Nasco Life/form SmartScope LF01142U User manual

Auscultation Trainer and
SmartScope™
LF01142U & LF01172U
Instruction Manual
Products by Nasco
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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 •Batteries
•Remote Control •Colored Dots
•SmartScope™ with Single- & Dual-Use Headpieces •Hard Carry Case
•Amplifier/Speaker System (LF01189U included in LF01172U only)
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, dis-
playing 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
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Figure 1
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+
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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 SmartScope™ 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.
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 2
Figure 3
Figure 4
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Common Causes of No Sounds
•Incorrect SmartScope™ placement. Move the
SmartScope™ slowly over the torso to locate
sensors. See diagrams on page 4 for placement
of sensors. You may apply color-coded dots on
the heart and lung sites to assist with training.
(See figure 5.)
•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 6.)
•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.
Actual product may vary slightly from photo. Nasco
reserves the right to change product color, materials,
supplies, or function as needed.
Available Supplies
LF01144U Additional SmartScope™
LF01148U Replacement Remote Control
LF09919U Nasco Cleaner
SB20146U Amplified Speaker
(lower left)
sternum
space (aortic)
intercostal
Second right
intercostal space
First right
Tracheal Site
Apex
intercostal space
Fourth left
(Erb’s point)
intercostal space
Third left
(pulmonic)
intercostal
Second left
intercostal space
First left
Lung Sounds
Heart Sounds
Anterior Heart and Lung Sites
Midaxillary
Posterior Lung Sites
3
Figure 5
Figure 6
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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
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Anterior Heart Sites
Second left
intercostal space
(pulmonic)
Third left
intercostal space
(Erb’s point)
Fourth left
intercostal space
Apex
(lower left
sternum)
Second right
intercostal space
(aortic)
Aortic Second Right
Intercostal Space
Pulmonic Second
Left Intercostal
Space
Erbs Point
Third Left
Intercostal Space
Fourth Left
Intercostal
Space
Lower Left
Sternum Apex
1. Normal Normal, S2 Accentuated Normal, S2 Accentuated Normal, S2 Accentuated Normal Normal Normal
2. Aortic
Regurgataion
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, tachycardia:
opening snap .03
seconds after loud 2nd
sound
Constrictive Pericar-
ditis/ knock. Inspira-
tory augmentation
indicates a gallop
of right ventricular
origin
Normal
Held expiration,
tachycardia: opening
snap, mid diastolic &
presystolic murmurs,
loud 1st sound
5. Holosystolic
Murmur Normal Normal Normal Normal
Patient has mitral regurgitation &
frequent premature ventricular con-
tractions. Murmur is crescendo-de-
cresendo with late peaking. Soft S3
in mid diastole.
6. Midsystolic
Murmur Normal Normal Normal Normal
Patient with hypertrophic cardimyop-
athy 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 dias-
tole than the opening snap.
8. S4 Gallop Normal Normal Normal Normal
Patient with left ventricular hyper-
trophy 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, fixed split
2nd, soft 3rd, breath
sounds with inspiration
Normal
Respiration: mid
systolic murmur,
fixed 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
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Anterior/ Posterior Lung Sites
Midaxillary
First right
intercostal space
First left
intercostal space
Tracheal Site
Midaxillary
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
Lower anterior
Lower posterior
Upper posterior
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COPYRIGHT © NASCO 2017 PRINTED IN U.S.A. NP020-17
Other Available Simulators
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901 Janesville Avenue, P.O. Box 901
Fort Atkinson, Wisconsin 53538-0901
1.800.558.9595
eNasco.com • Email: [email protected]
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