laerdal Resusci Anne Simulator Manual

ENGLISH Directions for Use
ESPAÑOL Instrucciones de utilización
ITALIANO Instruzioni per l’Uso
FRANÇAIS Mode d’emploi
DEUTSCH Gebrauchsanweisung
NEDERLANDS Handleiding
NORSK Bruksanvisning
SVENSKA Bruksanvisning
SUOMI Käyttöohje
Resusci Anne Simulator
www.laerdal.com

Cautions and warnings
- There are electronic components mounted inside the simulator’s
airway management head. The following techniques should not be
performed on this simulator due to the inability to properly sani-
tize 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. Only two
individual pulses can be felt at the same time.
- When the Resusci Anne Simulator is in the “Off” status the
airway will remain open. If the simulator is turned off while the
closure valve is in the closed position it will open automatically
when the simulator is turned off.
- To avoid damaging the spontaneous breathing bladder, do not
perform chest compressions while the spontaneous breathing
function is activated.
- Maximum pressure in the spontaneous breathing
unit air tank is 10 bar (145 psi). Do not try to inflate over this
maximum pressure level as damage may occur.
-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
overheating.
- 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.
- Electromagnetic radiation from other radio transmitters or
other electronic equipment may cause noise in the head
speaker. To eliminate this noise move manikin away from
the radiation source or turn the head speaker volume to zero.
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 VitalSim product is in compliance with the essential require-
ments and other relevant provisions of Directive 1999/5/EC.
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Contents
Cautions and warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Standards/Approvals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Items included. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Unpack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Attaching the Legs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Connect Blood Pressure Arm Cuff to torso . . . . . . . . . . . . . . . . . . . 4
Getting started with Resusci Anne Simulator . . . . . . . . . . . . . . . . . . . 5
Airway Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Torso . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Remote Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Overview of the Remote Control Device . . . . . . . . . . . . . . . . . . . . . 6
For Remote Control to properly recognize the Simulator. . . . . . . . 6
Main Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Setup: Remote Control Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Programming ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Sounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Blood Pressure and Pulse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
CPR Performance Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Breathing Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Periodic cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Changing the pupils . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Attaching the Airway Head. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Changing the lung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Changing the Stomach. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Changing Spontaneous Breathing bladder . . . . . . . . . . . . . . . . . . . . 14
Filling the spontaneous breathing air container . . . . . . . . . . . . . . . . 14
Changing simulator batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Connecting external microphone (not supplied by Laerdal). . . . . 14
Connecting PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Connecting AC power supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Attach the BP Arm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Connecting the IV Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Proper care of IV Arm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Technical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Wireless Remote Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Resusci Anne Simulator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Introduction
The Resusci Anne Simulator offers a variety of capabilities within basic
and intermediate life support training for healthcare providers. The most
significant capability is that of training in teams to improve teamwork
and problem resolution skills.
Each Resusci Anne Simulator model simulates a female adult of average
physiology, and is designed to meeting the core learning objectives of
those individuals that train in all areas of Basic healthcare to include
CPR, defibrillation, base-line vital signs recognition and basic to
intermediate (supraglottic) airway management procedures.
ENGLISH
3

4
Unpack
The Resusci Anne Simulator is packaged
without the legs attached. Remove the
upper body and legs from the packaging
and attach the legs to the torso.
Attaching the Legs
Each leg is attached to the pelvis with a
bolt, two washers, a spring and a wing nut.
To attach Legs:
1. Detach the torso’s lower chest skin and
fold back as shown in figure 1.
2. Remove the stomach pillow insert.
3. Remove the pelvis from the torso via
bolt connection as shown in figure 1.
Note: : Be careful when detaching the pelvis
from the torso for assembly of the legs as
there are connection wires from the pelvis to
the torso.
4. Remove wing nut and washer from bolt
inserted in the leg. (Leave spring
assembly in thigh of leg.)figure 1.
5. Insert bolt through hole in pelvis
6. Slide washer and wing nut back
over bolt.
7. Use a screwdriver to drive bolt into
wing nut
8. Reattach the pelvis, with legs attached,
to the torso via bolt connector
To remove legs, reverse procedure.
Connect Blood Pressure Arm
Cuff to torso
1. Place Blood Pressure cuff on the arm.
2. Connect the clear tubing on cuff to the
blood pressure connector on simulator’s
torso (figure 2). Insert the connector
and twist slightly clockwise until it clicks
into place.
Items included
Please check that all listed contents below are included.
- Torso including:
- Airway Management Head
- Pelvis
- Blood Pressure arm with cuff
- IV arm
- Extrication / Rescue 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
- Full body soft pack
- Resusci Anne Simulator Eye Set
- Air pump
- Directions for Use
- Track suit including jacket and pants
- Educational Support Manual with predefined training scenarios
- Software CD and USB interface cable
Figure 2
Figure 1

ENGLISH
5
Airway Head
1. Head Tilt and Chin lift: Head tilt and chin lift can be performed
on the head. If the head tilt is performed, and airway obstruction
is not activated, the airway valve will be open allowing air passage
to the lungs
2. Jaw Thrust: The jaw thrust maneuver can be performed on the
head. If the jaw thrust is performed, and airway obstruction is not
activated, the airway valve will be open allowing air passage to
the lungs
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
simulator’s airway management head. The following techniques
should not be performed on this simulator 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. Speaker for voice transmission: When the simulator is “On”
a speaker located inside the airway head can produce pre-
recorded voice transmission via remote control. Live voice
transmission can also be achieved by use of a microphone when
connected to the simulator’s torso.
Note: External microphone not supplied by Laerdal
5. Pupils: The simulator 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.
6. Cricoid Cartilage: A realistic cricoid cartilage is attached to the
airway underneath the face skin allowing the technique of cricoid
pressure (Sellick Maneuver) to be performed.
7. Carotid pulses: When the simulator 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.
8. Airway Obstruction: An airway obstruction can be activated
from the remote control. This feature simulates a complete
blockage of the airways by shutting the airway closure valve that
controls air passage to the lung. The Resusci Anne Simulator is
delivered with a default setting of “Manual” mode and means that
the airway closing valve is always in the open position. It may be
manually closed with the use of the remote control. Two other
automatic settings can be selected via the remote control to
drive the airway obstruction feature. See later section titled “Set
Airway Obstuction (Open /Closed) Mode” found under Remote
Conrol for more detail.
Note: When the Resusci Anne Simulator is “Off” the airway will
remain open. If the simulator is turned off while the closure valve
is in the closed position it will open automatically when the
simulator is turned off.
9. Lung: The simulator is equipped with one disposable unilateral
lung that attaches to the airway.
Torso
1. Spontaneous breathing: The simulator is equipped with a self-
contained compressed air container located inside the pelvis of
the torso. A tube from the air container is connected to a small
bladder located under the lung. This bladder provides the
spontaneous chest rise and fall
- When the simulator is “On” the spontaneous breathing
feature can be manipulated by the remote control.
- Spontaneous breathing fill valve is built into the right side of
the simulator. The manual pump provided with the simulator
can be used to fill the compressed air container on an
as-needed basis.
Note: See Maintenance section titled “Filling the spontaneous
breathing air container” for details on this feature
2. Chest compressions: The simulator demonstrates the correct
anatomical landmarks for external chest compressions.
Chest compressions may be performed without the risk of
damage to the simulator’s spontaneous breathing bladder as long
as spontaneous breathing is not activated.
Note: To avoid damaging the spontaneous breathing bladder, do not
perform chest compressions while the spontaneous breathing function
is activated.
3. Defibrillation: The simulator is equipped with two defibrillation
connectors and four ECG connectors for use with AEDs or
manual defibrillators. The ECG signal can also be monitored
across the defib 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.
Note: Defbrilliation must be performed over the two defib connectors
only (see fig 3)
Paddle adapters are supplied for use with manual defibrillators.
Getting started with Resusci Anne Simulator
Figure 3