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NOELLE Features Anatomy Age group: Adult Weight 70 lbs. / 32kg Height 69 in / 175 cm Realistic neck, shoulder, elbow, hip, knee, and ankle articulation Allows supine or semi-recumbent positions Roll to left lateral position Supports birthing on stirrups, foot paddles, and gaskin position Wireless Connectivity Tetherless and fully responsive even while being transported Wireless control at distances of up to 300ft. Internal rechargeable battery provides up to 3 hrs. of tetherless operation Supports continuous operation on AC power Pneumatic and fluid reservoirs are housed inside the body NOELLE® Fetus-Newborn wireless link capability Labor and Delivery Automatic and fully programmable birthing mechanism simulates descent and cardinal movements Precise labor scenario repeatability for competency based training and assessment Preprogrammed library of 49+ scenarios included Delivery warp factor; simulate lengthy labor scenarios as fast as 2 minutes Easily create, share your own scenarios Change maternal, fetal or delivery conditions on-the-fly ROA, LOA,LOP or ROP positions simulate OA or OP deliveries Palpation abdominal cover features fetus in an amniotic sac for realistic Leopold’s and version exercises Practice epidural procedures on a spinal cord insert with skin layer, subcutaneous layer, connective tissue, and lumbar vertebrae Epidural placement detection Monitor traction applied to the fetal head and body Anatomic landmarks include bilateral ischial spines, coccyx and pubic bone Realistic birth canal with dilating cervix Fetus rotates, dips and rises during delivery Palpable contractions Programmable intrapartum bleeding Simulate placenta previa, retained placenta, and retrained fragments complications Simulate cord complications including nuchal cord, cord prolapse, true knots Replaceable cord supports clamping and cutting Shoulder Dystocia Realistic retraction of the fetal head against the perineum Turtle signs are synchronized with contractions and fetal heart rate shown on the fetal monitor Strong hip-joints allow for McRoberts maneuvers Programmable dystocia so that each student receives exactly the same scenario Supports Wood’s screw, arm sweeps, Lovset, and more Breech Presentation Articulating hip and knee joints allow realistic Frank, complete, and footling breech delivery simulations Instrument Assisted Delivery Supports forceps and vacuum-assisted delivery using real instruments C-Section Supports abdominal incision using real surgical instruments C-section abdominal skin features subcutaneous, fascia, rectus muscle, and peritoneum Preprogrammed C-section scenarios included Postpartum Palpable fundus with programmable uterine contractions Internal 1L hemorrhage reservoir Uterine bleeding Manage uterine hemorrhage using medications or a balloon tamponade Episiotomy repair inserts simulate human tissue that can be sutured closed repeatedly Birthing Fetus Vertex and breech fetus included Head features fontanelles and sutures Head cover for forceps or vacuum augmentation during delivery Head flexes as it moves through birth canal Jointed arms and legs allow advanced obstetrical maneuvers Suction mouth Dynamic Perinatal Monitor Programmable uterine activity Control frequency, duration and intensity of contractions, resting tone, decels On-demand contractions Program fetal heart rate and baseline, variability Control episodic, periodic, and variable changes Generate FHR patterns at any time Virtual external fetal monitoring or the fetal spinal electrode tones Review up to 2 hours of recorded fetal tracings Save/print fetal tracings for debriefing Airway Program tongue edema and pharyngeal swelling Multiple upper airway sounds synchronized with breathing Nasal or oral intubation Sensors detect depth of intubation Head tilt/ chin lift, jaw thrust Bag-Valve-Mask ventilation Placement of conventional airway adjuncts Endotracheal intubation using conventional ETTs Sellick maneuver brings vocal cords into view Breathing Automatic chest rise is synchronized with respiratory patterns Independent left or right lung sounds synchronized with breathing Ventilation may be assisted using BVM, ETT, or LMA Ventilations are measured and logged Detection and logging of ventilations and compressions Simulated spontaneous breathing Variable respiratory rates and inspiratory/expiratory ratios Bilateral chest rise and fall Normal and abnormal breath sounds Anterior auscultation sites Cardiac eCPRTM Real-time CPR performance monitor and trainer Chest compressions generate palpable blood pressure wave form and ECG artifacts Normal and abnormal heart sounds Heart sounds synchronized with ECG ECGs are generated in real time with physiologic variations Optional automatic mode allows to show virtual dynamic ECG rhythms for each of the 12 leads Circulation Measure blood pressure by palpation or auscultation using real instruments Korotkoff sounds audible between systolic and diastolic pressures Oxygen saturation detected using real monitors Pulse sites synchronized with BP and heart rate Bilateral IV arms with fill/drain sites Optional drug recognition system SubQ and IM injection sites Chest compressions are measured and logged ECG monitoring using real devices Defibrillate, cardiovert and pace using real devices ECG rhythms are generated in real time Bilateral carotid, radial, and brachial pulses synchronized with ECG Pulses vary with blood pressure, are continuous and synchronized with the ECG even during a paced rhythm Neural Responses Programmable blinking, dilation and eye response to light Programmable duration and intensity of convulsions Speech Prerecorded responses Standard two way wireless streaming audio Create and store vocal responses in any language Instructor can simulate patient’s voice and listen to caregivers conversation wirelessly Be the voice of the simulator and hear responses at distances up to 50 meters Other Premie HAL Features Appearance and Anatomy Age: 30 week Weight 3 lbs / 1.3 kg Length 16 in / 40cm Realistic joint articulation: shoulders, elbow, hip, and knees Connectivity Tetherless and wireless; fully responsive even while being transported Wireless control at distances of up to 300ft. Internal rechargeable battery provides up to 2.5 hrs. of tetherless operation Pneumatic and fluid reservoirs are housed inside the body NOELLE Fetus-Newborn wireless link capability Airway Oral and nasal intubation Use an ET tube or LMA Multiple upper airway sounds synchronized with breathing Programmable crying/grunting sounds Breathing Spontaneous breathing Control rate and depth of respiration and observe Ventilation is measured and logged Select left and/or right chest wall movement and lung sound Chest rise and lung sounds are synchronized with selectable breathing patterns Accommodates assisted ventilation, including BVM and mechanical support Cardiac Comprehensive ECG rhythm library ECG monitoring using real devices eCPRTM Real-time CPR performance monitor and trainer Effective chest compressions generate palpable pulses and ECG activity Healthy and abnormal heart sounds Virtual pacing and defibrillation Circulation Programmable cyanosis Multiple heart sounds, rates and intensities Bilateral, brachial and femoral pulses; pulses at fontanelle and umbilicus Pulse strengths vary with blood pressure and pulses are synchronized with ECG Bilateral dorsum of hand IV access Patent umbilicus Supports umbilical cutdown Umbilical vein and arteries support catheterization and infusion Intraosseous access at tibia Left foot IV access UNI® Simulator Control Software Unified software for all Gaumard simulators - Interface design and controls are shared across the entire line of computer controlled Gaumard simulators. 3D patient visualization monitor Virtual patient monitor Virtual fetal monitor (NOELLE Only) Create your own linear or branching scenarios –add/edit Includes preprogrammed scenarios eCPRTM – Monitor rate and compression depth, no-flow time, ventilation rate, and excessive ventilation; smart trainer features vocal cues and outputs performance report. Generate and share diagnostic lab results Questionnaire form designer Track team and individual provider actions Time stamped event recording and reporting Optional Automatic Mode responds to caregiver or instructor actions, pharmacologic intervention, injury or to cardiac and respiratory events. No annual software license fee Virtual Patient Monitor Patient Monitor Interactive virtual patient monitor displays vital signs in real time Display up to 18 numeric values Display up to 20 dynamic waveforms Customizable layout mimics real patient monitors Customizable threshold alarms Display simulated ultrasounds, CT scans, lab results, x-rays 20” touchscreen monitor and 12” portable tablet configurations available No annual software license fee