Gaumard S405.100 User manual

The S405.100-S406.100 pediatric IV & arterial access training arm 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 20.10.02
©Gaumard Scientific Company, 2020
All Rights Reserved
www.gaumard.com
S405.100-S406.100
PEDIATRIC IV AND ARTERIAL ACCESS
TRAINING ARM
USER GUIDE

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S405.100 & S406.100 | USER GUIDE
1. INTRODUCTION 5
1.1 SPECIFICATIONS OF S405.100 5
1.2 SPECIFICATIONS OF S406.100 5
1.3 CARE AND MAINTENANCE 6
2. OVERVIEW 8
2.1 FEATURES OF 5 YEAR PEDIATRIC IV AND ARTERIAL PUNCTURE
TRAINING ARM S405.100 8
2.2 FEATURES OF 1 YEAR PEDIATRIC IV AND ARTERIAL PUNCTURE
TRAINING ARM S406.100 9
3. INITIAL SETUP 10
3.1 UNBOXING 10
3.2 PACKAGE CONTENTS 10
3.3 IDENTIFYING ARTERIAL AND VENOUS TUBING 11
3.4 BLOOD RESERVOIR STAND ASSEMBLY 12
3.5 SYSTEM CONNECTIONS QUICK GUIDE 15
3.6 POWER SUPPLY FOR THE CONTROL BOX 16
4. WORKING WITH THE PEDIATRIC ARM 17
4.1 CONNECTING THE PEDIATRIC ARM 17
4.2 PREPARING ARTIFICAL BLOOD PLUS ADDITIVE MIX 22
4.3 FILLING THE PEDIATRIC ARM 23
4.4 DEVICE SIZE RECOMMENDATIONS 29
4.5 POSSIBLE IV TRAINING PROCEDURES 30
4.6 PULSE PALPATION 33
4.7 CHANGING PULSE RATE AND PULSE STRENGTH 33
4.8 HUMERAL IO ACCESS AND INFUSIONS 34
4.9 STAND ALONE CONFIGURATION 35

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S405.100 & S406.100| USER GUIDE
5. ROUTINE MAINTENANCE 39
5.1 CLEANING THE SYSTEM 39
5.2 REPLACING THE HUMERUS 46
5.3 REPLACING THE INTRAMUSCULAR INJECTION INSERT 48
5.4 REPLACING THE SUBCUTANEOUS INJECTION INSERT 48
5.5 REPLACING THE ARM SKIN 49
5.6 REPLACING THE VEINS 52
6. TROUBLESHOOTING 54
6.1 GENERAL TROUBLESHOOTING 54
7. APPENDIX 55
7.1 REPLACEMENT PARTS LIST 55
7.2 GAUMARD SALES TERMS AND CONDITIONS 57
7.3 END USER LICENSE AGREEMENT 59
7.4 EXCLUSIVE ONE-YEAR LIMITED WARRANTY 62
7.5 CONTACT TECHNICAL SUPPORT 63
7.6 GENERAL INFORMATION 63

S405.100 & S406.100 | USER GUIDE
Introduction | 5
1. INTRODUCTION
1.1 SPECIFICATIONS OF S405.100
Weight: 2.4 lbs
Length of arm : 19.5"
Length with blue stand: 20.5"
The S405.100 Pediatric Patient Injection Training Arm accurately represents a pediatric 5 year old's arm
and hand, complete with the Cephalic, Basilic, Antecubital, Radial, Median Cupital, and Ulnar veins. The
simulators also feature the Radial artery, Brachial artery, subcutaneous injection site on the the lateral side
of the upper arm, an intramuscular injection site in the deltoid area, and a section of the humerus.
1.2 SPECIFICATIONSOF S406.100
Weight: 1.4 lbs
Length of arm: 13"
Length with blue stand: 14.5"
The S406.100 Pediatric Patient Injection Training Arm accurately represents a pediatric 1 year old's arm
and hand, complete with the Ulnar and Median Cubital veins. The simulators also feature the Radial artery,
Brachial artery, an intramuscular injection site in the deltoid area, and a section of the humerus.

S405.100 & S406.100 | USER GUIDE
6 | Introduction
1.3 CARE AND MAINTENANCE
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.
• Do not use povidone iodine or Betadine type antiseptic solutions
as these may permanently stain the simulator.
CAUTION: Damage caused by misuse is not covered by your warranty. It is
critical to understand and comply with the following guidelines.
Cautions
• Use the injection training arm with the same precautions used with a real patient.
• Have providers wash their hands prior to use to prevent dirt and oils from clinging to the material.
• Do not palpate using fingernails as this may tear the skin; palpate using the pads of the fingers.
Operating Temperatures
• Operating temperature: 50°- 95° F (10°- 35° C).
• Humidity: 5% - 95% (non-condensing).
Storage
• Store the venous training arm in a cool, dry place.
• Humidity: 40% - 60% (non-condensing).
• Do not stack or store heavy materials on top of the bag. Please store and ship it in the bag provided.
Cleaning
• The injection training arm is "splash-proof" but not water-proof. Do not submerge
or allow water or other liquids to enter the interior of the simulator.
• The injection training arm should be cleaned with a cloth dampened with diluted liquid dishwashing soap.
• 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 arm to its lifelike feel.

S405.100 & S406.100 | USER GUIDE
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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 vasculature 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 day of
simulation. 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 water 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.

S405.100 & S406.100 | USER GUIDE
8 | Overview
2. OVERVIEW
2.1 FEATURES OF 5 YEAR PEDIATRIC IV AND ARTERIAL PUNCTURE
TRAINING ARM S405.100
• Realistic arterial and venous network
• Adjustable pulse strength and rate (12-180 BPM)
• Palpable radial and brachial pulse
• Simulated Cephalic, Basilic, Antecubital, Radial, Median Cupital, and Ulnar veins
• Ulnar and cubital venipuncture:
»Cannulation
»Infusion
»Bolus Injection
»Blood draw/collection
»Observe flashback
• Radial and brachial arterial puncture:
»Cannulation
»Blood sampling/collection
»Observe flashback
• IM injection
• Sub-Q injection
• Humeral IO access and continuous infusion
• External blood reservoir for continuous fluid supply and vessel pressurization
• Rotatable arm and shoulder
• Articulating wrist allowing palmar flexion
• Easily replaceable veins and arteries
• Lifelike skin
• Latex free
• Use as a stand-alone or attached to stand
• Option to attach to certain Gaumard pediatric manikins at time of purchase

S405.100 & S406.100 | USER GUIDE
Overview | 9
2.2 FEATURES OF 1 YEAR PEDIATRIC IV AND ARTERIAL PUNCTURE
TRAINING ARM S406.100
• Realistic arterial and venous network
• Adjustable pulse strength and rate (12-180 BPM)
• Palpable radial and brachial pulse
• Simulated Cephalic, Basilic, Antecubital, Radial, Median Cupital, and Ulnar veins
• Ulnar and cubital venipuncture:
»Cannulation
»Infusion
»Bolus Injection
»Blood draw/collection
»Observe flashback
• Radial and brachial arterial puncture:
»Cannulation
»Blood sampling/collection
»Observe flashback
• IM injection
• Humeral IO access and continuous infusion
• External blood reservoir for continuous fluid supply and vessel pressurization
• Rotatable arm and shoulder
• Articulating wrist allowing palmar flexion
• Easily replaceable veins and arteries
• Lifelike skin
• Latex free
• Use as a stand-alone or attached to stand
• Option to attach to certain Gaumard pediatric manikins at time of purchase

S405.100 & S406.100 | USER GUIDE
10 | Initial Setup
NOTE: Pictured above is the S405.100 (5Y Pediatric). The following package contents are the same
for the S406.100 (1Y Pediatric) expect they will be of suitable size to represent a 1Y Pediatric.
3. INITIAL SETUP
3.1 UNBOXING
• Lift the arm from the box and remove the bag it is shipped in.
• Rest the arm on a bed or clean, flat surface.
3.2 PACKAGE CONTENTS
1. Pediatric Patient Injection Training Arm
2. Arm Stand Assembly
3. Silicone Stand Cushion (installed on Arm Stand)
4.Blood dispensing bag
5. Blood Reservoir Stand Assembly
6.Filling and Drainage Kit
7. Blood Bag/Pump Accessories
8. Control box
9. Silicone Arm Shoulder Insert
(1 installed, 1 spare)
10.Humeral I/O bone (1 installed, 6 spare)
11. Silicone arm skin (1 installed, 1 spare)
12. Replacement Vein Set
13. Artifical Blood Plus Additive Mix
14.Baby Powder
15. Funnel
16. Power supply with Power Cord

S405.100 & S406.100 | USER GUIDE
Initial Setup | 11
3.3 IDENTIFYING ARTERIAL AND VENOUS TUBING
1. Pump Inlet Tubing
2. Venous Drain Tubing
3. Vein Inlet Tubing
4.Artery Oulet Tubing
5. Pump Outlet Tubing
1 2 34 5

S405.100 & S406.100 | USER GUIDE
12 | Initial Setup
1. Gather the blue metal base, blood stand wire
frame, and 2 plastic blood stand brackets.
NOTE: It is easier to slip both of the plastic
blood stand brackets into the large holes at
once and then set the base on a flat surface.
2. Insert both plastic blood stand brackets
through the larger holes punched
out on the blue metal base.
3. Rotate the plastic blood stand brackets so
the hollowed out groove is pointing towards
the longer length of the metal base.
3.4 BLOOD RESERVOIR STAND ASSEMBLY
NOTE: The 2 plastic blood stand brackets
have a hollowed out groove that will snap on
to the wire frame. The plastic blood stand
brackets will be inserted into the two larger
punched out holes on the blue metal base..

S405.100 & S406.100 | USER GUIDE
Initial Setup | 13
4.Align the blood stand wire frame to
the plastic blood stand brackets.
5. Use moderate force to snap the blood stand
wire frame into the hollowed out grooves
on the plastic blood stand brackets.
NOTE: It is helpful to brace your forefinger on the
plastic blood stand brackets and use your thumb
to push the blood stand wire frame into place.
6.Align and push the small holes at the top of the
blood dispensing bag on to the rounded metal
knobs at the top of the blood stand wire frame.

S405.100 & S406.100 | USER GUIDE
14 | Initial Setup
3.5 SYSTEM CONNECTIONS QUICK GUIDE
Legend
arterial connection
venous connection
fill/ inlet
drain/ outlet
waste container
NOTE: The blood bag will hang from the
metal knobs at thetop of the wire frame.
NOTE: This diagram is based upon having
the orientation of the pediatric arm with the
hand closest and pointing towards the user.

S405.100 & S406.100 | USER GUIDE
Initial Setup | 15
3.6 POWER SUPPLY FOR THE CONTROL BOX
1. Gather the control box and the
power supply with power cord.
2. Connect the power cord to the power supply.
3. Plug the power cable into the control box
and plug the other end into a wall outlet.
NOTE: If necessary, use one of the
international adapters to plug the
control box into a wall outlet.
NOTE: Check that the power
button is switch to OFF.

S405.100 & S406.100 | USER GUIDE
16 | Working with the Simulator
4. WORKING WITH THE PEDIATRIC ARM
4.1 CONNECTING THE PEDIATRIC ARM
1. Gather the pediatric arm, tubing, blood
dispensing bag assembly, and control box.
Arterial Connections
1. Gather the two tubes that are outlined in red.
NOTE: The tubing for the pediartic arm is color
coded. The tubes outlined in red represent
the arterial network. They will be connected
to corresponding ports on the pediartic arm
that are also outlined in red. The first arterial
tube is the pump outlet tubing. It has one
end with a white luer lock outlined in red and
the other end is a black luer lock. The second
arterial tube is the artery outlet tubing. It has
one end with a black luer lock outlined in
red and the other end is a barb connector.
1
2
2. Using the first arterial (pump outlet) tube,
connect the white luer lock outlined in red to the
white port outlined in red on the pediatric arm.
NOTE: Match the color of the connecting
tube to the port it is being connected to.
Please note the orientation of pediatric arm, control box, and blood dispensing bag in the following section. If you
orient the items dierently it is possible to connect the tubing into dierent ports on the blood dispensing bag.

S405.100 & S406.100 | USER GUIDE
Working with the Simulator | 17
3. Secure the luer lock connection by twisting
clockwise until you hear a click.
4.Connect and secure the black luer lock end of
this tube to the black port on the control box.
NOTE: Match the color of the connecting
tube to the port it is being connected to.
5. Using the second arterial (artery outlet)
tube, connect and secure the black luer
lock outlined in red to the black port
outlined in red on the pediatric arm.
NOTE: Match the color of the connecting
tube to the port it is being connected to.
6.Connect the barb connector end of
this tube to one of the bottom ports
on the blood dispensing bag.
NOTE: It is recommended to connect
this end of the tube to the bottom right
port of the blood dispensing bag.

S405.100 & S406.100 | USER GUIDE
18 | Working with the Simulator
NOTE: Push the barb connector past its barb so
that the bag does not leak when filled with fluid.
To facilitate this put your hand behind the bag
to help when you are pushing the connector in.
Venous Connections
1. Gather the two tubes outlined in blue.
NOTE: The tubing for the pediartic arm is color
coded. The tubes outlined in blue represent
the venous network. They will be connected to
corresponding ports on the pediartic arm that are
also outlined in blue. The first venous tube is the
vein inlet tubing. It has one end with a white luer
lock outlined in blue and the other end is a barb
connector. The second venous tube is the venous
drain tube. It has one end with a black luer lock
outlined in blue and the other end is open.
12
2. Set aside the first venous (vein inlet)
tube. It is the tube with the white luer
lock outlined in blue on one end and a
barb connector on the other end.
NOTE: This tube will get connected after the
system is primed for filling the system.

S405.100 & S406.100 | USER GUIDE
Working with the Simulator | 19
3. Using the second venous (venous drain)
tube, connect and secure the black luer
lock outlined in blue to the corresponding
port on the pediatric arm.
4.Place the other end of this tube into
a waste collection container.
NOTE: Leave the tube unclamped.
Control Box Connection
1. Get the pump inlet tubing that has
a white luer lock on one end and a
barb connector on the other.
NOTE: Match the color of the connecting
tube to the port it is being connected to.

S405.100 & S406.100 | USER GUIDE
20 | Working with the Simulator
2. Connect and secure the white luer lock
to the white port on the control box.
3. Connect the barb connector end to a port on
the bottom of the blood dispensing bag.
NOTE: It is recommended to connect this end to
the bottom left port on the blood dispensing bag.
NOTE: Push the barb connector past its barb so
that the bag does not leak when filled with fluid.
To facilitate this put your hand behind the bag
to help when you are pushing the connector in.
NOTE: Match the color of the connecting
tube to the port it is being connected to.