Atlas ALS Simulator P75

Product Overview

The Atlas ALS Simulator is a training manikin developed by 3B Scientific for interdisciplinary and interprofessional emergency training. It offers comprehensive, scenario-specific applications for advanced life support training and post-training education.

Simulator Components

The package includes:

• Consumables bag
• Atlas charger
• Tape
• Lubricant
• Adapter
• IV cannulation pad - forearm
• IV cannulation pad - back
• Humerus IO thick replacement
• Humerus IO thin replacement
• Quick Start Guide
• Router
• Luer lock tube
• Carrying case

Features

Atlas features include:

• Simulates the anatomy of the airway, including the tongue, epiglottis, vocal cords, trachea, and esophagus.
• Airway management: head-tilt/chin-lift or Esmarch maneuver.
• Airway clearance skills include suction simulation and removal of foreign bodies. No fluids are included.
• The simulator's airway can accommodate extra-/supraglottic airway alternatives and oral/nasal intubation.
• Advanced airway for placement of oral airways (OPA) and nasal airways (NPA).
• Intraosseous (IO) vascular access via the left proximal humerus.
• Intravenous (IV) vascular access via the right dorsal and antecubital fossa.
• Compatible with mCPR piston-driven devices.

Atlas Features with REALITi 360:

• Atlas connects to REALITi 360 via Wi-Fi for interactive training with the manikin and virtual defibrillator using real-time or pre-programmed scenarios.
• The CPR display screen shows all relevant parameters and values for cardiopulmonary resuscitation according to AHA and ERC guidelines.
• Atlas allows for the observation and recognition of vital signs, such as bilateral carotid pulse.
• Automatic simulation control based on pre-programmed scenarios.
• CPR feedback includes compression artifact waveform on ECG, hand position, compression depth, and rate.
• Synchronized CO2 graphics and information on respiratory rate and inspiratory tidal volume during manual ventilation.
• Carotid pulse (Systolic > 50 mmHg) when a perfusing rhythm is used.
• A dedicated CPR screen displays all relevant parameters and values for CPR, including hands-free time during defibrillation.
• Atlas can simulate a variety of emergency scenarios requiring invasive procedures, including cardiac arrest, using dynamic vital signs provided by REALITi 360.
• REALITi 360 extends treatment options to defibrillation, cardioversion, and pacing on a real or general-purpose monitor. Bilateral carotid pulse allows for assessment of the indication and success of the intervention.

General Use

Follow these safety instructions before using Atlas:

• Wear gloves as needed during simulation scenarios.
• Avoid colored plastic gloves as they may cause discoloration.
• Wash hands before use and place Atlas on a clean surface to protect the manikin's skin.
• Avoid using ink pens, markers, acetone, or iodine to prevent permanent staining.
• Avoid placing Atlas on newspaper or colored paper.
• After use, clean any remaining adhesive residue from Atlas's skin with a 70% ethyl alcohol wipe.
• Ensure Atlas is properly secured during transport to prevent personal injury or product damage.
• Always lubricate the airway device (tracheal tubes, iGel) with silicone oil before inserting it into the airway.

Safety Instructions

• The device should only be stored and charged in dry rooms.
• Operating temperature: -10°C to +35°C.
• Storage temperature: -10°C to +35°C.
• Ambient humidity: 15% - 80%.
• Use only the charger provided by the manufacturer.
• Charger connection specifications: Input 100-240 V, Output 50-60 Hz, 12.6 V = 1000 mA.
• Recommendation: Remove the charger when the battery is fully charged (the light on the charger turns green). Overcharging can increase stress on the battery and reduce its lifespan.
• Follow instructions and heed warnings during product use.
• Do not perform mouth-to-mouth or mouth-to-nose resuscitation on Atlas.
• Do not administer fluids to Atlas, except for IV/IO systems placed in the arms.
• Do not use electrotherapy or active defibrillators or AEDs.
• Do not use sharp objects in the airways.
• Do not perform surgical airways.
• Do not puncture or insert thoracic vents.
• Do not use if there are signs of electrical malfunction or unusual smoke odor.
• Do not use oxygen.
• Do not use damaged chargers.
• Do not disassemble the battery. Never attempt to remove the battery from the device.
• Do not attempt to repair the device yourself.
• Do not use active defibrillators.
• Do not use active pacemakers.

Setup

Atlas is approximately 1.70 m tall and weighs 13 kg. It is available in two skin tones. Battery life is 8 to 10 hours. The charge status is indicated by color codes on the power button: white light (100%-50%), green light (49%-15%), red light (14%-5%), flashing red light (less than 5%). Atlas is charged via the included adapter and can be used wirelessly during training sessions.

Airway

Atlas simulates the anatomy of the airway, including the tongue, epiglottis, vocal cords, trachea, and esophagus. Use Atlas to practice head positioning, manual maneuvers to open the airway, and the application of compatible adjuncts for realistic airway management.

The airway can be opened by tilting the head back or using the Esmarch maneuver. Other methods for opening the airway include simulated suction, removal of foreign bodies, and insertion of Guedel tubes (OPA) or Wendl tubes (NPA).

When bag-valve-mask ventilation (BVM) is applied correctly with single or double assistant on Atlas, a visible chest rise occurs.

Nasal or oral intubation can be performed using a 7.5 mm endotracheal tube (ET). For optimal intubation, use the enhanced Jackson position and the BURP maneuver. Use classic laryngoscopy or video laryngoscopy for intubation.

Recommended tube sizes:

• Oral tracheal tube: 7.5
• Nasotracheal tube: 6.5 - 7
• iGel: 4
• Laryngeal mask: 4
• Laryngeal tube: 4

You can determine if bag-valve-mask ventilation is performed correctly and if the airway is clear by auscultating and checking for chest excursion. Similarly, incorrect right mainstem intubations can be confirmed by chest excursion and lung sounds on the right side. Auscultate for abdominal excursion to determine esophageal intubation.

iGel, Laryngeal Masks (LMA), and Laryngeal Tubes (LT) can be used according to the manufacturers' instructions. A nasogastric tube can also be inserted. The second-generation airway option allows for nasogastric tube insertion.

Note: Apply a small amount of silicone airway lubricant to the equipment before using airway adjuncts.

Use the high-quality CPR Display Panel of REALITi 360 and the general-purpose defibrillator display to view the inspiratory tidal volume.

Lung Features:

• Maximum tidal volume: 1300 mL
• Maximum airway pressure: 100 cm H2O

Chest Compressions (CPR)

Atlas simulates the anatomy of the chest to allow for chest compressions in accordance with resuscitation guidelines.

Chest compressions can be performed intermittently or continuously with bag-valve-mask ventilation, providing realistic chest resistance during CPR.

Atlas is compatible with mechanical resuscitation aids. Practice mechanical resuscitation techniques when performing manual chest compressions, considering resuscitation measures.

The CPR display panel and General Purpose Defibrillator provide feedback on hand placement.

When used with REALITi 360, compression rate and depth are displayed on the monitor, along with resuscitation artifacts on the EKG trace.

The CPR Display Panel and General Purpose Defibrillator display:

• Compressions that cause EKG artifacts.
• Realistic compression depth and resistance.
• Detection of compression depth, release, and rate.
• Real-time display of CPR quality on the CPR Display Panel.
• Use of mCPR piston-driven devices.
• Detection of hand placement.
• Compliant with ILCOR resuscitation guidelines.

Circulation

The Atlas training manikin has two IV pads on the forearm and the back of the right hand. For ideal usage, 18G or smaller cannulas are recommended. There is an IO insert on the upper part of the left arm. Drilling systems are recommended for this procedure.

When performing drug administration via the IV pad and/or IO access site, use a drainage bag connected to a Luer lock adapter.

There is one IO drain on the upper part of the left arm and one IV drain on the upper part of the arm.

Recommended puncture sizes:

• IV: ≤18G
• IO: drilling system

To replace the IV pads and IO inserts, remove them from their original positions and disconnect them from the drainage system. Then, connect the new part to the drainage system and insert the new training pad into the housing. It is recommended to dry the system, remove the cannulas, and disconnect the drainage system at the end of the training session.

After daily sessions are completed, flush the system with air to remove any fluid. Connect an air-filled syringe to the IV/IO catheter and flush the IV pads/IO inserts with air until only air exits the overflow tube.

Network/Router Settings

Connecting Atlas to REALITi 360

1. Turn on the PIX-Link mini router provided with Atlas.
2. Connect the REALITi Monitor iPad Pro and Control iPad to the Wi-Fi network. Both iPads must be on the same Wi-Fi network: iSimulate-5.0.
3. Turn on Atlas. Atlas automatically connects to the REALITi router's Wi-Fi network. The power button is located on the right side of the manikin.
4. Launch the REALITi application on the Monitor iPad Pro and select the "Staging" button.
5. Launch the REALITi application on the Control iPad Pro and select the "Control" button.
6. On the Control iPad, select "Tap to Connect" at the bottom of the screen.
7. In the window that appears, select the REALITi monitor corresponding to your REALITi ecosystem. If the monitor is not listed, check that the Control iPad and Monitor iPad Pro are connected to your REALITi router's Wi-Fi network: iSimulate-5.0 (both iPads must be on the same Wi-Fi network).
8. After selecting the monitor name on the Control iPad, you will be prompted to start with a scenario (red frame) or a monitor (blue frame).
9. Press the "Start" button. Start the defibrillator from the Monitor iPad's main menu.
10. The selected monitor should appear on the Monitor iPad Pro as in step 9. Operate the defibrillator.
11. Slide in from the right edge of the Monitor iPad screen to display the CPR connection dialog box on the defibrillator.
12. Tap "Scan for Manikin". Select the manikin that appears in the "Available Manikins" table and tap "Connect".
13. The connected manikin will be calibrated automatically.
14. Apply pressure to the manikin. You should be able to see the CPR compressions in the EKG waveform and the bar graph.

Changing Atlas Wi-Fi Settings

Follow these steps if you need to pair Atlas with your current network settings.

1. Turn on the PIX-Link mini router provided with Atlas.
2. Connect the REALITi Monitor iPad Pro to the Wi-Fi network: iSimulate-5.0.
3. Turn on Atlas. Atlas automatically connects to the iSimulate-5.0 Wi-Fi network. The power button is located on the right side of the manikin.
4. Launch the REALITi application on the Monitor iPad Pro and select the "Staging" button.
5. Slide in from the right edge of the screen to view the available manikins: Tap "Scan for Manikin". Select the manikin that appears in the "Available Manikin" table.
6. Update the Wi-Fi settings to match your selected router. Press the arrow button to save. Wait for 30 seconds. Turn the manikin off and on again. Now connect both iPads to your desired Wi-Fi network. The PIX-Link mini router is no longer needed.

Note: Atlas connects to the 2.4 GHz frequency. For optimal training, it is recommended to set up 2.4 GHz and 5.0 GHz networks with the same SSID and password.

Note: The maximum character length for the username and password is 19 characters.

FAQ

Atlas manikin cannot connect to REALITi

• Reason: Incorrect Wi-Fi Network selected.
• Solution: Connect to the correct Wi-Fi on both iPads. NOTE: The default Wi-Fi setting is "iSimulate-5.0" with the default password "iSimulate2012".
• Note: If using multiple Atlas units, ensure each simulator has a unique SSID. Ensure each simulator has its own router/network to connect to.
• Note: Atlas temporarily reverts to the default SSID and Password if no connection is established for 15 minutes, allowing you to rename the Wi-Fi and Password.
• Note: Follow the procedure in the Quick Start Guide (How to connect Atlas to REALITi 360?).

REALITi 360 Application is not updating

• Solution: Go to the App Store on both iPads and update the REALITi 360 application to the latest version.

Atlas does not turn on

• Solution: Turn Atlas off and then on again.

Atlas battery is low

• Solution: Charge Atlas.

Atlas is too far from Wi-Fi

• Solution: Move your network and the REALITi system closer to Atlas.

My connection to REALITi and Atlas is lost

• Multiple network connections may be interfering with the transmission between REALITi and Atlas. Forget other networks on both iPads that are not required for connecting to Atlas. The default network is "iSimulate-5.0".
• Refer to the "Additional Information" section (How to change Atlas Wi-Fi settings?).
• Note: The steps are also available on page 15 of the Atlas user manual.

Atlas airway is contaminated due to mouth-to-mouth resuscitation

• Do not perform mouth-to-mouth resuscitation on Atlas. If damaged: Clean the exterior of Atlas with the provided manikin wipes. Clean the inside of the oral cavity with the provided manikin wipes. Replace the lung bag.

No chest rise is observed on Atlas

• If chest rise is unilateral, the endotracheal tube (ETT) may be placed in the right mainstem bronchus. Correct the ETT placement.
• If the lung bag is leaking or the tube to the lungs is bent, kinked, or disconnected, the lung bag needs to be replaced.
• Close the airway.
• Ensure there are no leaks in the air hose.
• Ensure all connections are secure.
• Replace the hose if necessary.

Atlas carotid pulse cannot be felt

• Possible reasons:
• Blood pressure is set below Systolic 50 mmHg.
• Connection between the REALITi 360 system and Atlas is lost.
• Non-perfusing heart rhythm.
• PEA rhythm.

Spare Parts

Technical Data

• Operating temperature: -10°C to +35°C
• Storage temperature: -10°C to +35°C
• Ambient humidity: 15% - 80%

Contact Information

3B Scientific

A worldwide group of companies

3B Scientific TR

Oruçreis Mah. Tekstilkent Cad. 10-Y Blok Daire 105

34235 Tekstilkent (B13 Blok- No: 36)

Esenler İstanbul • Turkey

Phone: +90 (0)212-422-8800 Fax: +90 (0)212-422-8801

Website: 3bscientific.com.tr Email: info.tr@3bscientific.com