laerdal Arterial Stick Arm Manual

Arterial Stick Arm
375-81001
(ASA-1000)
Directions for Use

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Table of Contents
Laerdal Recommends
4
Items Included
4
Skill Taught
4
Preparing Simulator for Use
5
Replacing Skin and Arteries
6
Care & Maintenance
8
Warranty
9
Replacement Parts
10

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The Arterial Stick Arm is a full-size, lifelike adult right
arm with replaceable skin and arteries. It is specifically
designed for training professionals in the drawing of
arterial blood samples for monitoring blood gases.
As a result of quality construction and the ease of
replacing individual parts, this simulator should provide
many sessions of training when reasonable care and
maintenance are practiced.
Items Included:
(1) Arterial Stick Arm
(1) Pulse Simulator
Skill Taught:
Proper procedure for obtaining ABG – Arterial
Blood Gases
Laerdal Recommends:
Arterial sticks - 21 gauge needle or smaller

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Preparing Simulator for Use:
1. Remove pulse generator
(red syringe bulb).
2. Fill with water. (Blood
Concentrate is available for
purchase from Laerdal.)
3. Attach filled pulse generator
on one end of arterial tubing.
4. Allow fluid to flow through arm
and out other arterial tubing.
5. Place arm in horizontal position with palm up.
6. Flex wrist for accurate positioning to perform radial
arterial stick.
7. Squeeze pulse generator for palpating a radial or
brachial arterial pulse.
8. Perform arterial stick.
Laerdal Recommends
In order to prolong life of
skin and tubing, we
recommend using a 21-
gauge needle or smaller.

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Replacing Skin and Arteries:
1. If replacing both skin and veins, cut off skin and discard.
The thumb will detach with the skin. (New skin has a
thumb.)
Replacing skin:
1. Cut off skin. This can be done with
a sharp knife or scalpel. (Figure1)
2. Discard skin.
Replacing arteries: (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.
Thumb will detach with skin.
3. Remove tubing from track in mandrel.
Glue may need to be scraped away to
allow removal.
4. Rinse and dry grooves well and swab with
alcohol. Be sure to remove any excess glue.
5. Place new arteries along grooves, (Figure 2)
spot gluing as
needed. (We
recommend a fast
drying glue.)
6. Generously lather
arm mandrel with
liquid soap.
Laerdal Recommends
When excessive leaking occurs at the puncture sites, either a
new skin or arteries should be installed to reduce loss of fluid.
We recommend working at a sink when replacing skin and
arteries.
Fig.
1
Fig. 2
Laerdal Recommends
Heat arms skins before
replacing on mandrel.
This can be done with a
blow-dryer.

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7. Slide hand into skin. (Photo 1)
8. Work skin over fingers, as with a glove. (Photo
2)
9. Work arm skin up, over mandrel. (Photos 3 & 4.)
Photo 1
Photo 2
Photo 3 Photo 4

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Care and Maintenance:
1. Clean with mild soap and water; do not submerse in
cleaning fluids or water.
2. Use only on clean surface. Avoid felt tipped
markers, ink pens, acetone, iodine or other staining
products and avoid placing the manikin on
newsprint or inked lines of any kind.
3. To ensure longevity, module should be cleaned
after each training session and a general inspection
should be conducted regularly.
4. Modules and all other parts should be drained and
air-dried thoroughly before storage and disinfected
when needed. After use of injection pads (use water
only), accumulated water should be squeezed out.
Do not store wet foam pads in the skin. To
prevent mildew or mold, pads can be soaked in a
mild solution of disinfectant and water or bleach and
water. Squeeze excess solution from pads, allow
them to dry, then store or reinsert in manikin.
5. Articulating parts will benefit from a light application
of talcum powder prior to training sessions.
6. Store properly between teaching sessions.
Laerdal Recommends:
This product has been designed with drain holes
throughout arterial puncture sites. Fluid that escapes from
punctures will collect inside arm. Opening plug at top of
arm can drain this fluid.
If using blood concentrate, flush arterial tubing with clear
water prior to storing arm between training sessions. It is
not necessary to remove skin and arteries after use. Wipe
off excess moisture and allow to air dry to prevent odors.

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Warranty
Laerdal Medical warrants to the purchaser that its
products are free from defects in material and
workmanship for a period of one (1) year from the date
of purchase by the original user. During the designated
one (1) year period, Laerdal Medical will, upon receipt
of a product found to be defective due to materials or
workmanship from the purchaser and notification in
writing of the defect, at its option repair or replace any
parts found to be defective or the entire product.
Warranty period does not renew with replacement or
repair of original product.
Products found to be defective and notification of
defects may also be sent to the authorized Laerdal
Medical dealer from whom the product was purchased.
All postage, shipping or handling charges shall be the
sole responsibility of the purchaser.
Laerdal Medical is responsible for the effects of safety,
reliability and performance of its product(s) only if:
– service, repair, readjustment or modification is
carried out by Laerdal Medical or persons authorized
by Laerdal Medical.
– the electrical installation of the room where the
product is used complies with pertinent equipment
requirements.
– the product is used in the proper manner in strict
compliance with its Directions for Use.
Laerdal Medical shall not be liable under this warranty
for incidental or consequential damages, or in the event
any unauthorized repairs or modifications have been
made or attempted, or when the product, or any part
thereof, has been damaged by accident, misuse or
abuse. This warranty does not cover batteries, fuses,
normal wear and tear, excessive use, staining,
discoloration or other cosmetic irregularity which does
not impede or degrade product performance.
Some states in the USA do not allow the exclusion or
limitation of incidental or consequential damages, so
those limitations or exclusions may not apply to you.

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There are no other express or implied warranties,
whether of merchantability, fitness or purpose, or
otherwise, on the product, its parts and accessories.
Replacement Parts:
Product Number: Description:
1000293 Pulse Simulator
Assembly
1000840 Arm Drain Plug
1000191 Deltoid Pad
1000499 Artery Tubing
1000376 Arm Skin
1000711 Skin & Artery Kit
Please contact Customer Service Representatives for
more information on Replacement Parts in other skin
tones

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(C) Copyright Medical Plastics Laboratory, Inc., Gatesville TX
Document #1001602 rev A
March 28, 2003

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Norway: LAERDAL MEDICAL AS
P.O. Box 377, N-4002 Stavanger
Tel. +47 51 51 17 00, Fax +47 51 52 35 57
Australia: LAERDAL Pty. Ltd. (ABN 47 003 817 490)
23 Edward Street, Oakleigh, Victoria 3166
Tel. +61 3 9569 4055, Toll free 1800 331 565
Fax +61 3 9569 4028, Toll free 1800 635 835
Benelux:"The Laerdal BeNeLux House"
Dijkstraat 54, NL-5554 PS VALKENSWAARD
Tel. +31 40 208 58 00, Fax +31 40 208 58 02
Canada: LAERDAL MEDICAL CANADA LTD.
151 Nashdene Rd., Unit #45
Toronto, ON, Canada, M1V 4C3
Tel. +1 (416) 298-9600,
Toll free 888/LAERDAL (523-7325)
ou en français (800) 567-9987
Fax +1 (416) 298-8016
Denmark: LAERDAL DANMARK
Postbox 225, DK-8600 Silkeborg
Tel. +45 80 333 112, Fax +45 80 333 555
Eastern Europe: LAERDAL C.E. EUROPE
A-1060 Vienna, Mariahilferstr. 1d/1/3
Tel - Fax +43 15877140, Tel. +43 15815927
Far East: LAERDAL Singapore Pte Ltd
No 1 Marine Parade Central
#13-05, Parkway Centre Singapore 449408
Tel. +65 63464259, Fax +65 63467523
Finland: LAERDAL OY
Vattuniemenranta 2, 00210 HELSINKI
Puhelin +358 (0)9-612 99 80,
Telekopio +358 (0)9-692 77 99
France: LAERDAL MEDICAL FRANCE
1 rue des Vergers - Bâtiment n° 5 - 69578 Limonest Cedex
Tél. +33 (0)4 72 52 02 52, Fax +33 (0)4 78 35 38 45
Germany: LAERDAL MEDICAL DEUTCHLAND GmbH
Am Loferfeld 56, 81249 München
Tel. +49 (0)89 / 864 954-0, Fax +49 (0)89 / 864 34 84
Italy: LAERDAL ITALIA s.r.l.
Via Piero Gobetti 52/2 int.Z, 40129 Bologna
Tel. +39 051-355587, Fax +39 051-355598
Japan: LAERDAL MEDICAL JAPAN K..K..
Shinjuku IS Bldg.. 8F
2-13-12, Shinjuku, Shinjuku-ku, Tokyo 160-0022
Tel. 81-3-5919-2121, Fax: 81-3-5919-2122
Malaysia: LAERDAL HOSPILINE Sdn Bhd
12 Jalan Titir 33/25, Section 33, Shah Alam Technology
Park,
40400 Shah Alam, Selangor Darul Ehsan,
Tel +60 (3) 5122-7002, Fax +60 (3) 5122-5650
New Zealand: LAERDAL NEW ZEALAND Ltd
(GST Number 79-403-636)
PO Box 302664, North Harbour, Auckland 1330
Tel. +61 3 9564 4066, Toll free 0800 523 732
Fax +61 3 9563 3368, Toll free 0800 528 852
Portugal: LAERDAL ESPANA, Sucursal em Portugal
Rua da Bela Vista à Graca, no.31 A. Escritorio 9,
1170-054 Lisboa
Tel. (+351)-21-816-6567, Fax (+351)-21-816-6568,
Mob. (+351)-918765367
Spain: LAERDAL ESPANA, S.L.
Manuel Tovar 19, 28034 Madrid
Tel. (+34) 902-291110, Fax (+34) (91)-7291125
Sweden: LAERDAL MEDICAL AB
Box 2064, Paviljongvägen 3-5, 132 02 Saltsjö-Boo
Tel. +46 (0)8-55614610, Fax +46 (0)8-55614619
United Kingdom: LAERDAL MEDICAL LTD.
Laerdal House, Goodmead Road, Orpington,
Kent BR6 0HX
Tel. +44 (0)1689 876634, Fax +44 (0)1689 873800
USA and Latin America:
LAERDAL MEDICAL CORPORATION
167 Myers Corners Road, P.O. Box 1840
Wappingers Falls, New York 12590-8840
Tel. (800) 431-1055, +1 (845) 297-7770
Fax (800) 227-1143, +1 (845) 298-4545
MEDICAL PLASTICS LABORATORY, INC.
P.O. Box 38, 226 FM 116 South
Gatesville, Texas 76528-0038
Tel. (800) 433-5539, (254) 865-7221
Telefax (254) 865-8011
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