Nasco healthcare Lifeform cparlene lf03204u User manual

CPARLENE®

Blood Pressure Simulator

LF03204U

CPARLENE®

Blood Pressure Simulator

LF03204U

CAUTION: THIS PRODUCT CONTAINS DRY NATURAL RUBBER! CAUTION: THIS PRODUCT CONTAINS DRY NATURAL RUBBER!

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About the Simulator

The Nasco

Life/form®

Blood Pressure

Simulator is designed for years of

maintenance-free operation as a training tool for not only the nurse, doctor,

or pre-hospital health care provider, but also for anyone involved

in the

training of health care professionals.

The Nasco

Life/form®

Blood Pressure

Simulator has digitally recorded blood

pressure sounds that can be varied by pulse

rate and volume. The different

Korotkoff phases can be identified and an optional auscultatory gap can

be selected. A palpable radial pulse is present in the wrist. For additional

uses, purchase the Amplifier/Speaker System (LF01189U) for group demon-

strations or review.

List of Components

•Case •6 “AA” batteries

•Arm with speaker wire •Sphygmomanometer

•Electronic control unit

General Instructions for Use

Installing the Batteries

Take the Blood Pressure Electronic

Control Unit from the box and turn it over,

placing it face down onto a padded work surface. Locate the “Open” com-

partment on the back of the panel where the batteries are to be installed.

(See figure 1.) Place your thumb or index finger on the “Open” compartment

and push up.

This will open the battery compartment. The compartment is marked as to

the “+” and “–” positions of the batteries.

The battery bracket is now accessi-

ble to the user.

Install six “AA” batteries as indicated by the orientation diagram embossed

in the bottom of the bracket. It is recommended that alkaline batteries

be used for increased battery life. After the batteries have been properly

installed, reassemble the Blood Pressure Simulator by simply reversing the

disassembly procedures. Place the unit face up on the work surface and

turn it on by pressing the on/off switch on the top right of the

unit. (See fig-

ure 2.) Observe the display

and verify that a readable display is pre

sent, indi-

cating proper battery installation.

Note: The control box has a battery saving feature which will turn the unit

off after about 8-10 minutes if no keys are used within that period of time.

About the Simulator

The Nasco

Life/form®

Blood Pressure

Simulator is designed for years of

maintenance-free operation as a training tool for not only the nurse, doctor,

or pre-hospital health care provider, but also for anyone involved

in the

training of health care professionals.

The Nasco

Life/form®

Blood Pressure

Simulator has digitally recorded blood

pressure sounds that can be varied by pulse

rate and volume. The different

Korotkoff phases can be identified and an optional auscultatory gap can

be selected. A palpable radial pulse is present in the wrist. For additional

uses, purchase the Amplifier/Speaker System (LF01189U) for group demon-

strations or review.

List of Components

•Case •6 “AA” batteries

•Arm with speaker wire •Sphygmomanometer

•Electronic control unit

General Instructions for Use

Installing the Batteries

Take the Blood Pressure Electronic

Control Unit from the box and turn it over,

placing it face down onto a padded work surface. Locate the “Open” com-

partment on the back of the panel where the batteries are to be installed.

(See figure 1.) Place your thumb or index finger on the “Open” compartment

and push up.

This will open the battery compartment. The compartment is marked as to

the “+” and “–” positions of the batteries.

The battery bracket is now accessi-

ble to the user.

Install six “AA” batteries as indicated by the orientation diagram embossed

in the bottom of the bracket. It is recommended that alkaline batteries

be used for increased battery life. After the batteries have been properly

installed, reassemble the Blood Pressure Simulator by simply reversing the

disassembly procedures. Place the unit face up on the work surface and

turn it on by pressing the on/off switch on the top right of the

unit. (See fig-

ure 2.) Observe the display

and verify that a readable display is pre

sent, indi-

cating proper battery installation.

Note: The control box has a battery saving feature which will turn the unit

off after about 8-10 minutes if no keys are used within that period of time.

Figure 2 Figure 2

Figure 1 Figure 1

ON/OFF

SWITCH

ON/OFF

SWITCH

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The next step is to connect the simulated arm and speaker assembly along

with the sphygmomanometer cuff and gauge assembly included with the

unit. First, locate the end of the pressure line attached to the sphygmo-

manometer that has the male luer fitting attached to it. Attach this to the

female luer fitting at the top of the unit marked CUFF. (See figure 3.) After

the pressure line fitting has been properly installed, locate the plug that is at

the end of the wire which

extends from the simulated arm assembly.

Insert

the plug from the arm into the jack at the top of the unit marked ARM. (See

figure 4.) At this point the Blood Pressure Simulator is ready for use. The unit

has been factory calibrated for use with the accessories included in the kit.

No further calibration adjustments should be necessary at this time. If the unit

is to be used with a sphygmomanometer other than that supplied with the

unit, or

if recalibration is necessary at a later date,

then see the section titled

“Calibration Procedures.”

Familiarizing Yourself with the Nasco Life/form®Blood Pressure

Simulator Control Panel

Under the display window are three

buttons: Menu, Gap, and Calibrate. (See

figure 5.) The systolic pressure is set by

pressing the Menu key once. The

pres

sure is adjusted up or down using the up and down arrow keys. (See

figure 6.) The diastolic pressure is set by pressing the

Menu key a second

time. Adjust the setting up

or down with the arrow up and down keys. (See

figure 7.) The heart rate is set by pressing the Menu key a third time and

adjusting the rate with the arrow up and down keys. The pulse rate can be

set from 0 beats per minute to 300 beats per minute. (See figure 8.) The

palpation can be set to either on or pulseless. When the pulseless setting is

used, the diastolic and systolic pressures will automatically be set to 0.

The next step is to connect the simulated arm and speaker assembly along

with the sphygmomanometer cuff and gauge assembly included with the

unit. First, locate the end of the pressure line attached to the sphygmo-

manometer that has the male luer fitting attached to it. Attach this to the

female luer fitting at the top of the unit marked CUFF. (See figure 3.) After

the pressure line fitting has been properly installed, locate the plug that is at

the end of the wire which

extends from the simulated arm assembly.

Insert

the plug from the arm into the jack at the top of the unit marked ARM. (See

figure 4.) At this point the Blood Pressure Simulator is ready for use. The unit

has been factory calibrated for use with the accessories included in the kit.

No further calibration adjustments should be necessary at this time. If the unit

is to be used with a sphygmomanometer other than that supplied with the

unit, or

if recalibration is necessary at a later date,

then see the section titled

“Calibration Procedures.”

Familiarizing Yourself with the Nasco Life/form®Blood Pressure

Simulator Control Panel

Under the display window are three

buttons: Menu, Gap, and Calibrate. (See

figure 5.) The systolic pressure is set by

pressing the Menu key once. The

pres

sure is adjusted up or down using the up and down arrow keys. (See

figure 6.) The diastolic pressure is set by pressing the

Menu key a second

time. Adjust the setting up

or down with the arrow up and down keys. (See

figure 7.) The heart rate is set by pressing the Menu key a third time and

adjusting the rate with the arrow up and down keys. The pulse rate can be

set from 0 beats per minute to 300 beats per minute. (See figure 8.) The

palpation can be set to either on or pulseless. When the pulseless setting is

used, the diastolic and systolic pressures will automatically be set to 0.

Figure 3 Figure 3

Figure 4 Figure 4

Figure 5 Figure 5

Figure 6 Figure 6

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Figure 7 Figure 7

Figure 8 Figure 8

Palpable Pulse Feature

The

Nasco

Life/form®

Blood Pressure

Simulator also incorporates a palpa-

ble pulse at the radial

location. (See

figure 9.) Palpations can

be felt upon

start-up of the unit or after blood

pressure settings have been made.

Press the Menu key repeatedly until

“Set PALPATION” menu appears.

“Pulse ON” is defaulted and enables

the palpation feature.

The pulse in the wrist will begin when the electronic box is turned on. During

the actual blood pressure reading, the palpable pulse will turn off when the

cuff is inflated and surpasses the systolic set point. It will turn on again when

the cuff is deflated 20 mmHg BELOW the diastolic set point.

Note: The pulse feature is turned off during this time to allow students to

clearly hear the Korotkoff sounds through the stethoscope without interfer-

ence from the background noise of the pulse feature in the wrist. The pal-

pable pulse is delicate and should be palpated lightly, as you would

with a real patient. Pressing too hard can damage the pulse feature.

Make sure the cable from the blood pressure arm is properly connected to

the electronic box and the palpation feature is in the “PULSE ON” mode.

A pulseless condition can be simulated

by switching your unit to the “pulse-

less” mode. Press the Menu key repeatedly until “Set PALPATION” menu

appears. By pressing the down arrow at this point, palpations can be dis-

abled, causing the simulator to be pulseless. When in the “pulseless” mode,

all settings are automatically reset to 0 and all blood pressure sounds are

disabled.

The pulseless setting will also turn off the sounds in the arm. The pulse will

always be on unless the pulseless feature is activated or if the systolic or

heart rate levels are set to zero. To do this, press the Menu key four times.

Palpable Pulse Feature

The

Nasco

Life/form®

Blood Pressure

Simulator also incorporates a palpa-

ble pulse at the radial

location. (See

figure 9.) Palpations can

be felt upon

start-up of the unit or after blood

pressure settings have been made.

Press the Menu key repeatedly until

“Set PALPATION” menu appears.

“Pulse ON” is defaulted and enables

the palpation feature.

The pulse in the wrist will begin when the electronic box is turned on. During

the actual blood pressure reading, the palpable pulse will turn off when the

cuff is inflated and surpasses the systolic set point. It will turn on again when

the cuff is deflated 20 mmHg BELOW the diastolic set point.

Note: The pulse feature is turned off during this time to allow students to

clearly hear the Korotkoff sounds through the stethoscope without interfer-

ence from the background noise of the pulse feature in the wrist. The pal-

pable pulse is delicate and should be palpated lightly, as you would

with a real patient. Pressing too hard can damage the pulse feature.

Make sure the cable from the blood pressure arm is properly connected to

the electronic box and the palpation feature is in the “PULSE ON” mode.

A pulseless condition can be simulated

by switching your unit to the “pulse-

less” mode. Press the Menu key repeatedly until “Set PALPATION” menu

appears. By pressing the down arrow at this point, palpations can be dis-

abled, causing the simulator to be pulseless. When in the “pulseless” mode,

all settings are automatically reset to 0 and all blood pressure sounds are

disabled.

The pulseless setting will also turn off the sounds in the arm. The pulse will

always be on unless the pulseless feature is activated or if the systolic or

heart rate levels are set to zero. To do this, press the Menu key four times.

Pulse Location Pulse Location

Figure 9 Figure 9

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Figure 10 Figure 10Figure 11 Figure 11

The down arrow key will set the pulse to pulseless. Press the arrow up key to

turn the pulse back on. (See figure 10.) Located to the right of the Menu key is

the auscultatory Gap key. (See figure 11.) This key is included to simulate the

auscultatory gap that is sometimes present between phase

1 and phase 2

sounds in which no audible sound is noted during this portion

auscultation.

This control function is included

so that the trainee can become familiar with

this phenomenon. Pressing the Gap key simply turns the gap function off or

on. When the key is pressed, a message will briefly appear that the ausculta-

tory gap is enabled or disabled. Also the main display will show (at the bot-

tom right of the display) either AGap:Y (for on) or AGap:N (for off).

The arrow up and down keys also control the volume of the sounds that are

present in the arm. From the main menu, press the up arrow key to increase the

volume, press the down arrow key to decrease the volume. The volume levels

can be adjusted from level 1 (the lowest volume) to level 7 (the highest volume).

Using the Nasco Life/form®Blood Pressure Simulator

First, verify that the pressure line tubing from the sphygmomanometer

and the audio line coming from the simulated arm assembly are properly

connected to the blood pressure simulator unit, as previously described in

the set up procedures. Apply the sphygmomanometer cuff and gauge to

the simulated arm assembly in the usual manner. Apply the stethoscope to

the simulated arm, also in the usual manner. Set the systolic and diastolic

controls to the desired levels. Select the auscultatory gap if desired. Finally,

adjust

the pulse rate control to the desired setting.

To proceed with the simulated blood pressure measurement, first close the

valve on the sphygmomanometer bulb tightly and begin pumping air into

the cuff until the gauge reads higher than the preset systolic level chosen.

Once this point is reached, loosen the valve on the bulb slightly to allow

the gauge pressure reading to decrease slowly. While monitoring the arm

assembly with the stethoscope, note the point on the sphygmomanometer

gauge when the first Korotkoff sound is heard. This will be the systolic blood

pressure. Allow the pressure in the cuff to continue to decrease until the

point at which the last pulse is heard, noting the reading on the gauge. This

is the diastolic blood pressure.

Compare the results of reading the systolic and diastolic blood pressures

on the gauge with the respective settings on the simulator. If the readings

were accurate, they should compare favorably with the preset values. If the

auscultatory gap had been selected, then an absence of an audible pulse

would have been noticed during what would have been the phase 2

Korotkoff sound. It is this lack of an audible pulse that is considered an aus-

cultatory gap. Note that in reality the auscultatory gap can be present in