Spinal Injection Simulator LF01036U Instruction Manual

Other Available Simulators LF00698U Adult Injectable Arm (Light) LF01174U NG Tube & Trach Skills LF00855U Male Catheterization LF01184U Venatech IM & Sub Q LF00856U Female Catheterization LF01193U Special Needs Baby LF00901U Prostate Examination LF03000U CPARLENE® Series LF00906U Ostomy Care LF03601U Adult Airway Management LF00929U Surgical Bandaging Trainer with Stand LF00957U Enema Administration LF03602U Adult Airway Management LF00958U Pediatric Injectable Arm Manikin LF00961U Intramuscular Injection LF03609U Child Airway Management LF00984U Breast Examination Trainer with Stand LF00995U Arterial Puncture Arm LF03616U Child CRiSis™ Manikin Spinal Injection Simulator LF00999U Pediatric Injectable Head LF03617U Deluxe Child CRiSis™ LF01005U First Aid Arm Manikin with Arrhythmia Tutor LF01008U Intradermal Injection Arm LF03620U PALS Update Kit LF01036U LF01012U Heart Catheterization (TPN) LF03623U Infant Airway Management Trainer with Stand LF01019U Ear Examination LF03632U Child Intraosseous Infusion/ LF01027U Peritoneal Dialysis Instruction Manual Femoral Access Leg on a Stand LF01028U Suture Practice Arm LF03633U Child Airway Management LF01034U Suture Practice Leg Trainer Torso LF01036U Spinal Injection LF03693U Basic Buddy® CPR Manikin LF01037U Hemodialysis Practice Arm LF03699U “Airway Larry” Airway LF01038U Episiotomy Suturing Set Management Trainer LF01042U Suture Kit LF03709U Infant CRiSis™ Manikin LF01062U Pelvic, Normal & Abnormal LF03720U Baby Buddy™ Infant CPR Manikin LF01063U Stump Bandaging, Upper LF03750U Bariatric CPR Manikin LF01064U Stump Bandaging, Lower LF03770U Chest Tube LF01069U Cervical Effacement LF03953U CRiSis™ Manikin, Complete LF01070U Birthing Station LF03955U Deluxe CRiSis™ Manikin LF01082U Cricothyrotomy LF03956U Deluxe “Plus” CRiSis™ Manikin LF01083U Tracheostomy Care LF03965U Adult CRiSis™ Auscultation LF01084U Sigmoidoscopic Manikin Examination LF03966U Adult CRiSis™ Auscultation LF01087U Central Venous Cannulation Manikin with ECG Simulator LF01095U Blood Pressure Arm LF04000U GERi™/KERi™ Manikin Series LF01108U Infant Intraosseous Infusion LF04200U Adult Sternal Intraosseous LF01121U Advanced IV Arm Infusion LF01131U Venipuncture and Injection Arm LF06001U CPR Prompt® Adult/Child LF01139U Advanced IV Hand Manikin LF01142U Auscultation Trainer LF06012U CPR Prompt® Infant Manikin LF01143U Testicular Exam LF06200U CPR Prompt® Keychain LF01152U Male & Female Catheter Rescue Aid LF01155U Advanced CPR Dog LF06204U CPR Prompt® Rescue and LF01162U Venatech IV Trainer Practice Aid

Fort Atkinson 901 Janesville Avenue, P.O. Box 901 Fort Atkinson, Wisconsin 53538-0901 WARNING: Products may contain dry natural rubber. 1.800.558.9595 eNasco.com • E-mail: [email protected] COPYRIGHT © NASCO 1999 PRINTED IN U.S.A. NP 161-83/RV 7-15 Products by Nasco

NP161_83_LF01036.indd 1 8/11/15 12:10 PM c. After window is removed, place 3. Replace new skin flap and window. Procedures That Can Be Performed one finger of each hand at top a. Place top tab of skin flap into on This Simulator of skin flap and pull away from simulator. body. As with all Life/form® Replicas and b. Insert bottom of skin flap at the Simulators, the Spinal Injection base of simulator. Use one finger Simulator gives students the oppor- in center of lower part of flap to tunity to practice procedures that push into place. Replace window were never possible with conventional by aligning black sensitized tabs models. and lock into place. A significant feature of the simulator 4. Replace tube by inserting into hole is a precise 3-5 mm epidural space in top of window. The simulator located between L2 and L5. The is now refurbished and ready for instruction of epidural analgesia by use. the loss of resistance technique can 4. Remove foam pad. This will expose be readily accomplished. Both midline spinal bones and yellow ligament. and lateral approaches may be prac- About the Simulator ticed on the simulator. After epidural Care of Simulator penetration, students may advance The Life/form® Spinal Injection Simulator to spinal needles and pierce the dura Store simulator in the accompanying is designed to facilitate the teaching, carrying case. Never place simulator mater, again experiencing a typical demonstration, and performance of feeling of puncture in the fingertips. on newsprint or any kind of printed spinal anesthesia, spinal puncture, paper or plastic, as this leaves indelible The dura can be filled with an aque- epidural analgesia, caudal analgesia, ous solution. This allows visual confir- stains. The simulator can be cleaned sacral nerve blocks, and lumbar sym- mation of correct technique when the with mild soap and warm water. Use pathetic blocks. Every effort has been dura is entered. Fluid will exit through Nasco Cleaner (LF09919U) to remove made to provide absolute realism in the spinal needle. stubborn stains. Spray soiled area and the simulator so that the visual and tac- wipe with soft cloth or paper towels. tile sensations in working with the unit Cerebral-spinal fluid measurements 5. Remove yellow ligament by pulling provide a positive transition to patient can be taken using a standard it away from bone. procedures. manometer. Cautions Internal Structure Caudal anesthesia techniques may be The Spinal Injection Simulator consists practiced on the simulator by inserting Do not use a hypodermic needle of two basic parts. The first part, or needles into the epidural space. The larger than 20 gauge. Keep needles inner core, is a clear lucite window spinous process of the fifth sacral as sharp as you would for a patient. in which the first and second lumbar vertebrae is not used in the simulator, Large bore and dull needles cause vertebrae are prominently displayed. leaving a slit-like aperture, the sacral excessive wear to unit. It also includes the intervertebral disc, hiatus, between the two sacral cornua. the nerve roots, the ligamentum flavum, Lumbar sympathetic and sacral nerve and lumbar sympathetic chain. blocks may be practiced with good Supplies/Replacement Parts For The second part of the simulator is the landmarks. Objective signs of com- Spinal Injection Simulator functional unit. This incorporates all plete sympathetic blocks are not pos- Assembly of Removable Parts soft tissue and bony structures from sible with the unit. LF09919U Nasco Cleaner the level of the third lumbar vertebrae 1. Replace yellow ligament. A Spinal Replacement Kit (LF01039U) LF00985U Life/form® Lubricant Kit down to the tip of the coccyx. 2. Replace foam pad. There are is also offered separately. This kit three alignment holes in back of LF01039U Spinal Replacement Kit List of Components allows field changing of the simulator pad which should cover the pro- with Skin, Musculatures, • Fluid Bag with Special Adapter skin in less than five minutes. No tools truding bone of the vertebrae. and Spinal Cord • 2-oz. Bottle of Lubricant are necessary. 4 1

NP161_83_LF01036.indd 3 8/11/15 12:10 PM General Instructions for Use 3. The brace included with the unit Modification of Older Units for 2. Lay simulator down — spine up. All materials needed for proper func- is designed to aid in the proper Spinal Replacement Kit tion of the Spinal Injection Simulator function of this simulator in the To properly use the Spinal Replacement are provided. The setup procedure is two basic positions shown. Kit, you may need to perform a small relatively simple. Fill the spinal cord in modification to your spinal injection the following manner: simulator. If you have a spinal simulator with a curved window, as shown in the 1. Fill supply bag with water, making photo below, follow these instructions. sure tubing clamp on supply line is closed. Hang supply bag approx- 1. Remove the top two locking tabs imately 18" above simulator. that are currently on your spinal window.

3. Remove skin flap: a. Put one finger of each hand under skin flap at the base and pull outward until skin flap is free.

2. Lubricate with Life/form® Lubricant 2. Remove any loose material from Kit (LF00985U) and insert fitting the window that may have been on end of supply bag tubing directly left from the backing of the old into latex tubing extending above locking tabs. top of simulator. 3. Peel the backing from the two locking tabs included in the replacement kit. 4. Place the new locking tabs in the same position as the original tabs (see photo above). Press them b. Remove window. There are three firmly into place. hook-and-loop tabs; two on the The modification is complete and the front in each corner of the win- replacement kit can now be installed. dow, and one on the top back of the window. Lift up on front lower Open tubing clamp on supply Instructions for Using Spinal tabs of the window and remove. line. Fluid will flow from supply Replacement Kit (LF01039U) bag through supply line and into To Disassemble Spinal Injection the spinal column. When fluid Simulator starts coming out of small air 1. Remove tube from hole located on vent tubing, close off tube with top of window. attached cap. 4. The simulator is now full and ready for continuous operation. Before starting procedures, lubricate the injection sites with Life/form® Lubricant Kit (LF00958U). Ivory® liquid detergent may also be used. Make no other substitutions. This will reduce surface tension, facilitate entry of the needle, and pro- long the life of the simulator. 2 3

NP161_83_LF01036.indd 4 8/11/15 12:10 PM General Instructions for Use 3. The brace included with the unit Modification of Older Units for 2. Lay simulator down — spine up. All materials needed for proper func- is designed to aid in the proper Spinal Replacement Kit tion of the Spinal Injection Simulator function of this simulator in the To properly use the Spinal Replacement are provided. The setup procedure is two basic positions shown. Kit, you may need to perform a small relatively simple. Fill the spinal cord in modification to your spinal injection the following manner: simulator. If you have a spinal simulator with a curved window, as shown in the 1. Fill supply bag with water, making photo below, follow these instructions. sure tubing clamp on supply line is closed. Hang supply bag approx- 1. Remove the top two locking tabs imately 18" above simulator. that are currently on your spinal window.

3. Remove skin flap: a. Put one finger of each hand under skin flap at the base and pull outward until skin flap is free.

NP161_83_LF01036.indd 4 8/11/15 12:10 PM c. After window is removed, place 3. Replace new skin flap and window. Procedures That Can Be Performed one finger of each hand at top a. Place top tab of skin flap into on This Simulator of skin flap and pull away from simulator. body. As with all Life/form® Replicas and b. Insert bottom of skin flap at the Simulators, the Spinal Injection base of simulator. Use one finger Simulator gives students the oppor- in center of lower part of flap to tunity to practice procedures that push into place. Replace window were never possible with conventional by aligning black sensitized tabs models. and lock into place. A significant feature of the simulator 4. Replace tube by inserting into hole is a precise 3-5 mm epidural space in top of window. The simulator located between L2 and L5. The is now refurbished and ready for instruction of epidural analgesia by use. the loss of resistance technique can 4. Remove foam pad. This will expose be readily accomplished. Both midline spinal bones and yellow ligament. and lateral approaches may be prac- About the Simulator ticed on the simulator. After epidural Care of Simulator penetration, students may advance The Life/form® Spinal Injection Simulator to spinal needles and pierce the dura Store simulator in the accompanying is designed to facilitate the teaching, carrying case. Never place simulator mater, again experiencing a typical demonstration, and performance of feeling of puncture in the fingertips. on newsprint or any kind of printed spinal anesthesia, spinal puncture, paper or plastic, as this leaves indelible The dura can be filled with an aque- epidural analgesia, caudal analgesia, ous solution. This allows visual confir- stains. The simulator can be cleaned sacral nerve blocks, and lumbar sym- mation of correct technique when the with mild soap and warm water. Use pathetic blocks. Every effort has been dura is entered. Fluid will exit through Nasco Cleaner (LF09919U) to remove made to provide absolute realism in the spinal needle. stubborn stains. Spray soiled area and the simulator so that the visual and tac- wipe with soft cloth or paper towels. tile sensations in working with the unit Cerebral-spinal fluid measurements 5. Remove yellow ligament by pulling provide a positive transition to patient can be taken using a standard it away from bone. procedures. manometer. Cautions Internal Structure Caudal anesthesia techniques may be The Spinal Injection Simulator consists practiced on the simulator by inserting Do not use a hypodermic needle of two basic parts. The first part, or needles into the epidural space. The larger than 20 gauge. Keep needles inner core, is a clear lucite window spinous process of the fifth sacral as sharp as you would for a patient. in which the first and second lumbar vertebrae is not used in the simulator, Large bore and dull needles cause vertebrae are prominently displayed. leaving a slit-like aperture, the sacral excessive wear to unit. It also includes the intervertebral disc, hiatus, between the two sacral cornua. the nerve roots, the ligamentum flavum, Lumbar sympathetic and sacral nerve and lumbar sympathetic chain. blocks may be practiced with good Supplies/Replacement Parts For The second part of the simulator is the landmarks. Objective signs of com- Spinal Injection Simulator functional unit. This incorporates all plete sympathetic blocks are not pos- Assembly of Removable Parts soft tissue and bony structures from sible with the unit. LF09919U Nasco Cleaner the level of the third lumbar vertebrae 1. Replace yellow ligament. A Spinal Replacement Kit (LF01039U) LF00985U Life/form® Lubricant Kit down to the tip of the coccyx. 2. Replace foam pad. There are is also offered separately. This kit three alignment holes in back of LF01039U Spinal Replacement Kit List of Components allows field changing of the simulator pad which should cover the pro- with Skin, Musculatures, • Fluid Bag with Special Adapter skin in less than five minutes. No tools truding bone of the vertebrae. and Spinal Cord • 2-oz. Bottle of Lubricant are necessary. 4 1

NP161_83_LF01036.indd 3 8/11/15 12:10 PM Other Available Simulators LF00698U Adult Injectable Arm (Light) LF01174U NG Tube & Trach Skills LF00855U Male Catheterization LF01184U Venatech IM & Sub Q LF00856U Female Catheterization LF01193U Special Needs Baby LF00901U Prostate Examination LF03000U CPARLENE® Series LF00906U Ostomy Care LF03601U Adult Airway Management LF00929U Surgical Bandaging Trainer with Stand LF00957U Enema Administration LF03602U Adult Airway Management LF00958U Pediatric Injectable Arm Manikin LF00961U Intramuscular Injection LF03609U Child Airway Management LF00984U Breast Examination Trainer with Stand LF00995U Arterial Puncture Arm LF03616U Child CRiSis™ Manikin Spinal Injection Simulator LF00999U Pediatric Injectable Head LF03617U Deluxe Child CRiSis™ LF01005U First Aid Arm Manikin with Arrhythmia Tutor LF01008U Intradermal Injection Arm LF03620U PALS Update Kit LF01036U LF01012U Heart Catheterization (TPN) LF03623U Infant Airway Management Trainer with Stand LF01019U Ear Examination LF03632U Child Intraosseous Infusion/ LF01027U Peritoneal Dialysis Instruction Manual Femoral Access Leg on a Stand LF01028U Suture Practice Arm LF03633U Child Airway Management LF01034U Suture Practice Leg Trainer Torso LF01036U Spinal Injection LF03693U Basic Buddy® CPR Manikin LF01037U Hemodialysis Practice Arm LF03699U “Airway Larry” Airway LF01038U Episiotomy Suturing Set Management Trainer LF01042U Suture Kit LF03709U Infant CRiSis™ Manikin LF01062U Pelvic, Normal & Abnormal LF03720U Baby Buddy™ Infant CPR Manikin LF01063U Stump Bandaging, Upper LF03750U Bariatric CPR Manikin LF01064U Stump Bandaging, Lower LF03770U Chest Tube LF01069U Cervical Effacement LF03953U CRiSis™ Manikin, Complete LF01070U Birthing Station LF03955U Deluxe CRiSis™ Manikin LF01082U Cricothyrotomy LF03956U Deluxe “Plus” CRiSis™ Manikin LF01083U Tracheostomy Care LF03965U Adult CRiSis™ Auscultation LF01084U Sigmoidoscopic Manikin Examination LF03966U Adult CRiSis™ Auscultation LF01087U Central Venous Cannulation Manikin with ECG Simulator LF01095U Blood Pressure Arm LF04000U GERi™/KERi™ Manikin Series LF01108U Infant Intraosseous Infusion LF04200U Adult Sternal Intraosseous LF01121U Advanced IV Arm Infusion LF01131U Venipuncture and Injection Arm LF06001U CPR Prompt® Adult/Child LF01139U Advanced IV Hand Manikin LF01142U Auscultation Trainer LF06012U CPR Prompt® Infant Manikin LF01143U Testicular Exam LF06200U CPR Prompt® Keychain LF01152U Male & Female Catheter Rescue Aid LF01155U Advanced CPR Dog LF06204U CPR Prompt® Rescue and LF01162U Venatech IV Trainer Practice Aid

NP161_83_LF01036.indd 1 8/11/15 12:10 PM