babyPAC B100 Technical Training Introduction Presentation V1.0 March 2017

Agenda DAY 1

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Introduction and Registration Company and products ISO 9001 Compliance Health and Safety Basic Medical and Technical Terms

BabyPac B100     

User Manuals Assembly of Ventilator and Accessories Principle of Operation Basic Function Checks Periodic Checking Procedure Theory and Practical

DAY 2   

Calibration Recognition of Correct Function and Basic Fault Finding Periodic Checking Procedure Practical

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Service Training Course Objectives

By the end of the course delegates should be able to carry out the following:

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To work on a product whilst maintaining their own safety and that of others.

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To access data from the training notes and service manual to identify correct service procedures.

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To carry out correctly the specified function test/checks from the User Manual.

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To carry out correctly the specified service procedures.

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To recognise that a product is functioning correctly or incorrectly.

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Repair equipment in line with information contained within the appropriate maintenance manuals

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ISO 9001:2000 Compliance The purpose of these training sessions is to ensure that those who are being trained in the servicing and repair of Pneupac equipment should do so in accordance with Smiths Medical International Ltd service procedures thus ensuring traceability with ISO 9001:2000. 

Competence based certificate issued.

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Certificates are valid for a period of 2 years after which refresher courses will be available.

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Reports of repairs or adjustments should be copied to Smiths Medical International Ltd for our records and fault analysis process.

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Basic Medical & Technical Terms 1/4

cm H2O

centimeters of water

VT

Tidal volume:- the quantity of air or gas inspired or expired in each cycle or breath (Note: babyPAC does not use VT as a unit when delivering gas to the patient.)

AM / NAM

Air Mix / Non Air Mix

CPR

Cardio-Pulmonary Resuscitation

Demand valve Valve that delivers gas to the patient at a flow related to the inspiratory efforts of the patient (Note: babyPAC does not have demand valve) I:E ratio

Ratio of inspiratory time to expiratory time

PEEP

Positive End Expiratory Pressure: positive pressure remaining in the patient’s airway at the end of the ventilation cycle.

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Basic Medical & Technical Terms 2/4

PEEP Valve

Valve attached to the exhalation port of the patient valve in order to hold a positive expiration pressure at the patient’s mouth at the end of the expiratory phase. (Note: Not present on babyPAC – it has a dedicated PEEP function)

Relief valve Valve that limits the maximum patient inflation pressure by venting excess gas to atmosphere. TE or TEXP

Expiratory time in seconds

TI or TINS

Inspiratory time in seconds

CMV

Controlled Mandatory Ventilation

O2

Oxygen

NRV

Non - Return Valve

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Basic Medical & Technical Terms 3/4 CPAP: Constant Positive Airway Pressure.

The ventilator maintains a set constant positive pressure in the breathing circuit throughout the ventilation cycle when the patient is breathing spontaneously. Expiratory Time (TE ): Duration of the expiratory phase.

IMV: Intermittent Mandatory Ventilation. The ventilator delivers the set breaths to the patient intermittently. The patient breathes spontaneously between ventilator breaths. PEEP: Positive End Expiratory Pressure. Pressure in the breathing circuit is maintained at a positive pressure throughout the expiratory phase.

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Basic Medical & Technical Terms 4/4 Active PEEP

Active Positive End Expiratory Pressure. Function in which the PEEP is maintained by a ventilator flow during the expiratory phase instead of depending on the passive expiratory flow from the patient (passive PEEP).

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Emergency and Transport Ventilation What is Breathing? Regular automatic process controlled by the Brain

 Inspiration – air is sucked into lungs  Expiration – carbon dioxide is expelled  Negative pressure Adults breath approx. 8-10 times per minute

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Emergency and Transport Ventilation Why do we need to breath?

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Oxygenation of cells Removal of waste products (CO2)

Why does normal breathing sometimes fail?

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Blocked air passage Broken or perforated chest cavity Drugs, poisons, head injuries

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Pneupac babyPAC B100: Features 1/2

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Gas powered, time cycled, pressure generator

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integrated electronic pressure alarm

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controls are recessed to minimise the possibilities of damage and inadvertent operation

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Independent calibrated controls for inspiratory time, expiratory time and inflation pressure.

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Adjustable high pressure alarm is provided which gives audible warning

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Pneupac babyPAC B100: Features 2/2

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Pressure relief system limits the pressure

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Unique gas mixing system

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For the spontaneously breathing patient, airway pressure and oxygen concentration can be controlled using the CPAP function. MRI Compatible.

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Pneupac babyPAC B100: Controls and Features 1/2 Controls and Features 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

Controls for Inspiratory and Expiratory Times Inspiratory Pressure Oxygen Concentration Function Selector Switch PEEP/CPAP Control Silencing and Muting of Electronic Audible Alarms Variable Relief Valve Cycle Indicator Low Inflation Pressure (Disconnect) Alarm High Inflation Pressure / Constant Positive Inflation Pressure Alarm Supply Gas Failure Alarms Low Battery Alarm Battery

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Pneupac babyPAC B100: Controls and Features 2/2 Controls and Features 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26.

Basic Operating Instructions Alarm Information Label Patient Pressure Manometer Gas Output Port Gas Return Port Supply Gas Inlet Connection(s) Gas Intake Port Patient Circuit Gas Supply Hoses Carry Sling Attachment Slots Mounting Attachment Points Audible alarm Single Gas Operations

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Pneupac babyPAC B100: Layout 1/3 7. Independent, adjustable, pneumatic, high pressure alarm 12-80 cmH2O

16. Monitor Module Incorporating patient pressure manometer and illuminated visual alarms / indicators

1. Separate controls for inspiratory and expiratory times Inspiratory Time = 0.25 seconds to 2 seconds Expiratory Time = 0.25 seconds to 4 seconds (on IMV, E Time = 2.5 seconds to 40 seconds)

4. Four Operating Modes: •CMV +PEEP •CMV +ACTIVE PEEP •IMV + CPAP •CPAP

11. Supply Gas Failure Indicator Oxygen

11. Supply Gas Failure Indicator Air

3. Unique variable concentration gas mixing system Oxygen concentrations between 21% and 100% can be selected. With O2supply Only = 45 -100% With Air supply Only = 21% With O2 & Air Supply = 21% -70%

5. PEEP/CPAP Control With click action warning at & above 10 cmH2O. 0-20 cmH2O on CMV + PEEP only. 3 -20 cmH2O on CPAP & CMV + Active PEEP

2. Inspiratory Pressure Control 12-70 cmH2O With click action warning at & above 40 cmH2O

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Pneupac babyPAC B100: Layout 2/3 10. High Pressure Indicator Flashes red, with audible alarm, at set alarm pressure and with continuous positive pressure

8. Normal Cycle Indicator Flashes green each time inflation pressure rises through 10 x100Pa

9. Low Pressure (disconnect) Indicator Flashes yellow, with audible medium priority alarm, if pressure does not rise through 10 x100Pa (10cmH2O) within 7.5 seconds

16. Patient Inflation Pressure Monitor Indicates from -10 to +100 x100Pa (-10 to +100cmH2O)

6. Silence/Mute Button Silences audible alarm for 60 seconds

12. Low Battery Indicator Provides both visual low voltage indication as early warning and battery failure alarm (visual and audible)

26. Single Gas Operation Indicator Flashes green whenever the ventilator is operating on a single gas supply (oxygen or air only)

6. Silenced/Muted Indicator Flashes orange to indicate alarm silenced or muted

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Pneupac babyPAC B100: Layout 3/3 19. Air Supply Gas Inlet Connection

25. Audible High Pressure Pneumatic Alarm

Patient Circuit Connection 22 mm Male 15 mm Female (ISO 5356)

Air Entrainment Port

17. To the Patient

19. Oxygen Supply Gas Inlet Connection Gas Return Port Expirator Port

18. From the Patient

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Set up, Use & Functional Check Set up, Use & Functional Check

 babyPAC User Manual: “504-2056A-A” (From Page 29) See also:

 For France: “504-2056ANFR-A” (From Section 3 - Installation et vérification fonctionnelle)  babyPAC B100 Exhalation Valve advice guide Key Note: Functional Check should be performed monthly

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Cleaning: Control Module Cleaning Control Module:   

The control module may only be cleaned by means of a damp cloth. For obstinate marks a mild soap or non-abrasive cleaner may be used. Wipe dry immediately with a soft clean cloth.

CAUTION:    

Do not attempt to sterilise the babyPAC™ 100 or to clean it by immersion in any fluid. Do not use any cream cleanser. Do not allow any petrochemical or its derivative (petrol, diesel, paraffin etc.) come into contact with the device. Do not autoclave.

CAUTION: Do not allow any oil or grease to come into contact with the module or, in particular, with the input and output fittings because of the potential fire risk when oxygen is being used.

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Cleaning: Exhalation Valve

See

 babyPAC B100 Exhalation Valve advice guide

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