NOELLE S554.100 |
User Manual
Working with NOELLE | 47
Fundal Massage and Postpartum Hemorrhage
To setup NOELLE for uterine bleeding and a fundal massage exercises:
1.
Set the uterine pressure
to 1% and the contrac-
tion intensity to zero.
WARNING: Do not install the
uterine insert before adjusting
uterine pressure and contrac-
tion intensity. Doing so may
overinflate the uterus and
damage the unit.
2. Connect the uterus air hose
to the port located near the
top of the abdomen.
3. Connect the uterine hemor-
rhage port to the fluid port
located inside the abdomen.
The postpartum uterine assembly consists of a thin outer uterine skin
and a smaller, harder inner uterus. It also contains a filling tube to stream
the simulated blood through the assembly and out the vulva. The white
Velcro® patch on the fundus may be used to position the uterus at various
orientations within the abdominal cavity.
4. Secure the end of the uterus inside the wall of the birth canal.
WARNING: Ensure that there is a tight seal around the end of the
uterus inside the birth canal wall to prevent fluid from hemorrhaging
inside the abdominal cavity. Do not allow fluid to accumulate inside
the abdomen.
5. Install the elevating pillow
underneath the uterus. Pump
the pressure bulb on the
elevating pillow to adjust the
height of the uterus if needed.
6. Attach the abdominal cover to
NOELLE’s torso.
7.
Set the Uterine hemor-
rhage control to “ON”” and
click NOW from the Apply
menu.
8. Trend the boggy uterus pressure once the hemorrhaging is turned on
Instruct the provider to perform
bimanual massage to shrink the
“boggy” uterus into a smaller and
firmer condition.
9. Turn hemorrhaging off
when the uterine pressure is
reached.
Cleaning the PPH System
Clean PPH reservoir at the end of the simulation session to prevent mold
or clogs from forming in the PPH vasculature.
WARNING: Always clean the reservoirs at the end of simulation. Do
not store the simulator with fluid in the reservoirs. Doing so may lead
to molding and damage to the internal electronics.
To clean and dry the PPH reservoir and vasculature:
1.
Power on the simulator and verify the PPH features are off.
2. Fill the filling syringe with distilled water.
3. Fill the PPH reservoir with clean water.
Summary of Contents for NOELLE S554.100
Page 2: ......
