laerdal SimNewB User manual

www.laerdal.com
SimNewB
User Guide
EN

Contents
3
Introduction 4
System Overview & Setup 5
Items Included & Storage 6
Features 7
Power Panel 8
Charge 9
Connect 10
Overview Pulses and Sounds 11
Preparing for Simulation - Inserting the meconium module 12
Preparing for Simulation - Umbilical Venous Catheterization 13
Large Volume Infusions 14
Preparing for Simulation - IO Leg - Large Volume Infusions 15
Preparing for Simulation - Choose Pupils 16
Preparing for Simulation - Lubrication 17
Lubricate Tools 17
Lubricate SimNewB 17
Use - Intubation 18
Use - Ventilation 19
Use - CPR 20
Use - Unilateral Left Thorasentisis Midaxillary Access 21
Use - Umbilical Venous Catheterization 22
Use - Large Volume Infusions 23
Use - IO Leg 24
Use - Lung Recruitment Settings 25
SimPad Plus 25
LLEAP 26
Use - Level settings 27
Care and Cleaning 28
General Care 28
Skin 28
Cleaning IO Leg Module 29
Cleaning Umbilical Reservoir 30
Maintenance 32
Repair IO Leg Module 32
Maintenance 33
Remove and Replace IO Leg Module 33

4
Introduction
SimNewB is a tetherless newborn simulator designed to help improve neonatal resuscitation and to
meet the specific learning objectives of neonatal resuscitation protocols. Focusing on the first 10 minutes
of life, SimNewB provides realistic training for critical interventions.
Items included may vary in appearance and are subject to change.

5
System Overview & Setup
SimNewB can be controlled by the operator either by using a tablet or PC running Laerdal’s LLEAP
software, or using SimPad Plus which is Laerdal’s proprietary tablet.
Both LLEAP and SimPad Plus allow the operator to run sessions either by using pre-programmed
scenarios in Automatic Mode, or in Manual Mode.
Using either LLEAP or SimPad Plus allow vital signs to be displayed on a simulated Patient Monitor
(optional).
Both SimNewB and the Patient Monitor can be operated wirelessly.
Note
• Find SimPad PLUS User Guide on www.laerdal.com/support
• To access LLEAP help files, go to ‘Help’ on Laerdal Simulation Home
• For detailed connection instructions, download the ‘Wireless Setup Overview’ from www.laerdal.com/SimNewB
• To get the most out of your simulation training, download complimentary scenarios here: www.laerdal.com
SimPad PLUS Patient MonitorLLEAP

SimNewB
SimNewB
SimNewB
6
Items Included & Storage

SimNewB
SimNewB
SimNewB
7
Features
Airway Features
• Anatomically realistic airway
• Nasal and oral ET tube insertion
• LMA insertion
• Sellick Maneuver
• Bilateral and unilateral chest rise and fall with positive pressure ventilation
• Right mainstem intubation
• Suctioning
• Variable lung resistance
• Gastric tube insertion
• Stomach distention
• Lung Recruitment Maneuver
Breathing Features
• Spontaneous breathing with variable rate and depth
• Bilateral and unilateral chest rise and fall
• Normal and abnormal breath sounds
• Anterior lung sounds
• Unilateral breath sounds
• Simulated Oxygen Saturation
• Unilateral thoracentisis
• Pneumothorax
Vascular Features
• Bilateral IO access
• Simulated umbilical cord
• Umbilical access
• Simulated blood flashback on cannulation
Circulation Features
• Umbilical pulse
• Bilateral brachial pulse
• Central cyanosis
Cardiac Features
• Basic CPR training
Other Features
• Normal, blown and constricted pupils
• Vocal, lung and heart sounds
• Arms - movements and seizures

1
5
2
34
8
Power Panel
On/Off Button WiFi/ LAN Indicator
Power Indicator
External Power Port
Ethernet
Por t
Power Indicator Status
On
Simulator booting
Software updating
Battery charging
Failure updating software
10 secs - Battery low
Service required
Battery fully charged

Fully charge the battery before first use.
9
Charge
Battery charging
Battery fully charged
10 secs - Battery low

10
Connect
Connect to LLEAP or SimPad PLUS with WiFi.
WiFi enabled
WiFi connected to device
No connection - Configure Network with
Ethernet cable
Note
For detailed connection instructions, download the 'Wireless Setup Overview' from www.laerdal.com/SimNewB

11
Overview Pulses and Sounds
Pulses and sounds are controlled in SimPad PLUS or LLEAP.
Umbilical and Brachial Pulses
Vocal, Lung and Heart Sounds

12
Preparing for Simulation - Inserting the meconium module
• Insert the module with a finger - do not use force.
• A suction catheter @ 100 mmHg will remove the meconium module.
• A tether has been added to ensure removal of the object.
Notes:
• Do not add lubricant to the module
• Do not insert the meconium module past uvula
1
2

1 2
3 4
Place tip and fill
with maximum
1 ml blood.
Place Umbilical Cord into naval. Twist to lock in place.
www.laerdal.com/support/How-to-Videos
13
Preparing for Simulation - Umbilical Venous Catheterization
1 ml
Insert blood in reservoir.

1
2
Preparing for Simulation - Umbilical Venous Catheterization
14
Large Volume Infusions
If scenario requires large volume infusions of fluid (exceeding 10 ml), connect empty drain bag to simulator.
www.laerdal.com/support/How-to-Videos

1
2
15
Preparing for Simulation - IO Leg - Large Volume Infusions
Connect empty drain bag to heel to
prepare for intraosseous large volume
infusion of medication.

16
Preparing for Simulation - Choose Pupils
Rotate the eyes to select pupil type.

17
Preparing for Simulation - Lubrication
Lubricate Tools
Lubricate laryngoscope blade and tubes prior to insertion into the airway. Non-lubricated instruments
and tubes may cause damage to the airway. Only use Silicone Lubricant provided by Laerdal Medical.
Lubricate SimNewB
Lubricate the front of the simulator prior to delivery scenarios. Only use the Birthing Lubricant Gel
provided by Laerdal Medical.

18
Use - Intubation
Perform nasal or oral intubation.

19
Use - Ventilation
Perform ventilations with visual chest rise.
Correct head tilt opens airway
Incorrect head tilt closes airway
Stomach distention

20
Use - CPR
Perform basic CPR.