sav2500-_surgivet

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1. ภventilator ภภ! ภ" # SAV2500 ภ$ " %& ' ( ภ# ( $ " " " % ภ"ภ( ภ) ภ$ "$ *++, %& " % %& " ( ( ภ* , ภ# " "/ " # ภ# " # (ventilator) ) ' *$ 0$ ภ1 5 / % ภ34 $ ( " # (universal ventilator mounting assembly) ($! 6. % ภ34 )

Federal(USA) Law #' ภ($ / ' ( 9 / ( " 4 %: ภ%3 ' " / # ! ภภภ$ $ (Test Lung) # ' ;! 0 ภ*$ ' " % ภ( (" " % ( $ / ' - ภ* )!ภ) ' ( "4 &" $ #= *$ ;! " ' " / #+> ภ4 ( ( $ $! ' % (ภ? ' ' / ;! ; - ภ( $*+*$ - # ภ$ ( *++, ($" # ภ- $ ภ( " # *$ ( ภ"# = ' * ภ( " ( " ) ' " # ' * *$ %3 ( / # ' ( "4 &" $ #= *$ - " # (ventilator) ' ( ( "4 ( / " "( ;! ; * ( ; $ ' ( ภ9 9 $($ ภ*/ * *$ ( %: " ( ภ$# ภภ@$ " #0$ * *$ ( %: ภ( % ventilator ภ' ( ภ( ภ9 # ภ$ ภ4 (medical grade oxygen) ภ(ventilator) ภภภ' " # % ภ34 - ภ# ภภ#% ($ "( ภ= ภ#%*" ภ3 4 % ภ34 - ภ/ ภ= (ภ? "# ภ% ภ34 * $ ( ภ( ภ$ #" *$ ( % ภ34

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2. " SAV2500 Ventilator " ' " % ภ( (" " % - ภ$ ( " # ภ( ( "4 &" ŕ¸

" ($ #" # " ภA " $( , end tidal CO2 3(volume) ;! " : ภAภ( " $( end tidal CO2 ภภ" 3 ภภ# $ % " & (volume) ภภA 3 #' *" " # 3#' " B !: * ภbellows $ " 3 400 . (ภ*" " 3 )!ภ* # 300 )B 320 . ( ภภ# $ ' (pressure) ภภA " $( " (:: 4 " : ' " $( 15 )B 18 cm H2O /3 # ภmanometer " $( / ( "4 &" $ ( ! $ ! Bภ#ภ( ภ* $( ภ" $( ( "4 &" " # (inspiratiory time) ภภ$ " $( ( "4 &" $ " # (inspiratory time) I (ภ?3 J / SAV2500

ภภ# $ End Tidal CO2 ภภA ETCO2 " (:: 4 " : ' ETCO2 35-45 mmHg *$ " ภ# ' " ภ#/ ( "4 &" $ ภ( ETCO2 ภภ0$ ภภ$#' " ภ# ventilator

ภ( ภ) ventilator ' (front panel)

' ( @$ @$ ventilator $ " "/ " # # (inspiratory cycle) ภ" = 3 " % 3 * ( "4 "& $#' " ภ# (4-40 BPM)

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' (Back Panel)

*++, * #' I ' ( +> ภ4 ( 9B %: ventilator ภ# ภภ$*++, /($/ ภภภ# / " "( – # ' ภ# $/($ ภ$ " *++, ภ( *$ % – 3 " $( ) 0$ ภ( inspiratory time inspiratory flow #' *" " ( +> ภ4 ( I ภ( ภ' ภ#)B 20 ( Inspiratory time $ *$ ( ภ# ( ภinspiratory time " # * " " " # # )B ( ( - ( 20 ภ# # 3 " *$ ( ภ# / / ภ( inspiratory /expiratory breath) bellows ' ( ภ# ( * )B ภ# ภ# 20 ( ภ= " ' (: / #" #' I ภ" % ( *$ )B #' " ภ# ภ(desired number of breaths) ภL 9 )!ภ/( # ภ# ภ' ( I *++, / ( +@" 4 $ ( (250 0" 4, ½ Amp.) ภ9 # (++M 32359B8 cuffed hose # ภ* ( ภL 9 / (drive gas inlet) " 4" ' ( $ " $( " $ ( ! $ ( I " ( #' ภ($ $( ' ( ( "4 &" " $ ( @$# ( *" ภ60 cm H2O (Âą5 cm H2O) " 4" # @$ ภ" % $( $ ภventilate ( "4 =ภภ% : 0$ ภ' / " 4" # @$ (++M 32359B8 cuffed hose # ภ* ( drive gas supply port 4


adapter " 30 *19 (1.18 " * 0.75 ") waste gas evacuation hose ( ภL 9 )

supply

' ( bellows ventilator ภ( bag port $

3. ภ+ (Setting Up The Ventilator) 3.1 $ " $( $ " ภ( " * ภ# ' " # ' * )!ภ3.2 ' ) $)% # (breathing bag) ภ# ภbag port $ $ rebreathing circuit ภ( " 4" # / / # ภ(inhalation/exhalation valve) @$ pop-off valve/pressure relief $

3.3 ภ/ / 122 9 .(48â€?) cuffed hose ภ( back port / ventilator ภ/ B ภ( supply hose inlet $ 9 ( bellows 3.4 / B / 30.5 9 .( 12â€?) cuffed hose ภ( drive gas inlet ! $ /" ( bellows ภ/ B ภ( port ! $ ( ventilator labeled bellows 3.5 0.91 .(3 +% ) green oxygen hose ( ภ9 # / "/ $ 3 +% )ภ( port labeled O2 supply ! $ ( / ventilator " (" /( ภ9 # (" B # ( $ ( / ventilator labeled oxygen supply / ภ(" B / ( DISS female fitting / ภ9 # # I ภ" , ภ( 5


oxygen fitting $ ( " # " 0$ * ( # ภ$ / ภ9 # ภ( oxygen supply (

ภ9 # ) ภ9 # $ " $( 50-50 PSI ภOxygen Wye piece #($ ภ( ventilator ) $ ( ภ( ventilator ! $

3.6 *+ (Rภ/ outlet " *+ / " converter / *+ 3.7 Test Lung ภ( / breathing circuit 3.8 19 .(0.75 ") waste gas evacuation hose ภ( purple adapter ! $ ( bellows 3.9 - % @$ ภ9 # (oxygen supply) /3 ventilator ' ( ภ$ " ภ'( ventilator (Testing the Ventilator) ( $ " @$ ภ9 # test lung " ' " % ภ( " # #' ( "4 &" ! ภ( $ 1. ภ$ flush valve $ ภbellows /B $ % flowmeter /B * 1.5 )B 2 LPM bellows ( " ! $ ( * " $( manometer 2. % %& Inspiratory flow Control " /= S ภ* ' “OFFâ€? ภ* 3. % Inspiratory time control * 12:00 S ภ( ภ) 4. ( ( ( # ) 10 5. % @$ " 4 ON/OFF * ON 6


6. ventilator " # ภ' ( * / test lung - @$ inspiratory flow control knob Ÿ " " ภ# ( # ภ" test lung ' (" ภ( $# 9B ภ" # # B ภ( " # ภ!$ # / ( "4 &" %/ $ ) 10 # *$ $ " ภ* ภ% Pressure Relief Valve( ภ) 1. ( ภ" % ventilator ภ" ภ$ (test procedure) 2. % ventilator * ' OFF 3. flowmeter ! 1.5 )B 2.0 LPM 4. ภ$ transport breath button *" bellows # $ * 1500 5. /3 ภ$ transport breath button *" % pressure relief valve " /= S ภ$! bellows / B 6. $! manometer " $( /B )B $( ภtransport Breath 7. $ $!" " 4"# )B ( *" # ภ( =ภ" )B $( +/- 5 cmH2O

4. ภventilator – ( # ! " *$ ' ภ$ $( ภ( "/ $ ! $ ภภ( "/ # ; ภ' / ventilator UVภ9 ภventilator ภ( Test Lung # ภ( ! Bภ( # " / # ventilator ภ* )#($ภภ( *$ ภ( $ ( ventilator ภ( (" ( "4 &" ( Inspiratory Time breaths/minute ' ภ" % inspiratory flow # ภ( *$ 3 ภ#' *" " ภ% inspiratory flow control % - " % ภ( ventilator ภ# (Breaths/Minute) ) *$ 0$ ภ% (" " % Breaths/Minute * " # $#' " ภ# ภflow rate ! ภ* " # inspiratory " ภ* # ' ภ$ high circuit pressure $! manometer " $( / ( "4 &" $ ( ภ" % , ภ( ( $( 7


"( )% 4/ ventilation ' ภ#0$ ภภ( ภ# / ( "4 &" ภ%$ # ' *$ ( ventilator # ! Bภภ( I ' ' ภ( ภ" % Inspiratory Time * 9 # ภ( ( * /" ( ภ$! " "/ " # ภ#" /B $ ( "# Manometer " $( / ( "4 &" $ / ภ( / 5. ภ'/ ภ0 % %12 ภ'/ ภ0 %3 % ! - ภ' " $ ventilator supply hose , bellows housing bellows 9B ) $ ภภ' ภ( ภW 4 * ' ภX 0 Ethylene Oxide (ETO) Bellows Diaphragm Diaphragm ! bellows 9B "# ! " @$*" $ * "# $ ' =ภ- ! " ภ/ diaphragm ! ( "# ภ, J ภ/ $ I ) ' ภภ#' I

% #" * $ diaphragm ภ* " ภ( * housing Bellows Flutter Valve " "# Flutter valve $' ภ/ $ 19 ! $ / bellows diaphragm ' ภŕ¸

#' I ( "# J ภ/ $, " , I ) Bellows Ring Seal

" "# " " $' - " / Bellows assembly I #' #" @$9 ( "# = ภ, J ภ/ $ I ) % - %ภ" / " # bellows , amber bellows cover " *$ ( ภ"# = I #' ภ( ' ภภ#' I

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%12 $! bellows assembly ภ*$ Appendix A %12 ภภ4 Bellows * *$ ! " $ " $( / $ "# ( " / canister, bellows $ ( "/ bellows : ) $ bellows, ภ( , U& %$ @$ # * 1 *" # ภ( % bellows $ /" /B ( ภ* ( " hold bellows *" ) "# *$ + (diaphragm 32102B17) #" *$ " ! ' " " )B flutter valve (32037B5) " " "# ring seal(3241117) - bellows assembly "# # ภ9 # * ( $ " # Line pressure " $( " ! 50-55 psi "# amber bellows cover(32411B19) #" = ! ' " Ventilator * '

I " # ( ภ' # $( ภRภ)

"# " 4 @$/ @$ ON/OFF "# ( $!" *+ / " " converter ภ* "#$! ภ*+ ภ( * *+ / " # power supply(32411B10)

* ( ภ" #* ' *+ / "/B power supply "#$!+@" 4 (32205B5-250V, ½ AMP) ! $ ( ventilator ภ#' I Bellows # *

ventilator ' I " #

"# bellows assembly #" " %ภ" = )!ภ' " ภภ9 # ( " ) "# - " ("/ ventilator ## tubing * *$ $ ## ventilator * "# =

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6. "+ ( %ภ&6 (Supplies and Accessories)

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