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User Guide: Fundamentals of Laparoscopic Surgery Trainer System & Accessories Learn More at fls-products.com Limbs & Things Inc. P.O. Box 5669, Savannah, GA 346, USA

Fundamentals of Laparoscopic Surgery Trainer System & Accessories Limbs & Things, a leader in medical and surgical simulation for the past 25 years, has worked closely with the SAGES-ACS FLS Committee to update the FLS Trainer and is pleased to present a new series of Laparoscopic training products designed exclusively for the FLS Program. The new versatile and exciting design meets the need for gaining fundamental skills at an affordable cost. Limbs & Things offers three purchasing options for the FLS Trainer, which allow for parts such as the camera and light source to be easily replaced by the customer. The Limbs & Things FLS Trainer comes with a TV Camera (RCA-NTSC), plus LED lighting. The FLS Skin Frame is constructed from durable neoprene and uses magnets to attach to the frame securely. It has 2 pre-incised holes for the Trocars. Rubber strips provide the FLS Trainer Box with a sturdy platform for training. The white acrylic and open ends of the trainer allow for ambient light to enter the training area. A variety of manual skills products are available for use with the FLS Trainer Box. Designed to develop the skills necessary to perform Laparoscopic Surgery. WARNING: Small Magnets Health & Safety Information MAGNETICALLY SENSITIVE ITEMS: The Neodymium magnets supplied as part of this model are much stronger than ordinary magnets. Keep all objects that can be damaged by magnetism a safe distance from the magnets. These include: Mechanical watches Heart pacemakers CRT monitors and televisions Credit cards Diskettes and other magnetically stored media HEART PACEMAKERS Keep magnets away from heart pacemakers. Magnets can set a pacemaker to work in a way that is not suitable for the pacemaker user and that might affect their health.

Components: Trainer System 2 3 Trainer Box Top Trainer Box Base Skin Frame 4 5 6 Trocars Camera Monitor cable 7 8 Power Cable and Adaptors String and Alligator Clips IMPORTANT: Please ensure that the camera lens cap is removed before use

Components: Consumables Note: The following FLS Trainer Systems do not include consumables: Part No s: 5030, 50303, 50305 Task One: Peg Transfer Peg Board with 6 Triangles Task Two: Precision Cutting 2 3 Jumbo Clip Retainer 25 Gauze Pads with Single Circle 25 Gauze Pads with Double Circle Task Three: Ligating Loop Tasks Four & Five: Knot Tying 3 Foam Organs Suture Block with 50 Penrose Drains

Additional Equipment Available for Purchase Instruments, Single/Multi Use Ligating Loops and Sutures can be purchased in multi-packs from the FLS website - www.fls-products.com Note: Ligating Loops are required for Task Three and Sutures are required for Tasks Four and Five. 8 Piece Instrument Set 2 3 4 Single Use Ligating Loop Multi Use Ligating Loop Suture 2/0 Silk 90cm, 26mm ½ Circle Taperpoint Needle

Assembling the Trainer Box 2 The Trainer will arrive in two halves Ensure the trainer is aligned correctly (power points and alligator clips should be at the front of the trainer) 3 4 Line up the holes on the top half of the model with the connecting points on the rubber sleeve on both sides of the model Gently press the top half of the model down onto the rubber connecting points on both sides. The two halves of the model are now securely fixed

Connecting a Monitor Note: If you are connecting a different monitor than the one provided with the FLS system, please refer to your monitor s instruction manual for connection instructions. 2 Attach the power cable to the power connection point and plug into a power source Attach the cable with the yellow connector to the remaining connection point 3 4 Ensure the power cable is connected to the Monitor and plugged into a power source Plug the other end of the yellow connector into the VIDEO/Y connection on the back of the monitor.

Configuring the Monitor Note: If you have connected a different monitor than the one provided with the FLS system, please refer to your monitor s instruction manual for configuration instructions. 2 Once the trainer is linked to the monitor. The power light on the bottom right of the monitor will light up red Press the standby button on the remote control 3 4 The monitor should now display the camera view IF THE MONITOR IS NOT DISPLAYING THE CORRECT CHANNEL, Press the INPUT button on the remote control

Configuring the Monitor (Continued) 5 6 The Input Source menu will display. If TV is selected, use the arrows on the remote to scroll down the menu Select Component/AV on the Input Source Menu, and press enter on the remote control 7 8 After a few seconds the AV channel will display the camera view Press the Aspect button on the remote control to change the aspect ratio. There are 4 options to choose from: Normal, wide, cinema and zoom

Adjusting the Camera (Slider) to Center the Image 2 Lift the magnetic layer from the top of the trainer and remove from the trainer box Locate the single screw that holds the camera in place on the trainer box 3 4 Using a Phillips screwdriver (not included), loosen the screw in order to realign the camera Slide the screw to the preferred position (looking at the monitor to check the camera view)

Adjusting the Camera (Slider) to Center the Image (Continued) 5 6 The monitor view can also be adjusted by gently moving the camera unit up or down Check on the monitor that the image is displaying as required 7 8 Once the camera is in the correct position, tighten the screw to hold the camera in place Re-attach the magnetic layer to the top of the trainer

Notes Part No: 065-70 Issue, April 205 205 Limbs & Things