Training Module
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HANDS-ON MODULE 2 SETTING UP THE FLOW-i FLOW-i v3.0
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HANDS-ON MODULE 2 Setting up the FLOW-i (MX-0796) Important: Refer to User´s Manual Software V3.0 Chapter 3 (System Overview) for more information about components. Name of participant:...
Hospital...
1 SETTING UP THE FLOW-i Tick the red box on completion of steps described below.
1.1 BEFORE STARTING SET-UP PROCEDURE 1.
Make sure that the volume reflector is correctly inserted.
2.
Make sure the volume reflector adapter is correctly positioned.
FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued) 3.
Setting up the FLOW-i
Make sure that the patient cassette is correctly inserted.
Locking device
4.
Make sure the CO2 absorber is correctly mounted and the locking switch is in the correct position.
Insert absorber
Locking switch 1.2 MAINS Plug in the FLOW-i to the mains outlet.
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FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
1.2.1 GAS CONNECTIONS Connect the tubings, (in accordance with national standards), to: 1.
O2 inlet
2.
Air inlet
3.
N2O inlet (only if N2O is used)
4.
AGS connection
O2
1 AIR
2
N 2O 3
4 AGS
1.2.2 ANESTHESIA GAS SCAVENGING Note: This step may not be possible to carry out during the training session if there is no scavenging available. 1.
2.
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AGS flowmeter
Ensure that the AGS is correctly connected to the back of the system – otherwise anesthetic agent may be emitted into the environment. Check that the AGS flowmeter is positioned above the dashed area.
FLOW-i v3.0, HANDS-ON MODULE 2
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AGS
AGS connection n
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
1.3 BACTERIAL FILTER Note: MAQUET recommends that a bacterial/viral filter is always connected to the expiratory connection on the patient cassette. This will minimize the risk of cross-contamination.
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1.
Attach new bacterial/viral filter to the expiratory inlet.
1.4 MANUAL BREATHING BAG 1.
Attach manual breathing bag and tubing to the FLOW-i.
2.
Hang the breathing bag on the hook (if provided) – or use a manual breathing bag holder.
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FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
1.5 BREATHING CIRCUIT 1.
Connect one end of the breathing circuit to both the expiratory inlet (1) and the inspiratory outlet (2).
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2
Patient tubing
2.
Connect the other end of the breathing circuit that is attached to the Y-piece, to the test plug.
FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
1.6 WATER TRAP AND SAMPLING LINE: WATER TRAP Mount the new water trap in the water trap holder by clicking it into place (bayonet connection). Note: The recommendation is to change the water trap at least once a month or when necessary.
SAMPLING LINE 1. 2.
Take a new gas sampling line and connect it to the water trap (luer lock connection).
1
Connect the other end of the gas sampling line to the Y-piece connector.
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FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
1.7 VAPORIZER Check that the vaporizer contains sufficient agent. (If refilling is necessary, refer to instructions in User’s Manual – Chapter 5) Note: The agent level shall never fall below the minimum level or exceed the maximum level. These minimum and maximum levels are indicated on the vaporizer monitor tube.
max
Max. level
max
Level marker
min
Min. level
min
1.8 BACKUP GAS SUPPLY (OPTION) BACKUP GAS SYSTEM C20 AND C30 MODELS The C20 and C30 models can be equipped with a backup gas system (1) that is configured to deliver either O2/Air or O2/N2O via backup cylinders (2) for each gas. The backup gas system with gas hoses and cable (3) are permanently attached to the FLOW-i and shall only be removed by a service technician trained and authorized by MAQUET.
FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
BACKUP GAS HOLDER - C20, C30 AND C40 MODELS The C20 and C30 models can be equipped with a backup gas holder (1) that delivers N2O via a backup gas cylinder (2).
1 If desired, the C20 and C30 can be equipped with a backup gas holder delivering O2 from a single backup gas cylinder, but in this case the backup gas system cannot be connected to the FLOW-i.
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The C40 system can only be equipped with a backup gas holder containing a single O2 backup gas cylinder. The backup gas system with gas hoses and cable (3) are permanently attached to the FLOW-i and shall only be removed by a service technician trained and authorized by MAQUET. 1.8.1 MOUNTING EXTRA GAS BACKUP CYLINDER 1.
2.
3.
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Fit the Pin Index Safety System (PISS) pins on the gas yoke into the holes in the gas cylinder. Turn the clamp screw clockwise until it meets resistance.
cylinder pin holes
PISS pins
Clamp screw
Inspect the connection to verify that the seal is tight and the pins are fitted correctly.
FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
1.9 RESUSCITATOR: An independent means of ventilation, e.g. a manual resuscitator, must be available whenever the system is in use. Therefore, check that there is one readily available and working correctly.
1.10 SUCTION UNIT AND AUXILIARY O2 FLOW (OPTION) If the option of the suction unit and auxiliary O2 flow is installed on the FLOW-i, then the following should be checked:
Note: Please refer to FLOW-i User´s Manual V3.0 for more details regarding the auxiliary O2 and suction module option.
Note: The suction unit cannot be operated without a correctly placed bacterial/viral filter (1).
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FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
SUCTION UNIT The suction unit is tested during the preparation stage of the System checkout procedure. 1.
Close the suction system by occluding the end of the suction hose.
2.
Turn on suction unit (1) and turn regulatory valve (2) counter-clockwise to verify negative pressure build-up. The current pressure is displayed on the Vacuum gauge (3).
Note: The central gas supply pressure should be above 300 kPa (3.0 bar, 44 PSI) when the Auxiliary O2 and suction module are connected to the system.
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FLOW-i v3.0, HANDS-ON MODULE 2
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HANDS-ON MODULE 2 (continued)
Setting up the FLOW-i
AUXILIARY O2 FLOWMETER: The flowmeter is tested during the preparation stage of the System checkout procedure. Turn on the O2 flow using the regulatory valve (1) and turn counter-clockwise until the maximum flow is reached - indicated when the flowmeter ball (2) reaches the top of the flowmeter tube (3).
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1.11 STARTING UP THE SYSTEM: Lift the plastic cover and press the power button as indicated (1).
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FLOW-i v3.0, HANDS-ON MODULE 2
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FLOW-i v3.0, HANDS-ON MODULE 2
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Maquet Critical Care AB Röntgenvägen 2 SE-171 54 Solna, Sweden Phone: +46 (0) 8 730 73 00 www.maquet.com
© Maquet Critical Care AB 2014. All rights reserved. • MAQUET reserves the right to modify the design and specifications contained herein without prior notice. • Order No. MX-0796 Rev: 03 English, MCV00026877 REVA • HANDS-ON MODULE 2 • Printed in Sweden • 140401 •
Legal manufacturer:
US Sales contact: MAQUET Medical Systems USA 45 Barbour Pond Drive Wayne, NJ 07470 www.maquetusa.com
For local contact outside US: Please visit our website www.maquet.com MCV order number is valid for US MX order number is valid outside US
CAUTION: Federal (US) law restricts this device to sale by or on the order of a physician. Refer to Instructions for Use for current Indications, warnings, contraindications, and precautions.
GETINGE GROUP is a leading global provider of products and systems that contribute to quality enhancement and cost efficiency within healthcare and life sciences. We operate under the three brands of ArjoHuntleigh, GETINGE and MAQUET. ArjoHuntleigh focuses on patient mobility and wound management solutions. GETINGE provides solutions for infection control within healthcare and contamination prevention within life sciences. MAQUET specializes in solutions, therapies and products for surgical interventions, interventional cardiology and intensive care.