laerdal SimJunior Manual

SimJunior
Directions for Use
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www.laerdal.com

1
Maintenance 12
– Maintenance after each Simulation Session 12
– Opening theTorso 13
– Replacing the Simulator Battery 13
– Charging the Simulator Battery 14
– Replacing the Chest Rise Bladder 14
– Replacing the Lung Bladder 14
– Replacing Simulator Skins 15
– Replacing the Right IV Arm 15
– Replacing the Right IO Leg 15
Troubleshooting 16
Introduction 2
– Regulatory Information 2
– General Simulator Care 3
– SimJunior Overview Picture 5
– SimJunior Features 6
Simulator Setup 9
– Preparing for Simulations 9
– Preparing the IO Leg 9
– Administering IV Fluids 9
– Draining Excess IV Fluid 10
– Cleaning the IV Arm 10
– Installing Defibrillation Adapter Plates 10
– Connecting the Blood Pressure Cuff 10
– Calibrating the Blood Pressure Cuff 10
– Calibrating the Blood Pressure Cuff in SimPad 10
– Changing the Pupils 11
– Using an External Compressor 11
Specications 19
Simulation Software 8
– Instructor PC 8
– Software License 8
– Laerdal Simulation Home 8
– LLEAP 8
– Voice Conference Application 8
– Patient Monitor 8
– SessionViewer and SimView Server 8
– Other Applications 8
– SimDesigner 8
– Help Files 8
– Web Downloads 8
Spare Parts and Accessories 21
Table of Contents

2
Li-ion
Introduction
Introducing SimJunior™ Simulator
SimJunior is a realistic, life-size pediatric patient simulator designed
by Laerdal in collaboration with the American Academy of Pediatrics.
SimJunior can be used for the education of individuals or teams of
healthcare professionals from multiple medical disciplines.
The SimJunior Simulator comes completely assembled. There is no
need to assemble parts of the Simulator.
For details on preparing SimJunior for simulation, go to “Simulator
Setup” section.
SimJunior Help
Directions for Use (DFU)
Step-by-step instructions and illustrations for using the SimJunior
Simulator.
Original Manufacturer’s User Manuals
All separate user manuals and labeling from original manufacturers
should be followed. The SimJunior Directions for Use does not replace
or supersede those from the original manufacturer.
SimJunior Quick Setup Guide
Step-by-step guide for setup of the SimJunior simulation system.
SimPad Directions for Use (DFU)
SimPad Directions for Use provides instructions for using the Link Box
and the SimPad with SimJunior.
LLEAP Help Files (Laerdal Learning Application)
The LLEAP Help files are accessible from the Laerdal Simulation Home,
see Laerdal Simulation Home.
Help topics include:
– LLEAP
– SessionViewer
– Voice Conference Application
– SimDesigner
– Trend Editor
Technical Assistance
For technical assistance, contact your local Laerdal Technical Service
Center.
Web Downloads
Visit www.laerdal.com/downloads to download the latest Directions
for Use and newer versions of the simulation software.
SimCenter Content
SimCenter offers easy access to validated content from worldwide
simulation experts so you can take advantage of their experience
and get the most from every learning opportunity. You will find a
wide range of scenarios that have been developed specifically for
the SimJunior.Visit www.mysimcenter.com to learn how you can fully
optimize your learning experience.
Regulatory Information
Federal Communications Commission Statement
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.
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.
• 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 the party
responsible for compliance could void the user’s authority to operate
the equipment.
Li-ion batteries should be recycled.
The product is in compliance with the essential requirements of
Council Directive 2004/108/EC on electromagnetic compatibility
(EMC).
The product is in compliance with Council Directive 2011/65/
EU on restriction of the use of certain hazardous substances
(RoHS).
Dispose of in accordance with local requirements and
regulations.

Simulation Software
Simulator SetupMaintenanceSpare Parts Specications Introduction
Troubleshooting
3
Disclaimer
Use of the SimJunior patient simulation system to train personnel
should be undertaken under supervision of suitably trained technical
or medical personnel with an understanding of educational principles
as well as recognized medical protocols. As with all Simulators or
other such training devices, there may be approximations, variations
and inaccuracies in anatomical features and the physiological modeling.
This being the case, Laerdal does not guarantee that all features are
completely accurate.
Global Warranty
See the Laerdal Global Warranty Booklet, or see www.laerdal.com.
Country of origin - SimJunior is made in USA.
Laerdal Medical
P.O. Box 38
226 FM 116
Gatesville,Texas 76528, USA
Introduction
General Simulator Care
Follow the instructions below to maintain optimum performance and
longevity of the Simulator and its components.
General Care
To maintain Simulator skins, wash hands before use and place the
Simulator on a clean surface. Laerdal recommends to:
– Use gloves during simulation scenarios. Avoid using colored
plastic gloves, as they may cause discoloration of the Simulator
skin.
– Do not use felt-tipped markers, ink pens, acetone, iodine, or other
staining medications near the Simulator. Take care not to place
the Simulator on newsprint or colored paper. Staining may be
permanent.
– Clean Simulator skins with mild soap and water.
Do not attempt to perform the following techniques on this Simulator
due to the inability to properly sanitize the airway:
– Mouth-to-mouth/mouth-to-mask ventilation
– Insertion of simulated vomit or fluids for suctioning
– If a training session involves the use of fluids in the IV arm, drain
the arm immediately following the training session.
– Only use Laerdal Airway Lubricant, and apply sparingly
– Rinse, clean, and dry Simulator component modules
– Fold the torso skin back and powder the inside of the torso skin to
decrease friction. Do not spill powder into Simulator chest cavity.
Environment
In cold conditions, wait until the Simulator has reached room
temperature before starting up.
To avoid overheating and reduce wear:
– When using in temperatures above 40°C (104°F), always allow
the Simulator to cool down between training sessions.
– When using in a bed, Simulator should not be covered with heavy
bedding which prevents heat transfer from the Simulator.
General Simulator Handling
Take the following precautions to avoid personal injury or damage
to the product:
– Introduce fluids into the Simulator only as directed in this
document
– Lubricate the oral and nasal airways with the lubricant provided
prior to inserting any instrument, tube, or airway device. Also
lubricate instruments and tubes prior to use.
– Do not introduce humidified air into the system during ventilation
– Do not use the Simulator if the internal tubing and cabling is
disconnected
– Never use the SimJunior Simulator outdoors in wet conditions, as
this may pose a shock hazard or damage the Simulator.
– Using a defibrillator in temperatures over 35° C (95° F) may
cause overheating
Warning: Do not use automated chest compression machines
on the Simulator.
Caution Latex: This product contains Natural Rubber latex,
which may cause allergic reactions when in contact with
humans.
Debrillation Hazards
SimJunior allows for defibrillation.
A conventional defibrillator may be used on SimJunior. During
defibrillation, the defibrillator and Simulator may present a shock
hazard. All standard safety precautions must be taken when using a
defibrillator on the Simulator.
• Read and follow all safety and operating instructions provided
with your defibrillator and associated equipment.
• Follow defibrillation protocol by avoiding contact between
the external paddles and any of the electrode sites while
defibrillating. A load of up to 300 joules can be delivered.
• Failure to follow safety measures could result in injury or death.
For more information, consult your defibrillator’s original user manual.
Warnings:
– When performing defibrillation, use the defibrillator connectors
or the zap plate mounted on the Simulator’s chest. Do not use
the ECG connectors which are designed exclusively for ECG
monitoring. Defibrillation on the ECG connectors will damage
the internal electronics of the Simulator and may cause personal
injury.
– Do not defibrillate the Simulator when it is turned OFF or if it is
not functioning normally.

4
Introduction
To prevent overheating during defibrillation, do not exceed a
defibrillation sequence of 3 shocks in 45 seconds followed by 1 minute
of CPR. After 30 minutes, cease all shocking for at least 15 minutes
before starting a new sequence. Do not repeat this for more than a
4 hour period. Also, do not provide more than 2 x 300 defibrillator
discharges per minute.
Warnings:
– The Simulator must not come into contact with electrically
conductive surfaces or objects during defibrillation.
–Avoid use in all flammable environments. For example, high levels
of pure oxygen should be avoided during defibrillation. Ensure
good ventilation if concentrated oxygen is used near the Simulator.
– The Simulator torso must always be kept dry.
– Allow the Simulator to acclimate before defibrillating. Sudden
changes in temperature may result in condensation collecting on
electronic components, which could pose a shock hazard.
– To prevent torso skin electrode pitting, do not apply conductive
gel or conductive defibrillation pads intended for patient use.
– Pressing down too hard on the defibrillation connectors during
defibrillation may also cause arcing and pitting.
– Do not defibrillate the Simulator if the torso skin is not in place.
Mechanical or Electrical Hazards
Do not use the SimJunior Simulator if:
– Limbs are not attached to the torso
– Skins are torn or not properly fastened
– Internal or external cables, tubes or connectors are damaged
– There is fluid leakage in or on the Simulator
– There are unusual sounds indicating air leakage or mechanical
damage
– There are signs of electrical malfunction, such as an
unresponsive Simulator or unusual smell or smoke
Warning:
– Avoid pinch hazards - Do not use the Simulator without the
external skins
Battery Use and Maintenance
– Always use batteries approved to power the SimJunior, Link Box,
and SimPad.
– Ensure that the batteries are properly installed. Inserting and
connecting batteries incorrectly could cause a short circuit.
Warnings:
– Dispose of batteries according to local regulations.
– The external battery charger is for indoor use only.
– The Simulator battery should only be charged in temperatures
ranging from 0 °C - 40°C (32 °F - 104 °F)
– Do not mistreat, disassemble, or attempt to repair the battery. Do
not use the batteries if they are visibly damaged, malfunctioning, or
appear to be leaking.
– Take extreme care to avoid direct contact with electrical, hot or
smoking parts. In case of a leaking battery, disconnect and remove
the battery when it is judged safe to do so.
– Exposure to fluids pose an explosion hazard.
– On every 30th charge cycle, drain the battery completely before
recharging. To drain the battery, run the Simulator on battery
power until automatic shutdown.
– Only replace with a Laerdal SimJunior battery.
Storage and Transportation
– Never store fully charged batteries for longer than a month.
– The Simulator battery can be transported in the Simulator during
air freight.
– When transporting spare batteries, contact the airline or freight
company for the latest transport regulations.
Warning:
–The SimJunior Simulator and accessories are heavy when combined
in the carrying case. Always ensure that SimJunior is firmly secured
during transportation and storage to prevent personal injury or
damage to the product.

Simulation Software
Simulator SetupMaintenanceSpare Parts Specications Introduction
Troubleshooting
5
IO Leg
IO Leg Fill Port
SimJunior Simulator
Right Arm ECG
Connector
Sternum Deb Plate
IV Arm
Right Leg ECG
Connector
Power Cable
External Air Connection
Simulator Cable (60 pin)
Introduction
Left Arm ECG
Connector
Blood Pressure
Arm
Apex Deb Plate
Left Leg ECG
Connector

6
Introduction
SimJunior Simulator
SimJunior facilitates interactive training of life-saving skills and responds
to clinical intervention by instructor control and/or pre-programmed
scenarios for effective practice of diagnosis and treatment of a patient.
With spontaneous breathing, airway control, voice, sounds, ECG, and
other clinical features, SimJunior is a fully functional pediatric simulator.
SimJunior allows observation and recognition of most vital signs, which
enables the instructor to assess the student’s skills based on a realistic
clinical situation.
SimJunior Features
– Realistic airway for simulation of difficult airway management, oral,
and nasal intubation
– Observable breathing
– Cardiac features, including defibrillation and cardioversion
– Eyes with interchangeable pupils (normal, dilated, or constricted)
– Convulsions to simulate seizures
– Chest compressions
– Vascular access
– Normal and abnormal heart, breath, and bowel sounds
– Automatic Simulation Control based on pre-programmed and
validated patient scenarios
Simulations can run autonomously using scenarios on the SimPad or
with LLEAP (PC).The development of the patient’s condition is pre-
programed and automatically responds according to the participant
interventions.
Overall Dimensions
Length / Width (Simulator only): 45 in x 9.84 in (120 cm x 42.5 cm)
Weight (Simulator only): 25 lbs (11.36 kg)
SimJunior Clothing
SimJunior comes with custom designed clothing with Velcro openings
for easy removal.Washing instructions are found on the clothing label.
– Shirt
– Shorts
– Boxer Shorts
General Clinical Features
Airway Features
The airway is anatomically correct to the trachea.The airway can be
manipulated by:
– Head tilt/chin lift
– Jaw thrust with articulated jaw
– Cricoid pressure and manipulation
– Suctioning (oral and nasopharyngeal)
The Simulator may be ventilated by normal and emergency methods:
– Bag-mask ventilation
– Orotracheal intubation
– Nasotracheal intubation
Prior to using airway devices, lubricate with Laerdal Airway Lubricant.
The following equipment or methods are suitable to secure the
Simulator’s airway:
– Laryngeal mask airways (size #2.5)
– Endotracheal tube intubation (size ID 4.5 cuffed, 5.5 uncuffed)
Use of a malleable stylet is recommended. Make sure it does not
extend beyond the ET tube.
The following Simulator conditions indicate incorrect tube placement:
– Right main stem intubation – unilateral chest rise
– Stomach distention
– Lack of chest sounds (see Breathing section)
Simulator features may be configured to present various airway
scenarios:
– Tongue edema - normal, medium, maximum levels
– Lungs open or closed
Breathing Features
SimJunior can simulate spontaneous breathing with visible chest rise
and fall and variable breathing rates.The breathing is generated by an
enclosed air compressor in the Simulator’s right thigh.
– Bilateral chest rise and fall with spontaneous breathing
– Unilateral chest rise and fall with right mainstem intubation during
ventilations
– Unilateral and bilateral lung sounds
– Normal and abnormal breath sounds
– Variable respiration rate (0-60 breaths per minute)
– Anterior auscultation sites (4)
The left lung and right lung can be closed independently or together
to create a partial or complete airway obstruction. The SimJunior
Simulator can also be used with assisted ventilations.
Note: Lungs are not intended for use with PEEP-valves.

Simulation Software
Simulator SetupMaintenanceSpare Parts Specications Introduction
Troubleshooting
7
Introduction
Circulatory Features
Cardiac:
– Extensive ECG library, pulses from 0-200
– Heart sounds - anterior location (1)
– ECG rhythm monitoring (4-connector, 3-lead ECG)
– 12-lead ECG display (Using LLEAP only)
– Pacing
– Defibrillation and cardioversion using live defibrillators
Defibrillation:
– The number of shocks required for automatic conversion are set
in each simulation Patient Case
Defibrillation Studs:
3-Lead ECG Studs:
Blood Pressure and Pulses:
– BP measured manually by auscultation of Korotkoff sounds
– Bilateral carotid pulse
– Central pulses can be set to Normal,Weak, Absent
– Radial/Brachial pulses can be set to Normal,Weak, Absent
– Carotid, brachial and radial pulses synchronized with ECG
– Pulse strength variable with BP
– Pulse palpation is detected and logged
CPR Features
– Compliant with 2010 Guidelines
– Compressions generate palpable pulses, blood pressure wave
form, and ECG artifacts
– Realistic compression depth and resistance
– Detection of depth and rate of compressions
Vascular Features
IV Access:
IV access is possible on the right arm and hand. The IV arm can be set
up for IV insertion, infusion, and bolus into:
– Peripheral veins of the forearm
– Antecubital fossa and dorsum of the hand
For use of an optional catheter, see your local Laerdal representative.
Intraosseous Access (IO):
Access for IO infusion is possible:
– TibialTuberosity (right)
– Medial Malleolus
Note: SimJunior does not have intra-muscular (IM) injection sites.
Do not attempt to perform IM injections.
Sound Settings for SimJunior
SimJunior supports multiple sites for auscultation and recognition of
heart, lung, and bowel sounds. SimJunior also allows you to set vocal
sounds.
For more information on setting sounds for SimJunior, see SimPad
Directions for Use or LLEAP Help Files.

8
Simulation Software
Instructor PC
The Instructor PC uses LLEAP software to manage simulation
sessions. LLEAP, as well as other useful simulation related applications,
is accessible from Laerdal Simulation Home.
Software License
The Instructor PC is shipped from Laerdal Medical with a pre-
activated license for LLEAP installed.
Changes or updates of the computer hardware (e.g. new hard drive
or mother board) may render the license invalid. Please contact your
local Laerdal support for assistance for re-activating the license.
Laerdal Simulation Home
Laerdal Simulation Home is an application from where LLEAP and
other Laerdal programs related to patient simulation can be found
and started. The help files can also be opened from here. Laerdal
Simulation Home is located in the Laerdal Medical folder under the
Windows start menu (Windows 7).
Software used in a simulation session can be divided in the following
main applications:
– LLEAP (Laerdal Learning Application)
– Voice Conference Application
– Patient Monitor
– SimView Server or SessionViewer
In addition SimDesigner and other applications are used for designing
or preparing a simulation.
LLEAP
The Leardal Learning Application (LLEAP) is the instructor’s
application from where the simulation session is run, controlled, and
monitored. LLEAP can be operated in Automatic or Manual mode.
Automatic mode is used for pre-programmed scenarios while Manual
mode allows the instructor full manual control over the simulation
session. Running simulations in Manual Mode generally requires some
medical expertise to create clinically sound simulations.
Voice Conference Application (VCA)
TheVCA software is needed to transmit all vocal sounds used during
simulation. It allows the instructor to communicate through the
simulator during the session.VCA can also be used to communicate
with other instructors on a network, and create separate channels
that only members can talk and listen to.
Patient Monitor
The Patient Monitor application emulates a typical hospital patient
monitor. It is the learner’s console and can be set up and controlled
by the instructor, as well as by the learner, through on-screen touch
menus.
SessionViewer and SimView Server
SessionViewer and SimView Server are applications that record video
and patient monitor screen captures during simulation, in addition to
providing an interface to debrief your session.After a session is ended,
log files generated in LLEAP are transferred and merged with the
video files in SessionViewer or SimView Server for the debrief.
Session Viewer typically runs locally on the same computer used
for LLEAP, SimView Server runs on a dedicated server in the local
network. During the first start-up of LLEAP you are prompted to
select a debriefing system available on your computer or local network.
This can be changed later.
Other Applications
There are also other programs that are used in conjunction with the
simulation sessions,for example License Manager for handling program
licenses and Simulator Firmware & Network Fixer for updating the
firmware of the simulators or troubleshooting network problems.
SimDesigner
SimDesigner is an application for configuring your own pre-
programmed scenarios. It can also be used to analyze and print out a
graphical representation of a scenario.
SimDesigner must be installed to allow conversion of legacy instructor
application files to LLEAP compatible file formats.
Help Files
For more information on the LLEAP software and other applications,
see the Help files:
1. Click Windows <Start> <All programs>.
2. Select <Laerdal Simulation Home>.
3. Select <Help>.
Web Downloads
Visit www.laerdal.com/downloads to download the latest User Guide
and Software.

9
Simulation Software
Simulator SetupMaintenanceSpare Parts Specications Introduction
Troubleshooting
Simulator Setup
Preparing for Simulations
After the SimJunior Simulator is prepared and all applicable interactive
devices (SimPad or Instructor PC and Patient Monitor) are configured
and made ready for use, final preparations may need to be performed
before SimJunior is ready to run simulations.
Final simulation preparations include the following activities:
• Preparing the IO leg
• Administering IV Fluids
• Draining Excess IV Fluid
• Cleaning the IV Arm
• Connecting Defibrillation Adapter Plates
• Connecting the Blood Pressure Cuff
• Changing the Pupils
• Connecting an External Compressor
• Changing Settings for the Internal Compressor
Preparing the IO Leg
The Simulator’s right leg is designed for practicing intraosseous infusion
skills.Anatomy of the right leg includes knee, tibia, tibial tuberosity site,
and medial malleolus site.The right leg comes with IV tubing and one
IV bag for use as a reservoir during infusion.
Additional equipment needed:
• IV bag and administration set
• Simulated blood concentrate
• 35cc syringe and 16-gauge intraosseous needle
To fill the IO Leg and prepare it for use:
1. Raise the leg vertically.
2. Open the plug at the heel.
3. With a syringe, fill the bone with approximately 240 to 250 cc of
simulated blood.
4. Attach tubing connected to an IV reservoir bag. (Use roller
clamp to open or close the line as needed in order to relieve
pressure build-up.)
5. Close off tubing that runs into the reservoir bag so that
simulated blood will remain in the bone for aspiration.
6. When the reservoir bag is filled, discontinue infusion and replace
with empty bag.
Before storing the Simulator:
– Detach the IV line and reservoir from the foot
– Allow all fluid to drain
– Store leg unplugged to allow it to air dry
Note: Do not use saline solution. It may cause deterioration of
the leg. Use distilled or de-ionized water to avoid buildup of
minerals.
Administering IV Fluids
The right IV Arm supports training for IV drug administration,
IV insertion, infusion, and bolus into peripheral veins of forearm,
antecubital fossa, and dorsum of the hand.
Use 20 to 22 gauge needle for IV simulation.To prevent clogging of
the IV system, use only distilled or de-ionized water to simulate IV
drugs.

10
Simulator Setup
Draining Excess IV Fluid
The IV fluid system is an open system. IV fluids are drained as they are
administered.
Before each session:
1. Attach the IV overflow tube (in the Simulator’s right arm) to an
overflow container (such as an IV bag).
2. Allow excess fluid to drain into a container during the simulation.
Cleaning the IV Arm
Clean the IV arm after each session or day of use by flushing the IV
Arm with 60% isopropanol or 70% ethanol.
Installing Debrillation Adapter Plates
The Simulator torso is fitted with two stud connectors for defibrillator
cables. Before attempting defibrillation, you must unscrew and remove
the defibrillator stud covers.
Two defibrillation adapter plates are packaged with the Simulator. The
defibrillator adapter plates must be fitted in place before using a live
defibrillator with defibrillation paddles or adhesive pads. Screw the
adapter plates firmly into place.
During Debrillation
A conventional defibrillator (not included) may be used on the
SimJunior. During live defibrillation, the defibrillator and Simulator may
present a shock hazard.All standard safety precautions must be taken
when using the defibrillator on the Simulator.
Caution: The Simulator must not be in contact with electrically
conductive surfaces or objects during defibrillation.
Warnings:
– Defibrillation must be performed on the defibrillator connectors
only.
– Do not press too hard over the defibrillation adapters as this
may cause arcing and pitting.
– Do not defibrillate the Simulator without the torso skin in place.
Connecting the Blood Pressure Cuff
The Simulator is delivered with a customized Blood Pressure Cuff.
Connect the tube to the white BP connector on back of the Link
Box before use.
Note: The speaker for the Simulator’s blood pressure is
located in the left antecubital fossa, circled below. The radial
and brachial pulses are located in the rectangular areas.
Calibrating the Blood Pressure Cuff
1. Select <Tools> from the menu
2. Select <Simulator Setup> from theTools-menu
3. Select <Calibrate Blood Pressure> from the sub-menu
4. Follow the on screen wizard instructions to perform the
calibration

11
Simulation Software
Simulator SetupMaintenanceSpare Parts Specications Introduction
Troubleshooting
Simulator Setup
Changing the Pupils
SimJunior is delivered with normal pupils installed in the eyes. A
separate kit containing plastic pupil inserts (constricted and dilated)
comes with SimJunior.
To change the pupils:
1. Carefully open the eyelids wide, taking care not to tear the
Simulator face skin.
2. Using the suction cup tool provided in the kit or with the edge of
your fingernail, carefully remove the pupil from the eye.
3. Replace the pupil with the desired insert, using the suction cup
tool or by gently pressing in place.
Using an External Compressor
The external compressor connects to the clear tube found in the
cable bundle exiting the right side of the Simulator. When using an
external compressor you can turn off the internal compressor from
SimPad or LLEAP.
For more information on external compressors and regulator panels
compatible with SimJunior, contact your local Laerdal representative.
Turning on or off the internal compressor in SimPad
1. Start <Manual Mode>, select a theme and start the session.
2. Select <Miscellaneous> from the bottom menu.
3. Select <Compressor> from the sub-menu.
4. Make the desired changes in the dialog and click OK.
Turning on or off the internal compressor in LLEAP
1. Select <Tools> from the menu.
2. Select <Simulator Setup> from theTools-menu.
3. Select <Internal compressor> from the sub-menu.
4. Make the desired changes in the dialog and click OK.

12
Note: For information on and spare parts, see section: Spare
Parts and Accessories.
Before Storage or Shipping
– Flush the IV arm with 60% Isopropanol alcohol or 70% ethanol.
Open the drain valve on the bottom of the Simulator’s right foot.
Maintenance
Maintenance after each Simulation Session
The following preventive measures are required to ensure longevity of
the SimJunior Simulator.
– Power off the SimPad, Link Box and PCs
– Charge batteries if necessary
– Flush the IV-arm system and drain the IO leg (leave the plug in the
bottom of the IO leg open)
– After each session where the IV-arm has been used, flush the IV
arm with 60% Isopropanol alcohol or 70% ethanol
– Wipe the skin with a moist cloth
– Remove wet clothes or linens
– Remove tape residue with a moist cloth or rubbing alcohol
– Based on the use of the Simulator, replace modules that are
consumed or damaged
– Replace cables or connectors showing visible damage
– Servicing should be performed by qualified personnel at regular
intervals
Always perform a service:
– If liquids have been spilled in or on the Simulator
– After use in dusty environments

13
Simulation Software
Simulator SetupMaintenanceSpare Parts Specications Introduction
Troubleshooting
Maintenance
Opening the Torso
Open the Simulator torso to perform procedures such as:
– Attaching or replacing limbs
– Replacing the Simulator Battery
– Replacing the Chest Rise Bladder and Lung Bladder
– Replacing theTorso Skin
– For general inspection
Warning: Open the torso from left to right, gently unhook the
skin. Do not pull hard to lift the Torso Skin, this could damage
the chest cables.
1. UnhookTorso Skin holders on left side of the torso and each
shoulder.
Replacing the Simulator Battery
1. Open the Simulator torso.
2. Fold theTorso Skin over to the right side.
3. Disconnect the Defibrillation connector cable.
4. The Defibrillation connector cable must be disconnected at the
right side of the Simulator below the chest form.
Note: DO NOT disconnect the tubes and cables connecting
the stomach foam to the Simulator.
5. Replace theTorso Skin by performing steps 1- 4 in reverse.
2. Slide the battery out of the battery strap.
3. Pull the battery power connection up from inside the
Simulator. Unhook the battery power connection.
4. Lift the battery out of the Simulator.
5. Replace the charged battery or install a new Laerdal
approved SimJunior battery.
6. Connect the battery to the Simulator.
7. Replace theTorso Skin.

14
Maintenance
Charging the Simulator Battery
The Simulator battery charges itself as it is operated. If necessary, the
Simulator battery can be charged using an optional external power
adapter.
1. Power down the Simulator via the Link Box.
2. Remove the Simulator battery from the Simulator.
3. Connect an approved external battery charger (with a power
cord that meets local specifications) to the bottom of the
Simulator battery. Connect the battery charger’s power cord into
a wall outlet.
4. When the battery has finished charging, replace the battery in the
Simulator.
Replacing the Chest Rise Bladder
The Chest Rise Bladder is located in the lower end of the chest plate,
centered under the lungs.
1. Open theTorso Skin to expose the chest plate. See Opening the
Torso.
2. Disconnect the clear tubing from the Lung Bladder and remove
the Lung Bladder. For more details, see Replacing the Lung Bladder
3. Disconnect the clear tubing from the Chest Rise Bladder.
4. Discard the old bladder.
5. Insert new bladder.
6. Re-connect the tubing to the new bladder.
7. Close the torso and replace theTorso Skin.
Replacing the Lung Bladder
If leaking occurs, the Lung Bladder (in the chest cavity) should be
replaced.
1. Open theTorso Skin.
2. Disconnect the clear tubing from under each side of the lung
bladder. Refer to step 2 illustration in Replacing the Chest Rise
Bladder.
3. Disconnect the Lung Bladder clip from the top center.
4. Gently pull the top center portion of the Lung Bladder up from
its socket.
5. Reverse the process to install the new Lung Bladder.

15
Simulation Software
Simulator SetupMaintenanceSpare Parts Specications Introduction
Troubleshooting
Replacing Simulator Skins
The Simulator skins may need to be replaced if they are torn,
perforated, or stained.
Torso Skin:
To replace the Simulator torso skin, see Opening the Torso.
Arm Skin:
To replace the Simulator Arm Skin:
1. Remove the old Simulator Arm Skin by working it down over the
arm and hand or *cut the skin.
Warning: *Do not puncture or cut the mandrel arm.
To attach the new arm:
Maintenance
Replacing the Right IV Arm
1. Open the torso, see Opening the Torso.
2. Remove old arm by unscrewing the bolt holding the arm to the
Simulator’s shoulder.
3. Ensure that the shoulder screw is loose enough to allow the arm
axle to slide out easily.
4. Discard the old arm according to specified guidelines.
1. Ensure that the shoulder screw is loose enough to allow the arm
axle to slide easily into place.
2. Connect the arm to the corresponding connection points in the
torso.
3. Carefully push the arm axle into the shoulder bracket, so that the
axle is flush with the inside of the bracket.
4. Tighten the shoulder screw with an Allen wrench.
Replacing the Right IO Leg
To detach the right lower leg:
1. Ensure that any fluid in the leg has been drained.
2. Remove old IO Leg by unscrewing the bolt holding it to the
thigh.
3. Slide the IO lower Leg out from the thigh.
4. Discard the old IO Leg according to specified guidelines.
Reverse the above process to attach the new IO Leg.
2. Discard old skin.
3. Lubricate inside of new Arm Skin with mild liquid detergent
mixed with water.
4. Lubricate (or lather) mandrel with a mix of mild liquid soap and
water.
5. Slide Simulator hand into skin.
6. Work skin over fingers (as with a glove).
7. Work skin up, over the arm mandrel.

16
Troubleshooting
System Setup
Problem
• Lost data or total system failure (General System failure).
Possible Solution
• Should system shutdown occur or all data is lost or corrupted;
please contact your local Laerdal Service Center.
LLEAP
• See Software Help Files > LLEAP >Troubleshooting Guide
(Help is accessible from Laerdal Simulation Home)
Laerdal Patient Monitor
• See Software Help Files > Laerdal Patient Monitor>
Troubleshooting Guide. (Help is accessible from Laerdal
Simulation Home)
Debrieng and video recording
• See section forTroubleshooting in SimView Help (accessible from
a link at the bottom of the screen in SimView) or Troubleshoot-
ing Guide from SessionViewer Help (accessible from Laerdal
Simulation Home)
Simulator
Problem
• Unpredictable behavior.
Possible Solutions
• Simulator malfunctions may be caused by loose cables, tubes or
connectors. Open the torso and check if any items appear to
have become disconnected or are leaking. See section: Simulator
Setup - Opening theTorso.
• In case of fluid leakage, power off the Simulator and contact
LaerdalTechnical Service.
Airway Contamination
Problem
• Simulator airways have become contaminated from mouth-
to-mouth rescue breathing.
Possible Solution
• Clean the outside of the Simulator with Simulator wipes. Clean
the inside of the oral cavity with Simulator wipes. Change
the lung bladder; see section: Maintenance - Replacing Lung
Bladder.
Chest Movement
Problem
• No chest rise on Simulator.
Possible Solutions
• Check that power to Simulator is ON.
• In SimPad or LLEAP, check that
– awRR is not set to zero
– Chest Rise is not set to OFF
– ECG is set to a perfusing rhythm.
– Airway complications like maximum air resistance or
laryngospasm are not set.
– Verify that the Integrated Compressor is enabled in LLEAP.
See section:Turning the Internal Compressor Off.
• Check that any external compressed air source is switched
off and that the air tube is disconnected from the Simulator.
• The internal compressor may be overheated.Wait
approximately 20 minutes for it to cool down.
• Chest rise is set to bilateral (for example if ET-tube is inserted
too far into the bronchia).
• Chest rise bladder is leaking or tubing to chest rise bladder is
twisted kinked or disconnected. Replace chest rise bladder if
it is leaking, see Maintenance: Replacing the Chest Rise Bladder.
• Check air tubing for leakage; check that all connections are
intact. Replacing tubing section if leaking.
• Shallow chest movements and the internal compressor runs
continuously.The internal compressor may be worn. Contact
LaerdalTechnical Service.
Lungs
Problem
• Lungs not functioning properly
Possible Solutions
• Open the torso and chest plate. Check that the lungs are free
to expand and are not restricted by any cables.
• Check that the Lung Bladder is properly connected, and that
the tubes are not twisted.
• Check that the Lung Bladder is in a horizontal position and
inserted correctly.

17
Simulation Software
Simulator SetupMaintenanceSpare Parts Specications Introduction
Troubleshooting
Troubleshooting
• Check for flaws or tearing in the lung bladder.
• Check that there are no obstructions inside the Simulator airways
which may block air flow.
• If there is no change when adjusting lung compliance, contact
LaerdalTechnical Service.
• If there is no change in lung resistance, contact LaerdalTechnical
Service.
Mechanical Noise during Auscultation
In LLEAP click <Auscultation focus>.
Pulses (Radial and Brachial)
Problem
• Cannot feel pulses
Possible Solutions
• Skin may be too tight over pulse units – re-adjust skin and reboot.
• Ensure blood pressure is set to at least 60 systolic.
• Ensure compressor is ON.
Note: If the radial pulse is set below 60, peripheral pulses may
disappear.
Simulator Shutdown
Problem
• The Simulator is unresponsive.
Solution
1. Power off the Link Box.
2. Turn the SimPad off, or if you are using LLEAP turn the instructor
PC off.
3. Restart everything.
If the Simulator is still unresponsive,contact your Laerdal representative.

18
Notes