Debra Enhanced® Impacted Fetal Head Simulator Instruction Manual

Thank you for purchasing this AR68 Debra Enhanced® - Impacted Fetal Head Simulator. Please read this instruction manual carefully and retain it for future reference. ■ Removing the Model from the Case 7 ■ Secure to a Stable Surface 7 ■ Lubricate the Fetal Head and Uterus 9 ■ Insert the Fetal Head into the Model 9 Before Use: Adjust The Fetal Head Position ■ Fetal Head Extraction 15 ■ Use of Delivery Assistance Devices 15 Visit our YouTube Channel:

Safety and Precautions The model has been designed for use solely with ultrasound gel. Use of any other lubricant may damage the model and invalidate your guarantee. Never use the model without first applying lubricant to the fetal head, uterus and birth canal. Do not allow the model to dry out during use, re-apply lubricant as necessary. Non-lubricated use will damage the model. Note that the model weighs 15 kg, seek assistance when handling the model if necessary. Forceps may be inserted vaginally into the model to simulate a failed forceps delivery. Vaginal delivery of the head is not possible....

Caesarean incision Fetal head with palpable anterior and posterior fontanelles Internal birthing canal, uterus and pelvis Vaginal opening Fetal head positioning handle Main body Adjustable securement straps (x2) Impaction difficulty indicators (Red, Yellow, Green) Impaction difficulty adjustor knob Flexion indicator Axial rotation marker (Orange) Axial rotation angle indicator disc Supplied With S58/8 Lubricating Ultrasound Gel (250 mL) If you require replacement parts please contact our Sales Department, use product codes where applicable.

Removing the Model from the Case 1a Fasten the securement straps over the top of the model and use these to lift the model out of the case, as directed by your Manual Handling Policy. Note that the model weighs 15 kg, seek assistance when handling the model if necessary. Secure to a Stable Surface 1b Ensure the work area is clean and dry. Keep paper towels nearby in case of any spillage of lubricant. Position Debra Enhanced® on a stable, flat surface and fasten the straps to hold the model securely in place during use. The extensions straps (supplied) can be added to the straps on the model so...

Lubricate the Fetal Head and Uterus 2a With the fetal head out of the uterus, apply a liberal amount of ultrasound gel to the entire fetal head. Insert a hand through the caesarean incision and distribute a liberal amount of ultrasound gel throughout the uterus and fully down the birth canal. The model has been designed for use solely with ultrasound gel. Use of any other lubricant may damage the model and invalidate your guarantee. Never use the model without first applying lubricant to the fetal head, uterus and birth canal. Do not allow the model to dry out during use, re-apply lubricant as...

4a Axial rotation of the fetal head may be adjusted using one hand to guide the fetal head inside the uterus while turning the fetal head positioning handle to the desired position. 4b Align the desired position on the rotation angle indicator with the orange axial rotation marker at the rear of the abdomen. O Fetal head indications are true to the positions in real life, i.e. when viewed from the front of the model. Always adjust the fetal head position with the impaction difficulty adjuster set to Easy (Green). Do not attempt this on any other setting. The flexion angle of the fetal head may...

Asynclitism of the fetal head may be also adjusted. Whilst holding the fetal head positioning handle with one hand, adjust the head on its axis from side to side. Always adjust the fetal head position with the impaction difficulty adjuster set to Easy (Green). Do not attempt this on any other setting. With rotation, flexion and asynclitism now set, the amount of impaction of the fetal head in the pelvis may now be adjusted for the degree of difficulty required for extracting the fetal head. Push the fetal head positioning handle forward to guide the fetal head into the birthing canal if required....

Vaginal examination may be performed on the model to determine the position of the fetal head. Additional glove lubrication may be required using a small amount of ultrasound gel only. Insert the forceps carefully according to local policy and guide these around the fetal head. Once inserted, the forceps can then be used to attempt a failed forceps delivery. Vaginal delivery of the head is not possible - attempting to do so could damage the model. Fetal Head Extraction This simulator has been designed to facilitate training in disimpaction of an impacted fetal head in the pelvis. The procedures...

Once training is finished, wipe off any excess lubricant from the fetal head, uterus and birth canal. The model may be flushed with warm water to remove remaining ultrasound gel if required. Do not use soap, detergents or any other chemical cleaners to clean the model.

Ensure the Fetal Head is Extracted 14a After use, the fetal head must remain extracted and outside of the caesarean opening. Always adjust the fetal head position with the impaction difficulty adjuster set to Easy (Green). Do not attempt this on any other setting. Storage in the Included Carrying Case 15a For the most secure fit in the included carrying case, adjust the impaction difficulty adjustor to Red. Fasten the securement straps over the top of the model and use these to lift the model onto the base, as directed by your Manual Handling Policy. Be sure to replace the model back into the...

Adam,Rouilly Limited, Castle Road, Eurolink Business Park, Sittingbourne, Kent, ME10 3AG, United Kingdom UK +44 (0)1795 471 378 [email protected] Adam,Rouilly has over 100 years of experience in providing quality medical models and simulators. As part of our policy of continuous product development, the specifications of our products may change without prior notice. Should you require further information, please contact our Sales Department, who will be pleased to assist you with your enquiry.