VATA Chester Chest 2400 User manual

User’s Manual
Chester Chest™
Model 2400
Chester ChestTM Refurbishing Service
The purchase of training models is a significant financial investment. Realizing this, VATA
is proud to offer a refurbishing service, to bring your model to new condition. Please
call for instructions on how to return your model. Once your model is received, it will
be evaluated and you will be contacted with the items and cost to refurbish for your
approval, before any work is done. Turn-around time, to complete a refurbishing, is less
than a week.
All parts on this model are available individually.
Product # Description
2400 Chester Chest™ with New Advanced Arm
Includes life-size torso with detachable New Advanced Arm 2386, real chest
port 0406, dual lumen 5FR PICC catheter 0409, 9.6FR tunneled central
catheter 0407, Chest Tissue Flap 0405, three Difficult Accessing Inserts 0420,
0430 & 0440, simulated “blood” reservoir bags in the torso and arm, base,
talc-cornstarch and user’s guide. (Shown but not included - Peripheral port
and triple lumen catheter. See Supplies & Accessories section to order). Six-
month limited warranty. Size 20.5” x 15.5” x 5.25” shipping wt. 10 lbs.
2402 Chester Chest™ with New Advanced Arm Darkly Pigmented Skin
See Page 5. Same as 2400 above, but with darkly pigmented skin.
Supplies & Accessories Please call for current prices.
04 01 Chester Chest™ Carrying Case
Sturdy padded fabric with carrying handles
and sleeve for protection of detachable arm.
Shipping wt. 4 lbs.
0405 Chest Tissue Flap Replacement
0406 Practice Port (IVAD)
0407 Tunneled Central Venous Catheter 9FR (CVC)
0408 Dual PICC Catheter 5FR
0409 Optional Tunneled Dual Lumen Catheter 9.6FR
0410 Optional Triple Lumen Catheter
0417 Optional Peripheral Arm Port (for New Advanced Arm)
1491 Simulated Blood One Quart – New – Stain Resistant
1494 Simulated Blood One Gallon – New – Stain Resistant
111809
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308 South Sequoia Parkway, Canby, Oregon 97013 USA
ph. 503.651.5050 |fax [phone] |email [email protected] |www.vatainc.com
308 South Sequoia Parkway, Canby, Oregon 97013 USA
ph. 503.651.5050 |fax [phone] |email [email protected] |www.vatainc.com

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Thank you for your purchase of a Chester Chest™ Model 2400
with the New Advanced Arm 2386.
Chester Chest™, an industry standard since 1987, enables physicians, nurses,
home health staff, patients and support persons to develop competence
with the most common types of vascular access devices. Within one realistic
and portable training aid, it is a great tool for teaching, training, competency
testing and skills assessment. This is the most realistic and complete model
for central lines offered anywhere! The area around all catheter sites can be
used to practice cleansing, application of dressings and securement devices,
fluid infusion and withdrawal.
Please read the entire User’s Manual carefully before using the model to insure
that you understand the proper care and use. This will also avoid situations
that may not be covered by the warranty and help you enjoy the maximum
benefit.
At VATA we understand that cost and useful life are important concerns when
selecting teaching models. We are pleased to offer a refurbishing service to
restore your Chester Chest™ to like-new condition. Please contact us for
more details.
Thank You For Your Purchase!
Whatever your question, problem, or comment, VATA’s Customer
Service is here to help. There are four quick, easy ways to contact us,
so you can choose what works best for you. If there’s anything we can
do, just let us know!
VATA Inc.
308 South Sequoia Parkway, Canby, Oregon 97013, USA
Phone : [phone]
Fax : [phone]
E-Mail : inf[email protected]
Web : www.vatainc.com
Contact Information
DIFFICULT ACCESSING INSERT 0430
for simulation of a normal or “tipping”
port.This insert is in place,under the port,
when you receive your model. The #430
should be located in the upper left side of
the insert, as you look at the model (see
fig. 20A). The port can be placed on the
upper portion of the insert to simulate a
normal placement for accessing (see fig.
20A). The lower portion of this insert has
a recessed area, where the port can be
placed to simulate a “tipped” port (see
fig. 20B). This will vary with the type of
port used.
If you find you need additional catheter
length to place the port in this area, look
on the backside of the torso where the
port catheter comes through from the
front side. There is Velcro on the catheter
tubing to secure the catheter to the
torso. By pulling the Velcro off the upper
placement and moving it to the lower
attachment position, you will get an
additional length of tubing (see fig. 21).
DIFFICULT ACCESSING INSERT 0440
for simulation of a “deeply placed”
port. The #440 will be located in one
of the corners. This piece is placed
over the top of the port, with the Chest
Tissue Flap then placed over the 0440.
Best results using the 0440 insert are
experienced when the 0420 insert is
used in the recessed area under the port
(see fig. 22).
fig. 20A
fig. 20B
fig. 21
fig. 22
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fig. 19
0420 0430 0440
Difficult Accessing Inserts
The model is supplied with three different Difficult Accessing Inserts. These are used
alone or in conjunction to simulate various difficult accessing scenarios.All the inserts
have the part numbers on them for easy identification.
DIFFICULT ACCESSING INSERT 0420
for simulation of a “wandering” or
“floating” port. Remove the 0430 insert
and replace with the 0420. The #420
should be located in the upper left hand
corner. For best results in simulating a
wandering or floating port, place a small
amount of K-Y or other lubricating jelly
under and on top of your port. This will
vary by the type of port used (see fig.
19). Place the port in the center of the
depressed area and reattach the Chest
Tissue Flap. When you palpate the port,
it will move around.
Chester Chest™ - with the New Advanced Arm (arm can be ordered separately
to upgrade your existing Chester Chest™). The New Advanced Arm 2386 has
a dual lumen 5FR PICC (Peripherally Inserted Central Catheter) exiting the
basilic vein from the inner bicep area, which is currently the preferred site for
placement. The basilic vein is slightly raised for easy identification. Posterior
to the PICC insertion site is a recessed area for the placement of a peripheral
port. (Optional port shown but not included - see part 0417 in Supplies and
Accessories on page 12 to order). The base of the recessed area is made
of soft material that permits the port to “float” when accessed. This area
is covered with a removable tissue-like flap which, when placed over the
port, provides the realistic feel of palpating and accessing. An additional
feature of the new arm is a pre-positioned 20g IV catheter in the forearm. The
New Advanced Arm has a greater degree of rotation and extension than our
previous arm, just as you would experience on a patient when accessing the
PICC or peripheral port. The dual PICC, IV catheter and optional peripheral
port are all attached to a simulated “blood” reservoir bag in the arm to permit
the practice of “blood” withdrawal and fluid infusion. Cleansing, application
of dressings and securement devices can be demonstrated at all sites.
The left chest area of Chester Chest™ consists of:
• Chest Tissue Flap 0405 - A specially formulated material duplicates the
feel of human tissue which, when placed over the chest port, provides a
realistic practice of palpating and accessing, with proper access of the
port being confirmed by a “blood” withdrawal – just like the real thing!
• A real implanted port under the Chest Tissue Flap
• A rigid underlying surface with molded ribs and a recessed area for the
interchangeable inserts
• Difcult Accessing Inserts 0420, 0430 and 0440 which are made of
a soft tissue-like material and placed either under or over the port to
simulate palpating and accessing a port with one of the following types
of placements: normal, “tipping”, “wandering” or “deeply placed”.
The right chest area of Chester Chest™ has a 9.6FR tunneled central
catheter that is visible up to the clavicle. The Dacron cuff is also discernable.
The external jugular vein is slightly raised with an opening for you to attach
your own catheter and there is also an opening in the chest for the placement
of a subclavian catheter.
Overview of Chester Chest™ 2400
with the New Advanced Arm 2386
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When accessing through the flap, a
22g Huber-type needle is best. Be sure
to check the needle tip periodically
for burrs. Use of burred needles will
reduce the life of the tissue flap and the
port septum. In some cases pulling a
burred Huber-type needle between the
fingernails will straighten out a burr and
permit the re-use of that needle (see fig.
16A & 16B).
Should you need additional Huber
practice needles you can order:
5025 3/4” 20G right angle Huber needle
8” extension set 1 dozen.
5026 1” 20G right angle Huber needle
8” extension set 1 dozen.
The entire area of the tissue flap can
be used for accessing. Just move
the port to the desired location and
place the Chest Tissue Flap over it
(see fig. 17). See text under Difficult
Accessing Insert 0430 to learn how
to extend catheter length to move port
(see fig. 21).
Cleaning of the Chest Tissue Flap
or Difficult Accessing Inserts is best
done by wiping with an alcohol-
wetted, non-linting cloth. The part
should be permitted to air dry and
then powdered with the cornstarch
talc supplied. Any excess talc can
be removed with a dry cloth. If at
any time the skin flap becomes tacky
to the touch, talc should be applied
(see fig. 18).
fig. 17
fig. 18
fig. 16A
fig. 16B
BURRED TIP
BURRED
TIP
These catheters are available from VATA – see Supplies and Accessories section
page 12. If you would prefer, you can send us the catheters your institution uses
and we can install them for you. Chester Chest™ can be used in either an upright or
supine position.
1
0451 Simulated Blood
Reservoir Bag for Torso
2
Retention Strap for Simulated
Blood Reservoir Bag
3
0450 Triple Parallel Tubing Set
for Torso
4
Extra Connection for Use
with Optional Subclavian or
Jugular Catheter
5
0455 Bolt and Wing Nut to
Attach Arm to Torso
1
0453 Simulated Blood
Reservoir Bag for Arm
2
Snap Clamps
3
0417 Optional Peripheral Port
Attached to Tubing Set
(See Supplies and
Accessories on p.12 to order)
1
1
4
0455 Bolt and Wing Nut to
Attach Arm to Torso
5
Dual PICC Attachment to
Tubing Set
6
0446 Tubing Set for Adv. Arm
7
20G IV Catheter Attachment to
Tubing Set
fig. 1
2
35
fig. 2
4
56
2
7
4
3
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Chest Tissue Flap - 0405
When removing the Chest Tissue Flap, always pull gently from the edge to prevent damage
to the flap. Due to the elasticity of the Chest Tissue Flap, it may be easier to attach when
Chester Chest™ is in a supine position. In order to ensure a realistic feel when palpating
the port (IVAD), the Chest Tissue Flap is formulated to be soft to the touch. As the material
is soft, care must be taken to maximize the useful life. There are three areas that should be
avoided, as all can cause premature tearing of the Chest Tissue Flap:
Do not pull the Chest Tissue Flap back
to view the placment of the needle in the
port septum (see fig. 13).
Do not press fingernails into the
tissue flap when palpating the port
(see fig. 14).
Do not “rock” the access needle
back and forth to confirm placement
(see fig. 15).
Proper Use of your Chester Chest™
fig. 13
fig. 14
fig. 15
1
0406 Real Port (IVAD)
2
0407 Tunneled Cental Catheter 9.6FR
3
Base
4
0405 Outer Tissue Pad
5
0451 Simulated “Blood” Reservior
Bag for Torso
6
0430 Difficult Accessing Insert
7
0440 Difficult Accessing Insert
8
0420 Difficult Accessing Insert
9
0458 Talc-Cornstarch
10
IV Catheter 20G
11
0408 Dual Lumen PICC 5FR
3
Chester Chest TM
Model 2402
Darkly Pigmented
12
Recessed Area for Optional
Peripheral Port
13
0417 Optional Peripheral Port
Shown; see Supplies and
Accessories on p.12 to Order
14
New Advanced Arm
15
0410 Optional Triple Lumen
Catheter Shown; see Supplies and
Accessories on p.12 to Order
16
Opening for Optional
Subcalvian Catheter
17
Opening for Optional
Jugular Catheter
18
Torso
Chester Chest™ Model 2400
18
1
4
5
7
8
6
17
16
15
9
11
10
12
13
2
14
fig. 3
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Unwrap the arm and body. Set the bag of additional
parts, packed with the torso, aside for use later. Place
the torso on a flat surface in an upright position.
Remove the wing nut from the arm, keeping the
bolt in place, and align the bolt with the hole in the
right shoulder; insert and reattach the wing nut
(see fig. 4).
If you are going to use injection caps or needleless
access caps, attach before attaching the simulated
“blood” reservoir bag. On the backside of the torso,
locate the simulated “blood” reservoir bag and remove
from torso. Carefully remove the white cap on the
simulated blood reservoir bag, taking care not to let
the liquid leak out and attach the female leur fitting to
the male leur fitting on the bottom of the triple parallel
tubing (see fig. 5).
Replace the reservoir bag behind the white retention
strap, making sure that the tubing attached to the
bag is positioned exiting the bag from the bottom
(see fig. 6).
Do not position reservoir bag with tubing exiting from
the top as you will withdraw air (see fig. 7).
To prime the tubing with simulated blood attach a
syringe to the tunneled central venous catheter and
drawback to remove all the air in the line. Be sure the
snap clamp is open on the catheter. This procedure
may need to be repeated depending on the size of
your syringe. You are done when the simulated blood
is visible in the syringe (see fig. 8).
Setting up your Chester Chest™ 2400 for use
fig. 4
fig. 5
fig. 6
fig. 7
fig. 8
fig. 9
fig. 10
fig. 11A
fig. 12
fig. 11B
Then remove the Chest Tissue Flap on the left
side of the chest (do not place on printed papers
as this can stain the tissue flap), attach a Huber
needle to a syringe and access the port. Repeat
the procedure used to prime the tunneled central
venous catheter, until simulated blood is visible
in the syringe (see fig. 9). If you have ordered
your model with optional subclavian or jugular
catheters, prime using steps for tunneled central
catheters (see fig. 9).
The torso is now primed and ready for use.
Please note that one of the three parallel tubing
sets is not used and has a cap attached to the
male leur connector. This tubing set is provided
should you wish to add a subclavian or jugular
catheter (purchase of a special connector may be
needed for some catheters).
To prime the arm tubing, attach injection caps or
needless access devices on the IV catheters and
dual lumen PICC before attaching the simulated
blood reservoir bag. On the backside of the arm,
open all snap clamps (see fig. 10).
Attach a syringe to each side of the dual lumen
PICC and withdraw air, until simulated “blood”
is visible in the syringe. This procedure may
need to be repeated, depending on the size of
your syringe. Repeat this procedure with the IV
catheter (see fig. 11A & 11B). If you have ordered
your arm with the optional peripheral port, attach
a Huber needle to a syringe, access the port and
withdraw air until simulated blood is visible in the
syringe (see fig. 12). The arm is now primed and
ready for use.
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