Guide
8 Pages
![Step-by-step guide for MBW 20.11.2018 Version A/8 TEST • • • • • • • • • • • • • • • Open Gas cylinder by turning gas cylinder 1½ times clockwise. Press Measurement on Screen. Select the configuration: CompactRVU (+10 kg). Press Prepare to calibrate Innocor (only once a day). Press Change ambient data and enter actual values. Press Calibrate Flowmeter and follow calibration guide using a 3 litre syringe. Press Calibrate Oxygen and follow calibration guide. Expose gas sample line to air by removing it from breathing assembly. Optional (if red exclamation mark): Press Calibrate Flow gas delay and follow calibration guide using a subject who performs slow expirations/fast inspirations. Press OK (to Exit Prepare). Press OK (to select configuration). Press New Pt. and enter patient data Enter height [cm], weight [kg], sex [M,F] and date of birth in actual format. Move cursor to the patient and press Select. Press Test. Connect subject to breathing assembly. Always use a new bacterial filter for each subject. Follow instructions on the screen. You can perform up to 5 manoeuvres in a row, but as soon as the FRC and LCI numbers are marked with a √ data are sufficient according to ATS. Minimum 3 and maximum 5 manoeuvres. At the end of the day the Innocor is powered off and the gas cylinder is turned 1½ times counter clockwise to secure the gas cylinder from leaking. CONTACT INFORMATION Knud Pedersen PulmoTrace ApS / Innovision ApS Skovvænget 2 DK-5620 Glamsbjerg Denmark Tel.: +45 65 95 91 00 Dir.: + 45 63 10 06 20 (direct to Knud Pedersen) Fax: +45 65 95 78 00 e-mail: info@innovision.dk e-mail: kp@innovision.dk (direct to Knud Pedersen) www.innovision.dk Daily use of Innocor for MBW A8.docx page 1 of 8](https://public.bioclinicalservices.com.au/library/representations/proxy/eyJfcmFpbHMiOnsiZGF0YSI6MTU5NDgwLCJwdXIiOiJibG9iX2lkIn19--7806a0c4a0e2266043aa078c7202ad28697f6a4d/eyJfcmFpbHMiOnsiZGF0YSI6eyJyZXNpemUiOiIzMjB4In0sInB1ciI6InZhcmlhdGlvbiJ9fQ==--4214356078d1f110e449cda512a9432562da3e70/Daily%20use%20of%20Innocor%20for%20MBW%20A8.pdf.png)
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Page 1
Step-by-step guide for MBW
20.11.2018 Version A/8
TEST • • • • • • • • • • • • • • •
Open Gas cylinder by turning gas cylinder 1½ times clockwise. Press Measurement on Screen. Select the configuration: CompactRVU (+10 kg). Press Prepare to calibrate Innocor (only once a day). Press Change ambient data and enter actual values. Press Calibrate Flowmeter and follow calibration guide using a 3 litre syringe. Press Calibrate Oxygen and follow calibration guide. Expose gas sample line to air by removing it from breathing assembly. Optional (if red exclamation mark): Press Calibrate Flow gas delay and follow calibration guide using a subject who performs slow expirations/fast inspirations. Press OK (to Exit Prepare). Press OK (to select configuration). Press New Pt. and enter patient data Enter height [cm], weight [kg], sex [M,F] and date of birth in actual format. Move cursor to the patient and press Select. Press Test. Connect subject to breathing assembly. Always use a new bacterial filter for each subject. Follow instructions on the screen. You can perform up to 5 manoeuvres in a row, but as soon as the FRC and LCI numbers are marked with a √ data are sufficient according to ATS. Minimum 3 and maximum 5 manoeuvres. At the end of the day the Innocor is powered off and the gas cylinder is turned 1½ times counter clockwise to secure the gas cylinder from leaking.
CONTACT INFORMATION Knud Pedersen PulmoTrace ApS / Innovision ApS Skovvænget 2 DK-5620 Glamsbjerg Denmark Tel.: +45 65 95 91 00 Dir.: + 45 63 10 06 20 (direct to Knud Pedersen) Fax: +45 65 95 78 00 e-mail: [email protected] e-mail: [email protected] (direct to Knud Pedersen) www.innovision.dk
Daily use of Innocor for MBW A8.docx
page 1 of 8
Step-by-step guide for MBW
20.11.2018 Version A/8
TEST:
Press Measurement
Select CompactRVU (+10kg). Press Prepare
Daily use of Innocor for MBW A8.docx
page 2 of 8
Step-by-step guide for MBW
20.11.2018 Version A/8
Press Change ambient data and enter actual values. Press Calibrate Flowmeter and follow calibration guide using a 3 litre syringe. If gain factors are outside the range 0.9 to 1.1 calibration shall be repeated. If still outside then replace the flowmeter screen and repeat calibration. Press Calibrate Oxygen and follow calibration guide. Expose gas sample line to air by removing it from breathing assembly. If “Flow-gas delay” shows a red reclamation mark then press Calibrate Flow gas delay and follow calibration guide using a subject who performs slow expirations/fast inspirations. If a green check mark with a yellow warning is shown (as shown on the picture above), it means the flow-gas calibration is not up-to-date, but will be found online. All the calibrations above shall be performed once a day before performing the MBW tests – i.e. setting of ambient data and calibration of flowmeter and Oxygen sensor. Press OK (to Exit Prepare)
Select patient or press New Pt. to enter a new subject.
Daily use of Innocor for MBW A8.docx
page 3 of 8
Step-by-step guide for MBW
20.11.2018 Version A/8
Press OK to save new patient data. Press Select to select patient.
Daily use of Innocor for MBW A8.docx
page 4 of 8
Step-by-step guide for MBW
20.11.2018 Version A/8
Connect the patient using a new respiratory bacterial/viral filter. Press Test to start the MBW test, and ask the subject to breathe normally.
Select as default Auto for bag filling and press Select. If a subject feels uncomfortable when breathing, it sometimes helps to increase the bag size ratio from 1.5 to 2.0.
Press Prepare Bag when the subject has reached a steady breathing – look at the VT. Press Wash-in when ready, and guide the subject to breathe normally. If the subject is capable to receive breathing instruction, it is recommended to guide the subject to breathe deeper or empty the bag at each inspiration in the beginning of the wash-in until the mixing index comes below approx. 10%. Thereafter guide the subject to breathe normally. This will reduce the wash-in time.
Daily use of Innocor for MBW A8.docx
page 5 of 8
Step-by-step guide for MBW
20.11.2018 Version A/8
Observe wash-in. If the CO2 during inspiration exceeds 2.5% a message “Time to replace scrubber” is shown on the display – in which case the CO2 scrubber shall be replaced. When the scrubber is not used, be sure to save it in a sealed plastic bag. A leak can be seen during wash-in by down-going spikes on the insoluble curve, in which case the patient mouth piece and nose clip shall be inspected in order to remove the leak. The software automatically goes to washout when ready. At this time the subject shall again be guided to breathe normally.
Observe the washout. If the subject has a leak during washout (seen during wash-in) or coughs during the washout the manoeuvre is aborted by pressing the Stop washout button, and a new manoeuvre is started. The new manoeuvre can be started immediately. The software automatically stops when the washout is completed. The subject can disconnect from the mouthpiece – if wanted – when the bag is prepared for the next manoeuvre. If the FRC varies less than 25% between manoeuvres a √ is shown on these results. Daily use of Innocor for MBW A8.docx
page 6 of 8
Step-by-step guide for MBW
20.11.2018 Version A/8
Press Exit when 3 or more manoeuvres are highlighted with a √. If the subject is not capable to deliver stable FRC’s - i.e. the √ is not shown - then stop after 5 manoeuvres.
Press comments field below graphs to enter comments. LCI values below 4 are physiologically impossible. Press Graph to see details.
Press tab “1”, “2” or “3” to see individual manoeuvres.
Daily use of Innocor for MBW A8.docx
page 7 of 8
Step-by-step guide for MBW
20.11.2018 Version A/8
Press the Used check box to manually change the used status. At the end of the day the Innocor is powered off and the gas cylinder is turned 1½ times counter clockwise to secure the gas cylinder from leaking.
Daily use of Innocor for MBW A8.docx
page 8 of 8