Tory® S2210 | Βιοϊατρική Τεχνική Υποστήριξη

TORY

Tetherless and Wireless Full-term Neonatal Simulator

Tory® offers true-to-life physical and physiological attributes, wireless mobility,
and ease-of-use designed to simulate lifelike clinical cases for every stage in neonatal care.
Whether training in a simulation center, in-situ, or in transit, Tory brings
neonatal simulation closer to real life than ever before.

Immediate Care After Delivery

Lifelike Appearance, Anatomy, and Physiology

Tory looks and feels like a real term newborn with its soft and supple skin,
lifelike vitals, and realistic articulation. The perfect combination of features for
APGAR evaluation and physical examination scenarios.


	Realistic size and weight(6 lbs / 2.7kg 20.75 in / 5 2.7cm)	Full Range of Motion

	Active arm movement: limp, active, seizures	Heart, lung, and bowel sounds

	Fontanelle, brachial, umbilical pulses	Cyanosis, crying, grunting

Mother-Newborn Physiologic Link

When paired with Victoria^® the “Mother-Newborn Link” wirelessly transfers the condition of the fetus at the moment of birth to Tory. This exclusive feature lets operators accurately simulate the transition from intrauterine to extrauterine life with just 1 click, while allowing participants to train continuity of care skills essential to improving response time and teamwork.

Neonatal Resuscitation Training

Comprehensive Cardiopulmonary Physiology with Feedback

Tory’s heart and breath sounds, chest rise, EtCO2, and O2Sat readings allow participants to practice recognizing and managing varying degrees of distress. Additionally, built-in ventilation and chest compression sensors accurately simulate realistic physiological responses to intervention, without input from the operator. It’s automation that handles the complex physiology so you can focus on the action.

Realistic chest rise with bagging


Ventilation and chest compression sensors	Hyperextension and intubation depth detection	Real end-tidal CO2

Real CO2 Exhalation

Tory exhales real and measurable CO2, thus capable of simulating a broad range of cardiopulmonary responses. Now participants can train to interpret and manage abnormal levels of EtCO2 using a real capnometer to improve response time and reduce risk in live situations. Tory’s CO2 exhalation system is small and portable, allowing continuous monitoring during transport.

Improve recognition and diagnosis of life threatening conditions related to abnormal EtCO2 including respiratory distress, apnea, cardiac arrest, and shock
Improve recognition and management of hypo and hyperventilation using breath-to-breath ventilation data
Train to confirm endotracheal intubation with every procedure
Train to recognize inadvertent extubation or “false negative endotracheal intubation” due to compromised pulmonary blood flow
Improve management of full arrest, by learning to monitor perfusion during compressions in real time and identifying return of spontaneous circulation (ROSC)

Monitor heart rate, respiration, etCO2 using your native monitoring devices and sensors

REAL-TIME FEEDBACK eCPR™ Monitor and Smart Trainer

The eCPR™ interactive monitor and smart trainer allows educators to evaluate the effectiveness of ventilations and compressions in real time. It also features verbal coaching cues and a comprehensive performance report for better training and better outcomes.

Neonatal Stabilization

Care and Monitoring Using Your Real Devices

With Tory, participants can use real devices to monitor heart rate, respiration, and EtCO2, thus able to train device operation and interpretation to improve patient safety. Tory also features multiple IV access sites to engage participants’ cognitive, technical, and psychomotor skills. Our CD100 Neonatal Stabilization Scenario package based on The S.T.A.B.L.E.™ Program curriculum offers validated educational material to improve neonatal resuscitation and stabilization.

I/O access with drain port for infusion


Monitor using real devices	Temperature sensor placement detection	IV access with drain port for infusion	Bowel sounds	Measureable blood pressure with BP cuff

Bilateral IV access and infusion	Arterial/venous umbilical catheterization	I/O access with drain port for infusion	Navel insert post cord detachment	Urinary catheterization

Handoffs and Transport

Wireless, Tetherless, and Battery Powered

Tory is fully functional while on battery power for up to 4 hours. There are no distracting controller wires or
tethered external compressors. Our proven wireless and tetherless technology lets you easily simulate
transitional care scenarios to improve inter and intra-disciplinary teamwork and communication. From the labor and delivery room to the NICU or anywhere learning can take place, up to 300 feet away.


Continuous operation on AC power adapter (included)	Wireless control at distances of up to 300ft.

UNI^® Unified Simulator Control Software

Powered by Microsoft® Surface Pro

Powerfully Intuitive. Ready for Use

UNI’s intuitive design offers the ease of use and capabilities required by even the most demanding simulation programs.

Learn Just Once and For All

UNI’s interface design is shared across our complete line of computer controlled patient simulators. Once familiarized, you can quickly apply your skills to operate other Gaumard products without retraining, saving your program valuable time and money.

Preconfigured and Ready - UNI comes preloaded and preconfigured on the rugged 12” wireless tablet PC included with the package.

• 3D Patient Visualization Monitor – This real-time 3D view of the patient ensures you never lose track of provider/patient interaction during the simulation.

• Automatic Operating Mode – With the Automatic Mode option, UNI will automatically calculate physiologic responses to caregiver or operator actions, pharmacologic intervention, and cardiopulmonary events. It offers a powerful and easy way to increase physiologic fidelity while reducing input needed from the operator.

• Scenario Designer – Create your own scenarios quickly and easily. And share them with other UNI users.

• Includes 13 Preprogrammed Scenarios – Save time and development resources by using our ready-for-use scenarios – or edit them to create your own.

• eCPR™ – Monitor rate and compression depth, no-flow time, ventilation rate, and excessive ventilation; smart trainer features vocal cues and outputs performance report.

• Lab Report Designer - Generate and share simulated diagnostic lab results to enhance case fidelity and participant involvement.

• Interactive Questionnaire Form Designer – Manage progress by easily creating interactive checklists to track participant objectives and post-simulation feedback.

• Time stamped event recording and reporting – The automated event tracking and interaction recorder ensures important events are always captured so you can focus on the action.

• Provider Actions Tracker – The interactive “Actions” panel lets you carefully track additional team and individual provider actions to generate a more detailed and comprehensive post-simulation log.

• UNI Control View Replay – The built-in recorder captures UNI’s screen as data to allow your team to review the simulation from the operator’s chair.

• No annual software license fee – Gaumard is committed to providing the best value and to keeping your program's operating costs down year after year.

• Free software updates – Always stay up to date and take advantage of all the newest features at no additional cost.

• Free webinar training and technical support – Sign up to our monthly webinar sessions and become a UNI expert.

Complete Turnkey Solution

Turnkey Package Includes

• Tory® Tetherless Patient Simulator

• Control Tablet PC preloaded with UNI^®

• (12’’ Touchscreen Tablet PC Windows 8)

• UNI® License including 13 scenarios

• RF Communications Module

• Battery charger/Power supply

• Receiving blanket, umbilical cords, tibia bone pack replacement lower arms, BP cuff, IV filling kit

• Soft carrying case

• User Manual

• 1 year standard warranty

• 2, 3, 5 year warranty plans also available

Accessories and Options:

• 20” All-in-one Touchscreen Virtual Patient Monitor - S2210.001.R2

• 12” Portable Touchscreen Virtual Patient Monitor - S2210.002

• Automatic Operating Mode - S2210.600

• CO2 Exhalation Option - S2210.078

• Pro+ Portable Recording and Debriefing System - S2210.211

• Installation and on-site training - S2210.INST

• Neonatal Stabilization Scenario package based on the S.T.A.B.L.E program curriculum – CD100

Features and Specifications

Appearance and Anatomy

Age: 40 week term newborn
Weight 6 lbs / 2.7kg
Length 20.75 in / 52.7cm
Smooth and supple full body skin
Seamless trunk and limb joints
Realistic joint articulation: neck, shoulder, elbow, hip, and knee
Forearm pronation and supination
Lifelike umbilicus
Palpable landmarks including ribs and xiphoid process

Tetherless and Wireless Mobility

Tetherless and fully responsive even while being transported for team training
Wireless control at distances of up to 300ft.
Internal rechargeable battery provides up to 4 hrs. of tetherless operation
Pneumatic and fluid reservoirs are housed inside the body
NOELLE^® Fetus-Newborn wireless link capability

Airway

Head tilt, chin lift, jaw thrust
Realistic orotracheal and nasotracheal airway and visible vocal cords
Bag-valve-mask ventilation
Neck hyperextension airway obstruction with event capture and logging
Intubation depth detection and logging
Programmable crying/grunting sounds
ETT, LMA, fiberoptic intubation

Breathing

Spontaneous breathing
Real end-tidal CO2 capability
Variable respiratory rates and inspiratory/expiratory ratios
Visible chest rise with bag valve mask ventilation
Unilateral chest rise with right main stem intubation
Lung ventilations are measured and logged
Programmable unilateral chest rise and fall
Unilateral lung sounds synchronized with respiratory rate

Cardiac

Comprehensive ECG rhythm library
ECG monitoring using real devices
eCPR™ 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

Circulatory

Visible central cyanosis with programmable intensity
Fontanelle, brachial and umbilical pulses
Blood pressure dependent pulses
Measure blood pressure using real modified BP cuff and Korotkoff sounds
Pre-ductal and post-ductal O2 saturation values simulated on patient monitor
Arterial/venous umbilical catheterization

Vascular Access

Bilateral IV arms
IV access on the lower left leg
Umbilical vein and arteries support catheterization and infusion
Umbilical cutdown
Intraosseous access and infusion at right tibia
Bilateral anterolateral thigh intramuscular injection sites

Digestive
Interchangeable female and male genitalia
Urinary catheterization with urine output
Selectable bowel sounds

Additional Features
Seizures/Convulsions
1 month neonate navel insert
Programmable muscle tone: bilateral or unilateral arm movement, reduced, and limp
Temperature sensor placement detection

UNI^® Unified 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
Create your own scenarios –add/edit
Includes 13 preprogrammed scenarios
eCPR™ – Monitor rate and compression depth, no-flow time, rate, and excessive ventilation; smart trainer features vocal cues and outputs performance report.
Generate and share simulated diagnostic lab results
Interactive 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 license fee

Virtual Patient Monitor (option)

Interactive virtual patient monitor displays vital signs in real time
Display up to 18 numeric values including HR, ABP, NIBP, NIBP Leg, SpO2, SpO2 PD, RR, EtCO2, CVP,PAP, CCO, SvCO2, temp
Display up to 20 dynamic waveforms including ECG, Lead I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6, AVP,CVP, PAWP, pulse, CCO, SvO2, respiration, and more
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 license fee