Mark III Manometric Perfusion Pump User Manual

Index

Section In

Index

Section A

Overview

A-1

Schematic of pump

A-2

Major pump components

A-3

Air – Water System

Section B

Precautions & Warnings

Section C

Normal Use

C-1

Assembly & filling of perfusate reservoir

C-2

Check, connect & set air supply

C-3

Connection & flushing of water manifold

C-4

Check flow values of each hydraulic resistor

C-5

Turn on water perfusion to fill each transducer

C-6

Transducer calibration (if required)

C-7

Connect catheter to transducers

C-8

Water injection procedure - each channel

C-9

Check flow value for air perfusion manometry

C - 10

Observation & refilling of perfusate reservoir

C - 11

Maintain correct perfusate reservoir pressure

C - 12

Prevention, recognition and correction of hydraulic resistor blockage

C - 13

Compressor

Section D

Steps on completion of measurements

D-1

Perfusate reservoir

D-2

Water manifold

D-3

Air supply

Section E

In

Set Up Procedures & Connection of Components

E-1

Air supply

E-2

Perfusate reservoir prior to first use

E-3

Installation of pressure transducers

E-4

Water perfusion manifold – removal

E-5

Standard hydraulic resistors

E-6

Compact resistors

E-7

Air perfusion circuit

2

In

Index

Section F

Cleaning & Disinfection

F-1

Cleaning of plastic parts

F-2

Sterilization of perfusate reservoir

F-3

Sterilization of manifolds

F-4

Hydraulic resistors

F-5

Cleaning of compressor

Section G

Regular Maintenance

G-1

Every 3 months (or as needed): perfusate water filter

G-2

Every year (or as needed): gas filters

G-3

Service of control box by Dentsleeve

G-4

Compressor dessicant

Section H

Problem Solving

H-1

Diagnosis of abnormal air consumption

H-2

Abnormal air consumption - perfusate reservoir leakage

Section I I-1 I-2 I-3 I-4

Specifications, Support, Spart Parts & Accessories Specifications Technical Support Spare parts Regulatory information

Notes on the use of this manual • References within the manual are shown in brackets eg (C – 4.2) = section C, part 4, instruction 2 • Part numbers (#) given in the text are unique for Dentsleeve • The technical information and illustrations in this manual reflect specifications and operating procedures at the time of drafting. Some specifications and operating procedures differ from earlier manuals for Mark III perfusion pump models. Dentsleeve reserves the right to vary specifications and operating procedures as part of its continuous product improvement process.

3

A

Overview

Schematic of pump

A–1

Regulated air supply to perfusate reservoir

100 kpa or 15 psi

Air supply

Water perfusate

Pump control box Manifold purge clamp Manifold side-arm pinch valves

3 Way stop cocks Pressure transducers Catheter connector tubes Catheter

Note: Schematic diagram of water perfusion circuit. Only critical components are shown.

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A A–2

Overview

Major pump components

Reservoir pressurization line

Pump control box Perfusate reservoir

Reservoir outflow control device

Air inlet Pressure transducer rack Air perfusion line Standard hydraulic resistors

Manifold flush valve

Calibration bowl

Main perfusate manifold

Pinch valves

Note: Pump length, channel numbers and spacings vary according to individual specifications. Standard deck version shown. Transducer types vary: Abbott Transpac 42582-10 transducers shown.

5

Overview

A–3

A

MKIII Pump Air – Water System #ZP1-GAU/TR/1

#ZP1FIT/SW/SS-4CPA-2-3

#ZP1-SEA/OR/5 Mini Female Quick Connect #ZP1FIT/SW/SS-QM2-B-200

6

B

!

Precautions & Warnings

B–1

!

!

! Never drop. Do not use if visible damage.

Only pressurise reservoir with this line (C – 3.1).

Water level never less than 2cm (C – 10).

!

!

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Air perfusion channel. Only use for pharyngeal swallow monitoring (C – 9).

Air pressures never more than 300kpa / 45psi

C

Normal Use

Assembly & filling of perfusate reservoir

C–1

Note: See E – 2 for Dentsleeve part #’s Fill with particle free, degassed, distilled H20

1

2

Add water, then place perfusion float barrier on top

Perfusate outlet hole

Blow-off valve

‘O’ ring

Reservoir outflow control device

!

!

Always use diffusion float barrier

Always use water filter Part #: AP1FIL/WA/1

3

May 2003

Tighten firmly to seal

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C

Normal Use

For set-up and first use see E – 1 to E – 7

C – 2 Check, connect & set air supply

1

Click!

Air

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Air Set to 100 kPa / 15 psi

To gas supply

9

May 2003

Normal Use

Connection & flushing of water manifold

C C–3

1

2

Connect to water manifold Part # ZP1FIT/SW/SS-QM2-B-B-200

Air line from control box

Filter

3

Open

4 May 2003

Open, vent and close

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C

Normal Use

C–4

Check flow values of each hydraulic resistor

1

Standard resistor shown : flow is colour coded

Flow ml/min

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Tube Colour

Screw Colour

Part #

0.01

Black

White

R01HRE/ST/1(3)

0.02

Black

Black

R01HRE/ST/2(3)

0.04

Black

Red

R01HRE/ST/4(3)

0.08

Red

White

R01HRE/ST/8(3)

0.15

Red

Black

R01HRE/ST/15(3)

0.3

Green

White

R01HRE/ST/30(3)

0.45

Green

Red

R01HRE/ST/45(3)

0.6

Green

Black

R01HRE/ST/60(3)

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Alternative: Compact hydraulic resistor

Water flow on case

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The flow value is... • Correct, go to

C–5

• Changed, go to

E–5 or 6 May 2003

Normal Use

C

Turn on water perfusion to fill each transducer

1

Open pinch valve or clamp

2

Fill transducers

2

C–5

Fill transducers

Prefered position for 3 way stopcock - other than PVB DPT-6100 Note: PVB DPT-6100 Transducer shown

Note: Abbott Transpac 42582-10 Transducer Shown

12

C C–6

Normal Use

Transducer calibration (if required)

1

Turn perfusion off - (C – 5)

2

Set tranducer gain by applying standard external pressure

3

or use gravity calibration

Shows AP1CMA/TR/2

68cm H 2O, 50mm Hg

Connect to transducers

Pressurise with syringe

Note: Shows Dentsleeve calibration manifold; made according to channel numbers and spacings Part #’s AP1CMA/TR/1to5

C–7

Connect catheter to transducers

1

Select correct channel

2

Twist & push on firmly

Note: Catheter detail is for Dentsleeve product

13

Note: Catheter must be attached to transducers – (C – 7)

Normal Use

C

Water injection procedure - each channel

1

2

H2O - no bubbles

3

C–8

Open side-port

Inject 5ml of H2O

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C

Normal Use

C–8

Water injection procedure - each channel (continued)

4

Close side-port then remove syringe

Note: Arrangement for PVB DPT-6100 transducer shown

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C

Normal Use

Check flow value for air perfusion manometry

1

C–9

Identify air perfusion channel pinch valve

! Only use air perfusion for detection of swallowing in pharynx

2

Ensure resistor for air perfusion channel is correct

!

Air flow rate through hydraulic resistor is x100 water flow rate.

Air flow ml/min

Part #

2

Black

Black

R01HRE/ST/2(3)

4

Black

Red

R01HRE/ST/4(3)

8

Red

White

R01HRE/ST/8(3)

Suitable compact resistors give airflow on case

! Must be installed between manifold and transducer to limit air flow into manometric catheter to less than 10ml/min

May 2003

Air flow ml/min

Water Flow ml/min

Part #

2

0.02

R01HRE/CO/2

4

0.04

R01HRE/CO/4

8

0.08

R01HRE/CO/8

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C

Normal Use

C – 10

Observation & refilling of perfusate reservoir ! If perfusate exhausted, large volumes of gas may be perfused down catheter

1

Refill when at 2cm

2

Release pressure

Pull Back

3

Refill

Particle free, degassed, distilled H 20

4 Tighten

Repressurise

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Restart perfusion

C

Normal Use

Maintain correct perfusate reservoir pressure

1

C – 11

Monitor air pressure. Maintain at 100kPa/15psi.

100 51

150 200

kPa psi DENTSLEEVE INT’L Mfd. by Mui Scientific

2

Check if air pressure drops

3

Check that air supply is adequate

At least 130 kPa/ 20psi 200 100

300 400

kPa psi DENTSLEEVE INT’L Mfd. by Mui Scientific

OR

At least 1000 kPa/ 150psi open

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C

Normal Use

C – 12

Prevention, recognition and correction of hydraulic resistor blockage

1

Prevention of blockages - Always use perfusate filter

2

Minimise perfusate particle load

Double-distilled or de-ionised water

No particles in reservoir (E-2) Perfusate filter Part # AP1FIL/WA/1

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Replace water perfusate filter regularly - (G-1) ○

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Check perfusate flow rates - assemble 1ml syringe barrel on transducer

1ml syringe

5

Start perfusion - (C -2)

6

Measure time to deliver water

Female/Female adapter Part # ZP1FIT/VP/FTLLC-9

Transducer on rack

Note: for resistor flow rates < 0.15ml/min use 0.25 - 0.50 ml syringe barrels

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Normal Use

Prevention, recognition and correction of hydraulic resistor blockage

7

C C – 12

Flushing of blocked resistors - remove resistor from circuit Transducer end

8 9

Backflush forcibly

Observe water flow

10

Re-install - (E – 5)

OR 11

Remove resistor from circuit

12

Insert flush support tool - (E – 6)

13

Same steps as C – 11.7 to 11.10 above

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