Nasco Simulaids life/form airway management trainer with... User manual

ONLINE: NascoHealthcare.com

EMAIL: [email protected]

PHONE: 1.800.431.4310

ADDRESS: 901 Janesville Ave.

Fort Atkinson, WI 53538

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LF03965U Adult CRiSis™

Auscultation Manikin

LF03966U Adult CRiSis™Auscultation

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LF03609U

LF03623U

HEALTHCARE

Airway Management

Trainer with Stand

LF03601U

INSTRUCTION MANUAL

WARNING: Products may contain dry natural rubber. 5-Year Warranty

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2 7

ABOUT THE SIMULATOR

The Life/form®Airway Management Trainer with Stand is a realistic simulator available for the training

of intubation and other airway management skills. The airway management trainer is anatomically cor-

rect in respect to both size and detail. Landmarks include nostrils, teeth, tongue, oral and nasal pharynx,

larynx, cricoid ring, epiglottis, arytenoid, false and true vocal cords, trachea, and esophagus.

The Airway Management Trainer allows you to practice oral, digital, and nasal intubation. E.T., E.O.A.,

P.T.L.®, L.M.A., E.G.T.A., Combitube®, and King System insertion can all be practiced as well. Suction

techniques and proper cuff inflation can also be performed and evaluated.

In addition, this model also allows students to apply cricoid pressure during the intubation procedure

(Sellick’s Maneuver). By locating the larynx and depressing the cricoid ring, the student may realistically

lower the vocal cords farther into the field of view. This also effectively closes off the esophagus of the

simulator.

Use your new Airway Management Trainer with Stand as a stand-alone trainer, or as a replacement

head for any

CPARLENE

or Adult CRiSis™full body manikin or torso. With proper care, your

Life/form®Airway Management Trainer will provide years of valuable service.

LIST OF COMPONENTS

• Airway Management Trainer

• 8-oz. Bottle of Lubricant

• Left and Right Simulated Lungs

• Simulated Stomach

• 3 Red Caps

• Hard Carry Case

SETUP

The Life/form® Airway Management Trainer is ready to use upon delivery. Simply remove it from the

carton and unwrap the packaging material. The lung and stomach bags are already in place and ready

to use.

LUBRICATION

Before using the Life/form® Airway Management Trainer, lubricate both the simulator and supplies being

used with the Nasco lubricant provided. (See Figures 1 & 2.)

Figure 1 Figure 2

C. Disinfecting the Airway

To disinfect, repeat the standard cleaning procedure with a bleach solution, as specified by the Centers

for Disease Control.

1. Fill the system with the solution until it reaches the corners of the mouth. Remember to start filling

with the head flat and finish with the neck slightly elevated to ensure that the solution completely fills

all airway passages.

2. Once completely filled with the bleach solution, allow the head to sit for at least 10 minutes.

3. Drain as previously described and repeat the rinsing process to flush out all of the bleach solution.

Set the head aside and allow it to air dry completely prior to next use or storage.

CAUTIONS

• Do not place simulator in contact with any printed paper or plastic. The ink will transfer and cause

an indelible stain. Similar inks, such as ballpoint pen, will also cause an indelible stain.

• Do not use Nasco Cleaner (LF09919U) around the nose or mouth of the simulator. The cleaner

may be toxic if ingested.

• Properly lubricate the Airway Management head and intubation appliances.

• Use only Nasco Pump Spray Lubricant (LF03644U) with this simulator. Other lubricants, such as

silicone oil, may cause damage to the airway of the simulator.

• Ensure intubation appliances are used accordingly. Improper use of intubation appliances could

damage the airway of the simulator. Damage to the airway will require the product to be returned

to Nasco for repair.

SUPPLIES AND REPLACEMENT PARTS

LF03605U Replacement Lungs

LF03606U Replacement Stomach

LF03644U Pump Spray Lubricant

LF03681U Hard Carry Case for Life/form®Airway Trainers with Stand

LF03737U Mounting Kit for Adult Airway Trainer

LF09919U Nasco Cleaner

6. Continue filling until the water level covers the tongue. Take a

small soft brush and gently scrub the inside of the mouth (a small

toothbrush works well for this). Cotton swabs can be used to scrub

inside the nostrils.

7. When done, pull the red cap from the esophagus and drain the

water into the sink.

8. Now pick the head up, hold it in a vertical position, and pull the

caps from the bronchi to completely empty the system.

(See Figure 13.)

9. Rinse the airway, following the same procedure used to clean, with

warm tap water only. Repeat this process until all the soap has

been flushed from the system. Figure 13

Actual product may vary slightly from photo. Nasco Healthcare reserves the right to change product

color, materials, supplies, or function as needed.

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GENERAL INSTRUCTIONS FOR USE

A. Intubating the Airway Management Trainer

Nasco recommends the use of a 7.5-8 mm endotracheal tube for oral intubation and 7.5 mm or smaller

for nasal intubation. This simulator allows for the Sellick’s Maneuver of applying cricoid pressure during

intubation procedures. Ensuring the cuff is properly deflated prior to removal will prolong the useful life of

your simulator. Damage caused by improper use of the simulator will not be covered under the warranty.

1. Determine the method of intubation.

2. Select the appropriate sized intubation appliance.

3. Generously lubricate the airway and appliance.

4. Intubate the manikin.

5. Visualize chest rise or stomach inflation.

6. Ensure the cuff is properly deflated before removing the appliance.

Note: Remove all appliances prior to storage.

B. Removing the Airway Management Trainer from the Stand

1. Remove the existing head by first removing the lung bags. Set them aside for future use.

2. Loosen the pinch clamp on the esophagus and remove the stomach.

3. Turn the existing head until the keyways on the neck and the stand’s head ring attachment align and

you are able to remove the head completely. (See Figure 3.)

Figure 3

CARE AND MAINTENANCE

A. General Cleaning

Normal surface soil can be removed from the trainer with mild soapy water. Do not allow water to con-

tact electrical components. Stubborn stains may be removed with Nasco Cleaner (LF09919U). Simply

apply the Nasco Cleaner to the soiled area and wipe clean with a soft cloth.

Note: Avoid using cleaner around the mouth area if students will be applying direct mouth-to-mouth

resuscitation techniques, as the cleaner may be toxic if ingested.

Figure 12

B. Cleaning the Airway Management Trainer Head

1. Remove the head from the torso or stand using the same

methods previously described. Also remove the lungs

and stomach.

2. Take the trainer to an area with a sink and open counter

space. Using the red caps supplied, plug the right and

left bronchi and the esophagus. (See Figure 12.)

3. Stabilize the head on the counter face-up (towels work

well for this) with plugged tubes hanging over the sink.

4. Carefully pour warm soapy water (a mild dish soap

works best) into the mouth until the water level reaches

halfway up the tongue.

5. Tilt the head back and bring the neck up 3" off the countertop.

Figure 10 Figure 11

9. Replace the corrugated bronchus tubes. (See Figure 10.)

10. Replace the stomach tube into the esophagus and tighten the pinch clamp. (See Figure 10 inset.)

11. Replace the compression springs and upper compression plate.

12. Insert the corrugated bronchus tubes up through the hole in the upper compression plate and

connect each lung bag. (See Figure 11.)

13. Replace the chest plate and chest skin, taking care not to pull the skin too tightly across the torso,

as this may inhibit chest rise during proper ventilation.

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C. Attaching the Airway Management Trainer Head to a Torso

The Airway Management Trainer has the ability to be attached to

CPARLENE

and Adult CRiSis™Torsos and Manikins.

Replacing Head of

CPARLENE

with Airway Management Trainer Head

1. Remove the chest skin, chest plate, upper compression plate, and

compression springs from your

CPARLENE

manikin or torso. (

See Figure 4.)

Note: Caution should be used when removing the upper compres-

sion plate to avoid damage to the electronics connected in some models.

2. Disconnect the corrugated upper airway from the clear tube extending from the head of the

manikin.

3. Remove the existing head by rotating 180°, aligning the keyways, and pulling it free from the torso.

(See Figure 5.)

4. Install the Airway Management Trainer Head using the same method as removing the head. When

inserted at the shoulders, tip the head upward slightly until the two keyways on the back of the neck

slide under the ring and into the top of the torso.

5. Connect the

CPARLENE

Airway to the Airway Management Trainer Head by first connecting the

remaining upper airway (corrugated tubing system) to the left bronchus.

Figure 4

Figure 5

Figure 6 Figure 7

6. Use two of the supplied red caps to plug the right bronchus and esophagus. (See Figure 6.)

7. Replace the longer exhaust tubing portion of the lower airway through the hole on the inside of the

torso. (See Figure 7.)

8. Replace the compression springs and upper compression plate.

9. Insert the short section of the upper airway through the hole in the upper compression plate and

reattach the lung bag. (See Figure 8.)

10. The lung bag will lay flat on top of the upper compression plate. (See Figure 9.)

11. Replace the chest plate and chest skin, taking care not to pull the skin too tightly across the torso,

as this may inhibit chest rise during proper ventilation.

REPLACING HEAD OF CRiSis™MANIKINS WITH AIRWAY MANAGEMENT TRAINER HEAD

1. Remove the chest skin and chest plate from your Adult CRiSis™manikin or torso.

Note: Caution should be taken not to damage electronics during disassembly.

2. Disconnect the lung bags from the corrugated bronchus tubes and set aside for future use.

3. Push the bronchus tubes down through the hole in the upper compression plate.

4. Remove the upper compression plate and compression springs.

5. Remove the corrugated bronchus tubes from the airway extending from the existing head and set

aside for future use.

6. Loosen the pinch clamp on the esophagus and pull the stomach tube free from the esophagus

extending from the existing head and set aside for future use.

7. Remove the existing head by turning it 180°, aligning the keyways, and pulling it free from the torso.

8. Install the Airway Management Trainer Head by using the same method used to remove the head,

only in reverse. When inserted at the shoulders, tip the head upward slightly until the two keyways

on the back of the neck slide under the ring and into the top of the torso. (See Figure 4.)

Figure 8 Figure 9

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4 5

C. Attaching the Airway Management Trainer Head to a Torso

The Airway Management Trainer has the ability to be attached to

CPARLENE

and Adult CRiSis™Torsos and Manikins.

Replacing Head of

CPARLENE

with Airway Management Trainer Head

1. Remove the chest skin, chest plate, upper compression plate, and

compression springs from your

CPARLENE

manikin or torso. (

See Figure 4.)

Note: Caution should be used when removing the upper compres-

sion plate to avoid damage to the electronics connected in some models.

2. Disconnect the corrugated upper airway from the clear tube extending from the head of the

manikin.

3. Remove the existing head by rotating 180°, aligning the keyways, and pulling it free from the torso.

(See Figure 5.)

4. Install the Airway Management Trainer Head using the same method as removing the head. When

inserted at the shoulders, tip the head upward slightly until the two keyways on the back of the neck

slide under the ring and into the top of the torso.

5. Connect the

CPARLENE

Airway to the Airway Management Trainer Head by first connecting the

remaining upper airway (corrugated tubing system) to the left bronchus.

Figure 4

Figure 5

Figure 6 Figure 7

6. Use two of the supplied red caps to plug the right bronchus and esophagus. (See Figure 6.)

7. Replace the longer exhaust tubing portion of the lower airway through the hole on the inside of the

torso. (See Figure 7.)

8. Replace the compression springs and upper compression plate.

9. Insert the short section of the upper airway through the hole in the upper compression plate and

reattach the lung bag. (See Figure 8.)

10. The lung bag will lay flat on top of the upper compression plate. (See Figure 9.)

11. Replace the chest plate and chest skin, taking care not to pull the skin too tightly across the torso,

as this may inhibit chest rise during proper ventilation.

REPLACING HEAD OF CRiSis™MANIKINS WITH AIRWAY MANAGEMENT TRAINER HEAD

1. Remove the chest skin and chest plate from your Adult CRiSis™manikin or torso.

Note: Caution should be taken not to damage electronics during disassembly.

2. Disconnect the lung bags from the corrugated bronchus tubes and set aside for future use.

3. Push the bronchus tubes down through the hole in the upper compression plate.

4. Remove the upper compression plate and compression springs.

5. Remove the corrugated bronchus tubes from the airway extending from the existing head and set

aside for future use.

6. Loosen the pinch clamp on the esophagus and pull the stomach tube free from the esophagus

extending from the existing head and set aside for future use.

7. Remove the existing head by turning it 180°, aligning the keyways, and pulling it free from the torso.

8. Install the Airway Management Trainer Head by using the same method used to remove the head,

only in reverse. When inserted at the shoulders, tip the head upward slightly until the two keyways

on the back of the neck slide under the ring and into the top of the torso. (See Figure 4.)

Figure 8 Figure 9

HC190001INM44.indd 7-8 5/7/19 8:10 AM

6 3

GENERAL INSTRUCTIONS FOR USE

A. Intubating the Airway Management Trainer

Nasco recommends the use of a 7.5-8 mm endotracheal tube for oral intubation and 7.5 mm or smaller

for nasal intubation. This simulator allows for the Sellick’s Maneuver of applying cricoid pressure during

intubation procedures. Ensuring the cuff is properly deflated prior to removal will prolong the useful life of

your simulator. Damage caused by improper use of the simulator will not be covered under the warranty.

1. Determine the method of intubation.

2. Select the appropriate sized intubation appliance.

3. Generously lubricate the airway and appliance.

4. Intubate the manikin.

5. Visualize chest rise or stomach inflation.

6. Ensure the cuff is properly deflated before removing the appliance.

Note: Remove all appliances prior to storage.

B. Removing the Airway Management Trainer from the Stand

1. Remove the existing head by first removing the lung bags. Set them aside for future use.

2. Loosen the pinch clamp on the esophagus and remove the stomach.

3. Turn the existing head until the keyways on the neck and the stand’s head ring attachment align and

you are able to remove the head completely. (See Figure 3.)

Figure 3

CARE AND MAINTENANCE

A. General Cleaning

Normal surface soil can be removed from the trainer with mild soapy water. Do not allow water to con-

tact electrical components. Stubborn stains may be removed with Nasco Cleaner (LF09919U). Simply

apply the Nasco Cleaner to the soiled area and wipe clean with a soft cloth.

Note: Avoid using cleaner around the mouth area if students will be applying direct mouth-to-mouth

resuscitation techniques, as the cleaner may be toxic if ingested.

Figure 12

B. Cleaning the Airway Management Trainer Head

1. Remove the head from the torso or stand using the same

methods previously described. Also remove the lungs

and stomach.

2. Take the trainer to an area with a sink and open counter

space. Using the red caps supplied, plug the right and

left bronchi and the esophagus. (See Figure 12.)

3. Stabilize the head on the counter face-up (towels work

well for this) with plugged tubes hanging over the sink.

4. Carefully pour warm soapy water (a mild dish soap

works best) into the mouth until the water level reaches

halfway up the tongue.

5. Tilt the head back and bring the neck up 3" off the countertop.

Figure 10 Figure 11

9. Replace the corrugated bronchus tubes. (See Figure 10.)

10. Replace the stomach tube into the esophagus and tighten the pinch clamp. (See Figure 10 inset.)

11. Replace the compression springs and upper compression plate.

12. Insert the corrugated bronchus tubes up through the hole in the upper compression plate and

connect each lung bag. (See Figure 11.)

13. Replace the chest plate and chest skin, taking care not to pull the skin too tightly across the torso,

as this may inhibit chest rise during proper ventilation.

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