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Spinal Injection Simulator Lf01036u Instruction Manual

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Spinal Injection Simulator Lf01036u Instruction Manual Other Available Simulators LF00698U Adult Injectable Arm (White) LF03610U Child Airway Management LF00856U Female Catheterization Trainer Head Only LF00901U Prostate Examination LF03611U Child Defibrillation Chest LF00906U Ostomy Care Skin LF00929U Surgical Bandaging LF03612U Child IV Arm LF00957U Enema Administration LF03613U Child Blood Pressure Arm LF00958U Pediatric Injectable Arm LF03614U Child Intraosseous Infusion/ LF00961U Intramuscular Injection Femoral Access Leg Only LF00984U Breast Examination LF03615U Complete Child CRiSis™ LF00995U Arterial Puncture Arm Update Kit LF00997U Adult Injectable Arm (Black) LF03616U Child CRiSis™ Manikin SPINAL INJECTION LF00999U Pediatric Injectable Head LF03617U Deluxe Child CRiSis™ LF01008U Intradermal Injection Arm Manikin with Arrhythmia Tutor LF01012U Heart Catheterization (TPN) LF03620U PALS Update Kit SIMULATOR LF01019U Ear Examination LF03621U Infant Airway Management LF01020U Supplementary Ear Set Trainer Head Only LF01025U Male Cath-Ed I LF03622U Intraosseous Infusion Right LF01036U LF01026U Female Cath-Ed II Leg LF01027U Peritoneal Dialysis LF03623U Infant Airway Management LF01028U Suture Practice Arm Trainer INSTRUCTION MANUAL LF01036U Spinal Injection LF03626U Child Femoral Access LF01037U Hemodialysis Arm Injection Pad Replacement LF01062U Pelvic, Normal & Abnormal LF03632U Child Intraosseous Infusion/ LF01063U Stump Bandaging, Upper Femoral Access Leg on a LF01064U Stump Bandaging, Lower Stand LF01069U Cervical Effacement LF03633U Child Airway Management LF01070U Birthing Station Trainer with Torso LF01082U Cricothyrotomy LF03693U Basic Buddy CPR Manikin LF01083U Tracheostomy Care LF03699U “Airway Larry” Airway LF01084U Sigmoidoscopic Management Trainer Examination LF03720U Baby Buddy Infant CPR Manikin LF01087U Central Venous Cannulation LF03953U CRiSis™ Manikin LF01095U Blood Pressure Arm LF03955U Deluxe CRiSis™ Manikin LF01108U Intraosseous Infusion LF03965U Deluxe “Plus” CRiSis™ Manikin Simulator LF04001U GERi™ Nursing Manikin LF01121U Advanced IV Arm LF04020U KERi™ Nursing Manikin LF01139U Advanced IV Hand LF04021U KERi™ Basic Manikin LF01142U Auscultation Trainer LF04022U KERi™ Advanced Manikin LF01162U Venatech IV Trainer LF04030U GERi™ Advanced Manikin LF03000U CPARLENE® Series LF04040U GERi™ Basic Manikin LF03601U Adult Airway Management LF06001U CPR Prompt™ Adult/Child Trainer Manikin LF03602U Adult Airway Management LF06012U CPR Prompt™ Infant Manikin on Manikin LF06200U CPR Prompt™ Keychain LF03603U Adult Airway Management Rescue Aid Head Only LF06200U CPR Prompt™ Rescue and LF03609U Child Airway Management Practice Aid Trainer Fort Atkinson 901 Janesville Avenue, P.O. Box 901 Fort Atkinson, Wisconsin 53538-0901 1-800-558-9595 www.eNASCO.com • E-mail: [email protected] Products by NASCO COPYRIGHT © NASCO 1999 PRINTED IN U.S.A. NP 161-83/RV 4-05 c. After window is removed, place b. Insert bottom of skin flap at the Procedures That Can Be one finger of each hand at top of base of simulator. Use one finger Performed on This Simulator skin flap and pull away from body. in center of lower part of flap to As with all Life/form® Replicas and push into place. Replace window Simulators, the Spinal Injection Simulator by aligning black sensitized tabs gives students the opportunity to practice and lock into place. procedures that were never possible with conventional models. 4. Replace tube by inserting into hole in top of window. The simulator is now A significant feature of the simula- refurbished and ready for use. tor is a precise 3-5 mm epidural space located between L2 and L5. The instruc- Care of Simulator About the Simulator... tion of epidural analgesia by the loss Store simulator in the accompanying car- The Life/form® Spinal Injection of resistance technique can be readily 4. Remove foam pad which will expose rying case. Never place simulator on Simulator is designed to facilitate the accomplished. Both midline and lateral spinal bones and yellow ligament. newsprint, or any kind of printed paper teaching, demonstration, and perfor- approaches may be practiced on the or plastic as this leaves indelible stains. mance of spinal anesthesia, spinal punc- simulator. After epidural penetration, stu- The simulator can be cleaned with mild ture, epidural analgesia, caudal anal- dents may advance to spinal needles soap and warm water. Use REN Cleaner gesia, sacral nerve blocks, and lumbar and pierce the dura mater, again expe- (W9919UA) to remove stubborn stains. sympathetic blocks. Every effort has been riencing a typical feeling of puncture Spray soiled area and wipe with soft cloth made to provide absolute realism in the in the fingertips. The dura can be filled or paper towels. simulator so that the visual and tactile with an aqueous solution. This allows sensations, in working with the unit, pro- visual confirmation of correct technique Cautions vide a positive transition to patient pro- when the dura is entered. Fluid will exit Do not use a hypodermic needle larger cedures. through the spinal needle. than 20-gauge. Keep needles as sharp 5. Remove yellow ligament by pulling it as you would for a patient. Large bore Internal Structure Cerebral-spinal fluid measurements can away from bone. and dull needles cause excessive wear to The Spinal Injection Simulator consists be taken, using a standard manometer. unit. of two basic parts. The first part, or inner core, is a clear lucite window in which Caudal anesthesia techniques may be Supplies/Replacement Parts For the first and second lumbar vertebrae are practiced on the simulator by inserting Spinal Injection Simulator prominently displayed. It also includes needles into the epidural space. The spi- W9919UA REN Cleaner the intervertebral disc, the nerve roots, nous process of the fifth sacral vertebrae LF0985UA Life/form® Simulator the ligamentum flavum, and lumbar sym- is not used in the simulator, leaving a slit- Lubricant pathetic chain. like aperture, the sacral hiatus, between LF1039UA Spinal Replacement Kit the two sacral cornua. with Skin, Musculatures, The second part of the simulator is the and Spinal Cord functional unit. This incorporates all soft Lumbar sympathetic and sacral nerve B. Assembly of Removable Parts tissue and bony structures from the level blocks may be practiced with good land- 1. Replace yellow ligament. of the third lumbar vertebrae down to the marks. Objective signs of complete sym- tip of the coccyx. pathetic blocks are not possible with the 2. Replace foam pad. There are three unit. alignment holes in back of pad which List of Components should cover the protruding bone of 1. Fluid Bag with Special Adapter A Spinal Replacement Kit with skin the vertebrae. 2. 2-oz. Bottle of Lubricant (LF1039UA) is also offered separately. This kit allows field changing of the sim- 3. Replace new skin flap and window. ulator skin in less than five minutes. No a. Place top tab of skin flap into tools are necessary. simulator. General Instructions for Use C. The brace included with the unit is Modification of Older Units for 2. Lay simulator down — spine up. All materials needed for proper function designed to aid in the proper func- Spinal Replacement Kit of the Spinal Injection Simulator are pro- tion of this simulator in the two basic To properly use the spinal replacement vided. The setup procedure is relatively positions shown. kit, you may need to perform a small simple. Fill the spinal cord in the follow- modification to your spinal injection sim- ing manner: ulator. If you have a spinal simulator with a curved window, as shown in the photo A. Fill supply bag with water, making below, follow these instructions. sure tubing clamp on supply line is 1. Remove the top two locking tabs that closed. Hang supply bag approxi- are currently on your spinal window. mately 18 inches above simulator. 3. Remove skin flap: a. Put one finger of each hand under skin flap at the base and pull out- wardly until skin flap is free. B. Lubricate with Life/form® Simulator Lubricant (LF985UA) and 2. Remove any loose material from the insert fitting, on end of supply bag window that may have been left from tubing, directly into latex tubing the backing of the old locking tabs. extending above top of simulator. 3. Peel the backing from the two locking tabs included in the replacement kit. b. Remove window. There are three velcro tabs. Two on the front in 4. Place the new locking tabs in the each corner of window, and one same position as the original tabs on the top back of the window. Lift (see photo above). Press them firmly up on front lower tabs of the win- into place. dow and remove. The modification is complete and the Open tubing clamp on supply line. replacement kit can now be installed. Fluid will flow from supply bag through supply line and into the spi- Instructions for Using Spinal nal column. When fluid starts com- D. The simulator is now full and ready Replacement Kit (LF1039U) ing out of small air vent tubing, close for continuous operation. Before A. Disassemble Spinal Injection Simulator off tube with attached cap. starting procedures, lubricate the 1. Remove tube from hole located on injection sites with Life/form® top of window. Simulator Lubricant (LF985UA). Ivory liquid detergent may also be used. Make no other substitutions. This will reduce surface tension, facilitate entry of the needle, and prolong the life of the simulator. General Instructions for Use C. The brace included with the unit is Modification of Older Units for 2. Lay simulator down — spine up. All materials needed for proper function designed to aid in the proper func- Spinal Replacement Kit of the Spinal Injection Simulator are pro- tion of this simulator in the two basic To properly use the spinal replacement vided. The setup procedure is relatively positions shown. kit, you may need to perform a small simple. Fill the spinal cord in the follow- modification to your spinal injection sim- ing manner: ulator. If you have a spinal simulator with a curved window, as shown in the photo A. Fill supply bag with water, making below, follow these instructions. sure tubing clamp on supply line is 1.
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