x HANDS-ON MODULE 3 SYSTEM CHECKOUT AND EMERGENCY VENTILATION FLOW-i v3.0 |1| 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 3 | 1 || 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 4 FLOW-i v3.0, HANDS-ON MODULE 3 |1| 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 5 | 1 || 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 |1| 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. FLOW-i v3.0, HANDS-ON MODULE 3 7 | 1 || 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. 8 Note: Steps 1 to 4 are also described in Modules MX0868 and MX0796. FLOW-i v3.0, HANDS-ON MODULE 3 |1| 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. 9 | 1 || 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”). 10 FLOW-i v3.0, HANDS-ON MODULE 3 |1| 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 11 | 1 || HANDS-ON MODULE 3 (continued) SCO and Emergency ventilation system To obtain a detailed summary of the results press View results (2). 12 FLOW-i v3.0, HANDS-ON MODULE 3 |1| 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. FLOW-i v3.0, HANDS-ON MODULE 3 13 | 1 || 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. 14 FLOW-i v3.0, HANDS-ON MODULE 3 |1| 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 15 | 1 || 16 FLOW-i v3.0, HANDS-ON MODULE 3 x 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. 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.
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