Nasco Life/form LF03840U User manual

Articulating Legs with
Intraosseous Infusion Simulator
LF03840U
Instruction Manual
Products by Nasco
NP182_14_LF03840_ArticulatingLegs.indd 1 9/30/15 9:00 AM

NP182_14_LF03840_ArticulatingLegs.indd 2 9/30/15 9:00 AM

3
About the Simulator
Designed to attach easily to any Life/form®Adult CRiSis™, CPARLENE®, “Airway Larry,” or Adult Airway
Management torsos or manikins, the Articulating Legs with IO will enhance training of intraosseous
infusion procedures using B.I.G™ and EZ-IO™ devices or almost any other infusion devices available.
List of Components
A. Pelvic Piece
B. Pelvic Cap
C. Assembled Left Articulating Leg with Hip Joint, Upper Leg, Lower Leg, Ankle, and Foot
D. Assembled Right Articulating Leg with Hip Joint, Upper Leg with Intramuscular Injection Insert,
IO Lower Leg, Ankle, and Foot
E. Hardware Assembly (4 screws and 4 nuts)
F. 10 Simulated Bones
G. Piece of Wax
H. 2 Small Towelettes
I. 60 cc Syringe with Tubing Assembly
J. Tube of Lubricating Jelly, 4 oz.
K. Bottle Liquid Lubricant, 1⁄2oz.
L. Leg Skin Pads (4)
M. Pint Bottle with Blood Powder
N. 15-Gauge IO Needle
O. Black Shorts (1 pair)
Actual product may vary slightly from photo. Nasco reserves the right to change product color, materials,
supplies, or function as needed.
D.
H.
E.
C.
I.
F.
J.
A.
B.
K.
L.
M.
N.
O.
G.
NP182_14_LF03840_ArticulatingLegs.indd 3 9/30/15 9:00 AM

4
Setup
Attaching the Legs
1. Match up the keyhole on the pelvic piece with the keyhole
toward the top of the hip joint piece. (See figure 1.)
2. Align the keyholes and slide the assembled leg into the
pelvic piece.
3 Turn the leg down to a normal position making sure the
keyholes are misaligned. If the leg is not turned, the leg
may disconnect from the pelvic piece.
4. Attach the other leg using the same method.
Attaching the legs to the pelvic piece first can make assem-
bling the legs to a torso less challenging. Do not place the
pelvic cap into the pelvis at this point
Attaching the Pelvic Piece to a Life/form®Torso
1. Remove:
A. Jacket
B. Chest skin
C. Chest plate
D. Upper compression plate to have access to the 4 screw holes. Compression springs may also
be removed and set aside if needed. (See figure 2.)
Note: Added caution should be taken not to damage electronic components.
2. If applicable, loosen the wing nuts on the load box. Slide it up and set to the side. (See figure 3.)
Note: Extreme caution should be used when manipulating electronic components.
3. If applicable, remove the existing lower body by unscrewing the wing nuts, removing the washers
and sliding the legs and screws away from the torso shell. Replace the washers and wing nuts
for future use with this lower body.
4. Align the 4 screw holes on the top of the pelvis with the bottom of the torso shell. Place a screw inside
of the pelvic cavity and attach up through the hole on the bottom the torso shell. (See figure 4.)
Figure 1
Figure 2
Figure 3
Figure 4
A.
B.
C.
D.
NP182_14_LF03840_ArticulatingLegs.indd 4 9/30/15 9:01 AM

5
5. Secure the screw with a nut on the inside
of the torso shell.
6. Tighten down the nuts finger tight. DO
NOT OVER TIGHTEN. (See figure 5.)
7. Replace load box, compression springs,
upper compression plate, chest plate,
chest skin, and clothing.
8. Attach the pelvic cap. (See figure 6.)
9. Place black shorts onto the simulator.
General Instructions for Use
Your full-size emergency simulation man-
ikin is ready for use. Ensure all applicable
functions of your torso have been returned
to an operational state.
Thigh Injection Site
Intramuscular injections may be performed
in right thigh insert. Inject AIR ONLY as the
insert cannot be drained. (See figure 7.)
To remove the thigh insert:
1. Compress sideways and pull out.
2. Reverse procedure to replace.
Avoid using alcohol or similar substances to prep the injection site. Use distilled water to simulate this
procedure.
Using the Intraosseous Leg
1. Prepare the blood mixture:
a. Add1
1⁄4cups of tap water to the pint bottle with blood powder and one full tube of lubricating
jelly. (See figures 8 and 9.)
b. Shake vigorously for 30 seconds until contents are mixed completely.
Figure 5 Figure 6
Figure 7
Figure 8 Figure 9
NP182_14_LF03840_ArticulatingLegs.indd 5 9/30/15 9:01 AM

2. Place simulator on a flat sur-
face such as a tabletop.
3. Fill the 60 cc syringe by plac-
ing the tubing end of the
syringe into the pint bottle of
blood mixture and drawing
the blood mixture up into the
syringe.
4. The tubing end then goes
through the hole in the side
of the right IO lower leg and
attaches to the swivel end of
the simulated bone. (See fig-
ure 10.)
5. Place a simulated bone inside
of the right IO lower leg. Use
the supplied lubricant as
needed on the outside of the
simulated bone to ease the
bone into the right IO lower
leg. The swivel end of the sim-
ulated bone should be pointing
toward the hole. (See figure
11.)
6. Place the skin pad on top of
the simulated bone. Adjust skin
pad as needed for a snug fit
over the simulated bone. (See
figure 12.)
Important:
7. Make your first needle insertion into the bone and remove the needle stylus. Proper needle insertion
and pressure applied to the syringe will allow blood to flow through the tubing and fill the bone.
(See figure 13.)
8. When you observe the blood flowing up through the needle, the bone is completely charged.
Each new bone will need to be charged in this same manner.
9. Correct subsequent insertions will produce an immediate flow of liquid through the needle.
10. To reduce the pressure being placed on the bone, pull the plunger on the syringe back once
verification of proper placement has been made. This will decrease the amount of blood that may
leak from the bone.
Figure 11
Figure 13
Figure 10
Figure 12
6
NP182_14_LF03840_ArticulatingLegs.indd 6 9/30/15 9:01 AM

7
Using the Wax Piece:
The bones have been designed so all four
sides can sustain multiple punctures.
1. To change sides, remove the skin pad.
2. Pull back slightly to retain any remaining
blood mixture in the syringe.
3. Remove the bone from the right IO lower
leg wipe clean and dry.
4. Remove a small piece of the wax and
work with your fingers until soft.
5. Rub the softened piece of wax back and
forth across the bone holes until they are sealed. (See figure 14.)
6. A thin layer of wax left on the bone surface over the holes will help in sealing. The bone structure
may be punctured until four sides have been completely punctured, then the bone may be dis-
carded.
Special Note
The right IO lower leg duplicates a procedure that requires a great deal of pressure to be placed
on both the simulator and the needle or device being used. Extreme caution should be taken to
avoid pushing the needle or device completely through the simulated bone, injuring the person
performing the procedure or damaging equipment. Nasco cannot be responsible for injuries or
equipment damages resulting from improper use of the simulator.
Care and Maintenance
Nasco recommends the use of Nasco Cleaner LF09919U for cleaning the articulating legs, pelvic piece,
and pelvic cap.
CAUTION: Soap and water may be used to clean the pelvic region, legs, right IO lower leg, and feet.
DETACH the articulating legs from the torso to clean with soap and water. Soap and water will damage
electronics inside of the torso. Make sure legs and pelvic area are completely dry before re-attaching
to a torso; water or moisture may damage even basic torsos.
Ink, ball-point pen, and other printed paper or plastic will leave an indelible stain when in contact with
the simulator. Blood mixture will stain clothing and some surfaces.
Intraossious Infusion Cleanup Procedures:
1. Remove leg skin pad and use paper towels to completely wipe the skin pad and right IO lower leg,
removing any blood mixture or lubricating agent.
2. Remove and discard any simulated bones that have been charged with blood mixture.
3. Depress the syringe and any remaining blood mixture back into the pint bottle.
4. Recap the blood mixture bottle tightly to save for future use.
5. Use clean tap water to flush and clean syringe and tubing.
6. Allow to dry completely prior to storing.
Figure 14
NP182_14_LF03840_ArticulatingLegs.indd 7 9/30/15 9:01 AM

Supplies/Replacement Parts
LF00845U Replacement Life/form®Venous Blood, 1 quart
LF01111U Blood Mixture Components (includes pint bottle with blood powder and 4-oz. tube of
lubricating jelly)
LF01116U Lubricating Jelly, 4 oz.
LF03831U Replacement Adult I/O Bones (includes wax, 1⁄2-oz. liquid lubricant, and 10 bones
with threaded swivel)
LF03841U Replacement Adult I/O Skins Pads, Articulating Legs (4 skins)
LF04045(N)U Left Foot
LF04046(N)U Right Foot
LF04052(N)U Right Leg Injection Site
LF04060(N)U Left Hip Joint
LF04061(N)U Hip
LF04062(N)U Left Upper Leg
LF04065(N)U Right Hip Joint
LF04066(N)U Right Upper Leg
LF04067(N)U Left Lower Leg
LF04069(N)U Ankle
LF04094(N)U Complete Left Leg
LF09919U Nasco Cleaner
Actual product may vary slightly from photo. Nasco reserves the right to change product color, materials,
supplies, or function as needed.
8
NP182_14_LF03840_ArticulatingLegs.indd 8 9/30/15 9:01 AM

COPYRIGHT © NASCO 2014 PRINTED IN U.S.A. NP 182-14/RV 9-15
Other Available Simulators
LF03670U ECG Simulator
LF03711U FullManikinwithMemoryandPrinter,Light
LF03811U FullManikinwithMemoryandPrinter,Dark
LF03933U FullManikinwithLightController,Light
LF03813U FullManikinwithLightController,Dark
LF03714U TorsowithLightController,Light
LF03814U TorsowithLightController,Dark
LF03715U TorsowithElectronicConnections,Light
LF03815U TorsowithElectronicConnections,Dark
LF03716U BasicCPARLENE
®
Torso, Light
LF03816U BasicCPARLENE
®
Torso, Dark
LF03943U BasicCPARLENE
®
Full Manikin
LF03953U CompleteCRiSis™ Manikin
LF03952U CompleteCRiSis™ Manikin with Advanced Airway
LF03965U CompleteCRiSis™ Manikin with Auscultation
LF03986U CompleteCRiSis™ Manikin with Auscultation and Advanced Airway
LF03955U DeluxeCRiSis™ Manikin with Interactive ECG Simulator
LF03987U DeluxeCRiSis™ Manikin with Advanced Airway
LF03966U DeluxeCRiSis™ Manikin with Auscultation
LF03984U DeluxeCRiSis™ Manikin with Auscultation and Advanced Airway
LF03956U Deluxe“Plus”CRiSis™ Manikin with ECG and CPR Monitoring
LF03988U Deluxe“Plus”CRiSis™ Manikin with Advanced Airway
LF03968U Deluxe“Plus”CRiSis™ Manikin with Auscultation
LF03985U Deluxe“Plus”CRiSis™ Manikin with Auscultation and Advanced Airway
LF03957U CRiSis™ Manikin Torso
LF03982U CRiSis™ Manikin Torso with Advanced Airway
LF03958U Deluxe CRiSis™ Manikin Torso
LF03983U DeluxeCRiSis™ Manikin Torso with Advanced Airway
LF03959U CRiSis™ Update Package
LF04084U EdemaFoot
LF04041U PressureUlcerFoot
LF04084U
LF03959U
LF03943U
Fort Atkinson
901 Janesville Avenue, P.O. Box 901
Fort Atkinson, Wisconsin 53538-0901
1.800.558.9595
eNasco.com • E-mail: [email protected]
Other Available Simulators
LF03959U
™ Manikin Torso with Advanced Airway
™ Update Package
PressureUlcerFoot
LF03943U
Fort Atkinson
™ Manikin with Auscultation and Advanced Airway
LF04084U
LF04084U
LF04041U
NP182_14_LF03840_ArticulatingLegs.indd 10 9/30/15 9:02 AM