Gaumard HAL S a prove n tet h e rl e s s s i mul at o r. Leadership Through InnovationTM

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1 Gaumard Leadership Through InnovationTM Simulators for Health Care Education HAL S a prove n tet h e rl e s s s i mul at o r Simulation Made EasyTM Fully responsive in transit Wireless streaming audio Automatic or instructor control

2 HAL S3201 HAL S3201 combines the best of simulation technologies in an affordable package. Easy to Use Our intuitive and powerful 3D user interface defines... Simulation Made Easy TM Tetherless Tetherless technology, pioneered by Gaumard in 2004, allows the communications, compressor, and power supply to be inside the simulator, eliminating external tubes, wires and compressors. Advanced Beyond complexity lies simplicity... HAL technology is so advanced it is actually easy to use Reliable Proven HAL technology so rugged it was awarded an airworthiness certificate by the US Army Use Real Devices Connect directly to a real ventilator. Use a real 12 lead ECG monitor, real Osat monitors, BP cuffs, defibrillators or external cardiac pacemakers. Affordable Gaumard dedicates its talents to providing simulators at affordable prices. This principle remains as true today as it was over 50 years ago. Pro+ Recording and debriefing system Pro+ is supplied with two wireless and one wired camera. Capture multiple video (with wired or wireless cameras), audio, and patient monitors, as well as the simulator log file. Control both simulation and recording simultaneously using one PC.

3 Dynamic airway and lung compliance 12 lead ECG with integrated MI model Change lung compliance/airway resistance during scenario and see results on a real ventilator. HAL holds PEEP, triggers the ventilator, and exhales real and measurable CO2. Use our pre-programmed pathologies or create your own. Display and interpret HAL s 12 lead ECG using your real 12 lead monitor. Choose from the thousands of cardiac rhythms in our ECG library or create your own with our rhythm editor. Use integrated MI module to specify occlusions, ischemia or necrosis. Drug recognition Identifies drug type and volume injected into veins of right hand and forearm. Use our formulary or yours. Effect is determined by physiologic model, updating the simulated vital signs monitor.

4 Automatic Mode Wireless Streaming Audio Reactive Eyes Responds to caregiver or instructor actions; to pharmacologic intervention, to injury; or to cardiac and respiratory events Be the voice of HAL and hear caregiver responses. Create and store vocal responses or select from a pre-recorded vocal menu. HAL has blinking eyes with photo sensitive pupils. Dilation, reactivity, and blink rate can be controlled automatically or by the instructor. The Monitor Includes 20 inch touchscreen virtual monitor or upgrade to a 12 inch tablet virtual monitor Customize each trace independently; users can set alarms, and time scales. Display up to 12 numeric values including HR, ABP, CVP, PAWP, NIRP, CCO, SpO2, SvO2, RR, EtCO2, temperature, and time Select up to 12 dynamic waveforms including ECG Lead I, II, III, avr, avl, avf, V1, V2, V3, V4, V5, V6, AVP, CVP, PAWP, pulse, CCO, SvO2, respiration, capnography. Share images such as x-rays, CT scans, lab results, or even multimedia presentations as the scenario progresses Tablet PC HAL includes a 12 inch touchscreen tablet PC with stylus control, bump case and scenarios

5 The Software GIGA TM Our intuitive and powerful software offers ease of use and the flexibility required by the most demanding users GIGA Features Basic view provides windows for the 3D model of the simulator, a completely configurable vital signs monitor and an activities log. 3D image can be rotated or enlarged; the skin removed and physiologic parameters accessed to change any elements of a powerful physiologic engine. Physiologic parameter groups include airway, breathing, cardiac, cephalic and circulation. Move each about the status panel. Expand windows to include status, palettes, scenario, branching scenario, actions, log, monitors, CPR recorder, speech, medication, and quick meds. Specify only frequently used parameters or be as detailed as you wish. Measure Blood Pressure using real cuff Measure OSAT using real oximeter Reactive Eyes Oral and Nasal Intubation Dynamic Airway and Lung Compliance 12 Lead ECG Automatic Chest Rise Bilateral IV arms Central Cyanosis Realistic surgical trachea Defibrillate, cardiovert and pace using real devices

6 HAL S a part of Gaumard s growing family of tetherless simulators General Available in ethnic skin tones Tetherless and fully responsive even while being transported Powered from an internal rechargeable battery or wall outlet Battery operates the simulator up to 5 hours Simulator receives commands from a wireless tablet PC and operates at distances up to 300 meters Simulator may be used outdoors or indoors; be covered with a blanket or placed in a NATO litter Simulator can operate automatically using a physiologic model or by the instructor Optional programmable bleeding arms and legs Instruction manual with both basic and advanced interactive scenarios Use pre programmed scenarios, modify them or create your own quickly and easily Installation and training worldwide Simulation Made Easy TM Airway Programmable airway: tongue edema, laryngospasm, and pharyngeal swelling Multiple upper airway sounds synchronized with breathing Nasal or oral intubation Right mainstem intubation Sensors detect depth of intubation Airway may be obstructed Block right lung, left lung, or both lungs Head tilt/ chin lift Jaw thrust Simulated suctioning techniques can be practiced Bag-Valve-Mask Ventilation Placement of conventional airway adjuncts Endotracheal intubation using conventional ETTs Retrograde intubation Sellick maneuver brings vocal cords into view Realistic surgical trachea allows tracheostomy or needle cricothyrotomy Tracheostomy care and suctioning Breathing Control rate and depth of respiration and observe chest rise Automatic chest rise is synchronized with respiratory patterns Select independent lung sounds: upper right front and back; upper left front an back; lower right front and back; lower left front and back Chest rise and lung sounds are synchronized with selectable breathing patterns Accommodates assisted ventilation including BVM and mechanical support Ventilations are measured and logged Gastric distension with excessive BVM ventilation Detection and logging of ventilations and compressions Simulated spontaneous breathing CO2 on exhalation (4 levels) using replaceable cartridge mounted inside the simulator Variable respiratory rates and inspiratory/expiratory ratios Attach to real mechanical ventilators Bilateral chest rise and fall Unilateral chest rise simulates pneumothoraces Normal and abnormal breath sounds Anterior and posterior auscultation sites Bilateral needle decompression at second intercostal Dynamic Airway and Lung compliance/resistance - Ten levels of static compliance, ml/cm H 2 O - Ten levels of airway resistance - Use in conventional ventilation modes - Holds PEEP from 5 to 20 cmh 2 O - Exhales real and measurable CO2 - Vary lung mechanics throughout scenario - Receive real time feedback from real mechanical ventilator - Capable of assisting the ventilator at variable respiratory rate - Compliance and resistance can be varied while connected to the ventilator Cardiac ECGs are generated in real time with physiologic variations never repeating textbook patterns Heart sounds may be auscultated and are synchronized with ECG ECG rhythms shown for each of the 12 leads View dynamic rather than static 12 lead rhythms 12 Lead ECG with integrated MI model - Use your real 12 lead monitor - Extensive HAL ECG library - Specify other 12 lead ECGs using our editor - Use integrated MI module to specify occlusions, ischemia or necrosis 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 Realistic flashback SubQ and IM injection sites Intraosseous access at tibia Chest compressions are measured and logged Chest compressions generate palpable blood pressure wave form and ECG artifacts ECG monitoring using real devices Defibrillate, cardiovert and pace using real devices Multiple heart sounds, rates and intensities ECG rhythms are generated in real time Heart sounds synchronized with ECG Dynamic rather than static 12 lead ECG display Pacing may be practiced anteriorally Bilateral carotid, radial, brachial, femoral, popliteal and pedal pulses synchronized with ECG Pulses vary with blood pressure, are continuous and synchronized with the ECG even during a paced rhythm Instructor or Automatic Mode Intuitive interface and automaticity makes simulation easy Vital signs are generated in real time Drug library with medications Use of medications change conditions in real time mimicking real clinical situations Drug Recognition System Identifies drug type and volume injected into veins of the right hand and forearm Supplied with 100 syringes having wireless tags Use drugs from library or choose to model other drugs using software template Physiologic models update simulated vital signs monitors Additional packs of 20 syringes with tags available 22 gauge needle recommended; larger needles will decrease venous life Supplied with easily replaceable veins Neural Responses Eyes are controlled automatically by physiologic model or directly by the instructor Eyes open and close Select blink rate Select pupillary response to light Speech Wireless streaming audio Pre recorded sounds 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 Simulated vital signs Use selected configuration or create your own configuration to mimic the real monitors used in your facility Customize alarms Easy to operate and control Reflect simulator s condition during the scenario Share images such as ultrasounds, CT scans, lab results Touchscreen control Monitor can be configured by the instructor to suit the scenario Display up to 12 numeric parameters Select up to 12 dynamic waveforms Articulation and Movement Seizure/convulsions Realistic rotation of the shoulder and hip joints Legs bend at the knees Supine or semi-recumbent positions Other Central cyanosis Fill bladder and perform Foley catheterization Interchangeable genitalia Insert feeding tubes Auscultate bowel sounds 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 Links with optional recording and debriefing system integrating the event log with cameras and patient monitor Supplied with wireless tablet PC Interactive Physiologic modeling 26 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 integrated three camera recording and debriefing system available - Control both simulation and recording simultaneously using one PC - Capture multiple video, audio, and patient monitors, as well as simulator log file for debriefing S3201 HAL Patented; other patents pending Optional Add-Ons Pro+ recording and debriefing system S Traumatic leg amputation S Traumatic arm amputation S Upgrade to 12 inch tablet virtual monitor S Toll Free: USA Worldwide: Fax: sales@gaumard.com Gaumard Scientific, 2011 MADE IN AMERICA