Nasco LF04200U User manual

HEALTHCARE
Adult Sternal Intraosseous
Infusion Simulator
LF04200U
INSTRUCTION MANUAL
5-Year Warranty
HEALTHCARE
Adult Sternal Intraosseous
Infusion Simulator
LF04200U
INSTRUCTION MANUAL
5-Year Warranty
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3
GENERAL INSTRUCTIONS FOR USE
A. Setting Up the Simulator
1. Feed the smooth end of the tubing through the hole in the chest and out the bottom of the simu-
lator. (See Figures 1 & 2.)
2. Connect the luer fitting to the bone insert. (See Figure 3.)
Figure 1 Figure 2 Figure 3
3
GENERAL INSTRUCTIONS FOR USE
A. Setting Up the Simulator
1. Feed the smooth end of the tubing through the hole in the chest and out the bottom of the simu-
lator. (See Figures 1 & 2.)
2. Connect the luer fitting to the bone insert. (See Figure 3.)
Figure 1 Figure 2 Figure 3
ABOUT THE SIMULATOR
The Life/form®Adult Sternal Intraosseous Infusion Simulator is a dramatic, first-of-its-kind
training aid designed to prepare all levels of health care professionals for use of the sternal
intraosseous approach. Created with the consultation of the experts who developed this tech-
nique, the simulator’s incredible realism and accurate landmarks will allow students to learn
this life-saving procedure with skill, confidence, and accuracy. This procedure is a quick and
simple alternative to conventional IV infusion. It saves time and lives in demanding emergency
environments. The simulator uses a replaceable bone that can be rotated and punctured sev-
eral times, extending the life of the simulator. The sternum may be filled with simulated blood
to better visualize true flashback. Five-year warranty.
LIST OF COMPONENTS
• 10 replaceable simulated bones that should allow approximately 10-12 punctures each
• Syringe
• Tubing
• Blood powder with .15 cc spoon
• Clamp
• Hard carrying case
ABOUT THE SIMULATOR
The Life/form®Adult Sternal Intraosseous Infusion Simulator is a dramatic, first-of-its-kind
training aid designed to prepare all levels of health care professionals for use of the sternal
intraosseous approach. Created with the consultation of the experts who developed this tech-
nique, the simulator’s incredible realism and accurate landmarks will allow students to learn
this life-saving procedure with skill, confidence, and accuracy. This procedure is a quick and
simple alternative to conventional IV infusion. It saves time and lives in demanding emergency
environments. The simulator uses a replaceable bone that can be rotated and punctured sev-
eral times, extending the life of the simulator. The sternum may be filled with simulated blood
to better visualize true flashback. Five-year warranty.
LIST OF COMPONENTS
• 10 replaceable simulated bones that should allow approximately 10-12 punctures each
• Syringe
• Tubing
• Blood powder with .15 cc spoon
• Clamp
• Hard carrying case
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3. Pull the tubing through the body until the insert is seated in the chest cavity. (See Figure 4.)
4. Slide the clamp onto the other end of the tubing, up against the body. Leave only enough room
for the clamp to turn as the insert and tubing are rotated. This will keep the insert in position
when the introducer is removed during training. (See Figure 5.)
B. Bone Insert
1. The replaceable bone insert is designed to duplicate the “feel” of inserting the bone
portal into the marrow space of the manubrium. The insert fits into the sternal cavity and
may be used as is, or set up for blood flashback and/or IV fluid administration. Refer to
the literature provided with the needle device or other training device that you may be
using before beginning any training.
Figure 4 Figure 5
4
Figure 6
2. Always make sure that the entire target area of the patch is positioned over the replace-
able bone insert — NOT the torso. (See Figure 6.) Failure to do so will result in permanent
unwarranted damage to the simulator.
3. Nasco recommends that only 10 procedures be performed on each insert, with an abso-
lute maximum of 12. Try to space the sites equally around the insert. Too many puncture
sites, or sites that are too close together, may cause breakage of the insert. Always select
a new site by rotating the insert in a clockwise direction. (See Figure 7.) When rotating the
insert, you must rotate the tubing at the bottom of the simulator in the same direction, at
the same time, to ensure that the tubing does not kink or disconnect, and that the insert
rotates correctly. The insert may be rotated or removed manually or with the forceps tool
provided.
4. For best results, use the bone insert with the needle device adhesive target patch or
training patches from the training system you are using, although training can be done
without the patch if necessary. To extend the use of the target patch, apply a small
amount of baby powder.
Figure 7
3. Pull the tubing through the body until the insert is seated in the chest cavity. (See Figure 4.)
4. Slide the clamp onto the other end of the tubing, up against the body. Leave only enough room
for the clamp to turn as the insert and tubing are rotated. This will keep the insert in position
when the introducer is removed during training. (See Figure 5.)
B. Bone Insert
1. The replaceable bone insert is designed to duplicate the “feel” of inserting the bone
portal into the marrow space of the manubrium. The insert fits into the sternal cavity and
may be used as is, or set up for blood flashback and/or IV fluid administration. Refer to
the literature provided with the needle device or other training device that you may be
using before beginning any training.
Figure 4 Figure 5
4
Figure 6
2. Always make sure that the entire target area of the patch is positioned over the replace-
able bone insert — NOT the torso. (See Figure 6.) Failure to do so will result in permanent
unwarranted damage to the simulator.
3. Nasco recommends that only 10 procedures be performed on each insert, with an abso-
lute maximum of 12. Try to space the sites equally around the insert. Too many puncture
sites, or sites that are too close together, may cause breakage of the insert. Always select
a new site by rotating the insert in a clockwise direction. (See Figure 7.) When rotating the
insert, you must rotate the tubing at the bottom of the simulator in the same direction, at
the same time, to ensure that the tubing does not kink or disconnect, and that the insert
rotates correctly. The insert may be rotated or removed manually or with the forceps tool
provided.
4. For best results, use the bone insert with the needle device adhesive target patch or
training patches from the training system you are using, although training can be done
without the patch if necessary. To extend the use of the target patch, apply a small
amount of baby powder.
Figure 7
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5. When removing the needle device, the bone insert should remain in place if you have
clamped the tubing close enough to the base of the simulator.
6. When the infusion tube has been correctly placed into the bone, it will not pull out until it
is extracted with the removal tool.
7. Correct insertion of the bone portal may be verified by visual blood flashback if desired
(see needle device training manual or training manual from the training system you
are using).
Important Note: The needle device MUST be held at a 90° angle to the sternum.
Failure to do so will prevent the point of the infusion tube from penetrating the bone.
Determine the correct angle BEFORE exerting any pressure on the trainer, and be sure to
maintain that angle throughout the entire procedure. Some distortion of the simulated
soft tissue during insertion is normal and should be ignored.
C. Blood Flashback
1. Prepare the artificial blood by stirring a few granules of blood powder into a small
amount of water. CAUTION: The powder is extremely concentrated – a little goes a
long way, and will stain skin and clothing. Gloves are recommended. Have paper towels
on hand to clean up any spills. Training can also be done using plain water if desired.
2. Disconnect the insert from the tubing. (See Figure 3.)
3. Draw 5-10 ml of blood into the 20 ml syringe.
4. Connect the syringe to the insert fitting and gently pull back on the plunger to remove air
from the insert. Stop when resistance is felt. (See Figure 8.)
5. Holding the plunger back, turn the assembly so that the syringe is upright, with the insert
upside-down beneath it. (See Figure 9.)
6. Push gently on the plunger, allowing blood to flow into the insert. Never exert strong
pressure on the syringe. The procedure may be repeated for maximum fill.
5
Figure 8 Figure 9
5
5. When removing the needle device, the bone insert should remain in place if you have
clamped the tubing close enough to the base of the simulator.
6. When the infusion tube has been correctly placed into the bone, it will not pull out until it
is extracted with the removal tool.
7. Correct insertion of the bone portal may be verified by visual blood flashback if desired
(see needle device training manual or training manual from the training system you
are using).
Important Note: The needle device MUST be held at a 90° angle to the sternum.
Failure to do so will prevent the point of the infusion tube from penetrating the bone.
Determine the correct angle BEFORE exerting any pressure on the trainer, and be sure to
maintain that angle throughout the entire procedure. Some distortion of the simulated
soft tissue during insertion is normal and should be ignored.
C. Blood Flashback
1. Prepare the artificial blood by stirring a few granules of blood powder into a small
amount of water. CAUTION: The powder is extremely concentrated – a little goes a
long way, and will stain skin and clothing. Gloves are recommended. Have paper towels
on hand to clean up any spills. Training can also be done using plain water if desired.
2. Disconnect the insert from the tubing. (See Figure 3.)
3. Draw 5-10 ml of blood into the 20 ml syringe.
4. Connect the syringe to the insert fitting and gently pull back on the plunger to remove air
from the insert. Stop when resistance is felt. (See Figure 8.)
5. Holding the plunger back, turn the assembly so that the syringe is upright, with the insert
upside-down beneath it. (See Figure 9.)
6. Push gently on the plunger, allowing blood to flow into the insert. Never exert strong
pressure on the syringe. The procedure may be repeated for maximum fill.
Figure 8 Figure 9
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7. Remove the syringe and wipe away any drips. Connect the insert fitting firmly to the luer
end of the tubing. (See Figure 4.) Pull the tubing through until the insert is in place, then
clamp the tubing close to the body, leaving only enough space for the tubing to rotate.
(See Figure 5.)
8. Whenever possible, fill the insert before performing any training procedures. To fill an
insert that has already been punctured, hold it upright, with the syringe beneath it.
(See Figure 3.) Carefully inject a small amount of blood into the insert. Be prepared for
leakage.
D. IV Fluids
1. Infusion of IV fluids (plain water is recommended) may be practiced with “blood” flash-
back or without.
2. When using “blood” and IV fluids at the same time, it may be necessary to refill the insert
with “blood” after each procedure, as it will be diluted and drained along with the
IV fluid.
3. The clamp on the tubing must be opened prior to infusion.
4. Be sure to use a suitable catch basin to collect all drainage.
E. Care of the Simulator
1. All reusable components should be cleaned and dried before storage.
2. The skin may be washed with mild soap and water, and may be removed for cleaning if
necessary.
3. Do not allow the skin to contact any printed material, markers, or ink from a ballpoint
pen, as these will cause permanent stains.
4. Do not allow the simulated blood to dry on the trainer — it may stain.
5. Do not clean the trainer with solvents or corrosive material, as they will cause permanent
damage.
6. Use care when working with the blood concentrate — it will stain clothing.
7. Stubborn soil may be removed with Nasco Cleaner.
6
7. Remove the syringe and wipe away any drips. Connect the insert fitting firmly to the luer
end of the tubing. (See Figure 4.) Pull the tubing through until the insert is in place, then
clamp the tubing close to the body, leaving only enough space for the tubing to rotate.
(See Figure 5.)
8. Whenever possible, fill the insert before performing any training procedures. To fill an
insert that has already been punctured, hold it upright, with the syringe beneath it.
(See Figure 3.) Carefully inject a small amount of blood into the insert. Be prepared for
leakage.
D. IV Fluids
1. Infusion of IV fluids (plain water is recommended) may be practiced with “blood” flash-
back or without.
2. When using “blood” and IV fluids at the same time, it may be necessary to refill the insert
with “blood” after each procedure, as it will be diluted and drained along with the
IV fluid.
3. The clamp on the tubing must be opened prior to infusion.
4. Be sure to use a suitable catch basin to collect all drainage.
E. Care of the Simulator
1. All reusable components should be cleaned and dried before storage.
2. The skin may be washed with mild soap and water, and may be removed for cleaning if
necessary.
3. Do not allow the skin to contact any printed material, markers, or ink from a ballpoint
pen, as these will cause permanent stains.
4. Do not allow the simulated blood to dry on the trainer — it may stain.
5. Do not clean the trainer with solvents or corrosive material, as they will cause permanent
damage.
6. Use care when working with the blood concentrate — it will stain clothing.
7. Stubborn soil may be removed with Nasco Cleaner.
DISCLAIMERS
The Life/form® Adult Sternal Intraosseous Trainer is only intended for use in teaching or other
controlled environments in which the skills learned with the trainer are taught or evaluated.
This trainer should only be used under the supervision of a properly qualified instructor or
other health care professional proficient in the skills taught with the trainer. When using sternal
intraosseous injection devices for training, carefully read the training manual for any restric-
tions on use of their training program.
Actual product may vary slightly from photo. Nasco Healthcare reserves the right to change
product color, materials, supplies, or function as needed.
SUPPLIES/REPLACEMENT PARTS
LF04202U Sternal Bone Replacements, Pkg. of 20
LF01188U Replacement Blood Kit: 5 packets blood powder and .15 cc spoon
LF01111U Simulated Blood Mixture Pint & 4-oz. Tube Lubricant with Instruction Manual
LF09919U Nasco Cleaner
DISCLAIMERS
The Life/form® Adult Sternal Intraosseous Trainer is only intended for use in teaching or other
controlled environments in which the skills learned with the trainer are taught or evaluated.
This trainer should only be used under the supervision of a properly qualified instructor or
other health care professional proficient in the skills taught with the trainer. When using sternal
intraosseous injection devices for training, carefully read the training manual for any restric-
tions on use of their training program.
Actual product may vary slightly from photo. Nasco Healthcare reserves the right to change
product color, materials, supplies, or function as needed.
SUPPLIES/REPLACEMENT PARTS
LF04202U Sternal Bone Replacements, Pkg. of 20
LF01188U Replacement Blood Kit: 5 packets blood powder and .15 cc spoon
LF01111U Simulated Blood Mixture Pint & 4-oz. Tube Lubricant with Instruction Manual
LF09919U Nasco Cleaner
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Copyright © 2010 HC190001INM41
ONLINE: NascoHealthcare.com
EMAIL: [email protected]
PHONE: [phone]
ADDRESS: 901 Janesville Ave.
Fort Atkinson, WI 53538
Other Available Simulators
LF03830U Life/form® Adult Intraosseous Infusion Simulator
LF01108U Life/form® Infant Intraosseous Infusion Simulator
LF03622U Life/form® Infant Single Intraosseous Infusion Leg
LF03632U Life/form® Child Intraosseous Infusion/Femoral Access Leg
101-442 Adult Intraosseous Leg for STAT Simulators
101-205 Humerus Intraosseous (IO) Trainer
LF03632U
LF01108U
101-205
Copyright © 2010 HC190001INM41
ONLINE: NascoHealthcare.com
EMAIL: [email protected]
PHONE: [phone]
ADDRESS: 901 Janesville Ave.
Fort Atkinson, WI 53538
Other Available Simulators
LF03830U Life/form® Adult Intraosseous Infusion Simulator
LF01108U Life/form® Infant Intraosseous Infusion Simulator
LF03622U Life/form® Infant Single Intraosseous Infusion Leg
LF03632U Life/form® Child Intraosseous Infusion/Femoral Access Leg
101-442 Adult Intraosseous Leg for STAT Simulators
101-205 Humerus Intraosseous (IO) Trainer
LF03632U
LF01108U
101-205
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