Noelle Tetherless Maternal and Neonatal Birthing Simulator – S574.100\S575.100\S576.100

  • Noelle   S574.100/S575.100/S576

Outline

NOELLE is perfect for competency based programs since each delivery can be precisely controlled while devices track student actions. The fetus may be manipulated to resolve a delivery dilemma. See instant feedback of force and torque on the fetus as well as its head position. This data is graphed and synchronized with our fetal monitor for debriefing and evaluation. The fetus is released on command after the instructor has observed and logged required competencies.

New Features
  • Powerful and intuitive GIGA software
  • Practice epidural procedures on a spinal cord insert with skin layer, subcutaneous layer, connective tissue, and lumbar vertebrae
  • Practice C-Sections using real surgical instruments
  • C-Section Abdominal inserts have simulated blood incorporated into the subcutaneous layer
  • Built for a perfect fit into birthing stirrups
  • New lifelike birth canal simulates human tissue
  • Episiotomy repair inserts simulate human tissue that can be sutured closed repeatedly
  • One breech and one vertex fetus
  • Anatomic landmarks include bilateral ischial spines, coccyx and pubic bone.
  • NOELLE’s new palpation module includes an amniotic sac creating a natural and realistic feel when practicing palpation exercises
  • NOELLE’s fetus rotates, dips and rises in response to commands from a wireless tablet PC.
  • Program tongue edema and pharyngeal swelling
Obstetrics
  • Realistic birth canal with dilating cervix
  • Precision programmable fetal delivery system for repeatable teaching exercises including
    • Normal Labor and Birth
    • Instrumented Delivery
    • Shoulder Dystocia
    • Breech Presentation
    • C-Section
  • Delivery system can be programmed for rapid deliveries as well as those taking hoursAt least 30 obstetric scenarios that can be modified as the instructor requires
    • Program fetal descent over time
    • Pause, continue or accelerate labor at any time
    • Fetal monitor interacts with labor scenario
    • Apply maternal and fetal vital signs at specified points during the labor
    • Select descent ONLY during uterine contractions
    • Precise control over both fetal translation and rotation
    • Start delivery at ROA, LOA,LOP or ROP
    • Program internal and external fetal rotations as needed
    • Program dystocia so that each student receives exactly the same scenario
    • Save and share scenarios and results for use later
  • Ability to quickly and easily create new scenarios as the instructor requires
  • Ability to change maternal, fetal or delivery conditions during the scenario
  • Measure and log force experienced by fetus and cardinal movement with respect to contractions
  • Force and shoulder position are graphed in real time with the uterine contraction
  • Fetus may be used for external version
  • Install fluids for bleeding and urinary catheterization
  • Programmable bleeding from birth canal
  • Forceps and Vacuum-Assisted Delivery
  • Uterine module for PPH
  • Postpartum hemorrhage and fundal massage
  • Intrapartum Modeling and Trending
  • Shoulder Dystocia
  • Breech & Vertex Delivery
  • Leopold Maneuver
  • C-section: using dissectible stomach cover including realistic skin, subcutaneous, fascia, rectus muscle, and peritoneum
  • Episiotomy Repair
  • Prolapse of the Umbilical cord
  • Placenta Previa
Dynamic Perinatal Monitor
  • Program Uterine Activity
  • Control frequency, duration and intensity of contractions
  • Select resting tone
  • Generate additional contractions during the scenario
  • Program Fetal Heart Rate
  • FHR Baseline
  • Select variability
  • Control episodic, periodic, and variable changes
  • Generate FHR patterns at any time
  • Listen to FHR in the External Fetal Monitoring or the Fetal Spinal Electrode Mode
  • Review up to 2 hours of recorded fetal tracings
  • Save/print fetal tracings for debriefing
Two Birthing Fetuses
  • Vertex fetus has a smooth head (no connection port) making vacuum deliveries more realistic
  • Breech fetus has a smooth bottom (no connection port) for maximum realism
  • Head with fontanelles and sutures
  • Head cover for forceps or vacuum augmentation during delivery
  • Head flexes as it moves through birth canal
  • Suction mouth
  • Realistic landmarks
  • Jointed arms and legs useful during dystocia and breech exercises
  • Umbilicus and placenta; attach placenta to uterine wall, placenta includes retained fragments
  • Fetuses are attached to delivery mechanism and can be released wirelessly
  • Can be manipulated by the student and either released or retained wirelessly
  • Fetal condition and release by command from wireless tablet PC
  • Programmable fetal heart sounds before, during and following the delivery
Maternal 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
  • Practice simulated suctioning techniques
  • Bag-Valve-Mask Ventilation
  • Conventional airway adjuncts
  • Endotracheal intubation using conventional ETTs
  • Sellick maneuver brings vocal cords into view
Maternal 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
  • Chest compressions generate palpable blood pressure wave form and ECG artifacts
  • 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
Maternal Cardiac
  • ECGs are generated in real time with physiologic variations never repeating textbook patterns
  • Heart sounds may be auscultated and are synchronized with ECG
  • Optional automatic mode allows to show virtual dynamic ECG rhythms for each of the 12 leads
Maternal Circulation
  • Measure blood pressure by palpation or auscultation
  • Use real BP cuff rather than a “virtual” cuff to measure blood pressure
  • Korotkoff sounds audible between systolic and diastolic pressures
  • Oxygen saturation detected using real monitors rather than a “virtual” value
  • Pulse sites synchronized with BP and heart rate
  • Bilateral IV arms with fill/drain sites
  • SubQ and IM injection sites
  • Chest compressions are measured and logged
  • ECG monitoring using real devices
  • Defibrillate, cardiovert and pace using real devices
  • Multiple heart sounds
  • ECG rhythms are generated in real time
  • Heart sounds synchronized with ECG
  • Pacing may be practiced anteriorly to avoid having to roll the patient during delivery
  • 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
Maternal Neural Responses
  • Programmable blinking, dilation and eye response to light
  • Programmable duration and intensity of convulsions
Maternal Speech
  • Pre recorded sounds
  • Standard two way wireless streaming audio
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
Vital Signs Monitor
  • Controlled via wireless tablet PC
  • Both maternal vital signs and fetal heart tones
  • Use selected configuration or create your own configuration to mimic the monitors used in your facility
  • Customize alarms
  • Change maternal or fetal condition during the scenario
  • Share images such as ultrasounds, CT scans, lab results
  • Touchscreen control
  • Both maternal vital signs and FHTs can be seen at the same time
  • Monitor can be configured by the instructor to suit the scenario
  • Display up to 8 numerical parameters
  • Display up to 5 real time waveforms in normal mode
  • Display up to 12 real time waveforms in advanced mode
Maternal Articulation and Movement
  • Improved hip articulation for McRoberts maneuver
  • Seizure/convulsions
  • Tremors
  • Able to position in knees/elbows position useful during shoulder dystocia
  • Realistic rotation of the shoulder and hip joints Legs bend at the knees
  • Arms bend at the elbow
  • Supine or semi-recumbent positions
  • Roll to left lateral position
  • Put legs in stirrups
Other
  • Fill bladder and perform Foley catheterization
  • Remains fully functional even while in transit
  • Soft carrying case
User Interface
  • Sensors track student actions
  • Changes in condition and care provided are time stamped and logged
  • View the actions of up to 6 care providers using a responsive menu or write narrative
  • Generate and share diagnostic lab results
  • File sharing
  • Links with optional recording and debriefing system integrating the event log with cameras and patient monitor
  • Supplied with wireless tablet PC
  • 49 pre programmed scenarios which can be modified by the instructor even during the scenario
  • Create your own scenarios – add/edit
  • Change simulator’s condition during the scenario
  • Optional automatic mode/physiologic model
  • Optional integrated three camera recording and debriefing solution

Product Code: S574.100 \ S575.100 \ S576.100



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