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
Copyri ht ©2021 Operative Experience, Inc. All ri hts reserved.
This documentation is protected by the copyri ht laws as an unpublished work.
Confidentiality and Proprietary Rights
This documentation is the confidential property of Operative Experience, Inc. It is furnished under an
a reement with Operative Experience, Inc. and may only be used in accordance with the terms of that
a reement. The use of this documentation is restricted to customers of Operative Experience, Inc. and
their employees who have a need to know the contents of this documentation. The user of this
documentation a rees to protect the Operative Experience, Inc. proprietary ri hts as expressed herein.
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
distributed without written permission from Operative Experience, Inc. The information in this
documentation is subject to chan e without notice.
No part of this documentation may be reproduced in any form or incorporated into any information
retrieval system, electronic or mechanical, without the written permission of the copyri ht owner. Inquiries
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
information) arisin out of the use of or inability to use this documentation, even if Operative
Experience, Inc. has been advised of the possibility of such dama es. Because some jurisdictions prohibit
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not apply to you. Operative Experience, Inc. further does not warrant the accuracy or completeness of
the information, text, raphics, or other items contained within these materials.
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.

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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

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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

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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

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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.

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Troubleshooting
User-trou leshooting is restricted to the functions descri ed in this manual. Simulator electronics are
inaccessi le and should only e serviced y qualified OEI technicians. A reathing or leeding failure is
generally resolved y charging or replacing the attery. See Charging/Replacing the Battery Pack elow.
For minor tears in the skin, see Repairing the Skin elow.
Storage
Simulators should e dry, fluid free, and without clothes during long-term storage. As stated a ove, the
storage temperature is from -14 to 140℉ (-25 to 60℃) and humidity needs to e less than 80%. See
Storing the Simulators elow. The lood flow system does not need to e flushed for overnight storage,
ut must e for long-term (one week or more) storage. See Emptying/Cleaning the Bleeding System
elow.

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nderstanding Your Simulator
Each of the six (6) confi urations of the military rade, hi h-fidelity TCCS Plus simulators has specific features
and wounds desi ned for prolon ed field care trainin and comprehensive all-compatant TCCC trainin .
Common Features
Thou h each simulator has unique attributes, all have the followin common features:
Airways
Endotracheal tube placement
Ton ue-swellin for difficult airway
Ba -valve-mask ventilation
Assessment of oral and nasal areas
Insert nasal and oral pharyn eal airways
Perform intubation – Kin LT and i- el
Cricothyrotomy
Circulation
Remote-controlled heart rate
Humeral and sternal intraosseous
ECG
Blood pressure measurement
Carotid, brachial, radial, femoral, popliteal, posterior tibial, and dorsalis pedis pulses
Defibrillation, cardioversion and pacin (with iSimulate monitorin software)
Hemorrhage Management
Remote-controlled pulsative arterial hemorrha e
Remote-controlled venous bleedin
Bleedin control via pressure, elevation, and pressure points
Combat Application Tourniquets, and junctional tourniquets
Wound packin
Multiple and independent bleedin sites
Penetratin trauma wounds
Breathing
Remote-controlled respiratory rate
Bilateral and independent chest excursion
Tension pneumothorax corrected by midclavicular and anterior axillary
Support to external ventilation
Bilateral chest tube insertion
Sounds
Airway sounds [No Sound, Healthy (Normal), and Stridor]
Heart sounds (Normal S3, S4, S3 & S4, Early Systolic Murmur, Mid Systolic Murmur, Late Systolic
Murmur, Pan Systolic Murmur, and Late Diastolic Murmur)
Lun sounds [No Sound, Healthy (Normal), Wheeze, Rhonchi, Pleural Rub, and Crackles]
Medication and Vascular Access
Intramuscular sites for medication
IV cannulation (via the IV sleeve)

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Neurological
Blinkin eyes with tri-state pupils (Normal, Blown, and Pinpoint).
Appearance
Your simulator has been desi ned to
support one of the followin
ethnicities:
African-American
Asian
Caucasian
Hispanic
Gender
Both the Female and Male TCCS Plus
simulators are desi ned for ender
realism durin physiolo ically-based
prolon ed field care trainin .
Male
Anatomically accurate male simulator is 76 inches hi h (hei ht), 28 inches wide, and 12 inches in
diameter (192cm x 70cm x 30cm). The male simulator wei hs 185 pounds (82k ) with a 5% variance.
Figure 2: The Female TCCS Plus
Female
Anatomically accurate female simulator is 65 inches hi h (hei ht), 23.6 inches wide, and 11 inches in
diameter (165cm x 60cm x 28cm). The female simulator wei hs 130 pounds (59k ) with a 5% variance.
Figure 1: The Male TCCS Plus

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Trauma Configurations
Your simulator has been desi ned to support one of the followin trauma confi urations:
Wound Configuration 1
Gun Shot Wound (GSW)
Ri ht Side of the Face
Venous Bleedin
Gun Shot Wound (GSW)
Ri ht Side of the Chest
Venous Bleedin
Gun Shot Wound (GSW)
Exit Left Side of the
Back
In uinal Wound
Left Side
Arterial Bleedin
Open Fracture
Ri ht Le Tibia/Fibula
Arterial Bleedin
Wound Configuration 2
Gun Shot Wound (GSW)
Left Side of the Chest
Venous Bleedin
Gun Shot Wound (GSW)
Exit Ri ht Side of the Back
Axillary Wound
Left Side
Arterial Bleedin
Amputation
Bilateral Below the Kne
e
Arterial Bleedin
Wound Configuration 3
Gun Shot Wound (GSW)
Ri ht Side of the Chest
Venous Bleedin
Gun Shot Wound (GSW)
Exit Left Side of the Back
In uinal Wound
Ri ht Side
Arterial Bleedin
Amputation
Left Lower Arm
Arterial Bleedin
Amputation
Left
Below the Kne
e
Arterial Bleedin
Wound Configuration 4
2
nd
De ree Burn
Chest
3
rd
De ree Circumfer
e
ntial
Ri ht Thi h
Closed Fracture
Ri ht Le
Electrical Exit Wound
Left Bottom of the Left Foot
Wound Configuration 5
Bruisin (Seat Belt Injury)
Across Chest and Abdomen
Bruisin /Swellin
Pelvis Re ion
Closed Fracture
Lower Ri ht
Arm
Open Fracture
Ri ht Le Tibia/Fibula
Arterial
Bleedin
Wound Configuration 6
Healthy Body – No Visible Wounds

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Connecting to the Simulator
The Instructor Tablet is used to start and stop the simulation, control the features and provide a lo with a
record of the simulation. Alternative devices can be used when the OEI Sim application has been installed.
Installing the OEI Sim Application
Prior to the first use, the Instructor Tablet (or any alternative
device) should be confi ured with the OEI Sim application,
which can be downloaded from the iOS or iPadOS App store,
Mac OS App store, Goo le Play store, or Microsoft store.
1. Turn on the Instructor Tablet (or alternative device).
2. In the device’s wireless settin s select an available
WiFi network.
3. Go to the appropriate App store (iPadOS App store or
Goo le Play store).
a. For all iOS devices, the App Store is a default application on your screen. You’ll need an
Apple ID to download and install the OEI application usin either the App (iOs or iPadOS)
Store (or iTunes®).
i. Activate the tablet and access the Click the App Store icon to o to the store’s pa e. You
can also access the application by oin directly to http://appstore.com/oeisim.
ii. Use the Search field (i.e., the field with the ma nifyin lass) and enter OEI Sim or
Operative Experience as your search criteria.
iii. Select the OEI APP and click Get.
iv. Click Install.
b. For most Android devices, the Play Store is a default application on your screen.
i. To download click the Play Store icon (or o to https://play. oo le.com/store) to o to the
store’s pa e and select Apps. You can also access the application by oin directly to
https://play. oo le.com/store/apps/details?id=com.operativeexperience.oeiapp.
ii. Use the Search field (i.e., the field with the ma nifyin lass) and enter OEI Sim or
Operative Experience as your search criteria.
iii. Click the OEI APP icon.
iv. Click Install.
4. Install the OEI Sim application, providin a Shortcut to be placed on your desktop.
5. Return to the wireless settin s and disconnect from the WiFi network.
For additional information on how to install the software, visit the Operative Experience Support pa e
(https://operativeexperience.com/support/), which has links to pa es with detailed information about
downloadin and installin applications.
Figure 3: Operating the Simulator

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Connecting to the Simulator’s WiFi Network
Once you’ve powered on the tablet, you need to adjust your WiFi settin s so the device can be
connected to the simulator.
1. Make sure the simulator is turned on by holdin down the button on the ri ht shoulder for
approximately two seconds or until the blue li ht comes on.
2. On your tablet’s Wi-Fi settin s, select the simulator’s network, indicated by TCCS and the
simulator’s identification and serial number.
3. Enter the password of oeiadmin.
Opening the OEI Sim Application
After the wireless connection has been established, open the OEI Sim
application to access the Instructor Control Interface.
Click the shortcut icon for the simulator to open the OEI Sim application.
The software loads and the Welcome screen appears.
nderstanding the Welcome Page
The Welcome pa e displays all Available Simulators as well as the User Guides for the simulators.
Locate the simulator you want to operate from the list of Available Simulators, indicated by the
simulator’s identification and serial number.
Figure 5: The Welcome Screen
Figure 4: The Shortcut con
Available User Guides
Available Simulators
Manual Simulator Connection

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Click Connect in the panel with the desired simulator to automatically establish a wireless connection
between the software and the simulator.
Durin operation, it is possible to disconnect from one simulator, return to the Welcome pa e, and
connect to a different simulator from the same tablet.The application connects to the simulator and the
Instructor Control Interface appears.
If you need to connect manually, click the Manual Connection button in the Manual Simulator
Connection panel and follow the directions provided above.
When runnin dia nostics or considerin updates, you’ll want to identify the Tablet Version, which is
displayed in the panel on the left.
Establishing the Wireless Connection Manually
If you need to confi ure the wireless connection (or, if the tablet’s Wi-Fi doesn’t reco nize the simulator
network) on the Welcome pa e, click Manual Connection.
A pa e appears with a field for the Simulator IP.
Figure 6: Configuring the Wi-Fi Connection
Enter the simulator’s IP address and click Go (or press Enter). To run the simulator usin the HotSpot,
enter the IP address of 10.42.0.1 for the Simulator IP.
The Instructor Control Interface appears.

TCCS Plus
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Setting Up Your Simulator
Prior to beginning your simulation:
1. Complete the steps needed to install the OEI im application and connect wirelessly to the
simulator.
2. Ready the simulator’s battery by connecting the AC battery charger and allowing the battery to
charge overnight or for a minimum of eight hours. ee Charging/Replacing the Battery Pack
below.
3. Prepare the blood using the directions provided with the one-gallon concentrated blood supply.
ee also, Adding Blood to Your Simulator below.
Beginning your simulation:
1. Disconnect the AC charger (for remote operation) by
unscrewing and detaching the connector:
a. Male:
i. Unzip the flap on the inside of the left leg.
ii. Remove the white cover revealing the
connector.
iii. Disconnect the AC charger.
b. Female:
i. Locate the power connector on the right
shoulder.
ii. Disconnect the AC charger.
2. Power on the simulator:
a. Male:
i. Unzip the flap on the inside of the left leg.
ii. Remove the white cover revealing the power
button.
iii. Click the power button, which turns blue to
indicate power is on.
b. Female:
i. Locate the power button on the right
shoulder.
ii. Click the power button, which turns blue to
indicate power is on.
Figure 7: The Battery Compartment, Power
Button and AC Connection(Male)
Figure 8: The Power Button and AC
Connection (Female)
Figure : The Battery Compartment (Female)

TCCS Plus
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3. Allow the sim lator approximately two min tes to complete the self-diagnostics sed to
prepare the sim lator.
4. Connect the hand-held p mp filled with blood to
the blood port:
a. Male: the port is located on the right side
of the sim lator.
b. Female: the port is located on the left
sho lder.
5. Use the p mp’s handle to fill the blood reservoir
on the sim lator. The sim lator’s reservoir holds
the contents from one tank. NOTE: Be caref l
not to overfill and always remove the sim lated
blood before storing the sim lator for its next se.
6. Disconnect the p mp.
7. Connect to (join) the Sim lator Network.
8. Start the OEI App on the Instr ctor’s Tablet.
9. Once the sim lator shows on the screen, select it.
10. After the application opens, in the R nning screen press Play to begin the sim lation.
11. Start the Patient Monitor.
Figure 10: The Pump Handle and
Blood Port (Male)

TCCS Plus
copyri ht © 2021 Operative Experience 10001_B 12
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Performing Interventions
Each simulator is desi ned for trainin for multiple types of injuries.
Airways
Multiple airway mana ement procedures can be
performed with each TCCS Plus:
Endotracheal tube placement
Ton ue-swellin for difficult airway
Ba -valve-mask ventilation
Assessment of oral and nasal areas
Insert nasal and oral pharyn eal airways
Perform intubation – Kin LT and i- el
Cricothyrotomy
Two removable tracheas are included with the
simulator. When practicin with the Emer ency Airway use the insert with the open trachea rin s and
then place tape over them to simulate the cricothyroid membrane.
Additionally, a replaceable, multi-use neck band enables the practice of performin sur ical emer ency
airway procedures. Each band should enable six to ei ht applications. After each use, rotate the band to
move the incision site away from the trachea. See Replacing the Emergency Airway Neckband below.
When simulatin a difficult airway, the Swollen Ton ue
settin in the OEI software can be used to “harden” the
otherwise soft ton ue, and the breakaway teeth
further establish realism durin intubation.
Figure 11: nserted i-gel Airway
Figure 12: Breakaway Teeth