stem intubation is demonstrated
when tubing is inserted too deep.
• Right main stem intubation results in
disabling the left lung automatically.
• Once tubing position is corrected,
the left lung will be enabled.
NOTE: Endotracheal tubes with a black
colored end may interfere with intubation
sensor detection. An endotracheal tube
with a clear end is recommended.
Esophageal Intubation
• Fluids can be inserted through nasogastric tubes.
• Always lubricate the device before inserting.
• Ensure that the drainage tube is
connected to the right side of the
simulator and that the clamp is open.

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18 | Working with the Simulator
Airway Sounds
• The simulator can produce audible airway
sounds synchronized with his breathing.
• Use the software controls to change the
sound type and adjust the volume.
• Auscultate using a standard stethoscope.
2. Flush the tubing by inserting a mixture of
70:30 isopropyl alcohol and water.
Draining the Stomach
1. Open the drainage clamp and let all
fluids drain into a receptacle.

S300.100.250® | USER GUIDE
Working with the Simulator | 19
4.2 BREATHING
Chest Rise
The simulator’s exhibits automatic bilateral
chest rise. Use the softwre controls to adjust the
breathing rate and the inspiratory percentage.
Lung Sounds
• Lung sounds are synchronized
with the respiratory rate.
• Use the software to control both
right and lung sounds.
• Choose from the library of lung sounds.
• Move the slider below to adjust the volume.
Ventilation
• Bilateral chest rise can be observed
with proper ventilations.
• Change respiratory rate to zero before ventilating.

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20 | Working with the Simulator
• Ventilations are measured and logged.
• Visualize the provider's performance
in real time in the CPR tab.
4.3 CARDIAC
Heart Sounds
• Heart sounds are synchronized
with the heart rate.
• Use the software to choose from
the library of heart sounds.
• Move the slider below to adjust the volume.
• Use a stethoscope to auscultate.
• Excessive BVM will result in gastric distension.
• Relieve the excess air by pressing
on the lower torso.