O-Two Medical Technologies ATV+ - 01CV6000, MRI - 01CV7000, ATV - 01CV5000 User Manual

MANUFACTURERS AND DISTRIBUTORS OF:
CPR Bio-Barrier® Face Shields Universal Pocket V entilators Rescue Breather® CPR Protective Barriers Demand V alve Resuscitators Oxygen Demand & BVM Oxygen Supply Refill V alves CAREvent® Range of Automatic Transport V entilators SQ Unibody Regulators SQB “Aluminum Free” Unibody Regulators EasyGrip SMART BAG SMART BAG MO
®
Bag-V alve-Mask Resuscitators
®
Bag-V alve-Mask Resuscitators
®
Bag-V alve-Mask Resuscitators
Burn Relief® Burn Kits and Dressings Genesis® II IDLH Rescue Resuscitators Equinox
®
50% Nitrous Oxide / 50% Oxygen
Administration Systems
Your Representative is:
“Innovation in Resuscitation”
AUTOMATIC TRANSPORT VENTILATORS
CAREvent
ATV - 01CV5000
O-TWO MEDICAL TECHNOLOGIES INC.
EU Representative:
Marcel Houben Rue Vinâve, 32 4030 LIEGE Belgique
T el. (905) 677-9410 Fax (905) 677-2035
Website: www.otwo.com E-mail: resuscitation@otwo.com
For your nearest Authorized O-Two Distributor
In North America Toll Free 1-800-387-3405
“Innovation in Resuscitation”
7575 Kimbel Street
Mississauga, Ontario
Canada L5S 1C8
CAREvent® A TV+ - 01CV6000
CAREvent® MRI - 01CV7000
01CV5000
01CV6000
USER MANUAL
(For standard and G2K® models)
Manufactured in Canada by
O-Two Medical Technologies Inc.
17MP9654 - Rev “L” 07/05
01CV7000
7. CAREvent® Accessories TABLE OF CONTENTS
01CV8015 CAREvent® Deluxe Single Use T ransport Ventilation
Circuit with PEEP Port
17MP7010 Single Use PEEP V alve
17MP7327-Cs Air Intake Filter for CAREvent® A TV , A TV+and MRI
01CV7025 CAREvent® MRI Wall mounting Base plate
CHAPTER TITLE PAGE
1. INTRODUCTION
1.1 Warranty 1
1.2 Warnings 1
1.3 Terms and Definitions 3
1.4 CAREvent
® MRI 4
1.5 General Information 5
1.6 General Description 5
1.7 Principles of Operation 6
1.8 Modes of Operation 7
1.9 Alarms and Gauges 9
1.10 Accessories 11
1.1 1 Control Adjustment 12
1.12 Technical Data 14
2. PREPARATION FOR USE
2.1 Component List 16
2.2 Connection of Hoses 17
2.3 Pre-use Functional Check 17
3. OPERATING INSTRUCTIONS
3.1 Setting of the V entilation Parameters 21
3.2 Frequency/Minute Volume Chart 21
3.3 Operation in Extreme Conditions 22
4. AFTER USE CLEANING AND TESTING
4.1 Dismantling and Cleaning 22
4.1.1 Changing the Air Int ake Filter 23
4.2 After Use and Monthly Checking 23
5. MAINTENANCE SCHEDULE
5.1 Annual Preventative Maintenance Inspection 24
6. TROUBLE SHOOTING CHART 25
7. CAREvent
27
®
ACCESSORIES 27
1. INTRODUCTION
1.1 Warranty
The CAREvent® ATV, ATV+ and MRI are manufactured from the finest quality materials. Each individual part is subject to strict quality control tests to ensure exceptionally high standards. The manufacturer warrants to the purchaser of the Automatic T ransport V entilator that its component parts are free from defects in material and workmanship for a period of two years from the date of purchase. The manufacturer will replace and/ or repair all parts of the Automatic T ransport Ventilator at its option for two years from the date of purchase at no cost to the purchaser, upon the notification of the defects, in writing by the purchaser and confirmation of said defect by the manufacturer. All shipping costs shall be borne by the purchaser. The manufacturer shall be liable under this warranty only if the Automatic Transport Ventilator and its parts have been used and serviced in the normal manner described in the instruction manual. There are no other expressed or implied warranties. This warranty gives no specific legal rights.
NOTE:THIS DEVICE MUST BE SERVICED BY AN O-TWO SYSTEMS
AUTHORIZED SERVICE CENTER
Low Input Pressure Gas supply low. Change Cylinder Alarm sounds Cylinder valve not Open Valve fully. intermittently fully opened. or continuously. Gas supply hose Replace supply
kinked or cut. hose. Gas supply Replace pressure regulator faulty regulator.
Automatic circuit shut-off Poor patient circuit Check all circuit not activating on demand integrity/loose connections and breathing. connections or hose for tears/
faulty patient holes. valve. Poor facemask Re-position seal. facemask.
Breathing System Integrity Patient circuit has Re-connect Alarm Sounds become disconnected circuit.
Tidal volume being Adjust ventialtor delivered is too settings low .
Demand flowrate low Supply pressure Faulty gas or not functioning too low (Low Input supply regulator.
Pressure Alarm will sound).
1.2 Warnings
The CAREvent and qualified personnel.
Caution: Federal Law restricts this to sale by or on the order of a physician. The following precautions should always be observed:
1. READ THIS MANUAL PRIOR TO ATTEMPTING TO USE THE VENTILATOR.
2. WHEN THE UNIT IS IN USE, DO NOT SMOKE OR USE NEAR OPEN FLAME EITHER DURING USE OR WHEN CHANGING THE CYLINDER.
3. WHEN NOT IN USE, AL WA YS TURN OFF THE GAS SUPPLY .
4. NEVER ALLOW OIL OR GREASE TO COME INT O CONTACT WITH ANY P ART OF THE CYLINDER, REGULA T OR OR VENTILA T OR.
5. THIS DEVICE IS NOT DESIGNED FOR USE WITH HEA TED
HUMIDIFIERS
®
ATV , A TV+ and MRI are intended for use by suitably trained
1
Gas supply Replace cylinder. cylinder low or empty.
Regulator output Replace regulator insufficient.
Cylinder valve not Open valve fully. fully open.
Brand of circuit used Use only O-Two may be entraining approved circuits room air through expiratory port
Airway Pressure Alarm Incorrectly selected Select a higher sounds. airway pressure. pressure.
Airway obstructed. Correct the
obstruction.
Selected Minute Change the settings Volume too high / selected. Frequency of ventilation too slow.
26
6. TROUBLE SHOOTING CHART
NOTE: If any of the remedies do not resolve the problem
you are experiencing please contact your nearest Approved Service Centre.
6. DO NOT DISASSEMBLE ANY P ART OF THE VENTILA T OR EXCEPT WHERE DESCRIBED IN THIS MANUAL AS ANY UNAUTHORIZED DISASSEMBL Y WILL INV ALIDATE THE WARRANTY.
7. AFTER USE, ALWAYS ENSURE THAT ALL COMPONENTS ARE CLEANED IN ACCORDANCE WITH THE INSTRUCTIONS PROVIDED IN THIS MANUAL. (SEE SECTION 4)
SYMPTOM PROBABLE CAUSE REMEDY
ATV does not function Gas supply exhausted Replace cylinder. in any mode Gas supply not turned on Open cylinder valve
fully. Supply hose not connected Connect supply hose.
to regulator outlet.
Gas pressure regulator
faulty. Replace pressure
regulator. Gas supply hose kinked or cut. Replace supply hose.
ATV does not function Manual/AUTO switch in the Switch to AUTO in automatic mode Manual position.
Internally clogged orifice in Switch selector the Frequency or Minute knobs to a different Volume controls. position.
Other control knobs may Check all selector be incorrectly positioned. knob positions.
· Insufficient Incorrect control setting Check selector ventilations selection. positions.
Other control knobs may be incorrectly positioned. Check selector
positions.
Internal blockage in Minute Switch to another Volume Control. Minute Volume
setting.
Pressure relief setting Check selector too low. position.
·
25
8. ALWAYS USE THE CHECK LIST TO ENSURE THAT ALL COMPONENTS ARE REASSEMBLED CORRECTLY AND READY FOR USE.
9. IT IS RECOMMENDED THA T AN AL TERNA TIVE MEANS OF VENTILATING THE PATIENT BE AVAILABLE IN CASE OF GAS SUPPL Y F AILURE.
10. DURING USE, THE P A TIENT SHOULD NOT BE LEFT UNA TTENDED.
1 1. THE USE OF THIS DEVICE IN AREAS WHERE THE AMBIENT AIR
MA Y BE HAZARDOUS OR EXPLOSIVE SHOULD BE A VOIDED AS ENTRAINMENT OF AMBIENT AIR DURING THE USE OF THE AIR MIX MODE WILL PERMIT THE P ATIENT TO INHALE A TMOSPHERIC GAS.
12. ONL Y THE CAREvent® MRI UNIT MA Y BE USED IN A MAGNETIC RESONANCE IMAGING DEP ARTMENT .
13. ONLY PATIENT CIRCUITS SUPPLIED BY O-TWO SYSTEMS SHOULD BE USED, AS THE USE OF OTHER CIRCUITS MAY ADVERSELY AFFECT THE OUTPUT PERFORMANCE OF THE A TV .
14. THE USE OF GAS PRESSURE REGULATORS THAT DO NOT MAINT AIN A MINIMUM OUTPUT PRESSURE AND FLOWRATE IN LINE WITH THE REQUIREMENTS OF THE SPECIFICATION MAY CAUSE THE DEVICE TO FAIL RESUL TING IN THE P A TIENT NOT BEING VENTILA TED.
15. THE USE OF THIS DEVICE IN CARRING CASE OF ANY TYPE MA Y, WHEN USED IN THE 60% AIR MIX MODE, RESULT IN AN INCREASE IN OXYGEN CONCENTRA TION. IF THE AIR MIX MODE IS TO BE USED IT IS RECOMMENDED THA T THE VENTILA TOR BE PLACED IN ITS NORMAL OPERATING ORIENTATION AND THAT THE AIR INTAKE ON THE REAR OF THE VENTILATOR IS NOT OBSTRUCTED.
2
1.3 Terms and Definitions
5. MAINTENANCE SCHEDULE
Airway Resistance: Pressure drop across the airway per unit flow. A T V: Automatic Transport V entilator CM V : Controlled Mandatory Ventilation. CPAP: A positive pressure applied to the lungs during
all ventilation phases (Continuous Positive Airway Pressure).
Demand V alve: A valve that delivers gas to the patient at a
flowrate equivalent to that demanded by the patient’s inspiratory effort.
Expiratory Phase: The time period from the end of the inspiratory
flow to the end of the expiratory flow . Expiratory Time (Te): Duration of the expiratory phase. Frequency (f): The number of breaths in one minute (also
expressed as BPM).
5.1 Annual Preventative Maintenance Inspection
It is recommended that the ventilator is returned to a service centre (authorized by the manufacturer to undertake service and repair of this device) for an Annual Preventative Maintenance inspection (more frequently in high use areas). The inspection will incorporate a full diagnostic test of all parameters. When complete, a certificate of compliance will be issued to cover the device for the next service period.
This maintenance inspection, providing it is carried out by an authorized service centre, will not affect the product warranty.
®
: Guidelines 2000 compliance. Complies with the
G2K
requirements of the ERC and AHA for 15:2
compression:ventilation ratio. Inspiratory Flow: The flow delivered to the patient by the ventilator
during the inspiratory phase. Inspiratory Phase: The interval from the start of the inspiratory flow
to the start of the expiratory phase. Inspiratory Time (Ti): Duration of the inspiratory phase. Lung Compliance: Volume added per unit pressure increase when
gas is added to a human or artificial lung.
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