Operating Instructions
304 Pages
Preview
Page 1
Foreword
Introduction
Foreword WARNING:
Do not operate the A5/A3 Anesthesia System before reading these instructions.
The operating instructions for the A5/A3 Anesthesia Delivery System (hereinafter referred to as A5/A3 Anesthesia System, A5/A3 System, A5/A3, or individual A5 and A3) are intended to provide information for proper installation, operation, and general maintenance of the A5/A3 System to the user. General knowledge and understanding of the features and functions of the A5/A3 System are prerequisites for its proper use. For servicing information or assistance, please contact an authorized representative in your area. Rx only:
U.S. Federal Law restricts this device to sale by or on the order of a physician or other practitioner licensed by state law to use or order the use of this device.
NOTE:
Figures in this manual are provided for reference purposes only. Screens may differ based on the system configuration and selected parameters.
Indications For Use The A5/A3 Anesthesia System is a device used to administer to a patient, continuously or intermittently, a general inhalation anesthetic, and to maintain a patient's ventilation. The A5/A3 is intended for use by licensed clinicians, for patients requiring anesthesia within a health care facility, and can be used for adult, pediatric, and infant populations. WARNING:
The A5/A3 is intended to be operated only by licensed clinicians and qualified anesthesia personnel who have received adequate training in its use. Anyone unauthorized or untrained must not perform any operation on the A5/A3.
WARNING:
The A5/A3 is not suitable for use in an MRI environment.
Responsibilities of Operators The proper function of the A5/A3 System can only be guaranteed if it is operated and serviced in accordance with the information provided in this manual and by an authorized Mindray service representative. Non-compliance with this information voids all guarantee claims. The A5/A3 System must be operated by qualified and trained personnel only. All operators must fully observe these operating instructions and relevant additional documentation. They must also comply with the WARNINGS, CAUTIONS, and NOTES detailed in this manual.
Warnings, Cautions, and Notes Please adhere to all warnings, cautions, and notes that are listed throughout this manual. They are summarized here for your reference. WARNING - Indicates a potential hazard or unsafe practice that, if not avoided, could result in death or serious injury to the patient or user. CAUTION - Indicates a potential hazard or unsafe practice that, if not avoided, could result in product/property damage or minor personal injury to the patient or user. NOTE - Provides application tips or other useful information.
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Warranty Statements
Introduction
Warranty Statements Mindray DS USA, Inc. warrants that components within the anesthesia system will be free from defects in workmanship and materials for the number of years shown on the invoice. Under this extended warranty, Mindray DS USA, Inc. will repair or replace any defective component at no charge for labor and/or materials. This extended warranty does not cover consumable items such as (but not limited to) batteries and external cables. Calibration may be performed without the need to disassemble the instrument. It is the responsibility of the purchaser to perform calibration as necessary, in accordance with the instructions provided in this manual. Recommended preventative maintenance, as prescribed in the Maintenance section of this manual, is the responsibility of the user, and is not covered by this warranty. Except as otherwise provided herein, the terms, conditions, and limitations of Mindray DS USA, Inc.’s standard warranty will remain in effect. Mindray DS USA, Inc. warrants that its products will be free from defects in workmanship and materials for a period of one (1) year from the date of purchase except that disposable or one-time use products are warranted to be free from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use, whichever is sooner. This warranty does not cover consumable items such as, but not limited to, batteries, external cables, O2 sensors, CO2 absorbents, breathing circuits, hoses, or mounts. Mindray DS USA, Inc. will not be liable for any incidental, special, or consequential loss, damage, or expense directly or indirectly arising from the use of its products, liability under this warranty and the buyer’s exclusive remedy under this warranty is limited to servicing or replacing at Mindray DS USA, Inc.’s option at the factory or at an authorized distributor, any product which shall under normal use and service appear to the Company to have been defective in material or workmanship. No agent, employee, or representative of Mindray DS USA, Inc. has any authority to bind Mindray DS USA, Inc. to any affirmation, representation, or warranty concerning its products, and any affirmation, representation or warranty made by any agent, employee, or representative shall not be enforceable by buyer. This warranty is expressly in lieu of any other express or implied warranties, including any implied warranty or merchantability or fitness, and of any other obligation on the part of the seller. Damage to any product or parts through misuse, neglect, accident, or by affixing any non-standard accessory attachments or by any customer modification voids this warranty. Mindray DS USA, Inc. makes no warranty whatsoever in regard to trade accessories, such being subject to the warranty of their respective manufacturers. A condition of this warranty is that this equipment or any accessories which are claimed to be defective be returned when authorized, freight prepaid to Mindray DS USA, Inc., Mahwah, New Jersey 07430. Mindray DS USA, Inc. shall not have any responsibility in the event of loss or damage in transit.
Disclaimers Product Improvements - Mindray DS USA, Inc. retains the right to modify the machine and/or operating instructions without prior notification. These operating instructions explain all features of the A5/A3 System and are correct at time of manufacture. Instructions and models produced at a later stage, may contain improvements or modifications that were not included in previous models.
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System Interface
System Tab
SYSTEM TAB BUTTON
CHOICES
DESCRIPTION
Configuration Information
-
Select to display the machine ID and the status of system functions.
Export Data
-
Select to export patient data via mass storage device.
Clear History
On (default) Off
Configures the Clear History setting at the end of the case. When turned on, event logs and all trends will be deleted at the start of the case. When turned off, event logs and all trends will not be deleted at the start of the case. NOTE:
Button only appears for software bundle version 02.02.00 and later.
TABLE 3-10 System Tab Settings
3.13.1
Network Configuration Network configuration settings can be set via the Network button (see FIGURE 3-45). Select main screen > Setup button > System tab > Network button.
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Ventilation Modes
5.6
5.6.1
Operations
Ventilation Modes NOTE:
In all ventilation modes, when inspiration pressure reaches the high alarm limit of Paw, the system switches to expiration immediately and airway pressure is released.
NOTE:
When the drive gas supply fails, mechanical ventilation cannot work normally.
Monitored Parameters NOTE:
The monitored parameters are measured in the condition of ATPS (ambient temperature and pressure saturated).
The A5/A3 monitors the following ventilation parameters:
PARAMETER
RANGE*
PEAK
-20 –120 cmH2O
COMMENTS
MEAN
-20 – 120 cmH2O
Vt
0 – 3000 ml
MV
0 – 100 L
PLAT
-20 – 120 cmH2O
Rate
0 – 120 bpm
PEEP
0 – 70 cmH2O
FiO2
18 – 100%**
I:E
-
Displayed only in SIMV-VC, SIMV-PC, and PS modes
* If the monitored parameter is out of range, it will be displayed as “- - -”. **FiO2 measurements between 100% and 110% inclusive will be displayed as 100%. Above this range, the system will display “- - -”.
5.6.2
Ventilation Modes The A5/A3 provides the following ventilation modes:
5.6.3
VENTILATION MODE
PARAMETERS
VCV
Vt, Rate, I:E, Tpause, PEEP, Plimit
SIMV-VC
Vt, Rate, Tinsp, Tpause, PEEP, Plimit, PS (On/Off ), ΔP, Trigger, Tslope,
PCV
A5: VtG, PlimVG, Pinsp, Rate, I:E, PEEP, Tslope A3: Pinsp, Rate, I:E, PEEP, Tslope
SIMV-PC (A5 only)
Pinsp, Rate, Tinsp, PS (On/Off), ΔP, Trigger, PEEP, Tslope
PS
Min Rate, ΔP, Trigger, PEEP, Tslope, Apnea Ti
Manual
Bypass (A5 only), Alarms, Monitor (available with AG module)
Change Ventilation Mode To change ventilation mode to Manual 1. Use the Auto/Manual Bag switch on the breathing system block to enter and exit Manual ventilation mode.
5-8
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A5/A3™ Operating Instructions
Standards Compliance
9.1
Product Specifications
Standards Compliance The A5/A3 Anesthesia System is in compliance with the following industry standards.
ISO 10993-1: 2009
Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing
ISO 15223-1: 2012
Medical Devices - Symbols to be used with Medical Device labels, labelling and information to be supplied
ASTM F1101-90 (2003)
Standard Specification for Ventilators Intended for Use During Anesthesia
CGA V-1: 2005
Standard for Compressed Gas Cylinder Valves Outlet and Inlet Connections
CGA V-5: 2008
Diameter-Index Safety System (Noninterchangeable Low Pressure Connections for Medical Gas Applications
IEC 60068-2-27: 2008/EN 60068-2-27: 2009
Basic Environmental Testing Procedures. Part 2 Tests - Tes Ea and Guidance: Shock
IEC 60068-2-64: 2008/EN 60068-2-64: 2008
Environmental Testing: Part 2: Test Methods, Test Fh: Vibration, Broad-band Random (Digital Control) and Guidance
ANSI / AAMI ES60601-1:2005/(R)2012 and C1:2009/(R)2012 and, A2:2010/(R)2012 (consolidated text)
Medical electrical equipment - Part 1: General requirements for basic safety and essential performance
IEC 60601-1-2: 2007
Medical Electrical Equipment - Part 1-2: General Requirements for Basic Safety and Essential Performance - Collateral Standard: Electromagnetic Compatibility - Requirements and Tests
IEC 60601-1-8: 2006
Collateral Standard: General Requirements, Tests and Guidance for Alarm Systems in Medical Electrical Equipment and Medical Electrical Systems
ISO 80601-2-13:2011
Medical electrical equipment -Part 2-13: Particular requirements for basic safety and essential performance of an anaesthetic workstation
IEC 62304: 2006
Medical Device Software - Software Life Cycle Processes
IEC 62366: 2007
Medical Devices - Application of Usability Engineering to Medical Devices
ISO 14971: 2007
Medical Devices - Application of Risk Management to Medical Devices
ISO 80601-2-55:2011
Medical electrical equipment - Part 2-55: Particular requirements for the basic safety and essential performance of respiratory gas monitors
ISO 5356-1: 2004
Anaesthetic and Respiratory Equipment - Conical Connectors - Part 1: Cones and Sockets
TABLE 9-1 Standards Compliance
The anesthesia workstation shall be used together with the monitoring devices, alarm system and protective devices below:
9-2
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A5/A3™ Operating Instructions
Active AGSS
User Accessible Spare Parts
The following spare parts are designed for the A5/A3 Anesthesia System. The use of other spare parts is not recommended. To place an order for these or other spare parts, contact Customer Service at 1 (800)288-2121 or order spare parts online at www.mindray.com.
B.1
B.2
B.3
B.4
B-2
Active AGSS PART NUMBER
DESCRIPTION
115-023175-00
Waste Gas Scavenger Assembly
801-0631-00074-00
AGSS Transfer Tube
801-0631-00078-00
Waste Gas Hose for Gas module to Quick Release Fitting
Breathing System PART NUMBER
DESCRIPTION
801-0631-00054-00
Bellows Dome, A Series
0601-30-78968
Bellows Assembly, A Series
801-0631-00057-00
Insp/Exp Connector, A Series
801-0631-00059-00
Insp/Exp Connector Rotary Cap, A Series
801-0631-00058-00
Water Trap, A Series
801-0631-00061-00
Check valve dome, A Series
801-0631-00104-00
Check valve, A Series
115-017033-00
Bag Arm - Fixed Height, A Series
115-028041-00
Flexible Bag Arm , A Series
115-025563-00
Airway pressure gauge, A Series
801-0631-00062-00
APL valve, A Series
115-017036-00
Breathing system, A3/A5
CO2 Absorbent Canister PART NUMBER
DESCRIPTION
801-0631-00066-00
CO2 Absorbent Canister, A Series
801-0631-00099-00
CO2 Bypass Assembly, A Series
801-0631-00092-00
CO2 Absorber Hose, A Series
801-0631-00100-00
CO2 Absorber Base with Drain Valve, A Series
Flow Sensor PART NUMBER
DESCRIPTION
801-0631-00056-00
Expiratory Flow Sensor Assembly, A Series
801-0631-00060-00
Inspiratory Flow Sensor Assembly, A Series
115-008264-00
Flow sensor kit
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A5/A3™ Operating Instructions
User Accessible Spare Parts
B.5
B.6
B.7
Gas Cylinder Accessories
Gas Cylinder Accessories PART NUMBER
DESCRIPTION
115-033063-00
Gas Cylinder Wrench
O2 Sensor PART NUMBER
DESCRIPTION
040-001270-00
O2 Sensor, A Series
801-0631-00102-00
O2 Sensor Cable and Housing, A Series
801-0631-00091-00
O2 Sensor Cable, A Series
Battery PART NUMBER
DESCRIPTION
115-018012-00
Lithium-ion Battery
5
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B-3
Battery
User Accessible Spare Parts
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B-4
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A5/A3™ Operating Instructions
C.0
Parameters and Factory Defaults
Waveform/Spirometry Tabs (A5 Only) ...C-2 Alarm Limits ...C-3 Setup Menu...C-5 Alarm Volume and History...C-8 Date and Time ...C-8 Demographics ...C-9 Ventilation Modes ...C-9 Linked Ventilation Parameter ...C-13 Ventilation Parameter Relationships ...C-15
A5/A3™ Operating Instructions
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C-1
Waveform/Spirometry Tabs (A5 Only)
C.1
C-2
Parameters and Factory Defaults
Waveform/Spirometry Tabs (A5 Only)
OBJECT
RANGE
DEFAULT
Current selection saved when powered off
Waveform/Spirometry Tab
Waveform tab, Spirometry tab
Waveform tab
No
Spirometry Tab: Loop Type
Pressure - Volume, Flow Volume, Pressure- Flow
Pressure - Volume
No
Spirometry Tab: Save Loop
Reference, Baseline
Reference
No
Spirometry Tab: Show Reference
Off, Baseline, [time]
Off
No
Spirometry Tab: Review Loops: Loop Type
Pressure - Volume, Flow Volume, Pressure- Flow
Pressure - Volume
No
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A5/A3™ Operating Instructions
Parameters and Factory Defaults
C.2
Alarm Limits
Alarm Limits
PARAMETER
RANGE
DEFAULT
UNIT
Current selection saved when powered off
PEAK High
The greater of 10 and (PEAK Low+1) to 100 Step: 1
Adult: 50 Pediatric: 40 Infant: 40
cmH2O
Yes
PEAK Low
0 to the lesser of 70 and (PEAK High–1) Step: 1
Adult: 10 Pediatric: 8 Infant: 8
cmH2O
Yes
MV High
The greater of 0.2 and (MV Low+0.1) to 25 Step: 0.1
Adult: 12 Pediatric: 6 Infant: 6
L/min
Yes
MV Low
0 to the lesser of 20 and (MV High–1) Step: 0.1
Adult: 1 Pediatric: 1 Infant: 0.2
L/min
Yes
FiO2 High
The greater of 21 and (FiO2 Low+1) to 100, Off Step: 1
Off
%
Yes
FiO2 Low
18 to the lesser of 98 and (FiO2 High–1) Step: 1
18
%
Yes
EtCO2 High
Off, 2 to 99 Step: 1
Adult: 50 mmHg Pediatric: 50 mmHg Infant: 45 mmHg
mmHg, % kPa
Yes
EtCO2 Low
Off, 0 to 97 Step: 1
Adult: 25 mmHg Pediatric: 25 mmHg Infant: 30 mmHg
mmHg, % kPa
Yes
FiCO2 High
Off, 1 to 99 Step: 1
4
%
Yes
EtN2O High
Off, (Low+2) to 100 Step: 1
55
%
Yes
EtN2O Low
Off, 0 to (High-2) Step: 1
0
%
Yes
FiN2O High
Off, (Low+2) to 100 Step: 1
53
%
Yes
FiN2O Low
Off, 0 to (High-2) Step: 1
0
%
Yes
EtHal High
Off, (Low+0.2) to 5.0 Step: 0.1
3
%
Yes
EtHal Low
Off, 0.0 to (High-0.2) Step: 0.1
0
%
Yes
FiHal High
Off, (Low+0.2) to 5.0 Step: 0.1
2
%
Yes
FiHal Low
Off, 0.0 to (High-0.2) Step: 0.1
0
%
Yes
EtEnf High
Off, (Low+0.2) to 5.0 Step: 0.1
3
%
Yes
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C-3
Alarm Limits
C-4
Parameters and Factory Defaults
PARAMETER
RANGE
DEFAULT
UNIT
Current selection saved when powered off
EtEnf Low
Off, 0.0 to (High-0.2) Step: 0.1
0
%
Yes
FiEnf High
Off, (Low+0.2) to 5.0 Step: 0.1
2
%
Yes
FiEnf Low
Off, 0.0 to (High-0.2) Step: 0.1
0
%
Yes
EtIso High
Off, (Low+0.2) to 5.0 Step: 0.1
3
%
Yes
Etlso Low
Off, 0.0 to (High-0.2) Step: 0.1
0
FiIso High
Off, (Low+0.2) to 5.0 Step: 0.1
2
%
Yes
Filso Low
Off, 0.0 to (High-0.2) Step: 0.1
0
%
Yes
EtSev High
Off, (Low+0.2) to 8.0 Step: 0.1
6
%
Yes
EtSev Low
Off, 0.0 to (High-0.2) Step: 0.1
0
FiSev High
Off, (Low+0.2) to 8.0 Step: 0
5
%
Yes
FiSev Low
Off, 0.0 to (High-0.2) Step: 0.1
0
%
Yes
EtDes High
Off, (Low+0.2) to 18.0 Step: 0.1
8
%
Yes
EtDes Low
Off, 0.0 to (High-0.2) Step: 0.1
0
%
Yes
FiDes High
Off, (Low+0.2) to 18.0 Step: 0.1
6
%
Yes
FiDes Low
Off, 0.0 to (High-0.2) Step: 0
0
%
Yes
EtO2 High
Off, (Low+0.2) to 100 Step: 1
88
%
Yes
EtO2 Low
Off, 10 to (High-2) Step: 1
Off
%
Yes
CO2 Apnea Delay Time
10 sec, 15 sec, 20 sec, 25 sec, 30 sec, 35 sec, 40 sec
30
sec,
Yes
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Yes
Yes
A5/A3™ Operating Instructions
Parameters and Factory Defaults
C.3
Setup Menu
Setup Menu PARAMETER
RANGE
DEFAULT
Current selection saved when powered off
General Tab: Breathing System
Warmer On, Warmer Off
Warmer On
No
General Tab: Gas Bench Flow Rate
Adult watertrap: Low (120 ml/min), Med (150ml/min), High (200 ml/min)
Low (120 ml/min)
Yes
Infant watertrap: Low (70 ml/min), Med (90 ml/min), High (120 ml/min)
Display Tab: Pressure Display
Mean, PLAT
PLAT
Yes
Display Tab: Plimit Line
On/Off
On
Yes
Display Tab: Screen Brightness
level 1-10
5
Yes
Display Tab: Key Click Volume
level 1-10
3
Yes
Display Tab: CO2 Placement
Top, Bottom
Top
Yes
Display Tab: Gas Scales: CO2 Scale
0-40 mmHg, 0-60 mmHg, 0-80 mmHg
0-60 mmHg
Yes
Display Tab: Gas Scales: Des Scale
0-6.0%, 0-9.0%, 0-18.0%
0-9.0%
Yes
Display Tab: Gas Scales: Sev Scale
0-2.0%, 0-4.0%, 0-8.0%
0-4.0%
Yes
Display Tab: Gas Scales: Iso Scale
0-1.2%, 0-2.5%, 0-5.0%
0-2.5%
Yes
Display Tab: Gas Scales: Hal Scale
0-1.2%, 0-2.5%, 0-5.0%
0-2.5%
Yes
Display Tab: Gas Scales: Enf Scale
0-1.2%, 0-2.5%, 0-5.0%
0-2.5%
Yes
Display Tab: Gas Scales: O2 Scale
0-35%, 0-50%, 0-100%
0-100%
Yes
Display Tab: Gas Scales: N2O Scale
0-35%, 0-50%, 0-100%
0-100%
Yes
A5/A3™ Operating Instructions
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C-5
Setup Menu
Parameters and Factory Defaults
PARAMETER
RANGE
DEFAULT
Current selection saved when powered off
Display Tab: Waveform Display
No module: Volume, Flow
Flow
Yes
AG module: Volume, Flow, AA, O2, N2 O
C-6
System Tab: Language
CHINESE,ENGLISH, FRENCH, SPANISH, PORTUGUESE, RUSSIAN, TURKISH, DUTCH
ENGLISH
Yes
System Tab: Default Settings: Default Patient Size
Adult, Pediatric, Infant
Infant
Yes
System Tab: Default Settings: Default Vent Mode
VCV, SIMV-VC, PCV, SIMV-PC, PS
VCV
Yes
System Tab: Manage Defaults
Save as O.R. Defaults, Load O.R. Defaults, Restore Partial Defaults, Import Defaults, Export Defaults
Save as O.R. Defaults
No
System Tab: Change Password
-
1234
Yes
System Tab: Units: Pressure
cmH2O, hPa, mbar
cmH2O
Yes
System Tab: Units: CO2
mmHg, kPa, %
mmHg
Yes
System Tab: Clear Historys
On, Off
Off
Yes
System Tab: Time Settings: Daylight Savings
Manual, Auto
Manual
Yes
System Tab: Network: This Machine: Configure Ethernet: IP Address
0 - 255
192.168.23.250
Yes
System Tab: Network: This Machine: Configure Ethernet: Subnet
0 - 255
255.255.255.0
Yes
System Tab: Network: This Machine: Configure Ethernet: Default Gateway
0 - 255
-
Yes
System Tab: Network: This Machine: Configure Serial: Baud Rate
4800, 9600, 57600, 115200
9600
Yes
System Tab: Network: This Machine: Configure Serial: Parity
Odd, Even, None
None
Yes
System Tab: Network: This Machine: Configure Serial: Data Bits
8, 7, 6, 5
8
Yes
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A5/A3™ Operating Instructions
Parameters and Factory Defaults
Setup Menu
PARAMETER
RANGE
DEFAULT
Current selection saved when powered off
System Tab: Network: This Machine: Configure Serial: Protocol
None, HL7, MR-WATO, Philips
None
Yes
System Tab: Network: This Machine: Configure Serial: Interval
10 sec, 30 sec, 1 min, 5 min, 30 min, 1 hour, 2 hour , 6 hour, 12 hour, 24 hour
1 min
Yes
System Tab: Network: This Machine: Configure Serial: Stop Bits
2, 1.
1
Yes
System Tab: Network: Network Protocol: Configure HL7: Interval
10 sec, 30 sec, 1 min, 5 min, 30 min, 1 hr, 2 hr, 6 hr, 12 hr, 24 hr
1 min
Yes
System Tab: Network: Network Protocol: Configure HL7: Destination IP
-
192.168.23.200
Yes
System Tab: Network: Network Protocol: Configure HL7: Port
0 - 65535
1550
Yes
System Tab: Network: Network Protocol: Configure HL7: Set HL7 Compatibility
Most Recent, 02.02.01 to 02.10.00, 02.00.00, 01.05.02, 01.00.00 to 01.05.01, None
Most Recent
Yes
System Tab: Network: Network Protocol: Configure HL7: Send Waveforms
On, Off
Off
Yes
System Tab: Network: Network Protocol: Configure HL7: Send Alarms
On, Off
Off
Yes
System Tab: Network: Network Protocol: Configure HL7: Send Alarms Ack.
On, Off
Off
Yes
System Tab: Network: Network Protocol: MD2
On, Off
Off
Yes
System Tab: Network: Network Protocol: Configure MD2: Destination IP
-
192.168.23.99
Yes
System Tab: Network: Network Protocol: Configure MD2: Port
-
6678
Yes
System Tab: Network: SNTP Protocol: Interval
10 sec, 30 sec, 1 min, 5 min, 30 min, 1 hr, 2 hr, 6 hr, 12 hr, 24 hr
Off
Yes
A5/A3™ Operating Instructions
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C-7
Alarm Volume and History
C.4
C.5
C-8
Parameters and Factory Defaults
PARAMETER
RANGE
DEFAULT
Current selection saved when powered off
System Tab: Network: SNTP Protocol: Primary Server IP
0 - 255
132.163.4.103
Yes
System Tab: Network: SNTP Protocol: Secondary Server IP
0 - 255
210.72.145.44
Yes
Alarm Volume and History
PARAMETER
RANGE
DEFAULT
Current selection saved when powered off
Alarm Volume
level 1-10
3
Yes
System Alerts Volume
level 1-10
3
Yes
Event Log: Filter
High, Medium, Low, All, Informational
All
Yes
Display Interval
1 min, 5 min, 10 min, 1 min, 30 min, 1 hr, 2 hrs
1 min
Yes
Display Group
Fresh Gas, Gas, Ventilation, All
All
Yes
Date and Time
PARAMETER
RANGE
DEFAULT
Current selection saved when powered off
Day
1-31
1
Yes
Month
1-12
1
Yes
Year
1900-2099
2009
Yes
Hour
-
00 (24 hr) 12 AM(12 hr)
Yes
Minute
00-60
00
Yes
AM/PM
AM/PM
AM
Yes
12/24 hour
12, 24
12
Yes
Date format
YYYY/MM/DD, MM/DD/YYYY, DD/MM/YYYY
YYYY/MM/DD
Yes
Daylight Savings Time
On, Off
Off
Yes
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A5/A3™ Operating Instructions
Parameters and Factory Defaults
C.6
C.7
Demographics
Demographics PARAMETER
RANGE
DEFAULT
Patient ID
-
-
Bed
-
-
First Name
-
-
Room
-
-
Last Name
-
-
Point of Care
-
-
DOB
-
-
Age
-
-
Weight (Lbs.)
-
-
Facility
-
-
Ventilation Modes OBJECT
RANGE
DEFAULT
Current selection saved when powered off
Ventilation Mode Tab
VCV, SIMV-VC, PCV, SIMV-PC*, PS
VCV
Yes
* SIMV-PC available only on A5.
VENTILATION MODE
PARAMETERS
Manual
Bypass**, Alarms
VCV
Vt, Rate, I:E, Tpause, PEEP, Plimit
SIMV-VC
Vt, Rate, Tinsp, Tpause, PEEP, Plimit, PS (On/Off ), ΔP, Trigger, Tslope
PCV
VtG**, PlimVG**, Pinsp, Rate, I:E, PEEP, Tslope
SIMV-PC**
Pinsp, Rate, Tinsp, PS (On/Off), ΔP, Trigger, PEEP, Tslope
PS
Min Rate, ΔP, Trigger, PEEP, Tslope, Apnea Ti
** SIMV-PC, VtG, PlimVG, and Bypass are available only on A5.
A5/A3™ Operating Instructions
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C-9
VCV
SIMV-VC
PCV
SIMV-PC
PS
MANUAL
Vt
Range: 20 to 1500 ml Step: 1
Range: 20 to 1500 ml Step: 1
-
-
-
-
Defaults: Adult: 600 ml Pediatric: 120 ml Infant: 20 ml
Defaults: Adult: 600 ml Pediatric: 120 ml Infant: 20 ml
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Range: 20 to 1500 ml Step: 1
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VtG (A5 only)
Ventilation Modes
C - 10 PARAMETER
Default: Off
046-003777-00
VG (A5 only)
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Default: Off
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Rate
Range: 4 to 100 bpm Step: 1 bpm
Range: 4 to 100 bpm Step: 1 bpm
Range: 4 to 100 bpm Step: 1 bpm
Range: 4 to 100 bpm Step: 1 bpm
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Defaults: Adult: 8 bpm Pediatric: 15 bpm Infant: 20 bpm
Defaults: Adult: 8 bpm Pediatric: 15 bpm Infant 20 bpm
Defaults: Adult: 8 bpm Pediatric: 15 bpm Infant: 20 bpm
Defaults: Adult: 8 bpm Pediatric: 15 bpm Infant: 20 bpm
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Range: 2 to 60 bpm Step: 1 bpm
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Min. Rate
Defaults: Adult: 4 bpm Pediatric: 6 bpm Infant: 12 bpm Range: 1:8 to 4:1 Step: 0.5 Default: 1:2
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Range: 1:8 to 4:1 Step: 0.5 Default: 1:2
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Parameters and Factory Defaults
A5/A3™ Operating Instructions
I:E
VCV
SIMV-VC
PCV
SIMV-PC
PS
MANUAL
Tinsp
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Range: 0.2 to 5 sec Step: 0.1 sec
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Range: 0.2 to 5 sec Step: 0.1 sec
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Defaults: Adult: 2.0 sec Pediatric: 1.0 sec Infant: 1.0 sec Pinsp
Tpause 046-003777-00
Plimit
PlimVG (A5 only)
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Range: Off, 5% to 60% Step: 1%
Range: Off, 5% to 60% Step: 1%
Default: 10%
Default: 10%
Range: 10 to 100 cmH2O Step: 1 cmH2O
Range: 10 to 100 cmH2O Step: 1 cmH2O
Defaults: Adult: 50 cmH2O Pediatric: 40 cmH2O Infant: 20 cmH2O
Defaults: Adult: 50 cmH2O Pediatric: 40 cmH2O Infant: 20 cmH2O
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Defaults: Adult: 2.0 sec Pediatric: 1.0 sec Infant: 1.0 sec Range: PEEP+5 to 70 cmH2O Step: 1 cmH2O
Range: PEEP+5 to 70 cmH2O Step: 1 cmH2O
Defaults: Adult: 15 cmH2O Pediatric: 10 cmH2O Infant: 10 cmH2O
Defaults: Adult: 15 cmH2O Pediatric: 10 cmH2O Infant: 10 cmH2O
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Range: 5 - 100 cmH2O Step: 1 cmH2O
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Parameters and Factory Defaults
A5/A3™ Operating Instructions
PARAMETER
Default: Pinsp PEEP
Range: Off, 3 to 30 cmH2O Step: 1 cmH2O
Range: Off, 3 to 30 cmH2O Step: 1 cmH2O
Range: Off, 3 to 30 cmH2O Step: 1 cmH2O
Range: Off, 3 to 30 cmH2O Step: 1 cmH2O
Default: Off
Default: Off
Default: Off
Default: Off
Default: Off
C - 11
Ventilation Modes
Range: Off, 3 to 30 cmH2O Step: 1 cmH2O
VCV
SIMV-VC
PCV
SIMV-PC
PS
MANUAL
P
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Range: 3 to 50 cmH2O Step: 1
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Range: 3 to 50 cmH2O Step: 1
Range: 3 to 50 cmH2O Step: 1
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Defaults: Adult: 8 cmH2O Pediatric: 5 cmH2O Infant: 5 cmH2O
Defaults: Adult: 8 cmH2O Pediatric: 5 cmH2O Infant: 5 cmH2O
Range: 1 to 15 L/min Step: 1
Range: 1 to 15 L/min Step: 1
Defaults: Adult: 3 L/min Pediatric: 2 L/min Infant: 2 L/min
Defaults: Adult: 3 L/min Pediatric: 2 L/min Infant: 2 L/min
Defaults: Adult: 8 cmH2O Pediatric: 5 cmH2O Infant: 5 cmH2O Trigger
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Range: 1 to 15 L/min Step: 1
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Defaults: Adult: 3 L/min Pediatric: 2 L/min Infant: 2 L/min Tslope * 046-003777-00
PS
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Bypass (A5 only)
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Range: 0.0 to 2.0 sec Step: 0.1 sec
Range: 0.0 to 2.0 sec Step: 0.1 sec
Range: 0.0 to 2.0 sec Step: 0.1 sec
Range: 0.0 to 2.0 sec Step: 0.1 sec
Default: 0.2 sec
Default: 0.2 sec
Default: 0.2 sec
Default: 0.2 sec
Range: On, Off Step: -
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Range: On, Off Step: -
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Range: On, Off Step: -
Default: Off -
Ventilation Modes
C - 12
PARAMETER
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Default: Off -
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Default: Off Alarm
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Range: On, Off Step: -
Apnea Ti
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Range: 0.2 to 5.0 sec Step: 0.1 sec Default: 5.0 sec (adult) 3.0 sec (Pediatric) 2.0 sec (Infant)
* The Tslope setting is an approximation. The exact waveform shape may not be realized under certain clinical scenarios.
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Parameters and Factory Defaults
A5/A3™ Operating Instructions
Default: On