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TSM Draft

SimMan 3G

TM

Technical Service Manual

Page 1 of 127

TSM Draft

Table of Content
About this manual Other applicable documents 1.0 General product Overview 1.1 SimMan 3G Simulator and System 1.2 Technical Specifications 1.3 Regulatory Information 2.0 Tour of the Simulator 2.1 External Connections and Vascular Access 2.2 Overview for Blood and fluid Outputs 2.3 Overview Pulses 2.4 Internal System Overview 2.5 Speaker and Sound System Overview 3.0 Functional Description 3.1 General Overview, Functions & Electronics 3.2 Compression System 3.3 CO2 System 3.4 Bleeding & Fluid System 3.4.1 Bleeding System Pelvis 3.4.2 Fluid distribution Unit Pelvis 3.5 Lung Module 3.5.1.1 Compliance 3.5.1.2 Restriction 4.0 Functional Verification 4.1 Battery Operation 4.2 Battery change 4.3 Battery – Heat warning 4.4 How to access the Test Utility Program 4.5 Test Utility Program 4.5.1 Head 4.5.2 Arm 4.5.3 Valve 4.5.4 Leg 4.5.5 Vital Signs 4.5.6 Sounds 4.5.7 Comp/Vent 4.5.8 Pulses 4.5.9 Versions 4.5.10 Power 4.5.11 Defib/Pacing 4.5.12 Test 4.5.13 Bootloader 4.5.14 Autotest 4.5.15 Debug 4.6 Manikin statistics 5.0 Interconnection System 5.1 Cable Connections between circuit boards 5.2 Base Board cable connections 5.3 Head Board cable connection 5.4 Valve Board cable connections 5.5 Xxx 5.6 Compressor Board cable connections 5.7 Drug registration Board cable connections 5.8 Tubing in Head, air distribution

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TSM Draft
6.0 Exploded views 6.1 Head Assembly 6.2 Skull Lower Assembly 6.3 Eye Assembly 6.4 Airway Assembly 6.5 Neck Assembly 6.6 Thorax Right Assembly 1 6.7 Thorax Right Assembly 2 6.8 Thorax Right Assembly, total 6.9 Thorax Left Assembly, total 6.10 Thorax Base plate Assembly, first step 6.11 Thorax Base plate Assembly, with cables 6.12 Thorax Base plate Assembly, w/ Base Board 6.13 Back Cover Assembly, w/speakers 6.14 Torso (back) Assembly 6.15 Torso (front) Assembly 6.16 Compression Spring Assembly 6.17 Compression Plate Assembly 6.18 Chest Assembly 6.19 Torso Assembly, total 6.20 Torso Assembly w/ Pelvis and Stomach, complete 6.21 Left Leg Assembly 6.22 Leg Right Assembly 6.23 Pressure Tank 6.24 Lower Right Leg Assembly 6.25 Compressor Assembly 6.26 Left Arm, BP Arm Assembly, complete 6.27 Left Arm w/pulse skins 6.28 Right Arm, IV Arm Assembly, complete 6.29 Flow meter Assembly 6.30 IV Arm w/antenna Networking and Communication System 7.1 Networking Overview Communication System 7.2 ATTACHMENT ATTACHMENT ATTACHMENT ATTACHMENT I II III IV SimMan 3G Simulator Final Service Test Check List Service Parts – SimMan 3G Graphical User Interface - GUI SimMan 3G Troubleshooting Guide

7.0

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Note Other Applicable Documents SimMan 3G Direction for use SimMan 3G Quick Setup Guide SimMan 3G Quick Reference Guide SimMan 3G Software User Help Files Laerdal E-learning Lifesaving Products. Do not perform more than three defibrillation discharges (max 360J) in sequence. This service manual provides a general understanding of the design and function of the manikin and it associated peripherals as well as information on the mechanical assembly of the manikin. always drain the compressed air before service. Laerdal Products Catalogue Service of the SimMan 3G simulator should only be performed by authorized service personnel. Service by others may invalidate the warranty of the product. maintaining and repairing of the SimMan 3G manikin. see Directions for Use) • Defibrillation of the manikin must only be performed on the specified defibrillation connectors. Take all standard precautions when handling defibrillators. The compressor has to be switched OFF when filling the reservoir with fluid or simulated blood. Please note that the Direction for Use manual provided with every new manikin should be consulted for detailed information on use of the product. this manual includes some pages in which need to be printed in A3 format.TSM Draft About this manual The information provided in this manual is limited to what is required for checking. Do not open the air compressor with compressed air in the tank. • • Page 4 of 127 . Note Warnings (For a complete list of Cautions and Warnings. To be able to read schematics and drawings in detail.

which doesn´t require physical connections to any hardware. GENERAL PRODUCT OVERVIEW 1.1. SimMan 3G Simulator and System The SimMan 3G system is based upon a modular system architecture in which a variety of software and hardware components communicate using standard internet & network technology. The SimMan 3G manikin itself is a complete self contained system.TSM Draft 1. Page 5 of 127 .

2m NOTE RFID transmission cannot be disabled Weight and size (including batteries) o Manikin: 45kg (99 lbs) o Complete system with cases: 70kg (154 lbs) o Dimensions (manikin only): 1750mm x 750mm x 350mm Temperature Limits o Operating: +4°C .25A o Internal batteries (two): 14.4 bar o External air connection: max 1.4 bar o External CO2: max 1. Technical Specifications 1 • Manikin Power: o External power: Input voltage: 24VDC.TSM Draft 1.4 GHz WLAN.6Ah.Breathing: 60 .Healthy patient 3G . Lithium –Ion o Battery capacity Normal Patient**: • 5°C : 4h 20 min • Room temperature: 4h 15 min • 40° : 3h 10 min o Battery capacity Worst case Patient***: • 5°C: 3h 35 min • 40°C: 3h 10 min **Healthy patient: Auto Mode – Healthy Patient 3G ***Worst case: Auto mode .Swallowed tongue activated . • Air/CO2 pressure: o Internal air tank: max 1.2.Right arm pulse: Activated . 6.+ 40°C (39°F to 104°F) o Storage*: -15°C .Sounds: Cough (set on repeat) . Environment – manikin only: o Relative humidity: 15 – 90 % RH (non condensing) o Indoor and moderate outdoor use (light rain) NOTE Not tested with salt spray • • • o Page 6 of 127 .4 bar RF Communication Frequencies o WLAN frequency ranges: 2.Convulsion: Tonic .56 MHz o Operational range:< 0. and then drained completely.Trismus activated .8V. 4.Decreased cervical activated CAUTION: Only use external power adaptors and batteries approved for SimMan 3G by Laerdal Medical. typically channels 1-11 o Operation range: 100m (300ft) max NOTE WLAN transmissions can be disabled o RFID frequency range: 13.+ 50°C (5°F to 122°F) *Requires that all fluid containers and systems have been flushed with a 30% alcohol / distilled water solution.Compliance:3 .

2002/95/EC. The batteries used in SimMan 3G contain chemicals. Recycle the batteries at an appropriate recycling facility in accordance with your local regulations.Information Technology Equipment – Safety Page 7 of 127 .301 . Both SimMan 3G and batteries are labeled with the symbol indicating separate collection.2. Applicable Regulations: • EU Directive.x Relevant Safety Standards: • EN 60950-1:2006 .Standard for Safety Information Technology Equipment • CAN/CSA-C22. 60950-1 . ROHS • EU Directive. 2002/96/EC. WEEE • EU Directive.TSM Draft 1. Batteries 1. 2006/95/EC. Low Voltage • 29 CFR 1910. SimMan 3G contains electrical and electronic components. 2006/66/EC. Manufacturers of peripheral components of the SimMan 3G system have independently declared compliance the safety requirements of the EU Directive concerning Low Voltage and are eligible of carrying the EC mark. CAN/CSA 22.3.Information Technology Equipment – Safety • UL 60950-1 .1.2 No. Laerdal Medical AS has gathered information from our suppliers of components concerning ROHS restricted substances and has used appropriated methods to ensure the accuracy of such information. Safety Conformity with applicable safety requirements of the EU Directive concerning Low Voltage for the SimMan 3G system have been based on compliance with the relevant safety requirements defined by EN 609501:2005. Environmental Considerations SimMan 3G falls within the scope of the EU Directive concerning ROHS. Regulatory Information 1.3.3. Conformity with relevant safety standards recognized by Canadian and US regulatory bodies have been demonstrated through (c) CSA (us) certification of peripheral components in the SimMan 3G system. This Directive restricts use of certain hazardous substances within Europe.Occupational Safety and Health Standards – Electrical Safety • Canadian Electrical Code. Dispose of it at an appropriate recycling facility in accordance with local regulations. Applicable regulations: • EU Directive.

3.3. EMC 1. Observe precautions for handling of electrostatic sensitive devices during service and maintenance of the manikin. Applicable Regulations: • EU Directive. Electromagnetic Immunity IMMUNITY TEST COMPLIANCE LEVEL ELECTROMAGNETIC ENVIRONMENT GUIDANCE SimMan 3G may sometimes be susceptible to interference from other RF communication equipment interfere.1. Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronics equipment. In such instances increase the distance between the SimMan 3G and interfering RF transmitters. SimMan 3G is intended for use in the electromagnetic environment specified in the tables below. Radiated.TSM Draft 1. Electromagnetic Emission EMISSION TEST COMPLIANCE LEVEL ELECTROMAGNETIC ENVIRONMENT GUIDANCE SimMan 3G use RF energy only for its internal function. Electrostatic discharge immunity tests • EN 61000-4-3. 2004/108/EC.3.3. electromagnetic field immunity tests 1.15 MHz – 1GHz EN 301 489‐1  Test Method: EN  55022  Equipment class B Radiated emission Harmonic Current Emission Test method and limits: EN 61000-3-2 Voltage Fluctuation and Flicker Test method and limits: EN 61000-3-3 Page 8 of 127 .* Conducted emission 0.2.3. Electromagnetic Compatibility (EMC) Conformity with applicable protective requirements of the EU Directive concerning EMC has been demonstrated by compliance with relevant harmonized standard. RF Electromagnetic Fields 80-2000 MHz 3V/m (CP) 1kHz 80% AM modulation Electrostatic Discharge 4kV contact* 8kV Air * NOTE: Compliance level measured with manikin assembled and covered by simulator skins.3. Relevant Technical Standards: • EN 61000-4-2. radio-frequency.

11 b/g/n Technical Specifications 1W 0.  Applicable Regulations: • EU Directive.484 GHz (Channels 1-11) 802. Radio and Telecommunications Terminal Equipment (RTT&E) • 47 CFR Part 15 – Radio Frequency Devices (FCC) Page 9 of 127 . Limits and methods of measurement • EN 61000-3-2.3. RFID Transmitter class 1 Receiver class 3 Antenna type 1 WLAN 42 dBuA/m @ 10 m 13. EMC standard for radio equipment and services. Relevant Technical Standards: • EN 301 489-01/03/17. Limits for Harmonic Current Emission • EN 61000-3-3. 1999/5/EC. • Radio-frequency identification (RFID) receiver/antennas.56 MHz 2.412 ~ 2. • Wireless Local Area Network (WLAN) adapter. voltage fluctuations and flicker 1. See Section Radio Frequency Communication.553 to 13. Radio disturbance characteristics.4. Radio Frequency Communication SimMan 3G Radio Frequency Communication system incorporates.567 MHz Duty cycle: Up to 100% 20 dBm @ 3m 2. Information technology equipment. Part 1: Common technical requirements • EN 55022. Limitations of voltages changes. Operating Frequency [Hz] Maximum Radiated Transmitting Power [Watt] RFID WLAN 13.TSM Draft * NOTE: Intended radiation from RFID reader and WLAN adapter should be taken into consideration when determining a suitable environment for SimMan 3G to be operated.2 m < 100 m Operating Range [meter] RADIATION TEST COMPLIANCE LEVEL RADIO FREQUENCY COMMUNICATION ENVIRONMENT GUIDANCE GENERAL Changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment.4000 – 2.4835 MHz WLAN This equipment should be installed  and operated with minimum distance  20cm between the radiator & your  body. and.1 W < 0.

Greece. Italy. FCC ID: QHQ-212-00001 WLAN adapter installed in SimMan 3G has a separate FCC modular approval. Electromagnetic compatibility and Radio spectrum Matters (ERM).4. Short Range Devices (SRD) (9 kHz to 25 MHz) • WLAN: EN 300 328.3.SPECIAL CONSIDERATIONS SimMan 3G will carry Class 2 equipment identifier for WLAN.225.209: Maximum Allowed Field Strength from an intended radiator (1.Wideband Transmission systems (2.705~30 MHz): 30 microvolts/meter @ 30 meters. Norway. Portugal.4 GHz ISM band) WLAN .2. including interference that may cause undesired operation. Finland. Contains FCC ID: JCK-GN-WB31N-RH FCC APPROVAL . Germany. 1. Luxembourg.4. WLAN adapter is declared by manufacturer (Gigabyte) to be in compliance with RTT&E Directive and CE marked as an individual component. European Directive 1999/5/EC – RTT&E SimMan 3G complies with the essential requirements of the EU Directive concerning RTT&E. Relevant Safety Standard: • RFID: EN 300 330. Iceland. SimMan 3G is labeled with the FCC ID shown below. Manufacturer’s Declaration of Conformity is included in SimMan 3G Directions for Use. and (2) this device must accept any interference received. Ireland. Netherlands. Electromagnetic Compatibility and Radio Spectrum Matters (ERM). The measured RF emission of SimMan 3G is found to be within the limits defined by Part 15. Page 10 of 127 . Belgium. Spain.SPECIAL CONSIDERATIONS Federal Communications Commission Statement This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference. 47 CFR Part 15 – Radio Frequency Devices SimMan 3G is verified to comply with applicable requirements of 47 CFR Part 15. Sweden Switzerland and UK Countries where usage of SimMan 3G is limited: France: The use of other WLAN channels than the channels 10 through 13 is prohibited by local legislation.1. Denmark. Countries in which SimMan 3G may be used freely: Austria.TSM Draft 1.3.

Transportation Transportation of Lithium batteries is regulated through different regulations. Page 11 of 127 . The rechargeable Lithium Ion Battery Pack installed in SimMan 3G has found to comply with applicable requirements of UN Manual of Test and Criteria.Lithium batteries and cells NOTE: Additional local regulations for transportation may apply for transportation of Lithium Batteries.5.Sub Section 38.Lithium Batteries • 49 CFR Part 173.TSM Draft Caution Changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment. 1. Relevant Regulations • UN Manual of Test and Criteria.3 . Part III .3. Among the most prominent is the two regulations listed below.185 . Inform transport agency about product containing Lithium batteries.

External Connections and Vascular Access Defibrillation Connections Sternal IO Module IV Catheter LAN (Ethernet) Power Supply BP Cuff Refill Unit Blood Compressor /Regulator /CO2 bottle Refill Unit Fluid Intra Muscular Injection (IM Pad) : ECG Connections (4) : IM Pad (right buttock) Tibial IO Module Fig.1.TSM Draft 2. 1 Page 12 of 127 . TOUR OF THE SIMULATOR 2.

Overview for Blood and Fluid Outputs Fluid port.2. eyes Fluid port.TSM Draft 2. sweat Fluid port. 2 Page 13 of 127 . nose Fluid port. ears (both ears) Fluid port. mouth Blood port 1 Blood port 2 Blood port 3 Blood port 4 Urinary port (internal) Fig.

4 Page 14 of 127 . Overview Pulses Carotid Pulse (Right) Carotid Pulse (Left) Brachial Pulse (Left) Radial Pulse (Right) Femoral Pulse (Right) Radial Pulse (Left) Femoral Pulse (Left) Dorsalis Pedis (Right) Posterior Tibial Pulse (Right) Fig.TSM Draft 2. 3 Dorsalis Pedis (Left) Posterior Tibial Pulse (Left) Popliteal Pulse (Right) Popliteal Pulse (Left) Fig.3.

unit Fluid Manifold Convulsion motor Valve Board Fluid tank w/Blood and Fluid Bags Batteries M Compressor M Compressor Board Fig.TSM Draft 2. Reg Board and + + - Base Board System on Module (SoM) PC Card WLAN Dongle M M Convulsion motor Air distr.5 Page 15 of 127 .Drug. Internal System Overview Head Manifold Head Board Jaw Antenna Eye Modules Compression module Lung modules Flowmeter Position sensor IV Arm Antenna RFID Sub assembly .4.Antenna select Board .

TSM Draft 2. 7 Page 16 of 127 . 5. RUSB – Aortic LUSB – Pulmonary LLSB – Tricuspid Apex – Mitral BP (Blood Pressure) 1 2 3 4 5 Fig. 6 Figure 7 illustrates Bowel sounds locations: Fig. 2. 4. 3. Speaker and Sound System Overview Figure 6 illustrates Heart sounds locations: 1.5.

8 Torso Anterior (front) is illustrated with lung speakers in Figure 9: 1 3 4 2 5 1. LU RU LM RM LL RL – Left Upper Lobe – Right Upper Lobe – Left Middle Lobe – Right Middle Lobe – Left Lower Lobe . Vocal speaker Microphone (2) Fig. 10. 10 Page 17 of 127 . 2. 5. and the vocal speaker in the head. 3. 9 Torso Posterior (back) is illustrated with lung speakers in Figure 10: 6 7. 11. 9. RU LU RM RLL LLL – – – – – Right Upper Lobe Left Upper Lobe Right Middle Right Lower Lobe Left Lower Lobe Fig.Right Lower Lobe Fig. 8. 4.TSM Draft Figure 8 illustrates the two microphones located in the ears.

12: TORSO 1) Defib sternum 2) Compression detection (depth and rate) 3) Sternal IO 4) Pneumathorax 5) ECG 6) Lung Compliance 7) Lung Resistance 8) Ventilation 9) 11 x Lung Speakers 10) 4x Heart Speaker 11) System on Module (SoM) PCcard RIGHT 1) 2) 3) 4) 5) 6) 7) LEG ECG Right Leg Fluid Bag Popliteal pulse Pressure Tank Leg PCB Compressor/pump Cooling fan?? PELVIS 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) USB WLAN dongle Right Lung Speaker (lower) Left Lung Speaker (lower) Defib Apex 4x Bowel sound Fluid Manifold Pneumatics Manifold Valveboard PCB 2x Femoral pulse IM Pad LEFT LEG 1) ECG Left Leg 2) Popliteal pulse 3) Tibial IO RIGHT FOOT 1) Pedal pulses LEFT FOOT 1) Pedal pulses Fig. illustrated in Fig. Functions & Electronics The SimMan 3G Simulator has the following electronic & functions. 11 Page 18 of 127 .TSM Draft 3. FUNCTIONAL DESCRIPTION 3. 11 and Fig.1. General Overview.

for registration of neck position RIGHT ARM 1) 4x Antennas for Drug registration 2) IV module PCB 3) Right Radial pulse 4) Convulsion Right Arm LEFT ARM 1) Brachial pulse 2) BP speaker 3) Left Radial pulse 4) Convulsion Left Arm Fig.TSM Draft HEAD 1) 2) 3) 4) 5) 6) 7) 2x Eye module: Active eyes w/lids pupils responding to light Head speaker Head control card Head manifold Jaw Antenna Board 1 x Antenna for airway event registration Trismus bladder NECK 1) 2) 2x Carotid pulse Neck potentiometer. 12 Page 19 of 127 .

where the black stripes are 0. Compression spring Fig.429mm wide.2. Page 20 of 127 . Compression System The depth and speed of CPR are measured using optoelectronics.916mm. 32 On the depth gauge there is placed a label with a pattern on it. Opto Switch 2.487mm wide and transparent parts are 0. 31 Fig. Label on depth gauge 4.TSM Draft 3. The main parts are: 1. the opto switch read the pattern and then calculates the depth. Depth gauge 3. The pattern has a period of 0. When you perform CPR.

When you perform CPR.487mm wide and transparent parts are 0.916mm. The opto switch has two channels. and by checking (in software) which channel is first. A and B. where the black stripes are 0. The pattern has a period of 0. you can tell the direction of the movement.TSM Draft Fig. 33 On the depth gauge there is placed a label with a pattern on it. the opto switch read the pattern and then calculates the depth. Page 21 of 127 .429mm wide. it will always be 90 degrees phase lead between them.

This value will be converted to a signal used to control chest rise. 34 The two lungs are placed in the torso. The other one (small) goes into a pressure sensor on the valveboard for reading the pressure in the lung. One (the biggest) for air that is coming from the airway when baging. The change of compliance will make the lung feel more/less stiff when baging. and restriction will simulate narrowing passage of air to the lungs. Fig.3. and they are used when baging the manikin. Lung module Fig. 35 Page 22 of 127 . They can be set to have different compliance and restriction settings.TSM Draft 3. There are two air in/out.

Compliance When activating the compliance you activate one or both solenoids which will hook the spring(s). 36 Spring Solenoide Page 23 of 127 . The two springs are different in strength and therefor number 2 and 3 will give different feedback when baging. 3.TSM Draft 3.1.3. No springs are hooked Left side spring is hooked Right side spring is hooked Both springs are hooked When baging and compliance are activated. There are four settings: 1. 2. and make it harder to get air into the lungs. 4. the spring(s) will hold the lung plate upper. Hook Fig.

2. Air in/out Pressure movement Stepper motor Fig.3. 4. 37 Lung valve cylinder Page 24 of 127 . 2.TSM Draft 3. 3. the stepper motor will rotate and then turn on lung valve cylinder. The lung valve cylinder has four positions: 1. Restriction When changing the restriction setting. Fully open Increased High resistance Closed This way you change decrease/increase the airflow into the lung when baging.

Inside SimMan 3G air and CO2 are routed in separate tubes to the air distribution unit in pelvis.4. 39 SimMan Compressor: Regulatorbox: Fig. Fig. 40 Fig. 41 Page 25 of 127 . 38 Fig. Air and CO2 are routed from compressor to SimMan 3G Air/CO2 inlet.TSM Draft 3. CO2 System A separate CO2 tank connects to the existing SimMan compressor.

and secretion simulation: Air pressure in Blood out (venous) Valve Blood out (arterial) Valve Pressure Tank Bag with simulated blood Flow meter Tubing Fluids out Bag with other fluids Valve Fig. 42 Warning: Compressor has to be OFF when filling fluid to the tank. Bleeding & Fluid System The figure illustrates the concept description for the bleeding.5.TSM Draft 3. Page 26 of 127 .

5. Bleeding System Pelvis Fig. 43 Page 27 of 127 .TSM Draft 3.1.

5. Fluid distribution Unit Pelvis Fig. 44 Page 28 of 127 .TSM Draft 3.2.

2.Not recommended to charge the batteries for too long . it is the same which one of the two batteries to be changed.Because of no power input. Battery Operation Fig. 4. If the manikin is charged from a low-voltage source. FUNCTIONAL VERIFICATION This functional verification helps to confirm the proper operation of the SimMan 3G manikin and options.4. Battery Heat Warning If a “Heat warning” occurs the battery needs to cool down.Blinking light . the manikin will power down. 4. no need for reset of the battery. Page 29 of 127 .One or both batteries missing . Battery Change When the remaining capacity is > 5% in the battery which is still connected.3.1. 4. 13 Power Save* Charge Error** Almost complete*** No charge**** . 4. or that batteries are fully charged. Battery Capacity and power down of manikin If one of the batteries has 5% below remaining capacity regardless of the other. running and charging the manikins is not possible simultaneously.TSM Draft 4.

5.170. 2. 8. 14 Log in: Administrator Password: SimMan3G (if required) 4.TSM Draft 4. you have to exit the “Test utility” via remote desktop and click “Start update service” Page 30 of 127 .5. Double click on “SimMan 3G Test Utility” Just click “connect” in the Connect to Manikin window Then you will access the Test Utility program. 10. see figure: LAN 192. and after a few seconds the manikin will start breathing NOTE: If the simulator will be turned off.169. Establish connection with manikin (WLAN or cable) Start Remote desktop connection via Start Menu: All programs → Accessories → Remote Desktop Connection Enter IP address to connect and click options to enter details.1 IP address or the manikins name Fig.168. How to Access the Test Utility Program 1.168. 7.2 WLAN 192. 6. Click “Connect” Now you will see the Remote Desktop of the SimMan 3G (this can take a while…) Double click “Stop Update Service” This will stop the manikins control program. 9. 3.

6. Head Fig. Test Utility Program 4. Open. Half open or closed ii.set the seconds between each blink position You can set the eyelid position in three different positions. b.TSM Draft 4. ii. Blink i.6. Blink eyes – manually activate a blink Left/Right eye – choose one or both Auto and seconds .1. Eyelid i. iii. Choose which eye you want to test c. Iris size/mode Page 31 of 127 . 15 Sent and Received packages – This indicates there is communication internally in manikin Lost packages – May happen and will indicate if any communication is lost (high number could indicate problems) a.

Check the neck sensor by tilting the neck g. Direct – sets the aperture for direct light ii. Left Eye Dilated iv.Observe the jaw trust function by thrusting the jaw ii. Neck sensor value . Right Eye Constricted iii.you can observe the different functionalities and check for various settings for the following functions. Tongue v. Complications . Light sensor value – indicates incoming light d. Cyanosis h. Pharyngeal iv. Iris offset adjustment – input from Jan Arild i. Jaw sensor value . Check the iris size with choosing different sizes – auto/ manual/reduced speed ii. Calibrate – calibrate the eyelid position ii. Trismus vi. Events – lists the recent events Page 32 of 127 . Normal – sets the aperture in ambient light iii.TSM Draft i. Jaw trust/Neck tilt i. Reset – You can reset eyelid/iris f. Right Eye Dilated i. Laryngospasm iii. When both eyes (Left and Right) are selected check the synchronization of the iris size iii. Left Eye Constricted ii. DCRM ii. No light – sets the aperture in no light e. Reset i. Iris adaption i. the value indicates the amount of the complication (100=max): i.

Check if the same setting in both arms gives similar convulsions Page 33 of 127 .2. inject 10 ml distilled water in the IV catheter and read the given volume. If the volume given differ more than 10% from the volume detected. place one RFID tag in the right IV arm catheter area (max 0.2m from catheter) and observe the tag id is detected in the Arm tagid window ii. 16 j. Injected vol (µL). Arm tagid. DrugEvent i. test the motors in the convulsion module for different settings and observe the convulsions in the left arm ii. Convulsions i. test the motors in the convulsion module for different settings and observe the convulsions in the right arm iii. Arm Fig. place one RFID tag in the jaw area and observe the tag id is detected in the Head tagid window (max 0.2m from jaw) iii. Convulsion right (RPM). Head tagid.6. go to Test tab and initialize and calibrate the flow meter k.TSM Draft 4. Convulsions left (RPM).

Page 34 of 127 . Mouth v. Resistance – check for the normal/increased/high/closed settings ii. Bl.TSM Draft 4. Pneumathorax – check both bladders at max l.3. Will give you the pressure in the blood reservoir b.6. Hose press. 17 Bleeding/fluid i. Closed – will inflate stomach bladder if ventilation is done too fast or with too much force b. 2. Compliance – check for normal/level 1/level 2/ level 3 iii. Eye vi. Valve Fig. Then you can test either arterial or venous bleeding. 1. Check for fluid on/off in the different areas: ii. In this window you can read the amount of blood volume given and the flow. Stomach valve a. Froth viii. Airway complications i. Nose iii. you can choose what strength you want to test in either port 1 and/or 2. 3. or ports 3 and/or 4. Open – stomach bladder will deflate d. Sweat c. Tank status will give you the current status. Urine vii. Bleeding strength. Ear iv.

6. Caution: In manual mode the compressor will run continuously until it is stopped manually. Leg Fig. and if it is ON or OFF. Page 35 of 127 . 18 In this window you can check the pressure in the compressor.TSM Draft 4. The regulation mode indicates if Manuel or Automatic pressure regulation.4.

Vital signs Fig.6. BP Sys – set the blood pressure systolic pressure ii. X or Y iii. Apnea . b. Use this when doing ventilation. BP/HR: i. Heart rate – set the heart rate Page 36 of 127 . Breathing function: i. Breathing strength: set the breathing rate for Normal. Breath rate: set a breathing rate and check if it is correct ii.5.If you choose apnea the simulator should stop breathing. 19 a. BP Dia – set the blood pressure diastolic pressure iii.TSM Draft 4.

c. Ascultate – Jan Arild Page 37 of 127 .6.Set the bowel sound and volume . Auscultation Gap – Jan Arild ii. Sounds Fig. 20 a. BP Cuff i. b.6.Repeat bowel sounds with adjustable delay (set in seconds) g. e.TSM Draft 4. f. Lung sounds – set the sound and volume for the different speakers Vocal – Set the volume level for the vocal sounds Link – this links all settings to all speakers Heart sound – set the sound and volume for the different speakers Link – this links all settings to all speakers Bowel sounds . d.

TSM Draft 4.7. Comp/Vent Fig.8. Check for detection when doing palpation for the different pulses b.6. Pulses Fig. 21 4. 22 a.6. Check for you feel the pulses Page 38 of 127 .

9. Lists of the different versions of the circuit boards and its software version.6.TSM Draft 4. Battery status indicator page Page 39 of 127 . Reset Node Communication – A reset will reread the versions 4. 24 a. Versions Fig. in the manikin c. “No data received” indicates if disconnected or faulty board b. Power Fig. 23 a.6.10.

Pacing threshold – level for pacing capture Page 40 of 127 . Defib/Pacing Fig.TSM Draft 4.11. Defib type b.6. Pacing i. Defib i. 25 a. Defib energy – measured energy ii.

Antenna sel manual mode x. Calibration iv. Reset b. Invert direction xiv. Reset Node Communication iii. IV Board Power Save Mode xv. IV Flow meter Configuration xii. RS495 Node Comm. Calibrate Flow Sensor – follow instruction d. Calibrate BP Cuff – calibrate if necessary v. Read Sumlog c. Enable reading e. RFID xi. Calibrate Valve Board – calibrates offset vi. follow instruction viii. Flow meter piston position xiii. Get Power Save Mode Page 41 of 127 . Test Fig.6.TSM Draft 4. Init Flow Sensor – if flow meter is stuck use this to reset the piston in flow meter. ii.12. Calibrate Stomach – If calibration needed apply 56cmH2O to esophagus and stomach sensor vii. Debug – for test purpose only ix. 26 a.

6. 27 a. Bootloader Fig.14. Bootloader – manually updating of node boards (“Manikin Update” is to be preferred) 4.13. Autotest Fig.6. 28 Autotest Page 42 of 127 .TSM Draft 4.

29 b.6. Debug Fig. Start Log ventilation data ii. Debug i. Start Log compression data Page 43 of 127 .TSM Draft 4.15.

Ex.7. Manikin statistics For a statistic report of the actual manikin: Toolbar → Tools → Maintenance → Manikin Statistics The report gives the status of the use of the manikin for some of the components and systems.TSM Draft 4. Fig. 30 Page 44 of 127 .

INTERCONNECTION SYSTEM 5. Page 45 of 127 .5.1 Cable Connections Between the Circuit Boards Following schematics and figures are representing the total infrastructure and interconnection system in the manikin.

Base Board Cable Connections Page 46 of 127 .5.2.

Head Board Cable Connections Page 47 of 127 .3.5.

5.4. Valve Board & Lung Board connections Page 48 of 127 .

Cables Page 49 of 127 .5.5.

6. Compressor Board connections Page 50 of 127 .5.

Drug Registration Board Page 51 of 127 .7.5.

Page 52 of 127 .

5.8. Tubing in Head. Air Distribution Page 53 of 127 .

TSM Draft 6. EXPLODED VIEWS Following figures illustrates Exploded views of the different parts and modules in the manikin. Please refer to the pages XX – YY for Replacement & Service Parts. Page 54 of 127 . NOTE: The BOM reference numbers on the illustrated pages are NOT spare part numbers that can be ordered. The drawings and numbers are for illustration only.

Head Assembly Page 55 of 127 .TSM Draft 6.1.

2.TSM Draft 6. Skull Lower Assembly Page 56 of 127 .

TSM Draft 6.3. Eye Assembly Page 57 of 127 .

Airway Assembly Page 58 of 127 .TSM Draft 6.4.

Neck Assembly Page 59 of 127 .5.TSM Draft 6.

Torso Assembly Page 60 of 127 .6.TSM Draft 6.

7. Torso (w/pelvis) Assembly Page 61 of 127 .TSM Draft 6.

8. Torso (back) Page 62 of 127 .TSM Draft 6.

TSM Draft Page 63 of 127 .

TSM Draft

6.9. Torso

Page 64 of 127

TSM Draft

6.10.

Torso Base plate Assembly

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TSM Draft

6.11.

Torso Base plate Assembly

Page 66 of 127

12.TSM Draft 6. Torso Base plate Assembly Page 67 of 127 .

13. Back Cover Assembly Page 68 of 127 .TSM Draft 6.

14.TSM Draft 6. Chest Assembly Page 69 of 127 .

TSM Draft 6. Compression Plate Assembly Page 70 of 127 .15.

16. Compression Spring Assembly Page 71 of 127 .TSM Draft 6.

Thorax Right Assembly Page 72 of 127 .TSM Draft 6.17.

Thorax Right Assembly Page 73 of 127 .18.TSM Draft 6.

TSM Draft 6. Thorax Right Assembly Page 74 of 127 .19.

20. Thorax Left Assembly Page 75 of 127 .TSM Draft 6.

Valve Board Protection Assembly Page 76 of 127 .TSM Draft 6.21.

TSM Draft

6.22.

Power Panel

Page 77 of 127

TSM Draft

6.23.

Fluid Panel

Page 78 of 127

TSM Draft

6.24.

Pelvis Assembly

Page 79 of 127

TSM Draft 6. Pelvis Mechanical Assembly Page 80 of 127 .25.

26.TSM Draft 6. Stomach Assembly Page 81 of 127 .

TSM Draft 6.27. Leg Right Page 82 of 127 .

28. Pressure Tank Page 83 of 127 .TSM Draft 6.

TSM Draft 6. Lower Right Leg Page 84 of 127 .29.

30. Compressor Page 85 of 127 .TSM Draft 6.

BP Arm Page 86 of 127 .TSM Draft 6. Left Arm.31.

TSM Draft 6.32. Left Arm w/pulse Page 87 of 127 .

33. Right Arm.TSM Draft 6. IV Arm Page 88 of 127 .

TSM Draft 6.34. Flow meter Assembly (Right Arm) Page 89 of 127 .

TSM Draft 6.35. IV Arm w/Antenna Page 90 of 127 .

TSM Draft 7. Networking Overview Intranet Page 91 of 127 .1. NETWORKING AND COMMUNICATION SYSTEM The SimMan 3G and system will allow operators anywhere on a network to control a SimMan 3G simulator anywhere on the same network: • • • Allow operators to control and monitor a simulation via Internet access (provided sufficient access) Allow multiple simulations to be controlled from a single computer Allow multiple instructors to observe/control the same simulation 7.

2.TSM Draft 7. Figure X: Overview of the communication system The Baseboard has two communication links for communication with other devices: • Ethernet: Communication channel for talking with server software on System on Module (SOM) • RS485 bus: Communication channel for embedded node devices Figure X: Internal communication flow on the Baseboard Page 92 of 127 . Communication System The figure is an illustration of the Communication Framework implemented in the Baseboard application that communicates with the server software in the System On Module (SOM) and with the devices on the I2C bus.

Lung pressure detection .Esophagus/esophagus pressure detection Confirm variable respirations are present when increased/decreased from test utility Confirm apnea causes no breathing when PASS/FAIL Page 93 of 127 .Exhale CO2 .Head tilt/chin lift .pressure detection . vocal cords.Inflation .4 level lung compliance .Laryngospasm . automatically or manually controlled .Stomach pressure detection .swollen tongue (2 levels) .Decreased Cervical Range of motion . upper trachea. esophageal area for damage. Inspect teeth and neck assembly for overall appearance Airway/Breathing . rupture or leakage.TSM Draft ATTACHMENT 1 – NEED REVIEW!!! SimMan 3G Simulator Final Service Test Check List Tool: Test Utility (Remote Desktop) SimMan 3G Serial number: ________________ TEST Head/Neck Assembly: Inspect head skin for overall appearance Perform direct laryngoscope.Pharyngeal swelling .Trismus .Bag-mask ventilation . inspect: epiglottis.Controllable open/closed airway.Jaw thrust w/articulated jaw .Tongue edema .Pneumothorax left/right .Detection of proper head position .Stomach distension .4 level left/ right airway resistance .

Bag-valve-mask while ventilating Confirm that CPR artifacts is being produced on the patient data display monitor when chest compressions are being performed Right leg Assembly: Inspect skin for holes or damage Inspect leg-to-pelvis attachment (thigh joint connectors. connectors for tubes and cables) to allow correct movement Inspect ankle joint Inspect handler for tank drain valve Torso Assembly: Inspect skin for overall appearance. Left arm Assembly Inspect skin for holes or damage. Each should be properly secure (check with screwdriver). Inspect arm-to-torso attachment screw to allow full articulation Power Panel (Right side) Page 94 of 127 . left . . Inspect chest plate for overall appearance and free movement into and out of torso cavity Inspect torso-to-pelvis attachment screws. Inspect arm-to-torso attachment screw to allow full articulation. confirm presence of respiratory sounds from simulators Confirm presence of capnograph waveform on patient monitor to match each respiratory cycle Chest Movement: Confirm detection in test utility of: . Check that that ECG studs and defib. connectors are clean.CPR compressions .Chest drain pleura in place.Chest drain pleura in place. right Inspect for overall external appearance Ensure head assembly-to-torso hardware is tight and that head rotates freely from side to side and forward and backward.TSM Draft When simulator producing spontaneous respirations. Pelvis Assembly: Inspect for overall appearance Right arm Assembly: Inspect skin for holes or damage.Single precordial thump? .

confirm that defibrillation at 360J WILL NOT move waiting to running rhythm.TSM Draft Check connectors and cables for damage and for easy connection to mating parts Fluid Panel Check connectors for damage and for easy connection to mating parts Sound (BP) Confirm presence of BP sound in left arm. With running rhythm set at VF. ECG and Electrical Therapy: Confirm presence of ECG at ¾ lead and at hands free (sternum and apex). there is no waveform or numerical value produced on the patient data display monitor. waiting rhythm at NSR. With the running rhythm set at NSR at 40. and shock “enabled”. and pacing disabled. Sound should be present at set systolic pressure and diminish to absent at diastolic.Wide open . pacing threshold set at 40mA. Confirm that when the SpO2 probe is plugged in and on SimMan3G finger. waiting rhythm at NSR. Eyes . black lead on patient’s left shoulder and red lead on patient’s left lower torso. confirm that defibrillation at a minimum of 50J WILL move the waiting rhythm to the running rhythm. White lead on patient’s right shoulder. Confirm that when the SpO2 probe is plugged in and not on SimMan3G finger. confirm that pacing greater then 80mA WILL produce capture and create a pulse rate matching that set on TCP device. Three (3) shocks at the defibrillators maximum Joule (minimum 200J) are to be delivered as rapidly as possible. confirm that pacing at 200mA WILL NOT capture With the running rhythm set at NSR at 40. With running rhythm set at VF. a waveform or numerical value is produced on the patient data display monitor. SpO2: Verify that the red light is illuminated on the probe when the unit is plugged into the Patient Monitor.Closed Page 95 of 127 . and ignore shock is “active”. and pacing “enabled”.

Extensive ECG library with rate from 0-220 .Partially open .Simulated spontaneous breathing .Head sounds .Oxygen saturation & Plethysmogram .Brachial .Unilateral & lobar breath sounds .Radial .Carotid .CO2 exhalation .Pupil diameter automatically responds to light: Synchrony/asynchrony .Posterior tibialis .Femoral Right .Normal .Popliteal .linked to the student action of measuring CO2 Cardiac .Femoral Left .TSM Draft .12 lead dynamic ECG display .Dorsalis .Sluggish speed of response to light .Normal speed of response to light .Normal and abnormal breath sounds .Heart sounds – four anterior locations Circulation .Pulse strength variable with BP Other .Head microphone Page 96 of 127 .Bilateral and unilateral chest rise and fall .synchronized with respiration rate . central) .Blinking .Pulses synchronized with ECG .Checkpoint: relative pulse strength (peri vs.Winks Breathing .6 posterior auscultation sites .linked to airway complications settings .5 anterior auscultation sites .

Patient Voice/Throat Sounds .Arterial and venous .Automatic drug recognition system identifies actions Page 97 of 127 .Instructor can simulate patients’ voice wirelessly . Blood pressure wave form.Bowel Sounds – speaker in each quadrants .BP measured manually by auscultation of Korotkoff’s sound (left arm) .Palpation is detected & logged .Secretions from eyes. ears. mouth.Defibrillation and cardioversion .Detection of depth and frequency of compressions .CPR compressions generate palpable pulses. nose.Hand position detection .Convulsions .Cyanosis CPR: Compliance with 2005 Guidelines .Realistic depth of compressions (6 cm) .Urine output – variable .Instructor communication Multiple instructors can communicate using integrated voice over IP communications .TSM Draft .Pre-recorded sounds played . .Custom sounds .Automatic drug recognition system identifies drug within the specified IV area & measures dose .Tibial IO module in place . urinary output .Blood.Bleeding .Reading of cardiac rhythms via 4 connector 3-lead ECG monitoring Circulation .Integrated system allows simulation of bleeding throughout manikin . and artifacts on ECG .Real time feedback on quality of CPR . CSF.Pacing .Vital signs automatically respond to bleeding & therapy (Auto Mode only) . etc. Mucous. forehead.Detection of leaning .Sternal IO module in place RFID detection .

Urine Catheterization (Foley) .Webcam integration . pressure point.Bleeding treatment (bandage. tourniquet.Debriefing functionality .Debrief Viewer Test Performed by: ______________________ (Print name) ______________________ (Signature) Date:________ Page 98 of 127 .Connect fluids from external sources . pliers) .TSM Draft within the specified jaw area Other .

SimMan 3G Head and Neck Cat.TSM Draft ATTACHMENT 1 Service Parts. bladders and tubes Need new photo 21260450 1007014 Head speaker Assembly Page 99 of 127 . no BOM Photo Description 21260150 S21222 Jaw Assy Complete 21260250 S21223 Eye Assy Complete 21260350 Shroud Assembly w/screws.

Power and Signal 21261350 N1003 212N0620 CAROTID L R Cable. Carotid Pulses Air distribution unit Head Page 100 of 127 .TSM Draft 21260550 N0691 N0692 N0693 1483 (9) Skull upper and skull lower mated 21260650 N0831 Head foam w/adhesive 21260750 21260850 N0696 N0695 N0819 (4) 6525-080001 Eye holders (right and left) w/screws Magnetic sensor jaw 21260950 1005020 1463 (2) Lower teeth w/screws 21261050 FST1011 SAPS Head Board (NOTE: comes without air distribution unit and tubes) 21261250 N0739 Cable.

Headboard to Eye 21262450 S21221 N1114 Head Skin Assy w/airways Froth filter Page 101 of 127 .TSM Draft 61450 21261550 N1116 Cable Microphone 21261650 21261750 N1187 Y Cable microphone N0977 (10) Plug (ear) 21261850 N1186 Y Cable blue lips 21262150 N0724 N0722 Neck Potentiometer and Neck Plate 21262250 21262350 N0738 Neck Assembly Cable.

TSM Draft
21262550

21262650

N1031

Barb to barb orifice (pkg 5)

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TSM Draft

Torso

21272050

N1000

Cable, Baseboard to USB WLAN module

21272150

N1033

Gasket, Base plate

21272250

N1025

Foam, Thorax Speaker

21272450

N1023

Cable, Baseboard to compression sensor

21272550

N1024 N0837

Switch, Correct hand position switch (w/foam)

21272650

N1008

Speaker cable, Lung and Heart

21272750

N1020

Speaker cable, Lung back assembly

21272850 21272950

N1007 N1027

Cable, Chest speaker extension cable Foam, Chest Speaker

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TSM Draft

21273050 TBD 21273150 TBD 21273250 TBD 21273350 TBD 21273450

N1036 N1159

Foam, Chest top left & right

8767 (10) Need Photo 2707 (10) Need Photo 2995 (10) Need Photo 2708 (10)

ECG connector Defib. connector Connection Peg ECG Connection Peg Defib

21273550 21273650

N1021

Cable, ECG from baseboard

N1022 21273850 21273950 21274050 21274150 21274250 21274450 21274450 Need photo FST1009 N0968 N0969 N0984

Cable, ECG to defib sternum SAPS Base Board Cable, Baseboard com. to Head Cable, Baseboard com. to Valve Board Cable, Baseboard com. to Right Arm Cable, Baseboard On/Off switch Need Photo Cable, Baseboard to external Ethernet Cable, Baseboard to External Power

N0993 N0994 N0995

Need Photo

Page 104 of 127

Speaker from Baseboard harness 21274850 7020 (10) Port in for BP cuff (pkg 10) 21274950 N1065 Fan. Compression sensor output N0659 (10) FST2010 Need Photo Cable clip Kit (pkg 10) Board. axial 60x60x25 21275050 N1125 Antivibration Kit (for fan) Gap pad (between a CPU and heat sink) 21275150 N1188 Need Photo 21275250 21275350 21275450 21275550 N1247 Cable.TSM Draft 21274550 N0999 Cable. Compliance Solenoid Page 105 of 127 . Baseboard to Battery 21274650 N1001 Cable. Pulses from Baseboard 21274750 N1006 Cable. Lung Connection N0870 Cable.

TSM Draft 21275650 21275750 21275850 TBD 21273850 N0882 Stepper motor resistance valve N0883 Need Photo S21234 Need Photo 2154 (4) Need Photo FST1009 Optical switch Compression Assy Pulse Unit (pkg 4) Base Board. SimMan 3G 21276050 21276150 S21233 21276250 KID3154 Need better Photo… Need Photo Back cover Assy complete Lung Assy Complete Need Photo Board. Lung connection 21276350 21276450 21276550 N0872 N0873 Need Photo S21233 Need Photo N1262 Compliance activator spring (left and right) Lung Valve Assy Compliance Activator Assy Page 106 of 127 .

# 212-68550 Check if already existing Cat.TSM Draft Pelvis 212-68050 N1101 (10) Blood port connector (pkg 10) 212-68150 N1017 Speaker cable. # N1040 Stomach foam 1005066 S Pad Assy femoral pulse left side 1005065 S Pad Assy femoral pulse right side 212-68650 N1011 Panel base right 212-68750 N1010 Panel base left Need photo 212-68850 FST2024 Panel board Page 107 of 127 . Bowel assembly 212-68250 N1109 Stomach valve 212-68350 212-68450 Check if already existing Cat.

TSM Draft 212-68950 N0997 (5) On/Off switch (pkg 5) 212-69050 N1092 (10) Air/ CO2 connector (pkg 10) 212-69150 N1103 (10) Fluids fill port (pkg 10) 212-69250 N1250 Double-sided tape (roll) N0619 212-69350 Air distribution unit pelvis 212-69450 N1266 (10) Air tank connector male (pkg 10) VSO Valve assembly (for chest 212-69550 N1100 rise) N0777 212-69650 Fluid distribution unit 212-69850 N1198 (10) Fluid tank connector male (pkg 10) 212-69950 N1201 (10) N1096 (5) Fluid tank connector female (pkg 10) Check valve fluid (pkg 5) 212-70050 Page 108 of 127 .

TSM Draft 212- N1031 (5) Barb to barb orifice N1265 212-70250 Mani foil pelvis 212-70350 FST1010 Valve Board Cable Valve Board com. to Right 212-70450 N0992 Leg 212-70550 N1102 Proportional valve 212-70650 212-70750 N1202 (10) N1203 (10) Blood tank connector pelvis male (pkg 10) Blood tank connector pelvis female (pkg 10) 212-70850 N1045 DFS-2W Flow sensor unit 212-70950 N1066 DFS-2W(r) Rotor assembly 212-71150 N1105 Pressure regulator 212-71050 N1167 Pressure Regulator Secretions Page 109 of 127 .

no BOM Photo Description Arm left top/bot.TSM Draft Arms Cat. Left Convulsion adapter to IV-PCB N0895 Page 110 of 127 . mated 21263050 N0634 N0635 N0819 (15) Hand Left 21263150 N0636 Hand Right 21263250 N0631 N1050 (10) N1051 (10) Pulse Skin Small (radial pulse) Pulse Skin Large (brachial pulse) Cable. BP_speaker 21263650 N1018 21263750 Cable. Left Arm Pulses 21263550 N1004 Cable.

Left Convulsion to adapter N0894 N0658 Need photo Cable RF Ant. w/antenna wire and board 21263950 21264050 N0936 Cable. Right Arm Radial Pulse N0655 (10) TBD IV Filter house 21264250 21264350 21264450 21264550 FST2011 Drug and RFID subassembly Cable. Board to Base Board) N0896 Cable. Select board to Jaw Ant.TSM Draft Convulsion Assy complete 21263850 S21252 N0629 N0630 N0657 (antenna wire) N0860 (4) FST 2007 Arm right. Power (Drug Reg. Board Sound reduce foam (flow meter) N0750 21264650 21264750 S21251 Included tubes!!! Need new photo… Flow meter Assy Complete w/tubes Page 111 of 127 .

no BOM Photo Description 21265050 Upper leg right.TSM Draft Legs Cat. mated N1155 21265150 N0710 N0778 N0783 N0840 (2) N0780 N0800 N0681 N0799 Need photo 21265250 Drain block Drain valve N0783 Connecting tube N0840 T-connection N0780 Drain tube N0800 Compressor tube N0840 T-connection N0681 Knee module N0799 Pressure tube 21265750 21265850 TBD 21266050 N0708 Foot Right Core Need photo N1053 TBD S21271 Need photo Need photo Foot right skin Ankle joint complete Pressure tank Assy complete 21266150 N0669 N0670 N0962 (17pcs) Lower leg right. mated 21266250 212- FST 1012 N0783 Compressor Board Knee module Assy (from Page 112 of 127 .

TSM Draft 65250 N0840 (2) N0780 N0800 N0681 N0799 Need photo compressor to leg) 21266650 N1122 N1124 N0801 Pulse cables (right pedal) 21266750 N1195 (10) Pulse skin popliteal 21266850 S21273 Compressor Assy Complete 21266950 N1156 Upper leg left. mated 21267050 N0950 N0951 N0962 (17) Lower leg left. mated 21267150 N1005 Cable. Left Pedal pulses 21267250 21267350 21267450 N1134 N1054 Need photo Cable. Left Popliteal pulse Foot left skin N0953 Need photo Foot left core Page 113 of 127 .

TSM Draft Page 114 of 127 .

Learner events 3. Common learner events Page 115 of 127 . Patient status and Airway status 5.TSM Draft ATTACHMENT IV Graphical User Interface – GUI Auto Mode: running validated built in patient cases GUI in Auto Mode: 1 3 2 8 7 4 5 6 Screen sections include: 1. Simulation control and session log 8. Performance 7. Technical status 6. Program menu bar 2. Instructor’s patient monitor 4.

TSM Draft Instructor Mode: on-the-fly simulations or running your preprogrammed scenarios. GUI in Instructor Mode: 1 2 3 11 4 10 5 6 7 9 8 Screen sections include: 1. Technical status 9. Airway and breathing 6.Simulation control and Session log 11. Learner events 3. Performance 10.Common learner events Page 116 of 127 . Eyes 5. Sounds 8. Circulation & fluids 7. Program menu bar 2. Instructor’s patient monitor/Cardiac controls 4.

Circulation & fluids 7. Performance 10.Simulation Control and Session Log Page 117 of 127 . Airway and breathing 6. Program menu bar 2. Learner events 3. Instructor’s patient monitor/ Cardiac controls 4. Technical status 9. Eyes 5.TSM Draft GUI in Classic View: 1 5 2 3 6 4 10 7 9 8 Screen sections include: 1. Sounds 8.

TSM Draft ATTACHMENT VI Need review SimMan 3G TROUBLESHOOTING GUIDE Page 118 of 127 .

and check if the condensation relief valve is closed If recently used. Lift silicone tubing up Lost communication with valve board (Reset valve board and see if it calibrates) If there is shallow chest movements and the internal compressor never stops running – Compressor is worn. wait 20 minutes Restart manikin .Servo motor for lung assembly stuck .Valve could be clogged/broken . compressor may be overheated and is cooling down. replace compressor Kinked tubing or leakage Check settings in GUI Page 119 of 127 Compliance will not change - Shallow chest movements - - .Leakage in chest rise bladder .TSM Draft Breathing No chest rise Only unilateral chest rise Resistance will not change Check if manikin is in sleep mode due to recent inactivity. reactivate the manikin Check for leakage in chest rise bladders Check if tubes are disconnected from chest rise bladders Check if tubes are kinked Check if air from compressor.Lost communication with valve board (Reset valve board and see if it calibrates) Check for lung silicone string in the lung assembly intersects between the lung bladder´s folds Silicone tubing has been forced down causing conflict between hook and lung plate top.

Kinked tubing .Check communication with head .Check communication with head .Kinked tubing .Check communication with head .Broken valve .Check communication with head .Leakage in bladder Tongue always with edema No Pharyngeal swelling No Laryngospasm No DCRM (Decreased cervical range of motion) No Trismus Page 120 of 127 .If no CO2 present it might be the valve not working (in pelvis) .Leakage in bladder .TSM Draft CO2 exhalation .Empty CO2 tank…? No Oxygen saturation and waveform No Cyanosis Not possible to do chest tube insertion Broken cable in head (under face skin) LEDs loosen and fallen behind airway Problems with communication with head Airway Complications No detection of Head position No Tongue edema .Kinked tubing .Kinked tubing .Check communication with head .Leakage in bladder .Check communication with head .Leakage in bladder .Check communication with head .Kinked tubing .Kinked tubing .Kinked tubing .Leakage in bladder .

Left Pedal Pulses: Baseboard . Connect to the same USB connector every time Check the Profile Editor´s webcamera settings.Carotid pulses: Baseboard .Right Pedal Pulse: Compressor board .Check circuit board . Ensure that there are not other active USB cameras on the PC Ensure that the computer to which the web-camera is attached Page 121 of 127 - - .Femoral pulses: .Compressor board failure Pulse is working.Broken cable Skin may be too tight over pulse units.TSM Draft Pulses Pulse does not work .Pulse unit might be stuck.Check if broken cable .Pulse driver on baseboard . readjust skin and restart manikin NOTE: These pulses are programmed to be weaker than central pulses like carotid and femoral pulses. and can be harder to detect/feel . Ensure that the settings match with how the webcamera is connected. but palpation is not detected on Instructor PC Cannot feel pedal pulses Debrief Viewer Web-camera doesn´t record video capture for use in the debriefing Check that the web-camera´s USB-cable is plugged into the Patient Monitor PC.Brachial: IV Board . change pulse unit .

cell phones…) Could try to change WLAN channel (ref. Bluetooth.g. the problem most likely relates to the actual computer . Please configure it for “Maximum performance” When the manikin is stationary.Check that the adapter is set up with the correct TCPIP settings.TSM Draft is available when going to debrief Check that the name of the Patient Monitor PC being used corresponds with the settings in the profile in use Patient Monitor video capture isn´t included in the debriefing - WLAN Connection between the PCs and the manikin is frequently lost The WLAN might interference with other radio traffic or noise (e.The WLAN adapter drivers and utilities might be equipped with Page 122 of 127 - . DFU). Also see the SUN site for more help in choosing the best channel Avoid solid material (especially metal) blocking the signals Windows Vista have features for power management. Check that WLAN is not disabled by the driver .Check if WLAN is enabled on the computer 1. Default is using “DHCP” (Obtain an IP address automatically) . customer could consider using wired network between the manikin and PCs - - The manikin works with LAN cable. there are settings that controls the WLAN adapter. but not with WLAN If it is possible to connect the manikin on WLAN using another computer. Check that any button on the computer that controls WLAN is set to “enable” or “on” 2.

Check if the WLAN adapter inside the manikin is properly connected to the USB cable connector marked “WLAN” and not the auxiliary USB connector . Then start up the manikin. These sometimes decide to shut down the adaptor for some reason.TSM Draft features that allow “intelligent” control of the radio.Check the networks settings by attaching an empty USB memory stick to the auxiliary USB connector and remove it after 30 sec. Disable such features. An xml-file should be created on the memory stick. If it discovers other WLAN networks. start looking for problems in the manikin: . The Page 123 of 127 . Typically this happens after the computer has been in sleep mode or similar. The recovery process will take a considerable time.As a last resort you may restore the manikin to fabric defaults. but not the manikin. Vocal feedback will be played through head speaker. Can not find the manikin If the manikin is discovered on WLAN. Consider removing OEM utilities all together and rather use Windows built-in features instead.SimMan 3G uses WPA authentication by default. Once recovery is finished you may have to update the SW using the “Update Manikin” feature. Open the file using text editor (Notepad etc) and check that networks settings are correct . but are not able to connect The problem often is related to security keys . This could be done by attaching the external optical drive to the auxiliary USB connector and inserting the recovery DVD.

TSM Draft default password is “SimMan 3G” You might have a problem with a WLAN profile.Lost communication with IV arm .Tune antennas Page 124 of 127 A certain RFID Tags is not detected RFID Tags are difficult to detect . type cmd and press enter Type ping-t 192.Problems with antenna select board Could be from a wrong batch.2 (with cable connection) - To check the connection between the manikin and the PCs - NOTE: The same numbers apply for all manikins You will get error messages if you are missing connection.Jaw antenna: Check if antenna wire is properly connected .Tag not working. RFID No RFID Tag is detected . not programmed .Could be interrupted of metal.168. move manikin and try again .170.169.Check for moisture/water/corrosion in IV arm .Antenna in IV Arm: Check if properly soldered on circuit board .1 (with wireless connection) or 192. try another tag . R&D Laerdal.168. retry or contact 3rd Line Support. please delete existing WLAN profiles associated with the manikin and try reconnecting Make sure that the SimMan 3G manikin and the PC are powered on From the PC. run cmd (“Windowsbutton” + R).

Check cabling .Check cabling . Replace eye module Recalibrate or restart manikin/headboard Check settings in GUI Check communication with head Check settings in GUI Pupils are stuck.Correct pressure applied? Eyes Eyes always closed Pupils do not respond to light.TSM Draft SOUNDS No Vocal Sound No Heart Sound No Lung Sound No Korotkoff Sound .Try to push in eyelid shaft . when running Healthy Patient Check communication with head Check settings in GUI If eyelid is loose you will have to restart the headboard/manikin Check communication with head Check settings in GUI Shaft has loosened from cog wheel.Check for friction between eyelid and skin Secretions No secretions from Ears Check tubing from pelvis and for kink in head Check valve Page 125 of 127 .Check cabling . replace eye module Eyes always open Strange sound from eye module Pupils not synchronized when running Healthy Patient Eye not blinking properly .Check cabling .

flush opposite direction CPR Not detected on Instructor PC when doing CPR Check cabling Check for damage on compression sensor unit IV Access Not possible to do injection Do not force injection! (could cause leakage inside arm) Try initialize and calibrate via Test Utility Page 126 of 127 .Check restriction manifold in head (under face skin) Check tubing from pelvis and for kink in head Check valve Check restriction manifold in head (under face skin) Check tubing from pelvis and for kink in head Check valve Check restriction manifold in head (under face skin) Particles in valve. flush in opposite direction No secretions from Mouth No secretions from Eyes - Can not turn off secretion - Blood/ Fluid /Secretions/ Urine Can not turn urine off Particles in valve.TSM Draft No secretions from Nose Check restriction manifold in head (under face skin) Check tubing from pelvis and for kink in head .Check valve .

TSM Draft IV-fluids and drugs are incorrectly measured Reset arm/manikin If still not working open arm and look for any damages in IV system/Flow meter Check if is possible to inject only through IV Catheter. DFU) Recalibrate the flow meter (on Instructor PC.Check cabling Page 127 of 127 . if not replace IV Catheter If the problem is not the IV Catheter replace the Flow meter Clean the IV arm with distilled water and ethanol solutions (ref. go to ToolsMaintenance-Calibrate IV Flow meter) ECG No ECG rhythm on Patient Monitor .