IngMar Medical 420-11955, User Manual

Page 1: ...USA Toll Free 1 800 583 9910 International 1 412 441 8228 support ingmarmed com Part No 80 31 800 User Manual for ASL 5000 Lung Solution Rev 12 IngMar Medical LLC 2020 ...

Page 2: ...chael Bails Rev 2 4 14 2017 Michael Bails Rev 3 4 24 2017 Michael Bails Rev 4 7 14 2017 Michael Bails Rev 5 9 11 2017 Michael Bails Rev 6 12 13 2017 Michael Bails Rev 7 9 24 2018 Michael Bails Brian Linn Rev 8 5 3 2019 Michael Bails Rev 9 5 28 2019 Michael Bails Rev 10 11 6 2019 Michael Bails Rev 11 3 13 2020 Michael Bails Rev 12 7 15 2020 Michael Bails ...

Page 3: ...t charge if said defects occur during normal service Claims for damages during shipment must be filed promptly with the transportation company All correspondence concerning the equipment must specify both the model name and number and the serial number as it appears on the equipment Improper use mishandling tampering with or operation of the equipment without following specific operating instructi...

Page 4: ...ER WARRANTIES EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY FITNESS FOR ANY PARTICULAR PURPOSE OR NONINFRINGEMENT IngMar Medical LLC shall not be liable for nor shall buyer be entitled to recover any special incidental or consequential damages or for any liability incurred by buyer to any third party in any way arising out of or relating to the goods Trademarks Si...

Page 5: ...tation and the License if a you deliver to the transferee the Software and Documentation including updates and upgrades supplied by this Agreement b notify IngMar in writing of such transfer and c destroy any archival backup copy A transfer immediately terminates the License You agree that the transferee must expressly accept all terms and conditions of this Agreement 3 YOU MAY NOT COPY THE SOFTWA...

Page 6: ...orth in subparagraph c of the Rights in Technical Data and Computer Software clause at DFARS 252 227 7013 or subparagraphs c 1 and 2 of the Commercial Computer Software Restricted Rights at 48 CFR 52 227 19 as applicable IngMar Medical LLC is the Contractor and is located at 5940 Baum Blvd Pittsburgh PA 15206 EXPORT RESTRICTIONS The program or underlying information or technology may not be instal...

Page 7: ...ion Environment 20 3 2 2 Preparing the Network Configuration 21 3 2 2 1 Connection Using SimMan in AP Mode not SimMan ALS 22 3 2 2 2 Connection Using SimMan in Client Mode not SimMan ALS 25 3 2 2 3 Connection Using SimMan in Client Mode when the ASL 5000 requires a unique IP address not SimMan ALS 28 3 2 2 4 Connection Using SimMan as Virtual Simulator Local Computer with a Physical ASL 5000 Breat...

Page 8: ...ct Control buttons 51 5 2 2 Configure Button 52 5 2 3 ASL 5000 Firmware Updates 56 5 3 ASL QUICKCHOICE MENU 57 5 4 ASL MONITOR 64 5 5 ASL EQUATION OF MOTION 66 5 6 ASL LUNG MODEL CONTROL 67 5 6 1 Advanced Single Compartment Lung Model 68 5 6 2 Advanced Two Compartment Lung Model Equal Resistance Rin Rout 68 5 6 3 Advanced Single Compartment Lung Model Unequal Resistance Rin Rout 69 5 6 4 Advanced ...

Page 9: ... observe all INSTRUCTIONS WARNINGS and CAUTION statements in this manual If the product is not used as instructed the safety protection provided may be impaired WARNING Indicates a potentially harmful condition that can lead to personal injury CAUTION Indicates a condition that may lead to equipment damage or malfunction NOTE Indicates points of interest or emphasis for more efficient or convenien...

Page 10: ...ect control of the ASL 5000 as well as the ability to use LLEAP s existing Airway Breathing window controls NOTE In this manual the name SimMan applies to SimMan 3G SimMan Essential SimMan Essential Bleeding SimMan Trauma and SimMan ALS unless otherwise stated The software provided for the Lung Solution is designed for LLEAP version 6 3 or greater for the SimMan manikins and 6 7 or greater for Sim...

Page 11: ...s already available with these manikin simulators This includes the ability to ventilate the patient with a wide range of lung resistance compliance and spontaneous breathing parameters The ASL 5000 can hold large amounts of PEEP 20 cmH2O and is able to exert and receive large volumes up to 2 5L of tidal volume 2 1 Lung Adapter for the SimMan Once installed the Lung Adapter can be left in place as...

Page 12: ...manikin family A 15mm side port next to the RJ45 Ethernet connector provides the link between the SimBaby and the ASL 5000 When the ASL 5000 is not required for simulations a plug is included directing the flow of air into the baby lungs Figure 2 2 SimBaby and Plug Location 2 3 Lung Adapter for Nursing Anne With the release of LLEAP software version 6 7 Nursing Anne can now be integrated with the ...

Page 13: ...indow also displays connection status and controls the simulation with Play Pause and Stop functionality Figure 2 4 ASL Session Control ASL Quick Choice Menu This window provides predefined patient types and disease states The window gives the user easy access to various lung airway diseases with the ability to adjust the severity of those diseases Simply click on a disease click apply and adjust ...

Page 14: ...he user can create a more complex dual lung model which can include but is not limited to variations in inspiratory versus expiratory resistance Figure 2 6 ASL Lung Model Control ASL Breath Effort Control This window has basic settings for Breath Rate and Muscle Pressure patient effort required to take a breath the driving force for volume in the lungs Switch to the Advanced view and create a comp...

Page 15: ... below a change will transition over 4 breaths Figure 2 8 Breaths Per Change ASL Monitor This window provides feedback from the point of view of the lung The window includes waveforms for lung pressure flow and volume Also displayed are relevant breath parameters including PEEP PIP and Tidal Volume Figure 2 9 ASL Monitor ASL Equation of Motion This window provides a graphical representation of the...

Page 16: ...gin software Therefore only the SimBaby Lung Adapter external tubing is required For Nursing Anne the conversion kit does not include a selector switch Because the software is designed as an add on to the LLEAP environment the user can access any of the ASL 5000 windows via the file menu View dropdown Figure 2 11 ASL 5000 Window Access Each of the ASL windows allows for direct control of the ASL 5...

Page 17: ...L Default Layout To improve the simulation experience IngMar Medical has also created a custom view for the Respiratory themes provided by LLEAP called IngMarUnhealthy These include Adult Respiration Asthma Adult Respiration Morphine Overdose Adult Respiration Pneumothorax Figure 2 13 ASL Unhealthy Layout ...

Page 18: ...elector Plate 1 With the thumb and a finger hold the bottom of the selector using the crescent shape cutouts 2 Pull up on the knob to separate the top and bottom of the Selector allowing the top of the Selector to rotate 3 Turn the selector to ASL or SIM mode 4 Push the top and bottom of the Selector together to make a secure connection CAUTION Do not try to unscrew the knob from the Selector The ...

Page 19: ...ed plug Insert the 90 elbow from the external tubing into the ASL port Insert other end of the external tubing into the ASL 5000 simulator Close the SimMan Figure 3 2 ASL Option 3 1 3 ASL 5000 Operation Switching from ASL to SIM Set the selector to SIM The indicator next to the SIM label should be green If applicable remove the 90 elbow and external tubing from the SimMan Insert the external orang...

Page 20: ...r can be connected to run the enhanced respiratory simulations within the LLEAP software environment 3 2 1 Preparing the Simulation Environment Prior to zipping the side skin of the manikin plug the 22mm 90 elbow adapter into the external ASL port and close the SimMan If the orange red plug is not tethered to the Lung Adapter make sure to store the plug when the ASL 5000 is not in use Figure 3 4 E...

Page 21: ...SimMan network is configured connect the ASL 5000 and the SimMan in one of the configurations as recommended below CAUTION Please assure that the order of operations is followed If the ASL 5000 is turned on before a functioning network is connected the ASL will not obtain an IP address and thus not connect to LLEAP NOTE The SimMan ALS does not have an internal network router This manikin has a sim...

Page 22: ...ss 3 AFTER the SimMan is breathing and its eyes are blinking turn on the ASL 5000 Figure 3 7 ASL Power and Ready States 4 After the red light on the front of the ASL 5000 is OFF 30 seconds start the LLEAP software 5 From the View menu open the IngMarDefault layout to view the six 6 ASL windows 6 Locate the ASL Session Control tab which will share the window with LLEAP s Session Control Figure 3 8 ...

Page 23: ...indow Figure 3 9 Configuring Ethernet Connection 8 Click on Device ID 9 Type the ASL serial number into the Device ID field 10 Ignore the IP field and the Static IP button 11 Click Done Figure 3 10 Selecting ASL by Serial Number Type ASL serial number found on rear of ASL Click Okay Click Done Click Configure Click Connection Settings Click Ethernet Do Not Use ...

Page 24: ...nection Figure 3 11 Connecting to ASL by Serial Number 13 The ASL 5000 when connected makes an audible wiggle as part of its initialization 14 On the ASL Session Control or LLEAP Session Control windows click the button to start a simulation Press Connect to establish connection Unconnected Connecting Connected ...

Page 25: ...r ON and wait until the system has completed its booting process 4 AFTER the SimMan is breathing and its eyes are blinking turn on the ASL 5000 Figure 3 13 ASL Power and Ready State 5 After the red light on the front of the ASL 5000 is OFF 30 seconds open the LLEAP software 6 From the View menu open the IngMarDefault layout to view the six 6 ASL windows 7 Locate the ASL Session Control tab which w...

Page 26: ... IngMar Medical LLC 2020 Figure 3 14 IngMarDefault Layout 8 Configure the ASL 5000 connection Settings in the ASL Session Control window Figure 3 15 Configuring Ethernet Connection ASL Session Control Click Okay Click Connection Settings Click Ethernet Click Configure ...

Page 27: ... 3 16 Selecting ASL by Serial Number 13 Complete the connection Figure 3 17 Connecting to ASL by Serial Number 14 The ASL 5000 when connected makes an audible wiggle as part of its initialization 15 On the ASL Session Control or LLEAP Session Control windows click the button to start a simulation Press Connect to establish connection Type ASL serial number found on rear of ASL Click Done Do Not Us...

Page 28: ...net cable from ASL 5000 to a network via wall jack for example OR Figure 3 18 Ethernet Cabling 3 Turn the SimMan power ON and wait until the system has completed its booting process 4 AFTER the SimMan is breathing and its eyes are blinking turn on the ASL 5000 Figure 3 19 ASL Power and Ready State 5 After the red light on the front of the ASL 5000 is OFF 30 seconds open the LLEAP software 6 From t...

Page 29: ... IngMar Medical LLC 2020 Figure 3 20 IngMarDefault Layout 8 Configure the ASL 5000 connection settings in the ASL Session Control window Figure 3 21 Configuring Ethernet Connection ASL Session Control Click Okay Click Connection Settings Click Ethernet Click Configure ...

Page 30: ...tton 12 Click Done Figure 3 22 Selecting ASL by IP Address 13 Complete the connection Figure 3 23 Connecting to ASL by IP Address 14 The ASL 5000 when connected makes an audible wiggle as part of its initialization 15 On the ASL Session Control or LLEAP Session Control windows click the button to start a simulation Press Connect to establish connection Unconnected Connecting Connected Click Done T...

Page 31: ...able from the LAN port of the SimMan to the Ethernet port of ASL 5000 OR 2 Connect an Ethernet cable from ASL 5000 to a numbered port on an external router OR 3 Connect an Ethernet cable from ASL 5000 to a network via wall jack for example 4 If using the SimMan as the network in AP mode using the Virtual Simulator via LLEAP turn the SimMan power ON and wait until the system has completed its booti...

Page 32: ...e of the compatible manikin simulators Figure 3 25 LLEAP Available Manikins 9 From the View menu open the IngMarDefault layout to view the six 6 ASL windows 10 Locate the ASL Session Control tab which will share the window with LLEAP s Session Control Figure 3 26 IngMarDefault Layout ASL Session Control ...

Page 33: ...ny of the configurations from the options above 12 Make sure the Manikin Attached toggle is in the OFF position not green as shown in the image below Figure 3 27 Manikin Compensation Toggle 13 The ASL 5000 when connected makes an audible wiggle as part of its initialization 14 On the ASL Session Control or LLEAP Session Control windows click the button to start a simulation ...

Page 34: ...standard SimMan configuration for simulations not requiring the enhanced respiratory option requires the following steps Unzip the side skin of the manikin and remove the 22mm elbow adapter Switch the Selector to SIM mode Insert the red orange external plug and zip the side skin Figure 3 28 External Plug for SIM Mode Plug tethered to left manifold ...

Page 35: ...below will identify the differences between each manikin setup 4 1 Preparing SimBaby for use with the ASL 5000 4 1 1 SimBaby with ASL 5000 Operation On the SimBaby right side from the perspective of the baby separate the skin where the Ethernet adapter is located Remove the rubber plug DO NOT DISCARD Figure 4 1 Plug for Operation without ASL 5000 Insert the 15mm elbow connector from the Lung Adapt...

Page 36: ...or from the side port of the SimBaby Figure 4 4 Remove 15mm Adapter Insert rubber plug into side port of SimBaby Figure 4 5 Insert Rubber Plug 4 2 Preparing Nursing Anne for use with the ASL 5000 Nursing Anne has a 15mm connector protruding from the hip of the manikin Connect this to a 22mm tube to the ASL 5000 Figure 4 6 Connecting Nursing Anne to the ASL 5000 ...

Page 37: ... latest ASL 5000 LLEAP plugin prior to configuring the connection SimBaby SimMan ALS Nursing Anne do not have an internal router that can be placed in AP or Client mode The manikins can operate wirelessly or can be connected directly to a network via an Ethernet cable If using an external router IngMar Medical LLC recommends the following minimum specifications Support 802 11n minimum 802 11ac pre...

Page 38: ... router b Network via wall jack or switch 2 Connect an Ethernet cable from the ASL 5000 to the same option as listed above NOTE Configure the SimBaby SimMan ALS Nursing Anne to the same network as the ASL 5000 using the LLEAP Simulator Firmware Network Wizard OR Figure 4 7 Ethernet Cabling 3 Turn on the SimBaby SimMan ALS Nursing Anne and the ASL 5000 4 AFTER the red light on the front of the ASL ...

Page 39: ...Ready State 5 From the View menu open the IngMarDefault layout to view the six 6 ASL windows 6 Locate the ASL Session Control tab which will share the window with LLEAP s Session Control Figure 4 9 IngMarDefault Layout ASL power switch rear of system Wait for red light to turn OFF for system ready ASL Session Control ...

Page 40: ...indow Figure 4 10 Configuring Ethernet Connection 8 Click Device ID 9 Type the ASL 5000 serial number into the Device ID field 10 Ignore the IP field and the Static IP button 11 Click Done Figure 4 11 Selecting ASL by Serial Number Click Okay Click Connection Settings Click Ethernet Click Configure Type ASL serial number found on rear of ASL Click Done Do Not Use ...

Page 41: ...nection Figure 4 12 Connecting to ASL by Serial Number 13 The ASL 5000 when connected makes an audible wiggle as part of its initialization 14 On the ASL Session Control or LLEAP Session Control windows click the button to start a simulation Unconnected Connecting Connected Press Connect to establish connection ...

Page 42: ... an external router b Network via wall jack for example 2 Connect an Ethernet cable from the ASL 5000 to the same option as listed above NOTE Configure the SimBaby Nursing Anne to the same network as the ASL 5000 using the LLEAP Simulator Firmware Network Wizard OR Figure 4 13 Ethernet Cabling 3 Turn on the SimBaby SimMan ALS Nursing Anne and the ASL 5000 4 AFTER the red light on the front of the ...

Page 43: ...Ready State 5 From the View menu open the IngMarDefault layout to view the six 6 ASL windows 6 Locate the ASL Session Control tab which will share the window with LLEAP s Session Control Figure 4 15 IngMarDefault Layout ASL power switch rear of system Wait for red light to turn OFF for system ready ASL Session Control ...

Page 44: ...e 4 16 Configuring Ethernet Connection 8 Click Network Address 9 Type the IP address provided by the customer into the Network Address field 10 Ignore the Device ID field and the Static IP button 11 Click Done Figure 4 17 Selecting ASL by IP Address Click Okay Click Connection Settings Click Ethernet Click Configure Click Done Type IP address provided by customer Do Not Use ...

Page 45: ...nnection Figure 4 18 Connecting to ASL by IP Address 13 The ASL 5000 when connected makes an audible wiggle as part of its initialization 14 On the ASL Session Control or LLEAP Session Control windows click the button to start a simulation Press Connect to establish connection Unconnected Connecting Connected ...

Page 46: ...defined above The computer running the LLEAP software MUST be connected to the same network as the ASL 5000 same IP subnet 1 Connect an Ethernet cable from ASL 5000 to a numbered port on an external router OR 2 Connect an Ethernet cable from ASL 5000 to a network via wall jack for example 3 Turn on the ASL 5000 4 AFTER the red light on the front of the ASL 5000 is OFF 30 seconds open the LLEAP sof...

Page 47: ...n ALS or Nursing Anne option as it is the only compatible manikin Figure 4 20 Select Option 7 From the View menu open the IngMarDefault layout to view the six 6 ASL windows 8 Locate the ASL Session Control tab which will share the window with LLEAP s Session Control Figure 4 21 IngMarDefault Layout ASL Session Control ...

Page 48: ...ny of the configurations from the options above 10 Make sure the Manikin Attached toggle is in the OFF position not green as shown in the image below Figure 4 22 Manikin Compensation Toggle 11 The ASL 5000 when connected makes an audible wiggle as part of its initialization 12 On the ASL Session Control or LLEAP Session Control windows click the button to start a simulation ...

Page 49: ...y loading the LLEAP software with the additional ASL 5000 windows As stated above in the Overview Section 2 1 each ASL 5000 window is accessible via the View Menu option The instructor can place the ASL 5000 windows into convenient positions within the LLEAP view IngMar Medical has created respiratory centered views for some of the themes defined in the LLEAP Select Theme window The following figu...

Page 50: ...50 Part No 80 31 800 User Manual for ASL 5000 Lung Solution Rev 12 IngMar Medical LLC 2020 Figure 5 2 Respiratory centered Healthy Patient Theme Figure 5 3 LLEAP Asthma Patient Theme ...

Page 51: ...www laerdal com 5 2 ASL Session Control 5 2 1 Connect Control buttons Figure 5 5 ASL Session Control The ASL Session Control window includes control of the ASL 5000 and simulation session 1 The Play button mimics the function of the same button in the LLEAP Session Control 2 The Pause button mimics the function of the same button in the LLEAP Session Control It also sets the ASL 5000 breath effort...

Page 52: ...ed toggle switch When ON green the software will compensate for the additional tubing between the ASL 5000 and the mouth of the manikin If the simulation does not require a manikin as in sections 3 2 2 4 and 4 2 3 above the Manikin Attached toggle should be se to OFF not green and a ventilator for example can be connected directly to the ASL 5000 The Show Total Volume toggle represents different w...

Page 53: ...esentative of the various compartments of the lung This includes Total Volume including volumes related to air trapping as well as left and right lung volumes if a 2 lung model is being used The pressure waveforms in addition to the airway and muscle pressure graphs include the left and right lung pressures The flow waveform is the same regardless of toggle position 5 8 Total Volume Toggle ON ...

Page 54: ...efined below As Measured Geometrical volume including compressible gas in the lung ATPD Ambient temperature variable and pressure variable dry no humidity BTPS Default Setting Body Temperature 37 C or 310 K and pressure generally same as ambient saturated 47 mmHg or 6 2 kPa STPD Standard temperature 0 C or 273 K and pressure 760 mmHg 101 33 kPa or 100 kPa 750 06 mmHg dry no humidity SPD T 20 Stand...

Page 55: ...sing a static IP address by clicking manually assigning IP address for ASL 5000 Figure 5 11 ASL Configurator in Ethernet Mode Figure 5 12 ASL Configurator Ethernet Options The Static IP Config option directly assigns an IP address to the ASL 5000 If this option is used the software will search for the first connected ASL 5000 and set the IP address to the address defined by the user Figure 5 13 St...

Page 56: ... a newer version of firmware internal to the lung simulator if a new software is released When clicking the Connect Disconnect button the following prompt will open Figure 5 14 Firmware Update Prompt Click to allow the upload to take place This brings up details about the firmware update Figure 5 15 Firmware Update Details Click and the upload process will begin Once complete the user will be prom...

Page 57: ...enu is a great starting point for working with the SimMan family SimBaby and Nursing Anne with the ASL 5000 through the LLEAP software interface NOTE The SimBaby QuickChoice Menu operates exactly in the same manner as the SimMan and Nursing Anne QuickChoice Menu Figure 5 17 ASL QuickChoice Menu 1 Select a Patient Type and Lung Model by clicking the appropriate eggs then clicking 2 The selected Lun...

Page 58: ...ngMar Medical LLC 2020 Figure 5 18 ASL QuickChoice Menu 3 When selecting a disease other than Normal the user can adjust the severity of the disease 4 At any time during the simulation the patient can be set to become completely passive by clicking the Apnea switch 3 4 ...

Page 59: ...5 55 125 35 30 20 20 Adult ARDS Compliance Resistance Patient Rate Effort Rise Release Mild 40 21 25 7 35 10 Moderate 25 35 30 10 40 20 Severe 10 40 40 20 30 10 Adult COPD Compliance Insp Exp Resistance Patient Rate Effort Rise Release Mild 50 17 20 12 4 20 15 Moderate 53 26 28 22 8 35 30 Severe 53 26 28 30 5 35 42 Adult ILD Compliance Insp Exp Resistance Patient Rate Effort Rise Release Severe 18...

Page 60: ...er inspiratory resistance than what the QuickChoice model provides see Severe Adult Asthma in the table above The user can make changes directly to the Lung Model and Breath Effort windows and see the resulting waveforms in the ASL Monitor window Once a satisfactory response is created the user can click the button This will prompt the user for a custom model name Figure 5 19 Save Custom Model Pro...

Page 61: ...stom Disease States Delete any unwanted custom disease states by clicking the file name and pressing the delete key on a keyboard This will open prompt confirming the deletion Figure 5 21 Deleting Custom Disease State The QuickChoice window gives the user the ability to import and export custom lung models ...

Page 62: ...s Click the model to export from the Available Models Clicking the right facing arrow will shift the selected models to the Models to Export field More than one model can be exported at a time When the models are ready to export click the button which will open a navigation window with the default MyPatientModels pat filename and format Figure 5 23 Exporting Lung Models Clicking the Save button wi...

Page 63: ... the filename pat and click Open Figure 5 25 Importing Lung Models The Import Custom Lung Models window opens Figure 5 26 Import Custom Models Click the model to import from the Available Models Clicking the right facing arrow will shift the selected models to the Models to Import More than one model can be imported at a time Clicking the button will confirm the import is complete with the followi...

Page 64: ...eters are also monitored and are updated upon the completion of a patient breath Set the view Tidal or Total volume from the button in the ASL Session Control window 5 28 Toggle OFF showing Tidal Volume 1 Pressure waveforms include airway external and muscle spontaneous breathing 2 Flow is the total flow in the system 3 Volume waveforms are based on Tidal Volume and always return to a zero baselin...

Page 65: ...Volume waveforms include total right and left lung volumes as well as a representation of air trapping or breath stacking due to PEEP or lung mechanics resistance or compliance 4 At any time during the simulation click Freeze to freeze the waveform view for debriefing purposes 5 Seven 7 breath parameters provide lung details that may be essential to a simulation The Tidal Volume calculation is bas...

Page 66: ...Paw is external pressure sensed by the ASL 5000 in cmH2O Volume is in mL C is lung compliance in mL cmH2O Flow is in L min and R is airway resistance in cmH2O L s 2 The left side of the equation is shown in the top graph 3 The right side of the equation is shown in the bottom graph 4 Click the Freeze button to freeze the waveform view for debriefing purposes Figure 5 31 Equation of Motion Last Bre...

Page 67: ...n also double click the number inside and directly type a value a SimMan Nursing Anne total compliance range is from 0 5 250 mL cmH2O b SimBaby total compliance range is from 0 5 15 mL cmH2O 3 Breaths per Change slider is used to adjust the number of breaths used to transition from an existing value to the new set value e g Set compliance from 50 to 10 with 5 Breaths per Change it will gradually r...

Page 68: ...r Medical LLC 2020 5 6 1 Advanced Single Compartment Lung Model Figure 5 33 Lung Model Simplified Lung Model 1 Compartment with Equal Resistances 5 6 2 Advanced Two Compartment Lung Model Equal Resistance Rin Rout Figure 5 34 Lung Model 2 Compartment with Equal Resistances ...

Page 69: ...anced Single Compartment Lung Model Unequal Resistance Rin Rout Figure 5 35 Lung Model 1 Compartment with Resistance_in not equal to Resistance_out 5 6 4 Advanced Two Compartment Lung Model Unequal Resistance Rin Rout Figure 5 36 Lung Model 2 Compartment with Resistance_in not equal to Resistance_out ...

Page 70: ... type a value a SimMan Nursing Anne muscle pressure range is from 0 100 cmH2O b SimBaby muscle pressure range is from 0 30 cmH2O NOTE A value of zero 0 Muscle Pressure represents a passive paralyzed or apneic patient It is also important to note that this cannot be accomplished by setting the Rate to zero The ASL 5000 does not allow a Rate of zero but does allow a muscle pressure of zero 2 Rate kn...

Page 71: ...sure 6 Insp Release Time percent of total breath time for release of the negative muscle pressure similar to the passive component of e time 7 Exp Muscle Pressure maximum positive pressure in the lung forced exhalation It is recommended that when setting an Exp Muscle Pressure the Insp Release Time should be set to zero 8 Exp Rise Time percent of total breath for rise to peak positive muscle press...

Page 72: ...Resolution Check all connections Make sure the SimMan is properly configured in AP or Client mode Check to see that the computer running LLEAP is receiving an IP address from SimMan or the external router network for the SimBaby SimMan ALS Nursing Anne connection This can be done by opening the command prompt and typing ipconfig Contact your Laerdal representative if the problem persists 6 3 Red L...

Page 73: ...73 Part No 80 31 800 User Manual for ASL 5000 Lung Solution Rev 12 IngMar Medical LLC 2020 2020 IngMar Medical LLC www ingmarmed com ...