The simulator upgrades from TMA/F55. Its system is developed according to the standardization training syllabus of the newest house staff and combined with requirement of clinical skills operation in gynaecology and obstetrics. It includes multiple subjects such as gynaecology, obstetrics, paediatrics, emergency treatment and nursing, which can be divided into puerpera and neonatus system.  These two large scale systems cover first-aid knowledge points of the entire labor process, basic nursing, postpartum nursing care and BLS of infant and Mother, ACLS and PLS. It provides classical dystocia cases, e.g, normal labor, cord around neck delivery, breech dystocia, preeclampsia, caesarean birth, prolapse of umbilical cord, premature birth and potential hemorrhage before, during and after delivery, which instructs obstetrical workers to identificate different natal stages through partogram, diagnose abnormal labor stages in clinic and deal with it properly; to diagnose fetal distress in time by clinical fetal monitoring and handle it; and to train nursing care and emergency treatment for neonates. The software can self-edit clinical cases, simulate real clinical environment and cultivate students’ ability in clinical diagnosis and team cooperation for labor and emergency cases.

★ The mark shows that only when it used with optional accessories can some functions be realized.

System configuration:

1. Gravida manikin (for delivery and adult first aid)

2. Neonatal manikin (for first aid and nursing care)

3. Fetal manikin (for delivery)

4. Other auxiliary set

5. Simulative cervical opening

6. Antepartum cervical changes and birth canal relation modules (6 stages)

7. Uterus postpartum 48 hours

8. Modules for postpartum perineal incision and suture

9. Simulative placenta/ umbilical cord

10. Lifting “soft pad” for Leopold maneuver practice

11. Other auxiliary set etc

Friendly user interface:

Software is easy to operate and learn, which can simulate various ill scenes to have students’ comprehensive first-aid ability and clinical diagnostic thought trained;

Open system structure: users can edit cases by themselves to meet the needs of different training and examination;

Easy to compile: provide multiple trends, flow charts and event recording to make compilation and operation easier;

Compatible with Windows system roundly: can simultaneously operate other office software and do not conflict with them;

Main functions of gravida delivery manikin:

Emergency treatment:

1. Standard airway management function, available orotracheal intubation and real-time display of intubation position on the computer

2. Venipuncture: arm venous transfusion, deltoid subcutaneous injection, intramuscular injection of lateral thigh etc

3. Simulative drug treatment system provides multiple ways of drug administration; can make user-defined addition, medicine modification and drug list saving; and all kinds of drug effects cause physiological reaction;

4. CPR: there’s chest rise during insufflation; computer monitors compression position, compression depth and inflating volume; real-time graphical display of data; have statistic reports when the operation is over

★ Simulate defibrillation and pace-making: when it is used with GD/J880 simulative defibrillating pace-maker, defibrillation and pace-making can be achieved

Vital signs simulation:

1. Real-time monitoring changes of UC and FHR curves

2. Simulate all kinds of maternity chief complaint; moan, cough and vomit sounds; and real spontaneous respiration authentically reproduces actual scenes of delivery room;

3. Carotid pulse

4. Fetal heart sound auscultation

5. Equipped with highly simulated cervix;

★ Simulative ECG monitoring: use finger-clamped SpO2 sensor to monitor SpO2; simulative ECG monitoring can be achieved when it is used with TMA/J115, simulative multi-parameter ECG monitor. LCD simulative multi-parameter ECG monitor can provide 12-lead electrocardiogram, saturation of blood oxygen, breath, CO2, BP  cardiac output, etc.; show the chest radiogram, ultrasonic cardiogram and 12-lead ECG synchronously; save hundreds of ECG internally, which can be used for training and assessment;

Simulate the whole process from expectant, parturition to postpartum nursing:

1. Type-B ultrasonic testing: provide dozens of clinical type-B ultrasound images; observe fetal physiological activities by type-B ultrasonic testing and judge whether placenta is normal;

2. Delivery: automatically demonstrate the delivery mechanism of left occiput anterior with spontaneous UC, engagement, descending, flexion, internal rotation, extension, restoration, external rotation, fetal shoulder and fetal delivery, and the delivery speed can be adjusted according to teaching requirements; air pump simulate UC of different intensity and duration; simulate delivery mechanism, there’s uterine contraction during the first stage of labor; descent is discontinuous: fetal head descent during UC and a little retraction during the intervals; after cervix dilates totally, the second stage of labor begins;

3. The descending position of fetal head is controlled by the software; coordinate modules of antenatal cervical changes and birth canal relation changes to know the conditions of fetal head descent and cervical dilation;

4. Simulate normal delivery, breech delivery and shoulder dystocia;

5. Four common maneuver can be used to solve shoulder dystocia

6. Equipped with lifting “soft pad” for practicing Leopold maneuver;

7. Equipped with modules of antepartum cervical changes and birth canal relation changes, which can be fitted to maternal manikin for training:

Stage 1: no dilation of cervix; cervical canal does not disappear; the position relation between fetal head and ischial spine place is -5;

Stage 2: 2cmcervical dilation; 50% of cervical canal disappears; the position relation between fetal head and ischial spine place is -4;

Stage 3: 4cmcervical dilation; cervical canal completely disappears; the position relation between fetal head and ischial spine place is -3;

Stage 4: 5cmcervical dilation; cervical canal completely disappears; the position relation between fetal head and ischial spine place is 0;

Stage 5: 7cmcervical dilation; cervical canal completely disappears; the position relation between fetal head and ischial spine place is +2;

Stage 6:10cmcervical dilation; cervical canal completely disappears; the position relation between fetal head and ischial spine place is+5;

8. Simulate multiple placenta positions, placenta fragments residual;

9. Available cesarean birth;

10. Perineum suture modules for practice, and there’re three incision positions: left inferior, median and right inferior;

11. Uterine massage postpartum 48 hours, great postpartum hemorrhage;

12. Puerpera nursing care (binding up, combing, overall cleaning, etc.)

Neonatal function:

1. Venipuncture: Neonatal scalp and arm venous punctures are available, and there’s a “pop” feeling and back flow of blood for successful venipuncture;

2. Nursing: washing eyes and drop administration; neonatal cleaning and binding up;

3. Neonatal CPR Training;

4. Have trachea cannula via mouth and nose to make sputum suction and gastric lavage;

5. Baby’s umbilical cord nursing;

6. Support multiple ventilation modes such as mouth to mouth, mouth to nose, and BVM to mouth and so on;

7. Artificial respiration;

8. Extracardial compression