Step 1 of 4: Locate the defibrillation adapter plates. These are two stud connectors located on the simulator torso.
Step 2 of 4: Fit the defibrillation studs in place before using the defibrillator.
Step 3 of 4: Attach conductive defibrillation pads to simulator chest, covering pacing disks. Do not allow pads to touch ECG electrodes on chest. Doing so may cause injury or damage to simulator.
Step 4 of 4: Add the defibrillation adapter cable that allows for the student to deliver live shocks. Do not apply the electric shock without this defibrillation adapter cable. If a live shock is delivered without this adapter cable, the chest skin will burn.
Step 2 of 10: Check that the simulator is not in sleep mode.
SimMan 3G will go into sleep mode after periods of inactivity to conserve battery life. Reactivate the simulator by pressing the On/Off button or using the Instructor Application.
Step 3 of 10: Check that the airway respiration rate (awRR) is not set to zero in the Instructor Application.
Step 4 of 10: Check that airway Resistance and Compliance needs to be set to zero using the slider on the Airway & Breathing tab in the Instructor Application.
Step 5 of 10: Turn on the internal compressor by ensuring that "Turn off internal compressor" under Manikin setup in the "Tools" bar is unchecked.
Step 6 of 10: Check whether the internal compressor is overheated. The internal compressor is located in the right leg of the simulator.
If the internal compressor is hot to the touch, wait approximately 20 minutes for it to cool down.
Step 7 of 10: Make sure that compliance and resistance sliders are set to zero on the Airway & Breathing tab in the Instructor Application.
Step 8 of 10: Make sure needle decompression is not selected in the All learner events area of the Instructor Application.
Step 9 of 10: Check if the chest-rise bladder is leaking. The chest-rise bladders are located in the lower end of the chest plate and may rupture after a while. They can be accessed by removing the torso skin and raising the chest plate.
Also check if the tubing to the chest-rise bladder is twisted, kinked, or disconnected. If it is leaking, replace the chest-rise bladder.
Step 10 of 10: Check the air tubing that runs through the simulator's torso between the chest rise bladder and the internal compressor for leakage. If there is a leak, contact Laerdal Technical Support for replacements.
Step 1 of 8: Check airway resistance. Make sure that it is not set to maximum in the Instructor Application. If the resistance is set above 0, the lung functioning will be affected.
Step 2 of 8: Open the torso and chest to ensure that no cables are preventing the lungs from expanding. Also check that the lung bladders are properly connected and that the tubes are not twisted.
Step 3 of 8: Check that the lung bladders are positioned correctly.
Lung bladders should be in a horizontal position. Make sure that the silicone string in the lung assembly falls between the folds of the lung bladder.
Step 4 of 8: Check for ruptures in the lung bladders. If you find ruptures, replace the bladders.
Step 5 of 8: Check that the two blue lung compliance O-rings on each lung are fitted correctly in place. If they are damaged, replace them.
Step 6 of 8: Check for loose objects inside the airway that may block air flow. If you find any, remove them.
Step 7 of 8: When not ventilating the lungs, check for normal functioning.
If the lungs still do not function properly, foreign particles such as sand may have entered the mechanism controlling lung resistance.
Step 8 of 8: Contact Laerdal Technical Service at:
Service and Support Inquiries
Monday – Friday 8:00am – 8:00pm EST
Saturday, 10am – 6pm EST
Step 1 of 3: Unzip and roll the skin off of the simulator torso.
Step 2 of 3: Remove the skin flap in the lower torso that secures the chest skin.
Step 3 of 3: Apply baby powder to the inside of the arms, torso, and legs on the new skin to reduce the friction between the simulator and the skin. Then, carefully put on the new skin.
To prevent tearing of the zippers, make sure to properly position the skin halves and hold them together while zipping them closed.
Step 1 of 4: Remove the genitalia pad by gripping the pad at the top and pulling down.
Step 2 of 4: Disconnect any tubes and cables connecting the genitalia pad to the simulator.
Step 3 of 4: Connect the urine tube and catheterization sensor cable from inside the simulator's pelvis to the urine bladder module.
Step 4 of 4: Place the new genitalia module back into the simulator's pelvis.
Step 1 of 4: With one hand, pull back on the upper lip of the simulator's mouth.
Step 2 of 4: With the other hand, pull upper teeth slightly forward and down.
Step 4 of 4: Align the new set of teeth with gums and push them back until the teeth engage and lock onto the gums.
Step 1 of 5: Remove the neck skin. Use the hook-and-loop or velcro fasteners behind the neck to do so.
Step 2 of 5: Remove the old Crico-tape from the neck.
This tape simulates the crycothyroid membrane and is pierced when an emergency airway is created during a simulation. The tape spans the hole in the simulator's throat and must be replaced before a new simulation session can be run.
Step 3 of 5: Seal the opening with tape from the roll provided.
Step 4 of 5: Ensure the Crico-tape covers and seals the airway opening.
Step 1 of 1: Readjust skin over the pulses.
The skin may be too tight or too loose over the pulse units. By opening the skin and readjusting its fit over the pulse locations, you may be better able to feel the pulse units.
Step 1 of 2: The SimMan 3G right arm IV comes with a US catheter type as a default. This catheter has one inlet for drug administration.
Step 2 of 2: The point where you attach the syringe must be close enough to the IV port for the simulator to recognize the RFID tag in the IV.
Step 1 of 1: A Foley Catheter may be used with a male or female genitalia module. When connecting the genitalia module, ensure that the module's urine tube and catheterization sensor cable are connected.
Always use a water-based lubricant when inserting a Foley Catheter.
Step 1 of 3: If simulation blood is leaking from anywhere in the right leg, the blood reservoir may be torn and must be replaced. If you must replace the blood reservoir, contact Laerdal Technical Service.
Step 2 of 3: Check if fluid and bleeding bags are leaking.
If clear fluids show signs of red discoloration, the fluid and bleedings bags are likely leaking and must be replaced. For replacements, contact Laerdal Technical Service.
Step 3 of 3: Suspend use of the simulator and contact Laerdal Technical Service at:
Service and Support Inquiries
Monday – Friday 8:00am – 8:00pm EST
Saturday, 10am – 6pm EST
Step 1 of 2: Clean the IV arm with a 60% Isopropanol alcohol or 70% ethanol solution. Rub the solution on the surface of the IV arm to clean the external IV.
Fill a syringe with alcohol and administer it through the IV catheter to clean the IV internally.
Step 2 of 2: Recalibrate the IV arm flowmeter. Select the "Tools > Maintenance" menu in the Instructor Application, then select the "Calibrate IV flowmeter" option.
Select "Calibrate IV flowmeter" then follow the instructions in the "Flowmeter calibration wizard".
Step 1 of 4: The blood filters must be replaced. Begin by turning off the simulator.
Step 2 of 4: Remove the genitalia with catheterization assembly for easy access.
Step 3 of 4: Disconnect the filter from the tubes and remove it.
Step 4 of 4: Connect a new filter by reversing the previous steps.
Step 1 of 3: Check that you added a couple drops of soap to the clear fluid reservoir when filling the system to create the foam effect.
Step 2 of 3: Check the restrictor valve for blockage.
The restrictor valve for air froth is the leftmost of the fluid tubes on the back of the simulator's neck.
Step 3 of 3: Flush the restrictor valve. To do so, open the restrictor valve for air froth (the leftmost valve of the fluid tubes) with an Allen wrench and allow the froth fluid to flow unrestricted through the tube until the simulator froths at the mouth.
Step 1 of 6: Turn the simulator face down.
This will allow you to access the fluid tubes on the back of the neck
Step 3 of 6: Pull open the skin on the back of the simulator's head to reveal the fluid tubes on the back of the neck.
Step 5 of 6: After loosening the valves on the fluid tubes, let the fluid flush through the tubes until it flows unrestricted through the specific output you are trying to flush (mouth, tears, ears, nose).
Step 6 of 6: Use the Allen wrench to tighten the tube screws until the desired flow rate is achieved.
Step 1 of 5: Roll up the skin over the leg to expose the IO module.
Step 2 of 5: Remove the tape securing the IO module and remove the module from the leg. Make sure there is no blood in the module before you remove it.
Step 4 of 5: Secure the new module in place with a length of tape.
Step 1 of 7: Open the torso skin, then move the stomach foam to the side.
Step 4 of 7: Unhook the yellow lung compliance bands from each side of the lung assembly.
Step 5 of 7: Open the hinged lung plate.
The hinged lung plates are the two blue plates on either side of the chest cavity that conceal the lung bladders.
Step 7 of 7: Insert the new lung and perform the procedure in reverse to close the chest cavity.
Ensure that the O rings are in place securing the end of the new lung bladder to the connection socket
Step 2 of 3: Remove the old filters from the connectors. The filters are at the lip of each connection.
Step 3 of 3: Attach the new filters to the connectors inside the leg.
Step 1 of 4: Open the torso skin to expose the chest plate. The bladders are located on the side of the chest plate assembly.
Step 2 of 4: Disconnect the chest rise bladder tube. Discard the old bladder.
Step 4 of 4: Reconnect the new chest rise bladder barb into the tubing where the old bladder was disconnected.
Step 1 of 4: Open the torso skin. The bladders are located in slots in the side of the chest plate assembly.
Step 2 of 4: Slide the pneumothorax bladder out of the chest plate.
Step 3 of 4: Disconnect the pneumothorax bladder barbed end connector from the pneumothorax bladder. The ¼ opaque sylastic tubing should be connected to the highlighted portion of the bladder.
Discard the old pneumothorax bladder.
Step 4 of 4: Insert the new pneumothorax bladder into the chest plate.
Reconnect the new bladder's barbed connection to the opaque tube.
Step 1 of 4: Open the torso skin and remove the chest drain module. The module is located on the left and right side of the simulator torso.
Step 2 of 4: Remove the old pleura skin from the chest drain module.
The chest drain module's pleura skin should be replaced after each session of use.
Step 4 of 4: Reinsert the chest drain module into the simulator's torso.
Step 2 of 2: Insert the new module into the chest. Secure the new IO module in place and replace the torso skin.
Check the tubing connection at the base of the bladder.
The white opaque tube with a barb connector should be attached to the connector on the pneumothorax bladder.
Step 1 of 3: Ensure the IV catheter is in range of the RFID antenna.
The IV insertion point must be within range of the RFID antenna for the RFID tag to register.
Step 2 of 3: Reposition the RFID tag on the device.
Ensure that the RFID tag itself is positioned so that when the device is near the Right Arm IV, the RFID tag is within 10 cm range of the RFID antenna.
Step 3 of 3: Recalibrate the IV arm flowmeter.
Step 1 of 4: Attach the IV overflow tube to the drain under the simulator's right arm.
Step 2 of 4: Begin priming the IV arm system for use by injecting 50 ml of purified water in a continuous stream into the IV system.
Priming the IV arm before administering any simulated drugs helps prevent backflow
Step 3 of 4: Drain the excess fluid from the IV arm after flushing it.
Step 4 of 4: Attach the IV overflow tube to the fluid drain under the simulator's right arm before each session.
During each session, allow excess fluid to drain into a container during the simulation.
Step 1 of 2: Ensure that the RFID meds are inserted into the injection port on the IV that is on the simulator's arm.
Step 2 of 2: Ensure that the RFID meds are inserted into the top injection port on the IV that is perpendicular to the arm
Step 1 of 4: Power on the simulator, then flush the IV arm with a solution of 60% Isopropanol alcohol or 70% ethanol.
The IV arm should be flushed after every session or day of use. The simulator should always be powered on when injecting fluid into the IV.
Step 2 of 4: Fill a syringe with 50 ml of alcohol and administer it through the IV catheter.
Do not apply force when administering fluids or drugs to the IV arm. Doing so may cause damage to the flowmeter.
Step 3 of 4: Calibrate the IV arm flowmeter.
In the Instructor Application, select the Tools> Maintenance menu, then select the option to "Calibrate the IV Flowmeter."
Note that the flowmeter should be calibrated before running a scenario to ensure the scenario flows properly.
Step 4 of 4: Follow the onscreen instructions in the Flowmeter calibration wizard.
A confirmation message will appear if the calibration was successful.
Step 2 of 2: If the system shutdown causes all data to be lost or corrupted, download the SimMan 3G recovery file at http://www.laerdal.com or visit the SUN user site: http://simulation.laerdal.com.
Step 1 of 6: Check to see if the instructor PC is receiving the correct signal from the manikin. Restart the program, and if that does not work, restart the instructor PC.
Step 2 of 6: Ensure that the WPA security keys are not the same for multiple simulators.
The default WPA password is SimMan 3G. To change this, edit the password identified between the <WPAPSK> and </WPAPSK> tags in the xml file. Retrieve this xml file from the USB connector inside the simulator torso.
Step 3 of 6: If you are operating more than one simulator, change the simulator names. If multiple simulators share the same name, the WLAN connections will overlap.
To change the Simulator display name, edit the name between the <SSID> </SSID> tags in Notepad.
Step 4 of 6: Check if the WLAN dongle inside the simulator is properly connected to the USB cable marked WLAN and not to the auxiliary USB connector.
Step 5 of 6: Check network settings by attaching an empty USB memory stick to the auxiliary USB connector and removing it after 30 seconds.
Open the xml file that is generated and ensure that network settings are set to the correct channel. The channel setting is the number between the <Channel> and </Channel> tags in Notepad.
Step 6 of 6: As a last resort, return the simulator to factory defaults. This can be done by connecting an external DVD drive to the auxiliary USB connector and inserting the recovery DVD (downloadable from the web).
Start up the simulator. The recovery process will take a considerable amount of time. Vocal feedback will be played through the simulator's head speaker.
Once the recovery is completed, the simulator software may have to be updated. To update the simulator software, see Maintenance Section: Updating the Simulator Software in the User Manual.
Step 1 of 4: Test the WLAN feature with another computer. This will allow you to rule out a computer-related malfunction.
Step 2 of 4: Check that WLAN is enabled in the Instructor Application on the PC.
Also, check that WLAN is not disabled by the driver and that the PC's wireless capabilities are turned on.
Step 3 of 4: Check that the WLAN is set up with the correct network (SimMan3G.WPA2/PSK-AES preshared key SimMan 3G) settings.
The default setting is to use this network address automatically.
For more information on Wireless and LAN configuration, see the SimMan3G Network Configuration Tool Help file (Press the <F1> key on the PC keyboard). The Help is accessible when the software is running on the instructor PC.
Step 4 of 4: Disable the sleep or hibernate features on the PC.
WLAN adapter drivers and utilities may come equipped with features that allow intelligent control of the radio. These features may automatically shut down the adapter, and this typically occurs after the computer has been in sleep or hibernate mode.
You may need to disable such features in the Instructor PC. Consider removing Original Equipment Manufacturer utilities (i.e., the software that the PC came preloaded with from the manufacturer) altogether and choose Windows built-in features instead.
Step 1 of 2: Start the simulator and wait until the simulator shows signs of breathing.
Step 2 of 2: Open the Network Configuration window to adjust the manikin's network configuration settings. For more information on Wireless and LAN configuration, see the SimMan3G Network Configuration Tool Help file (Press the <F1> key on the PC keyboard). The Help is accessible when the software is running on the instructor PC.
Step 1 of 2: The wireless network may be disabled in AP mode. This can be achieved by using the SimMan 3G Network Configuration Tool. When using the manikin in environments where use of WLAN transmitters are prohibited (such as on an aircraft), contact your local service representative for instructions on how to turn off radio transmission.
Step 2 of 2: If you want to operate the manikin without a router, attach a through adapter between the two Ethernet cables connected to the router (eliminating the router). Disconnect the power supply to the router by unplugging the power cable. Only the instructor PC will work in this configuration, the Patient Monitor will not be connected.
Step 1 of 1: Reset the tablet PC.
Sometimes the touch screen function will not work. This error typically occurs after the tablet PC has been in sleep mode.
Step 1 of 2: Check that all cables, tubes, and connectors are properly connected and aligned in all areas of the simulator.
Step 2 of 2: Check for fluid leakages.
The simulator's fluid reservoirs in the right leg may be leaking and require replacement. There may also be leaks in the cables and tubes that connect the fluid reservoirs to the rest of the simulator. If this is the case, contact Laerdal Technical Support.
Step 1 of 1: Press and hold the On/Off button on the simulator's power panel for 10 seconds.
For additional information on the AFMMAST Program, contact us at firstname.lastname@example.org.