Laerdal Basic, Skillguide, SkillReporter, Full Body, Torso, Manikin Face, Manikin Face Shields, Resusci Patient Face Shields, Manikin Wipes, Pocket Mask, Silicone Resuscitator, Training Pads, AED Skillguide, AED SkillReporter, AED Resusci Anne User Manual

Rams 01DFU Eng rev B.qxd 28-11-05 07:37 Side 2

Resusci Anne Modular System

Resusci Anne Modular System

R

Resusci Anne

Modular System

Your new Resusci Anne

Today's Resusci Anne manikin preserves the classic features which made the original Resusci Anne synonymous with CPR instruction.

Each Resusci Anne model simulates an adult of average physiology, and is designed for realistic training of basic life support techniques in accordance with international recommendations.

Features included in the manikin are:

-

Natural obstruction of the airway

-

Movable jaw

-

Human-like compliance for inflations and compressions

-

Chest rise with inflations

-

Realistic landmarks for compression point location

-

Carotid pulse, manual

-

Carotid pulse, automatic (CPR-D manikin only)

-

Indication of inflation and compression practice

(with Skillguide or SkillReporter)

-

Feedback according to ILCOR guidelines

(with Skillguide or SkillReporter)

-

Log function of training sequence

(SkillReporter manikin only)

-

Printer with both real-time and report printing

(SkillReporter manikin only)

-

Easy to mount and remove arms and legs

(full body versions)

-

Hard, articulated arms and legs are available (optional)

-

Defibrillation chest skin (CPR-D manikin only)

-

MicroHeartsim for ECG simulation (CPR-D manikin only)

-

AED chest skin allows for training of proper pad placement when used together with the Laerdal or Heartstream branded

AED Trainer 2 device (Skillguide and SkillReporter manikins only).

Use of a ventilation mask (e.g. the Laerdal Pocket Mask) and a manual bag-valve-mask resuscitator (e.g. the Laerdal

Silicone Resuscitator with a size 4 mask) can be practised on Resusci Anne.

4

Models

Resusci Anne is available in different models to meet varying needs for CPR programmes.

-

Basic versions come without electronics.

-

Skillguide versions come with light signals showing

CPR performance.

-

AED Skillguide versions, in addition to the above Skillguide features, come with a special chest skin with LEDs showing proper pad placement.

-

SkillReporter versions come with a combined light signal box showing CPR performance in real-time, and a printer that can print both real-time curves and statistical report of CPR performance.

-

AED SkillReporter versions, in addition to the above

SkillReporter features, come with a special chest skin with

LEDs showing proper pad placement.

-

CPR-D versions come with SkillReporter and

MicroHeartsim for simulation of heart rhythms and controlling the defibrillation part of the scenario.

The Resusci Anne Full Body provides realism to your training.

For the Resusci Anne Torso models arms and legs may be added if desired. In addition to the soft arms and legs, hard articulated arms and legs are available.

The modular manikin construction allows easy expansion of basic models to complete models and/or Resusci Anne Torso models to Resusci Anne Full Body models.

Rams 01DFU Eng rev B.qxd 28-11-05 07:37 Side 3

Limited Warranty

Laerdal Medical warrants to the purchaser that its product(s) is/are free from defects in material and workmanship for a period of one (1) year from the date of purchase by the original user. During the designated one (1) year period,

Laerdal Medical will, upon receipt of a product found to be defective due to materials or workmanship from the purchaser and notification in writing of the defect at its option repair or replace any parts found to be defective or the entire product.

Products found to be defective and notification of defects may also be sent to the authorized Laerdal Medical dealer from whom the product was purchased. All postage, shipping, or handling charges shall be the sole responsibility of the purchaser.

Laerdal Medical is responsible for the effects of safety, reliability and performance of its product(s) only if:

-

service, repair, readjustment or modification is carried out by Laerdal Medical or persons authorized by Laerdal Medical.

-

the product is used in the proper manner in strict compliance with its Directions for Use.

Laerdal Medical shall not be liable under this warranty for incidental or consequential damages if unauthorized repairs or modifications have been made or attempted or when the product, or any part thereof, has been damaged by accident, misuse or abuse.

This warranty does not cover batteries, fuses, normal wear and tear, staining, discoloration or other cosmetic irregularity that does not impede or degrade product performance.

Some states in the USA do not allow the exclusion or limitation of incidental or consequential damages, so those limitations or exclusions may not apply to you.

There are no other express or implied warranties, whether of merchantability, fitness or purpose, or otherwise, on the product, its parts and accessories.

Service

All manikin parts are replaceable. Should any part break or wear out, it can be identified by referring to the exploded view drawing and parts list (see page 15). Spare parts are available from Laerdal or the local Laerdal distributor.

Since the Resusci Anne manikin is easy to disassemble and reassemble, the manikin's owner can accomplish many repairs.

Should a problem arise, however, we will be glad to assist you.

A separate technical service manual is available.

The SkillReporter, Skillguide, MicroHeartsim and Loadbox must be serviced by an authorized service technician.

Call your Laerdal representative for more information.

Product specifications are subject to change without notice.

Resusci Anne Modular System

Contents

Unpacking and repacking . . . . . . . . . . . . . . . . . . . . . . . . . 6

Operation and function . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Skillguide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

SkillReporter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Sanitation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

During class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

After class . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Early defibrillation training . . . . . . . . . . . . . . . . . . . . . . . 12

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Periodic cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Miscellaneous replacements . . . . . . . . . . . . . . . . . . . . . . 13

AED Resusci Anne . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Parts list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Standards/Approvals

The product is in compliance with essential requirements of council directive 89 / 336 / EEC;EMC - directive.

E x p a n s i o n o f m o d e l s

The modular manikin construction allows easy expansion of models.

To attach arms and legs:

a) Arms

Take off the manikin's jacket.

Identify right and left arm.

Be sure that the arm bolt is mounted in the shoulder hole of the arms. Attach the arms by "clicking" them in place in the holes in the torso and dress manikin. To remove, press the arm bolt and pull the arm out of the hole in the shoulder of the torso.

b) Lower body with legs

Attach lower body by moving the connecting part into the hole in the lower part of the torso and secure it by using the fastening bolt. To remove, pull out the fastening bolt and move the lower body away from the torso.

5

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Resusci Anne Modular System

Unpacking and set-up

1. Remove head protection box (full body manikins only) and lift manikin out of the case.

2* Remove the Skillguide, SkillReporter or MicroHeartsim protective pouch(es).

Plug the Skillguide or SkillReporter cable into the connector on the right side of the manikin

(if you want to practice with SkillReporter connected).

Remove the paper tab coming from the battery compartment on the backside of the Skillguide.

3. The Resusci Anne Torso Models (not for SkillReporter and CPR-D manikins) can be supplied with a softpack, which also serves as a training mat when opened and laid flat on the floor.

Operation and function

Airway patency

When the Resusci Anne head is in a neutral position, the inspiration tube will be closed. This prevents air from passing to the lungs, thus having the same effect as an obstructing tongue in an unconscious person. To obtain an open airway it is necessary to tilt the head sufficiently backwards and lift or support the chin. This opens the airway and allows air to pass.

Moderate head tilt combined with jaw thrust will also open the airway.

Repacking in carrying case

1* Disconnect Skillguide or SkillReporter and place upper part of the manikin in the case with head to the right and face up.

2 Put head protection box over manikin's head and place arms down on each side of the manikin and fold legs upwards, one on each side of the head protection box

(full body manikins only).

3* Replace Skillguide, SkillReporter or MicroHeartsim protective pouch(es) and place unit between the wall of the carrying case and the manikin.

4 For those having hard legs and arms, these have to be removed and placed in the softpack following this set.

Repacking in softpack

1. Place manikin and extra accessories on one side of the mat.

2* Disconnect Skillguide and replace Skillguide protective pouch.

Shipping, all models

It is advisable to put the manikin's carrying case into a cardboard carton to avoid damage if exposed to rough handling.

a b f e c g h d

Inflation

Inflation practice directs air to the lung (a) via face coupling (b), airway connector with one-way valve membrane (c), inspiration tube (d), non-rebreathing valve (e), and lung tube (f). During inflation, air pressure moves the valve membranes (g and h) to open positions so that the air can pass. As soon as inflation stops, the membrane (g) closes, thereby preventing return of inflated air to mouth and nose. i j g h

Exhalation

When the lung is deflated by the weight and elasticity of the chest wall, the membrane (h) in the non-rebreathing valve closes the passage to the inspiration tube and opens the passage to the exhaust tube (i), to vent expiratory air out through a port (j) in the manikin's side.

Pulse simulator

Palpable pulse in the carotid arteries on either side of the

Adam's Apple can be simulated when the bulb is squeezed rhythmically. Palpable pulse in the carotid arteries is also present when effective chest compressions are being performed

(SkillReporter manikin only).

The CPR-D manikin has an automatic pulse.

*If applicable.

6

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Skillguide

Consistent and objective feedback on performance during practice helps develop and reinforce skills. The Skillguide provides feedback to the instructor and student to support the student's initial skill development by means of a colour light display.

Inflation

When lung inflation volume reaches 0.7 l (standard ventilation) or 0.4 l (O2 enriched ventilation), the green signal light will be activated. If lung inflation volume exceeds 1.0 l (standard ventilation) or 0.6 l (O2 enriched ventilation), an orange warning light is activated. A red warning light indicates a too fast inflation.

To get correct feedback when performing standard ventilation, the larger lung (15 22 50) has to be used.

To get correct feedback when performing O2 enriched ventilation, the smaller lung (15 26 00) has to be used.

Chest compression

When the breastbone area of the chest is depressed about

4 cm (at least 1 1/2"), the green signal light is activated.

If compression exceeds 5 cm (2" ) an orange warning light is activated.

Incorrect hand position

Sensors are located under the switch cover mounted on the underside of the chest cover. The red warning light will be activated if the chest is depressed with hands placed outside the correct area.

Resusci Anne Modular System

To use

See 2) under Unpacking and set up on page 6.

The Skillguide will turn "off" automatically if no activity takes place for 5 minutes.

Note: If the Skillguide is turned "on" and the red signal light for wrong hand position comes on, the Skillguide is not completely plugged into the manikin.

Power Supply

The four 1.5 V alkaline batteries, size C, will provide approximately 125 hours of use in the classroom. This will vary depending on use patterns and brand of batteries.

Connection Cable

This is permanently connected to the Skillguide and has an

8 pin male connector that is to be connected to the manikin.

The connector has been moulded for proper orientation prior to plugging it into the manikin's side.

Caution

Make sure that the Skillguide is unplugged from manikin:

when airway is changed, or

when internal service is carried out.

Inflation volume:

Light green orange

Compression depth: green orange

Wrong hand position: red

Indication correct too much

Limits*

0.7 l - 1.0 l

0.4 l - 0.6 l

>1.0 l

>0.6 l

(standard)

(O2 enriched)

(standard)

(O2 enriched) correct too much

Pressure outside of acceptable area

4 cm (1 1/2") - 5 cm (2")

>5 cm (2")

Too fast inflation: red Flow > 1 l/sec.

(standard)

Flow > 0.5 l/sec.

(O2 enriched)

*Measurement tolerance in the manikin: +/- 15% in normal room temperature.

Measurements based on ILCOR guidelines. O2 enriched ventilation requires airway 15 26 00 for correct feedback.

7

Rams 01DFU Eng rev B.qxd 28-11-05 07:37 Side 6

Resusci Anne Modular System

A B C D E

SkillReporter

Consistent and objective feedback on performance during practice helps develop and reinforce skills. The SkillReporter has a metronome

B

built in providing a rate of 80 or 100 strokes/minute, and provides feedback to the instructor and student to support the student's initial skill development by means of colour LEDs. In addition the SkillReporter gives you the possibility to print a report of the performance (either complete report with ventilation and compression curves and a statistical report or a statistical report only).

To use

Turn the SkillReporter on by pressing the "on/off"

A

key either on the SkillReporter or on the right side of the manikin torso.

Caution: Make sure the chest skin is properly fastened before

turning on the SkillReporter/manikin. Pressing a second time will turn the SkillReporter off. The SkillReporter and manikin will turn off automatically if no activity takes place for 10 minutes

A C

(60 minutes if the log function is active). Note: The manikin can also be used without the

SkillReporter connected. You are then able to log the training scenario and later on reconnect the SkillReporter to print a report.

The light indicators as described below will give instant feedback on CPR performance.

Light indicators on the SkillReporter

LED(s) Indication

Inflation volume: yellow insufficient green red sufficient excessive

Limits

*

<0.7 l

<0.4 l

(standard)

(O2 enriched)

0.7 l - 1.0 l (standard)

0.4 l - 0.6 l (O2 enriched)

>1.0 l (standard)

>0.6 l (O2 enriched)

The log function

To be able to print a report the CPR data first need to be logged by activating the log function. The log function can be activated either on the SkillReporter if connected to the manikin, or on the manikin. To activate the log function on the SkillReporter you first have to connect it to the manikin

(the SkillReporter has no internal power source), then press the "On/Off" button once and after the selftest is complete press the "LOG"

C

button.

If you decide to use the manikin without the SkillReporter attached, press the "On/Off" button at the right side of the torso and then press the "LOG"

C

button to activate the log function.

To stop the log function press the "LOG" button a second time. The CPR data is now logged and can be printed multiple times. Just connect the SkillReporter and press one of the print buttons. The data will not be lost even if the SkillReporter and the manikin are switched off. When starting a new log, the current log will be cleared and data cannot be retrieved.

Printing a report

Short report

D

The short report format

(statistical data), can only be printed after the CPR(-D) data has been logged. If the "short print" button is pressed during logging of a scenario, a summary report (statistical data) of the performance will be printed with data collected up to the time of activating the short report. If the "short print" button is pressed after the logging of a scenario has been completed, a summary report of the performance will be printed with data for the whole session.

Student name:

Instructor name:

_______________________

_______________________

Duration of the session: (min : sec) ____

Ventilations:

Average volume (ml)

Average number per min. (#/min)

Minute volume (ml/min)

Total number (#)

Number correct (#)

Percent correct (%)

Too much (#)

Too little (#)

Too fast (#)

Compr. / Vent. ratio

____

____

____

____

____

____

____

____

____

____

Compressions

Average depth (mm)

Average number per min. (#/min)

Average compression rate (#/min)

Total number (#)

Number correct (#)

Percent correct (%)

Too deep (#)

Too shallow (#)

Wrong hand position (#)

Hand position too low

Incomplete release (#)

(#)

____

____

____

____

____

____

____

____

____

____

____

Defibrillation (CPR-D models only)

Time from scenario start to first shock (min : sec)

Time from call for help to first shock (min : sec)

Time from arrival of defibrillator to first shock (min : sec)

____ ____

____ ____

____ ____

Pulse

Compression depth: yellow insufficient green sufficient excessive red

Too fast inflation: red

<4 cm (1 1/2")

4 cm - 5 cm

(1 1/2" - 2")

>5 cm (2")

Flow > 1 l/sec.

*Measurement tolerance in the manikin: +/- 15% in normal room temperature.

Measurements based on ILCOR guidelines.

8

Wrong hand position: yellow

Pressure outside of acceptable area

(sides and upper part)

R

Resusci Anne

SkillReporter

TM red

Pressure outside of acceptable area

(lower center)

Rams 01DFU Eng rev B.qxd 28-11-05 07:37 Side 7

Long report

E

The long report format can be printed either during logging or after logging of the CPR data.

This report consists of an analog part showing ventilation and compression curves along with a time-line, and also the different actions taken during the session, followed by statistical data as described above.

Print-out during logging

When pressing the "long print" key during CPR performance, an analog printout in real time of the CPR curves will be printed if the log function has been activated.

When the logging is stopped, a statistical report of the CPR(-D) performance data as described above, will be printed.

Print-out after logging

It is also possible to print a long format report (both analog curves and statistical data) after a scenario is finished if the log function has been active.

Installing new paper

Be sure that the SkillReporter is connected to the manikin and turned "ON". Open the

1

paper lid at the back of the

SkillReporter. Place the paper roll as shown on illustration.

ON

/OFF

Insert the paper end into the paper inlet and the paper will automatically

2

feed into the SkillReporter. Close the paper lid. If paper jam occurs, move the handle at the side of the SkillReporter to upright position, pull paper from front until paper roll is rotating.

3

Diagnostic printout (Teststrip)

To activate the diagnostic printout: Press ''short print'' key and hold, then press ''long print'' key and release both.

Manual paper feed

To activate manual paper feed: Press ''long print'' key and hold, then press ''short print'' key and release both.

Change of limits used for CPR feedback

The SkillReporter will be preprogrammed with a language depending on country and standard ventilation limits.

At the moment we have two ventilation limits available;

"standard" and "O2 enriched".

If you need to change limits, this is possible to do by simply pressing both "LOG" (C) button and the "Metronome" (B) button at the same time for 5 seconds.

You will then get a print-out showing the new active ventilation limits.

Inflation

The inflation volume is shown by a bar graph with different

LED colours indicating insufficient, sufficient and excessive volumes. Between 0 and 0.7 l (standard ventilation) or 0.4 l

(O2 enriched ventilation), the yellow LED(s) will be activated indicating insufficient inflation volume. When lung inflation volume reaches 0.7 l to 1.0 l (standard ventilation) or 0.4 l to 0.6 l (O2 enriched ventilation), the green LED(s) will be activated indicating sufficient inflation volume. If lung inflation volume exceeds 1.0 l (standard ventilation) or 0.6 l (O2 enriched ventilation), the red LED(s) will be activated indicating excessive inflation volume. A red warning light indicates a too

Resusci Anne Modular System fast inflation (stomach insufflation).

Stomach insufflation will be indicated by "!" next to the ventilation curve in the printout.

Chest compression

The compression depth is shown by a bar graph with different

LED colours indicating insufficient, sufficient and excessive compressions. When the breastbone area of the chest is depressed between 0 and about 4 cm (1 1/2"), the yellow

LED(s) will be activated to indicate insufficient compression depth. Between 4 cm (1 1/2") and 5 cm (2"), the green LED(s) will be activated to show sufficient compression depth.

If compression exceeds 5 cm (2") the red LED(s) will be activated indicating excessive compression depth.

Wrong hand position

The yellow LEDs will be activated if chest is depressed outside the correct area either on one of the sides or at the upper part of thorax. The red LED will be activated if the chest is depressed with hands placed outside the correct area at the lower center part of thorax. This will in addition to visual feedback also be recorded on the printout report as "!" next to the compression curve.

Responsiveness check

The manikin has a shake sensor installed that will be activated by gently shaking the manikin. This will result in a "r" in the printout report. This will only be possible if responsiveness check is done before any other CPR is performed.

Open airway

The manikin has a neck sensor installed that will be activated by head tilt/ chin lift to indicate open airway. This will result in an "a" in the printout report and will only be possible before any other CPR activity is performed.

Pulse check

The manikin has sensors installed that will be activated by carotid pulse check for 10 seconds on either side of the throat. This will result in a "c" in the printout report. If pulse is re-checked, it will only show in the report if CPR activity is performed between the two pulse checks.

Power Supply

The eight 1.5 V alkaline batteries, size D, are located inside the manikin chest and will provide approximately 125 hours of use

(without printing) in the classroom. This will vary depending on use patterns and brand of batteries. These batteries are the

"power supply" for both the manikin and the SkillReporter.

Battery low indication

"On" LED on SkillReporter will start to flash when only 25 % of battery capacity is left. At this level the print-out function may stop.

When "On" LEDs on both manikin and SkillReporter start flashing, you should replace batteries to avoid that logging/feedback stops.

Connection Cable

This is permanently connected to the SkillReporter and has an

8 pin male connector that is to be connected to the manikin.

9

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Resusci Anne Modular System

S A N I T A T I O N

D u r i n g c l a s s

We recommend you provide an individual Manikin Face to each student. This eliminates the need for decontamination between students.

All students can also use one face permanently installed on the manikin and disinfect the face between each student's use.

Using Resusci Manikin Faces on an individual basis

Each student in the class should install and remove his or her manikin face.

To remove

1

2

To install

1 2 3

1 Detach manikin face from retainers at each ear.

2 Lift manikin face off valve coupling.

Using the same Resusci Manikin Face for all students

If several students are using the same manikin face, thorough disinfection between students is required.

Laerdal High Level Manikin Disinfectant

Laerdal High Level Manikin Disinfectant (Virkon) Rapid Pack make disinfection practical. Fill the 100ml bottle with luke warm water, open sachet and add Virkon to water. Leave for

2 minutes. Push cap firmly onto the bottle until it clicks.

Shake bottle gently to ensure Virkon is fully dissolved.

2

30

sec.

Spray manikin surface (mouth and nose area) until fully wetted

(6-8 sprays). Do not allow Virkon to run off surfaces. Leave for

30 seconds and wipe thoroughly with a disposable cloth until dry. Ventilation practice may now continue.

Note: Depending on local policies you may prefer to use

Resusci Manikin Wipes (see below) for cleaning or a freshly prepared sodium hypochlorite solution, but other procedures must then be followed.

To use Manikin Wipes

Tear foil packet open.

Take out and unfold wipe.

Rub manikin's mouth and nose vigorously.

Wrap wipe snugly over mouth and nose.

1 Turn manikin face inside out and push face coupling into airway valve.

2 Push face coupling into airway connector until fully seated.

3 Fasten manikin face to retainers at each ear.

Let stay in place for 30 sec.

Dry manikin's face with a clean paper towel or similar.

Ventilation practice may now continue.

Manikin Face Shields (optional)

Proper disinfection of manikin's face provides proper hygienic conditions during training.

However, for aesthetic reasons students may feel more comfortable having a clean barrier between own lips and surfaces touched by another person's lips.

The Manikin Face Shields are designed to allow inexpensive barrier protection and to train the use of Resusci Patient

Face Shields made for use in real cases.

To use

Disinfect as instructed above.

Pull a shield out of the roll and tear off at perforation.

Place shield over manikin's face as illustrated.

Hold shield in place and airway open, as illustrated.

Place your lips over the ventilation opening, pinch the nose, and ventilate.

Discard shield after each practice session.

10

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Resusci Anne Modular System

Disinfection:

Preparing the Resusci Manikin Face for reuse

Laerdal High Level Manikin Disinfectant

Note: Wear gloves* during cleaning.

1. Remove face and detach the coupling from inside the face.

2. Clean and disinfect faces and couplings as follows:

10 min.

A f t e r c l a s s

a) Use a 50g sachet of Laerdal High Level Manikin

Disinfectant (Virkon) which is enough for 5 litres of water (1% solution).

b) Immerse all components into the solution.

c) Scrub stubborn stains where necessary and leave for 10 minutes.

d) Rinse with fresh water.

3. Allow parts to dry.

4. Reassemble face coupling and face skin.

5. Remount face on manikin after reinstallation of airway or put in a clean bag for future use.

* Vinyl gloves are recommended as latex gloves may stain face mask.

5 litres

To remove the airway 1

Airway is designed for disposal after each class.

2 3 4

Having removed face, remove neck skin from chin.

Pull to remove jaw.

5

Detach airway connector and pull inspiration tube through the neck.

Pull expiration tube from its retainer in the manikin's side.

6

To install the airway

1 2

Connect expiration and inspiration tubes.

3

Slide tubing through slot in lung plate, to detach airway assembly.

Discard used airway.

4

Slide tubing through slot in lung plate, with lung on top.

5

Push on lung connector until fully seated in lung plate.

Make sure the ventilation slider can move freely.

6

Push expiration tube into retainer in manikin's side until end protrudes about 2-3 cm (1").

Push inspiration tube through neck and click airway connector into its holder.

Install jaw by sliding its forked portions over steering pins in the inner head.

Caution

Make sure that the SkillReporter/manikin has been turned off / the Skillguide is unplugged from manikin:

- when airway is changed, or

- when internal service is carried out.

To reinstall chest cover:

Make sure the switch cover for the hand position impulse unit (a) is on top of the protruding end of the slider for the ventilation-compression impulse unit

(b). Button the chest cover onto torso

Fold neck skin over jaw, and install face.

a b

11

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Resusci Anne Modular System

Early defibrillation training

Cardiac rhythm

To use the CPR-D manikin you need a semi-automatic defibrillator in addition to the manikin. The CPR-D manikin is a SkillReporter manikin but has in addition a MicroHeartsim to simulate rhythms, a defibrillation chest skin with loadbox, and an “automatic” pulse device. Training type electrode pads are also included.

Presenting rhythm is shown on the long print format as

"NSR","VTs", "VTf", "VF" or "Asy".

Defibrillation shock

A defibrillation shock is shown by a "lightning symbol" on the long print format.

On the short print format (statistical data) "time from scenario start to first shock", "time from call for help to first shock"

MicroHeartsim

Instructor sets the scenario by selecting and activating one of the following rhythms via the MicroHeartsim keyboard:

Normal Sinus Rhythm ("NSR"),

Ventricular Fibrillation ("V.fib"), fast Ventricular

Tachycardia ("VT.fast"), slow Ventricular Tachycardia

Micro and "time from arrival of defibrillator to first shock" will be shown.

HEARTSIM

Cautions

("VT.slow") or "Asystole". At start-up of the Micro-

Heartsim "NSR" is the presenting rhythm.

Presenting rhythm is shown at the keyboard by a steady light next to the actual rhythm.

Waiting rhythm may then be preselected to follow a defibrillatory shock released to the manikin or as a result of pressing the "Change rhythm" button.

The waiting rhythm is shown by a blinking light next to the actual rhythm.

By pressing "Ignore shock" button, the waiting

V.fib

VT.fast

NSR

Change rhythm

Ignore shock

Asystole

VT.slow

PEA

Call help

Check breathing

Arrival defib.

1 Only apply the defibrillator to a defibrillation chest skin which is properly mounted on the manikin's chest.

2 Do not provide more than 2 x 360J defibrillator discharges per minute as an average over a period of time to prevent overheating.

3 Do not apply conductive gel or conductive defibrillation pads intended for patient use to prevent chest skin pitting.

rhythm will not be activated after the first shock.

This is shown by a steady light next to "Ignore shock" button. Repress to nullify.

ON/off

4 Do not use cables or connectors with visible damage.

5 Observe all normal safety precautions for use of defibrillators.

Pulse feature

The CPR-D manikin provides a palpable pulse in carotid arteries only when the "NSR" button on the MicroHeartsim is selected and activated, and the PEA (Pulseless Electrical Activity or

Electromechanical Dissociation) function is not activated.

Impulses are produced by an asynchronous pulse generator inside the manikin and are not synchronized with the QRS complexes

SkillReporter

When log function is activated, the following CPR-D data will be logged in the manikin, in addition to what is described above:

Call for help

If the "Call help" button is pressed on the MicroHeartsim, this will be shown as a "phone symbol" on the long print format.

Check breathing

If the "Check breathing" button is pressed on the

MicroHeartsim, this will be shown as a "b" on the long print format.

Arrival defib.

If the "Arrival defib." button is pressed on the MicroHeartsim, this will be shown as a "d" on the long print format.

MAINTENANCE

Preventive maintenance is the best method of ensuring long and trouble free operation.

A general inspection should be conducted at regular intervals.

Periodic cleaning

Periodically wash all skin parts that are not regularly sanitized during and after each class, using warm soapy water or Virkon.

Outer skin and moulded hair

A factory applied protective coating on the neck and chest skin helps retard, but does not prevent staining. Most stains can be removed with alcohol or warm water and soap. However, the older the stains are, the more difficult they are to remove. Nonabrasive household cleaners that are safe for plastics may produce desirable results. It is wise to test other cleaning agents on a non-critical area, e.g., under the chest cover, before general use. Note that pigments from lipstick and ballpoint pens quickly travel into the plastic skin. Such stains may be impossible to remove.

Clothes

Hand or machine wash with soap or laundry detergent in warm water, max. 40°C (100°F). Iron with warm iron. May be dry cleaned. Please note that hot air dryer may cause garment shrinkage.

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Rams 01DFU Eng rev B.qxd 28-11-05 07:37 Side 11

Miscellaneous replacements

Changing neck skin

Replace neck skin when damaged or discoloured by long term contact with student's hands without regular cleaning.

To remove

1. Lift off face, remove jaw and detach airway connector

(See "To remove airway" steps 1-3, page 11).

2. Disconnect head from shoulders by rotating head 180° (face turned backwards) and pull it away from torso.

3a 3b 3c

3. a) Unbutton elastic bands at the back of the neck. b) Remove foam ring from the base of the neck. c) Undo the two screws in the curved securing piece.

4. Remove the old neck skin.

To install

1. Apply the lower portion of the neck skin over the rim of the inner part of the curved securing piece, so that the two holes in the skin are placed over the screw holders.

For the following procedure see ill. under "To remove", steps 2 and 3 above:

2. Apply the outer part of curved securing piece over the lower rim of the neck skin. Align holes and fasten skin between outer and inner securing piece with two screws.

3. Fasten the elastic bands in the back of the neck.

4. Put on the foam ring.

5. Mount the head on the manikin's torso.

6. Mount airway connector and jaw, fold neck skin over chin, and mount face

(See "To install airway", steps 4-6 page 11).

Changing pulse simulator neck collar

To remove:

1. Remove neck skin.

(See “Changing neck skin”).

2. Then disengage nipple on tubing for pulse simulator.

3. Remove the white retention plug and lift off the pulse collar with tube.

Resusci Anne Modular System

To install

1. Apply new pulse collar over neck.

Push tubing through the lower hole of the cushion pad and neck.

2. Thread tubing from inside through the upper circular hole (a) in the back of the neck.

3. Thread tubing inside the neck under the two retainers (b).

4. Insert the white retention plug through holes in both ends of collar, and into a b the lower hole in the back of the neck, and connect tubing from neck collar to nipple on tubing from pulse simulator, as illustrated under "To remove", steps 2 and 3 “Changing neck skin”.

5. Mount neck skin, foam ring, head, airway and face.

See “Changing neck skin”.

Changing compression pulse collar (if applicable)

The compression pulse collar is placed under the pulse simulator collar.

To remove

1. Unbutton chest skin and detach compression pulse tubing from the nipple.

2. Lift off the compression pulse collar as described above.

To install

1. Apply a new compression pulse collar around the neck.

Push tubing through the upper hole of the cushion pad.

2. Thread tubing through the oval canal in the neck base.

Make sure the tubing is held in place by the retainers inside the neck.

3. Attach compression pulse tubing to the nipple.

4. Fasten in neck with plug together with pulse simulator collar as described above.

Changing batteries in manikin

(SkillReporter manikin only)

When replacing worn out batteries in your SkillReporter manikin, replace them with eight 1.5 V alkaline batteries, size D.

To replace batteries:

1. Remove chest skin.

2. Open the battery cover.

3. Remove and discard old batteries.

4. Replace new batteries as indicated on battery cover.

5. Align battery cover with grooves in battery compartment.

6. Replace chest skin.

Changing batteries in Skillguide

When replacing worn out batteries in your Skillguide, replace them with four 1.5 V alkaline batteries, size C.

To replace batteries:

1. Place your thumb on the marked area next to the arrow.

2. Push firmly in the direction of the arrow to slide open the battery cover.

3. Remove and discard old batteries.

4. Replace new batteries as indicated on battery cover.

5. Align battery cover with grooves in battery compartment.

6. Slide cover and snap closed.

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Rams 01DFU Eng rev B.qxd 28-11-05 07:37 Side 12

Resusci Anne Modular System

AED Resusci Anne

Intended Use

The AED Resusci Anne Skillguide and SkillReporter manikins were developed to work in combination with the Laerdal or

Heartstream branded AED Trainer 2 device as a complete training system that introduces our new Laerdal Link technology. Laerdal

Link technology, in this training system, requires the student to properly place the training pads on the manikin chest before the

AED Trainer 2 will proceed through the selected scenario. If pads are improperly placed the AED Trainer 2 will respond with the appropriate voice prompts*. This is accomplished without visible connectors on the chest skin. The AED Resusci Anne also has

LEDs in the chest skin indicating the center of correct pad placement. If an electrode is loose or incorrectly placed on the manikin, the AED Trainer 2 will repeat the voice prompt to apply the pads before continuing on with the selected training scenario.

Note: For use with the AED Resusci Anne manikins with

Laerdal Link Technology, training pads with a white connector must be used:

Cat. No. 94 50 90 (these training pads are also marked with the

Laerdal Link Technology logo).

Additional features for the AED Resusci Anne

Skillguide system

- Sensors in the chest skin detect proper pad placement.

- Visual pad placement feedback provided by LEDs in the chest skin.

- The selected scenario in the AED Trainer 2 device will not proceed until proper pad placement is accomplished*.

Additional features for the AED Resusci Anne

SkillReporter system

- Sensors in the chest skin detect proper pad placement.

- Pad placement feedback provided by LEDs in the chest skin.

- The selected scenario in the AED Trainer 2 device will not proceed until proper pad placement is accomplished*.

- If the log function is activated these new events may be presented on the SkillReporter long print format:

Turn AED on: When the AED is turned on the symbol will be logged.

Attached pads in proper place*: When pads are positioned correctly on the manikin's chest the symbol will be logged.

Loose electrodes*: If the pads are too loose to analyze a heart rhythm the symbol will be logged.

No shock indicated*: If no shock is indicated the "no shock indicated" symbol will be logged.

Motion*: If motion from the manikin is detected the symbol will be logged.

Low battery*: If a scenario presents a "low battery" situation for the AED the symbol will be logged.

AED error*: If a scenario includes a device error the symbol will be logged.

Pause (remote control only): When using a remote control with the AED Trainer 2 device you have the option to

"pause" a scenario by pressing the pause button on the remote control. You may reactivate the scenario by pressing the play button on the remote control. This function allows an instructor to stop a scenario, including the elapsed time, for any given period of time. You may then re-continue the scenario where it was paused. If the pause button is pressed the symbol will be logged. (Refer to the AED Trainer 2 Directions for Use for a detailed description of this function)

Battery low indication for chest skin LEDs

AED Resusci Anne Skillguide

There are two different ways to check for "low battery" indication:

- Open the chest skin. Locate the "test" label on the communication box fastened to the lower left side of the manikin's torso. Depressing the test button, located on the underneath side of the battery board where you see "test”, will illuminate the LEDs in the chest skin if battery strength is sufficient for operation. If the LEDs do not illuminate when the button is depressed a new battery is required.

- A "Battery low" voice prompt from the AED Trainer 2 will be heard immediately after connecting Laerdal Link training pads if the manikin battery is low.

AED Resusci Anne SkillReporter

Press, and hold down for at least five seconds, the manikin's

On/Off "A" key located on the right side of the SkillReporter manikin (see illustration on page 8) to activate the LEDs in the manikin's chest skin. This will illuminate the LEDs in a blinking mode for approximately five seconds if the battery strength is sufficient for operation. If the LEDs do not illuminate and blink when the On/Off "A" key is depressed new batteries are required.

To change the batteries for the chest skin's LEDs

AED Skillguide manikin

The AED Resusci Anne Skillguide comes with a standard alkaline

6LF22 / 6LR61 9 Volt battery for powering the LEDs in the chest skin.

- Open the chest skin.

Note: Be aware of wires connecting the chest skin to the battery box under the rib plate.

- Remove the old battery and install 1 new standard 9 Volt alkaline battery. Be sure to follow the positive (+) and negative (-) battery icons etched into the inside of the battery holder when inserting the new battery.

AED SkillReporter manikin

Refer to the previous section titled changing batteries in manikin (SkillReporter manikin only) for this procedure.

* These functions may also be manually controlled by the optional AED

Trainer 2 remote control (Cat. No. 94 50 50: Remote control for Laerdal

AED Trainer 2)

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Rams 01DFU Eng rev B.qxd 28-11-05 07:37 Side 13

Resusci Anne Modular System

P A R T S

31 02 10

31 02 20

For Resusci Anne with SkillReporter

15 20 16

30 05 02

15 22 50

15 26 00

30 05 04

20 01 01

31 02 01

15 21 02

20 03 03

31 05 00

15 21 03

30 05 03

15 20 02

20 15 00

31 03 41

31 03 10

30 07 00

31 03 45

31 03 40

15 04 00

31 03 20

31 03 21

31 03 51

31 03 30

20 31 01

31 50 01

31 50 00 31 50 50

14 39 03

31 03 50

15 38 00

15 12 01

31 03 52

15 39 00

15 42 00 15 42 20

11 01 00

11 12 00

04 20 00

15 35 00

18 39 10

31 02 00

31 02 01

15 20 02

30 05 02

30 05 04

20 01 01

15 21 02

15 21 03

15 20 16

31 04 00

30 05 03

32 01 00

20 03 03

20 31 01

32 02 00

30 07 00

15 04 00

20 15 00

31 03 50

Carrying case full body

Head protecting box

Carrying case Torso

Softpack Res.Anne Torso

Training mat

Head cpl. basic

Moulded hair

Neck skin w/elastic bands

Pulse collar w/Adam's apple

Pulse collar pad

Foam ring

Jaw

Holder for airway connector

Mask couplings (pkg.10)

Head cpl. w/electronics (for SkillReporter)

Inner pulse collar (compression)

Head cpl. w/automatic pulse

(for CPR-D manikin)

Pulse bulb w/tubing

Chest skin

Defib. chest cover cpl.

Lung plate (SkillReporter)

Lung plate (basic, Skillguide & CPR-D)

Compression spring

Jacket & Trousers

31 03 51

31 03 52

31 03 10

31 03 20

31 03 21

31 03 30

31 03 40

31 03 41

31 03 45

31 05 00

15 38 00

31 15 00

31 15 90

31 50 00

31 50 01

31 50 10

15 39 00

14 39 03

15 39 10

32 50 00

Jacket

Trousers

Lower body, soft

Right arm

Fastening bolt f/arm (pkg.2)

Left arm

Adapter f/lower body

Fastening bolt f/lower body

Soft stomach

Sensor unit cpl. (SkillReporter manikin)

Side connection unit (Skillguide manikin)

Directions for use

Technical manual

SkillReporter cpl.

Paper cover SkillReporter

Protecting pouch SkillReporter

Skillguide cpl.

Battery cover

Protecting pouch Skillguide

MicroHeartsim cpl.

Accessories

31 02 10 Face skin, pkg. of 6

31 02 20

15 22 50

Face skin decorated, pkg. of 6

Airways ‘’Guidelines 2000’’, pkg. of 24

15 26 00

15 42 00

15 42 20

15 12 01

31 50 50

31 20 29

Airways 400-600ml, pkg. of 24

(Skillguide manikin only)

Manikin Disinfectant Terminal (10x50g)

Manikin Disinfectant Rapid (3g + bottle)

Manikin Face Shields, 6 rolls

Paper x5 f/SkillReporter

Skin & vein for IV Arm

Optional equipment

31 20 00 Rescue module w/softpack

31 20 50 Trauma module w/softpack

31 03 00

15 40 00

28 21 00

31 20 25

Arms/soft legs w/softpack

Update kit, Skillguide

Manual Defib. adapters set of 2

IV Arm

For AED Resusci Anne only

31 03 56 Jacket, AED Resusci Anne

32 70 00

32 60 00

Chest skin AED SkillReporter

Chest skin AED SkillGuide

32 70 10

32 60 10

Communication box AED SkillReporter

Communication box AED SkillGuide

For complete parts list, see our internet site.

15