Weinmann MEDUMAT Easy User manual

MEDUMAT Easy
Ventilator Aparato de respiración artificial Ventilador
Description and instructions for use
Descripción del aparato e instrucciones
Descrição e instruções de funcionamento
Español 70
Português 146
EN

English

Contents
1. Overview . . . . . . . . . . . . . . . . . . . 4
1.1 Device . . . . . . . . . . . . . . . . . . . . . 4
1.2 Special symbols on the ventilator . 6
2. Legend . . . . . . . . . . . . . . . . . . . . . . 9
3. Description . . . . . . . . . . . . . . . . . 10
3.1 Intended use. . . . . . . . . . . . . . . . 10
3.2 Owner/operator and user
qualification . . . . . . . . . . . . . . . . 11
3.3 Ventilation function . . . . . . . . . . 11
3.4 Demandflow function . . . . . . . . 12
3.5 Patient hose system with patient
valve. . . . . . . . . . . . . . . . . . . . . . 12
3.6 Audio response . . . . . . . . . . . . . 13
4. Safety instructions . . . . . . . . . . 14
4.1 Safety regulations . . . . . . . . . . . . 14
5. Installation . . . . . . . . . . . . . . . . . 18
5.1 Connecting the oxygen cylinder . 18
5.2 Ventilation hose . . . . . . . . . . . . . 19
5.3 Wall mounting set . . . . . . . . . . . 21
6. Using the ventilator . . . . . . . . . 22
6.1 Switching on / self test . . . . . . . . 22
6.2 Selecting the ventilation settings 23
6.3 Performing ventilation . . . . . . . . 25
6.4 Monitoring ventilation . . . . . . . . 25
6.5 Ventilation with PEEP valve . . . . 26
6.6 Ventilation with filter . . . . . . . . . 26
6.7 Demandflow . . . . . . . . . . . . . . . 27
6.8 Terminating ventilation or
Demandflow . . . . . . . . . . . . . . . 28
6.9 Alarm signals . . . . . . . . . . . . . . . 29
6.10 Audio response for user guidance 32
6.11 Calculation of oxygen content/
remaining operating time . . . . . 37
6.12 Alternative ventilation procedures 39
7. Hygienic preparation . . . . . . . . 40
7.1 MEDUMAT Easy . . . . . . . . . . . . . . 40
7.2 Patient valve . . . . . . . . . . . . . . . . 40
7.3 Ventilation hose . . . . . . . . . . . . . . 42
7.4 Masks . . . . . . . . . . . . . . . . . . . . . 42
7.5 Fittings. . . . . . . . . . . . . . . . . . . . . 42
7.6 Cleaning and disinfection
procedure . . . . . . . . . . . . . . . . . . 43
8. Functional checks . . . . . . . . . . . 45
8.1 Intervals . . . . . . . . . . . . . . . . . . . . 46
8.2 Checking for leaks in the system . 47
8.3 Check patient hose system . . . . . 48
8.4 Checking the minute volume . . . . 49
8.5 Checking maximum ventilation
pressure . . . . . . . . . . . . . . . . . . . . 50
8.6 Checking Demandflow . . . . . . . . 51
8.7 Checking the alarm systems . . . . . 52
9. Troubleshooting . . . . . . . . . . . . 54
10. Servicing . . . . . . . . . . . . . . . . . . . 56
10.1 Batteries . . . . . . . . . . . . . . . . . . . 57
10.2 Change valve membrane in
patient valve . . . . . . . . . . . . . . . . 58
10.3 Storage . . . . . . . . . . . . . . . . . . . . 58
10.4 Disposal . . . . . . . . . . . . . . . . . . . 59
11. Product and accessories . . . . . . 60
11.1 Standard product . . . . . . . . . . . . . 60
11.2 Accessories . . . . . . . . . . . . . . . . . 60
11.3 Spare parts . . . . . . . . . . . . . . . . . 62
12. Technical data . . . . . . . . . . . . . . 63
12.1 Pneumatic / electronic systems . . . 65
12.2 Relationship between ventilation
parameters. . . . . . . . . . . . . . . . . . 66
13. Warranty . . . . . . . . . . . . . . . . . . . 67
14. Declaration of conformity . . . . 67
15. Index . . . . . . . . . . . . . . . . . . . . . . 68
Contents 3
EN

1. Overview

Stenosis Disconnection < 2,7 bar O
2
16
15
13
14
14
12
12
11
10
10
9
11
16
7
5
30
3
MV (l/min)
Freq.(min
-1
)
Demand­flow
60
mbar
50
40
30
20
10
0
MEDUMAT Easy
A
2
5
4
3
9
8
6
1
7

1.1 Device

4 Overview
EN
B
10
14
13
11
12
15
C
16
17
19
20
18
21
or
Overview 5
EN

1.2 Special symbols on the ventilator

Position
> PSU< 134°
Patient valve
The symbol on the patient valve is a reminder that the lip membrane must be changed immediate­ly if it becomes crinkled, sticky or misshapen. The pa­tient must not be used again until the membrane has been changed, as this could cause malfunction (see “8.3 Checking patient hose system” on page 48).
The symbol indicates the correct position for insertion of the lip membrane.
When connecting the patient valve, take care to en­sure that the direction of respiratory gas flow is cor­rect (see arrows).
6 Overview
EN
MEDUMAT Easy
5678
3
2
1
4
+–
1 Inlet 2,7 - 6 bar O
2
2 Languages available on this device
MEDUMAT Easy device information plate
SN
Serial number of device
Year of manufacture
3.6 V lithium battery
Direct voltage
3
IP54
CE symbol (confirms that the product conforms to the applicable European directives)
Protection against ingress of water
Protection class BF
Do not dispose of device in domestic waste
Overview 7
EN
4 Follow instructions for use
5 Tube system connection
6 Maximum pressure 100 mbar
Safety check and servicing label
Safety check label: (in Germany only) marks when the next
7
8 Servicing label: indicates when the next service is due.
safety check as per §6 of the German law relating to users of medical devices is required.
8 Overview
EN

2. Legend

A: MEDUMAT Easy control panel
1 Mask/tube ventilation switch with indicator LEDs 2 Ventilation pressure gauge 3 Alarm panel 4 Alarm mute button 5 Colour code 6 Regulator knob, ventilation parameters 7 Stop notch 8 LED Demandflow 9 ON/OFF switch
B: MEDUMAT Easy connections
10 Pressurized gas connection 11 Battery compartment 12 Speaker 13 Pressure gauge hose connection 14 Ventilation hose connection 15 Relief outlet valve
C: MEDUMAT Easy device combinations
16 Ventilation mask 17 Ventilation hose 18 Filter 19 Patient valve 20 PEEP valve 21 Tube
Legend 9
EN

3. Description

3.1 Intended use

MEDUMAT Easy is an automatic oxygen respiration device (short-term ventilator) with additional inhala­tion facility.
You can use MEDUMAT Easy:
to revive patients at the site of the emergency;
for longer periods in more protracted emergencies;
for short-term O mask.
You can use MEDUMAT Easy while transporting patients:
between the various rooms and departments of a hospital;
between the hospital and other premises;
in emergencies;
when transport over considerable distances is planned.
MEDUMAT Easy:
is designed to provide controlled ventilation to persons of 10 kg body weight or more;
is used to treat respiratory arrest;
can be preset to parameters that ensure evenly balanced ventilation, provided that the selected maximum ventilation pressure P exceeded.
inhalation using a respiration
2
is not
max
10 Description
EN
permits respiration-controlled oxygen inhalation
16
15
13
14
14
12
12
11
10
10
9
11
16
7
5
30
3
MV (l/min)
Freq.(min
-1
)
Demand­flow
10
0
in Demand mode.

3.2 Owner/operator and user qualification

As an owner/operator or user, you must be familiar with the operation of this medical device. Observe the legal requirements for operation and use (in Ger­many, the regulations governing owner/operators of medical devices apply in particular). Basic recom­mendation: get a person authorized by WEINMANN Emergency to provide you with proper instruction about the handling, use and operation of this medi­cal device.

3.3 Ventilation function

MEDUMAT Easy operates within a pressure range of
2.7 to 6 bar and at a flow rate of not less than 70 l/min O
It uses high-pressure, medicinal-grade oxygen. An external pressure reducer brings this down to the re­quired operating pressure. The oxygen supply is fed in at input valve.
The ventilation settings are continuously variable. These settings (frequency and volume per minute are coupled) and the inspiration/expiration ratio of 1:1.67 are regulated by internal electronic control mechanisms.
The gas for inspiration flows along the hose and through the patient valve and either the mask or tube into the patient’s airways. The patient valve is
. It has a built-in power pack.
2
Description 11
EN
fitted with a lip membrane that enables expired gas
9
60
mbar
50
40
30
20
10
0
16
15
13
14
14
12
12
11
10
10
9
11
16
7
5
30
3
MV (l/min)
Freq.(min
-1
)
Demand­flow
10
0
Demandflow setting
Respiration hose connection
Expiration tube
Connection for pressure gauge tube
Mask/tube connection
Sponta­neous breath­ing tube
to be conducted away through the expiration tube. You can check the course of ventilation at ventilation
pressure gauge.

3.4 Demandflow function

The Demandflow setting switches the MEDUMAT Easy breathing-controlled O Such inhalation must be carried out with the respira­tion mask. A small inspiration (trigger) pulse causes oxygen to continue flowing until slight overpressure interrupts the flow. Expiration then takes place via the patient valve as in ventilation.
inhalation.
2

3.5 Patient hose system with patient valve

The respiratory gas is routed to the patient via the patient hose system with patient valve. The patient hose system with patient valve is designed so that even if the ventilator fails, spontaneous breathing is possible, regardless of which ventilation mode you have selected.
12 Description
EN

3.6 Audio response

The device has an audio response facility that can be switched on for user guidance, especially for users who have little practice.
If audio response is not required, a key combination can be used to switch it off (see “6.10 Audio re­sponse for user guidance” on page 32).
Description 13
EN

4. Safety instructions

4.1 Safety regulations

For your own safety, the safety of your patients, and to comply with the requirements of EU Directive 93/ 42/EEC, please observe the following points:
General
Please read the directions for use carefully. They are an integral part of the ventilator and must be kept available for reference at all times.
Use the MEDUMAT Easy for the described pur­pose only (see “3.1 Intended use” on page 10).
The user must subject the patient hose system to a functional check and a visual inspection before use (see “8.3 Checking patient hose system” on page 48).
14 Safety instructions
Note: Do not use the MEDUMAT Easy in toxic environ-
ments or where there is a risk of explosion.
MEDUMAT Easy is not suitable for hyperbaric use (pressure chamber).
Do not use MEDUMAT Easy with flammable anesthetics.
A back-up ventilator should always be available in case of technical failure.
Before starting to work with MEDUMAT Easy, you must understand how to operate it.
To prevent infection or bacterial contamination, please observe section “7. Hygienic prepara­tion” on page 40.
EN
MEDUMAT Easy should be used only by medi­cally qualified personnel who have had training in ventilation techniques. Incorrect use can cause severe physical injury.
Please note that a safe distance must be main­tained between MEDUMAT Easy and equipment that emits HF radiation (e.g. mobile phones), otherwise malfunctions may occur (see “ Rec­ommended safe distances between portable or mobile HF telecommunication devices (e.g. mo­bile phones) and MEDUMAT Easy” on page 64).
We recommend that maintenance work such as inspections and repairs be performed only by the manufacturer, WEINMANN Emergency, or by qualified technicians expressly authorized by WEINMANN Emergency.
Malfunctions and a lack of biocompatibility may result if third-party articles are used. Please note that in such cases all warranty entitlement and li­ability claims shall be void where items other than the accessories recommended in the in­structions for use or original spare parts are used.
Design changes to the device are not permitted and may put patients and users at risk.
Oxygen
Spontaneous explosive reactions can occur if high­pressure oxygen comes into contact with flammable substances (fat, oil, alcohol etc.):
Keep the equipment and all screw connections absolutely free from oil and grease.
Always wash your hands before starting to work on the oxygen supply.
Safety instructions 15
EN
Smoking and open flames are strictly prohibited in the vicinity of all fittings containing or trans­porting oxygen.
During assembly and when changing the oxygen cylinder, only hand pressure should be used when tightening the screw connections to the cylinder and to the pressure reducer. Never use tools for this purpose. Excessive tightening dam­ages the screw threads and seals, and can cause leaks.
Protect oxygen cylinders from accidental falls. If a cylinder falls over, the pressure reducer or the valve may break off and cause a violent explo­sion.
Important Always open the valve of the oxygen cylinder
slowly to prevent pressure damage to the other fittings.
The oxygen cylinder should never be completely emptied, as this may allow air containing mois­ture to enter the cylinder and cause corrosion.
Ventilation/Operation
16 Safety instructions
Both patient and ventilator must be kept under constant observation during ventilation.
When connecting the patient valve, please ensu­re that the direction of respiratory gas flow (> patient >) is correct. Make sure that neither the expiration tube nor the spontaneous breath­ing tube on the patient valve are blocked or their function impeded in any other way, e.g. by the patient’s position.
Note: Disposable hose system WM 28110 is intended
to be used only once.
EN
Software
Extensive validation tests have been performed to minimize risks arising from software errors.
Accessories
Please protect the silicone and rubber compo­nents from UV radiation and prolonged expo­sure to direct sunlight, as this can make them brittle and friable.
Safety instructions 17
EN

5. Installation

A permanent mounting is usually necessary only when MEDUMAT Easy is installed as a fixture in res­cue vehicles, helicopters or aircraft.
If MEDUMAT Easy is supplied complete on a porta­ble system or in an emergency rucksack, it is ready for use and requires no further installation. Separate directions for use are supplied for portable systems and emergency rucksacks.
In order to ensure safe and reliable operation, func­tional tests must be carried out after installation (see “8. Functional checks” on page 45).

5.1 Connecting the oxygen cylinder

Always wash your hands thoroughly before starting any work on the oxygen supply. Products containing hydrocarbons (e.g. oils, greases, alcohols, hand creams, sticking plasters) may cause explosive reac­tions if they come into contact with high-pressure ox­ygen.
18 Installation
Never use wrenches or similar tools to tighten or loosen the screw connections.
Removing the empty cylinder
1. Close the valve of the oxygen cylinder. Switch on MEDUMAT Easy with ON/OFF switch. This exhausts any residual oxygen and depres­surizes the ventilator. Wait until the pressure gauge on the pressure reducer shows an oxygen content of zero before undoing the screw con­nection by hand.
EN
2. First switch off MEDUMAT Easy again.
3. Then loosen the screw connection to the cylinder.
Connecting the new cylinder
1. First briefly open and close the valve of the new oxygen cylinder. This should blow out any particu­late matter. Keep the valve opening away from the body, making sure that neither yourself nor other per­sons can be injured by escaping particles.
2. Next use the fluted connecting nut to couple the pressure reducer to the valve on the oxygen cyl­inder. Tighten the connecting nut by hand.
3. If the pressure hose is not already connected to the exit from the pressure reducer, make this connection with the G 3/8 connecting nut.
4. Screw the other end of the pressure hose on to pressure gas connection on the MEDUMAT Easy if this has not yet been done.

5.2 Ventilation hose

1. Slide the pressure gauge tube onto connection.
2. Slide the ventilation hose onto connection. Make sure that this does not cause any kinks in the pressure gauge tube already connected. If necessary, turn the ventilation hose while sliding on as appropriate.
Installation 19
EN
Always grasp the ventilation hose and
P
o
s
i
ti
on
>
P
S
U
< 13
4°
pressure gauge tube by their end only, otherwise they may be damaged or split.
3. Connect the patient valve to the other end of the ventilation hose and pressure gauge tube.
4. If a mask is being used for ventilation, attach the mask connection to the patient valve (identical with tube connection),
or
if the patient is intubated, attach the patient valve to the tube.
20 Installation
Filter
If a filter is to be used, this should be installed between the patient side connector on the patient valve and the mask or tube.
Always follow the instructions supplied by the manufacturer of the filter.
EN
Note: Please note that the respiratory resistance of the
entire system is increased when an HME filter or bac­teria filter is used and under certain circumstances, may exceed the value permitted by EN 794-3.
PEEP valve
If a PEEP valve is to be used, this should be inserted into the expiration tube on the patient valve.
To adjust the PEEP valve, always follow the instruc­tions supplied by its manufacturer.

5.3 Wall mounting set

A wall mounting set (see “11.2 Accessories” on page 60) is available for permanent fixing, e.g. on a vertical surface inside a vehicle.
Please refer to the sheet enclosed with the wall mounting set for details of dimensions and installa­tion procedure.
Installation 21
EN

6. Using the ventilator

6.1 Switching on / self test

1. Open the valve of the oxygen cylinder slowly. The pressure gauge will now show the pressure in the cylinder.
2. Where appropriate, calculate how long the re­maining oxygen will last (see “6.11 Calculation of oxygen content/remaining operating time” on page 37). Always change the cylinder in good time, e.g. when the pressure is lower than 50 bar, to ensure that oxygen is available for an adequate period.
3. Select the desired ventilation settings (see “6.2 Selecting the ventilation settings” on page 23).
4. Switch on the MEDUMAT Easy with ON/OFF switch. The ventilator will then run a self test lasting approx. 2 seconds.
If audio response is enabled, you will hear before the self test the sentence “Open oxygen cylin­der”.
22 Using the ventilator
EN
During this test, the four LEDs in alarm panel 3 flash on and off and a short alarm tone sounds.
Stenosis Disconnection < 2,7 bar O
2
If an error is found, all the LEDs in alarm panel continue flashing and an alarm sounds. If this hap­pens, MEDUMAT Easy must not be used for venti­lation.
If audio response is enabled, you will hear the message “Device malfunction! Administer alter­native ventilation”.
After the self test, the ventilator repeatedly checks the oxygen cylinder pressure until ade­quate pressure is detected. Otherwise an alarm is sounded.
The MEDUMAT Easy will then start to function with the selected ventilation settings.

6.2 Selecting the ventilation settings

We recommend selection before switching on, to prevent unnecessary waste of oxygen.
3
Respiratory frequency and minute volume
12
11
9
10
14
12
10
15
13
7
11
14
30
3
Freq.(min
MV (l/min)
16
Demand­flow
-1
)
16
5
13 14
1,1
0,6
0,3
1. Set the respiratory frequency and the minute volume with regulator knob.
Recommended ventilation settings:
yellow orange brown
Body weight 10 kg 30 kg 60 kg 80 kg 110 kg
Respiratory frequency
Minute volume
-1
30 min
16 min-111 min-110 min-110 min
3 l/min 5 l/min 7 l/min 9 l/min 11 l/min
Using the ventilator 23
-1
EN
The figures shown in the table are only recom­mendations. Different settings may be required in cases of pulmonary damage or for special indi­cations.
To see the relationship between the values, see diagram “12.2 Relationship between ventilation parameters” on page 66.
Maximum ventilation pressure
1. Use the mask/tube switch to set the maximum ventilation pressure. The LEDs light up in active mode.
Recommended maximum ventilation pressure:
Device
Audio response up to serial number 7999
From serial number 8000 and following repair/servicing/ firmware update
Mask ventilation
20 mbar 45 mbar
Audio response enabled: “Mask ventilation mode. Tilt back head, secure mask tightly”
Audio response enabled: “Ventilation pressure limit 20 mbar”
Intubation
Audio response enabled: “Tube ventilation mode. Ventilation pressure limit 45 mbar”
Audio response enabled: “Ventilation pressure limit 45 mbar”
24 Using the ventilator
If the maximum level is reached, e.g. in cases where compliance is inadequate, MEDUMAT Easy sets off a stenosis alarm (see “ Stenosis alarm” on page 30).
Note: The mask/tube switch can only be operated when
the ventilator is switched on.
EN

6.3 Performing ventilation

P
o
s
i
ti
on
>
P
S
U
< 13
4°
9
60
mbar
50
40
30
20
10
0
Ventilation mask
1. Attach the mask to the patient valve.
2. If necessary, insert a Guedel tube to keep the airways open before putting on the mask.
3. Place the mask over the patient's mouth and nose.
4. Tilt the head back and use the E-C technique ensure the mask is hermetically sealed.
Intubation
The patient will normally be intubated before the tube is connected to the patient valve.
1. Attach the patient valve to the connector of the tracheal tube.
2. Monitor the respiratory parameters during venti­lation. This will indicate whether the tube is cor­rectly positioned and ventilation is adequate.
1)
to

6.4 Monitoring ventilation

The patient must be monitored constantly during ventilation.
You can read off ventilation pressure on the ventila­tion pressure gauge.
High airway resistance, as a result of obstructions or external cardiac massage for example, will change
1. See also: Resuscitation, Volume 46 (2000), Special Issue ­International Guidelines 2000 for CPR and ECC - A Consensus on Science; p. 115-125.
Using the ventilator 25
EN
the tidal volume set. Use suitable volume measuring
Example of ventilation sequence before and after lung compliance diminishes
devices to check the tidal volume actually adminis­tered.
Check respiratory parameters during ventilation. If lung compliance diminishes during ventilation, the
ventilator will react by increasing the ventilation pressure at constant volume.

6.5 Ventilation with PEEP valve

A PEEP valve can be fitted to the expiration tube on the patient valve with an adapter.
This valve makes it possible to use positive end-expi­ratory pressure (PEEP).
Please see the PEEP valve instructions for details of settings.

6.6 Ventilation with filter

A conventional filter with standard 15/ 22 connectors can be fitted on the inspiration tube of the patient valve for hygiene purposes and to con­dition the air for inspiration. This will increase both
26 Using the ventilator
EN
13 14
0,3
0,6
1,1
16
15
13
14
14
12
12
11
10
10
9
11
16
7
5
30
3
MV (l/min)
Freq.(min
-1
)
Demand­flow

6.7 Demandflow

Note: A PEEP valve must not be fitted when using the
inspiratory and expiratory resistance. You should therefore monitor ventilation pressure and ventila­tion volume very carefully.
A close watch must be kept for any increase in dead space, especially in children.
Always be sure to follow the instructions supplied by the manufacturer of the filter.
ventilator in Demandflow mode. Demandflow must be switched on for O
inhalation.
2
To switch the MEDUMAT Easy to Demandflow mode, turn the ventilation settings regulator knob until it engages in the fixed point marked by the white triangle. The green LED indicates that it is ready for operation. If audio response is enabled, the ventilator announces “Demandflow mode”.
Attach the mask to the patient valve and place it over the patient’s mouth and nose. Hold the mask to en­sure a firm seal. The flow is switched on by the pa­tient breathing in (triggering the device). When the patient starts to breathe out, the flow stops and the expired air is removed via the patient valve. The pa­tient should breathe calmly and evenly. The Demand­flow cannot be altered. At higher breath rates, fresh air is automatically mixed in with the oxygen. This is done via the spontaneous breathing tube of the patient valve.
The Demandflow mode is ended by turning the reg­ulator knob back to ventilation mode from the index
Using the ventilator 27
EN
position marked by the white triangle, or by switch­ing off the ventilator.
If audio response is activated, the ventilator confirms the return to ventilation mode by announcing: “Mask ventilation mode. Tilt back head, secure mask tightly” (from serial number 8000 and following re­pair/servicing/firmware update: “Ventilation pres­sure limit 20 mbar”).

6.8 Terminating ventilation or Demandflow

Important Never empty the oxygen cylinder completely. Re­turn the cylinder for filling while it still contains resid­ual pressure. This prevents entry of moist atmospheric air that can cause corrosion.
1. Check the oxygen supply on the pressure reduc­er gauge. Always change the cylinder in good time, e.g. when the pressure is lower than 50 bar, to ensure that oxygen is available for an adequate period.
2. Close the valve of the oxygen cylinder.
3. Switch off the MEDUMAT Easy. To prevent the ventilator being switched off unintentionally, ON/ OFF switch must be kept pressed down for at least 2 seconds until the LEDs in the alarm panel
3 light
up. If audio response is enabled, the ventilator an­nounces: “Close oxygen cylinder”.
28 Using the ventilator
EN

6.9 Alarm signals

Stenosis Disconnection < 2,7 bar O
2
+–
Alarm panel signals the following alarms: Stenosis: Stenosis, or maximum ventilation
pressure P
reached in two succes-
max
sive inspiration phases
Disconnection:Disconnection between
MEDUMAT Easy and patient in two successive inspiration phases
< 2.7 bar: Drop in oxygen pressure to below
2.7 bar
: Battery charge inadequate
All the visual alarms are accompanied by an acoustic alarm.
If the ventilator detects a malfunction during the self test after switching on or during continuous opera­tion, all LEDs in the alarm panel stay flashing on and off, and an alarm tone sounds. If audio response is enabled, you will hear the message “Device mal­function! Administer alternative ventilation”.
In this case you must not use the MEDUMAT Easy. The failure alarm can be confirmed by pressing the ON/OFF switch.
The patient valve is designed to enable spontaneous breathing in the event of equipment failure.
When is the alarm set off?
An alarm signal is given as soon as any one of the functional problems mentioned above occurs. The relevant LED starts flashing and an acoustic signal sounds. If audio response is enabled, the user also hears additional information about the individual alarm.
Using the ventilator 29
EN
Simultaneous disconnection and drop in oxygen pressure will initially set off only the < 2.7 bar alarm.
Stenosis alarm
Actual ventilation pressure exceeds the maximum ventilation pressure (20 or 45 mbar).
MEDUMAT Easy briefly switches to expiration if the maximum ventilation pressure is exceeded, but then tries to continue inspiration in the same inspiration phase.
If the maximum ventilation pressure is exceeded for a second time during the same inspiration phase, the unit finally switches to expiration and vents the pa­tient tube system completely. The next inspiration begins with the following ventilation stroke accord­ing to the frequency selected. This does not affect the set frequency.
The alarm is set off if airway resistance is exceeded in
two successive inspiration phases. This is intended
to prevent false alarms, e.g. due to coughing. If audio response is enabled, the unit announces
“Check airways and minute volume” (from serial number 8000 and following repair/servicing/firm­ware update: “Check airways and settings”).
30 Using the ventilator
Disconnection alarm
As a rule this alarm is due to interruption of the breathing system.
The alarm is set off when the rise in pressure fails to reach at least 8 mbar in phases.
If audio response is enabled, the unit announces “Check ventilation system and settings”.
two successive inspiration
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