Gaumard S117 User manual

S117 & S117.250
Multipurpose Patient Care
and CPR Pediatric Simulator
User Guide
User Guide 18.7.1
© Gaumard Scientic Company, 2018
All Rights Reserved
www.Gaumard.com
S117 & S117.250 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.

S117 & S117.250| User Manual
Table of Contents | ii
Contents
End User License Agreement v
1. Introduction 6
1.1 Care and Maintenance 6
General 6
Operating Conditions 6
Storage Conditions 6
Procedures 7
Cleaning 7
IV Arm 7
Stoma Care 8
2. Overview 9
2.1 Features 9
Appearance 9
Airway 9
Artificial Respiration 9
Circulation 9
Systemic 9
Venous Access 9
CPR Options 10
2.2 Terminology 10
Facilitator 10
Provider 10
2.3 Packing Checklist 10
3. Equipment Setup 11
Unboxing 11
OMNI® Wired Connection Setup (Optional) 11
OMNI® 2 Wireless Connection (Optional) 12
4. Using S117 14
4.1 Airway 14
Nasal and Oral Intubation 14
Ventilation 15
Tracheostomy Care 15

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Table of Contents | iii
4.3 Circulation 17
Compression 17
Palpable Pulses 17
IV Training Arm 18
Tuberculosis Patch 21
Intraosseous Access 22
Femoral Access 24
4.4 Systemic 25
Gastrostomy Port 25
Ostomy Care 26
Urinary Catheterization 29
Enema Administration 31
Nasogastric and Orogastric Exercises 31
4.5 Hospital Care Capabilities 32
Intramuscular Injection Sites 32
Bandaging 32
Eyes/Ophthalmologic Exercises 32
4.6 Chest Decompression and Drainage (Optional) 32
4.7 Heart and Lung Sounds (Optional) 35
Assembly 35
Manikin Assembly 36
Instructions for Use 36
5. Using OMNI® 2 (S117.250) 37
5.1 Main Screen 37
Changing a Vital Sign 37
5.2 CPR 38
Feedback Graphics 39
Actions 39
Compressions Calibration 39
6. Virtual Monitor Setup (Optional) 41
7. OMNI Link Setup (Optional) 44
8. OMNI® Code Blue® (Optional) 46
8.1 eCPR 46

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Table of Contents | iv
8.2 Main Screen 46
Feedback Graphics 46
Current Settings 47
Navigation Menus 47
Navigation Menus 47
Pressure Sensor 50
Calibration 51
8.3 Circulation 52
Chest Compressions 52
9. Appendix 54
9.1 Spare Parts List 54
9.2 Troubleshooting 55
Communication/Power Issues 55
Miscellaneous Issues 55
10. Warranty 56
10.1 Exclusive One-Year Limited Warranty 56
11. Contact Gaumard 57
11.1 Contacting Technical Support 57
11.2 General Information 57

S117 & S117.250 | User Manual
End User License Agreement | v
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 (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

S117 & S117.250 | User Manual
6 | Introduction
1. Introduction
1.1 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 (if applicable).
· 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.
WARNING: To avoid damage to the simulator, please store and ship it
in the clear poly bag provided.

S117 & S117.250 | User Manual
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.
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
· 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 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 this guide. For more information regarding
the replacement of veins and other consumable items please contact
customer service.

S117 & S117.250 | User Manual
8 | Overview
Stoma Care
· Always handle the stomas with clean hands.
· Do not palpate with fingernails.
· Do not clean with alcohol or aggressive solvents.
· 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.
· Prevent items from resting or pressing against the stomas as
indentations will form on the pressure points. The stomas may return to
the normal shape after the pressure is relieved.
· Place baby powder on the stoma surface to reduce tackiness. This can
be reapplied as needed.
· 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.
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.

S117 & S117.250 | User Manual
Overview | 9
2. Overview
2.1 Features
The S117 and S117.250 is a multipurpose simulator with the following features:
Appearance
· Anatomically correct landmarks for proper hand placement
· Realistic chest cavity
· Lungs and ribs
· Lifelike face/head skin for realistic jaw thrust, head tilt / chin lift
Airway
· Oral and nasal intubation
· Use an ET tube or LMA
· Realistic airway with tongue and vocal cords
Artificial Respiration
· Visible chest rise with bag valve mask ventilation
· Ventilation measured and logged
· Tracheostomy care
Circulation
· Intramuscular injection sites on deltoids and quadriceps
· Intraosseous infusion site
· Manual palpable pulses
Systemic
· Stoma care
· Gastrostomy
· Catheterization
Venous Access
· Intravenous training arm and hand
· Femoral venous access

S117 & S117.250 | User Manual
10 | Equipment Setup
CPR Options
· OMNI 1
· OMNI 2 (S117.250)
2.2 Terminology
Facilitator
The person conducting the simulation; an instructor or lab sta member.
Provider
A person participating in the simulation as a healthcare provider.
2.3 Packing Checklist
· Pulse Line with squeeze bulb
· Male genitalia (installed)
· Spare right arm skin
· 4 Stoppers
· Port Filling Kit
· 3 Stomas (installed)
· 3 Tubing clam (installed)
· 2 Filling syringe
· 8IO tibia bone (1 installed, 7spare)
· Mineral Lubricant
· Blood Concentrate
· Roll of tape
· Power supply

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Equipment Setup | 11
3. Equipment Setup
Unboxing
The CPR pediatric simulator is shipped in a blue carrying case. Remove
the clear poly bag and lay him on a flat surface, supporting his head and
torso.
WARNING: To avoid damage to the simulator, please store and ship it
in the clear poly bag provided.
OMNI® Wired Connection Setup (Optional)
Follow the steps below to connect S117 to OMNI®:
1. Connect the power supply to the
simulator
Always operate the simulator with
the power supply connected.
2. Connect the communication cable to the wired communication port
3. Connect the other end of the
communication cable to the OMNI
control device

S117 & S117.250 | User Manual
12 | Equipment Setup
OMNI® 2 Wireless Connection (Optional)
OMNI® 2 controls S117.250’s responses with the touch of a
button. The tablet operates the simulator wirelessly.
Follow the steps below to connect to OMNI® 2:
4. Connect the power supply to the
simulator
Always operate the simulator with
the power supply connected.
5. Turn on OMNI® 2 by pressing and holding the ON
button on the right side of the tablet.
6. Select “Allow” to turn on
Bluetooth for the tablet.
7. A startup screen is shown
while OMNI® 2 is detecting
the simulator features.

S117 & S117.250 | User Manual
Equipment Setup | 13
8. Follow the on-screen tutorial
for a brief overview of the
features of OMNI®2.
9. Move onto the next steps
in the Tutorial by selecting
“GOT IT”.
10. Exit the Tutorial at any time
by selecting “HOME”.
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 the simulator.
WARNING: Do not connect
the simulator or OMNI® 2 to
a computer. LAN network
or unathorized diagnostic
equipment. Doing so will
cause serious damage to the
equipment.

S117 & S117.250 | User Manual
14 | Using S117
4. Using S117
4.1 Airway
Nasal and Oral Intubation
The simulator allows for realistic jaw
thrust, head tilt and chin lift.
The airway has anatomical landmarks
and can be intubated orally or nasally.
The simulators’s airway can be
intubated through the left nasal
opening, trachea, and mouth using
LMA or endotracheal tubes.
WARNING: Manually lubricate the ET tube, and nasal opening prior to
performing an intubation exercise.
Do not spray mineral oil directly into the mouth or the airway.
Introduce fluids through the esophagus
to practice nasogastric feeding
procedures.

S117 & S117.250 | User Manual
Using S117 | 15
Procedure Recommended Device Size
Intubation (Blade size) Miller 1 or MAC 2
LMA Size 1.5/2
Nasal Intubation 10 Fr catheter
Oral Intubation ETT 3.5
Nasogastric Tube 10 Fr catheter
Tilting the head forward obstructs
the airway.
4.2 Artificial Respiration
Ventilation
Visualize realistic chest rise with
BVM or via an endotracheal
tube with manual ventilation.
WARNING: Do not perform
mouth to mouth ventilation.
Doing so may lead to molding
of the airway. The airway itself
cannot be sanitized or
cleaned.
Tracheostomy Care
The simulator is supplied with a
tracheostomy opening.

S117 & S117.250 | User Manual
16 | Using S117
Instructions for Use
1. Lubricate the device with mineral oil
2. Insert the tracheaostomy tube
and pierce the trachea tape
Trachea Repair
1. Lift the chest skin
2. Lift until you expose the
trachea
3. Remove the punctured tape
4. Replace the pierced tape

S117 & S117.250 | User Manual
Using S117 | 17
5. Replace the chest skin over
the torso
4.3 Circulation
Compression
The chest cavity contains
realistic landmarks for correct
hand placement during CPR.
Palpable Pulses
The simulator is equipped with
pulses generated by a squeeze
bulb located on the left side of the
manikin.
Palpate the following pulses:
Right Radial Right Brachial

S117 & S117.250 | User Manual
18 | Using S117
Right Femoral Left Popliteal
IV Training Arm
The right arm is a training tool for
infusion, blood collection, intravenous
injection, intramuscular injection, TB
screening and subcutaneous injection
exercises.
Procedure Recommended Device Size
IV Access 22 Gauge
The training arm features:
· An intramuscular injection site in the deltoid area
· Simulated cephalic, basilic, antecubital, radial and ulnar veins
· Subcutaneous injection areas on the volar side of the forearm and the
lateral side of the upper arm
· Two veins in the dorsum of the hand for additional intravenous training
techniques
Filling the IV Arm
Tube 1: Filling
Tube 2: Drainage 1
2

S117 & S117.250 | User Manual
Using S117 | 19
1. Place the end of the drainage
hose into a container
2. Open the clamp
3. Fill the syringe with fluid and
connect it to Tube 1
4. Allow fluid to flow into the
drainage container
5. Close the clamp on Tube 2
6. Remove the syringe
1
2

S117 & S117.250 | User Manual
20 | Using S117
Instructions for Use
Use needles smaller than 22 gauge to
extend the life of the vasculature.
For continuous infusions, place the
end of the drainage tube into a
container and open the clamp.
Cleaning the Vasculature and Replacing the Skin
WARNING: Vein tubing contains latex which may cause allergic
reactions. Users allergic or sensitive to latex should avoid contact.
After a simulation is complete,
1. Open the clamp of Tube 2
2. Fill the syringe with a solution of
alcohol and water (30:70) and
connect it to Tube 1
3. Push in the fluid until the blood
is clear
4. Then, fill a syringe with air and
connect it to filling Tube 1
5. Push air through the vasculature
to remove the remaining fluid
2
1