Operative Experience TCCS Plus User manual

OEI Part Number 10001_B
TCCS Plus
Male and Female Trauma Simulators

TCCS Plus
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Copyright Notice
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This documentation is protected by the copyri ht laws as an unpublished work.
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The user further a rees not to permit access to this documentation by any person for any purpose other
than as an aid in the use of the associated products. In no case will this documentation be examined for
the purpose of copyin any portion of the product described herein or to desi n another product to
accomplish similar results. This documentation or portions of it may not be copied, modified or
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re ardin permission for use of material contained in this documentation should be addressed to:
Operative Experience, Inc.
500 Principio Parkway West, Suite 900
North East, MD 21901
Phone: [phone]
E-mail: [email protected]m
Disclaimer
This documentation is provided “as is” without any express or implied warranty of any kind includin
warranties of merchantability, non-infrin ement of intellectual property, or fitness for any particular
purpose. In no event shall Operative Experience, Inc. or its representatives be liable for any dama es
whatsoever (includin , without limitation, dama es for loss of profits, business interruption, or loss of
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Experience, Inc. has been advised of the possibility of such dama es. Because some jurisdictions prohibit
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Operative Experience is a re istered trademark of Operative Experience, Inc. Soldier Stron is a
trademark of Operative Experience, Inc. Velcro is a re istered trademark of Velcro BVBA. FAST1® is a
re istered trademark of Pyn Medical. Germaben II is a re istered trademark of International Specialty
Products. i- el is a re istered trademark of Intersur ical Ltd. All other company names, lo os, and
trademarks mentioned herein are the property of their respective owners.

TCCS Plus
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Table of Contents
Fi ures ........................................................................................................................................................... v
TCCS Plus......................................................................................................................................................... 1
Product Components ................................................................................................................................ 1
External Access ......................................................................................................................................... 1
Carin for Your Simulator.............................................................................................................................. 2
Lubrication ................................................................................................................................................ 2
Use and Treatment ................................................................................................................................... 2
Operatin Conditions ................................................................................................................................ 2
Cleanin ..................................................................................................................................................... 2
Troubleshootin ........................................................................................................................................ 3
Stora e ...................................................................................................................................................... 3
Understandin Your Simulator ..................................................................................................................... 4
Common Features ..................................................................................................................................... 4
Airways .................................................................................................................................................. 4
Circulation ............................................................................................................................................. 4
Hemorrha e Mana ement ................................................................................................................... 4
Breathin ............................................................................................................................................... 4
Sounds ................................................................................................................................................... 4
Medication and Vascular Access ........................................................................................................... 4
Neurolo ical .......................................................................................................................................... 5
Appearance ........................................................................................................................................... 5
Gender .................................................................................................................................................. 5
Trauma Confi urations ............................................................................................................................. 6
Connectin to the Simulator ......................................................................................................................... 7
Installin the OEI Sim Application ............................................................................................................. 7
Connectin to the Simulator’s WiFi Network ........................................................................................... 8
Openin the OEI Sim Application .............................................................................................................. 8
Understandin the Welcome Pa e ........................................................................................................... 8
Establishin the Wireless Connection Manually ....................................................................................... 9

TCCS Plus
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Settin Up Your Simulator........................................................................................................................... 10
Performin Interventions ............................................................................................................................ 12
Airways .................................................................................................................................................... 12
Circulation ............................................................................................................................................... 13
Hemorrha e Mana ement ..................................................................................................................... 13
Breathin ................................................................................................................................................. 14
Sounds ..................................................................................................................................................... 14
Medication and Vascular Access ............................................................................................................. 14
Neurolo ical ............................................................................................................................................ 14
The Main Simulation Screen ....................................................................................................................... 15
The Operational Panel ............................................................................................................................ 15
Viewin the Simulation Lo s ............................................................................................................... 18
Modifyin Settin s .............................................................................................................................. 20
Examinin Dia nostics ............................................................................................................................ 25
Viewin the About Pa e .......................................................................................................................... 28
Accessin Help ........................................................................................................................................ 29
The Physiolo ical Controls ...................................................................................................................... 30
Cardiovascular Parameters ................................................................................................................. 31
Respiratory Parameters ...................................................................................................................... 35
Airway Parameters .............................................................................................................................. 38
The Eyes Panel .................................................................................................................................... 40
The Pulses Panel.................................................................................................................................. 40
The Bleedin Panel .............................................................................................................................. 41
The Temperature Control ................................................................................................................... 42
Operatin Your Simulator ........................................................................................................................... 43
Addin Blood to Your Simulator ............................................................................................................. 43
Powerin Your Simulator ........................................................................................................................ 44
Operatin the Headset ............................................................................................................................ 45
Runnin a Simulation Scenario ............................................................................................................... 45
Troubleshootin Durin Operation ......................................................................................................... 46
Shuttin Down the Simulator .................................................................................................................. 47
Removin the Simulated Blood ........................................................................................................... 47

TCCS Plus
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Flushin the System ............................................................................................................................ 47
Storin the Simulator .......................................................................................................................... 47
Maintainin Your Simulator ........................................................................................................................ 48
Emptyin /Cleanin the Bleedin System ................................................................................................ 48
Replacin the Emer ency Airway Neckband .......................................................................................... 48
Replacin the Sternal Insert .................................................................................................................... 49
Replacin the Humeral Cap ..................................................................................................................... 49
Repairin the Skin ................................................................................................................................... 50
Char in /Replacin the Battery Pack ..................................................................................................... 52
Removin and Installin the Battery Pack .......................................................................................... 52
Char in the Battery Pack ................................................................................................................... 52
Up radin the Simulator’s Firmware ...................................................................................................... 53
Requirements ...................................................................................................................................... 53
Procedure ............................................................................................................................................ 53
Storin the Simulators ................................................................................................................................ 59

TCCS Plus
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Figures
FIGURE 1: THE MALE TCCS PLUS .......................................................................................................................................... 5
FIGURE 2: THE FEMALE TCCS PLUS ....................................................................................................................................... 5
FIGURE 3: OPERATING THE SIMULATOR .................................................................................................................................. 7
FIGURE 4: THE SHORTCUT ICON ............................................................................................................................................ 8
FIGURE 5: THE WELCOME SCREEN ......................................................................................................................................... 8
FIGURE 6: CONFIGURING THE WI-FI CONNECTION .................................................................................................................... 9
FIGURE 7: THE BATTERY COMPARTMENT, POWER BUTTON AND AC CONNECTION(MALE) ............................................................. 10
FIGURE 8: THE POWER BUTTON AND AC CONNECTION (FEMALE).............................................................................................. 10
FIGURE 9: THE BATTERY COMPARTMENT (FEMALE) ................................................................................................................ 10
FIGURE 10: THE PUMP HANDLE AND BLOOD PORT (MALE) ...................................................................................................... 11
FIGURE 11: INSERTED I-GEL AIRWAY .................................................................................................................................... 12
FIGURE 12: BREAKAWAY TEETH .......................................................................................................................................... 12
FIGURE 13: HUMERAL INTRAOSSEOUS PORT .......................................................................................................................... 13
FIGURE 14: TOURNIQUET APPLIED ....................................................................................................................................... 13
FIGURE 15: NEEDLE DECOMPRESSION .................................................................................................................................. 14
FIGURE 16: IV SLEEVE ....................................................................................................................................................... 14
FIGURE 17: TRI-STATE PUPILS ............................................................................................................................................ 14
FIGURE 18: THE MAIN SCREEN ........................................................................................................................................... 15
FIGURE 19: THE OPERATIONAL PANEL .................................................................................................................................. 15
FIGURE 20: THE MENU ..................................................................................................................................................... 16
FIGURE 21: THE PLAY AND STOP BUTTONS............................................................................................................................ 16
FIGURE 22: CLOCK DISPLAYING TIME IN SIMULATION .............................................................................................................. 17
FIGURE 23: BATTERY AND CHARGING STATUS ICONS AND PERCENTAGES..................................................................................... 17
FIGURE 24: THE SIMULATION LOGS PAGE ............................................................................................................................. 18
FIGURE 25: SAMPLE SIMULATION LOG SHARED FILE................................................................................................................ 19
FIGURE 26: THE SETTINGS PAGE ......................................................................................................................................... 20
FIGURE 27: DARK MODE UNCHECKED .................................................................................................................................. 21
FIGURE 28: A SAMPLE PAGE IN “NON-DARK” MODE.............................................................................................................. 21
FIGURE 29: THE CONTROL INTERFACE TYPE OPTIONS .............................................................................................................. 22
FIGURE 30: THE MEDICAL MONITOR DISPLAY........................................................................................................................ 22
FIGURE 31: BLEEDING LOCATIONS ....................................................................................................................................... 23
FIGURE 32: SELECTING A LANGUAGE .................................................................................................................................... 23
FIGURE 33: UPDATING THE SYSTEM ..................................................................................................................................... 24
FIGURE 34: SIMULATOR NETWORK SETTINGS ........................................................................................................................ 24
FIGURE 35: SELECTING A WI-FI NETWORK ............................................................................................................................ 24
FIGURE 36: THE DIAGNOSTICS PAGE .................................................................................................................................... 25
FIGURE 37: SYSTEM DIAGNOSTICS ....................................................................................................................................... 26
FIGURE 38: SYSTEM DIAGNOSTICS SHOWING SYSTEM FAILURE ................................................................................................. 26
FIGURE 39: SHUTDOWN SIMULATOR AND REBOOT SIMULATOR BUTTONS ................................................................................... 27
FIGURE 40: REBOOT SIMULATOR VERIFICATION MESSAGE ....................................................................................................... 27
FIGURE 41: THE ABOUT PAGE ............................................................................................................................................ 28
FIGURE 42: THE HELP PAGE ............................................................................................................................................... 29
FIGURE 43: THE PHYSIOLOGICAL CONTROLS .......................................................................................................................... 30

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FIGURE 44: THE CARDIOVASCULAR PARAMETERS ................................................................................................................... 31
FIGURE 45: SETTING HEART RATE........................................................................................................................................ 31
FIGURE 46: SETTING BLOOD PRESSURE................................................................................................................................. 32
FIGURE 47: SETTING THE ECG RHYTHM ............................................................................................................................... 33
FIGURE 48: SETTING THE HEART SOUND ............................................................................................................................... 34
FIGURE 49: THE RESPIRATORY PARAMETERS.......................................................................................................................... 35
FIGURE 50: SETTING RESPIRATORY RATE ............................................................................................................................... 35
FIGURE 51: SETTING SPO2 ................................................................................................................................................ 36
FIGURE 52: SETTING A TENSION PNEUMOTHORAX .................................................................................................................. 36
FIGURE 53: SETTING RESPIRATORY SOUNDS .......................................................................................................................... 37
FIGURE 54: THE AIRWAY PARAMETERS ................................................................................................................................. 38
FIGURE 55: SWOLLEN TONGUE TOGGLED TO ON .................................................................................................................... 38
FIGURE 56: SETTING AIRWAY SOUNDS ................................................................................................................................. 39
FIGURE 57: THE EYES PANEL .............................................................................................................................................. 40
FIGURE 58: THE PULSES PANEL ........................................................................................................................................... 40
FIGURE 59: THE BLEEDING PANEL ....................................................................................................................................... 41
FIGURE 60: BLEEDING SITES SELECTED ................................................................................................................................. 41
FIGURE 61: THE TEMPERATURE CONTROL ............................................................................................................................. 42
FIGURE 62: BLOOD INFUSION PORT (MALE) .......................................................................................................................... 43
FIGURE 63: MALE BLOOD PORT WITH PUMP ......................................................................................................................... 43
FIGURE 64: BLOOD INFUSION PORT (FEMALE) ....................................................................................................................... 43
FIGURE 65: THE HAND PUMP ............................................................................................................................................. 43
FIGURE 66: POWER CORD .................................................................................................................................................. 44
FIGURE 67: POWER CORD RECEPTACLE (FEMALE) .................................................................................................................. 44
FIGURE 68: POWER CORD RECEPTABLE (MALE) ..................................................................................................................... 44
FIGURE 69: POWER CORD PLUG ......................................................................................................................................... 44
FIGURE 70: THE HEADSET .................................................................................................................................................. 45
FIGURE 71: THE SIMULATOR HARDWARE ERROR MESSAGE ...................................................................................................... 46
FIGURE 72: THE SIMULATOR HIGH TEMPERATURE WARNING ................................................................................................... 46
FIGURE 73: THE EMERGENCY AIRWAY NECK BAND ................................................................................................................. 48
FIGURE 74: EXPOSED TRACHEA WITHOUT NECK BAND ............................................................................................................ 48
FIGURE 75: NEW NECK BAND IN POSITION ........................................................................................................................... 48
FIGURE 76: THE STERNAL I/O INSERT................................................................................................................................... 49
FIGURE 77: LOCATING THE HUMERAL CAP INSERT .................................................................................................................. 49
FIGURE 78: HUMERAL CAP INSERT WITH TABS ....................................................................................................................... 49
FIGURE 79: SKIN REPAIR SUPPLIES ....................................................................................................................................... 50
FIGURE 80: CLEANING FOR SKIN REPAIR ............................................................................................................................... 50
FIGURE 81: REMOVE PLASTIC TIP ........................................................................................................................................ 50
FIGURE 82: ADD REPAIR MATERIALS .................................................................................................................................... 50
FIGURE 83: MIX ............................................................................................................................................................... 50
FIGURE 84: REPLACEMENT CAP ........................................................................................................................................... 50
FIGURE 85: CAP REPLACED ................................................................................................................................................ 50
FIGURE 86: SPREAD THE AREA ............................................................................................................................................ 51
FIGURE 87: APPLY THE MIXTURE ......................................................................................................................................... 51
FIGURE 88: CLOSE THE AREA .............................................................................................................................................. 51
FIGURE 89: WIPE WITH A SMALL AMOUNT OF ACETONE.......................................................................................................... 51

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FIGURE 90: LET DRY FOR TWO HOURS ................................................................................................................................. 51
FIGURE 91: DOWNLOADING THE UPDATE FILE ....................................................................................................................... 53
FIGURE 92: OPEN THE MENU ON THE OEI SIM APP .............................................................................................................. 54
FIGURE 93: CLICK SETTINGS ............................................................................................................................................... 54
FIGURE 94: CLICK THE CHOOSE FILES BUTTON ....................................................................................................................... 55
FIGURE 95: SEARCHING FOR A FILE (MAC OS) ....................................................................................................................... 55
FIGURE 96: SEARCHING FOR A FILE (WINDOWS) .................................................................................................................... 55
FIGURE 97: CLICK APPLY UPDATE ........................................................................................................................................ 56
FIGURE 98: CLICK OK ON THE CONNECTION ERROR MESSAGE .................................................................................................. 56
FIGURE 99: RECONNECTION SCREEN .................................................................................................................................... 56
FIGURE 100: OPEN THE MENU ON THE OEI SIM APP ............................................................................................................ 57
FIGURE 101: SELECT ABOUT ............................................................................................................................................... 57
FIGURE 102: VERIFY VERSIONS ON THE ABOUT PAGE .............................................................................................................. 58

TCCS Plus
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TCCS Plus
The TCCS (Tactical Cas alty Care Sim lator) Pl s series incl des male and female military grade, high-
fidelity tactical tra ma sim lators for both medical provider level prolonged field care training and
comprehensive all-combatant TCCC training, conforming to the Joint Tra ma System (JTS), Center of
Excellence and Deployment Medicine training standards.
The TCCS Pl s is a clinically responsive sim lator designed to s pport physiologically-based prolonged
field care training as well as TCCC training capability. Wireless and tetherless, the TCCS Pl s is r ggedized
and water-resistant for indoor and o tdoor environments, a realistic weight, a three-liter blood
reservoir, and ten-pl s ho rs of battery life.
Product Components
Each sim lator comes with all the components needed to perform the associated tra ma scenarios.
Case with Casters
1
Tablet
2
Tablet Case
2
Vent Pl g Sets (for washing) 2
Li-ion Polymer Battery Pack 18.5V 6400mAh (118Wh)
2
Battery Charger
1
Concentrated Sim lated Blood (1 Gallon)
1
Hand P mp/Canister
1
Neck Bands
3
White Tape for Crichotomy
1
Repair Kits
2
Sternal Inserts
2
H meral Caps
4
IV Sleeve
1
Head Set
1
Head Set Battery Rechargeable Li-polymer 3,7V 800mAh 3.0Wh 852934
2
Head Set Battery Charger
1
Body Bag
1
Head Set Bag
1
Gym Shorts
1
Sports Bra (Female Only)
1
External Access
The sim lators are designed for realism, with only a few seams or external access points:
A battery pack access compartment in the pper, inner left thigh
A blood inf sion port located on the right side of the chest (male) or left sho lder (female)
Physiologically appropriate openings for genital cathertization on both the male and female

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Caring for Your Simulator
Soldier Strong™ but not indestructible! Treat the simulator as you ould a combat casualty.
Technical Support
Simulators must be serviced by qualified OEI technicians only.
To schedule service, contact:
Operative Experience Inc.
500 Principio Parkway West
Suite 900
North East, MD 21901
Phone: [phone]
Email: [email protected]om
Lubrication
Glycerin or mineral oil should be used liberally for enablin the oropharyn eal, nasopharyn eal, and the
emer ency (sur ical) airway on all models.
se and Treatment
The simulators are durable and Soldier Stron
TM
, but not indestructible. Boots or heel cups and
pants/shorts must be worn to protect the skin if the body is dra ed durin field use. The simulator should
be dra ed by the shoulders only (and not by the arms or le s). The simulators are water-resistant, but not
waterproof. Use the vent plu s to protect the electronics when cleanin the simulators or when usin
them in the rain or in a wet area. Because the ventilation openin s are used to reduce the temperature on
the electronics, remove the plu s when workin in a dry area.
Operating Conditions
The simulator may not operate correctly in certain extreme conditions. Only use the simulator in
recommended conditions:
Operatin Temperature 32 to 104 ℉ (0 to 40 ℃) unless otherwise specified by the tablet in use.
When usin their own tablets, customers need to be aware of the conditions specific to that
tablet.
Stora e Temperature of the simulator is from -14 to 140℉ (-25 to 60℃).
Ambient Pressure is 10 to 15 Psi, the equivalent of -10 Mts below sea level to 2000 Mts above
sea level at 25℃.
Humidity should be from 0 to 80%.
Cleaning
Simulators can be wiped clean with Isopropyl Alcohol in addition to a simple solution of mild soap and
water. Insert the vent plu s into the ventilation openin s to protect the electronics when washin the
unit.