laerdal Resusci Anne Manual

©2005 Laerdal Medical AS. All rights reserved Printed in Norway
N0189 rev A

ENGLISH Directions for Use
Resusci Anne
Advanced SkillTrainer
www.laerdal.com

Cautions and warnings
- There are electronic components mounted inside the manikin’s
airway management head. The following techniques should not
be performed on this manikin due to the inability to properly
sanitize the airway if they are performed:
1. Mouth-to-mouth/Mouth-to-mask ventilation
2. Insertion of simulated vomit for suctioning
- Lubricate the oral and nasal airways liberally with the lubricant
provided prior to inserting any instrument or tube into the airway.
Additionally, instruments and tubes should also be lubricated prior
to use.
- Do not allow the manikin's skin to come in direct contact with ink
or photocopied paper, as this can permanently stain the skin.
Avoid using colored plastic gloves when handling the manikin, as
they may also cause discoloration.
- Care should be taken when palpating the pulses to not use
excessive force as this will result in no pulse being felt.
- If a training session involves the administration of fluids and/or
drugs into the IV arm, empty the arm immediately following the
training session.
Defibrillation
- Only apply the defibrillator to a defibrillation chest skin which is
properly mounted on the manikin's chest.
- Do not provide more than 2 x 360J defibrillator discharges per
minute as an average over a period of time to prevent over-
heating.
- The manikin chest must be kept dry. Special attention should be
taken when using IV Arm.
- Do not apply conductive gel or conductive defibrillation pads
intended for patient use to prevent chest skin pitting.
- Do not use cables or connectors with visible damage.
- Observe all normal safety precautions for use of defibrillators.
- Defibrillation must be performed over the two defibrillation
connectors only.
Standards/Approvals
This device complies with Part 15 of the FCC Rules. Operation is
subject to the following two conditions:
(1) this device may not cause harmful interference, and
(2) this device must accept any interference received, including
interference that may cause undesired operation.
Note: This equipment has been tested and found to comply with the
limits for a Class B digital device, pursuant to Part 15 of the FCC Rules.
These limits are designed to provide reasonable protection against
harmful interference in a residential installation. This equipment
generates uses and can radiate radio frequency energy and, if not
installed and used in accordance with the instructions, may cause
harmful interference to radio communications. However, there is no
guarantee that interference will not occur in a particular installation.
If this equipment does cause harmful interference to radio or television
reception, which can be determined by turning the equipment off and
on, the user is encouraged to try to correct the interference by one or
more of the following measures:
- Reorient or relocate the receiving antenna.
- Consult the dealer or an experienced radio/TV technician
for help.
- Increase the separation between the equipment and receiver.
- Connect the equipment into an outlet on a circuit different
from that to which the receiver is connected.
- Consult the dealer or an experienced radio/TV technician
for help.
Caution: Changes or modifications not expressly approved by
Laerdal could void the user's authority to operate this equipment.
Hereby, Laerdal Medical declares that when carrying the CE-mark,
the Resusci Anne Advanced SkillTrainer product with VitalSim
remote control is in compliance with the essential requirements
and other relevant provisions of Directive 1999/5/EC.
2

Contents
Cautions and warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Standards/Approvals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Items included . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Getting started with Resusci Anne Advanced SkillTrainer . . . . . . 4
Airway Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Torso . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Remote Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Overview of the Remote Control Device . . . . . . . . . . . . . . . . . . . . . 5
For Remote Control to properly recognize the manikin . . . . . . . . . 5
Main Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Setup: Remote Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Programming ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Set Running Rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Set Waiting Rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Set Defibrillation Enabled/Disabled . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Pulse Strength . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CPR Performance Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Turn Off Remote Control and Mainikin . . . . . . . . . . . . . . . . . . . . . . 9
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Periodic cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Changing the pupils . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Attaching the Airway Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Changing the lung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Changing the Stomach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Changing manikin batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Connecting PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
IV Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Proper care of IV Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Wireless Remote Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Resusci Anne Advanced SkillTrainer . . . . . . . . . . . . . . . . . . . . . . . . . 12
Dismantling /Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Introduction
The Resusci Anne Advanced SkillTrainer offers high quality, yet
relatively low cost, advanced skills training. The combination of the
remote control and PC SkillReporting software allows comprehensive
instructor-to-student debriefing and documentation of key events.
Additionally, first aid and extrication practice can be incorporated
into the learning by adding the optional first aid and rescue limbs.
Each Resusci Anne Advanced SkillTrainer manikin simulates
a female adult of average physiology, and is designed to meeting
the core learning objectives of those individuals training in all areas
of intermediate to advanced healthcare to include CPR, defibrillation,
IV therapy and basic to intermediate (supraglottic) airway management
procedures.
3

4
Airway Head
1. Head Tilt and Chin lift: Head tilt and chin lift can be performed
on the head.
2. Jaw Thrust: The jaw thrust maneuver can be performed on
the head.
3. Ventilation
The airway is designed to accept a broad range of airway
management devices. Some examples are:
- Oral and Nasal airways (OPA and NPA)
- Bag-Valve-Mask ventilation (BVM)
- Combitube
- Laryngeal Mask Airway (LMA)
- Laryngeal Tube Airway (LTA)
Lubricate the oral and nasal airways liberally with the lubricant
provided prior to inserting any instrument or tube into the
airway. Additionally, instruments and tubes should also be
lubricated prior to use.
Note: There are electronic components mounted inside the head.
The following techniques should not be performed on this manikin
due to the inability to properly sanitize the airway if they are
performed:
- Mouth-to-mouth/Mouth-to-mask ventilation
- Insertion of simulated vomit for suctioning
4. Pupils: The manikin is delivered with a set of eyes containing
normal pupils mounted in the head. A separate case contains
3 sets of plastic eye inserts (normal, constricted and dilated
pupils) for use in simulating other conditions.
5. Cricoid Cartilage: A realistic cricoid cartilage is attached to the
airway underneath the face skin allowing the technique of cricoid
pressure to be performed.
6. Carotid pulses: When the manikin is “On” palpable carotid
pulses, synchronous to the simulated ECG, are generated.
Note: Care should be taken when palpating the carotid pulse to not
use excessive force as this will result in no pulse being felt.
7. Lung: The manikin is equipped with one disposable lung that
attaches to the airway.
Getting started with Resusci Anne Advanced SkillTrainer
Items included
Please check that all listed contents below are included.
- Torso including:
- Airway Management Head
- IV arm
- Foam legs
- Remote Control including batteries
- Remote Control cable
(for use when RF communication is not allowed)
- Power cord for AC wall adapter
- 1 bottle simulated blood
- 1 can Lubricant
- Manual defibrillation plates
- Hard case
- Resusci Anne Eye Set
- Directions for Use
- Track suit including jacket and pants
- Software CD and USB interface cable

13
Parts
150-10150 IV Arm, left
151-10150 Arm right plain
150-10650 Lung
150-10750 Stomach bladder
310350 Jacket and pants
310351 Jacket
310352 Pants
151-11050 Head cpl. Resusci Anne Advanced SkillTrainer
151-11750 Wig
151-14050 Chest skin cpl.
150-11150 Pupils (pkg 6)
150-120xx Remote Control
150-19050 Software CD with USB interface cable
151-19950 Directions for Use
110100 Hard carrying case
200-10550 AC Adapter (multi)
200-11250 Cable, Operating Device
282100 Manual Defib. Adapters (set of 2)
300-00650 Manikin Lubricant, 4 oz
300-00750 Blood concentrate, 4 oz
310310 Foam legs
Accessories
312000 Extrication limbs
312050 First Aid / Trauma limbs
090050 Bleeding control leg

12
IV Arm
Connect the IV Arm via the bolt by “clicking” it into place making
sure the grooves on the bolt fit properly to the hole on the torso.
Proper care of IV Arm
IV Arm – Multiple Venipuncture sites:
• Dorsal Veins of Hand (3)
• Antecubital
- Cephalic Vein
- Median Vein
- Basilic Vein
1. Attach IV bag to IV tubing.
2. Attach IV tubing to either vein.
3. Allow fluid to flow through arm and out other vein.
4. Clamp off flow of water from open vein.
The arm is now ready to practice venipuncture.
A 22 gauge needle or smaller is recommended to extend the
life of the IV Arm. When using an IV catheter, lubricate with manikin
lubricant for easier insertion.
When excessive leaking occurs at puncture sites, either a new
vein system or skin should be installed to reduce loss of fluid.
We recommend working at a sink when replacing the skin and
vein system.
Replacing Skin and Veins:
If replacing both skin and veins, cut off skin.
This can be done with a sharp knife, scalpel or scissors.
When finished, discard skin.
Replacing veins: (Keeping skin)
1. Lubricate inside of skin with liquid detergent; let it flow down
into the finger area.
2. Begin at top of arm and slowly pull skin down and off of arm.
Do not roll, as that will cause skin to bind.
3. Remove tubing from track in mandrel. Glue may need to be
scraped away to allow removal.
4. Rinse and dry vein grooves well and swab with alcohol.
Be sure to remove any excess glue.
5. Place new veins along grooves, spot gluing as needed.
(We recommend fast-drying glue.)
6. Generously lather arm mandrel with liquid soap.
7. Slide hand into skin.
8. Work skin over fingers, as with a glove.
9. Work arm skin up, over mandrel.
Heat arms skins before replacing on mandrel.
This can be done with a blow-dryer.
Troubleshooting
If an error message appears on the remote control stating
“no reception”, make sure that the manikin is turned on.
Technical Data
General
Operating Temperature
0°C - 40°C at 90% relative humidity, non-condensing
Storage Temperature
-15°C - 50°C at 90% relative humidity, non-condensing
Wireless Remote Control
Batteries: 4 AA type (LR6) Alkaline batteries
Battery life: Approximately 20 hours
LCD Display:
• High resolution LCD display w/backlight.
Operation range:
• 10m (30 ft) maximum
Radio Frequency (RF) Communication
• Europe: 868.0 - 868.6 MHz (CE approved)
• US and other markets: 915.5 - 916.4 MHz (FCC approved)
Resusci Anne Advanced SkillTrainer
Batteries: 8 D-cell (LR20) Alkaline batteries
Battery life: Approximately 40 hours (depending on use
of torso features)
Defibrillation: Average of 720J/minute max
Emergency Cardiac Simulation
• Synchronized variable heart rate, rhythm, abnormalities
and duration
• Defibrillation (25 -360 J)
• CPR performance downloadable to PC software
IV Arm
• Accessible veins include median, basilic and cephalic
Dismantling/Disposal
This appliance is marked according to the European directive
2002/96/EC on Waste Electrical and Electronic Equipment (WEEE).
By ensuring this product is disposed of correctly, you will help
prevent potential negative consequences for the environment and
human health, which could otherwise be caused by inappropriate
waste handling of this product.
The symbol on the product, or on the documents
accompanying the product, indicates that this appliance may not
be treated as household waste. Instead it shall be handed over to
the applicable collection point for the recycling of electrical and
electronic equipment.
Disposal must be carried out in accordance with local environmental
regulations for waste disposal.
For more detailed information about treatment, recovery and
recycling of this product, please contact your local city office, your
household waste disposal service of the Laerdal representative
where you purchased the product.

Torso
1. Chest compressions: The manikin presents the correct
anatomical landmarks for external chest compressions.
2. Defibrillation: The manikin is equipped with two defibrillation
connectors and four lead connectors for use with AEDs or
manual defibrillators. The ECG signal can also be monitored
across these connectors. Using the remote control, the instructor
can select the “ignore defib” function to control whether or not
the defibrillation shall result in conversion to a perfusing rhythm.
Paddle adapters are supplied for use with manual defibrillators.
Note: Defibrillation must be performed over the two defib
connectors only as shown in figure 1.
3. Stomach: The manikin is equipped with a stomach and pressure
valve system that allows stomach distension at inspiratory
pressures of more than 25 cmH2O. To deflate press gently on
the stomach as shown in figure 2.
4. Power Supply: The manikin is intended to operate from battery
power. An AC power adapter is included in the event the user
prefers not to use battery power (110 – 240V AC).
Connect the power adapter to the manikin as shown in figure 3.
Remote Control
Communication between the remote control and the manikin
is based on low power radio frequency (RF) communication.
If the remote control device is used in an environment where
RF communication is not desirable, or where interference from
other sources makes the remote control device inoperable, it is
recommended to use the cable connection between the remote
control and the manikin. Using the direct cable connection
disables the RF circuits in both the remote control and the manikin.
For use of this cable see later section.
Overview of the Remote
Control Device
A. LCD display: Displays status
and operation information.
B. Quick execution buttons:
Function keys.
The function of each
button is labeled on the display
above the button.
C. Navigation keys:
Use keys to navigate
and select functions
on the display.
D. OK/Select key:
Use this key to activate
selected functions.
E. Cancel/Back key:
Go back from sub menus without any changes.
F. Numerical keys: Use these keys to enter numerical data or to
select numbered parameters. Can also be used as alphanumerical
keys to enter file and event-names
G. Menu/Setup: Enter Setup Menu.
H. Scenario: Use this button to start a scenario.
I. Shift key
J. On/Off key: Press once to turn the unit on.
Press again to turn the unit off.
For Remote Control to properly recognize the manikin
1. Turn on the manikin by pressing the “On/Off” button located on
the right side of the manikin’s torso as shown in figure 5.
2. Turn on the remote control by pressing the On/Off key
(indicated by the letter J in remote control figure 4). The remote
control will automatically detect the manikin and set the initial
parameters accordingly. A splash screen will be displayed for a
few moments until the main display is shown.
Note: If an error message appears stating “no reception”, make sure
that the manikin is turned on.
I
H
G
B
C
D
E
F
J
A
5
Figure 1
Figure 2
Figure 5
Figure 4
Figure 3 On/Off

Main Display
The main display screen shows the current status and offers
shortcuts for modifying some parameters using the quick
execution buttons.
The main display is divided into three functional areas and a
quick execution area as shown in figure 6:
1. The upper area is the Log section. The log status and clock are
presented here together with the remote control battery status
and a radio reception indicator.
2. The ECG section is indicating Running Rhythm on the first line
and Waiting Rhythm on the second line. ”Defib. Enabled” allows
change to Waiting Rhythm when a defibrillator shock is given.
3. The “Pulse” area allows changes to the carotid pulse strength
and can be set to Weak, Normal or Strong.
4. The quick execution menus are shown at the bottom of each
display window. Quick execution button functions will change as
the selected function area changes.
Operation
1. Using left/right navigation
buttons (located to the left
and right side of the “OK”
button) tab to the desired
functional area of
the display. Once the desired
area is highlighted, use the
up/down navigation buttons
to scroll through to the
desired selection.
2. When the desired functional area is highlighted, press OK to edit
the settings. (For example, to set the rhythm, highlight the ECG
functional area and push the OK button).
Note: While in the edit mode (point 2 above) the user may
press the shift key together with the OK key in order to stay in
the editing screen. This allows the user to make multiple changes
before returning to the main screen again.
3. When the selection is complete, press OK to implement
the new selection and return to the main display.
Note: To cancel the selection press C. This action returns to
the main display with the previous setting unchanged.
Setup: Remote Control Settings
1. Setup Menu: To activate the Setup Menu, press the Menu
button as shown in figure 7. Use the navigation buttons to select
the desired function as shown in figure 7. Use quick execution
buttons or the navigation buttons to make a selection as shown
in figure 8. Press OK to save.
2. Display backlight can be turned on or off as shown in
figure 9. Unless used in a dark room, it is recommended to have
the backlight off to preserve batteries.
Note: The default setting is “off”.
6
Figure 7
Menu setup
Navigation
buttons
– Figure 6
– Figure 8
– Figure 9

Changing the lung
1. Detach the chest skin.
2. Detach the tubing from the elbow valve located under the
chest compression plate as shown in figure 35.
3. Pull the lung off the compression plate as shown in figure 36.
4. Attach the new lung.
5. Reattach the chest skin.
Changing the Stomach
1. Detach the chest skin.
2. Take away the stomach bladder by lifting the simulated stomach
bladder from the torso. Undo the stomach bladder from the
“feet” of the stomach pouch and detach the tubing from stomach
valve as shown in figure 37.
3. Attach the new stomach bladder.
4. Reattach the chest skin.
Changing manikin batteries
When replacing worn out batteries, replace them with
eight D-cell alkaline batteries.
To replace batteries:
1. Detach chest skin.
2. Open the battery cover.
3. Remove and discard old batteries.
4. Replace new batteries as indicated on battery cover.
5. Align battery cover with grooves in battery compartment.
6. Reattach chest skin.
Connecting PC
1. Locate the USB connector cable extending from the right side
of the torso.
2. Plug in USB cable to this connector.
3. Turn on the manikin
4. Start the manikin software program on the computer
5. Establish connection between the manikin and the PC program
by clicking on the “Locate manikin” tab on the “Session Setup”
main screen.
11
Figure 35
Figure 36
Figure 37

10
Maintenance
Preventive maintenance is the best method of ensuring long
and trouble free operation. A general inspection should be
conducted at regular intervals.
Periodic cleaning
Periodically wash all skin parts using warm soapy water or Virkon.
Outer skin and moulded hair
Most stains can be removed using warm soapy water, Virkon or
Manikin Wipes (ethanol). However, the older the stains are, the
more difficult they are to remove. Nonabrasive household cleaners
that are safe for plastics may produce desirable results.
It is wise to test other cleaning agents on a non-critical area, e.g.,
under the chest cover, before general use. Note that pigments
from lipstick and ballpoint pens quickly travel into the plastic skin.
Such stains may be impossible to remove.
Clothes
Hand or machine wash with soap or laundry detergent in warm
water, max. 40°C (100°F). Iron with warm iron. May be dry cleaned.
Please note that hot air dryer may cause garment shrinkage.
Changing the pupils
The manikin is delivered with a set of eyes containing normal pupils
mounted in the head. A separate case contains 3 sets of
plastic eye inserts (normal, constricted and dilated pupils) for use
in simulating other conditions.
To change the pupils in the airway head:
1. Remove the hair from the airway head by pulling back on the hair
piece as shown in figure 30.
2. Detach the top of the face skin and fold back until the eyes are
exposed as shown in figure 31.
3. With a thin blunt object, for example a screw driver, place the tip
into the groove under the eye insert, and pull up to detach the
eye from the skull as shown in figure 31.
4. To insert the new eye position it in eye hole of the scull and
press in until it snaps into place.
5. Reattach face and hair by reversing points 1 & 2 above.
Attaching the Airway Head
In the event that the airway head needs to be removed or
re-attached to the manikin’s torso perform the following:
1. Detach the manikin’s chest skin by pulling the skin away from
the tabs
2. Carefully lay the skin to the side being careful not to apply
excessive force to the cable attachments as shown in figure 32.
3. Position the head, airway and cables into the torso’s head
opening with the head in the downward position.
4. Insert the airway and cables through the opening.
5. Press head firmly towards torso, making sure the anchoring tab
is sufficiently inserted to the opening.
6. Twist the head into the upright, or proper, position.
7. Attach esophagus to the stomach by connecting the stomach
valve to the esophagus as shown in figure 33.
8. Attach the airway to the lung by connecting the corrugated
airway tubing to the plastic connector as shown in figure 34.
Figure 30 Figure 31
Figure 32
Figure 34
Figure 33

7
3. Display Contrast can be adjusted between 9 (darker) and 1
(lighter) as shown in figure 10
Note: Default setting is 5.
4. Autopower off: To preserve batteries, the Autopower off
function turns off the remote control if there has been no
keyboard activity for a set number of minutes decided by the
user between 5–60 minutes as shown in figure 11. A warning will
be given one minute before the unit turns off.
Note: Default setting is 15 minutes.
5. Com. Channel: To be able to operate several Resusci Anne
Advanced SkillTrainer manikins in the same vicinity, it is
possible to select 5 different communication channels as shown in
figure 12.
Note: Communication channels can only be changed if the remote
control device is connected via the remote control-to-manikin inter-
face cable. The default setting is channel 1 as shown in figure 13.
6. Language: Language selection affects the text output on the
remote control display as shown in figure 14.
Note: The default language output setting is English
Battery Status
There are two indicators warning of “Low Battery” status as shown
in figures 15 and 16. The remote control will indicate low battery
status for both the Resusci Anne Advanced SkillTrainer and the
Remote Control.
Resusci Anne Advanced SkillTrainer’s battery status is indicated by a
flash screen on the remote control as shown below. These indi-
cators warn of both “Battery Low” status and “Replace Battery”
status. Batteries should be replaced immediately when the Battery
Low indicator warning appears to avoid any loss of logged data in
the manikin. Replace the manikin’s batteries with 8 1.5 V alkaline
batteries, size D.
Remote control battery status is indicated in the upper right corner
of the display. Batteries should be replaced immediately when
battery empty is indicated. When the batteries are totally
empty, the remote control will turn itself off without any warning.
Replace the remote control batteries with 4 AA size alkaline
batteries as shown in figure 17.
The Manikin battery is low.
Replace batteries soon.
Battey Low
OK
The Manikin battery is VERY low.
Replace batteries immediately.
Replace Battey
OK
– Figure 10
– Figure 11
– Figure 12
– Figure 13
– Figure 14
– Figure 15
– Figure 16
– Figure 17

Programming ECG
1. Set Running Rhythm
On the main display, use the left/right navigation buttons to
highlight the ECG functional area and press OK to edit the
functions. Some functions may be changed directly from the main
display using the quick execution buttons as shown in figure 18.
-HR+ and HR– change the heart rate up and down.
-Extrasyst. generates an extrasystole of the selected kind
(on Sinus rhythms only), immediately after the button is pushed.
If no extrasystole is selected, a Unifocal PVC will be generated.
Using the navigation buttons, highlight the desired rhythm as
shown in figure 19 and press OK.
Rate and QRS type can be modified using the quick execution
buttons,
OR
By highlighting the QRS or Rate areas as shown in figures 19 by
using the left/right navigation buttons, and then use the numeric
pad or up/down buttons.
QRS types can be set to A through G as shown in figure 20:
Available rates are dependent on the selected rhythm.
Setting PEA sets the BP to 0.
2. Set Waiting Rhythm
From the main display use the left/right navigation buttons to
highlight the ECG functional area as shown in figure 21. Scroll
down to “No Waiting Rhythm”. Press OK to edit the selection.
Select a waiting rhythm in the same way as the Running rhythm
as shown in figure 22.
When a Waiting rhythm is selected, two additional quick execution
buttons appear in the quick execution area as shown in figure 23:
Activate - Activates the Waiting rhythm, substituting the Running
with the Waiting.
Parox - Activates the Waiting rhythm, and exchanges the
Waiting and Running rhythm.
3. Set Defibrillation Enabled/Disabled
When Defib. Enabled is selected the Waiting rhythm will be
automatically activated and replace the Running rhythm when a
shock is delivered to the manikin. Enable/Disable is selected by
toggling OK or the quick execution button labeled Disable/Enable
as shown in figure 24.
8
–HR +
Set PEA AG
QRS
1 Sinus rhythm
2 Ventr. Tachyardia
3 V.fib Very Coarse
4 V.fib Coarse
5 V.fib Medium
6 V.fib Fine
7 V.fib Very Fine
Set Running Rhythm
Rate 80
QRS
A
Figure 20
– Figure 18
– Figure 19
– Figure 21
–HR +
Reset PEA AG
QRS
0 None
1 Sinus rhythm
2 Ventr. Tachyardia
3 V.fib Very Coarse
4 V.fib Coarse
5 V.fib Medium
6 V.fib Fine
Set Waiting Rhythm
Rate 80
PEA
(BP=0)
QRS
A
– Figure 22
– Figure 23
– Figure 24

Pulse Strength
The Pulse can be adjusted to three levels; weak, normal or strong
as shown in figure 26.
If the Running rhythm is a rhythm with no BP, i.e. VF or Asystole,
no pulse will be detectable.
On the main display, using the left/right navigation buttons
highlight the Pulse Strength functional area as shown in figure 25.
Press OK to activate the Pulse Strength menu or adjust Pulse
Strength using the strong/normal/weak quick execution buttons as
shown in figure 26
Pulse strength can be adjusted using the up/down buttons, using
the quick execution buttons or pressing the associated number.
CPR Performance Monitoring
On the main display, use the left/right navigation buttons to
highlight the Logging functional area at the top of the screen as
shown in figure 27. Press CPR-stat quick execution button to
activate the real-time CPR performance overview.
The CPR Statistics overview allows the instructor to monitor
ventilation, compression and hands-off time as shown in figure 28.
Note: The values are updated automatically every 30 seconds.
Pressing the Refresh quick execution button updates the values
when depressed.
Turn Off Remote Control and Manikin
When the remote control is turned off a window will appear
asking whether or not the user would also like to turn off the
manikin as shown in figure 29. Use the “Yes” or “No” quick
execution buttons to make the appropriate selection.
This function helps to save battery life in the manikin.
9
– Figure 25
– Figure 26
– Figure 27
Ventilations:
Correct: 26.7%
Average volume 98 cl
Compressions:
Correct: 28.4%
Average rate: 127/min
Hands off:
Current: 3 sec Total: 21 sec
Refresh
– Figure 28
Turn off
Yes No
Turn off manikin too?
– Figure 29