Install the ventilator for use
Warning: Only can connect the ventilator to a suitable medical grade oxygen source.
Warning: To reduce the risk of hypoxia, oxygen only can be connected to the high pressure header behind ventilator.
Warning: To reduce the risk of fire, do not use worn or combustible materials such as grease or oil contaminated with high-pressure oxygen tube.
Warning: To prevent possible choking hazard and reduce the risk of rebreathing of carbon dioxide, should take certain precautions against breathing mask and exhalation port:
- Use only respiratory mask with exhalation port or for non-invasive ventilation nasal mask.
- Do not make exhalation port blocking.
- Open the ventilator, the exhalation port should be checked if it is normal before using the ventilator. Compressed gas generated in the ventilator may cause a continuous flow of breath to leak from the discharge port, thereby discharging loop exhaled.
- When not use the ventilator, do not put the breathing mask on patient. The ventilator is not running, exhalation port will not fully exhaust, to remove carbon dioxide from the loop. May produce large amounts of carbon dioxide rebreathing.
Warning: To ensure proper air exchange and switching, do not cover or obstruct exhalation port on the ventilator or ventilator circuit. Do not block the right side inlet panel of the ventilator.
Warning: To prevent possible injury to the patient and the ventilator damage, make sure the humidifier is set to an appropriate temperature and humidity settings.
Warning: To prevent insufficient wetting conditions that may occur at room temperature greater than 30 C (86F) under the ventilator operation, should check whether the normal operation of the humidifier. Ventilator may be delivered to the patient air heated above room temperature, which may damage the humidifier performance.
Warning: To reduce the risk of the patient may inhale breathing circuit condensation water, all the humidifier should be placed lower than the ventilator and the patient's position.
Warning: To prevent possible patient injury and equipment damage, before starting the gas source and adjust it, do not open the humidifier. Start the humidifier or place without any long period of time under flow conditions may cause the humidifier heat, so a large amount of hot air delivered to the patient. Under these conditions, the circuit may melt tube. Before stopping the gas supply, should turn off the humidifier power.
Warning: To reduce the risk of fire, only can use the patient circuit at a predetermined oxygen-rich environments. Do not use antistatic or electrical conduit.
Warning: To prevent the patient or the ventilator itself from contaminating, you should always use the primary air flow bacteria filter membrane in the patient outlet port. Use of non-approved CW filter membranes may lead to reduced system performance.
Warning: To reduce the risk of bacterial contamination or damage, should be carefully disposed of bacterial membranes.
Warning: Any attachments in the patient circuit may greatly increase the flow resistance and destroy ventilation.
Warning: Avoid add any obstruct breathing circuit components on one side of the patient proximal airways. Such components may cause "alarm trip" failure.
Warning: To reduce the risk of patient choking in the pipe, use the pipe support arm, and use clamps proximal airway pressure measuring tube connection.
Warning: To reduce the risk of electric shock, only can connect the ventilator to the AC power supply with a protective ground nets.
Warning: Do not use the ventilator without a CW approved extending flexible cord, interface, or power cord.
Warning: To prevent accidental disconnection, the correct power cord supplied by CW should be used consistently, and before opening the ventilator switch, use line cards to lock it into place.
Warning: To reduce the risk of electric shock, you should regularly check the AC power cord and verify that the power cord is frayed or broken.
Warning: To reduce the risk of suffocation, should be properly disposed of its power cord to avoid entanglement occurs.
Warning: To reduce the risk of ventilator power off, please observe the battery. Battery life values are approximate, and affected by ventilator settings, discharge, recharge cycles, the battery using year and room temperature. When room temperature is lower or in the case of continuous alarm, the battery is running low.
Warning: During transport, before using the ventilator should check the status of the oxygen cylinder.
1.4 Ventilator Operation
Warning: To ensure safe operation of the ventilator, before use the ventilator to patients, be sure to test the ventilator operation based on "pre-use check" requirements. If any test of the ventilator fails, immediately remove it from the clinical application. Before the completion of all the necessary repairs and passed all the tests, do not use the ventilator.
Warning: To prevent possible injury to the patient caused by non-ringing alarm, before using should test the operation of any remote alarm devices.
Warning: To prevent possible injury to the patient, after verify ventilator operation, be sure to set the alarm back to the hospital standard value.
Warning: During operation, do not attempt to connect or disconnect the battery.
Note: To ensure good ventilated, ensure that the ventilator and wall spacing> 30cm.
Note: To prevent possible damage to the ventilator, be sure the oxygen supply cable clean and not lubricated, oxygen supply cable without any water.
Warning: To prevent possible injury to the patient, avoid setting alarm limits to limit value, or it may lead to the alarm system ineffective.
Warning: To prevent excessive pressure or volume delivery, please set accordingly NIV limit. If the mask leaks sudden increase, set incorrectly or the proximal pressure tube blockage or kink, may occur pressure or volume delivered is too high. Conversely, if the limit set too low, it may lead to inadequate treatment.
1.5 Repair and Maintenance
Warning: To reduce the risk of electric shock, before cleaning or maintenance the ventilator, the ventilator should turn off the power and disconnect the ventilator from AC power.
Warning: To prevent patient infection or ventilator contamination, should check and replace the primary air flow bacteria filter membrane between patients regularly (or according to the manufacturer's declaration).
Warning: To prevent possible injury to the patient, should regularly check and verify the exhalation port is working properly during use.
Warning: To reduce the risk or other hazard of fire, explosion and leak, should take relevant precautions for the battery:
- Never attempt to disassemble, open the battery pack, or dropping by crush, bend or deform, insert foreign objects in the battery pack, perforated or torn; modify or remanufacture them; submerged or exposed to water or gas liquids; expose to fire, overheating (including iron) environment; or put it in a microwave oven.
- Only use specified by the manufacturer replace the battery pack.
- Compliance with all instructions for the proper use of batteries.
- Do not short circuit a battery or a metal or conductive objects to contact the battery connector housing.
Warning: This product contains mercury in the device, it must be recycled or disposed of in accordance with local, state or federal laws. (In this system, the monitor display backlight lamps contain mercury.)
Note: Do not attempt to sterilize the ventilator or pressure treatment.
Note: To prevent possible damage to the ventilator, only can use the cleaning agents listed in this manual.
Note: To prevent possible damage to the ventilator, do not place any liquid dripping or sprayed onto any surface.
Note: Do not use a brush or instrument corrosion clean the touch screen, or it may cause irreparable damage.
Note: To prevent foreign matter entering the ventilator, and ensure proper system performance, should periodically replace the air inlet filter membrane (or according to the provisions of the hospital operator).
Note: To ensure proper system performance, should use the air inlet filter membrane approved by Respironics medical.
Note: Due to some conditions may cause rapid and cilia collect dust, in this environment should check the filter membrane more often. Replace the air inlet filter membrane; and clean the cooling fan filter membrane.
Note: To prevent possible damage to the ventilator, always use the original packaging for transport. If the original packaging material is no longer applicable, should contact the CW to order alternative packaging materials.
1.6 Alarm and Handling
Warning: If an AC power failure and a backup battery is not installed or has run out of reserve batteries, audible and visual alarm will sound continuously for at least 2 minutes. Immediately stop using the ventilator and fixed alternative ventilation devices. For most ventilator with passive exhalation ports, when power is lost, it does not provide sufficient air in the circuit, and may rebreathing exhaled air.
1.7 Communication Interface
Warning: Only can connect part of the ventilator system or its compatible components to the ventilator. Additional equipment and medical electrical equipment connected must conform to IEC or ISO standards. Furthermore, all configurations must comply with medical electrical systems (see IEC 60601-1-1 or IEC 60601-1 3rd edition 16 respectively) requirements. The staff connect additional equipment to medical electrical equipment should deal with the medical system configuration, therefore, should be responsible for ensuring that the system complies with the requirements for medical electrical systems. And should comply with local laws on priority rather than the above-mentioned requirements. If you have any questions, please contact CW companies.
Warning: The final operator is responsible for the verification of the information compatibility and usage transmitted from the ventilator to a ventilator connected device.
Warning: The data provided through a communication interface is for reference only. Patient care decisions should be based on observation of the patient's clinician.
Warning: To prevent the possibility injury to patients caused by a non-ringing alarm, should test the running of any remote alarm devices before use.
★Pneumatic driven ventialtor
*15" TFT LCD color screen with touch screen
Interface:day and night mode with brightness setting
Patient type:adult ,pediatric,neonatal
*Ventilation Mode: VCV, APNEA(A/C),SIMV-V,SIMV-P,V-SIMV/PSV,MANUAL,CPAP,PA-VC,PCV,PSV,APRV,BIPAP,SIGN
Assistant therapy:nebulization ,O2 remedy,AUXILLARY SUCTION
ventilation setting range:
VT:10-2000ml
RR:1-150/min
PEEP:0-40 mbar
Insp Flow:5-100L/min for VCV
Ti:0-12s
FIO2:21-100Vol %
Ptrigger range:-20-0 cmH2O
Apnea Ti range:0-6s
Waveforms:P-T ,F-T,V-T Loops:P-V,F-V,F-P
Gas supply:O2 ,air
Monitoring interace:
Vti,Vte,I:E,Freq,PEEP,NIF,Pplat,Ppeak,Pmean,MV,Resistance,Exp-R,compliance,dynamic C,fio2,Ptri deapth ,Ftri deapth,Leakage,RSBI,
SYSTEM:
Trends record:72 hrs
event log:3000 events
loops:zoom in&out,freeze,comparison
communication interface:RS-232,Ethernet,USB ,HDMI