1. The Lungs: ASL 5000 Breathing Simulator: Simulator must be a high-fidelity, digitally controlled respiratory simulator that allows training for the highest level of patient care, with any ICU ventilator and any mode of ventilation, • Should include a ventilator-grade spontaneous breathing which means the ventilator cannot tell the difference between the breaths produced by the simulation lungs and those of a real patient. • Should simulate any respiratory patient scenario using the widest range of resistance, compliance and spontaneous breathing parameters of any simulator including disease states and deteriorating/improving patient states. • Should be able to build our own patient or run one of 80+ pre-configured patient models (apnea, chronic bronchitis, emphysema, neonatal obstruction, neonatal chronic lung disease, adult severe asthma, pediatric asthma, etc.) • Should hold a Positive End-Expiratory Pressure (PEEP) at any clinically relevant level, even > 20 cmH2O. • Should be able to seamlessly change any lung parameter during the scenario remotely and see adjustments to the patient condition reflected immediately. • Should have advanced patient modeling including inspiratory vs. expiratory resistance, forced exhalation, and two compartment lung models. • Reproducible Patients ensure consistent instruction and skills assessment by having clinical simulation which allows the instructor to replicate real-world scenarios in a low-stakes setting to guarantee a consistent student learning experience and also allows the instructor to perform assessment in a controlled environment (i.e. vitals can be replicated, etc). 2. Software/Virtual Ventilator Software: Software must enhance the use of the Breathing Simulator (lungs) as a ventilator management teaching system to create and control simulations. Features should include: • Home Dashboard for easy and comprehensive control over all aspects of the simulation • Robust scenario building environment with unlimited patient conditions and unrestricted scenarios • Rich debriefing environment including recordings of entire sessions with waveforms and event markers. • Learner Display to show the Patient Monitor application including vitals, lab results, x-rays and ABG values. • One (1) software license, able to connect to the breathing simulator (lungs) from two devices. • Software Updates so software does not become obsolete; i.e., minor enhancements, additions, and substitutions to Software, including corrections and bug fixes provided to licensee at no additional fee. Scenarios should save instructors time by providing a comprehensive, multi-media package of materials that describes and demonstrates a concept or scenario within the subject of mechanical ventilation. Must include Virtual Ventilator Software that allows for true-to-life ventilation training. Provide mechanical ventilation training, demonstrate waveform analysis and the fundamentals of patient-ventilator interaction for a remote or in-person audience. Powered by the breathing simulator (lungs) modeling technology. 3. Windows Tablet and Learner Display: Windows Tablet that has a Dedicated Control Module that allows instructors to stay in control of the simulation, amplify effects, throw learners a curveball, or get the simulation back on track to ensure that learning goals are met. A learner display that provides learners with a true-to-life patient monitor application including assessments during the simulation. Should include a library of EKG and CO2 waveforms, heart rate, blood pressure, respiratory rate, oxygen saturation, end-tidal CO2, chest x-rays, lab results, and heart, lung, stomach, and bowel sounds.
