Simulator Maintenance: SimMan3G & SimMan Essen5al Introductions Sam Rhudy, Laerdal Field Service, America’s Philip Foley, Laerdal Technical Support, America’s Basic Manikin Trouble shooting ASSEMBLY & DISASSEMBLY Basic Manikin Assembly/Disassembly • Review of – Parts that can wear out: • Compressor • Airway • Bladders • O Rings and bands • Switches and sensors – The proper assembly/disassembly technique, preventing issues • Cables and connectors Bags, Bladders and Bands 212-11050 Chest Rise Bladders 4 pack 212-24550 212-24150 Pneumothorax Bladder Set pack of 2 Lung Bags 2 Pack 212-­‐11150 Lung Compliance O-­‐Ring 10 pack Key points for Right Leg Assembly Avoid twis5ng the tubing and cables, especially when 5ghtening connector Right Leg Assembly Continued Key points for Right Leg Removal Keep pulling leg outward as you unscrew the nut Key points for Left Leg Removal/Assembly You’ll have to unzip the torso skin, and move stomach foam to the side, taking care NOT to disconnect any of those tubes, or wires Unplug BOTH baXery packs before proceeding Check these cables are securely fastened if you experience leY leg pulse issues Key points for Left Arm Removal/Assembly • Remember to have your Hex Wrench available These labeled connec5ons control all leY arm func5ons, so if something is not working, check here Pay close aXen5on to the wiring diagram, it can be done incorrectly Key points for Left Arm Removal/Assembly If your Jaw RFID tags are not being read-­‐ check this connec5on Things you should know Chest Plate-­‐ CPR spring and meter aligned properly Pulses and rese^ng them Genitalia and the crossover cable IV Ports US vs Int’l catheters SimMan IV arm adaptor System diagnostics TEST UTILITY • Connect Lan cable between manikin and computer (plug directly into docking station if applicable). • Hover over the manikin during the startup of the instructor application to obtain the current IP address SimMan 3G Test Utility • Access Remote desktop from Windows Start menu • Accessories > Remote Desktop • Enter IP Address of manikin Manikin desktop • The manikin desktop will appear • Find the icon “Stop Update Service” and click on it • Find icon “SimMan3G Test Utility” and click on that • Enter IP address: 192.168.168.1 Test Utility Testing SimMan 3G • Leg Tab - The Compressor fill test • Ø High reading Ø Low reading Ø Time to refill • • Test Tab - IV Flow meter Ø Initialize flow Sensor Ø Calibrate flow sensor • Head Tab – Eyes • Ø Calibrate iris from ambient light Ø Jaw Thrust Ø Sounds Tab- Head speaker test Ø Calibrate any sounds in the manikin Pulses Tab Ø Check status of any pulse on the manikin Status Tab Ø Check status of any board on the manikin as well as vital manikin statistics. Valve Tab Ø Calibrate and troubleshoot fluids and blood Ø Airway complications Ø Stomach calibration RX Frequently Asked Questions (FAQ) Ø Where is the zipper located on the simulator? Ø Where is the serial number located on the Manikin? Ø The serial number is vital for Technical Support to be able to keep a valid record of any issues regarding a specific manikin Compressor Leakage Error Message What To Do In The Event Of A Compressor Leakage Error. Ø Don’t panic.You should still be able to continue your simulation Ø When you have a few minutes to spare find a lan cable and call Technical Support Ø We will walk you through checking the pressure and verifying if the issue resides in your leg or somewhere else using a process called the occlusion test. Ø We are continuously striving to perfect the design and improve the functionality and so as a result the new leg you receive may have an updated design. Ø In an effort to improve the efficiency of the compressor you can find software version 2.3.3 on the website which allows the airtank pressure to be released when the manikin goes to sleep. SimMan3G Fluids v Should you receive a new leg be sure to fill and drain it several times initially to assure all powder and residue from the fluid reservoirs is removed v Verify your fluid restrictor block is adjusted properly should you have any fluid issues. v After each use of the fluid system be sure to run a solution of 60% isopropyl alcohol through the manikin. v In the event you have a fluid issue and verifying that the restrictor block is open and flushing thoroughly with alcohol does not resolve the issue a beta patch is available via Technical Support v Only use distilled or de-ionized water with your simulator. v Never use Saline with your manikin Proper cleaning techniques and materials KEYS TO KEEPING HIM CLEAN Keys to keeping him clean Skin, use mild soap and water Isopropyl 70% can remove stains Baby Powder rub down Avoid using colored plastic gloves, as they may cause discoloration of the manikin skin. Do not use felt-tipped markers, ink pens, acetone, iodine or other staining medications near the manikin. Take care not to place the manikin on newsprint or colored paper. All staining may be permanent. SimMan3G Batteries Ø The Average life of the batteries is 200 charge cycles Ø It is recommended to store the batteries in a refrigerator if possible. Ø Never store batteries fully charged for over a month Ø The manikin will automatically shut down if the temperature is above 140 degrees or if the remaining charge falls below 6% on one of the 2 batteries. Ø Never attempt to run on a single battery Ø Utilize your power panel for the electrical status of your manikin. Ø What to do in the even of an overheating error message Ø On approximately every 30th charge cycle, drain the battery completely before recharging. To drain the batteries run the manikin on both batteries until automatic shutdown. RX • FAQ: • How do I remove the batteries? Keys to replacing the IV Arm Port • Always use a # 2 Philips screwdriver – If using a power driver or drill take care not to strip screws • Remove screw and keep in safe place once loosened • Use a precision Philips screwdriver for the two mounting screws – # 0 Philips works best • Be sure tubing is seated firmly into new IV port to prevent leaks • Caution as to not over tighten arm screws during reassembly Basic SimMan 3G Network Se4ngs Networking basics Access Point Mode Manikin as the Access Point Firewalls on the manikin, and each device are turned off. DHCP addresses should be assigned on all devices Manikin se^ngs can be accessed through the network configura5on u5lity Manikins internal router set to Access Point mode Client Mode Manikin connec5ng to external network When using Client mode always be sure to document se^ngs for easier troubleshoo5ng later Manikins internal router should be switched to Client Mode RX • Application layer: • My manikin Is not showing up • Physical layer: • The computers wireless card is turned off Networking basics What do I do if my manikin is not showing up I and cannot immediately call Technical Support? Ø If the Instructor PC is not connecting is the Patient monitor? Ø Is my wireless toggle switched to the on position? (check for wi-fi lights) Ø What network is my computer currently connected to? Ø Are all of my cables properly attached to the router? Ø Try reseating the lan cables attached to the router to verify a firm connection Ø Is my internal router currently in Access Point or Client mode? Ø If all else fails connect a lan cable from the docking station of your computer into your manikin until you can call us. Tips And Tricks Ø If you see a hoof print in the mud do not go looking for a zebra Ø You can use too much airway lubricant Ø Think you have a leak but can’t hear or feel it? Use a stethoscope Ø Fluid issue? Flush the fluid system with Isopropyl alcohol and replace in line filters, also check the fluid adjustment blocks. Ø Power problem? What does the power panel say? Ø Do you want to show the path of how you got to a specific issue? Go to start and search for files and folders and type “problem steps” click on the program that shows up and click start recording or for 3G specifically C:\Program Files\Laerdal Medical\SimMan3G\Auxiliary Tools\Misc\report Wizard Ø Difficulty with skin? Use more baby powder Ø The latest version of software can be found at www.laerdal.com/downloads Ø How to get help Call our technical support team between the hours of 8a-­‐8p EST Monday -­‐ Saturday We’re able to provide the most help when you have the following…. Some 5me to troubleshoot the issue with us Have access to the manikin, and the computers Questions….. Thank You! Your feedback is valuable, please be sure to let us know what we can add, or change for next 5me!