Hands On Module

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HANDS-ON MODULE 3
SYSTEM CHECKOUT AND EMERGENCY
VENTILATION
FLOW-i v3.0
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HANDS-ON MODULE 3
System checkout and Emergency ventilation system (MX-0867)
Important: Refer to User´s Manual Software V3.0 Chapter 4 (Startup and System checkout) for more
information.
Name of participant:..........................................................
Hospital..............................................................
1 SYSTEM CHECKOUT
Tick the red box on completion of steps described below.
1.1 STARTING FROM STANDBY:
1.
A prompt to start the
System checkout
procedure is automatically
displayed at system
startup in Standby mode.
2.
Press “Start” to begin the
System checkout
procedure (1). The
procedure can be
bypassed at any time by
pressing “Bypass” (2).
Note: You will now be
guided through the System
checkout procedure.
FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
1.2 COMPONENT CHECK – PREPARATION FOR USE:
1.
The screen image showing the
components included in the System
checkout is displayed (see opposite).
2.
Check the components included in the
System checkout as listed on the screen.
3.
Press "Continue" to start the System
checkout.
Note: These steps should already have
been carried out when setting up the
system (see “Hands-on module 2 “Setting
up the system”). However, if you are only
starting a new System checkout, then check
these steps once more
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FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
1.3 CHECKS REQUIRING USER INTERACTION:
The screen image shown below is displayed.
Carry out the following checks:
1.
Manually check the O2 flush
- Press “Start check” touch pad.
- Press O2 flush button for approx. 3
seconds.
Note: Do not press for MORE than 3
seconds otherwise the test will not be
“passed”.
2.
Inspect the function of the inspiratory
and expiratory unidirectional valves.
- Open the patient cassette lid.
- Press “Start check”
- If the unidirectional valves move up and
down, press “Yes” on the panel screen
prompt.
- Close the patient cassette lid and press
“Continue”.
If “passed” then continue on to step 2 –
otherwise repeat.
FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
1.4 AUTOMATIC CHECKS:
The screen image shown opposite is
displayed.
1.
2.
6
Comprises a number of automatic tests.
The components are individually tested
and can be either “passed” or “failed”.
If necessary the automatic check can be
“Bypassed”
3.
Current leakage for manual or automatic
ventilation is displayed.
4.
Circuit compliance compensation is
calculated during leakage tests and is
displayed.
FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
1.5 SYSTEM CHECKOUT SUMMARY:
The screen image shown below is displayed.
1.
Observe the current values for:
a. Central gas pressure (bar)
b. Leakages
c. Battery capacity
2.
At the bottom of the screen there are 4
alternatives to choose from:
d.
e.
f.
g.
Redo System checkout
Redo leakage check
Redo vaporizer check
Standby
Notes:
It is recommended to perform the System checkout procedure once a day, after replacing
the patient cassette, and after the system has been transported.
The leakage check and vaporizer check are two shorter tests that are included in the full
System checkout. Both these tests, however, can be carried out separately if necessary.
The leakage check controls the manual and automatic breathing circuits and should be
carried out after changing tubing, breathing bag or filters.
The vaporizer check performs a leakage check of the manual and automatic breathing
circuits and checks vaporizer functionality. This check must be carried out when a vaporizer
is connected to the system. A leakage check is always automatically included in the
vaporizer check.
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
1.6 LEAKAGE CHECK
Carry out a leakage check and follow the
instructions as shown opposite.
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Note: Steps 1 to 4 are also described in
Modules MX0868 and MX0796.
FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
1.7 VAPORIZER CHECK:
Carry out a vaporizer check and follow the
instructions as shown in the screen image
below (refer to MX-0796 “Setting up FLOW-i”
if necessary).
FLOW-i v3.0, HANDS-ON MODULE 3
Note: The first part of the check is identical
to the leakage check and is made to
ensure that no agents leak out into the
operating room during Run mode.
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HANDS-ON MODULE 3 (continued)
The automatic check sequence includes
vaporizer checks plus automatic and manual
breathing circuit leakage checks.
SCO and Emergency ventilation system
1.
A summary of the leakage and vaporizer
check results is displayed after the
automatic check.
2.
Enter Standby mode or repeat the tests if
necessary by pressing the relevant touch
pad.
Note: If the anesthesia system is in Standby
mode, then the System checkout can be
started by pressing the “Menu” membrane
button and following instructions. Also
shown here are the results of the most
recent System checkout. These results are
also accessible during Run mode. (refer to
User’s Manual – Chapter 8 “Membrane
Buttons”).
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FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
1.8 UNDERSTANDING RESULTS
In Standby mode, the central area of the
screen displays the result of performed system
checks, along with date, time and outcome.
The symbols (1) are summarized as follows:
Passed.
A patient case can be started
Failed.
One or several checks failed during the
System checkout/Leakage check/Vaporizer
check.
Make appropriate adjustments and redo the
check.
More than 24 hours since a successful full
System checkout was performed. Perform a
System checkout.
Not performed.
A patient case can be started, for example, in an
emergency (not recommended).
Perform a System checkout.
FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
To obtain a detailed summary of the results press View results (2).
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FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
A full system checkout, leakage check or
vaporizer check is initiated by pressing the
corresponding touch pad (3).
1.9 USING THE EMERGENCY VENTILATION SYSTEM
Notes:
In case of a total power (mains power and battery) or system failure, the built-in Emergency
ventilation system can be used.
Staff working with the system should practise regularly using the manual emergency
ventilation system.
The emergency flow is always delivered via the patient cassette outlet and thus the patient
tubings must always be connected to patient cassette outlets when emergency ventilation
is used.
If the Emergency ventilation system is activated while the anesthesia system is in operation,
the anesthesia system will be shutdown.
Observe that the control screen will not be operating correctly during emergency ventilation
i.e. no curves etc will be displayed.
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HANDS-ON MODULE 3 (continued)
SCO and Emergency ventilation system
Connect a test lung to the breathing circuit.
test lung
manual
breathing
bag
Open the cover of the emergency ventilation
on the front of the FLOW-i and follow the
instructions on the inside in numerical order.
1.
Activate emergency ventilation using the
switch.
2.
Adjust the O2 flow to 10 l/min.
3.
Check at various APL settings that the
test lung can be ventilated using the
manual breathing bag.
O2
10
8
6
4
2
mbar / cmH2O
I/min
APL
O2 I/min
Not for use with AFGO
1
Activation
switch
3
2
O2 gas
Mechanical
supply and APL
flowmeter
Turn off the emergency ventilation system.
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FLOW-i v3.0, HANDS-ON MODULE 3
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HANDS-ON MODULE 3 (continued)
Note: If the emergency ventilation is
activated, either during a patient case or
when testing the system, the emergency
ventilation APL valve must be set to
minimum before resuming normal
ventilation (AUTO or MAN) or starting a new
patient case.
SCO and Emergency ventilation system
mbar / cmH2O
APL
minimum
FLOW-i v3.0, HANDS-ON MODULE 3
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FLOW-i v3.0, HANDS-ON MODULE 3
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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-0867 Rev: 03 English, MCV00026878_REVA • HANDS-ON MODULE 3 • 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.
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systems that contribute to quality enhancement and cost efficiency
within healthcare and life sciences. We operate under the three
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