Gaumard CODE BLUE III NEWBORN User manual

The Code Blue® III Newborn 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 18.5.4
©Gaumard Scientific Company, 2018
All Rights Reserved
www.gaumard.com
S300.110.250.PK
CODE BLUE® III NEWBORN
USER GUIDE

TABLE OF CONTENTS
1. INTRODUCTION 6
1.1 SPECIFICATIONS 6
1.2 CARE AND MAINTENANCE 6
1.3 TERMINOLOGY 8
2. OVERVIEW 8
2.1 FEATURES 8
2.2 OMNI® 2 FEATURES 9
2.3 OPTIONS 10
3. INITIAL SETUP 11
3.1 CARE AND CAUTIONS DURING UNBOXING 11
3.2 PACKAGE CONTENTS 11
3.3 CHARGE BATTERY 12
3.4 CONNECTING OMNI® 2 13
3.5 FILLING THE AIR RESERVOIR 15
3.6 RECOMMENDED DEVICE SIZES 16
4.WORKING WITH THE SIMULATOR 17
4.1 AIRWAY 17
4.2 BREATHING 22
4.3 CARDIAC 30
4.4 CIRCULATION 33
5. WORKING WITH OMNI® 2 49
5.1 MAIN SCREEN 49
5.2 CHANGING A VITAL SIGN 50
5.3 CPR 51
5.4 BLOOD PRESSURE 52
5.5 HYPOXIA 55
5.6 SCENARIOS 56
Table of Contents | iii
CODE BLUE® III NEWBORN | USER GUIDE

6. OPTIONS 58
6.1 UNI™ TABLET 58
6.2 VIRTUAL PATIENT MONITOR 60
7. TROUBLESHOOTING 65
7.1 COMMUNICATION WITH THE SIMULATOR CANNOT BE ESTABLISHED 65
7.2 PAIRING THE SIMULATOR WITH THE OMNI LINK 65
7.3 CONNECT OMNI® 2 TO THE SIMULATOR 67
7.4 CPR IS NOT DETECTED 68
7.5 BLOOD PRESSURE NOT DETECTED 68
8. APPENDIX 69
8.1 PARTS LIST 69
8.2 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 70
8.3 EXTENDED WARRANTY 70
8.4 CONTACT TECHNICAL SUPPORT 71
8.5 GENERAL INFORMATION 71
iv | Table of Contents
CODE BLUE® III NEWBORN | USER GUIDE

End User License Agreement | v
CODE BLUE® III NEWBORN | 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

CODE BLUE® III NEWBORN | USER GUIDE
6 | Introduction
1. INTRODUCTION
1.1 SPECIFICATIONS
Dimensions
Weight:4.875 lbs ( 2.21 kg)
Height: 21" (53.3 cm)
1.2 CARE AND MAINTENANCE
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.
WARNING: Damage caused by misuse is not covered by your warranty. It is critical to understand and
comply with the following guidelines.
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.
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 box.
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 2
months 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.

CODE BLUE® III NEWBORN | USER GUIDE
Introduction | 7
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.
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 22 to 23 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 veins require replacement, refer to the "Consumables"
section of the guide. For more information regarding the replacement of veins
and other consumable items please contact customer service.
ECG Monitoring
• 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.
• 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.
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.

CODE BLUE® III NEWBORN | USER GUIDE
8 | Overview
2. OVERVIEW
2.1 FEATURES
• Wireless communication
• Built-in rechargeable battery
• Wireless OMNI 2 simulator control interface included
• Programmable crying
• Realistic airway with tongue, visible vocal chords, trachea, and esophagus
• Supports oral and nasal intubation using an endotracheal tube and other standard medical devices
• Sensors detect depth of intubation
• Unilateral chest rise with right main stem intubation
• (CPR) Chest compression and ventilation performance sensors
• Realistic chest cavity and recoil
• Compressions generate palpable pulses
• Bilateral lung expansion and realistic chest rise during bag valve mask (BVM) ventilation
• Refillable internal air reservoir provides automatic chest rise and
pulses after resuscitation for up to 30-45 seconds
• Connect real electrodes to the conductive skin sites and monitor ECG using real medical equipment
• Palpable umbilical, brachial, and radial pulse
• Programmable heart and lung sounds
• Programmable central cyanosis simulates hypoxic events and eective interventions
• Measurable blood pressure
• Intraosseous access at right tibia
• Umbilical catheterization
• IV access for medication infusion
1.3 TERMINOLOGY
Facilitator: The person conducting the simulation ; an instructor or lab sta member.
Provider: A person participating in the simulation as a healthcare provider.

CODE BLUE® III NEWBORN | USER GUIDE
Overview | 9
2.2 OMNI® 2 FEATURES
• Operate OMNI 2 with a wireless range of up to 30 ft.
• The home screen consists of the Favorites page, Vitals page, CPR
page, Blood Pressure, Hypoxia and Scenarios page.
• Reference the OMNI 2 user guide provided for more details to navigate each page.
• The session time will run automatically once the tablet is on. Reset the
session by tapping “Reset Session Time” in the Menu.
Favorites Page
• The Favorites page consists of the most commonly used vital signs.
• Reference the OMNI 2 user guide provided to edit the vitals shown on this page.
Vitals Page
• The Vitals Page includes Cephalic, Airway, Breathing, Cardiac,and Circulation.
• Each change in vitals can be applied instantly or added to a queue.
CPR Page
• The CPR page includes feedback for compression rate and depth, and ventilation duration and PIP.
• Use the metronome on this page to coach the provider.
Blood Pressure Page
• The Blood Pressure page has a virtual manometer gauge that
shows the simulator's blood pressure in real time.
• The blood pressure is shown on the gauge in green.
Scenarios Page
• The Scenarios page includes a list of 5 preprogrammed scenarios
Palette Items
• Use a palette item to update a set of vital signs quickly.
Manage Providers
• This tab allows the facilitator the ability to add, record, and evaluate provider actions during a session.
• Add a group of providers to track actions of each individually. This feature records
the name of the provider and their action as an event entry in the log.
Log
• View event log and filter based on the event.
• Add notes during debriefing and save or print the log.

CODE BLUE® III NEWBORN | USER GUIDE
10 | Overview
2.3 OPTIONS
UNI™ Tablet PC Upgrade
• Upgrade the simulator's control interface from OMNI® 2 to the powerful UNI Simulator Control Software
Beside Virtual Patient Monitor
• Touch-Screen All-in-One PC Gaumard Vitals virtual monitor
Mobile Virtual Patient Monitor
• Tablet PC Vitals virtual patient monitor
Transport Case
• Soft carrying case for Code Blue® III Newborn patient simulator

CODE BLUE® III NEWBORN | USER GUIDE
Initial Setup | 11
3. INITIAL SETUP
3.1 CARE AND CAUTIONS DURING UNBOXING
• Lift the simulator from the box with both hands at the body and remove the clear bag it is shipped in.
• Rest the simulator on a bed or clean, flat surface for use.
• Do not pull or drag the simulator across hard surfaces as this may cause the skin to tear.
3.2 PACKAGE CONTENTS
1. Carrying Bag
2. Filling Kit
3. Charger with label
4.Newborn Leg Bone Cover (Right)
5. Newborn Lower IV Arm (Right)
6.Newborn Spare I/O Bones
7. Oil-Based Mineral Lubricant
8. Modified Blood Pressure Cu
9. Tube with Squeeze Bulb
10.Diapers
11. OMNI® 2 Tablet
12. OMNI® 2 Link
13. OMNI® 2 Protective Case

CODE BLUE® III NEWBORN | USER GUIDE
12 | Initial Setup
3.3 CHARGE BATTERY
The Code Blue III Newborn is equipped with a built - in rechargeable battery.
1. Identify the Code Blue III Newborn's charger.
2. Plug the charger into the charing port
located on the right side of the simulator.
3. Allow the simulator's battery to charge
until the LED light indicator turns green.
NOTE: It approximately takes 2 hours
to fully charge the simulator.
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 2 months even if the simulator is not being used.

CODE BLUE® III NEWBORN | USER GUIDE
Initial Setup | 13
3.4 CONNECTING OMNI® 2
1. Turn on the OMNI 2 controller by pressing
and holding the power button.
2. Connect the OMNI 2 dongle to the ethernet
port on the right side of the simulator.
3. Enable the bluetooth connection on the simulator
by pressing the power icon on the OMNI 2
dongle as circled in green pictured here.
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. If the
simulator does not automatically connect,
refer to section "7. Troubleshooting."

CODE BLUE® III NEWBORN | USER GUIDE
14 | Initial Setup
5. 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.
6.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."
7. 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.

3.5 FILLING THE AIR RESERVOIR
• Code Blue III Newborn's pulses and breathing with chest rise are driven by pressurized air held in the system's
internal reservoir. It is necessary to manually fill the internal reservoir with the provided squeeze bulb.
• After filling the air reservoir and activating features that consume air, it
may be necessary to refill the system during exercises.
NOTE: It is recommended to put the simulator in an ECG rhythm of
ventricular fibrillation prior to filling the air reservoir.
1. Click the "Vitals" tab.
2. Click "Cardiac Rhythm."
3. Select an ECG rhythm of ventricular fibrillation
and click "Apply Now" in the OMNI 2 software.
CODE BLUE® III NEWBORN | USER GUIDE
Initial Setup | 15

4.Connect the provided squeeze bulb
to the black port located on the back
of the Newborn's right shoulder.
5. Squeeze the bulb repeatedly until the air
reservoir indicator in the software shows full.
Adjust the Code Blue III Newborn
to the desired vitals.
NOTE: A full air reservoir will last
up to 30-45 seconds depending on
the vitals that are set for him.
3.6 RECOMMENDED DEVICE SIZES
Procedure Recommended Device Size
Intubation (Blade size) Miller 0
LMA Size 1
Nasal Intubation 8 Fr catheter
Oral Intubation ETT 3.0 (no cu)
Suction Umbilical 6 Fr catheter
Umbilical Catheterization 6 Fr catheter
CODE BLUE® III NEWBORN | USER GUIDE
16 | Initial Setup

4.1 AIRWAY
Intubation
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.
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.
1. To intubate, under the "Vitals" tab,
click on "Respiratory Rate" to adjust
to zero and click "Apply Now."
2. Lubricate the endotracheal tube with
mineral oil prior to intubation.
3. Intubate with the recommended blade size and
endotracheal size as suggested in section 3.6.
The recommended ETT size is 3.0, no cu.
CODE BLUE® III NEWBORN | USER GUIDE
Working with the Simulator | 17
4.WORKING WITH THE SIMULATOR

Intubation Sensor
• Once intubated, sensors detect the depth
of the intubation tube and the OMNI
2 software will display the action.
• Right main stem intubation is detected
when tubing is inserted too deep.
• Right main stem intubation results in disabling
the left lung automatically on the Newborn.
• Once tubing position is corrected, the
left lung will be enabled and the OMNI 2
software will detect the correction.
NOTE: Endotracheal tubes with a black
colored end may interfere with intubation
sensor detection. An endotracheal tube
with a clear end is recommended.
CODE BLUE® III NEWBORN | USER GUIDE
18 | Working with the Simulator

Crying
The Code Blue III Newborn can produce audible crying sounds.
1. Click the "Vitals" tab.
2. Under the "Airway" section, click "Crying."
3. Select "ON.'"
4.Click "Apply Now."
CODE BLUE® III NEWBORN | USER GUIDE
Working with the Simulator | 19

Throat Sounds
The Code Blue III Newborn has multiple throat sounds available.
1. Click the "Vitals" tab.
2. Under the "Airway" section, click "Throat Sound."
3. Select the desired throat sound option.
CODE BLUE® III NEWBORN | USER GUIDE
20 | Working with the Simulator