An ALS course does not fail because the manikin is unrealistic. It fails because the assessment is inconsistent — one instructor accepts 4 cm of depth, the next demands 6 cm, and the certificate means different things from room to room. BIX/ALS1200-490 is built around that problem: three separate operating modes, barcode-style feedback for compression depth and ventilation volume, and a printer that produces a transcript at the end of the run. This procurement guide explains what each mode measures, what the printout is worth, and where the system's limits sit.
| Item | Detail |
|---|---|
| Model | BIX/ALS1200-490 |
| Type | Four-in-one ALS training system (CPR, AED workflow, trauma and nursing skills) |
| Standards referenced | AHA 2015 guidelines for CPR and ECC |
| Mode 1 | CPR training: compression and airway training |
| Mode 2 | Model assessment: five cycles at 30:2 within a set timeframe |
| Mode 3 | Practical assessment: instructor sets timeframe, standard, cycles, rate and ratio |
| Compression | 5–6 cm correct; barcode yellow below, green in range, red above |
| Ventilation | 500–600 ml correct (barcode green); too fast or too large flags gastric insufflation |
| Rate | 100–120 compressions per minute |
| Vitals simulation | Pupils dilated at baseline, constrict after successful rescue; carotid pulse passive during compressions, autonomous after ROSC |
| Feedback | Electronic indicator lights, digital counters, voice prompts (Chinese, adjustable volume) |
| Output | Printed transcript after the procedure |
| Power | 220 V via regulator (5 V output); optional lithium battery |
| Price | Quoted per order |
Mode 1 — training. No clock, no pass mark. Used for the first exposure, when the trainee is learning hand position and depth.
Mode 2 — model assessment. Five cycles at 30:2 inside a fixed timeframe. This is a standardised check: everyone is measured against the same window, which is what makes cohort data comparable.
Mode 3 — practical assessment. The instructor sets the timeframe, standard, number of cycles, rate and ratio. This is where a programme encodes its own protocol rather than accepting a factory default — the single most useful feature on the unit for a hospital running in-house certification.
Depth is shown as a colour band rather than a number: yellow below 5 cm, green between 5 and 6 cm, red above. Volume works the same way at 500–600 ml, with an additional gastric-insufflation flag when the breath is delivered too fast or too large. Colour bands remove the argument about whether a number was read correctly, and they give the instructor a shared vocabulary for the debrief.
High-fidelity simulation improves ALS training outcomes compared with low-fidelity instruction, according to a systematic review and meta-analysis [1]. Teamwork competencies — leadership, role clarity, closed-loop communication — can be taught and assessed within resuscitation training, and they are not captured by compression metrics alone [2]. Gamified ALS training for clinical nurses has also been shown to improve engagement and performance in a cluster-randomised trial [3]. The common thread: assessment structure drives learning more than manikin realism does, which is why the three-mode design matters more than the skin texture.
Quotation, language options and service terms. Current pricing for BIX/ALS1200-490 and its consumables is available from adanursing@adaanatomy.com.
Q1. What does "four-in-one" cover? CPR, AED workflow, trauma modules and nursing skills on one platform, with three assessment modes.
Q2. How is compression depth assessed? A barcode indicator: yellow below 5 cm, green between 5 and 6 cm, red above 6 cm.
Q3. What ventilation volume is correct? 500–600 ml. Excess volume or excessive speed triggers a gastric insufflation warning.
Q4. Does it print results? Yes, a transcript is printed after the procedure.
Q5. Can the assessment standard be customised? Yes, in Mode 3 the instructor sets timeframe, standard, cycle count, rate and ratio.
Q6. What is the price? Quoted per order; ask for consumables and the service contract in the same quotation.
For a quotation on BIX/ALS1200-490 with consumables and a service contract, write to adanursing@adaanatomy.com with the assessment protocol you run.