manometric_pump_p4-f-100_operating_and_service_manu.pdf
Page 1
MANOMETRIC PUMP
ELECTRICALLY POWERED MODEL
WITH BRASS AND STAINLESS STEEL FITTINGS
OPERATING AND SERVICE MANUAL
FOR
MODEL NUMBER
PIP-4-4
PIP-4-4SS
PIP-4-6
PIP-4-6SS
PIP-4-8
PIP-4-8SS
PIP-4-12
PIP-4-12SS
PIP-4-16
PIP-4-16SS
Brass Fittings standard before March 1, 2001
Stainless Steel Fittings standard after March 1, 2001
Mui Scientific
145 Traders Blvd. E. Unit # 34
Mississauga, Ontario
Canada L4Z 3L3
Telephone: (905) 890-5525
1-800-303-6611
Fax: (905) 890-3523
Website: www.muiscientific.com
E-mail: mail@muiscientific.com
Manual P4-F-100, Revised January 7, 2003
Page 2
READ ENTIRE MANUAL
BEFORE OPERATING MANOMETRIC PUMP
ii
Page 3
Table of Contents
Section 1
Introduction
1
Section 2
Description of Manometric Pump
2.1 Diagram of features
2.2 Physical description
2.3 General requirements
2.4 Certification, classification and warning statements
2
3
4
5
Section 3
Section 4
Section 5
Section 6
Section 7
Section 8
Initial Installation
3.1 List of components
3.2 Initial assembly
3.3 Connecting electrical system
3.4 Installation of water chamber
3.5 Installation of transducers
3.6 Installation of stopcocks
3.7 Installation of calibration system
7
7
8
9
12
14
15
Preparation Procedure
4.1 Filling water chamber
4.2 Selecting water chamber pressure
4.3 Adjusting water chamber pressure
4.4 Purging air from pump and transducers
4.5 Set-up checklist
4.6 Calibration of recording system
4.7 Functional check - pinch test
17
18
19
20
23
24
26
Operation
5.1 Normal operation before and during the study
5.2 Functional troubleshooting with the pinch test
5.3 Calculation of pressure rise rate
5.4 Post study, shut-down procedure
5.5 Summary of preparation and shut-down procedures
28
30
33
34
34
Service: Maintenance
6.1 Care and cleaning of your manometric pump
6.2 High-Level Disinfection of the system (brass & stainless steel)
6.3 Replacing the capillary tubing
6.4 Inspecting the drying cylinder
6.5 Drying the desiccant
35
35
38
38
39
Service: Troubleshooting
7.1 Poor pressure rise rate or no signal response
7.2 Compressor motor does not run
7.3 Compressor motor does not shut off
40
40
40
Service: Technical Specifications
8.1 Technical drawings
8.2 Parts list
42
52
iii
Page 4
List of Illustrations
Table
1
2
Title
Water Chamber Pressure Selection
vs Infusion Rate/Pressure Rise Rate
Pressure Conversion Chart
Figure
Title
Section Page
4.2
18
4.2
18
Section Page
1
Features of the Manometric Pump
2.1
2
2
Master On-Off Valve
3.4
9
3
Bottom Quick-Connect and Filter on Water Chamber
3.4
10
4
Air Quick-Connect on Top of Water Chamber
3.4
11
5
Universal Transducer Holder Assembly
3.5
12
6
Medex/pvb Transducer Holder Assembly
3.5
13
7
Installation of Stopcocks on Transducer
3.6
14
8
Poor Connections to Transducer
3.6
14
9
Pneumo-Hydraulic Calibration System (0 – 50/100 mm Hg) 3.7
15
10
Hydrostatic Calibration System (0 – 50/68 cm H2O)
3.7
16
11
Stopcock on Top of Transducer
4.4
20
12
Stopcock Manifold
4.4
21
13
Purging Air from System Using a Syringe
4.4
22
14
Stopcock Position During Calibration, Flush, and Study
4.6
24
15
Hydrostatic Calibration System (0 – 50/68 cm H2O)
4.6
25
16
Pinch Test: Pinch Point and Output Graph
4.7
26
17
Infusion Artifact
5.1
29
18
Slow Pressure Rise Rate
5.2
31
19
Calculation of Pressure Rise Rate
5.3
33
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List of Technical Drawings: Section 8
Title
Page
Pump Front View
43
Electric Compartment Removal
44
Air-Water System
45
Electrical Compartment
46
Electrical Schematic
47
Block Diagram
48
Medex/pvb Transducer Holder Assembly
49
Pneumo-Hydraulic Calibration System (0 – 100 mm Hg)
50
Hydrostatic Calibration System (0 – 50/68 cm H2O)
51
v
Page 6
Section 1
Introduction
This Manometric Pump is part of the motility system used for intraluminal manometric
studies of the gastrointestinal tract, such as pressure measurement of muscular
contractions or resting tone inside the esophagus, the stomach, the bile duct, the small
intestine, the anus, rectum, or colon. Other components of this system include a set of
pressure transducers, a motility catheter, and a computerized data processing system
or a chart recorder.
The Electrically Powered Manometric Pump uses regulated compressed air to deliver
distilled water through very small bore capillary tubing to the motility catheter. The
pressurized water from each capillary tube is connected to a pressure transducer and
then passes through one lumen of the multi-lumen catheter to that lumen's single
opening into the esophagus of the patient. The pressure changes in the esophagus are
transmitted through this fluid path back to the externally mounted transducer; i.e. the
water serves as a pressure - transmission medium. Each lumen of the motility catheter
is connected to its own pressure transducer and all the pressure transducers are
connected to a computerized recording system or a strip chart recorder. The pressure
profile of the multi-channel tracing provides useful diagnostic data for evaluation of the
normal or abnormal motor function of the gastrointestinal tract. Similar applications
include pressure measurements for oropharygeal, esophageal, stomach, intestinal,
colonic, anorectal and biliary motility studies.
This Manometric Pump is designed to operate at a constant pressure rather than at a
constant flow rate. It maintains a pre-set hydraulic pressure (5-15 psi) at the water
chamber regardless of the flow. At 15 psi (776 mm Hg) the pump provides a high static
hydraulic pressure background to ensure a high pressure rise rate as well as recording
accuracy and repeatability. It can record fast pressure changes such as in the upper
esophageal sphincter. The small bore of the capillary tube also ensures a very low
infusion rate. During a motility study, the actual flow rate varies due to the varying
amount of obstruction caused by muscle contractions.
The pressure rise rate of the pump, measured as pressure change per unit of time (i.e.
mm Hg/sec or cm H2O/sec), varies directly with the water chamber pressure. A higher
water chamber pressure will result in a higher pressure rise rate but also a higher flow
rate. To achieve measurement accuracy, the pressure rise rate of the recording system
must exceed the actual physiological rise rate of the organ. The upper esophageal
sphincter has the highest muscular contraction rate of the gastrointestinal tract. A study
of this organ requires the highest pressure rise rate of the recording system, 400 mm
Hg/sec. The recommended water chamber pressure of 15 psi (pounds per square inch)
will achieve a pressure rise rate of 400 mm Hg/sec. The main purpose of reducing the
water chamber pressure from 15 to 5 psi is to reduce the infusion rate from 0.6 to 0.3
ml/min. The lower water chamber pressure and lower pressure rise rate still permit
reliable measurement accuracy on those organs that have a lower physiological
contraction rate. The pump allows the operator to change the water chamber pressure
for different physiological applications in order to optimize the pressure rise rate and
flow rate. An infusion rate table (Table 1, page 18) is provided to enable an estimate of
the total volume of water infused into the patient in a given period of time (Table 1, page
18).
1
Page 7
Section 2
2.1
Description of Manometric Pump
Diagram of Features
Figure 1. Diagram of Manometric Pump (8-channel model shown)
2
Page 8
2.2
Physical Description
The Electrically Powered Manometric Pump consists of an air compressor and a
pressure regulator inside a stainless steel case. The air supply pressurizes a water
chamber, which delivers pressurized water to a stopcock manifold, which connects in
turn to a set of capillary tubes. A set of transducer holders is located on an adjustable
support bar. The transducers and motility catheters (which are not supplied with pump)
are mounted in the transducer holders and connected to the capillary tubes. (Figure 1,
page 2)
The drying cylinder inside the stainless steel case removes moisture from the
pressurized air and serves as a high pressure air reservoir (17-40 psi). Then the
pressurized air is regulated with a manually adjustable regulator. This sets the final
pressure in the water chamber (5–15 psi). The compressor gauge (left side) shows the
high pressure in the drying cylinder. The water chamber gauge (right side) shows the
pressure in the water chamber. The white pilot light indicates the main power status,
ON/OFF. The green pilot light indicates the compressor status ON/OFF.
The water chamber is removable, simply resting inside the water chamber holder.
It is equipped with quick disconnects for the air from the top and for a filtered water
connection outlet at the bottom. The lid of the chamber is removable to facilitate filling
and cleaning. A toggle valve is provided for quick release of the chamber pressure.
The chamber float acts as a barrier to minimize air absorption into the water.
A master on-off valve controls the water flow from the water chamber to the stopcock
manifold. The 4-way stopcocks on the manifolds provide individual on-off control of the
water flow to each capillary tube. The outlet end of each capillary tube is equipped with
a standard male Luer connector for easy connection to the transducer. If required, a
female-female Luer adaptor is provided for conversion of the Luer connections.
The transducer holders (various types are available) to keep the transducers in place
and level. The adjustable support permits proper positioning of the height of the
transducers with respect to the patient.
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Page 9
2.3
General Requirements
The Manometric Pump should be mounted on a cart or shelf at approximately the same
height as the patient's bed. The height of the transducers should be level with the
height of the patient's stomach. This will reduce the hydrostatic pressure artifact on the
transducer and on the recording.
The Manometric Pump is normally placed near the bedside close to the patient's head.
CAUTION
No electrical equipment should be located beneath the Manometric Pump. Some
water from the motility catheter is likely to drip down during the procedure. A
danger of electric shock could result.
CAUTION
Use only degassed distilled water in the water chamber. Never use tap water or
sterile irrigation water as both contain minerals which can cause blockages in
tubing or can support bacterial growth.
Electrical requirements:
(a) 115 Volt Model:
A grounded, hospital grade, 115 Volt, 50–60 Hz, 15A
electrical outlet is required. The pump is rated at 2A. A
hospital grade power cord with IEC plug is included.
(b) 220 Volt Model:
A grounded, hospital grade, 220 Volt, 50–60 Hz
electrical outlet is required. The pump is rated at 2A.
Hospital grade power cord with female IEC plug is required.
(c) 240 Volt Model:
A grounded, hospital grade, 240 Volt, 50–60 Hz
electrical outlet is required. The pump is rated at 2A.
Hospital grade power cord with female IEC plug is required.
Over-all dimensions:
Height (water chamber installed and tubing attached) ---- 50 cm (20 inches)
Width (4,6 and 8 channel models) ----------------------------- 56 cm (22 inches)
Width (12 channel model) -------------------------------------69 cm (27 inches)
Depth (transducer holders attached) -------------------------- 33 cm (13 inches)
Length of AC power cord (115v only) -------------------------- 240 cm (94 inches)
Weight:
Net weight (4,6 and 8 channel models)------------------------ 14 kg (30 pounds)
Net weight (12 channel models)-------------------------------- 15 kg (32 pounds)
4
Page 10
2.4
Certification, Classification, and Warning Statements
Certification
Europe
0120
EMC Directive
Medical Device Directive
EN46002
89/336/EEC
93/42/EEC
Authorized Representative of Mui Scientific in EU:
SOLAL
2 rue du Travail
67000 Strasbourg
France
Tel: 03 88 32 89 85
Fax: 03 88 75 17 13
International
IEC 601-1:1988
IEC 601-1:1988 Am 1:1991
IEC 801.2, 801.3, 801.4, 801.5
EN55011 (C.I.S.P.R. 11 (1990) Group1 Class B)
Mui Scientific, at 145 Traders Blvd., Mississauga, Ontario, Canada,
is registered to ISO 9002 International Standard for Quality
Management Systems
Canada
CAN/CSA - C22.2 No. 0-M91
CAN/CSA - C22.2 No. 601.1-M90
CAN/CSA - C22.2 No. 601.1S1-94
United States
UL Std. No. 544
Equipment Classification
Class I with respect to protection from electric shock
Type BF with respect to degree of protection from electric shock
Ordinary degree of protection against ingress of liquids
Equipment not suitable for use in the presence of a flammable anaesthetic mixture
with air or with nitrous oxide
Mode of operation: continuous
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Section 2.4: Certification, Classification, and Warning Statements, continued
Warning Statements and Warning Symbols
Type BF Equipment
DANGER: EQUIPMENT NOT SUITABLE FOR USE IN THE PRESENCE OF A FLAMMABLE
ANAESTHETIC MIXTURE
GROUND RELIABILITY CAN ONLY BE ACHIEVED WHEN THE EQUIPMENT IS CONNECTED TO A
RECEPTACLE MARKED “HOSPITAL ONLY” OR “HOSPITAL GRADE”
Note: All models (115v, 220v, 240v) require 2 fuses:
5 x 20 mm, 250v, T2A.
Environmental Conditions for Storage or Transport
When packed for transport from factory, equipment will withstand
• ambient temperature range -40°C to +70°C
• relative humidity range 10% to 100%
• atmospheric pressure range 500 hPa to 1060 hPa
6
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Section 3
3.1
Initial Installation
List of Components
Unpack the shipping carton. Locate and check off the following items:
Quantity
1
1
1
1
3.2
Description
Manometric Pump Main Assembly
(including capillary tubes and transducer holders)
Water Chamber Assembly
Hospital Grade AC Power Cord (for 115 volt model only)
Operation Manual
Initial Assembly
Remove any remaining packing material. Place the pump main assembly on a table and
make the following adjustments:
•
Adjust the height of the hexagonal transducer support bar:
Loosen the rear knurled screws on the support bar holder that mounts the hexagonal
transducer support bar. Adjust the height of the support bar so that the transducers
will be level with the approximate height of the patient's stomach during a study.
Retighten the knurled screws.
•
Adjust the orientation of the hexagonal bar:
Loosen the front knurled screws on the holder that mounts the hexagonal transducer
support bar on the front of the Manometric Pump. Rotate the bar until the universal
transducer holders are in a horizontal position as shown in Figure 1, page 2.
Medex/pvb transducer holders are positioned vertically (Figure 6, page 13).
Retighten the screws.
•
Adjust the spacing of the transducer holders:
Loosen the rear knurled screws on the transducer holders and space the transducer
holders evenly along the hexagonal bar. Retighten the screws securely.
•
If necessary, the transducer holders can be removed by sliding them off the end of
the hexagonal bar.
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3.3
Connecting Electrical System
•
Ensure that the main power switch (at the bottom of the left side panel of the
Manometric Pump) is in the OFF position.
•
Plug the grounded AC power cord (hospital grade) into the IEC power entry that is
next to the main power switch. Connect the power cord to a grounded electrical
outlet.
•
Turn the main power switch to the ON position.
When the main power switch is turned on, both pilot lights (white and green) will
illuminate and the compressor will run. The pressure on both gauges will rise.
After a few minutes the compressor should stop and the green compressor pilot
light should turn off. The compressor pressure gauge (left side) should be at 40
psi or higher. The white power pilot light remains lit, indicating that the main
power is still on.
The compressor gauge indicates the pressure in the high pressure drying
cylinder inside the pump. In normal operation as water empties from the water
chamber it is replaced by compressed air. The compressor pressure gauge will
drop slowly from approximately 40 psi to 17 psi. When the pressure has fallen to
17 psi, the compressor will turn on for a few minutes. When the pressure has
risen to approximately 40 psi, the compressor will turn off. After the compressor
shuts off, continuous perfusion can be maintained by the system for several
hours, depending on the number of channels and the flow rate.
The water chamber gauge (right side) shows the regulated pressure delivered to
the water chamber. This is normally set at 15 psi and remains constant. (For
other pressure settings see Section 4.2, page 18).
During normal operation the compressor will turn on and off automatically to
maintain a constant water chamber pressure.
CAUTION
Do not use pump in the presence of flammable gas.
Do not set water chamber pressure higher than 20 psi. Damage to system
could result. Excessive water will be delivered to the patient.
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3.4
Installation of Water Chamber
Figure 2. Master On-Off Valve
•
Before installing the water chamber, turn the master on-off valve to the OFF
position (Figure 2).
•
Place the water chamber into the plastic holder on top of the Manometric Pump,
lining up the water quick-connect pointing to the left on the bottom of the water
chamber with the slot in the holder (Figure 3, page 10).
The plastic holder enables one person to easily remove or tighten the lid of the
water chamber.
•
Unscrew the lid of the water chamber. Discard any packing material, and
remove the round float by the black knob.
•
Ensure the inside of the water chamber is clean. Fill three-quarters full with
distilled water only.
Never use tap water or sterile irrigation water as both contain minerals
which can cause blockages in tubing or can support bacterial growth.
•
Replace the float in the water chamber at an angle to avoid any bubbles being
trapped under the float.
The float reduces the surface area of pressurized air exposed to the water. It
minimizes the amount of gases absorbed by the water. Excessive amounts of
dissolved gases cause bubbles to form in the transducer and reduce the overall
system pressure rise rate and recording accuracy.
•
Check that the O-ring is lightly greased (with petroleum jelly).
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Page 15
Section 3.4: Installation of Water Chamber, continued
•
Screw the lid back on and tighten securely.
•
Connect the bottom quick-connect on the water chamber by pressing the metal
tab on the water chamber connector and pushing the elbow connector in until it
snaps (Figure 3a below).
This connection delivers pressurized water from the water chamber through the
master on-off valve into the stopcock manifold and into the capillary tubes. A
stainless steel filter on the quick-connect inside the water chamber filters all
water delivered to the capillary tubes.
• To disconnect the quick-connect, push down on the metal tab and pull the elbow
connector out. The water flow will automatically shut off at both ends of the
quick connect (Figure 3b below).
Figure 3. Bottom Quick-Connect and Filter on Water Chamber
TO CONNECT:
Make sure that the metal tab is down,
Insert the elbow quick connect and push
it in until the metal tab snaps up into
the lock position.
TO DISCONNECT:
Push down on the metal
tab and pull the elbow
quick connect out.
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Page 16
Section 3.4: Installation of Water Chamber, continued
•
Check that the master on-off valve is turned to the OFF position.
•
Connect the top quick-connect on the water chamber; push the two metal fittings
together until they snap into the latched position.
This connection delivers compressed air from the pressure regulator to the water
chamber.
•
To release the quick-connect, push down on the flange (Figure 4). When
disconnected, air pressure in the water chamber is released and air flow from the
compressor is shut off at the tubing end of the quick connect.
The toggle pressure release valve as shown in Figure 4 below is in the normal
CLOSED position. To OPEN the valve squeeze the black handle toward the body
of the valve. The valve opens momentarily to release pressure from the system.
Figure 5. Air Quick-Connect on Top of Water Chamber
TO CONNECT:
Push down on the body
until connection snaps together.
The gap between the body
and the flange will disappear.
TO DISCONNECT:
Push down on the flange
until the body of the quick
connect pops up and
disconnects. Lift the connector body
off the post.
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3.5
Installation of Transducers
A. Universal Transducer Holder Installation
If the pump is supplied with the Universal Transducer Holder Assembly, then use
the following steps to install transducers (not supplied) on the Manometric Pump.
•
Position the universal transducer holders horizontally (Figure 1, page 2).
•
Loosen the 2 front knurled screws on the universal transducer holder.
•
Slide the transducer between the front bracket and the V-shaped cutout in the
holder as shown in Figure 5 (a), 5 (c) below.
To hold a smaller diameter transducer, remove the 2 front knurled screws
completely and reverse the front bracket of the transducer holder as shown in
Figure 5(b).
•
Clamp the transducer in the holder assembly by retightening the two knurled
screws against the front bracket.
CAUTION
Do not over-tighten the knurled screws against the front bracket.
Damage to the transducer may result.
Figure 5. Universal Transducer Holder Assembly
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Section 3.5: Installation of Transducers, continued
B. Medex/pvb Transducer Holder Installation
If your pump is supplied with the Medex or pvb Transducer Holder Assembly, as
shown in Figure 6, simply slide the transducer into the slot on the transducer
holder plate from the top.
The transducer holder plate can be repositioned by loosening and tightening the
knurled thumbscrews at the back of the assembly.
Figure 6. Medex/pvb Transducer Holder Assembly
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3.6
Installation of Stopcocks
Install plastic stopcocks (not supplied) to
the input and output ports of the transducers and
attach capillary tubes as shown in Figure 7
(shown right).
NOTES:
The most common cause of loss of
recording accuracy in a motility system is
air bubbles trapped in the transducer or in
the motility catheter. The diagram to the
right shows the way to connect the
transducers to the Manometric Pump and
the catheter when using a pneumohydraulic calibration system (Figure 9,
page 15). This setup requires additional
2-way and 4-way stopcocks for each
transducer. Ample water under pressure
can be flushed from the bottom to the
transducer in order to push any air bubbles
up and out the top of the transducer. This
method ensures that the transducer and
catheter are free of air bubbles in the
shortest time possible.
Figure 7. Installation of Stopcocks
on Transducer
Other methods of connection are less
satisfactory. For example, the method of
connection shown in Figure 8 is not
recommended. The small flow from the
capillary tube is not able to flush out all the
small air bubbles efficiently.
NOTES:
Extra care must be taken to eliminate air
bubbles.
A 3-way stopcock can be attached to the
bottom of the transducer for flushing with a
syringe, as shown in
Figure 13, page 22.
Figure 8. Poor Connection to
Transducer
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3.7
Installation of Calibration System
A. Installation of Pneumo-Hydraulic Calibration System (0-50/100 mm Hg) with
Flushing Bottle, Part # P4-H-102
•
Attach the round calibration support rod for the calibration system to the right rear
side of the Manometric Pump using the two 1-inch long screws, washers, and
locknuts provided (Figure 9, below).
•
Clamp the calibration bottle to the top of the calibration rod using the bottle
clamp provided.
•
Attach the large end of the tubing manifold to the bottom of the bottle and the
other ends to the 2-way stopcocks on the bottom of the transducers.
•
Turn all the 2-way stopcocks to the OFF position
•
Fill the calibration bottle three-quarters full with distilled water.
Wipe excess water from the inside neck of the bottle.
•
Insert the rubber stopper, with coiled tubing attached, into the top of the bottle.
•
Attach the calibration gauge to the calibration rod using the plastic wire ties
provided.
Figure 9. Pneumo-Hydraulic Calibration System (0-50/100 mm Hg)
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Section 3.7: Installation of Calibration System, continued
B. Installation of Hydrostatic Calibration System (0-50/68 cm H2O)
0-50 cm H2O System, Part #P4-H-610
0-68 cm H2O System, Part #P4-H-620
•
On the square calibration rod locate the two white plastic tube-holders. Slide a clear
plastic 8-inch tube into the hole of each tube-holder as shown in Figure 10, below.
Tighten the knurled screw to secure the clear plastic tube.
•
Slide the square calibration rod into the two calibration rod holders on the right-hand
round support basket. The clear plastic tubes should be oriented perpendicular to
the pump as shown in Figure 10. The lower clear plastic tube should be at the same
level as the transducers for 0 cm H2O or low calibration. The upper plastic tube is for
50 or 68 cm H2O for high calibration (68 cm H2O = 50 mm Hg).
Figure 10. Hydrostatic Calibration System (0 –50/68 cm H2O)
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Section 4
Preparation Procedures
Section 3 has provided the installation details of each major component of the
Manometric Pump. Section 4 describes all of the procedures required to prepare
the pump for motility studies and routine maintenance. These preparation
procedures begin with the filling of the water chamber.
4.1
Filling Water Chamber
•
Turn the master on-off valve to the OFF position.
•
Place the water chamber into the plastic holder on top of the pump, lining up the
bottom quick-connect on the water chamber pointing to the left with the slot in the
holder.
•
Unscrew the lid of the water chamber and remove the round float by grasping the
knob.
•
Ensure that the inside of the water chamber is clean. Fill three-quarters full with
distilled water only.
Never use tap water or sterile irrigation water as both contain minerals
which cause blockages in tubing and support bacterial growth.
•
Replace the float in the water chamber at an angle to avoid any bubbles being
trapped under the float.
Note: Never use the pump without the float in the water chamber.
Air bubbles will form at the transducer and will reduce the pressure
response rate and the accuracy of measurement.
•
Screw the lid back on and tighten securely.
•
Attach the bottom plastic quick-connect located at the bottom of the water
chamber (Figure 3, page 10).
•
Connect the top metal quick-connect located on the lid of the water chamber
(Figure 4, page 11).
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4.2
Selecting Water Chamber Pressure
To select water chamber pressure for optimal recording accuracy of pressure rise
rate for your recording site or organ, refer to the table below and adjust the water
chamber pressure accordingly. The associated infusion rate is provided in the
table to enable a quick estimate of the total volume of water infused into the
patient in a given period of time.
15 psi is the recommended pressure for esophageal and upper esophageal
sphincter studies. For a small bowel study, the pressure should be set at 7 psi.
For a colon study the pressure can be as low as 5 psi.
CAUTION
Do not set water chamber pressure higher than 20 psi.
Damage to system could result. Patient will receive excessive water.
Table 1. Water Chamber Pressure Selection vs Infusion Rate/Pressure Rise Rate
RECORDING
SITE
(ORGAN)
APPROXIMATE
INFUSION
RATE
RECOMMENDED
WATER CHAMBER
PRESSURE
WITH STANDARD
CAPILLARY TUBE
MINIMUM
PRESSURE RISE
RATE
AT CATHETER
OPENING
ml/min
pound/square inch
(kPa)
mm Hg/sec
UES
0.6
15 (103)
400
Esophagus
0.6
15 (103)
400
Stomach
0.6
15 (103)
400
Small Bowel
0.4
7
(48)
120
Bile Duct
0.4
7
(48)
120
Colon
0.3
5
(35)
60
Table 2. Pressure Conversion Chart
Psi
cm of H2O
mm of Hg
kPa
20
15
7
5
1408
1056
493
352
1034
776
362
259
138
103
48
35
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4.3
Adjusting Water Chamber Pressure
•
Check that the master on-off valve is at the OFF position (Figure 2, page 7).
•
Turn on the power switch.
•
Adjust the black regulator control knob until the water chamber gauge (on the
right hand side of the pump) indicates 15 psi (Figure 1, page 2).
The black regulator control knob is located on the top of the pump on the right
hand side. It controls the pressure regulator that is mounted inside the case.
The regulator reduces the high pressure coming off the compressor and delivers
compressed air at a lower pressure to the water chamber.
TO INCREASE PRESSURE:
• Turn the regulator knob clockwise.
TO DECREASE PRESSURE:
Because the pressure regulator is a non-relieving type, in order to decrease the
pressure to a new setting, it is necessary to relieve the downstream pressure
trapped inside the regulator and the water chamber to below the desired new
setting. Then increase the pressure to the desired new setting. Follow the steps
below:
•
First turn the regulator knob counter-clockwise 2 complete turns.
The needle on the water chamber gauge will not move because the
existing pressure is still trapped in the water chamber and in the
downstream side of the regulator.
•
Then release the excess pressure using the toggle pressure release
valve on top of the water chamber. Squeeze the black handle of the
toggle valve toward the body of the valve momentarily (Figure 4, page
11).
The water chamber gauge needle will show a drop in pressure.
•
Repeat the above two steps if necessary until the water chamber
pressure falls to a level below the desired pressure.
•
Turn the regulator knob clockwise to increase the pressure to the
desired level.
Note: The toggle valve can be locked in the open position if the black handle of
the toggle valve is pulled backward into a fully extended position at 90º to the
body of the valve.
CAUTION: Do not leave the toggle pressure release valve locked in the fully
open position. The compressor motor will run continuously. This may cause
overheating of the compressor motor.
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Page 25
4.4
Purging Air from Pump and Transducers
During the following procedures, it is helpful to a place a towel under the
transducers to absorb any water that may spill onto the pump.
•
After the water chamber pressure has been adjusted to the desired level (usually
15 psi), open all 4-way stopcocks on top of the transducers as shown in Figure
11 below.
•
Turn the master on-off valve to ON (Figure 2, page 9).
Figure 11. Stopcock on Top of Transducer
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