Limbs & Things 60100 User manual

PARACENTESIS
TRAINER
limbsandthings.com
r me sk train uc t
Sussex Street, St Philips, Bristol, BS2 0RA, UK | [email protected] | [phone]
Us e
60100

2
•PARACENTESIS TRAINER 3
•SAFETY & CLEANING INSTRUCTIONS 4
•SET UP | You will need 5
•ADDING/REMOVING INTERNAL ANATOMY 7
•Bowel 7
•Liver 8
•Spleen 9
•FITTING THE PARACENTESIS PADS 9
•ADDING THE ASCITES FLUID (WATER) 11
•USING THE LARGE VOLUME REFILL SYSTEM 13
•USE OF THE PADS 15
•DIAGNOSTIC PROCEDURE 16
•THERAPEUTIC PROCEDURE 17
•ULTRASOUND PROCEDURE 18
•CLEANING & STORAGE AFTER USE 19
INDEX
A GOOD STARTING POINT...
Visit the website or YouTube channel
limbsandthings.com
youtube.com/limbsandthings
Take a look at our
Paracentesis Trainer video

3
This trainer fulfills the fundamental
component of core medical training in
diagnostic and therapeutic techniques
of Paracentesis, for both landmark or
ultrasound guided techniques.
Trainees are able to identify the
echogenic anatomy enabling them to
learn how to safely insert a needle or
catheter into the peritoneal cavity.
SKILLS
FEATURES
• Familiarity with abdominal regions and
underlying anatomy
• Palpation of bony landmarks
• Identification of excess fluid
• Through ultrasound, safe needle/catheter
insertion sites
• Insertion of needle into peritoneal cavity for
therapeutic or diagnostic purposes
• Professional-to-patient communication
– Landmark or ultrasound techniques can be practiced (side by side)
– Internal echogenic anatomy to allow recognition of landmarks under ultrasound
– Two 3.5 l chambers can be filled with water
– Self-sealing pads, withstanding up to 200 needle or up to 100 catheter insertions
– Realistic tissue and needle response
– Ability to insert and remove a drain
– Cost effective consumable pads
– Latex free
PACKAGE
SUPPLIED
• 60101 Paracentesis Skin
• 60102 Paracentesis Pads (x2)
• 60103 Paracentesis Liver
• 60104 Paracentesis Spleen
• 60105 Paracentesis Bowel Insert (x2)
• 60106 Paracentesis Floating Bowel (x2)
• 60107 Paracentesis Clamping Frame (x2)
• 60108 Paracentesis Large Volume Refill System
• Base Unit • Funnel • Carry Case
6010160108 60107
60103 60105
60106
60104 60102

4
SAFETY & CLEANING INSTRUCTIONS
READ THE SAFETY INSTRUCTIONS CAREFULLY BEFORE USING YOUR
PARACENTESIS TRAINER
1. Follow all instructions.
2. Keep these instructions.
3. Heed all warnings.
4. Do not install near any heat sources, do not expose the product to flames or use near naked
flame sources.
5. Only use attachments/accessories specified by the manufacturer.
6. Refer all servicing to qualified service personnel. Servicing is required when the apparatus has
been damaged.
7. Never use the product outdoors as this may damage the product.
8. Do not disassemble the product or attempt to repair a faulty unit, please return the product
to Limbs & Things for assessment and repair.
9. Clean the product with a damp soft cloth or sponge, using only warm water with mild
detergent.
10. Do not use flammable solvents near or on this product.
11. Do not allow young children to use this product.
Caution please retain
for future reference
DO NOT USE THE PARACENTESIS TRAINER IF:
• The Torso is not assembled correctly
• The skin or organs are torn or not properly fitted
• There is fluid leakage in or on to the product
• There are unusual sounds indicating air leakage
STORAGE AND TRANSPORTATION
The trainer and its accessories are heavy when packed in the carrying case. Always ensure that the
products are properly packed and secured during transportation and storage in order to prevent
personal injury or damage to the product.
This product is heavy once full of water in both chambers (additional 7 litres in weight).

5
As above plus:
Y  nd:
(not supplied)
r Ultrnd gued rans:
Kidney dish
Scalpel
21G needle
Catheter
Ultrasound gelLarge curvilinear probe
SET UP

6
Remove skin and un-screw the two frames
Add or remove internal anatomy

7
FITTING THE BOWEL
Line up the two holes on the bottom of the
bowel with the two plugs located on the
bottom of each reservoir
Push down to secure in place
FITTING FLOATING BOWEL TO THE BOWEL
Plug the Floating Bowel into one of the
three holes in the bowel
ADDING/REMOVING INTERNAL ANATOMY
l
Bowel (x2)
Floating bowels (x2)
1 for each cavity
Can be located in either
cavity as needed
!Bowels should be located in the trainer before liver or spleen
2
1

8
FITTING THE LIVER
Locate on right hand side of the torso
Line up the hole on the Liver with the plug
on the upper left of the torso. Push until located
v
1
2

9
FITTING THE SPLEEN
Locate on left hand side of the torso and
follow the same steps as fitting the Liver
Locate the flange within the detached
frame and make sure notches line up and
push pad through the frame
Attach the frame to the torso. The text on frame should be at the apex of the belly
Sn
FITTING THE PARACENTESIS PADS
1
3
2

10
Attach the skin
Add retaining knobs and tighten The pad is now in place
!The retaining knobs need to be securely fastened to avoid leakage
!We recommend rotating the pad by 180
degrees after every 100 needle insertions, to get
maximum use from the pad
4
6
5

11
Place the torso in the standing position
Unscrew the reservoir cap to the reservoir
you wish to fill
Each reservoir can take up to 3.5 litres of fluid at any one time.
We recommend even for diagnostic training the reservoir is kept full
We recommend filling the trainer where it will be used as it will be heavy to move
At the back of the model ensure that both
clamps are closed
Add funnel and pour in water
ADDING THE ASCITES FLUID (WATER)
1
3
2
4
!

12
Lie trainer on the back and add skin
Secure the skin with the 2 pegs on each side
5
6

13
Fill with water to the rim of the container. The
container should be over half full at all times
Unscrew the lid (holding the lid and rotating
the bottle to avoid tangling of the tubes)
Screw lid on tightly and ensure the clamp
on the refill system is closed
USING THE LARGE VOLUME REFILL SYSTEM
2
3
1

14
Connect to the reservoir connector on the
top of the trainer
Squeeze the hand pump 4 times to create
fluid behind the pad
Release clamps on fluid refill system
The pad will bulge slightly and feel firm to
the touch. A further 2 - 4 pumps may be
needed if the pad is still not firm
Once filled, close the clamp on the fluid
refill system. The trainer is ready to use
Do not over pump. If over-pumped, leakage from the pad may occur. To prevent this, open the
clamp on the fluid refill system and release the valve on the hand pump to release pressure
4
6
7
5
!
8

15
The shelf life can be seen on the bottom of each pad.
Performance of the pad could be reduced after this date
Each pad can withstand up to 200 needle insertions.
This can be achieved by rotating the pad
180 degree’s clockwise once 100 needle
impressions have been made
USE OF THE PADS
SHELF LIFE OF THE PADS
!

16
Insert the needle, you should feel it pass
through the peritoneum, then remove fluid
Ensure you have a kidney dish below the pad
DIAGNOSTIC PROCEDURES
1
2

17
Once the catheter is inserted, remove the
needle while still advancing the catheter into
the model
Once the catheter is fully inserted, remove
the needle completely.
The fluid (water) will then begin to drain
from the model
Ensure you have a kidney dish below the pad
Insert the catheter into the Paracentesis Pad
Push forward the fringe whilst holding still
the oval ring of the catheter.
Ensure all of the holes on the tip of the
catheter are inserted into the model
THERAPEUTIC PROCEDURES
1
3
2
4

18
ULTRASOUND PROCEDURE
Navigate around the Paracentesis Pad with
the curved probe
Ensure a curved probe is being used
Apply ultrasound gel to the probe and
Paracentesis Pad
The underlying anatomy of the model will
display on the ultrasound machine

19
Take trainer to a sink area or drain into a
jug or jerry can. Remove skin and unclip the
clamp to allow fluid to drain out
Wipe out with a dry cloth the internal cavity and organs, as well as the pad itself.
Allow the trainer to air-dry over night before returning to storage
Release the connection between the trainer
and the fluid-refill system
When complete remove the pads by
un-screwing the retaining knobs
Remove bottle top to prevent pads from
sucking in
CLEANING AND STORAGE AFTER USE
1
3
2
4
You may need to tilt the
model slightly to empty
any remaining water
!

20
Part No: 165-019
Rev 1, JAN 2018
© 2017 Limbs & Things
PARACENTESIS
TRAINER
Mt P
R&D Project Manager
Built on the knowledge
and experience gained in the design of the Chest
Drain Trainer, there was a clear opportunity for a
Paracentesis model which was reasonably priced,
tailored exactly to the teaching requirements and
easy to set up.
I feel confident we’ve achieved this and hope our
customers agree!