TWELVE LEAD TASK TRAINER -...
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TWELVE LEAD TASK TRAINER 260 - 20001 Directions for Use
Transcript of TWELVE LEAD TASK TRAINER -...
TWELVE LEAD TASKTRAINER
260 - 20001
Directions for Use
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TABLE OF CONTENTS
Laerdal Recommends 4
Items Included 5
Skills Taught 5
Features 6
Overview 7
Operation 7
Running Scenarios 12 Battery Replacement 13
Warranty 13
Replacement Parts 15
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The Twelve Lead Task Trainer, 260-20001, is a torsolifelike manikin designed to realistically simulate airwaymanagement scenarios and train students in the properutilization of 12 lead ECG devices, including the properconnection of patient cable, acquisition andinterpretation of 12 lead ECG, and understanding andutilizing the AMI algorithm and local protocols relating totreatment of suspected or confirmed AMI.
As a result of quality construction and the ease ofreplacing individual parts, this simulator should providemany sessions of training when reasonable care andmaintenance are practiced.
Laerdal Recommendations: 7.5 ET Tube Use Manikin Lubricant prior to training sessions
Safety Precautions used during Defibrillationof a Patient/Trainer
1. Read and follow all safety and operatinginstructions provided with your defibrillator andassociated equipment.
2. This trainer can be shocked with actualvoltages and current used on a livepatient. All precautions and safetymeasures must be used during thedefibrillation and pacing phases oftraining. Failure to follow safetymeasures could result in injury ordeath to operators, students oronlookers not heeding these warnings.
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Items Included:(1) Adult Manikin Torso with Electronics(1) Wired Remote Control(2) “C” Cell Batteries(1) Manikin Lubricant(1) Tank Top(1) Carry Case
Skills Taught:Airway Management:• Oral/nasal/digital intubation• Right mainstem intubation• Oropharyngeal/Nasopharyngeal airway insertion• Bag-Valve Mask ventilation• Suctioning techniques• Abdominal thrust• Combitube insertion and ventilation
Cardiac Related Skills:• Carotid pulse palpation, manually generated• Closed chest compressions• Connection sites for four limb leads and V1
through V6• Compatible with 12-lead defibrillator/monitors• Defibrillation via hands free cables or paddles• Pacing with option to capture or fail to capture• Closed chest compressions
Training in:• Proper connection of patient leads• Operation of 12 lead ECG devices• Acquisition and interpretation of 12 lead
ECG• Understanding and utilization of current
treatment algorithms• Understanding and utilization of local
protocols relating to and treatment ofsuspected or confirmed electricalabnormalities
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Features:
• Scenarios of up tonine (9) ECG choicesmay be programmed.
• System is capable ofbeing shocked at 360joules and receivingfifteen (15) sets ofthree (3) shocks perset.
• Operates on DCcurrent from areplaceable batterycontained in themanikin torso and willaccommodate an ACadapter.
• Battery can operatethe system for 40hours of normaloperation.
• When using battery,system will turn “off”after fifteen (15)minutes of inactivity.
• Excluding remote,operating system iscontained within themanikin.
• Complete systemweighs no more thanforty (40) pounds.
• Meets FCC and CErequirements
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Overview –The AST-12 unit is used in a teachingenvironment to display 12 lead signals onan ECG monitor. The unit is capable ofstoring up to nine (9) training scenarios.Each one can contain as many as nine (9)steps each. The unit supports defibrillationand pacing training and allows foradvancement to next waveform in a scenarioon a defib pulse. The unit incorporatesa two (2) line by 16 character LCD todisplay current waveform information,as well as the current scenario status.
The unit may be powered through a 12VDC 100mA ACadapter or by two (2) ‘C’ cell batteries. When on batterypower, the unit will automatically shut off after 15minutes of inactivity.
Operation –This operational section assumes that unit is in defaultconfiguration with no scenarios programmed into the unit.
When unit is powered “On,” it will begin an initializationroutine. During this time, the remote control unit willdisplay the model name on top line and version numberon bottom line.
After a brief delay, unit will initialize to waveform mode‘WFM’ with pacing disabled ‘N’ and set to waveform #21‘Normal Sinus’. At this point, the unit will output 12 leadwaveform data.
Using the remote control unit as a guide, and starting atthe top left, the displayed items are:
• Current mode (MOD)• Current scenario # (SCEN)• Current scenario step # (STEP)• Scenario defib step advance (DFIB)• Pacing mode (PACE)• Scenario step timer (TMR)
On the bottom of remote control are the waveformnumber (#) (WAVEFORM) and waveform name.
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Waveform mode –While in waveform mode, the unit will display thecurrent mode and pacing status on the top line and thecurrent waveform # and name on the bottom line. Theunit will output 12 lead waveform data for the currentlyselected waveform. Waveform mode also allowswaveform pacing.
To enable pacing:Press the ‘Pace’ button while in waveform mode. Whenwaveform pacing is enabled, the top line of the LCD willdisplay the letter ‘Y.’ This is located under the ‘PACE’text on the remote. The letter ‘N’ will be displayed whenpacing is not enabled. When enabled (‘Y’), the manikincan receive pacing output from a pacer unit. Once thepacer unit output reaches approximately 80 – 90 mA, theAST-12 allows electrical capture.
Pacing enabled – ‘Y’Pacing not enabled – ‘N’
Program mode:To enter program mode, press ‘Prog>’ button. This iswhere all scenario program editing is done. Theunit allows for storage of up to nine (9) scenarios havingnine (9) steps each. During editing, the user may use anyof the digits on the numeric keypad or the ‘+’ and ‘-’buttons.
While in program mode, the unit will display on the topline:
• Current mode• Current scenario #• Current scenario step number• Defib step advance• Step timer status
The bottom line will display the waveform # and namefor the indicated scenario and step.
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Assuming there are no scenarios currently programmed,the display will look like this:
PRG 1 1 N 0:00000 END SCENARIO
Starting at the top left:
PRG – Current mode – programming mode1 – Current scenario number1 – Current scenario step number.N – Scenario will not advance to the next step with adefib pulse.0:00 – Timer is disabled for this step
And the bottom line:
000 – indicates this step is the last step of the scenario
NOTE: Waveform 000 (END SCENARIO) will end ascenario with fewer than nine (9) steps, and a timer valueof 0:00 will disable the timer for the current step.
Programming the unit –NOTE: If you hold the ‘Prog>’ button down for morethan 5 seconds, the scenarios data will be updated andsaved.
To move cursor while in programming mode, press the‘Prog>’ button. When you reach the end of the bottomline, the cursor will go back to the front of the top line.
1. Move the cursor to the ‘SCEN’ position2. Select the scenario number (1 through 9) you
want to edit by pressing a number or the +/-buttons on the keypad
3. Move the cursor to ‘STEP’ position4. Select the step number (1 through 9) you want to
edit by pressing a number or the +/- buttons onthe keypad
5. Move the cursor to the ‘DFIB’ position6. Select whether or not you want your scenario to
advance (Y or N) to the following step when itdetects a defib pulse by pressing the +/- buttonson the keypad.
7. Move the cursor to the ‘TMR’ position8. Select the amount of time (0 thru 9:59) this step
will run before advancing to the next step by
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pressing numbers or the +/- buttons on thekeypad. (To DISABLE the timer for thisstep, set the timer to 0:00.)
NOTE: If ‘DFIB’ is set to ‘N’ and ‘TMR’ is set to 0:00,the scenario will not automatically advance to thenext step from this step. This will allow you to decidewhen to advance to the next step manually by pressingthe ‘+’ button on the keypad.
To end a running scenario, either repeatedly pressthe ‘+’ button to advance through each step or press the‘Run’ button to end it immediately.
9. Move the cursor to the ‘WAVEFORM’ position10. Select the waveform number (0 through 80) to
use for this scenario step.
To END SCENARIO, select waveform 0.
NOTE: Be sure to end each scenario with waveform 000.If ‘END SCENARIO’ is selected as step number 1, thescenario will not appear to run, since this waveform willtell it to end as soon as it starts.
If you have five (5) steps in your scenario, and want tochange it to a three (3) step scenario, and you do notselect ‘END SCENARIO’ as the waveform for step 4,instead of stopping after step 3, the scenario willcontinue with step 4 since it was not changed to ‘ENDSCENARIO.’ It will then finish step 4 and continue onwith step 5, since the data was not removed from thescenario.
11. Either press and hold the ‘PROG>’ button for five(5) seconds to save your changes or start theprocess again by selecting a different scenario orstep number. Before saving, the unit will promptthe user to verify the edits should be saved (+ foryes and – for no).
Any waveform is paceable except “END SCENARIO”.
000 End Scenario 040 SR74_Couplet001 SR_78 041 ST_120_PAC002 SR_76 042 ST100_MulPVC003 SR_92 043 AVBlk_34_PVC004 STach_118 044 AVBlk_60
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005 STach_144 045 Vent_Escape006 STach_148 046 1 _Couplet007 STach_156 047 2 _Type II008 STach_162 048 SBrady34_ ST009 STach_154 049 SBrady50_ ST010 ST106_UniPVC 050 2 _Type_II011 SR_66 051 SR_80012 SR_72 052 S_Tach_168013 SR_86 053 SR_84_PJC014 SR_98 054 SR_58_Bigem015 STach_110 055 Inj_Ant016 ST_114 056 Inj_AntSept017 ST_146 057 Inj_AntSept018 ST_108 059 Inj_Inferior019 SR_88 060 Inj_Inferior020 SR_82 061 Inj_Inferior021 SR_76 062 Inj_Inferior022 PSVT 063 Inj_Inf/Post023 S_Brady_58 064 Inj_Inf/Post024 SBrady50_PAC 065 Inj_Sept/Inf025 SR_64_PAC 066 AVBlk_60026 SBrady58_PAC 067 1 _Wide_QRS027 S_Tach_117 068 Ideovent028 ST102Uni_PVC 069 Paced029 SVT_198 070 Paced030 Afib_76 071 Paced_54031 AF_PVC_Coup 072 Paced_60032 AF_64_AbVent 073 Paced033 Aflut_96 074 Paced034 Aflut_64 075 Paced_98035 Junct_54_^ST 076 Paced036 Junct_60_ ST 077 Paced037 Junct_58_ ST 078 Paced038 SR_58_Bigem 079 Paced_60039 ST118_Trigem 080 Paced_108
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Running scenarios –To run a scenario:
1. Start in the waveform (WFM) mode2. Press the ‘RUN’ button and the display will switch
to selection ‘SEL’ mode and prompt the user toselect a scenario number
3. Select the scenario by pressing a number or the+/- buttons on the keypad. The rest of the topline of the display will show the ”DFIB” status and“TMR” status of the first step of the currentscenario.
4. Once you have selected the scenario you want torun, press the ‘Run’ button again to start thescenario.
The text under ‘MOD’ will animate the word ‘RUN’ toindicate a scenario is running.
The number under ‘SCEN’ indicates the currentlyrunning scenario number.
The number under ‘STEP’ indicates the currently runningstep number.
The letter under ‘DFIB’ indicates whether or not defibadvance is enabled for the current step .
The number under ‘TMR’ indicates the time remainingbefore the scenario will advance to the next step. Thebottom line displays the currently used waveformnumber and name.
To manually advance to the next step, press ‘+.’To manually end the scenario, press ‘Run.’
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When the scenario has been completed, the unit willrevert back to waveform mode using the waveform fromthe last scenario step.
Battery ReplacementThere are two “C” cell batteries located on the trainer’sright side.
To replace these batteries:
Lift skin from the shoulder ofthe torso and pull down towardthe bowel. An insert module willbe exposed on the right side ofthe manikin torso. The uppermodule is removed to exposethe battery compartment.Replace the batteries as needed.
In the event this trainer is storedfor more than a few weeks,remove the batteries to keeppossible battery leakage fromdamaging the battery holder.
WarrantyLaerdal warrants to the purchaser that its products arefree from defects in material and workmanship for aperiod of one (1) year from the date of purchase by theoriginal user. During the designated one (1) year period,Laerdal will, upon receipt of a product found to bedefective due to materials or workmanship from the
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purchaser and notification in writing of the defect, at itsoption repair or replace any parts found to be defectiveor the entire product. Warranty period does not renewwith replacement or repair of original product.
Products found to be defective and notification of defectsmay also be sent to the authorized Laerdal dealer fromwhom the product was purchased. All postage, shippingor handling charges shall be the sole responsibility of thepurchaser.
Laerdal is responsible for the effects of safety, reliabilityand performance of its product(s) only if:
– service, repair, readjustment or modification is carriedout by Laerdal or persons authorized by Laerdal.
– the electrical installation of the room where theproduct is used complies with pertinent equipmentrequirements.
– the product is used in the proper manner in strictcompliance with its Directions for Use.
Laerdal shall not be liable under this warranty forincidental or consequential damages, or in the event anyunauthorized repairs or modifications have been made orattempted, or when the product, or any part thereof, hasbeen damaged by accident, misuse or abuse. Thiswarranty does not cover batteries, fuses, normal wearand tear, excessive use, staining, discoloration or othercosmetic irregularity which does not impede or degradeproduct performance.
Some states in the USA do not allow the exclusion orlimitation of incidental or consequential damages, sothose limitations or exclusions may not apply to you.
There are no other express or implied warranties,whether of merchantability, fitness or purpose, orotherwise, on the product, its parts and accessories.
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Replacement parts:
1000492 Head1003287 Chest SkinCC-0020 Carry Case
(C) Copyright Medical Plastics Laboratory, Inc.Document # 1004856 rev .01
July 3, 2001
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