Spinal Injection Simulator Lf01036u Instruction Manual

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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. 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. Other Available Simulators