Blease
Blease Anesthesia Devices and Accessories
2200MRI Anesthesia Ventilator User and Maintenance Manual Rev F
User and Maintenance Manual
62 Pages
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2200MRI Anesthesia Ventilator MRI Compatible
073-0245-00 Rev. F | www.spacelabshealthcare.com
USER & MAINTENANCE MANUAL 2200MRI Ventilator User Manual
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2200MRI Ventilator User Manual
2200MRI Ventilator User Manual
Spacelabs Healthcare Ltd. Unit B, Foxholes Centre • John Tate Road • Hertford • SG13 7DT • United Kingdom Tel: +44 (0)1992 507700 Fax: +44 (0)1992 501213 e-mail (enquiries): [email protected] e-mail (technical): [email protected] www.spacelabshealthcare.com
2200MRI Ventilator User Manual
Part Number: 073-0245-00/Rev. F August 2016
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2200MRI Ventilator User Manual
IMPORTANT The user must be familiar with the machine and its various functions before using it on a patient.
Federal law restricts this device for sale by or on the order of a physician.
Incorrect use of the equipment described herein may result in injury to the patient. Read this manual before operating the machine. You must be familiar with the machine and its functions before using it on a patient. Be sure to pay special attention to warnings, cautions and notes within the manual. A full list of these can be found in Section 4 of this manual. Warning Notices Warning notices denote a potential hazard to the health and safety of users and/or patients. These notices clearly state the nature of the respective hazard and the means by which it can be avoided. Warning notices appear in full in the preliminary pages and are repeated at their points of application in the manual. Caution Notices Cautionary notices denote a potential hazard to the physical integrity of equipment/software but NOT a danger to personnel. These notices clearly state the nature of the hazard and the means by which it can be avoided.
Notes Relevant or helpful information
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2200MRI Ventilator User Manual
Table of Contents
Contents
Page
Chapter 1 Introduction 1.1 1.2 1.3 1.4
Introduction Purpose Explanation of Serial Numbering Description
13 15 15 15 15
1.4.1 Front Panel Description
17
1.4.2 Underside Description
18
1.5 1.6 1.7
Major Features Data Summary Associated Equipment and Accessories
20 20 22
Chapter 2 Installation 2.1 2.2 2.3 2.4
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Ventilator Set -Up Procedure Unpacking Preparation for Use Changing Bellows Units
25 25 26 27
2.4.1 Installing the Pediatric Bellows
27
2.4.2 Installing the Adult Bellows
27
2.4.3 Adult Bellows Assembly Description
28
Chapter 3 Operation 3.1
31 Pneumatic System
3.1.1 Pneumatic Circuit Description
3.2
Ventilation Cycle Description Using Bellows
2200MRI Ventilator User Manual
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36
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3.3 3.4 3.5 3.6
Control Unit Using the 2200MRI Anesthesia Ventilator in a Circle Breathing System In Use Safety
3.6.1 Pneumatic Safety
37 38 39 40 40
Chapter 4 Preventative Inspection & Maintenance 4.1 4.2 4.3
Pre-Use Function Test Clinical Operation Incidental & User Maintenance
41 43 43 44
4.3.1 Service schedule
44
4.3.2 Cleaning of the ventilator control unit
45
4.3.3 Cleaning and sterilization of the bellows unit
45
4.4
Cleaning and Sterilization
45
4.4.1 Ventilator Surfaces
46
4.4.2 Pop-Off Valve Seat
47
Chapter 5 Troubleshooting 5.1
General Fault Diagnosis
49 51
Chapter 6 Notices
8
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2200MRI Ventilator User Manual
List of Figures Figure 1 - 2200MRI Anesthesia Ventilator
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Figure 2 - Rear View & Underside View
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Figure 3 - Adult and Pediatric Bellows
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Figure 4 - Pneumatic Diagram
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Figure 5 - Ventilation Cycle Using the Bellows
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Figure 6 - Circle Breathing System
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Figure 7 - Use with a Bain Circuit
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Figure 8 - Expiratory Valve
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Figure 9 - Removing the Pop-off Valve
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2200MRI Ventilator User Manual
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Copyright © 2016 Spacelabs Healthcare Limited. All rights reserved. The information contained in this publication may not be used for any purpose other than that for which it was originally supplied. This publication may not be reproduced in part or in whole without the written consent of Spacelabs Healthcare Limited.
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2200MRI Ventilator User Manual
2200MRI Ventilator How to Use This Manual This manual is designed as a guide for learning to operate the 2200MRI Ventilator, and also as a reference tool to use once you are familiar with the system.
Keep this manual with the system to refer to and to answer any questions that arise about system operation, maintenance or, if necessary, repair. All pictures shown in this manual are of the 2200MRI Ventilator. Please read all warnings and notices in section 6 before using the equipment
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2200MRI Ventilator User Manual
2200MRI Ventilator Chapter 1
Introduction
2200MRI Ventilator User Manual
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Symbols and Abbreviations Below are the symbols and abbreviations used on Spacelabs Healthcare equipment labels and in this manual
bpm BPM
Breaths per minute
l/m lpm
liters per minute
cmH2O
Gauge pressure expressed in centimetres of water
ml
milliliters
CPAP
Continuous positive airway pressure
O2
Oxygen
PEEP
Positive end expiratory pressure
psi
Pounds per square inch
I:E Ratio
A ratio of inspiratory to expiratory time
psig
Pounds per square inch gauge
Caution consult accompanying documentation
l
Liters
IEC symbol denoting type of equipment (B)
IEC symbol for alternating current
Consult instructions for use.
Dangerous Voltage present
Equipment serial number
Power off
Manufacturer
Power on
Year of manufacture
Caution: Denotes a potential hazard and NOT a danger to personnel.
Relevant or helpful information
WARNING: There is danger of personal injury to the user or patient.
Shows that turning the control in the direction of the thickening line, increases the parameter setting.
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2200MRI Ventilator User Manual
Introduction 1.1
Introduction
This manual contains installation and operating instructions for the 2200MRI anesthesia ventilators. It also includes sections describing operation, cleaning and sterilization methods, service instructions and troubleshooting procedures.
1.2
Purpose
The 2200MRI anesthesia ventilator is a pneumatically controlled oxygen driven anesthesia ventilator designed for mechanical ventilation during anesthesia. It can be used in closed circuit anesthesia to drive a bellows assembly and to drive a Bain circuit directly.
1.3
Explanation of Serial Numbering
Each 2200MRI ventilator is marked with a unique Serial Number which also indicates the Date of Manufacture which is indicated as follows: XXXXX - XXX
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The first three digits represent the Year of Manufacture (i.e. 196=1996, 209=2009)
XXXXX - XXX
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The 4th & 5th digits represent the Month of Manufacture (i.e. 04=April, 06=June)
XXXXX - XXX
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The final three digits are a sequential run of the number of units built (i.e. 000 to 999)
1.4
Description
The 2200MRI anesthesia ventilator is a time cycled flow generator type ventilator that is oxygen driven and can be provided with an ascending bellows unit which is easily detachable for cleaning. The 2200MRI anesthesia ventilator, when fitted with a bellows unit, is designed for use with a circle-type absorber and is ideally suited to both low-flow and high-flow applications. The ventilator may also be used with or without the bellows to drive any semi closed circuit, such as a Bain-type coaxial circuit or a Jackson-Rees/Ayres T-piece type pediatric circuit with no modification being necessary.
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Introduction C A
B
D
E
Key: A - On/Off Switch B - Manometer C - Adjustable pressure relief knob D - Inspiratory time control knob E - Expiratory time control knob F - Flow control knob
F
Figure 1 - 2200MRI Anesthesia Ventilator 16
2200MRI Ventilator User Manual
Introduction 1.4.1
Front Panel Description
Refer to Figure 1 Spacelabs Healthcare 2200MRI Anesthesia Ventilator. 1. On/Off switch - rotates 90 degrees clockwise to turn the ventilator on (A). 2. Manometer - calibrated between -20 to +100cmH2O, the gauge must be connected to the inspiratory limb of the breathing circuit via the connector on the underside (B). 3. Adjustable pressure relief valve which is calibrated at 0.5 litres per second flow. Note - the pressure relief valve will relieve at a slightly lower or higher level depending on the flow rate selected on the flow control knob (C). WARNING: The pressure relief valve is not intend for use as a pressure limiter but as a pressure relief valve (safety valve).
4. Inspiratory time control knob - calibrated between 0.25 and 2.0 seconds (D). Rotation of the knurled knob clockwise increases the inspiratory time. 5. Expiratory time control knob - calibrated between 0.5 and 5.0 seconds (E). Rotation of the knob in a clockwise direction increases the expiratory time. Breaths per minute are determined in the following way: BPM =
60 _______________________ Inspiratory time + Expiratory time
The I:E ratio is determined in the following way: Inspiratory time 1: = __________________ Expiratory time
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Introduction 6. Flow control knob - calibrated between 0.2 and 1.0 litres per second (F). Rotation of the grooved knob in an anti clockwise direction increases the flow rate. The tidal volume delivered to the patient is determined in the following way: Tidal volume = (litres)
inspiratory time (seconds)
x
flow rate (litres per second)
For further information on the bellows unit assembly, see paragraphs 2.4 to 2.4.3.
1.4.2
Underside Description 1. High pressure oxygen inlet connector - a 1.5 metre long high pressure hose is supplied for connection to the DISS oxygen inlet connector. 2. Driving gas connector - a patient valve with a 22mm male taper and a 15mm female taper which connects to the patient circuit with a flexible corrugated tube (see Figure 2 - Rear View and Underside View). 3. Pressure relief valve exhaust port - this exhaust port allows the drive gas to exhaust to atmosphere when the set pressure at the adjustable pressure relief valve has been reached.
WARNING: Do not attempt to block the exhaust port.
4. Manometer connection - this connects to the tube and the 22mm taper male/female sensing tee which must be placed in the inspiratory limb of the patient breathing circuit.
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2200MRI Ventilator User Manual
Introduction
D
Rear View
B
E A Key
A
A - High pressure oxygen inlet connector
C
B - Scavenging Port E
C - Drive gas outlet D - Pressure relief valve exhaust port E - Manometer connection
Underside View Figure 2 - Rear View & Underside View 2200MRI Ventilator User Manual
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Introduction 1.5
Major Features
The Spacelabs Healthcare 2200MRI anesthesia ventilator consists of two basic modules: the control unit and the bellows assembly. • Two sizes of bellows housing are available: adult and pediatric. Both housings fit on the bellows base. • Direct drive of Bain and other circuits without use of bellows. • De-mountable, autoclavable expiratory valve.
1.6
Data Summary Control/Parameter
Range/Value
1
Input supply gas
2.5-7Bar 250-700kpa
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Adult bellows size
1600ml
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Pediatric bellows size
350ml
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Inspiratory flow rate
0.2 to 1.0/sec ±10%
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Inspiratory time
0.25 to 3 sec ± 0.05 or ± 10% whichever is the greater
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Expiratory time
0.5 to 6.0 sec ± 0.05 or ± 10% whichever is the greater
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Pressure relief control
20-80cmH2O
2
Gas supply
oxygen
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Gas supply hose
1.5 metres of white antistatic hose fitted with a DISS fitting.
4
Hose end
Oxygen probe to BS5682 mini schräder.
Patient airway pressure 63mm diameter aneroid pressure gauge with gauge -20 to +100cmH2O. 15
Ventilator to bellows connection
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Bellows to patient taper 22mm male taper to BS3049
20
22mm male taper/15mm female.
2200MRI Ventilator User Manual