Life/form® by Nasco Healthcare
Infant Auscultation Trainer and SmartScope™
LF01201U
Instruction Manual
Infant Auscultation Trainer and SmartScope™ - LF01201U
Nasco Healthcare
901 Janesville Avenue, P.O. Box 901 • Fort Atkinson, Wisconsin 53538-0901
1.800.431.4310 • nascohealthcare.com • Email: [email protected]
COPYRIGHT © NASCO 2009 PRINTED IN U.S.A. NP 066-09/RV 1-15

The Life/form® Infant Auscultation Trainer allows you to simulate resuscitation, along with the ability to check for a pulse and practice airway management skills, including intubation and suctioning. You can also practice umbilical clamping, cutting, and cannulation.

Note: Perform resuscitation with plain chest skin only. Using the auscultation chest skin may damage components and cause auscultation sounds to stop working properly.

Cleaning the Simulator

Normal soil can be removed with mild soapy water. Nasco Cleaner (LF09919U) will remove stubborn stains. Simply apply Nasco Cleaner to the soiled area and wipe clean with a soft cloth or paper towel.

Note: Avoid using cleaner around the mouth and nose area if students will be applying direct mouth-to-mouth resuscitation techniques, as the cleaner may be toxic if ingested.

NEVER place the trainer on any kind of printed paper or plastic. These materials, as well as ball-point pens, will transfer indelible stains. Do not use any cosmetics.

Caution: Product Contains Dry Natural Rubber

List of Components

  • Basic Infant CRiSis™ Manikin Chest Skin
  • Infant Auscultation Chest Skin
  • 6 Umbilical Cords
  • 6 Umbilical Cord Clamps
  • 1 IV Bag with Clamp
  • 1 Quart of Life/form® Blood
  • 1 Bottle of Pump Spray Lubricant
  • 8 Towels
  • Infant Remote
  • Infant SmartScope™
  • Infant Auscultation Dual Headset

The Infant Airway Management Trainer Head

About the Simulator

The Life/form® Infant Airway Management Trainer is the most realistic simulator available for the training of intubation skills. Nasco has taken great care to create an airway management trainer that is anatomically correct in respect to both size and detail. (See figure 1.)

Figure 1

FIGURE 1

Landmarks include gum line, tongue, oral and nasal pharynx, larynx, epiglottis, arytenoids, false and true vocal cords, cricoid ring, tracheal rings, trachea, and esophagus. Nasco’s Infant Airway Management Trainer allows you to practice oral intubation. Suction techniques can also be performed and evaluated. The simulator was designed to use an uncuffed endotracheal tube measuring up to 4.0 mm I.D.

Lubrication

Before using the Infant Airway Management Trainer, lubricate both the oral cavity and the endotracheal tube you plan to use with the pump spray lubricant provided. (See figure 2.)

Figure 2

FIGURE 2

Note: Nasco recommends the use of the provided lubricant or a similar vegetable-based lubricant for the Infant Airway

Management Trainer. The use of a silicone-based or similar lubricant may cause damage to the simulator, thus voiding Nasco’s warranty on the trainer.

The Infant Brachial Pulse Arm

The Life/form® Infant Brachial Pulse Arm is an exciting training aid for taking newborn pulses. A series of contractions on the squeeze bulb will create a pulse in the antecubital region. With practice, a very realistic pulse can be created.

Note: This arm is not designed for injections and should not be penetrated by a needle. The above diagram shows the position of the tubing embedded in the arm to simulate an artery. (See figure 3.)

Figure 3

FIGURE 3

Supplies/Replacement Parts for the Infant Airway Management Trainer

LF03644U – Pump Spray Lubricant
LF09919U – Nasco Cleaner

Infant Chest Skin with Umbilicus (See figure 4.)

Figure 4

FIGURE 4

About the Simulator

The Life/form® Infant Chest Skin with Injectable Umbilicus is an exciting training aid for practicing and demonstrating umbilical clamping, cutting, and cannulation of the newborn. Visual and tactile realism are combined in this simulator to provide students with the most realistic training possible. The umbilicus allows students to practice clamping, cutting, and aspirating “blood,” making the use of the Life/form® Infant Chest Skin with Umbilicus Simulator a realistic training exercise.

General Instructions for Use

A. Preparing the Synthetic Blood

Concentrated blood colorant is provided. Fill the 16-oz. container with tap water for the proper dilution. (See figure 5.)

Figure 5

FIGURE 5

B. Hanging the IV Bag

Hang the bag no higher than 18".

C. Filling the IV Supply Bag

Pour the diluted Life/form® Blood into the IV bag. (See figure 6.) Distilled water can be used in place of synthetic blood. Be certain the clamp on the tubing is closed before filling.

Figure 6

FIGURE 6

D. Connecting the IV Bag to the Umbilicus

The umbilicus is supplied with a special connector that fits the umbilicus tubing and the IV bag. (See figure 7.) Insert the connector from the IV bag into the tubing coming from the umbilicus as shown.

Figure 7

FIGURE 7

E. Filling the Umbilicus System

  1. Hold a towel or container near the open end of the umbilicus.
  2. Carefully open the clamp and allow the liquid to slowly flow through the system until a steady stream exits all three holes at the umbilicus end.

Note: Careful adjustment of the ramp clamp is needed to supply a steady stream of “blood” during the aspiration procedures. (See figure 8.)

Figure 8

FIGURE 8

Procedures That Can Be Performed on This Simulator

A. “Blood” Aspiration

The Life/form® Infant Chest Skin with Umbilicus is now ready for aspiration practice. The “blood” flow is controlled by careful adjustment of the ramp clamp.

B. Cutting and Clamping the Umbilicus

The Life/form® Infant Chest Skin’ with Umbilicus Simulator allows the student to practice clamping and cutting the umbilicus. The umbilicus may be drawn out of the body to the desired length for trimming and is perfect for practicing umbilicus clamping and clamp removal.

Note: When the umbilici are used up, order the Umbilical Cannulation Replacement Cords (LF03642U).

Causes for Failure in Function

IV infusion may not flow if the IV bag isn’t high enough, if the clamp isn’t open, or if the latex tubing is kinked or pinched.

A. If “Blood” Cannot Be Aspirated During the “Blood” Drawing Procedure

  1. The clamp on the IV bag may not be open.
  2. Air could be trapped in the umbilicus system. Simply flush the system slowly, draining some “blood” or distilled water, whichever you are using, until all the air bubbles are eliminated.
  3. Check for possible kinks in the system.

Installing a New Umbilicus

The simulator comes with an umbilicus installed. When necessary, replace it using the following instructions.

Remove the chest skin by unhooking it at the buttons. Lift out the lung plate and chest foam assembly.

Once the lung plate and chest foam assembly has been removed, take out the old umbilicus and discard it. Thread the new umbilicus up through the chest foam assembly so only 2" are protruding. (See figure 9.)

Figure 9

FIGURE 9

Next, connect the umbilicus to the latex adapter and coil the extra umbilicus under the chest foam assembly.

Now install your lung and chest plate assembly back into the body. (See figure 10.)

Figure 10

FIGURE 10

Finally, reattach the chest skin onto the manikin using the four buttons on the torso, thread the umbilicus through the hole in the chest skin, and finish attaching the skin. Push the umbilicus down so only about 1" is protruding. (See figure 11.)

Figure 11

FIGURE 11

Care of the Simulator

This training simulator has been designed to provide the greatest possible durability and lowest maintenance without compromising the realism of use. Following are some suggestions for helping you yield the maximum life from this unique simulator.

A. Before Storing the Chest Skin with Umbilicus

  1. Drain the umbilicus by raising the body over the height of the IV bag and then opening the ramp clamp. Allow the “blood” to flow back past the bag clamp, then close the clamp.
  2. Disconnect the IV bag and pour the fluid back into the container.
  3. If synthetic blood was used flush out both the bag and umbilicus with clean water and allow them to dry.

Supplies/Replacement Parts for the Infant Chest Skin with Umbilicus

LF00845U – Life/form® Venous Blood, 1 quart
LF00846U – Life/form® Venous Blood, 1 gallon
LF01022U – Fluid Supply Stand
LF01130U – Fluid Bag Supply
LF03642U – Umbilical Cannulation Replacement Cords (10 pk.)
LF09919U – Nasco Cleaner

Infant Auscultation Trainer

About the Simulator

The Life/form® Infant Auscultation Trainer duplicates heart, bowel, and lung conditions selected by the instructor by wireless remote control. The student should palpate to identify the correct auscultation sites and will hear different heart, bowel, and lung sounds as the SmartScope™ is moved from site to site. The simulator duplicates human conditions as closely as modern plastics and electronic technology allows — it’s almost the real thing. Care and treatment should be the same as with a patient.

Note: Do not use the auscultation chest skin to simulate resuscitation. Doing so may damage components and cause trainer to stop working properly.

The simulator has one heart, one bowel, and two lung sites on the anterior surface and two lung sites on the posterior surface. (See figures 12 and 13.) The remote control can select from 11 different heart conditions, four bowel conditions, and nine lung conditions. The instructor can select any condition, then switch to another condition quickly and easily so the student can compare sounds and make a diagnosis.

Figure 12 and 13

FIGURE 12 - Front (left) - BLUE: Heart Sounds; GREEN: Lung Sounds, RED: Bowel Sounds
FIGURE 13 - Back (right) - GREEN: Lung Sounds

The remote control does not have to be pointed directly at the manikin or SmartScope™ to operate. One remote control will operate multiple sets of SmartScopes™ and manikins simultaneously. The range of the remote control is up to 100 feet.

Note: Infant remote and SmartScope™ are not compatible with any Life/form® Adult Auscultation Trainers.

The remote control can be programmed to these heart conditions:
01 VSD
02 Venous Hum
03 Stills Murmur
04 S2 Split
05 Pulmonary Stenosis
06 Newborn Heart
07 Mitral Regurgitation
08 ASD
09 Aortic Stenosis
10 7-Month Heart
11 1-Year Heart

The remote control can be programmed to these bowel sounds:
01 Norm Newborn
02 Norm 1 YO
03 Hyper 2 YO
04 Borborygmus

The remote control can be programmed to these lung conditions:
01 Wheezing
02 Stridor
03 Rhonchi
04 Pneumonia
05 Newborn Breath
06 Newborn Stridor
07 Asthma
08 9-Month Stridor
09 9-Month Breath

Using the SmartScope™

Place the earpieces in the ears, angled forward. Place the diaphragm of the SmartScope™ over one of the appropriate sites on the manikin.

As an alternative, the Amplifier/Speaker System (LF01189U) can be used, allowing an entire classroom to hear at the same time. To connect the speaker, plug the speaker cord into the jack on the top of the SmartScope™ box. When the speaker is connected to the SmartScope™, the earpieces will not work. Place the diaphragm of the SmartScope™ over the appropriate sites on the manikin.

To begin training, press the red power button. This turns on the remote control and sends a signal to activate the SmartScope™. After the unit is activated, the display will be in status mode, displaying the current menu settings for the heart, bowel, and lung conditions.

To select a new condition, press either the heart, bowel, or lung button. This will put the display into the menu mode. You can select a condition by either using the number buttons or by viewing the conditions in sequence using the scroll button. After the condition is selected, press the enter button to activate. Pressing the heart, bowel, or lung button at any time will display the name of the condition selected:

For example, press
Heart 1 (or scroll) enter
Bowel 2 (or scroll) enter
Lung 3 (or scroll) enter

The display should read H:01, B:02,L:03. The SmartScope™ will now pick up the VSD, Norm 1 YO, and Rhonchi sounds at the appropriate sites.

Troubleshooting

  • Make sure batteries in both the SmartScope™ and the remote are fully charged and properly installed.
    Please note: When you replace batteries in the SmartScope™, turn off the remote. Once the batteries are in place, turn the remote back on. If you find there still is no sound, please turn the remote off again and turn back on. The unit needs a few moments to reset.
  • The remote has a battery saver that shuts the unit down after eight minutes if the remote is left on the same setting. To prevent it from shutting down, select a different heart or lung sound within the eight-minute period of time.
  • Correct head placement of the SmartScope™ is required to hear the sounds. Moving the SmartScope™ head slowly across the area will help locate the sensor in the torso so that the sounds can be heard.
  • If you are sure you have the SmartScope™ head in the proper position and you still cannot hear any sounds, restart the unit by turning the power off and on, and select a different heart or lung sound. Verify the ear tips are facing forward in your ear canal. Also, an external speaker, if available, can be plugged into the SmartScope™ to verify sound and proper head placement.
    Note: When listening to sounds through an external speaker, no sounds will be heard through the headsets.
  • When using multiple Smart-Scopes™ in a classroom, one remote will operate all units within a range of 100 feet. If you have multiple remotes controlling multiple manikins in the same room, they may interfere with each other, giving you different sounds than selected or no sounds at all.
    Note: If you have tried all of the suggestions above and are still experiencing difficulties, please feel free to contact a customer service representative at 1-800-558-9595. They can direct you to our technical department for assistance. Thank you for your business.

Available Supplies

LF01202U – Additional Infant Auscultation Trainer Body
LF01189U – Amplifier/Speaker System Additional Remote and SmartScope™ available upon request.

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