DATA SHEET. Capnography option. November 2013 V2.2

Transcription

1 November 2013 V2.2 DATA SHEET

2 [1] Monnal T75 (CO 2 )/ Air Liquide Medical Systems APPLICATION AREA OPERATING CONDITIONS Application: Patient categories: Weight: Intensive care respirator designed for resuscitation, intensive care and the postoperative room Adult, Child and Infant. 3 to 250 kg Operating Temperature: Relative humidity: Atmospheric pressure: +10 to +40 C (+50 to +104 F) 0 to 90 % (at 40 C without condensation) 700 (3075 mètres) to 1060 mbar Altitude effect compensation STANDARDS AND DIRECTIVES STORAGE CONDITIONS CE Mark: CE The device complies with the European requirements in the Directive 93/42/EEC concerning medical devices. Storage temperature: Storage relative humidity: -20 to +70 C (-4 to +158 F) 0 to 90 % (at 40 C without condensation) Medical classification: Standards: Class IIb, according to Directive 93/42/CEE. ISO CEI CEI Storage atmospheric pressure: 500 (5550 meters) to 1060 mbar Electromagnetic compatibility (EMC): Complying with CEI (2001) First launch: France: end of 2008 Other countries: please contact us Available languages: French, English, Italian, German, Russian, Spanish, Lithuania, Polish, Czech,Portuguese, Chinese, Japanese Other language: please contact us PHYSICAL SPECIFICATIONS Size: Ventilator with trolley: H 35 x W 30 x D 40 cm H 135 x W 55 x D 60 cm Weight: Noise level: 16 kg - Ventilator 31,8 kg - Ventilator + trolley 48 db (A) at 1m

3 [2] Monnal T75 (CO 2 )/ Air Liquide Medical Systems POWER SUPPLY Power supply: V AC ± 5 % PNEUMATIC SUPPLY Oxygen pneumatic supply Frequency: Electric power consumed: Hz 250 VA High pressure: bar / kpa / psi Operating possible starting from 1.5 bar Electric class: Type: I B Connection standards available: NF, NIST, DISS For other standards, please contact us Connection standards available: EU, AFS, JP, US, AR, BR Please contact us for more information concerning other standards Low pressure: Air pneumatic supply bar / kpa / 0 21 psi Continuous external supply: 20 to 30 V DC Turbine peak flow: 200 l/mn at Patm EXTERNAL BATTERY: If no mains are available, switch to external battery Ambiant air inlet: Equipped with HEPA filter Monnal Clean In (High Efficiency Particulate Air Filter) Type: Rechargeable, NiMH, 24V, 2x4500 mah PATIENT SYSTEM GAS CONNECTOR Autonomy: Charge time: 2,5 to 3 hours in standard ventilation 12 hours Inspiratory breathing tube connector: 22 mm male Interval between two recharges: It is advised to perform one complete discharge cycle every 6 months INTERNAL BATTERY: If neither the mains nor the external source is available, switch to internal battery Expiratory breathing tube connector: 22 mm male SCREEN Type: Rechargeable, NiMH, 24V, 2x4500 mah Type: Flat color touch screen TFT-LCD Module Autonomy: 2,5 to 3 hours in standard ventilation Technology: Resistive analogical technology Charge time: 12 hours Size: 10.4 inches Interval between two recharges: It is advised to perform one complete discharge cycle every 6 months Resolution: 640 x 480 pixels

4 [3] Monnal T75 (CO 2 )/ Air Liquide Medical Systems PNEUMATIC SPECIFICATIONS MODES INVASIVE VENTILATION Method of triggering: Flow and pressure VCV PCV Volume Controlled Ventilation or Assist volume controlled ventilation Pressure Controlled Ventilation or Assist pressure controlled ventilation Max. Operating pressure: 90 cmh 2 O PRVC SIMV Pressure Regulated Volume Controlled ventilation Synchronized Intermittent Mandatory Ventilation Bias flow: 3 L/min (flow by) PSIMV Pressure Synchronized Intermittent Mandatory Ventilation Max. Inspiratory peak flow: 180 L/min (regarding supply pressures) PSV CPAP PS-Pro Spontaneous ventilation with Pressure Support and PEEP Continuous Positive Airway Pressure Spontaneous ventilation with Pressure Support, PEEP and variable frequencies INSPIRATORY CHANNEL APRV Duo-Levels Airway Pressure Release Ventilation Alternation between two levels of CPAP Pressure drop: Max. 4 cm H 2 O at a flow rate of 1L/s (without filter) Safety ventilation Apnea ventilation (V T, RR and T apnea can be adjusted, constant flow rate, Ti.Ttot 33%) Gaz supplier system: Turbine and proportional solenoid valve managed by microprocessor MODES NON INVASIVE VENTILATION Inspiratory flow range: 0 to 3,3 L/s PSV-VNI CPAP Non-invasive spontaneous ventilation with Pressure Support and PEEP Continuous Positive Airway Pressure EXPIRATORY CHANNEL APRV Duo-Levels Airway Pressure Release Ventilation Alternation between two levels of CPAP Pressure drop: Expiratory flow range: Max. 3 cm H 2 O at a flow rate of 1L/s 0 to 3,3 L/s OXYGENOTHERAPY Flow Adult: 2 to 80 L/min Child and Infant: 2 to 60 L/min FiO2 21% to 100% This function requires specific nasal cannula and use a heating humidifier.

5 [4] Monnal T75 (CO 2 )/ Air Liquide Medical Systems PARAMETER SETTINGS PARAMETER SETTINGS (NEXT) SETTINGS RANGE: SETTINGS RANGE: Inspiratory tidal volume (V T ): 20 to 2000 ml Inspiratory plateau (Tplat): 0 to 60 % of TI Adult: 0 to 60 % of TI Adult: 100 to 2000 ml Child: 0 to 40 % of TI Child: 50 to 500 ml Infant: 0 to 40 % of TI Infant: 20 to 75 ml Inspiratory ratio (TI/Ttot): 3 to 80 % Respiratory Rate (RR): 4 to 120 Bpm Adult: 3 to 80 % Adult: 4 to 80 Bpm Child: 5 to 60 % Child: 5 to 120 Bpm Infant: 5 to 60 % Infant: 10 to 120 Bpm Inspiratory time (I/E): 1/0,3 to 1/19 SIMV respiratory rate (SIMV RR): 4 to 120 Bpm Adult: 1/0,3 to 1/19 Child: 1/0,7 to 1/19 Adult: 4 to 80 Bpm Child: 5 to 120 Bpm Infant: 1/0,7 to 1/19 Infant: 10 to 120 Bpm Inspiratory time (Ti): 0,2 to 10 s Minimum frequency: 1 to 100 Bpm Adult: 0,2 to 10 s Adult: 4 to 80 Bpm Child: 5 to 100 Bpm Child: 0,2 to 8 s Infant: 0,2 to 3 s Apnea time: Adjustable VCV mode Infant: 10 to 100 Bpm Max. inspiratory time in spontaneous modes (TI max.): 0,2 to 5 s Adult: 15 to 60 s Child: 4 to 60 s Infant: 2 to 30 s Adult: 0,3 to 5 s Child: 0,3 to 5 s Infant: 0,2 to 2,5 s

6 [5] Monnal T75 (CO 2 )/ Air Liquide Medical Systems PARAMETER SETTINGS (NEXT) PARAMETERS SETTINGS: SPECIAL FEATURES Positive End of Expiration Pressure (PEEP): Pressure Support (PS): SETTING RANGE: 0 to 50 cmh 2 O 2 to 40 cmh 2 O NON INVASIVE VENTILATION: Positive End of Expiration Pressure (PEEP): Pressure Support (PS): 0 to 15 cmh 2 O 2 to 25 cmh 2 O Insufflation Pressure (PI): 2 to 99 cmh 2 0 Max. airways pressure: 90 cmh 2 0 Inspiratory slope: Flow rate shape: 20 to 200 cmh 2 O / s Constant, decelerated O 2 concentration (FiO 2 ): 21 to 100 % Inspiratory flow trigger: 1 to 10 L/min OFF position available in VCV, PCV and PRCV modes Low VMe alarm: PRCV MODE: Target Tidal volume: Insufflation pressure (PI): Max. Insufflation pressure (PI max): OFF position available OFF to maximum of each patient category AUTO, 2 to 99 cmh 2 O 2 to 99 cmh 2 O Inspiratory pressure trigger: Always activated and automatically set in function of the flow trigger setting PS-PRO MODE: Support frequency (RRsupport) Adult: 4 to 99 Bpm Expiratory trigger: 0 (OFF) to 90 % of inspiratory peak flow Child: 5 to 120 Bpm Infant: 5 to 120 Bpm Adult: 5 to 90% Pressure Support (PS) : AUTO, 2 to 40 cmh 2 O Inspiratory plateau: Expiratory plateau: Manual Breath Child: 0 to 90% 0 to 15 s 0 to 15 s 0 to 15 s Max. Insufflation pressure (PI max): Target Tidal volume : 2 to 99 cmh 2 O OFF to maximum of each patient category Sigh frequency: 1 sigh every 9 to 200 cycles O2 : ASPIRATION INTELLIGENTE Sigh Tidal volume: 1 to 2 per V T Durée de pré-oxygénation 30 to 900 s Sigh insufflation pressure: 1 to 2 per PI Durée de post-oxygénation 30 to 300 s Infant: 0 to 90% Cible FiO2 21% to 100% O2: INTELLIGENT SUCTION Pre-oxygénation time: 30 to 900 s Post-oxygénation time: 30 to 300 s FiO2 target 21% to 100% TC: TUBE COMPENSATION Applicable on: Pressure modes only Compensation level: 0 to 100% Tube type: Endotracheal or tracheostomy Tube diameter: 2.5 to 11 mm

7 [6] Monnal T75 (CO 2 )/ Air Liquide Medical Systems MONITORING MEASURED MEASURE RANGE: TREND VALUE*: Expired Minute Volume (VMe) 0 to 99 L/min Expired Tidal Volume(Vte) 0 to 5000 ml Insufflated Tidal Volume (VTi) 0 to 5000 ml Respiratory Rate (RR) 0 to 120 Bpm Peak Airways pressure (Ppeak) 0 to 120 cmh 2 O Positive End of Expiration Pressure (PEEP): 0 to 99 cmh 2 O Plateau pressure (Pplat) ** 0 to 99 cmh 2 O FiO2 15 to 100% Mean pressure 0 to 99 cmh 2 O Ti / Ttot 0 to 99% RR / Vte 0 to 5000 pm/l MVe Spont 0 to 99 L/min RR Spont 0 to 120 Bpm Insp Peak Flow ** 0 to 200 L/min Exp Peak Flow 0 to 200 L/min Leak Flow (in VNI) 0 to 150 L/min Spontaneous ratio -- to 100 Leak ratio -- to 100 Auto-PEEP ** 0 to 99 cmh 2 O Rstat ** Cstat ** 0 to 500 cmh 2 O/(L/s) 0 to 150 ml/ cmh 2 O Rdyn ** 0 to 500 cmh 2 O/(L/s) Cdyn** 0 to 150 ml/ cmh 2 O P0.1 ** 0 to 20 cmh 2 O MONITORING (NEXT) MEASURED Negative Inspiratory Force (NIF) Respiratory effort (inspiratory) (WOB) LOOPS AND WAVEFORMS PRESENTATION Real-time curves: Loop curves: Pressure curve Flow curve Volume curve CO 2 curve (if CO 2 option is activated) Pressure / Volume Volume / Flow Flow / Pressure CO 2 / Volume (if CO 2 option is activated) CAPNOGRAPHY (OPTION) MEASURED MEASURE RANGE: TREND VALUE*: Fraction of CO2 at the end of expiration (etco2, %) 0 15 CO2 pressure at the end of expiration (etco2, mmhg) CO2 pressure at the end of expiration (etco2, kpa) 0 15 CO2 minute volume (VMCO2, ml/min) Alveolar minute volume (Vmalv, L/min) Ratio of airway dead space to tidal volume (Vdaw/Vt, %) Airway dead space volume (Vdaw, ml) MEASURE RANGE: 0 to 30 cmh 2 O 0 to 2 Joule/L No 0 99 No No TREND VALUE*: No * Stored trend values for up to 80 hours ** Only in Invasive Ventilation Slope of the volumetric capnogram on the alveolar plateau (SlopeCO2, %CO2/L) 0 99 No

8 [7] Monnal T75 (CO 2 )/ Air Liquide Medical Systems ALARMS SETTINGS ALARMS SYSTEMS Ppeak high Ppeak low Pplat high RR low 10 to 100 cmh 2 O 1 to 85 cmh 2 O OFF, 1 to 50 cmh 2 O Adult: 1 to 70 Bpm Child: 1 to 110 Bpm Visual alarms classified by priority: Sound alarms classified by priority: 3 priority levels with specific colors 1 information level 3 priority levels with specific melodies Infant: 1 to 110 Bpm Technical alarms: Categorized by severity RR high Vti low Adult: 11 to 80 Bpm Child: 11 to 120 Bpm Infant: 11 to 120 Bpm Adult: OFF to 2900 ml Supply alarms: O 2 supply failure Switch over to external battery Switch over to internal battery Internal battery power low Internal battery exhausted Child: OFF to 1900 ml Internal battery absent Vti high Infant: OFF to 500 ml Adult: 100 to 3000 ml Child: 100 to 2000 ml Automatic thresholds: Alarm indicating total loss of electrical power Direct access key Infant: 100 to 800 ml Sound inhibition: 2 minutes Vte low Adult: OFF to 2000 ml Apnea ventilation: Adjustable VCV mode Vte high Child: OFF to 2000 ml Infant: OFF to 500 ml Adult: 10 to 3000 ml Child: 10 to 3000 ml Infant: 10 to 800 ml Non-adjustable patient alarms: Disconnection PEEP > PEEP set-point + 5 cmh 2 O Active patient. Increase inspiratory flow rate VMe low VMe high 0,1 to 39 L/mn Adult: 1,5 to 40 L/mn EVENT HISTORY Child: 1,5 to 40 L/mn Infant: 1 to 40 L/mn FiO 2 low 18 to 95 % FiO 2 high 23 to 100 % Alarms history: 200 last triggered alarms recorded Technical messages with error codes ALARMS SETTINGS: SPECIAL FEATURES OF NIV ACCESSORIES Trolley (4-wheel base) VMe low VMe high VTi OFF to 39 L/mn Adult: 1,5 to 60 L/min Child: 1,1 to 60 L/min Infant: 1 to 40 L/min Low and High not measured Side tablet with pincers and hook Wall tablet Monnal T75 cover External Battery Others (please refer to catalogue)

9 [8] Monnal T75 (CO 2 )/ Air Liquide Medical Systems CONFIGURATION CLEANING AND STERILIZATION Selection of ventilation mode: Enabled, Disabled (except VCV always enabled) Autoclavable: Reusable expiratory valve Patient circuit Alarms: Save alarms current settings Reusable spirometry sensor Settings: Save current ventilation settings in the ventilation mode used Single use: Single use expiratory valve Alarm volume setting: 25% to 100% of custom alarm Patient circuit Single use spirometry sensor Min. frequency: Setting in VCV mode: Enabled, Disabled (only in PS and NIV-PS) Ti, Flow, TI/Ttot or I/E Turbine inlet: «Monnal Clean in» filter (quaterly inspection) Setting in PCV / PRCV mode: Ti, TI/Ttot or I/E MAINTENANCE COMMUNICATION / INTERFACE Serial port: RS 232 port (X 2) Periodic maintenance: Annual, performance check OTP: Open Taema Protocol Video output: Screen report to external monitor. BOW MEDICAL Interface: Communication with DIANE anaesthesia sheet DATACAPTOR: Capsuleteck CLINISOFT interface: Communication with the GE data collection software

10 Contact Air Liquide Medical Systems Parc de Haute Technologie 6, rue Georges Besse ANTONY CEDEX FRANCE Tél. : +33 (0) Fax : +33 (0) Customer Service Credit Photo Le Square Air Liquide Medical Systems reserves the right to modify the design and the specifications contained herein without prior notice. Air Liquide Healthcare is a world leader in medical gases, home healthcare, hygiene products and healthcare specialty ingredients. It aims to provide customers in the continuum of care from hospital to home with medical products, specialty ingredients and services that contribute to protecting vulnerable lives.