Nasco Healthcare Life/form LF01142U User manual

Copyright © 2017 HC190001INM47
ONLINE: NascoHealthcare.com
EMAIL: [email protected]
PHONE: [phone]
ADDRESS: 901 Janesville Ave.
Fort Atkinson, WI 53538
Auscultation Trainer
and SmartScope™
LF01142U & LF01172U
INSTRUCTION MANUAL
Other Available Simulators
LF01220U
LF01200U
LF03968U
LF01220U
LF01192U Anterior Auscultation Practice Board with Case and SmartScope™
LF01200U Deluxe Auscultation Training Station
LF01220U Adult & Infant Auscultation Training Set
LF03968U Deluxe Plus CRiSis™ Auscultation Manikin
LF01992U
HC190001INM47.indd 1-2 6/10/19 1:06 PM

7
Tracheal Site First Left & Right
Intercostal Sites
Upper Posterior
Lung Sites
Lower Posterior Lung Sites
Two Midaxillary Sites
2 Lower Anterior Sites
1. Normal Lung Tracheal Bronchovesicular Normal Vesicular Normal Vesicular
2. Normal Vesicular Tracheal Bronchovesicular Normal Vesicular Normal Vesicular
3. Wheezes Wheeze Wheeze Wheeze Wheeze Lower Volume
4. Mono Wheeze Mono Wheeze Mono Wheeze Mono Wheeze Mono Wheeze Lower Volume
5. Fine Crackle Fine Crackle Fine Crackle Fine Crackle Fine Crackle
6. Coarse Crackle Coarse Crackle Coarse Crackle Coarse Crackle Coarse Crackle
7. Ronchi Ronchi Ronchi Ronchi Ronchi
8. Stridor Stridor Stridor Stridor Lower Volume Stridor Lower Volume
9. Cavernous Cavernous Cavernous Cavernous Cavernous
10. Bronchovesicular Tracheal Bronchovesicular Normal Vesicular Normal Vesicular
11. Bronchial Bronchial Bronchial Normal Vesicular Normal Vesicular
12. Pulmonary Edema Pulmonary Edema Pulmonary Edema Pulmonary Edema Pulmonary Edema
13. Infant Infant Infant Infant Infant
14. Friction Rub Tracheal Bronchovesicular Friction Rub Friction Rub
15. Egophony Egophony Egophony Egophony Egophony
16. Pectoriloquy Pectoriloquy Pectoriloquy Pectoriloquy Pectoriloquy
ANTERIOR/POSTERIOR LUNG SITES
First right
intercostal space
Lower anterior
Midaxillary
Tracheal Site
First left
intercostal space
Upper posterior
Lower posterior
Midaxillary
HC190001INM47.indd 3-4 6/10/19 1:06 PM

Second right
intercostal space
(aortic)
(lower left
sternum)
Second left
intercostal space
(pulmonic)
Third left
intercostal space
(Erb’s point)
Fourth left
intercostal space
Apex
6 3
ABOUT THE SIMULATOR
The Life/form® Auscultation Trainer Simulator features 28 heart and lung conditions selected by the instructor by
wireless remote control. The simulator duplicates human conditions as closely as modern plastics and electronic
technology allows.
The remote control does not have to be pointed directly at the manikin or SmartScope™ to operate. One remote
control will operate multiple sets of SmartScopes™ and manikins simultaneously. Great for group instruction. The
range of the remote control is up to 100 feet.
LF01172U includes amplified speaker. LF01142U does not include amplified speaker.
LIST OF COMPONENTS
• Trainer Torso
• Remote Control
• Colored Dots
• SmartScope™ with Single- & Dual-Use Headpieces
• Amplifier/Speaker System (LF01189U included
in LF01172U only)
• Batteries
• Hard Carry Case
SET UP
• Remove product from packaging.
• Install batteries first in the remote and then in the
SmartScope™. (See Figure 1.)
• Retain packaging for storage.
GENERAL INSTRUCTIONS FOR USE
1. To begin using the Auscultation Trainer, press the red power button. This turns on the remote control and sends
a signal to activate the SmartScope™ as well. After the unit is activated, the display will be in the “status” mode,
displaying the current menu settings for the heart and lung conditions.
2. To select a new condition, press either the heart or lung button. This will put the display into the menu mode. The
user can select a condition by either using the number buttons, or by viewing the conditions in sequence using the
scroll button.
3. After the condition is selected, press the enter button to activate.
The remote control can be programmed to these
heart conditions:
01 Normal Heart
02 Aortic regurgitation
03 Pulmonary stenosis
04 Mitral stenosis
05 Holosystolic
06 Mid-systolic
07 S3 Gallop
08 S4 Gallop
09 Systolic click
10 ASD
11 PDA
12 VSD
The remote control can be programmed to these
lung conditions:
01 Normal lung
02 Vesicular
03 Wheezes
04 Mono wheeze
05 Fine crackle
06 Coarse crackle
07 Ronchi crackle
08 Stridor
09 Cavernous
10 Bronchovesicular
11 Bronchial
12 Pulmonary edema
13 Infant
14 Friction rub
15 Egophony
16 Pectoriloquy
+
+
+
+
Figure 1
4. To listen to the selected sounds, place the ear pieces in ears angled in a forward
position. Place the diaphragm of the SmartScope™ over one of the appropriate
sites on the manikin. (See diagram on pages 4 & 5.)
5. As an alternative, an amplified speaker (LF01189U, included with LF01172U)
can be used, allowing an entire classroom to hear at the same time. To connect
the speaker, plug the speaker cord into the speaker jack on the top of the Smart-
Scope™ box. (See Figure 2.) When a speaker is connected to the SmartScope™,
the ear pieces will not work. Place the diaphragm of the SmartScope™ over the
appropriate sites on the manikin. (See diagram on pages 4 & 5.)
6. Colored dots are included with the torso to aid with teaching.
Figure 2
Aortic Second
Right Intercostal
Space
Pulmonic Second Left
Intercostal Space
Erb’s Point
Third Left
Intercostal Space
Fourth Left
Intercostal
Space
Lower Left
Sternum Apex
1. Normal Normal, S2
Accentuated
Normal, S2 Accentu-
ated
Normal, S2
Accentuated Normal Normal Normal
2. Aortic
Regurgitation
Ejection Sound,
Loud Mid systolic
& soft early
diastolic murmur
Ejection sound, mild systolic murmur, early diastolic
blowing murmur Normal Normal
3. Pulmonary
Stenosis Normal
Moderate 4th sound,
harsh late peaking sys-
tolic murmur, soft late
pulmonic 2nd sound
Normal Normal Normal Normal
4. Mitral
Stenosis Normal Normal
Severe held expi-
ration, tachycar-
dia: opening snap
.03 seconds after
loud 2nd sound
Constrictive Pericardi-
tis/ knock. Inspiratory
augmentation indi-
cates a gallop of right
ventricular origin
Normal
Held expiration, tachy-
cardia: opening snap,
mid diastolic &
presystolic murmurs,
loud 1st sound
5. Holosystolic
Murmur Normal Normal Normal Normal
Patient has mitral regurgitation & frequent
premature ventricular contractions.
Murmur is crescendo-decresendo with late
peaking. Soft S3 in mid diastole.
6. Midsystolic
Murmur Normal Normal Normal Normal
Patient with hypertrophic cardimyopathy
has a murmur that begins after S1 and ends
before S2
7. S3 Gallop Normal Normal Normal Normal
Patient has a readily heard third heart
sound. S3 occurs later in diastole than the
opening snap.
8. S4 Gallop Normal Normal Normal Normal
Patient with left ventricular hypertrophy has
a fourth sound (S4) that is not heard on
every cycle. The sound is presystolic about
.1 second before S1.
9. Midsystolic
Click Normal Normal Normal Normal Patient has mitral prolapse which produces a
mid systolic click heard during inspiration.
10. Atrial Septal
Defect Normal
Respiration: mid sys-
tolic murmur, fi xed split
2nd, soft 3rd, breath
sounds with inspiration
Normal
Respiration: mid
systolic murmur,
fi xed split 2nd, mid
diastolic murmur
Normal Normal
11. Patent Ductus
Arteriosus Normal Continuous murmur Normal Continuous murmur Normal Normal
12. Ventricular
Septal Defect Normal Normal Holosystolic murmur with late crescendo Normal Normal
ANTERIOR HEART SITES
HC190001INM47.indd 5-6 6/10/19 1:06 PM

4 5
+
+
+
+
CARE AND MAINTENANCE
• Clean torso when needed using Nasco Cleaner (LF09919U).
• Store in hard carry case in a temperature controlled environment,
avoiding extreme hot or cold temperatures.
• Replace batteries regularly for optimum working condition.
• It is recommended that batteries are removed when not in use.
• Avoid getting ink on torso simulator or practice boards. Ink will
transfer indelible stains.
TROUBLESHOOTING
• When preparing to use your SmartScope™ and remote, use
batteries that are fully charged and installed correctly.
(See Figure 3.) The SmartScope™ is not equipped with a power
button; this may drain the useful life of your batteries.
• Due to frequency changes, Adult Auscultation Trainer SmartScopes™ with serial numbers 0 to 4999 are only
compatible with remotes with serial numbers 0 to 4999. SmartScopes™ with serial numbers 5000 and up will
only work with remotes with serial numbers 5000 and up. The serial numbers are located on the back of the
device and are handwritten in ink. (See Figure 4.)
Figure 3
Figure 4
COMMON CAUSES OF NO SOUNDS
• Incorrect SmartScope™ placement. Move the SmartScope™ slowly over the torso to locate sensors.
See diagrams on page 5 for placement of sensors. You may apply color-coded dots on the heart and lung sites to
assist with training.
•
Ear tips facing the wrong way. Verify that the ear tips of the SmartScope™ are facing forward in your ear canal.
• Battery replacement. After installing new batteries, make sure to turn the remote off and back on. This allows
the remote and SmartScope™ to reset.
Note: SmartScope™ does not turn off.
• Battery saver mode. The remote will go into battery saver mode if left on the same setting for 8 minutes.
Sounds will not be heard if the remote is off.
• Using multiple remotes. One remote will operate all SmartScopes™ within 100 ft. simultaneously as long as
the serial numbers are compatible. Using multiple remotes can cause interference. (See Figure 5.)
• Interference. Wireless communication from another transmitter
using 433 MHz may cause sound selection issues or existing sounds
to stop or restart. Reset the remote by turning it off briefly, then on again
and select a different Heart or Lung sound.
• Connecting an external speaker. Insert the jack end of the speaker cord into the top of
the SmartScope™. (See Figure 2.)
• Using an external speaker. When using an amplifier/speaker, no sounds will be heard
through the SmartScope™ ear tips.
• Check volume. Make sure the volume on the amplifier/speaker is turned up.
Figure 5
AVAILABLE SUPPLIES
LF01144U Additional SmartScope™
LF01148U Replacement Remote Control
LF09919U Nasco Cleaner
SB20146U Amplified Speaker
First right
intercostal space
Second left
intercostal space
(pulmonic)
Third left
intercostal space
(Erb’s point)
Fourth left
intercostal space
Apex
First left
intercostal space
Tracheal Site
POSTERIOR LUNG SITES
ANTERIOR HEART AND LUNG SITES
(lower left
sternum)
Second right
intercostal space
(aortic)
Midaxillary
Lower anterior
Actual product may vary slightly from photo. Nasco Healthcare reserves the right to change product
color, materials, supplies, or function as needed.
HC190001INM47.indd 7-8 6/10/19 1:07 PM

4 5
+
+
+
+
CARE AND MAINTENANCE
• Clean torso when needed using Nasco Cleaner (LF09919U).
• Store in hard carry case in a temperature controlled environment,
avoiding extreme hot or cold temperatures.
• Replace batteries regularly for optimum working condition.
• It is recommended that batteries are removed when not in use.
• Avoid getting ink on torso simulator or practice boards. Ink will
transfer indelible stains.
TROUBLESHOOTING
• When preparing to use your SmartScope™ and remote, use
batteries that are fully charged and installed correctly.
(See Figure 3.) The SmartScope™ is not equipped with a power
button; this may drain the useful life of your batteries.
• Due to frequency changes, Adult Auscultation Trainer SmartScopes™ with serial numbers 0 to 4999 are only
compatible with remotes with serial numbers 0 to 4999. SmartScopes™ with serial numbers 5000 and up will
only work with remotes with serial numbers 5000 and up. The serial numbers are located on the back of the
device and are handwritten in ink. (See Figure 4.)
Figure 3
Figure 4
COMMON CAUSES OF NO SOUNDS
• Incorrect SmartScope™ placement. Move the SmartScope™ slowly over the torso to locate sensors.
See diagrams on page 5 for placement of sensors. You may apply color-coded dots on the heart and lung sites to
assist with training.
•
Ear tips facing the wrong way. Verify that the ear tips of the SmartScope™ are facing forward in your ear canal.
• Battery replacement. After installing new batteries, make sure to turn the remote off and back on. This allows
the remote and SmartScope™ to reset.
Note: SmartScope™ does not turn off.
• Battery saver mode. The remote will go into battery saver mode if left on the same setting for 8 minutes.
Sounds will not be heard if the remote is off.
• Using multiple remotes. One remote will operate all SmartScopes™ within 100 ft. simultaneously as long as
the serial numbers are compatible. Using multiple remotes can cause interference. (See Figure 5.)
• Interference. Wireless communication from another transmitter
using 433 MHz may cause sound selection issues or existing sounds
to stop or restart. Reset the remote by turning it off briefly, then on again
and select a different Heart or Lung sound.
• Connecting an external speaker. Insert the jack end of the speaker cord into the top of
the SmartScope™. (See Figure 2.)
• Using an external speaker. When using an amplifier/speaker, no sounds will be heard
through the SmartScope™ ear tips.
• Check volume. Make sure the volume on the amplifier/speaker is turned up.
Figure 5
AVAILABLE SUPPLIES
LF01144U Additional SmartScope™
LF01148U Replacement Remote Control
LF09919U Nasco Cleaner
SB20146U Amplified Speaker
First right
intercostal space
Second left
intercostal space
(pulmonic)
Third left
intercostal space
(Erb’s point)
Fourth left
intercostal space
Apex
First left
intercostal space
Tracheal Site
POSTERIOR LUNG SITES
ANTERIOR HEART AND LUNG SITES
(lower left
sternum)
Second right
intercostal space
(aortic)
Midaxillary
Lower anterior
Actual product may vary slightly from photo. Nasco Healthcare reserves the right to change product
color, materials, supplies, or function as needed.
HC190001INM47.indd 7-8 6/10/19 1:07 PM

Second right
intercostal space
(aortic)
(lower left
sternum)
Second left
intercostal space
(pulmonic)
Third left
intercostal space
(Erb’s point)
Fourth left
intercostal space
Apex
6 3
ABOUT THE SIMULATOR
The Life/form® Auscultation Trainer Simulator features 28 heart and lung conditions selected by the instructor by
wireless remote control. The simulator duplicates human conditions as closely as modern plastics and electronic
technology allows.
The remote control does not have to be pointed directly at the manikin or SmartScope™ to operate. One remote
control will operate multiple sets of SmartScopes™ and manikins simultaneously. Great for group instruction. The
range of the remote control is up to 100 feet.
LF01172U includes amplified speaker. LF01142U does not include amplified speaker.
LIST OF COMPONENTS
• Trainer Torso
• Remote Control
• Colored Dots
• SmartScope™ with Single- & Dual-Use Headpieces
• Amplifier/Speaker System (LF01189U included
in LF01172U only)
• Batteries
• Hard Carry Case
SET UP
• Remove product from packaging.
• Install batteries first in the remote and then in the
SmartScope™. (See Figure 1.)
• Retain packaging for storage.
GENERAL INSTRUCTIONS FOR USE
1. To begin using the Auscultation Trainer, press the red power button. This turns on the remote control and sends
a signal to activate the SmartScope™ as well. After the unit is activated, the display will be in the “status” mode,
displaying the current menu settings for the heart and lung conditions.
2. To select a new condition, press either the heart or lung button. This will put the display into the menu mode. The
user can select a condition by either using the number buttons, or by viewing the conditions in sequence using the
scroll button.
3. After the condition is selected, press the enter button to activate.
The remote control can be programmed to these
heart conditions:
01 Normal Heart
02 Aortic regurgitation
03 Pulmonary stenosis
04 Mitral stenosis
05 Holosystolic
06 Mid-systolic
07 S3 Gallop
08 S4 Gallop
09 Systolic click
10 ASD
11 PDA
12 VSD
The remote control can be programmed to these
lung conditions:
01 Normal lung
02 Vesicular
03 Wheezes
04 Mono wheeze
05 Fine crackle
06 Coarse crackle
07 Ronchi crackle
08 Stridor
09 Cavernous
10 Bronchovesicular
11 Bronchial
12 Pulmonary edema
13 Infant
14 Friction rub
15 Egophony
16 Pectoriloquy
+
+
+
+
Figure 1
4. To listen to the selected sounds, place the ear pieces in ears angled in a forward
position. Place the diaphragm of the SmartScope™ over one of the appropriate
sites on the manikin. (See diagram on pages 4 & 5.)
5. As an alternative, an amplified speaker (LF01189U, included with LF01172U)
can be used, allowing an entire classroom to hear at the same time. To connect
the speaker, plug the speaker cord into the speaker jack on the top of the Smart-
Scope™ box. (See Figure 2.) When a speaker is connected to the SmartScope™,
the ear pieces will not work. Place the diaphragm of the SmartScope™ over the
appropriate sites on the manikin. (See diagram on pages 4 & 5.)
6. Colored dots are included with the torso to aid with teaching.
Figure 2
Aortic Second
Right Intercostal
Space
Pulmonic Second Left
Intercostal Space
Erb’s Point
Third Left
Intercostal Space
Fourth Left
Intercostal
Space
Lower Left
Sternum Apex
1. Normal Normal, S2
Accentuated
Normal, S2 Accentu-
ated
Normal, S2
Accentuated Normal Normal Normal
2. Aortic
Regurgitation
Ejection Sound,
Loud Mid systolic
& soft early
diastolic murmur
Ejection sound, mild systolic murmur, early diastolic
blowing murmur Normal Normal
3. Pulmonary
Stenosis Normal
Moderate 4th sound,
harsh late peaking sys-
tolic murmur, soft late
pulmonic 2nd sound
Normal Normal Normal Normal
4. Mitral
Stenosis Normal Normal
Severe held expi-
ration, tachycar-
dia: opening snap
.03 seconds after
loud 2nd sound
Constrictive Pericardi-
tis/ knock. Inspiratory
augmentation indi-
cates a gallop of right
ventricular origin
Normal
Held expiration, tachy-
cardia: opening snap,
mid diastolic &
presystolic murmurs,
loud 1st sound
5. Holosystolic
Murmur Normal Normal Normal Normal
Patient has mitral regurgitation & frequent
premature ventricular contractions.
Murmur is crescendo-decresendo with late
peaking. Soft S3 in mid diastole.
6. Midsystolic
Murmur Normal Normal Normal Normal
Patient with hypertrophic cardimyopathy
has a murmur that begins after S1 and ends
before S2
7. S3 Gallop Normal Normal Normal Normal
Patient has a readily heard third heart
sound. S3 occurs later in diastole than the
opening snap.
8. S4 Gallop Normal Normal Normal Normal
Patient with left ventricular hypertrophy has
a fourth sound (S4) that is not heard on
every cycle. The sound is presystolic about
.1 second before S1.
9. Midsystolic
Click Normal Normal Normal Normal Patient has mitral prolapse which produces a
mid systolic click heard during inspiration.
10. Atrial Septal
Defect Normal
Respiration: mid sys-
tolic murmur, fi xed split
2nd, soft 3rd, breath
sounds with inspiration
Normal
Respiration: mid
systolic murmur,
fi xed split 2nd, mid
diastolic murmur
Normal Normal
11. Patent Ductus
Arteriosus Normal Continuous murmur Normal Continuous murmur Normal Normal
12. Ventricular
Septal Defect Normal Normal Holosystolic murmur with late crescendo Normal Normal
ANTERIOR HEART SITES
HC190001INM47.indd 5-6 6/10/19 1:06 PM

7
Tracheal Site First Left & Right
Intercostal Sites
Upper Posterior
Lung Sites
Lower Posterior Lung Sites
Two Midaxillary Sites
2 Lower Anterior Sites
1. Normal Lung Tracheal Bronchovesicular Normal Vesicular Normal Vesicular
2. Normal Vesicular Tracheal Bronchovesicular Normal Vesicular Normal Vesicular
3. Wheezes Wheeze Wheeze Wheeze Wheeze Lower Volume
4. Mono Wheeze Mono Wheeze Mono Wheeze Mono Wheeze Mono Wheeze Lower Volume
5. Fine Crackle Fine Crackle Fine Crackle Fine Crackle Fine Crackle
6. Coarse Crackle Coarse Crackle Coarse Crackle Coarse Crackle Coarse Crackle
7. Ronchi Ronchi Ronchi Ronchi Ronchi
8. Stridor Stridor Stridor Stridor Lower Volume Stridor Lower Volume
9. Cavernous Cavernous Cavernous Cavernous Cavernous
10. Bronchovesicular Tracheal Bronchovesicular Normal Vesicular Normal Vesicular
11. Bronchial Bronchial Bronchial Normal Vesicular Normal Vesicular
12. Pulmonary Edema Pulmonary Edema Pulmonary Edema Pulmonary Edema Pulmonary Edema
13. Infant Infant Infant Infant Infant
14. Friction Rub Tracheal Bronchovesicular Friction Rub Friction Rub
15. Egophony Egophony Egophony Egophony Egophony
16. Pectoriloquy Pectoriloquy Pectoriloquy Pectoriloquy Pectoriloquy
ANTERIOR/POSTERIOR LUNG SITES
First right
intercostal space
Lower anterior
Midaxillary
Tracheal Site
First left
intercostal space
Upper posterior
Lower posterior
Midaxillary
HC190001INM47.indd 3-4 6/10/19 1:06 PM

Copyright © 2017 HC190001INM47
ONLINE: NascoHealthcare.com
EMAIL: [email protected]
PHONE: [phone]
ADDRESS: 901 Janesville Ave.
Fort Atkinson, WI 53538
Auscultation Trainer
and SmartScope™
LF01142U & LF01172U
INSTRUCTION MANUAL
Other Available Simulators
LF01220U
LF01200U
LF03968U
LF01220U
LF01192U Anterior Auscultation Practice Board with Case and SmartScope™
LF01200U Deluxe Auscultation Training Station
LF01220U Adult & Infant Auscultation Training Set
LF03968U Deluxe Plus CRiSis™ Auscultation Manikin
LF01992U
HC190001INM47.indd 1-2 6/10/19 1:06 PM