Life/form® by Nasco Healthcare
Auscultation Manikin Update Package
KERi™ – LF04024U
GERi™ – LF04004U
Instruction Manual
Auscultation Manikin Update Package
Nasco Healthcare
901 Janesville Avenue, P.O. Box 901 • Fort Atkinson, Wisconsin 53538-0901
1.800.431.4310 • • Email: [email protected]

Auscultation Manikin Update Package KERi™ – LF04024U GERi™ – LF04004U Instruction Manual

Congratulations for choosing the GERi™/KERi™ Auscultation Update Package. This simple design makes the manikin easy to use and care for. A diagnosis of the condition selected by the instructor can be made by comparing the variation in sounds occurring at different sites – just like a real person! Lung sounds can be detected at five anterior and 12 posterior locations, and students can practice auscultation at six anterior heart sites. Before using this manikin with your students, please familiarize yourself with this manual.

List of Components

  • GERi™/KERi™ Manikin Update
  • SmartScope™ (shown on left)
  • Remote Control (shown on right)

General Instructions for Use

The GERi™/KERi™ Update comes ready to be attached to your existing manikin. To do this, you will need to use the arms, legs, and head of your existing manikin. The arms can be removed by bending the elbows backward approximately 90° to align the keyholes at the shoulders. (See figure 1.) Then pull outward, away from the shoulder of the manikin. Reverse this procedure to attach the arms to the new GERi™/KERi™ Auscultation Torso.

Figure 1

Figure 1

The legs detach from the body at the hips by bending the legs backward approximately 150° so that the feet are near the shoulders and the keyholes are aligned. (See figure 2.) Then pull outward, away from the body. Reverse this procedure to attach to the new torso.

Figure 2

Figure 2

The head may be removed by rotating it 180° backward to align the keyholes, and then pulling up. The internal stomach reservoir will come out of the body through the neck opening. Reverse this procedure to attach the head to the new torso.

Figure 3

Figure 3

Gastrostomy Care

Lavage and Gavage

A flanged hole simulating an abdominal incision for the insertion of a feeding tube is included on the upper torso for performing lavage and gavage. Inside the upper torso is a reservoir (bag) with a maximum capacity of 500 cc, which is attached to the gastrostomy opening with a two-part coupler. The bag is removed by pushing in on the clear L-shaped button and pulling it straight away. To attach, simply push the coupler body (with bag attached) onto the coupler insert (part with a black O-ring) that is protruding from inside the torso. You will hear a slight snap when the connection is complete. With extensive use, these two coupler parts may no longer snap, so the clear L-shaped button will have to be manually pulled all the way out after connecting the two parts. Test the connection by pulling on the coupler body to ensure that it is locked. This gastrostomy feature is designed for use with a 16 French feeding tube. It is recommended that the tip of the feeding tube be lubricated before inserting. Make sure the reservoir is straight and flat before attempting to simulate actual feeding with a liquid.

About the Auscultation Simulator

The GERi™/KERi™ Auscultation Manikin duplicates heart and lung conditions selected by the instructor by wireless remote control. The student should palpate to identify the correct auscultation sites. They will hear different heart and lung sounds as the SmartScope™ is moved from site to site.

The simulator has six heart sites and seven lung sound sites on the anterior surface, with 10 locations on the posterior surface and midaxillary sites. The remote control can select from 12 different heart conditions, as well as 16 lung conditions. The instructor can select any condition easily, enabling the student to compare sounds and make a diagnosis.

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

General Instructions for Use

To begin using the Auscultation Trainer, press the red power button. This turns on the remote control and sends a signal to activate the stethoscope as well. After the unit is activated, the display will be in the “status” mode, displaying the current menu settings for the heart and lung conditions.

To select a new condition, press either the heart or lung button. This will put the display into the menu mode. The user 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.

The remote control can be programmed to these heart conditions:

01 Normal
02 Aortic regurgitation
03 Pulmonary stenosis
04 Mitral stenosis
05 Holosystolic
06 Mid-systolic
07 S3 Gallop
08 S4 Gallop
09 Systolic click
10 Atrial septal defect
11 PDA
12 VSD

The remote control can be programmed to these lung conditions:

01 Normal Lung 02 Normal Vesicular
03 Wheezes
04 Mono wheeze
05 Fine crackle
06 Coarse crackle
07 Ronchi crackle
08 Stridor
09 Cavernous
10 Bronchovesicular
11 Bronchial
12 Pulmonary edema
13 Infant
14 Friction rub
15 Egophony
16 Pectoriloquy

Consult the enclosed laminated card for lung and heart sound site locations. To listen to the selected sounds, place the earpieces in ears, angled in a forward position. Place the diaphragm of the SmartScope™over one of the appropriate sites on the manikin (see diagram on back).

As an alternative, an 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 speaker jack on the top of the Smart Scope™ box. When a speaker is connected to the SmartScope™, the earpieces will not work. Place the diaphragm of the SmartScope™ over the appropriate sites on the manikin.

Note: 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.

Available Supplies

LF01144U Additional SmartScope™
LF01148U Replacement Remote Control
LF01189U Amplifier/Speaker System