IMPLOX Newborn Anne Manual

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TABLE OF CONTENTS
INTRODUCTION
Introduction and Intended Use . . . . . . . . . . . . . . . . . . . 2
SETUP GUIDE
Newborn Anne Package Contents . . . . . . . . . . . . . . . . 3
Manikin Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
CLINICAL SIMULATION
General Handling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Airway Simulation Features . . . . . . . . . . . . . . . . . . . . . . .7
Drug & IV Administration . . . . . . . . . . . . . . . . . . . . . . .10
Manikin Preparation Before Use . . . . . . . . . . . . . . . . . 11
MAINTENANCE
Maintenance After Use . . . . . . . . . . . . . . . . . . . . . . . . 12
Periodic Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 12
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CLINICAL
SIMULATIONSETUP GUIDEINTRODUCTION
ENGLISH
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MAINTENANCE

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SETUP GUIDE
CLINICAL
SIMULATION
Newborn Anne M
Manikin
Features
Airway Features:
• Anatomically accurate, realistic airway
• ET tube insertion
• LMA insertion
• Sellick Maneuver
• Positive pressure ventilation
• Mainstem intubation
• Suctioning
• Gastric tube insertion
Breathing Features:
• Bilateral chest rise and fall with mechanical
ventilation
Breathing Complications:
• Unilateral needle thoracentesis - anterior-axillary
Vascular Access:
• Patent, cuttable umbilicus with venous and
arterial access for bolus or continuous infusion
• Intraosseous access – bilateral
• Simulated blood flashback upon cannulation
Other Features:
• Interchangeable pupils with normal, dilated and
constricted pupils (optional)
• Articulation in all four limbs
• Stomach reservoir
• Umbilical reservoir
• Manual umbilical pulse
INTRODUCTION
Introduction and Intended Use
MAINTENANCE
Newborn Anne
Manikin
Newborn Anne focuses on training in basic neonatal resuscitation skills.

Cat.no. Description Cat.no. Description Cat.no. Description
220-03650 Meconium Kit
220-00650 Baby Pants
250-21050 Airway Lubricant
300-00750 Red Simulated Blood
276-15550 Liquid Soap
277-00150 Baby Powder
240-01050 Carry Case
220-05550 Umbilical Pulse Bulb
220-05650 Umbilical Clamp
220-05750 IV Bag Connector Tube
220-19250 Directions for Use CD
5527 Laerdal Global Warrranty
Optional Accessories: (Not shown)
200-03050 Eye Kit
220-00350 Right & Left IO Mandrel and Leg
Skin Kit
220-00150 Umbilical Cord (4)
240-00250 Umbi Simulated Blood
220-00250 IV Bag &Tubing Set
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INTRODUCTION
CLINICAL
SIMULATION
SETUP GUIDE
Baby Pants
Newborn Anne Manikin
Umbilical Clamp
Liquid
Soap Baby
Powder
Umbilical
Cord (1)
Directions for Use
Red
Simulated
Blood
Setup Guide
Not shown:
* Laerdal Global Warranty
* Carry Case
* Meconium Kit
Airway
Lubricant
Newborn Anne Package Contents
The following parts are included in the Newborn Anne shipping carton.
MAINTENANCE
IV Bag Connector Tube
Pulse Bulb Tube

Manikin Connectors
The Newborn Anne manikin is shipped ready for use.
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INTRODUCTION
CLINICAL
SIMULATION
DA
B
SETUP GUIDE
Note - The manikin’s Umbilical Reservoir Tube Connection (D) has a valve to prevent leakage from the tube when
not attached to an IV-bag set.
* To attach an empty IV Bag (not provided), connect the IV Bag Connector Tube (C) to the manikin’s Umbilical
Reservoir Tube Connection (D).
* To attach the Umbilical Pulse Bulb Tube (B), connect to the manikin’s Umbilical Pulse Bulb Tube Connection (A).
Note - To attach the tubes, push the connectors together and quarter turn. To detach, reverse the process.
MAINTENANCE
C

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INTRODUCTION SETUP GUIDE
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CLINICAL
SIMULATION
1. General Handling
Newborn Anne is the size and weight of a newborn baby girl
delivered at term with approximately 3.5 kg (7 lbs) body
weight and 51 cm (21 inches) length.
The arms, legs and neck articulate realistically and encourage
care and proper handling. The manikin can be handled
appropriately for care and resuscitation of a normal newborn.
Umbilical Cord:
The Newborn Anne manikin has a replaceable umbilical cord
which can be clamped, tied, cut, sutured, or catheterized, or
palpated for umbilical pulse.
IV fluids or medications may be injected into the vein in the
umbilical cord up to 40ml if the umbilical reservoir is not filled
with fluid to use the manual pulse. Fluids will not flow out to
the bag.
Manual Umbilical Pulse:
Newborn Anne has a manually generated umbilical pulse.
To palpate the umbilical pulse, fill the umbilical reservoir with
fluid, clamp the umbilical cord and attach the pulse bulb to the
white connector.
It is up to the instructor to select the pulse rate by squeezing
the hand held bulb accordingly (see photo).
Interchangeable Pupils:
The Newborn Anne manikin is delivered with normal pupils
installed in the head.
A replacement Eye Kit containing 3 sets of plastic pupil inserts
(normal, dilated, and constricted) to simulate different patient
conditions can be purchased separately (see page 3, Optional
Accessories).
Clinical Simulation Using the Newborn Anne Manikin
MAINTENANCE

Clothing
:
The Newborn Anne manikin is delivered with baby pants with
snaps at the bottom to allow tubing to pass through.
Powdering:
Newborn Anne manikin is delivered with powder. When
needed, apply light dusting of powder externally to the manikin
torso (see page 12).
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SIMULATION
SETUP GUIDEINTRODUCTION
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C
CLINICAL
SIMULATION
2. Airway Simulation Features
Opening the Airway
The neck of Newborn Anne manikin is realistically flexible, from
hyperextension to flexion.The simulation team members may
demonstrate correct head position for opening of the airway.
Clearing the Upper Airway
Simulated meconium may be suctioned from the Newborn
Anne manikin's mouth and nose with a suction catheter (see
page 11).
When using the meconium module, the simulation team
members can assume that there is meconium in the trachea,
instigating proper procedures for aspiration of meconium
matter.
The head can be turned to the side as normal.
Clearing the Lower Airway
One can dry simulate removal of meconium from the
Newborn Anne manikin's mouth and trachea by laryngoscopy,
using a suction catheter to clear the mouth.
Securing the Airway
The Newborn Anne manikin's neck, jaw and airway are
modeled to enable a normal newborn intubation scenario.The
airway can be intubated either by direct laryngoscopy (straight
blade size #1 recommended) and an uncuffed ET tube (size ID
3.5 mm recommended), or with the LMA (size #1
recommended).
Nasal intubation can be done.
NOTE: Lubricate the ET tube or LMA with provided Airway Lubricant
before insertion.
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MAINTENANCE

The "sniffing" position aligns the trachea for the best view of
the glottis and vocal cords when properly using a laryngoscope.
Cricoid pressure may be used by the simulation team member.
The Newborn Anne manikin jaw is realistically hinged and
flexible, for airway and intubation maneuvers.
The Newborn Anne manikin vocal cords are realistically shaped
and at a depth of 9.5 cm from the upper lip. If the ET tube is
inserted too far, it will pass into the right main bronchus, giving
only right side chestrise during positive-pressure ventilation.
An ET tube may be secured by means suitable for a neonate.
Tape residues should be cleaned off the skin with soap and
water.
Oropharyngeal or nasopharyngeal airways suitable for
neonates may be used.
Detection of Esophageal Intubation
If the esophagus is intubated instead of the trachea, the
abdomen will then visibly distend for each positive-pressure
ventilation.
Stomach ventilation is detectable with the stethoscope.
CLINICAL
SIMULATION
SETUP GUIDEINTRODUCTION
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NOTE: Lubricate the oropharyngeal or pharyngeal airways with provided
Airway Lubricant before insertion.
MAINTENANCE

Assisted Breathing
The Newborn Anne manikin is designed for airway devices
such as face masks, ET tubes (size ID 3.5mm recommended)
and LMAs (size #1 recommended).
The manikin is suitable for use with self-inflating bags and flow-
inflating bags. It is not designed for use with automatic
ventilators.
A size 0/1 face mask is recommended for mask-ventilation with
the Newborn Anne manikin. During mask ventilation with
elevated airway pressure, air may realistically leak through the
esophagus to the abdomen, visibly distending the stomach.
To vent out accumulating air from the stomach, an orogastric
tube (size 8 FR recommended) can be in place simultaneously
with mask ventilation.
Pneumothorax Decompression
The needle decompression procedure can be performed by
inserting a needle at the left chest side (fourth intercostal
space) into the pleural space.The rib structure can be palpated
through the skin.The Newborn Anne manikin's pleural space is
enclosed so that the needle cannot damage the inner
components of the manikin.
Chest Compressions
The Newborn Anne manikin has normal visible chest
landmarks (xyphoid process, nipples) and underlying sternum
structure. The Newborn Anne's maximum chest compression
depth is one third of the AP distance.
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SIMULATION
SETUP GUIDEINTRODUCTION
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MAINTENANCE

3. Drug & IV Administration
IV Access via the Umbilical Vein
IV fluids or simulated medications may be injected into the vein
in the umbilical cord.The fluids will accumulate in an abdominal
fluid reservoir (40 ml capacity) if the reservoir is not filled to
use the manual pulse. Fluids will not flow out of the reservoir
to the IV bag.
Cannulation of the umbilical vein can be performed with an
umbilical catheter (size 3.5F or 5F).
Artificial blood can be added to the reservoir, so that team
members can draw simulated blood when testing the catheter
for proper insertion depth.
Intraosseous Access
Intraosseous access can be established bilaterally in the lower
legs.
IV fluids or medications may be injected through the I/O
needle. Each leg contains a fluid reservoir of approximately
35 ml.
To prevent leakage, it must be emptied after each use (see
page 12).
Stomach Catherization
A feeding tube (size 8FR) can be inserted into the stomach.
A suction catheter (size 10FR) can be inserted into the
stomach for stomach content removal. Suction can be applied
to the catheter as normal.
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MAINTENANCE

Manikin Preparation Before Use
Inserting Fluids into the Umbilical Reservoir
Use a syringe to insert fluid into the abdominal reservoir. Do
not fill more than 40 ml.
Attaching the Umbilical Cord
Lubricate the end of the umbilical cord to be inserted with liq-
uid soap. Squeeze and press the umbilical cord into the umbili-
cal opening.The cord should be pressed at least 50mm (2 inch-
es) into the opening, but need not be pushed further down.
To remove, gently pull on the umbilical cord.
Changing Eye Pupils
1. Open the eyelids wide, taking care not to rip the faceskin.
2. Using the suction cup provided in the Eye Kit (see page 3,
Optional Accessories) or the edge of your fingernail, gently
remove the pupil from the eye.
3. Replace with the pupil of choice, using the small suction cup
provided in the Eye Kit or gently press pupil into place with
finger.
Inserting the Meconium Module
1. Insert the module with a finger - do not use force.
Note: Do not add lubricant to the module.
Note: Do not insert the meconium module past uvula.
2. A suction catheter @ 100 mmHg will remove the
meconium module.
3. A tether line has been added to ensure removal of the ob-
ject.
For intubation following the removal of the meconium module,
add Aiway Lubricant to the ET-tube before intubation.
CLINICAL
SIMULATION
SETUP GUIDEINTRODUCTION
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MAINTENANCE

Units 22-24
60-66 Richmond Road,
Keswick 5035, South Australia
Telephone: [phone]
Facsimile:8293 7377
Email: [email protected]
www.implox.com