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TM
SimMan 3G
Technical Service Manual

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Table of Content
About this manual
Other applicable documents
1.0 General product Overview
1.1 SimMan 3G Simulator and System
1.2 Technical Specifications
1.3 Regulatory Information
2.0 Tour of the Simulator
2.1 External Connections and Vascular Access
2.2 Overview for Blood and fluid Outputs
2.3 Overview Pulses
2.4 Internal System Overview
2.5 Speaker and Sound System Overview
3.0 Functional Description
3.1 General Overview, Functions & Electronics
3.2 Compression System
3.3 CO2 System
3.4 Bleeding & Fluid System
3.4.1 Bleeding System Pelvis
3.4.2 Fluid distribution Unit Pelvis
3.5 Lung Module
3.5.1.1 Compliance
3.5.1.2 Restriction
4.0 Functional Verification
4.1 Battery Operation
4.2 Battery change
4.3 Battery – Heat warning
4.4 How to access the Test Utility Program
4.5 Test Utility Program
4.5.1 Head
4.5.2 Arm
4.5.3 Valve
4.5.4 Leg
4.5.5 Vital Signs
4.5.6 Sounds
4.5.7 Comp/Vent
4.5.8 Pulses
4.5.9 Versions
4.5.10 Power
4.5.11 Defib/Pacing
4.5.12 Test
4.5.13 Bootloader
4.5.14 Autotest
4.5.15 Debug
4.6 Manikin statistics
5.0 Interconnection System
5.1 Cable Connections between circuit boards
5.2 Base Board cable connections
5.3 Head Board cable connection
5.4 Valve Board cable connections
5.5 Xxx
5.6 Compressor Board cable connections
5.7 Drug registration Board cable connections
5.8 Tubing in Head, air distribution

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6.0 Exploded views


6.1 Head Assembly
6.2 Skull Lower Assembly
6.3 Eye Assembly
6.4 Airway Assembly
6.5 Neck Assembly
6.6 Thorax Right Assembly 1
6.7 Thorax Right Assembly 2
6.8 Thorax Right Assembly, total
6.9 Thorax Left Assembly, total
6.10 Thorax Base plate Assembly, first step
6.11 Thorax Base plate Assembly, with cables
6.12 Thorax Base plate Assembly, w/ Base Board
6.13 Back Cover Assembly, w/speakers
6.14 Torso (back) Assembly
6.15 Torso (front) Assembly
6.16 Compression Spring Assembly
6.17 Compression Plate Assembly
6.18 Chest Assembly
6.19 Torso Assembly, total
6.20 Torso Assembly w/ Pelvis and Stomach, complete
6.21 Left Leg Assembly
6.22 Leg Right Assembly
6.23 Pressure Tank
6.24 Lower Right Leg Assembly
6.25 Compressor Assembly
6.26 Left Arm, BP Arm Assembly, complete
6.27 Left Arm w/pulse skins
6.28 Right Arm, IV Arm Assembly, complete
6.29 Flow meter Assembly
6.30 IV Arm w/antenna
7.0 Networking and Communication System
7.1 Networking Overview
7.2 Communication System

ATTACHMENT I SimMan 3G Simulator Final Service Test Check List


ATTACHMENT II Service Parts – SimMan 3G
ATTACHMENT III Graphical User Interface - GUI
ATTACHMENT IV SimMan 3G Troubleshooting Guide

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About this manual


The information provided in this manual is limited to what is required for
checking, maintaining and repairing of the SimMan 3G manikin. This service
manual provides a general understanding of the design and function of the
manikin and it associated peripherals as well as information on the mechanical
assembly of the manikin.
Please note that the Direction for Use manual provided with every new manikin
should be consulted for detailed information on use of the product.

Note
To be able to read schematics and drawings in detail, this manual includes some
pages in which need to be printed in A3 format.

Other Applicable Documents

Note
Service of the SimMan 3G simulator should only be performed by authorized
service personnel. Service by others may invalidate the warranty of the product.

Warnings (For a complete list of Cautions and Warnings, see Directions for Use)

Defibrillation of the manikin must only be performed on the specified


defibrillation connectors. Do not perform more than three defibrillation
discharges (max 360J) in sequence. Take all standard precautions when
handling defibrillators.

Do not open the air compressor with compressed air in the tank; always
drain the compressed air before service.

The compressor has to be switched OFF when filling the reservoir with fluid
or simulated blood.

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1. GENERAL PRODUCT OVERVIEW

1.1.

The SimMan 3G system is based upon a modular system architecture in which a


variety of software and hardware components communicate using standard
internet & network technology. The SimMan 3G manikin itself is a complete self
contained system, which doesn´t require physical connections to any hardware.

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1.2.

Manikin Power:
External power: Input voltage: 24VDC, 6.25A
Internal batteries (two): 14.8V, 4.6Ah, Lithium –Ion
Battery capacity Normal Patient**:
5°C : 4h 20 min
Room temperature: 4h 15 min
40° : 3h 10 min
Battery capacity Worst case Patient***:
5°C: 3h 35 min
40°C: 3h 10 min

**Healthy patient: Auto Mode


– Healthy Patient 3G

***Worst case: Auto mode


- Healthy patient 3G
- Compliance:3
- Breathing: 60
- Convulsion: Tonic
- Sounds: Cough (set on repeat)
- Right arm pulse: Activated
- Trismus activated
- Swallowed tongue activated
- Decreased cervical activated

CAUTION: Only use external power adaptors and batteries approved for SimMan
3G by Laerdal Medical.

Air/CO2 pressure:
Internal air tank: max 1.4 bar
External air connection: max 1.4 bar
External CO2: max 1.4 bar
RF Communication Frequencies
WLAN frequency ranges: 2.4 GHz WLAN, typically channels 1-11
Operation range: 100m (300ft) max
NOTE WLAN transmissions can be disabled
RFID frequency range: 13,56 MHz
Operational range:< 0,2m
NOTE RFID transmission cannot be disabled
Weight and size (including batteries)
Manikin: 45kg (99 lbs)
Complete system with cases: 70kg (154 lbs)
Dimensions (manikin only): 1750mm x 750mm x 350mm
Temperature Limits
Operating: +4°C - + 40°C (39°F to 104°F)
Storage*: -15°C - + 50°C (5°F to 122°F)
*Requires that all fluid containers and systems have been flushed with a
30% alcohol / distilled water solution, and then drained completely.
Environment – manikin only:
Relative humidity: 15 – 90 % RH (non condensing)
Indoor and moderate outdoor use (light rain)
NOTE Not tested with salt spray

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1.3.

1.3.1. Environmental Considerations


SimMan 3G falls within the scope of the EU Directive concerning ROHS.
This Directive restricts use of certain hazardous substances within
Europe. Laerdal Medical AS has gathered information from our suppliers
of components concerning ROHS restricted substances and has used
appropriated methods to ensure the accuracy of such information.

SimMan 3G contains electrical and electronic components. Dispose of it


at an appropriate recycling facility in accordance with local regulations.

The batteries used in SimMan 3G contain chemicals. Recycle the


batteries at an appropriate recycling facility in accordance with your
local regulations.

Both SimMan 3G and batteries are labeled with the symbol


indicating separate collection.

Applicable regulations:
EU Directive, 2002/95/EC, ROHS
EU Directive, 2002/96/EC, WEEE
EU Directive, 2006/66/EC, Batteries

1.3.2. Safety
Conformity with applicable safety requirements of the EU Directive
concerning Low Voltage for the SimMan 3G system have been based on
compliance with the relevant safety requirements defined by EN 60950-
1:2005.

Manufacturers of peripheral components of the SimMan 3G system have


independently declared compliance the safety requirements of the EU
Directive concerning Low Voltage and are eligible of carrying the EC
mark.

Conformity with relevant safety standards recognized by Canadian and


US regulatory bodies have been demonstrated through (c) CSA (us)
certification of peripheral components in the SimMan 3G system.

Applicable Regulations:
EU Directive, 2006/95/EC, Low Voltage
29 CFR 1910.301 - Occupational Safety and Health Standards –
Electrical Safety
Canadian Electrical Code, CAN/CSA 22.x

Relevant Safety Standards:


EN 60950-1:2006 - Information Technology Equipment – Safety
UL 60950-1 - Standard for Safety Information Technology
Equipment
CAN/CSA-C22.2 No. 60950-1 - Information Technology
Equipment – Safety

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1.3.3. Electromagnetic Compatibility (EMC)


Conformity with applicable protective requirements of the EU Directive
concerning EMC has been demonstrated by compliance with relevant
harmonized standard.

SimMan 3G is intended for use in the electromagnetic environment


specified in the tables below.

Applicable Regulations:
EU Directive, 2004/108/EC, EMC

1.3.3.1. Electromagnetic Immunity


IMMUNITY TEST COMPLIANCE LEVEL ELECTROMAGNETIC
ENVIRONMENT GUIDANCE

RF Electromagnetic 80-2000 MHz SimMan 3G may sometimes


Fields be susceptible to
3V/m (CP) interference from other RF
communication equipment
1kHz 80% AM interfere. In such instances
modulation increase the distance
between the SimMan 3G and
interfering RF transmitters.

Electrostatic 4kV contact* Observe precautions for


Discharge handling of electrostatic
8kV Air sensitive devices during
service and maintenance of
the manikin.

Relevant Technical Standards:


EN 61000-4-2, Electrostatic discharge immunity tests
EN 61000-4-3, Radiated, radio-frequency, electromagnetic
field immunity tests

1.3.3.2. Electromagnetic Emission


EMISSION TEST COMPLIANCE LEVEL ELECTROMAGNETIC
ENVIRONMENT GUIDANCE

Conducted 0.15 MHz – 1GHz SimMan 3G use RF energy


emission only for its internal function.
Therefore its RF emissions
are very low and are not
likely to cause any
Radiated emission interference in nearby
electronics equipment.*
Equipment class B

Harmonic Current Test method and limits:


Emission
EN 61000-3-2

Voltage Fluctuation Test method and limits:


and Flicker
EN 61000-3-3

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* NOTE: Intended radiation from RFID reader and WLAN adapter should be
taken into consideration when determining a suitable environment for SimMan
3G to be operated. See Section Radio Frequency Communication.

Relevant Technical Standards:


EN 301 489-01/03/17, EMC standard for radio equipment
and services; Part 1: Common technical requirements
EN 55022, Information technology equipment. Radio
disturbance characteristics. Limits and methods of
measurement
EN 61000-3-2, Limits for Harmonic Current Emission
EN 61000-3-3, Limitations of voltages changes, voltage
fluctuations and flicker

1.3.4. Radio Frequency Communication


SimMan 3G Radio Frequency Communication system incorporates;
Radio-frequency identification (RFID) receiver/antennas, and;
Wireless Local Area Network (WLAN) adapter.

Operating Maximum Radiated Operating


Frequency [Hz] Transmitting Range [meter]

Power [Watt]

RFID 13.56 MHz 1W < 0.2 m

WLAN 2.412 ~ 2.484 GHz 0.1 W < 100 m

(Channels 1-11)

802.11 b/g/n

RADIATION TEST COMPLIANCE LEVEL RADIO FREQUENCY COMMUNICATION


ENVIRONMENT GUIDANCE

RFID 42 dBuA/m @ 10 m GENERAL

Transmitter class 1 13.553 to 13.567 MHz Changes or modifications not expressly


approved by the party responsible for
Receiver class 3 Duty cycle: Up to 100% compliance could void the user's
authority to operate the equipment.
Antenna type 1

WLAN 20 dBm @ 3m
WLAN
2.4000 – 2.4835 MHz

Applicable Regulations:
EU Directive, 1999/5/EC, Radio and Telecommunications
Terminal Equipment (RTT&E)
47 CFR Part 15 – Radio Frequency Devices (FCC)

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1.3.4.1. European Directive 1999/5/EC – RTT&E


SimMan 3G complies with the essential requirements of the EU
Directive concerning RTT&E. Manufacturer’s Declaration of
Conformity is included in SimMan 3G Directions for Use.

WLAN adapter is declared by manufacturer (Gigabyte) to be in


compliance with RTT&E Directive and CE marked as an
individual component.

Relevant Safety Standard:


RFID: EN 300 330, Electromagnetic Compatibility and
Radio Spectrum Matters (ERM); Short Range Devices
(SRD) (9 kHz to 25 MHz)
WLAN: EN 300 328, Electromagnetic compatibility and
Radio spectrum Matters (ERM);Wideband Transmission
systems (2,4 GHz ISM band)

WLAN - SPECIAL CONSIDERATIONS

SimMan 3G will carry Class 2


equipment identifier for WLAN.

Countries in which SimMan 3G may be used freely:


Austria, Belgium, Denmark, Finland, Germany, Greece, Iceland,
Italy,
Ireland, Luxembourg, Netherlands, Norway, Portugal, Spain,
Sweden Switzerland and UK

Countries where usage of SimMan 3G is limited:


France: The use of other WLAN channels than the channels 10
through 13 is prohibited by local legislation.

1.3.4.2. 47 CFR Part 15 – Radio Frequency Devices


SimMan 3G is verified to comply with applicable requirements of
47 CFR Part 15.225. The measured RF emission of SimMan 3G is
found to be within the limits defined by Part 15.209: Maximum
Allowed Field Strength from an intended radiator (1.705~30
MHz): 30 microvolts/meter @ 30 meters

FCC ID: QHQ-212-00001

WLAN adapter installed in SimMan 3G has a separate FCC


modular approval. SimMan 3G is labeled with the FCC ID shown
below.

Contains FCC ID: JCK-GN-WB31N-RH

FCC APPROVAL - SPECIAL CONSIDERATIONS


Federal Communications Commission Statement
This device complies with part 15 of the FCC Rules. Operation is
subject to the following two conditions:
(1) this device may not cause harmful interference, and
(2) this device must accept any interference received, including
interference that may cause undesired operation.

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Caution
Changes or modifications not expressly approved by the party
responsible for compliance could void the user's authority to
operate the equipment.

1.3.5. Transportation
Transportation of Lithium batteries is regulated through different
regulations. Among the most prominent is the two regulations listed
below. The rechargeable Lithium Ion Battery Pack installed in SimMan
3G has found to comply with applicable requirements of

Relevant Regulations

49 CFR Part 173.185 - Lithium batteries and cells

NOTE: Additional local regulations for transportation may apply for


transportation of Lithium Batteries. Inform transport agency about
product containing Lithium batteries

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2. TOUR OF THE SIMULATOR

2.1.

Defibrillation
Connections

Sternal IO
Module

BP Cuff
IV
Catheter Refill Unit Blood

LAN Compressor
(Ethernet) /Regulator
/CO2 bottle
Power
Supply
Refill Unit Fluid

Intra Muscular
Injection (IM
Pad)

: ECG Connections (4)

: IM Pad (right buttock) Tibial IO


Module

Fig. 1

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2.2.

Fluid port, sweat


Fluid port, eyes
Fluid port, nose Fluid port, ears (both ears)
Fluid port, mouth

Blood port 1 Blood port 2

Blood port 3 Blood port 4

Urinary port
(internal)

Fig. 2

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2.3.

Carotid Pulse Carotid Pulse


(Right) (Left)

Brachial Pulse
(Left)

Radial Pulse Radial Pulse


(Right) (Left)

Femoral Pulse Femoral Pulse


(Right) (Left)

Dorsalis Pedis Dorsalis Pedis


(Right) (Left)

Posterior Tibial Pulse Posterior Tibial Pulse


(Right) (Left)
Fig. 3

Popliteal Pulse
(Right)
Popliteal Pulse
(Left)

Fig. 4

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2.4.
Head Board
Head Manifold

Eye Modules
Jaw
Antenna

Compression module
Lung modules

Flowmeter
Base Board
Position
sensor
System on Module
(SoM) PC Card
IV Arm Antenna
WLAN Dongle
RFID Sub assembly
- Antenna select Board
- Drug. Reg Board and Fluid Manifold
Convulsion Convulsion motor
motor

Air distr. unit


Valve Board

Fluid tank
w/Blood and Batteries
Fluid Bags

Compressor

Compressor
Board

Fig.5

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2.5.

Figure 6 illustrates Heart sounds locations:

1. RUSB – Aortic
2. LUSB – Pulmonary
3. LLSB – Tricuspid
4. Apex – Mitral
1 2
5. BP (Blood Pressure)

3
4
5

Fig. 6

Figure 7 illustrates Bowel sounds locations:

Fig. 7

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Figure 8 illustrates the two microphones located in the ears, and


the vocal speaker in the head.

Vocal speaker

Microphone (2)

Fig. 8

Torso Anterior (front) is illustrated with lung speakers in Figure 9:

1 2 1. RU – Right Upper Lobe


2. LU – Left Upper Lobe
3. RM – Right Middle
3 4. RLL – Right Lower Lobe
5. LLL – Left Lower Lobe
4 5

Fig. 9

Torso Posterior (back) is illustrated with lung speakers in Figure 10:

6 LU – Left Upper Lobe


7. RU – Right Upper Lobe
8. LM – Left Middle Lobe
9. RM – Right Middle Lobe
10. LL – Left Lower Lobe
11. RL - Right Lower Lobe

Fig. 10

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3. FUNCTIONAL DESCRIPTION

3.1.

The SimMan 3G Simulator has the following electronic & functions, illustrated in Fig. 11
and Fig. 12:

TORSO
1) Defib sternum
2) Compression detection (depth
and rate)
3) Sternal IO
4) Pneumathorax
5) ECG
6) Lung Compliance
7) Lung Resistance
8) Ventilation
9) 11 x Lung Speakers
10) 4x Heart Speaker
11) System on Module (SoM) PC-
card PELVIS
1) USB WLAN dongle
2) Right Lung Speaker (lower)
3) Left Lung Speaker (lower)
4) Defib Apex
5) 4x Bowel sound
6) Fluid Manifold
7) Pneumatics Manifold
RIGHT LEG 8) Valveboard PCB
1) ECG Right Leg 9) 2x Femoral pulse
2) Fluid Bag 10) IM Pad
3) Popliteal pulse
4) Pressure Tank
5) Leg PCB
LEFT LEG
6) Compressor/pump
1) ECG Left Leg
7) Cooling fan??
2) Popliteal
pulse
3) Tibial IO

RIGHT FOOT LEFT FOOT


1) Pedal pulses 1) Pedal pulses

Fig. 11

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HEAD
1) 2x Eye module: Active eyes
w/lids pupils responding to light
2) Head speaker
3) Head control card
4) Head manifold
5) Jaw Antenna Board
6) 1 x Antenna for airway event
registration NECK
7) Trismus bladder 1) 2x Carotid pulse
2) Neck potentiometer,
for registration of neck
position

RIGHT ARM
1) 4x Antennas for Drug
registration LEFT ARM
2) IV module PCB 1) Brachial pulse
3) Right Radial pulse 2) BP speaker
4) Convulsion Right Arm 3) Left Radial pulse
4) Convulsion Left Arm

Fig. 12

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3.2.

The depth and speed of CPR are measured using optoelectronics.

The main parts are:


1. Opto Switch
2. Depth gauge
3. Label on depth gauge
4. Compression spring

Fig. 31

Fig. 32

On the depth gauge there is placed a label with a pattern on it. The pattern has a period
of 0.916mm, where the black stripes are 0.487mm wide and transparent parts are
0.429mm wide.

When you perform CPR, the opto switch read the pattern and then calculates the
depth.

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Fig. 33

On the depth gauge there is placed a label with a pattern on it. The pattern has a period
of 0.916mm, where the black stripes are 0.487mm wide and transparent parts are
0.429mm wide.

When you perform CPR, the opto switch read the pattern and then calculates the
depth.

The opto switch has two channels, A and B. it will always be 90 degrees phase
lead between them, and by checking (in software) which channel is first, you can
tell the direction of the movement.

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3.3.

Fig. 34

The two lungs are placed in the torso, and they are used when baging the manikin.
They can be set to have different compliance and restriction settings.
The change of compliance will make the lung feel more/less stiff when baging, and
restriction will simulate narrowing passage of air to the lungs.

There are two air in/out. One (the biggest) for air that is coming from the airway when
baging. The other one (small) goes into a pressure sensor on the valveboard for reading
the pressure in the lung. This value will be converted to a signal used to control chest
rise.

Fig. 35

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3.3.1. Compliance

When activating the compliance you activate one or both solenoids which will
hook the spring(s). There are four settings:

1. No springs are hooked


2. Left side spring is hooked
3. Right side spring is hooked
4. Both springs are hooked

When baging and compliance are activated, the spring(s) will hold the lung plate
upper, and make it harder to get air into the lungs.

The two springs are different in strength and therefor number 2 and 3 will give
different feedback when baging.

Hook Spring Solenoide

Fig. 36

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3.3.2. Restriction

When changing the restriction setting, the stepper motor will rotate and then turn
on lung valve cylinder. The lung valve cylinder has four positions:

1. Fully open
2. Increased
3. High resistance
4. Closed

This way you change decrease/increase the airflow into the lung when baging.

Air in/out Pressure movement

Stepper motor Lung valve cylinder

Fig. 37

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3.4.

A separate CO2 tank connects to the existing SimMan compressor.

Air and CO2 are routed from compressor to SimMan 3G Air/CO2 inlet.
Inside SimMan 3G air and CO2 are routed in separate tubes to the air distribution
unit in pelvis.

Fig. 38 Fig. 39

SimMan Compressor: Regulatorbox:

Fig. 40 Fig. 41

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3.5.

The figure illustrates the concept description for the bleeding- and secretion
simulation:

Fig. 42

Warning: Compressor has to be OFF when filling fluid to the tank.

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3.5.1. Bleeding System Pelvis

Fig. 43

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3.5.2. Fluid distribution Unit Pelvis

Fig. 44

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4. FUNCTIONAL VERIFICATION

This functional verification helps to confirm the proper operation of


the SimMan 3G manikin and options.

4.1.

Fig. 13

Power Save* - Blinking light

Charge Error** - One or both batteries missing

Almost complete*** - Not recommended to charge the batteries for


too long

No charge**** - Because of no power input, or that batteries


are fully charged. If the manikin is charged
from a low-voltage source, running and
charging the manikins is not possible
simultaneously.

4.2.

When the remaining capacity is > 5% in the battery which is still


connected, it is the same which one of the two batteries to be
changed.

4.3.

If one of the batteries has 5% below remaining capacity regardless


of the other, the manikin will power down.

4.4.

If a “Heat warning” occurs the battery needs to cool down, no need


for reset of the battery.

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4.5.

1. Establish connection with manikin (WLAN or cable)

2. Start Remote desktop connection via Start Menu: All programs Accessories
Remote Desktop Connection

3. Enter IP address to connect and click options to enter details, see figure:
LAN 192.168.169.2
WLAN 192.168.170.1

IP address or
the manikins
name

Fig. 14

Log in: Administrator


Password: SimMan3G (if required)

4. Click “Connect”

5. Now you will see the Remote Desktop of the SimMan 3G (this can take a
while…)

6. Double click “Stop Update Service”


This will stop the manikins control program.

7. Double click on “SimMan 3G Test Utility”

8. Just click “connect” in the Connect to Manikin window

9. Then you will access the Test Utility program, and after a few seconds the
manikin will start breathing

10. NOTE: If the simulator will be turned off, you have to exit the “Test utility” via
remote desktop and click “Start update service”

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4.6.

4.6.1. Head

Fig. 15

Sent and Received packages – This indicates there is communication internally in


manikin

Lost packages – May happen and will indicate if any communication is lost (high
number could indicate problems)

a. Blink
i. Blink eyes – manually activate a blink
ii. Left/Right eye – choose one or both
iii. Auto and seconds - set the seconds between each blink
b. Eyelid position
i. You can set the eyelid position in three different positions;
Open, Half open or closed
ii. Choose which eye you want to test
c. Iris size/mode

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i. Check the iris size with choosing different sizes – auto/


manual/reduced speed
ii. When both eyes (Left and Right) are selected check the
synchronization of the iris size
iii. Light sensor value – indicates incoming light

d. Iris adaption
i. Direct – sets the aperture for direct light
ii. Normal – sets the aperture in ambient light
iii. No light – sets the aperture in no light
e. Reset
i. Calibrate – calibrate the eyelid position
ii. Reset – You can reset eyelid/iris
f. Jaw trust/Neck tilt
i. Jaw sensor value - Observe the jaw trust function by thrusting
the jaw
ii. Neck sensor value - Check the neck sensor by tilting the neck
g. Complications - you can observe the different functionalities and check
for various settings for the following functions, the value indicates the
amount of the complication (100=max):
i. DCRM
ii. Laryngospasm
iii. Pharyngeal
iv. Tongue
v. Trismus
vi. Cyanosis
h. Iris offset adjustment – input from Jan Arild
i. Left Eye Constricted
ii. Right Eye Constricted
iii. Left Eye Dilated
iv. Right Eye Dilated
i. Events – lists the recent events

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4.6.2. Arm

Fig. 16

j. DrugEvent
i. Arm tagid; place one RFID tag in the right IV arm catheter
area (max 0.2m from catheter) and observe the tag id is
detected in the Arm tagid window
ii. Head tagid; place one RFID tag in the jaw area and observe
the tag id is detected in the Head tagid window (max 0.2m
from jaw)
iii. Injected vol ( L); inject 10 ml distilled water in the IV catheter
and read the given volume. If the volume given differ more
than 10% from the volume detected, go to and
initialize and calibrate the flow meter

k. Convulsions
i. Convulsions left (RPM); test the motors in the convulsion
module for different settings and observe the convulsions in
the left arm
ii. Convulsion right (RPM); test the motors in the convulsion
module for different settings and observe the convulsions in
the right arm
iii. Check if the same setting in both arms gives similar
convulsions

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4.6.3. Valve

Fig. 17

l. Bleeding/fluid
i. Bleeding strength; you can choose what strength you want to
test in either port 1 and/or 2, or ports 3 and/or 4. Then you
can test either arterial or venous bleeding.
1. In this window you can read the amount of blood
volume given and the flow.
2. Tank status will give you the current status.
3. Bl. Hose press. Will give you the pressure in the blood
reservoir
b. Check for fluid on/off in the different areas:
ii. Nose
iii. Ear
iv. Mouth
v. Eye
vi. Urine
vii. Froth
viii. Sweat
c. Stomach valve
a. Closed – will inflate stomach bladder if ventilation is done too
fast or with too much force
b. Open – stomach bladder will deflate
d. Airway complications
i. Resistance – check for the
normal/increased/high/closed settings
ii. Compliance – check for normal/level 1/level 2/ level 3
iii. Pneumathorax – check both bladders at max

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4.6.4. Leg

Fig. 18

In this window you can check the pressure in the compressor, and if it is
ON or OFF. The regulation mode indicates if Manuel or Automatic pressure
regulation.
Caution: In manual mode the compressor will run continuously until it is
stopped manually.

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4.6.5. Vital signs

Fig. 19

a. Breathing function:
i. Breath rate: set a breathing rate and check if it is correct
ii. Breathing strength: set the breathing rate for Normal, X or Y
iii. Apnea - If you choose apnea the simulator should stop
breathing. Use this when doing ventilation.
b. BP/HR:
i. BP Sys – set the blood pressure systolic pressure
ii. BP Dia – set the blood pressure diastolic pressure
iii. Heart rate – set the heart rate

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4.6.6. Sounds

Fig. 20

a. Lung sounds – set the sound and volume for the different speakers
b. Vocal – Set the volume level for the vocal sounds
c. Link – this links all settings to all speakers
d. Heart sound – set the sound and volume for the different speakers
e. Link – this links all settings to all speakers
f. Bowel sounds - Set the bowel sound and volume
- Repeat bowel sounds with adjustable delay (set in
seconds)
g. BP Cuff
i. Auscultation Gap – Jan Arild
ii. Ascultate – Jan Arild

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4.6.7. Comp/Vent

Fig. 21

4.6.8. Pulses

Fig. 22

a. Check for detection when doing palpation for the different pulses
b. Check for you feel the pulses

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4.6.9. Versions

Fig. 23

a. “No data received” indicates if disconnected or faulty board


b. Lists of the different versions of the circuit boards and its software
version, in the manikin
c. Reset Node Communication – A reset will reread the versions

4.6.10. Power

Fig. 24

a. Battery status indicator page

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4.6.11. Defib/Pacing

Fig. 25
a. Defib
i. Defib energy – measured energy
ii. Defib type
b. Pacing
i. Pacing threshold – level for pacing capture

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4.6.12. Test

Fig. 26

a. Reset
b. RS495 Node Comm.
ii. Reset Node Communication
iii. Read Sumlog
c. Calibration
iv. Calibrate BP Cuff – calibrate if necessary
v. Calibrate Valve Board – calibrates offset
vi. Calibrate Stomach – If calibration needed apply
56cmH2O to esophagus and stomach sensor
vii. Init Flow Sensor – if flow meter is stuck use this to reset
the piston in flow meter, follow instruction
viii. Calibrate Flow Sensor – follow instruction
d. Debug – for test purpose only
ix. Antenna sel manual mode
x. RFID
xi. IV Flow meter Configuration
xii. Flow meter piston position
xiii. Invert direction
xiv. Enable reading
e. IV Board Power Save Mode
xv. Get Power Save Mode

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4.6.13. Bootloader

Fig. 27
a. Bootloader – manually updating of node boards (“Manikin Update” is
to be preferred)

4.6.14. Autotest

Fig. 28

Autotest

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4.6.15. Debug

Fig. 29
b. Debug
i. Start Log ventilation data
ii. Start Log compression data

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4.7.

For a statistic report of the actual manikin:

Toolbar Tools Maintenance Manikin Statistics

The report gives the status of the use of the manikin for some of the components
and systems.

Ex.

Fig. 30

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5. INTERCONNECTION SYSTEM
Following schematics and figures are representing the total infrastructure and interconnection system in the manikin.
5.1 Cable Connections Between the Circuit Boards

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5.2.

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5.3.

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5.4.

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5.5.

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5.6.

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5.7.

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5.8.

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6. EXPLODED VIEWS

Following figures illustrates Exploded views of the different parts and modules
in the manikin.

NOTE:
The BOM reference numbers on the illustrated pages are NOT spare part
numbers that can be ordered. The drawings and numbers are for illustration
only. Please refer to the pages XX – YY for Replacement & Service Parts.

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6.1.

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6.2.

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6.3.

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6.4.

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6.5.

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6.6.

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6.7.

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6.8.

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6.9.

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6.10.

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6.11.

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6.12.

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6.13.

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6.14.

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6.15.

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6.16.

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6.17.

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6.18.

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6.19.

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6.20.

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6.21.

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6.22.

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6.23.

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6.24.

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6.25.

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6.26.

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6.27.

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6.28.

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6.29.

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6.30.

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6.31.

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6.32.

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6.33.

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6.34.

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6.35.

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7. NETWORKING AND COMMUNICATION SYSTEM


The SimMan 3G and system will allow operators anywhere on a network to control
a SimMan 3G simulator anywhere on the same network:
Allow operators to control and monitor a simulation via Internet access
(provided sufficient access)
Allow multiple simulations to be controlled from a single computer
Allow multiple instructors to observe/control the same simulation

7.1.

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7.2.

The figure is an illustration of the Communication Framework implemented in the


Baseboard application that communicates with the server software in the System
On Module (SOM) and with the devices on the I2C bus.

Figure X: Overview of the communication system

The Baseboard has two communication links for communication with other
devices:
Ethernet: Communication channel for talking with server software on
System on Module (SOM)
RS485 bus: Communication channel for embedded node devices

Figure X: Internal communication flow on the Baseboard

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ATTACHMENT 1 – NEED REVIEW!!!

SimMan 3G Simulator
Final Service Test Check List
Tool: Test Utility (Remote Desktop)

SimMan 3G Serial number:

TEST PASS/FAIL
Head/Neck Assembly:
Inspect head skin for overall appearance
Perform direct laryngoscope, inspect: epiglottis, vocal
cords, upper trachea, esophageal area for damage,
rupture or leakage.
Inspect teeth and neck assembly for overall
appearance
Airway/Breathing
Decreased Cervical Range of motion
Trismus
Pneumothorax left/right
Inflation
pressure detection
Lung pressure detection
4 level left/ right airway resistance
Pharyngeal swelling
Laryngospasm
Tongue edema - swollen tongue (2 levels)
Exhale CO2
4 level lung compliance
Stomach distension
Controllable open/closed airway; automatically or
manually controlled
Stomach pressure detection
Head tilt/chin lift
Jaw thrust w/articulated jaw
Detection of proper head position
Bag-mask ventilation
Esophagus/esophagus pressure detection
Confirm variable respirations are present when
increased/decreased from test utility
Confirm apnea causes no breathing when

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When simulator producing spontaneous respirations,


confirm presence of respiratory sounds from
simulators
Confirm presence of capnograph waveform on patient
monitor to match each respiratory cycle
Chest Movement:
Confirm detection in test utility of:
- Single precordial thump?
- CPR compressions
- Bag-valve-mask while ventilating
Confirm that CPR artifacts is being produced on the
patient data display monitor when chest compressions
are being performed
Right leg Assembly:
Inspect skin for holes or damage
Inspect leg-to-pelvis attachment (thigh joint
connectors, connectors for tubes and cables) to allow
correct movement
Inspect ankle joint
Inspect handler for tank drain valve
Torso Assembly:
Inspect skin for overall appearance. Check that that
ECG studs and defib. connectors are clean.
Chest drain pleura in place, left
Chest drain pleura in place, right
Inspect for overall external appearance
Ensure head assembly-to-torso hardware is tight and
that head rotates freely from side to side and forward
and backward.
Inspect chest plate for overall appearance and free
movement into and out of torso cavity
Inspect torso-to-pelvis attachment screws. Each
should be properly secure (check with screwdriver).
Pelvis Assembly:
Inspect for overall appearance
Right arm Assembly:
Inspect skin for holes or damage.
Inspect arm-to-torso attachment screw to allow full
articulation.
Left arm Assembly
Inspect skin for holes or damage.
Inspect arm-to-torso attachment screw to allow full
articulation
Power Panel (Right side)

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Check connectors and cables for damage and for easy


connection to mating parts
Fluid Panel
Check connectors for damage and for easy connection
to mating parts
Sound (BP)
Confirm presence of BP sound in left arm. Sound
should be present at set systolic pressure and
diminish to absent at diastolic.
SpO2:
Verify that the red light is illuminated on the probe
when the unit is plugged into the Patient Monitor.
Confirm that when the SpO2 probe is plugged in and
not on SimMan3G finger, there is no waveform or
numerical value produced on the patient data display
monitor.
Confirm that when the SpO2 probe is plugged in and
on SimMan3G finger, a waveform or numerical value
is produced on the patient data display monitor.
ECG and Electrical Therapy:
Confirm presence of ECG at ¾ lead and at hands free
(sternum and apex). White lead on patient’s right
shoulder, black lead on patient’s left shoulder and red
lead on patient’s left lower torso.
With running rhythm set at VF, waiting rhythm at
NSR, and ignore shock is “active”, confirm that
defibrillation at 360J WILL NOT move waiting to
running rhythm. Three (3) shocks at the defibrillators
maximum Joule (minimum 200J) are to be delivered
as rapidly as possible.
With running rhythm set at VF, waiting rhythm at
NSR, and shock “enabled”, confirm that defibrillation
at a minimum of 50J WILL move the waiting rhythm
to the running rhythm.
With the running rhythm set at NSR at 40, and pacing
disabled, confirm that pacing at 200mA WILL NOT
capture
With the running rhythm set at NSR at 40, pacing
threshold set at 40mA, and pacing “enabled”, confirm
that pacing greater then 80mA WILL produce capture
and create a pulse rate matching that set on TCP
device.
Eyes
Wide open
Closed

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Partially open
Normal speed of response to light
Sluggish speed of response to light
Pupil diameter automatically responds to light:
Synchrony/asynchrony
Blinking
- Normal
- Winks

Breathing
Simulated spontaneous breathing
synchronized with respiration rate
Normal and abnormal breath sounds
5 anterior auscultation sites
6 posterior auscultation sites
Unilateral & lobar breath sounds
Oxygen saturation & Plethysmogram
Bilateral and unilateral chest rise and fall
linked to airway complications settings
CO2 exhalation
linked to the student action of measuring CO2

Cardiac
12 lead dynamic ECG display
Extensive ECG library with rate from 0-220
Heart sounds – four anterior locations

Circulation
Pulses synchronized with ECG
Posterior tibialis
Dorsalis
Popliteal
Femoral Left
Femoral Right
Radial
Brachial
Carotid
Checkpoint:
relative pulse strength (peri vs. central)
Pulse strength variable with BP

Other
Head sounds
Head microphone

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Convulsions
Patient Voice/Throat Sounds

Instructor can simulate patients’ voice wirelessly


Bowel Sounds – speaker in each quadrants
Bleeding
Integrated system allows simulation of bleeding
throughout manikin
Arterial and venous
Secretions from eyes, ears, nose, mouth, forehead,
urinary output
Blood, Mucous, CSF, etc.
Urine output – variable
Instructor communication
Multiple instructors can communicate using
integrated voice over IP communications
Cyanosis

CPR: Compliance with 2005 Guidelines


CPR compressions generate palpable pulses, Blood
pressure wave form, and artifacts on ECG
Realistic depth of compressions (6 cm)
Detection of depth and frequency of compressions
Detection of leaning
Real time feedback on quality of CPR

Defibrillation and cardioversion


Pacing
Reading of cardiac rhythms via 4 connector 3-lead
ECG monitoring

Circulation
Palpation is detected & logged
Vital signs automatically respond to &
therapy (Auto Mode only)
BP measured manually by auscultation of
Korotkoff’s sound (left arm)
Tibial IO module in place
- Sternal IO module in place

RFID detection
Automatic drug recognition system identifies drug
within the specified IV area & measures dose
Automatic drug recognition system identifies actions
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within the specified jaw area

Other
Bleeding treatment (bandage, pressure point,
tourniquet, pliers)
Urine Catheterization (Foley)
Connect fluids from external sources
Debriefing functionality
Webcam integration
Debrief Viewer

Test Performed by: ______________________


(Print name)

______________________
(Signature)

Date:________

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ATTACHMENT 1

Service Parts- SimMan 3G

Cat. no BOM Photo Description

212-
60150 S21222 Jaw Assy Complete

212-
60250 S21223 Eye Assy Complete

Shroud Assembly
212- w/screws, bladders and tubes
60350 Need new photo

212-
60450 1007014 Head speaker Assembly

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N0691
N0692
212- N0693 Skull upper and skull lower
60550 1483 (9) mated

212- Head foam w/adhesive


60650 N0831

N0696
212- N0695 Eye holders (right and left)
60750 N0819 (4) w/screws

212- 6525-08-
60850 0001 Magnetic sensor jaw

212- 1005020
60950 1463 (2) Lower teeth w/screws

SAPS Head Board


212- (NOTE: comes without air
61050 FST1011 distribution unit and tubes)

212-
61250 N0739 Cable, Power and Signal

212-
61350
N1003
Cable, Carotid Pulses
212- N0620 Air distribution unit Head
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61450

212-
61550

N1116 Cable Microphone

N1187 Y Cable microphone


212-
61650

212- N0977
61750 (10) Plug (ear)

212-
61850 N1186 Y Cable blue lips

212- N0724 Neck Potentiometer and Neck


62150 N0722 Plate

212- Neck Assembly


62250

212-
62350
N0738 Cable, Headboard to Eye

212-
62450 S21221 Head Skin Assy w/airways

N1114 Froth filter


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212-
62550

212-
62650 N1031 Barb to barb orifice (pkg 5)

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212- Cable, Baseboard to USB


72050 N1000 WLAN module

212-
72150 N1033 Gasket, Base plate

212-
72250 N1025 Foam, Thorax Speaker

212- Cable, Baseboard to


72450 N1023 compression sensor

212- N1024 Switch, Correct hand position


72550 N0837 switch (w/foam)

212- Speaker cable, Lung and


72650 N1008 Heart

212- Speaker cable, Lung back


72750 N1020 assembly

212-
72850 N1007 Cable, Chest speaker
extension cable
212-
72950 N1027 Foam, Chest Speaker

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212- N1036
73050 N1159 Foam, Chest top left & right

TBD
212-
73150 8767 (10) ECG connector
TBD
212- Need Photo
73250 2707 (10) Defib. connector
TBD
212- Need Photo
73350 2995 (10) Connection Peg ECG
TBD
212- Need Photo
73450 2708 (10) Connection Peg Defib

212-
73550 N1021 Cable, ECG from baseboard

212-
73650
N1022 Cable, ECG to defib sternum

212- Need photo


73850 FST1009 SAPS Base Board
212- N0968 Cable, Baseboard com. to
73950 Head
212- Cable, Baseboard com. to
74050 N0969 Valve Board
212- N0984 Cable, Baseboard com. to
74150 Right Arm

212- Cable, Baseboard On/Off


74250 N0993 switch

Need Photo
212- N0994 Cable, Baseboard to external
74450 Ethernet

212- N0995 Need Photo Cable, Baseboard to External


74450 Power
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212-
74550 N0999 Cable, Baseboard to Battery

212- Cable, Pulses from


74650 N1001 Baseboard

212- Cable, Speaker from


74750 N1006 Baseboard harness

212-
74850 7020 (10) Port in for BP cuff (pkg 10)

212-
74950 N1065 Fan, axial 60x60x25

212-
75050
N1125 Antivibration Kit (for fan)

212- Gap pad (between a CPU and


75150 N1188 Need Photo heat sink)

212- Cable, Compression sensor


75250 N1247 output

212-
75350 N0659 (10) Cable clip Kit (pkg 10)

212- Need Photo


75450 FST2010 Board, Lung Connection

212-
75550 N0870 Cable, Compliance Solenoid

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212- Stepper motor resistance


75650 N0882 valve

212-
75750 N0883

212- Need Photo


75850 S21234 Compression Assy

Need Photo
TBD 2154 (4) Pulse Unit (pkg 4)

212- Need Photo


73850 FST1009 Base Board, SimMan 3G

212-
76050 Need better Photo… Back cover Assy complete

212- Need Photo


76150
S21233 Lung Assy Complete

212- Need Photo


76250
KID3154 Board, Lung connection

212-
76350 N0872 Compliance activator spring
N0873 (left and right)

212- Need Photo


76450 S21233 Lung Valve Assy

212- Need Photo


76550
N1262 Compliance Activator Assy

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Arms
Cat. no BOM Photo Description

Arm left top/bot. mated

N0634
212- N0635
63050 N0819 (15)

Hand Left
212-
63150 N0636

Hand Right
212-
63250 N0631

Pulse Skin Small (radial pulse)


N1050 (10)
Pulse Skin Large (brachial
N1051 (10) pulse)

Cable, Left Arm Pulses

212-
63550 N1004

Cable, BP_speaker
212-
63650
N1018

Cable, Left Convulsion adapter


212-
to IV-PCB
63750 N0895

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ATTACHMENT VI Need review

SimMan 3G

TROUBLESHOOTING GUIDE

Page 118 of 127


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ATTACHMENT VI Need review

SimMan 3G

TROUBLESHOOTING GUIDE

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