Operation

Manual

OPERATION MANUAL
MICROTAK 920 RESGATE VENTILATOR

Equipament Code: 201050011-I

Manual Code: 204010203-003
Data:(Dec/2008)
This Operation Manual has the information that is necessary for the proper usage of the Microtak 920
Resgate Ventilator

Manufacturer:
K. Takaoka Indústria e Comércio LTDA
Rua General Izidoro Dias Lopes, 121/141
Bairro Vila Paulicéia - São Bernardo do Campo / SP
ZIP: 09687-100
Telephone: (55 11) 4176-3500
Fax: (55 11) 4176-3570
Website: www.takaoka.com.br
E-mail: kt@takaoka.com.br
CGC: 61.489.381/0001-09
I.E.: 635.547.970.118
Suggestions, doubts or complaints:
Call Center: (55 11) 4176 3600

Product Registration at the Health Ministry:

Technical Name: Pressure Pulmonary Ventilator

Trade Name: Microtak 920 Resgate Ventilator
Registration Number at the Health Ministry: 10229820078

Product Classification:

• IEC-60601-1:1988+amendment 1994– (Medical electrical equipment - Part 1: General requirements

for basic safety and essential performance)
• IEC 60601-2-12/2001- (Medical electrical equipment - Part 2-12: Particular requirements for the
safety of lung ventilators - Critical care ventilators)
• EN794-3 :1998- (Lung ventilators - Part 3: Particular requirements for emergency and transport
ventilators;)
• Equipo Clase 1 – Energizado Internamente
• Tipo B – IPX1 – Operación continua

Technician in charge:

Engineer Alexandre Rodrigues da Silva.

CREA: Registration number 0682082567

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 READ CAREFULLY

This manual was developed aiming solely at providing

enough information to guide the user in the

operational functions of the equipment in question,

not supplying, mentioning or guiding the user in

clinical procedures of any nature. To use this

equipment properly, it is vital that the operator already

knows such procedures.

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DEFINITIONS

Warning
Warns the user about the possibility of injury, death or other serious adverse reactions
associated with the use or misuse of the equipment.

Attention
Warns the user about possible problems with the equipment, associated with its use or
misuse, such as equipment malfunction or failure, damage to the equipment or damage to
third party property.

Note:
Emphasizes important information

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THE COMPANY

K. TAKAOKA is a company that for more than 45 years has been dedicated to the hospital equipment
industry, always in close cooperation with physicians. Operating mainly in the areas of Anesthesia
Machines, Intensive Medicine, Monitoring and Oxygen Therapy, K. TAKAOKA is proud of its leading
position in the market having a large range of products.

Having as one of its priorities the continued investments in the research and development of new ideas
and solutions, K. TAKAOKA has distinguished itself through the constant introduction of technological
advances and industrial innovations in its line of products, which puts it on a par with its principal national
and international competitors.

Using sophisticated equipment, K. TAKAOKA designs and manufactures most of the components for its
machines, which explains the strict quality control they are submitted. The company is also concerned
with supplying top quality assistance to all customers by means of its Sales and Technical Assistance
departments.

With representatives throughout Brazil and also having a presence in the international market, K.
TAKAOKA has justly deserved its customers’ confidence over the years, in its high-quality standards and
the great efficiency of its products and services.

K. TAKAOKA IND. E COM. LTDA.

Rua General Izidoro Dias Lopes.121/141
Bairro Vila Paulicéia – São Bernardo do Campo / SP
ZIP: 09687-100
Telephone: (55 11) 4176 3500
Fax: (55 11) 4176 3570
E-mail: kt@takaoka.com.br:
Website: http://www.takaoka.com.br

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Figure 1. MICROTAK RESGATE Ventilator

CONCENTRAÇÃO O2 %
80 85

75 90

65 95

50 100
CICLO MANUAL

PACIENTE

Figure 2. MICROTAK RESGATE Dimensions

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TABLE OF CONTENTS

DEFINITIONS .............................................................................................................................. 4
THE COMPANY........................................................................................................................... 5
1 IMPORTANT INFORMATION ......................................................................................... 8
2 GENERAL DESCRIPTION .............................................................................................. 11
3 TECHNICAL SPECIFICATIONS.................................................................................... 13
4 OPERATING PRINCIPLES ............................................................................................. 14
5 CONTROLS AND COMPONENTS ................................................................................. 15
5.1 LIST OF COMPONENTS .................................................................................................... 15
OPTIONAL ACCESSORIES............................................................................................................. 15
5.2 FRONT VIEW .................................................................................................................. 15
5.3 LEFT SIDE VIEW ............................................................................................................. 20
5.4 RIGHT SIDE VIEW ........................................................................................................... 21
5.5 KT-300 UNIDIRECTIONAL VALVE .................................................................................. 22
5.6 BATTERY ........................................................................................................................ 23
6 CONTROL DISPLAY ........................................................................................................ 24
6.1 MAIN SCREEN ................................................................................................................ 24
7 DISPLAY ALARMS AND MESSAGES........................................................................... 26
8 ASSEMBLING AND PREPARING THE VENTILATOR ............................................ 27
8.1 MOUNTING ..................................................................................................................... 27
8.2 SUPPLY ........................................................................................................................... 27
8.3 BREATHING CIRCUIT ...................................................................................................... 28
9 OPERATION....................................................................................................................... 29
9.1 SELECTING VENTILATION MODES .................................................................................. 29
9.2 VENTILATION MODES .................................................................................................... 29
9.2.1 CMV - controlled mandatory ventilation .............................................................. 29
9.2.2 A/C - assisted/controlled ventilation ..................................................................... 30
9.2.3 SIMV - synchronized intermittent mandatory ventilation ..................................... 31
10 CLEANING AND STERILIZATION........................................................................... 32
11 MAINTENANCE ............................................................................................................ 36
12 SYMBOLS ....................................................................................................................... 38
13 TERMS OF WARRANTY ............................................................................................. 39

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1 IMPORTANT INFORMATION

The MICROTAK RESGATE Ventilator is a medical device that includes in its design sophisticated
mechanical and electronic components. It should only be operated by qualified, specially trained
professionals. Pay careful attention to the warnings and recommendations contained in this manual.

Ventilation

After the ventilation starts, check if the values resulting from the breathing rate indicated by the
display and the tidal volume are adequate.

Check the adequate adjustment of the alarm limit for the maximum inspiratory pressure.

To prevent accidental disconnection or gas leakage in the breathing circuit, make sure all
connections are tightly secured.

Keep the patient under constant observation. Frequently watch the patient's pulmonary expansion
and free exhalation.

Frequently check the endotracheal tube connection’s tightness.

Electric Supply and Internal Battery

Only attach the equipment power cable to an outlet that is properly grounded and approved for
hospital use. The plug should be Nema-type 5-15P 3-wire grounding.

Keep the internal battery charged at all times so the Ventilator keeps working even if the electric
distribution network fails or for transport. To do this, the Ventilator must be continuously connected
to the distribution network, even when switched off.

Recharge the battery after using the Ventilator for a few hours with no distribution network supply
so that it is ready for the next use.

Fully recharge the battery when the Ventilator is left unused and disconnected from the distribution
network for more than 20 (twenty) days.

The internal rechargeable battery must not be removed, and to maintain its charge, the ventilator
must be connected continually to the electric network.

If the internal battery is feeding the Ventilator and the low battery alarm is activated, the Ventilator
must be immediately connected to the electric distribution network.

The Ventilator should be operated using the internal electrical power supply when there is any
doubt as to the reliability of the safety ground conductor installation.

Fire and Associated Risks

Do not use the equipment in the presence of flammable agents. Use restricted to non-flammable
anesthetic agents. To avoid the risk of combustion, do not apply oil or grease on the equipment.

To reduce the risk of fire, only use tubes and circuits designed for oxygen-enriched environments.
Do not use electrically conductive or anti-static tubes.

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In case of fire, take care of the patient's needs immediately, turn the Ventilator off and disconnect it
from the electric and gas sources.

Since this device is not adequate for use with flammable anesthetic agents, such as ether and
cyclopropane, it is not necessary to use breathing tubes and anti-static facemasks. Using anti-static
or electrically conductive breathing tubes while using electrical equipment for high-frequency
surgery can cause burns and, therefore, this is not recommended for any application with this
equipment. Also to avoid the risk of combustion do not apply oil or grease on the equipment.

Electromagnetic Susceptibility

The equipment may suffer slight interference from certain transmission devices (for example: cell
phones, walkie-talkies, wireless phones, pagers, high-frequency surgical equipment (diathermy),
defibrillators, short-wave therapies), without causing interruption in equipment functioning. Do not
use such devices near the Ventilator.

Do not use the MICROTAK RESGATE Ventilator in an environment where there are CAT scan
machines.

This ventilator is not susceptible to electromagnetic interference.

This ventilator does not generate electromagnetic waves that interfere with the operation of nearby
equipment.

Waste ("trash")

All parts of the equipment that had contact with any fluids originating from patients (e.g.: breathing
circuit, etc.) are potentially contaminated. Known as semi-critical, they must undergo a high-level
disinfection or sterilization process before being discarded (at the end of their service life) or
otherwise discarded as potentially infective hospital waste.

Discard all parts removed from the equipment in accordance with your organization’s part and
component disposal protocol. Follow the local governmental recommendations regarding
environmental protection, especially in the case of electronic waste or electronic pieces.

Miscellaneous

Do not press any key using surgical instruments or tools. Only use your fingertips to press the
keys. Hard or sharp objects may damage them.

Measurement unit: Some pressure units are indicated in cm H2O, millibars (mbar); meanwhile
hectopascals (hPa) are used by many institutions instead of cm H2O. 1 mbar equals 1 hPa that
equals 1.016 cm H2O.

Make sure the Ventilator is correctly set up and that the alarms are properly adjusted before using
the equipment.

While the ventilator is on stand by (stand by) mode, all alarms will be soundless.

Set up an appropriate cleaning and sterilization routine for the Ventilator components.

All Ventilator applied parts are made of inert, non-toxic material that does not cause irritation or
allergic reactions in the patient.

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Read this Operation Manual very carefully so that the equipment is used correctly and maximum
benefit is obtained from all of its features.

The Ventilator must undergo an annual overhauling by a TAKAOKA authorized technician to be re-
calibrated.

Any required repair to the Ventilator should only be performed by TAKAOKA’S specialized and
authorized technicians.

TAKAOKA product technical features are subject to change without prior notice.

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2 GENERAL DESCRIPTION

The MICROTAK RESGATE pulmonary Ventilator is an electronic respirator designed for respiratory
insufficiency applications in emergency and transportation therapy. Due to its several ventilation modes,
this equipment may be applied to a broad range of medical procedures.

The table below presents three basic ventilation mode adjustment options, with the mode variations that
can be obtained through the adequate adjustment of the MICROTAK RESGATE Ventilator controls.

Adjusted Backup Sensitivity

Modality Possible Modes Ventilation ¹ Control ²

CMV (Controlled Mandatory

CMV - -
Ventilation)
A/C A/C (Assisted/Controlled
Ventilation) - Yes
SIMV (Synchronized
SIMV Intermittent Mandatory Ventilation) IMV (Non- Fixed = 2 cmH2O
Synchronized)

The following notes apply to this table:

1
( ) The modes that require patient inspiratory effort to trigger breathing have an apnea
protection system, through the backup rate. This feature provides increased safety
for the patient.

Some additional MICROTAK RESGATE Ventilator features are described below:

Digital controls for the main ventilation, breathing rate and sensitivity parameters.

Endotracheal pressure electronic manometer, with graphic display through a linear bar graph
manometer (bar graph). The pressure gauge shows the last inhalation’s maximum pressure
value during the expiratory phase, allowing for a better viewing of this parameter.

Maximum inspiratory pressure audiovisual alarm and endotracheal catheter disconnection,

greatly increasing therapy safety.

Audiovisual alarms to indicate occasional failures in the Ventilator's supply systems,

including oxygen system and low internal battery, with display indication.

Assisted cycle pressure triggering.

Stand by condition activated manually at any time to prevent audible alarms during patient
preparation or any other special event.

Electronic manual inhalation button.

Main on/off key.

Incorporated pressure-regulating valve.

PEEP valve.

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Safety valves to prevent asphyxia and high pressure.

Rechargeable internal battery code no. 437010001 for events of failure in the electric
distribution network or for transportation, when the battery will feed the Ventilator
automatically.

Electric supply with 90-240 VAC network (automatic commutation) to operate the Ventilator
and recharge the internal battery.

Internal battery or electric distribution network supply visual indicators.

Ergonomic panel, with membrane keyboard and advanced design.

Upper and front handle to facilitate the MICROTAK RESGATE Ventilator transportation.

Support to mount with an antivibration system.

Silent operation.

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3 TECHNICAL SPECIFICATIONS

Classification

Electronic pulmonary ventilator (respirator) for respiratory insufficiency in emergencies and transportation
that services both infant and adult patients.
Class-I equipment (NBR IEC -601-1), with a type B internal energy source for continuous operation.
IPX1 drip-proof equipment.

Modes

CMV............................................................... Controlled Mandatory Ventilation

A/C................................................................. Assisted/Controlled ventilation
SIMV .............................................................. Synchronized Intermittent Mandatory Ventilation

Ventilation Parameters

Tidal volume ...................................................................................... 50 ml to 1000 ml (±- 5%)

Breathing rate .................................................................................... 1 to 30 rpm (+/- 1)
Limit inspiratory pressure .................................................................. 10 to 80 cm H2O (+/- 5%)
Assisted sensitivity ............................................................................ -1 to –20 cm H2O (+/- 5%)
O2 concentration ................................................................................ 50 to 100% O2 (+/- 5%)
PEEP Valve ....................................................................................... 0 to 20 cm H2O (+/- 5%)

Special Features

Electronic inspiratory pressure manometer with Bargraph, with a scale ranging from 0 to 80 cmH2O.
On/off key – stand-by key.
O2 pressure-regulating valve.
Anti-asphyxia and high-pressure safety valves.

Gas supply

Gas ............................................................................................ oxygen

Supply pressure......................................................................... 50 to 100 psi (345 to 690 kPa)
Device-regulated pressure ........................................................ 30 psi (207 kPa)
Threaded connection................................................................. according to norm NB-254/1987

Electrical Features

Internal AC/DC supply converter: 90 to 240 VAC 50/60 Hz.

Rechargeable battery # TAKAOKA 437010001, with 8 hours of autonomy (tidal volume of 400 ml, rate of
12 and O2 concentration at 75%).
Full battery recharge time: approximately 10 hours with the Ventilator switched off.
Graphic display: self-contrast liquid crystal (inactive when used with battery).
Ventilator power approximately 10 W.

Dimensions and Weight (Ventilator only)

Height .....................................................................................................................130 mm
Width.......................................................................................................................350 mm
Depth ........................................................................................................................ 95 mm
Weight........................................................................................................................ 4.1 Kg

Packaging

Individual packaging developed to support transportation and storage at a temperature of +10ºC to +

70ºC, at an atmospheric pressure of 500 to 1060 hPa and at relative humidity of 10% to 100% (non-
condensed).

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4 OPERATING PRINCIPLES

Oxygen (O2) enters the MICROTAK RESGATE Ventilator through its corresponding threaded connection.
Its pressure is reduced through a pressure-regulating valve, where there is also an outlet to calibrate the
regulated pressure. Then the gas flows to its corresponding flow control valve, which is electronically
controlled in order to supply the exact amount of gas at all times. This gas goes through a venturi that
aspires the environment gas in the proportion determined by the concentration control needle valve at the
proportion of 50% to 100%. The mixture flow is then supplied to the respiratory circuit during the
inspiratory phase. The flow value will depend on the selected tidal volume and on the parameters
adjusted in the machine.

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5 CONTROLS AND COMPONENTS

5.1 List of Components

The following components are supplied with the MICROTAK RESGATE Ventilator:

Code Item Quantity

202010396 Complete PVC adult breathing circuit 02
202011181 O2 Extension 01
202011417 Support to mount the ventilator 01
202011539 Support for mounting/stretcher 01
204010203 Operation Manual 01

Optional accessories
Code Item Quantity
Complete Silicone adult breathing
202012030 01
circuit

5.2 Front View

The items listed below refer to the front and lower view of the MICROTAK RESGATE Ventilator.

1. Ventilator Control Display

Liquid crystal display that centralizes the regulating functions for the ventilation parameters, alarm
messages and other information related to the Ventilator's operating conditions. The functions of this
display are described in detail in the Chapter – "Control Display".

2. Breathing Rate Key

Key to adjust the respiratory rate. When pressed, this key highlights the rate value in the display so that this
numeric value can be adjusted by means of the increase (6) and decrease (8) keys. The adjustment is
performed directly in breaths per minute.

3. Alarm Muting Key - RESET

Key with two different functions:
1. By pressing this key when any alarm is triggered, the alarm system will be muted for 2 minutes.
In case there is any other alarm condition during this two-minute period, the muting will be
canceled and a new alarm will sound. The visual RESET indicator will remain lit continuously
while there is a temporary alarm muting condition active.
2. When pressed again during the mute alarm period, the alarm will return to its normal function.

4. Alarm Test
Key which, when pressed, will show the message TST on the display, will sound the alarm and blink the
led (15) indicating an alarm condition.

5. Limit Inspiratory Pressure Key

Key to adjust the maximum inspiratory pressure limit. When pressed, this key highlights the value for the
maximum inspiratory pressure limit in the display so this numerical value can be adjusted by means of the
increase (6) and decrease (8) keys. The adjustment is made directly in cmH2O.

6. Control Display Decrement Key

Located on the Ventilator's configuration screen, this key decreases the value of the parameter
highlighted on the display. To change the value slowly, press this key intermittently. To change the value
quickly, keep this key pressed.

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7. Confirmation Key – ENTER
Key used to confirm the adjustments performed by the operator in the Ventilator controls. This key should
be pressed in the following cases:
1. After the value adjustment of each ventilation parameter, using the increment (6) and
decrement (8) keys.
2. After selecting the mode through the SENSIBIL (19) key.

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8. Control Display Increment Key
On the Ventilator set-up screen, this key increases the parameter value highlighted on the display. To
change the value slowly, press this key intermittently. To change the value quickly, keep this key pressed.

9. Stand-by Key
When this key is pressed, the Ventilator will switch to the stand-by mode and the corresponding visual
indication will be lit on the display (STB). The Ventilator will remain inactive until the operator presses the
STAND BY key again to manually cancel this condition.

10. Breathing System Connector (PATIENT)

22-mm male conical connection to interconnect the corrugated tube (tracheal) that takes the inspiration
gases from the ventilator to the patient.

11. Connector for INSPIRATORY PRESSURE Inlets

Tube connection for pressure monitoring. The other end of the tube must be connected to the KT-300
valve nozzle.

12. MANUAL CYCLE Button

The manual inspiration button launches a new ventilator inspiratory phase as soon as it is pressed for a
while.

13. Oxygen Inlet Connection

Quick coupling connection for the oxygen extension tube that comes with the Ventilator. It must be
interconnected to this gas’ supply sources (mains or cylinder). The oxygen supply pressure must be
between 50 and 100 psi (345 and 690 kPa).

14. On/off key

Electro-pneumatic main switch that, when in the off position, cuts gas flow and turns the Ventilator's
electric circuit off automatically.

15. Alarm Light

Red-lighted indicator of the Ventilator’s audiovisual alarms. This indicator will be activated when an alarm
condition occurs.

Warning
This alarm indicates an emergency condition.

16. O2 CONCENTRATION Button

Control that directly adjusts the oxygen concentration, 50 to 100%, in the inhaled gases.

17. Tidal Volume Button

This allows the adjustment of the mandatory tidal volume from 50 to 1000 ml in the CMV,
Assisted/Controlled and SIMV modes. The adjustment is performed directly in milliliters, observing the
scale highlighted on the panel.

18. Upper Handle

Handle used to transport the Ventilator.

19. Assisted Sensitivity Key

Key to adjust the necessary negative pressure level (trigger) to allow the patient to trigger a Ventilator
cycle, in the Assisted/Controlled modes. When pressed, this key highlights the sensitivity value in the
display, allowing this numeric value to be adjusted by the increment (6) and decrement (8) keys. The
adjustment is made directly in cmH2O (negative pressure).

When the sensitivity is on, the ventilator switches automatically to the A/C mode.

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Notes:
The value adjusted by this control refers to the negative pressure level to allow the patient to
trigger the cycles.
In order to facilitate the correct sensitivity adjustment, the TRIGGER message appears for a while
on the control display whenever the patient is able to trigger a Ventilator cycle.

20. Endotracheal Pressure Gauge

Bargraph-type linear manometer, indicating the changes in endotracheal pressure through a horizontal
bar on a scale from 0 to 80 cm H2O. The maximum adjusted pressure value is kept shown on the
manometer for a better viewing of this parameter. Aside from this graphic presentation, the inspiratory
pressure is also shown digitally and graphically in the monitoring display.

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 15

14

13
16

12
17

11
PACIENTE

10
18

9
19

7
6
20

5
4

3
1

Front View – MICROTAK RESGATE Ventilator

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21. Inlet for the Power Cable - 100-240v AC
Inlet to attach the Ventilator to a 100 to 240v AC power supply by means of the removable power cable
provided with the Ventilator. This cable has a 3-pin connector to be coupled to a properly grounded
distribution network.

Notes:
The ventilator can be supplied with voltage between 100 and 240v AC as it has automatic voltage
conversion.

22. Output Fuses

Compartment with fuse for Microtak Resgate's electric protection.

23. Grounding connector

Connector used to ensure the Ventilator is correctly grounded when electricity is being supplied by means
of an external 12 VDC battery. In this case, attach the ground wire plug (provided with the Ventilator) to
this connector. The pincers on the other end of this wire should be fixed to a suitable grounding point at
the location where the Ventilator is being used. It is essential that the Ventilator be properly grounded
to ensure the safety of the patient and to avoid damage to the equipment.

24. Nebulizer Outlet

Nebulizer outlet with continuous flow.

21 22 23 24
Lower View – MICROTAK RESGATE Ventilator

5.3 Left Side View

The items listed below refer to the left side view of the MICROTAK RESGATE Ventilator.

1. Support
Support equipped with an antivibration system used to mount the Ventilator.

2. Valve for the Pressure Calibrator – Oxygen

Tap for the pressure calibrator manometer used to measure the pressure value. Regulated by the valve
(4), this is designed to facilitate the maintenance performed by an authorized TAKAOKA technician.

3. Upper Handle
Handle used to transport the Ventilator.

4. Pressure Regulating Valve – Oxygen

This valve reduces the oxygen pressure that feeds the Ventilator to 30 psi (207 kPa).

5. Oxygen outlet
Auxiliary oxygen outlet for flow meter connection.

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 2 1 5

Left Side View - MICROTAK RESGATE Ventilator

5.4 Right Side View

The items listed below refer to the right side view of the MICROTAK RESGATE Ventilator.

1. Room Air Inlet

Room air inlet point equipped with a filter.

2. Grounding connector
Connector used to ensure the Ventilator is correctly grounded when electricity is being supplied by means
of an external 12 VDC battery. In this case, attach the ground wire plug (provided with the Ventilator) to
this connector. The pincers on the other end of this wire should be fixed to a suitable grounding point at
the location where the Ventilator is being used. It is essential that the Ventilator be properly grounded
to ensure the safety of the patient and to avoid damage to the equipment.

3. 12 VDC Electric Outlet

Electrical socket to supply electricity to the MICROTAK Ventilator by means of an external 12-VDC and
780-mA rechargeable battery. This is useful for transportation or as a spare source of energy.

Note:
When an external 12-VDC battery is used to supply electricity to the Ventilator, a grounding cable
must be connected to point (2) of the back view.

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 1

Right Side View - MICROTAK RESGATE Ventilator

5.5 KT-300 Unidirectional Valve

The KT-300 Unidirectional Valve is supplied with the MICROTAK RESGATE Ventilator being used to
mount the respiratory system.

This Valve should be disassembled periodically for component disinfection, for inspection or for
diaphragm replacement. The figure below presents the KT-300 Unidirectional Valve assembly scheme.
Its inspiratory branch has a 22-mm (male) conical connection, the expiratory branch has a 22-mm
(female) connection and the patient's branch has a 22-mm (male) and a 15-mm (female) – for the
endotracheal tube connector or for the mask.

The breathing system Valve assembly should be performed according to the identifications written on its
three sides: inspiration, expiration and patient.

Attention
Periodically check the cleanness and perfect state of conservation of the KT-300
Unidirectional Valve diaphragm. In case there is any fissure, deformation or any other
abnormality in this component, replace it for a new one.
For perfect assembly, first couples the diaphragm set in the cap (by correctly fixing the pin
into the orifice), and then couple the valve's threaded cap.

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KT-300 Unidirectional Valve

5.6 Battery
The MICROTAK RESGATE Ventilator has a rechargeable internal battery, which allows it to keep
working in case of a distribution network failure.

Autonomy

When the rechargeable battery is fully charged, it can keep the Ventilator functioning for approximately 8
hours (e.g. 400-ml tidal volume, frequency of 12 and O2 concentration at 75%).

Battery Recharge

It takes approximately 10 hours to fully recharge the battery with the Ventilator disconnected.

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6 CONTROL DISPLAY

6.1 Main Screen

This is the screen normally displayed during ventilation, as illustrated in the Figure below.

The upper part indicates endotracheal pressure variation through the Bargraph linear manometer on a 0
to 80 cm H2O scale.

The bottom part of the screen shows adjusted ventilation numerical values. The side portion of the screen
shows written messages regarding the Ventilator’s operational conditions, including mode, alarms, etc.

The main screen’s most important functions are described below and consist in the adjustment of
ventilation parameters, mode indication, operating messages and alarm messages.

TST message.............alarm test

Main control display screen.

1. Ventilation parameter adjustment

The ventilation parameters, as adjusted by the operator, are shown continuously in the lower row of the
control display. Next to the display values below, there are identifications of the respective parameters as
well as the quick access keys for their adjustment. The ventilation parameters presented are shown in the
following table.

Note:
For more information on these ventilation parameters, see the description of the respective quick-
access adjustment keys in item 5.2 – “Front View.” Chapter 3 – “Technical Specifications” –
provides the variation ranges for adjusting ventilation parameters.

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2. Modality indication and messages
The selected ventilation mode is displayed on the right side of the control display. The options are: CMV,
A/C and SIMV. Item - “Ventilation Modalities” - describes all of the ventilation modes available in detail.

For each control mode, the display can show complementary messages about specific Ventilator
regulation and operation conditions.

3. TRIG (assisted triggering)

Message that appears briefly on the display whenever the patient triggers a Ventilator cycle. This
indicator allows one to visually follow-up on the patient's capacity to trigger the Ventilator's cycles, making
it easier to regulate the sensitivity control.

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7 DISPLAY ALARMS AND MESSAGES

MICROTAK RESGATE Ventilator's monitoring display has an audio-visual alarm system for the
ventilation parameters, ensuring increased safety during ventilation. This system includes the maximum
inspiratory pressure alarm.

If there is an alarm condition for any parameter, the Ventilator will present the following indications:

a) Intermittent audio signal.

b) Parameter numeric value blinking on the display while the alarm condition persists.

c) Blinking written message to help the operator quickly identify the condition that is generating the
alarm situation.

d) A flashing red light appears for immediate alarm visual identification.

Note:
If there is more than one simultaneous alarm condition, all corresponding values will blink at the
same time and messages will alternate on the lower right portion of the screen.

Alarm Silencing

The RESET key temporarily mutes the alarms for 2 minutes. When this key is pressed while an alarm is
sounding, the Ventilator alarm system will be muted for 2 minutes. The visual RESET indicator will remain
lit continuously while there is a temporary alarm muting condition active. If the key is pressed for 2
minutes, or after two minutes the alarm is silenced, the alarm sound will be activated again.

Alarm Operation Test

Prepare the ventilator according to what is described in chapter 8. Without connecting the breathing
circuit to the patient, press stand-by and start the ventilator. The alarm will sound and the display will
show DES - from disconnection. Close the connection to the patient and, if necessary, increase the tidal
volume. Then the alarm will sound and the display will show PRM, for maximum pressure.

Manual Code: 204010203_003 26

8 ASSEMBLING AND PREPARING THE VENTILATOR

8.1 Mounting
1. Mount the support where the Ventilator will be used. This support has an antivibration system.

2. Place the four orifices found behind the Ventilator over the four mounting support pins.

8.2 Supply
1. Initially, check the general on/off key located on the MICROTAK RESGATE Ventilator front
panel.

2. Interconnect the inlet of O2 to the corresponding feeding source of this gas. Use the extension
that comes with the Ventilator.

Attention
The oxygen supply pressure must be in the range between 50 and 100 psi (345 and 690
kPa).

3. Supply the MICROTAK RESGATE Ventilator with an electric distribution network of 110 or 220
VAC via the removable power cable.

Three-pin Nema 5-15P type electrical plug.

Note:
The Ventilator can be supplied with voltage between 110 and 220 VAC as it has automatic
voltage conversion.

4. The Ventilator has an internal rechargeable battery that allows the equipment to be used
temporarily without being connected to the electric distribution network. In the event of an
electric mains network failure, the Ventilator will shift automatically to its internal battery supply
and Ventilation will not be interrupted. Its internal battery is supplying the BAT electric supply
indicator will blink while the Ventilator.

Attention
Keep the internal battery charged at all times. To accomplish this, the Ventilator can be
kept continuously connected to the distribution network even when its on/off key is in the
OFF position.

Manual Code: 204010203_003 27

8.3 Breathing Circuit
The MICROTAK RESGATE Ventilator is supplied with a breathing circuit.

The MICROTAK RESGATE Ventilator’s breathing circuit is composed of a corrugated tube with 22-mm
connectors, a KT-300 unidirectional valve and a PEEP valve. Mount in this way the inspiratory branch
(patient).

1. Check whether all of the breathing circuit components have been adequately disinfected.

2. Mount the MICROTAK RESGATE Ventilator breathing circuit as per the diagram shown on
the left side view of the device. The Water Trap is not supplied with the device.

3. Connect the inspiratory pressure sensor tube between valve KT-300 and its respective
connector on the right side of the Ventilator.

4. Connect the PEEP valve to KT-300 valve’s EXP connection and adjust the desired PEEP
value (0 to 20 cm H2O).

Attention
To prevent accidental disconnection or gas leakage in the breathing circuit, make sure all
connections are tightly secured.

Breathing circuit

Manual Code: 204010203_003 28

9 OPERATION

9.1 Selecting Ventilation Modes

The desired assisted ventilation mode selection is done via the sensitivity key, located on MICROTAK
RESGATE Ventilator’s front panel. This key allows for the selection of a mode among the A/C and SIMV
options, through the procedure described below.

1. Press the sensitivity key in order for the control display to show two blinking dashes (--) to
adjust the negative pressure value.

2. Press the increment key successive times to reach the desired value, with a highlighted
indication on the display.

3. Press the ENTER key to confirm the selection made in the previous step.

4. The control display will then enter the A/C mode. After each desired parameter is adjusted,
press the ENTER key to finalize.

9.2 Ventilation Modes

The first column of the table below shows three basic ventilation mode adjustment options, while the
second column shows mode variations that can be obtained through adequate MICROTAK RESGATE
Ventilator control adjustment.

Note:
After adjusting the last ventilation parameter in the control display, press the ENTER key when
you want to start the mechanical ventilation in the selected mode.

Adjusted Backup 2
Possible Modes 1 Sensitivity Control
Modalities Ventilation
CMV (Controlled Mandatory
CMV
Ventilation) - -
A/C (Assisted/Controlled
A/C
Ventilation) CMV Yes
SIMV (Synchronized
SIMV Intermittent Mandatory IMV (Non-
Fixed = 2cmH2O
Ventilation) Synchronized)

The following notes apply to this table:

1
( ) The modes that require an inspiratory effort by the patient to trigger breathing contain an apnea
protection system, through the backup. This feature provides increased safety for the patient.

9.2.1 CMV - controlled mandatory ventilation

In the controlled ventilation (CMV), the patient will be passive and the device controls ventilation totally.
The operator adjusts all cycles and the desired value for the tidal volume, performing volume-limited
ventilation. The control of inspiratory pressure limit functions as a safety precaution against barotrauma.

The following ventilation parameters must be adjusted in CMV:

Breathing Rate
Tidal Volume
1
Inspiratory Limit Pressure

1The inspiratory limit pressure functions as a safety limit against barotrauma due to excessive pressure.

Manual Code: 204010203_003 29

Attention
After ventilation begins, check whether the inspiratory pressure value is adequate on the
graphic bar. If necessary, reset Ventilator controls.
If ventilation is limited by the inspiratory limit pressure control, the actual volume supplied
to the patient will be smaller than the value adjusted by the Ventilator's current volume
control and this condition will be indicated in the control display by the LIMITED
PRESSURE (PRL) message.

CMV Mode: example of a pressure x time curve

9.2.2 A/C - assisted/controlled ventilation

The assisted/controlled mode can function, basically, in two different ways as far as the start of inspiration
is concerned:

1. In regular assisted ventilation conditions, the start of each cycle and the breathing rate are
determined by the patient's inspiratory effort resulting in negative pressure that triggers the breathing.
2. If the patient goes into a state of apnea or cannot trigger the equipment because the sensitivity
adjustment is very “heavy”, the Ventilator will start supplying controlled cycles (CMV) with the rate value
regulated in the corresponding control. If there is a new patient stimulus, the ventilation will return
automatically to the assisted cycles.

The following ventilation parameters must be adjusted in A/C:

1
Breathing Rate
Tidal Volume
Limit Inspiratory Pressure
Assisted Sensitivity

1
Adjust the breathing rate at a value inferior to the patient’s spontaneous frequency in order to allow the
patient to have time to trigger cycles.

Attention
After you start ventilation, check that the ventilation parameters, as indicated by the
monitoring display, are properly set. If necessary, reset Ventilator controls.
If ventilation is limited by the inspiratory limit pressure control, the actual volume supplied
to the patient will be smaller than the value adjusted by the Ventilator's tidal volume
control and this condition will be indicated in the control display by the LIMITED
PRESSURE message.

Manual Code: 204010203_003 30

 9.2.3 SIMV - synchronized intermittent mandatory ventilation

In SIMV ventilation, the patient breathes spontaneously between the Ventilator's mandatory cycles. The
beginning of each cycle and the breathing rate are determined by the patient's inspiratory effort resulting
in negative pressure (2 cmH2O) that triggers the breathing. If the patient goes into a state of apnea or
cannot trigger the equipment because the adjustment is too "heavy", then the Ventilator will automatically
switch to the IMV mode (non-synchronized) - thus ensuring backup ventilation with the rate adjusted in
the display. If the patient reacts, then ventilation will automatically return to SIMV.

Both mandatory and spontaneous cycles can be triggered by the patient and are adjusted as follows:

Mandatory cycles - The SIMV rate determines the interval that allows each mandatory cycle to be
triggered. The SIMV rate is normally adjusted to a low value (usually below 10 rpm), allowing the patient
to develop several spontaneous cycles between two consecutive mandatory cycles. The operator will
adjust the tidal volume for the mandatory cycles, and the inspiratory limit pressure will function as a safety
procedure against barotrauma.

To adjust the ventilation parameters in SIMV correctly, it is necessary to first go through the CMV mode to
adjust the CMV rate. Follow this setup sequence correctly:

a) In the CMV mode, adjust the ventilation parameters adequately;

b) In the CMV mode, adjust a new value (inferior to 10 rpm) in the frequency control, which
will command the mandatory cycle frequency. This adjusted value will be called
“frequency” and “SIMV”.

Notes:
The SIMV frequency value will be used to determine the intervals between mandatory cycles.
Even if the patient is not ventilated in the CMV mode (or A/C), it is necessary to enter in this
mode during the Ventilator’s adjustment phase to regulate the “CMV frequency”.

The following ventilation parameters must be adjusted in SIMV:

1
Breathing Rate ≤ 10 rpm
Tidal volume
Limit inspiratory pressure

1
Adjust the breathing rate at a value inferior to the patient’s spontaneous frequency in order to allow the
patient to have time to trigger cycles.

SIMV Modes: example of a pressure x time curve

Manual Code: 204010203_003 31

10 CLEANING AND STERILIZATION

Attention
Switch Ventilator MICROTAK RESGATE off before cleaning it. Do not immerse the device
into any liquid.

1. To clean the Ventilator’s external parts, use a clean and soft cloth dipped in isopropyl
alcohol or an appropriate germicide solution, taking all due care in order for no cleaning
product residues to accumulate on the device connections. After cleaning, dry with a
clean, soft and dry cloth.

2. To clean the Ventilator's displays, use a soft and clean lint-free cloth. Do not use paper
towels or rough cloths so the screen surface is not scratched.

3. Do not use abrasive agents when cleaning.

4. The breathing circuit components should be disassembled for disinfection or sterilization

after being used with each patient, including: the KT-300 valve, corrugated tube and the
pressure sensor tube. Use an appropriate germicide solution or ethylene oxide.

5. The corrugated tube, the KT-300 valve, the diaphragm, the pressure sensor tube and the
other components are not autoclavable.

6. Cleaning the KT-300 valve diaphragm is fundamental for correct ventilator operation and
this should be done periodically.

Attention
When using ethylene oxide, follow the instructions provided by the manufacturer of the
sterilizing equipment for deciding on the correct temperatures and aeration times
indicated.

RECOMMENDATIONS FOR PROCESSING TAKAOKA MECHANICAL VENTILATION AND

ANESTHESIA EQUIPMENT COMPONENTS

The hospital accessories used in gas anesthesia and mechanical ventilation are classified as semi-
critical, due to the potential risk they pose for transmitting infection. Semi-critical articles are all those that
come into contact with mucous membranes and are capable of preventing invasion of the sub-epithelial
tissue, and which require high-level disinfection or sterilization to ensure quality in multiple-use situations.

Choosing the processing method - disinfection or sterilization - depends on the nature of the materials.
TABLE 1 presents the recommended methods for processing TAKAOKA anesthesia and mechanical
ventilation equipment components, considering their composition and technical specifications. The
recommended methods are: cleaning, chemical disinfection and gas or chemical sterilization. Processing
should be performed according to a sequence of steps, depicted in the following flowchart.

DISINFECTION – A physical or chemical process that destroys all microorganisms, except for those with
spores.

HIGH-LEVEL DISINFECTION – A process that uses disinfectants that are effective against all vegetative
forms, partially destroying spores when used for between 10 and 30 minutes at a time.

STERILIZATION – Process that completely eliminates or destroys all microorganisms, including spores,
and is performed by physical or chemical process.

CLEANING - A process that removes soil and organic matter from any surface.

Manual Code: 204010203_003 32

 FLOWCHART 1

Logical steps to process TAKAOKA Anesthesia and Mechanical Ventilation Equipment components

Fluxograma dos passos seqüênciais do processamento dos

componentes de Equipamentos de Anestesia e Ventilação Mecânica

COM PRESENÇA DE MATÉRIA ORGÂNICA OU SUJIDADE

CONSIDERAR TODOS CONTAMINADOS

LIMPAR

ÁLCCOL 70% PANO ÚMIDO SOLUÇÃO DETERGENTE

ENXAGUAR

SECAR

CONFORME O DESTINO DO ARTIGO

SE SE CONCLUÍDO O SE
ESTERILIZAÇÃO PROCESSAMENTO DESINFECÇÃO

MEIO FÍSICO MEIO ESTOCAR MEIO FÍSICO LÍQUIDO MEIO QUÍMICO LÍQUIDO
(VAPOR) QUÍMICO TERMODESINFECÇÃO GLUTARALDEIDO

ACONDICIONAR LÍQUIDO GASOSO IMERGIR PELO TEMPO E IMERGIR O ARTIGO

(GLUTARALDEIDO) (ÓXIDO DE ETILENO) TEMPERATURA ADEQUADOS

ESTERILIZAR IMERGIR ACONDICIONAR SECAR PREENCHER

TOTALMENTE ASSEPTICAMENTE TUBULAÇÕES

ESTOCAR ENXAGUAR COM ESTERILIZAR ACONDICIONAR ENXAGÜAR COM

H2O ESTERILIZADA H2O ESTERILIZADA

SECAR ESTOCAR ESTOCAR SECAR

ASSEPTICAMENTE ASSEPTICAMENTE

ACONDICIONAR EM ACONDICIONAR
FRASCO ESTERILIZADO

ESTUDAR ESTOCAR

Manual Code: 204010203_003 33

 TABLE 1
Recommended methods to process TAKAOKA Anesthesia and Mechanical Ventilation Equipment
components

Component Cleaning Disinfection Sterilization

Detergent NOT
Sphygmomanometer bracket NOT RECOMMENDED
Solution RECOMMENDED
Detergent Ethylene Oxide or
Anti-pollution bag Glutaraldehyde
Solution Glutaraldehyde

Rotameter block Damp cloth Synthetic phenol NOT RECOMMENDED

Detergent
Sphygmomanometer cable Synthetic phenol NOT RECOMMENDED
Solution

EKG Cable / Oximeter 70% Alcohol Synthetic phenol NOT RECOMMENDED

Detergent
Humidifier Chamber Glutaraldehyde Steam
Solution
Detergent Ethylene Oxide or
Bell Glutaraldehyde
Solution Glutaraldehyde
Detergent Ethylene Oxide or
Canister Glutaraldehyde
Solution Glutaraldehyde
NOT
Oximeter Galvanic Cell 70% Alcohol NOT RECOMMENDED
RECOMMENDED
Detergent Ethylene Oxide or
Bell Rod Set Glutaraldehyde
Solution Glutaraldehyde
Detergent Ethylene Oxide or
Air Vent Elbow Glutaraldehyde
Solution Glutaraldehyde
Detergent Ethylene Oxide or
Diaphragm Glutaraldehyde
Solution Glutaraldehyde
Detergent
Drains Glutaraldehyde Steam
Solution

Flow meter Damp cloth Synthetic phenol NOT RECOMMENDED

Detergent Steam or
Diaphragms Glutaraldehyde
Solution Glutaraldehyde
Detergent Steam or
Aspirating Flask Glutaraldehyde
Solution Glutaraldehyde

Monitor Module Damp cloth Synthetic phenol NOT RECOMMENDED

Ventilator Module 70% Alcohol Synthetic phenol NOT RECOMMENDED

Cabinet (external parts) 70% Alcohol Synthetic phenol NOT RECOMMENDED

Detergent Ethylene Oxide or

Y-Shaped Connector (nozzle) Glutaraldehyde
Solution Glutaraldehyde

Manual Code: 204010203_003 34

 Component Cleaning Disinfection Sterilization

T-Shaped Capnograph Detergent

Glutaraldehyde Ethylene Oxide
Connector Solution
Detergent Ethylene Oxide or
Mask Glutaraldehyde
Solution Glutaraldehyde
Detergent Ethylene Oxide or
Mask Strap Glutaraldehyde
Solution Glutaraldehyde
Detergent
Flow Sensor Glutaraldehyde Steam
Solution
Detergent
Auxiliary Thermometer Synthetic phenol Ethylene Oxide
Solution
Detergent
Injected Liquid Thermometer 70% isopropylalcohol Ethylene Oxide
Solution
Esophageal Temperature Detergent
Glutaraldehyde Ethylene Oxide
Sensor Solution
Detergent
Side Stream (capnograph) Glutaraldehyde Ethylene Oxide
Solution
Detergent Ethylene Oxide or
Corrugated Tubes Glutaraldehyde
Solution Glutaraldehyde
Flow and pressure sensor Detergent Ethylene Oxide or
Glutaraldehyde
tubes Solution Glutaraldehyde
Detergent
Vacuum meter Glutaraldehyde NOT RECOMMENDED
Solution
Inhalation and Exhalation Detergent Ethylene Oxide or
Glutaraldehyde
Valves Solution Glutaraldehyde

Manual Code: 204010203_003 35

11 MAINTENANCE

1. At least once a month, check that the tubes, cables, and other Ventilator components are not
damaged, worn out or cracked. If there is any damage, provide for component replacement. Do
not use damaged components.

2. Valve KT-300’s diaphragm must be carefully checked at least once a month to ensure its
integrity.

3. Valve KT-300’s diaphragm should be replaced at least once every 6 (six) months and whenever
necessary.

Note:
The connection to the patient must be securely fastened.

4. Check the condition and periodically replace the breathing circuit’s corrugated tubes, as these are
components subject to normal wear and tear.

5. If the maximum inhalation pressure does not reach the expected value, check, initially:

• that there is no leakage in the breathing circuit;

• that all connections are tight;

• that the pressure control is not adjusted too low;

• that the tidal volume control is not adjusted too low;

• that the oxygen system pressure is not too low;

• that the exhalation valve set is correctly assembled with a clean and well-preserved diaphragm.

6. If you are unable to supply the MICROTAK RESGATE Ventilator with the distribution network,
initially check:

• that there is electricity in the distribution network;

• if the O2 network pressure is not too low;

7. Only use the sensors, cables and tubes specified by TAKAOKA for the MICROTAK RESGATE
Ventilator.

8. Do not use the MICROTAK RESGATE Ventilator if the self-test detects any abnormality. Solve
the problem by calling a TAKAOKA authorized representative.

9. The Ventilator must undergo an annual revision by a TAKAOKA authorized technician to be re-
calibrated.

Rechargeable internal battery:

• Whenever possible, keep the internal battery fully charged to obtain a longer service life. Constant
battery discharges decrease the service life.

• The internal battery is sealed and does not require maintenance. In the event the battery presents
any operating problem, call the TAKAOKA authorized Technical Assistance.

• In the event it is not possible to charge the battery normally through the electric distribution
network, check whether there is power in the network tap.

Manual Code: 204010203_003 36

Attention
Only use original TAKAOKA replacement parts. Using non-original parts could be
hazardous for the patient.
Do not perform any internal service in the MICROTAK RESGATE Ventilator and do not
open its case. To perform any internal maintenance on the Ventilator or to make a periodic
revision, call TAKAOKA'S authorized Technical Assistance.

Manual Code: 204010203_003 37

12 SYMBOLS

Nº Symbol IEC Regulation Description

1 417-5032 Alternate Current

2 417-5031 Alternate and direct current

3 417-5033 Direct Current

4 417-5019 Protective grounding terminal

5 417-5017 General grounding terminal, including the functional one

6 445 Connection point for neutral conductor, in PERMANENTLY

INSTALLED EQUIPMENT
7 417-5021 Terminal or potential equalizing point

8 529 Protected against water drips

9 529 Protected against water sprays

10 348 Attention See ACCOMPANYING DOCUMENTS

11 417-5008 Turned on (without electric voltage)

12 417-5007 Turned on (with electric voltage)

13 417-5265 Turned off, only for one part of the EQUIPMENT

14 417-5264 Turned on, only for one part of the EQUIPMENT

15 878-02-02 TYPE B EQUIPMENT

16 878-02-03 TYPE BF EQUIPMENT

17 878-02-05 TYPE CF EQUIPMENT

18 878-03-01 Dangerous electric voltage

Manual Code: 204010203_003 38

13 TERMS OF WARRANTY

K TAKAOKA IND. E COM. LTDA. guarantees the equipment it produces against manufacturing defects
for a period of one year from the date of acquisition by the first owner. Other items provided with the
equipment are listed below.

The technical assistance companies in the list below are authorized by K TAKAOKA IND. E COM.
LTDA. in Brazil and abroad and, along with the manufacturer, they have exclusive maintenance rights.
Modification, violation, adjustment or maintenance by third parties is not authorized.

The equipment manufactured or repaired by K TAKAOKA IND. E COM. LTDA. has a breakable warranty
seal. If this seal is broken, the warranty will be canceled automatically.

The inappropriate use of the equipment and/or the non-compliance with the instructions contained in this
manual, the use of a voltage that is different from the one specified and of parts and/or accessories that
have not been approved by K TAKAOKA IND. E COM. LTDA. will cause the loss of the warranty.

Damage caused by accidents or Acts of God are not covered by the warranty, and neither are the
batteries, fuses, filters, etc.

Following are items provided with the equipment, as well as some optional accessories and their respective
periods of warranty against "manufacturing defects".

Code Item Time of Warranty

202011306 MICROTAK RESGATE Ventilator 1 year
202010396 Complete PVC adult breathing circuit 3 months
202011181 O2 Extension 1 year
202011417 Support to mount the ventilator 1 year
202011539 Support for mounting/stretcher 1 year
202012030 Complete Silicone adult breathing circuit (optional) 3 months
204010203 Operation Manual None

Responsible Technician: Alexandre Rodrigues da Silva.

CREA: Registration number 0682082567

Manual Code: 204010203_003 39

 K. TAKAOKA DISTRIBUTORS IN BRAZIL

Manual Code: 204010203_003 40

 TAKAOKA INTERNATIONAL DEALERS
SOUTH AMERICA
BRASMED S/A – Anesthesia Line
Talcahuano, 958 L. 416 – CF 1013
Tel: ( 54114) 814 – 3677 Fax: ( 54114) 814 –
3813
E-mail: info@brasmed.com.ar
BUENO AIRES – ARGENTINA – Sra. Ana
Magalhães
ING. CARUSO SRL – ICU Line
Burela,1957 (1431)
Tel: ( 54114) 522 –1317 Fax: ( 54114) 523-4919
E-mail: ing.caruso@ciudadd.com.ar
BUENO AIRES – ARGENTINA – Ing. Miguel
Caruso
IMPORTADORA FERNANDO
Calle Tucabana, Esq. Burapucu Casilla 5
Tel: ( 5913) 354 – 2525 Fax: ( 5913) 354-2526
E-mail: imp_fernando@cotas.com.bo
SANTA CRUZ – BOLIVIA – Sr. Erwin Hurtado
MEDI MARK MERCADOTECNICA MEDICA
Av. Argentina,2001 casi esquina Villalobo
Tel / Fax: ( 5912) 224-6493
E-mail: medi_mark@yahoo.com
LA PAZ –BOLIVIA – Sr. Leopoldo Antezana
INGEMEDICA S.A – ICU Line
Manuel Galecio,231 entre Ximena y Boyacá
Tel: ( 5934) 230-3173 / 230-3185
Fax: (5934) 230-1428
E-mail: ingemedica@gye.satnet.net
GUAYAQUIL– ECUADOR – Sr. Ernesto Rovayo
COMERCIALIZADORA DE PRODUTOS – FCV
Calle, 155 A NR.23-58 Floridablanca
Tel: (577) 639-6767 Ext.810 Fax: ( 577) 639-2595
E-mail:comercial@fcv.org
SANTANDER – COLOMBIA – Ing. Giovanni
Gutierrez
BIOXEL S/A
Araucana, 1277 CP, 11400
Tel: ( 5982) 606-0172 Fax: (5982) 6005435
E-mail: marielk@bioxel.com
MONTEVIDEO – URUGUAY
AREAMEDICA EL BOSQUE, C.A.
Av. El Carmen, Quinta Torre Lavega Local n° 1,
Urbanización el Bosque, Município Chacao
Tel: ( 58212) 731-3913 Fax: ( 58212) 731-3928
E-mail: carlosgaravito@cantv.net
CARACAS – VENEZUELA – Sr. Carlos Garavito /
Abel Maestre
A.JAIME ROJAS S/A
JR. Garcia, 870 Barranco
Tel: ( 511) 477 – 8410 Fax: ( 511) 477-1316
E-mail: import@ajaimerojas.com
LIMA –PERU – Sr. Juan Santa Cruz
CARBEAN & CENTRAL AMERICA
2N S.A DE CV
Primeira Calle Ponient, 2904
3. Planta Local 3 – Cond. Monte Maria
Tel: ( 503) 260-5288 Fax: ( 503) 208-1895
E-mail: nuila02@yahoo.com
SAN SALVADOR –EL SALVADOR – Sr. Rene
Nuila
EUROTADE IBERICA
Aerocaribean, Km 1 1/2
Tel: ( 537) 540-000
E-mail: eurotade@enet.cu
LA HABANA - CUBA – Sr. Ignácio Quintero
Manual Code: 204010203_003
MEDI – EQUIPOS S.A
C./ Wencesao Alvarez # 260 Zona Universitária
(UASD)
Tel: ( 809) 688-5520 Fax: ( 809) 221-0124
E-mail: medequip@tricom.net
SANTO DOMINGO – REPUBLICA DOMINICANA
CORPORACION MEDICA INTERNATIONAL
Baja Califórnia,167-102 – cp 06760 Col Romasur
Tel: ( 5255)5264-7006 Fax: ( 5244) 5264 - 7593
E-mail: leguisi@yahoo.com.mx
MEXICO CITY – MEXICO– Sr. Leonardo Guinea
TECNOLOGIA HOSPITALARIA RYM
Avenida12, Calle 28 Ptz Aventura
Tel: ( 506) 223-7446 Fax: ( 506) 255-3165
E-mail: thrymsa@racsa.co.cr
SAN JOSE – COSTA RICA – Sr. Roberto Molina
ULTRAMED
Avenida Ricardo Arango Y Calle 53 – Ed. Fursys
Tel: ( 507) 263-7087 Fax: ( 507) 269-3561
E-mail: allan@ultramedcorp.com
PANAMA CITY – PANAMA - Sr. Allan Figueroa
SANCHEZ & COLLADO CIA LTDA
Ferreteria Sinsa, 75 Vs. Altamira Deste, 448
Tel: ( 505) 278-0999 Fax: ( 505) 278-4928
E-mail: sacol@ibw.com.ni
MANAGUIA – NICARAGUA – Sr. Abelardo
Sánchez
DIST. EQUIPOS MEDICOS
Col. Ruben Dario, 2117
Tel: ( 504) 232-3544 Fax: ( 504) 232- 2503
E-mail: demif@multivisionhn.net
TEGUCICALPA – HONDURAS - Sra. Yma de
Sabillon
ASIA / ÁFRICA
BEYOND ENGINEERING
Nr. 30, Jalan Maju 4 Taman Pelangi
Tel/Fax: (607) 331-4262
E-mail: bydeng@tm.net.my
JOHOR BAHRUI – MALAYSIA – Mr. A. Dass
HI-MED EGYPT
41 El Montaza St.
Tel: ( 202) 240-2591 Fax: ( 202) 635-2977
E-mail: hanyhimed@hotmail.com
CAIRO – EGYPT – Dr. Hany K. El-Shafei
GR MEDI CORP
Talcahuano, 958 L. 416 – CF 1013
Tel: ( 54114) 814 – 3677 Fax: ( 54114) 814 –
3813
E-mail: info@brasmed.com.ar
BUENO AIRES – ARGENTINA – Sra. Ana
Magalhães
PROGRESSIVE MEDICAL CORP.
29 F/Antel Global Corporate Center n°3
Dona Julia Vargas Avenue
Tel: ( 632) 687-7788 Fax: ( 632) 687-2190
E-mail: hclim@pmcgroupl.com
PASIG CITY – PHILIPPINES – Mr. Homer C. Lim
PT BERSAUDARA
JL Penjerniban Raya,38
Tel: ( 6221) 5701-1467 Fax: ( 6221) 57011468
E-mail: sholahudin@bersaudara.com
JAKARTA – INDONÉSIA – Mr. Sholahudin Husni
SIGMA SATR MED LTDA
1089/1091 Onnuch Road, Suanluang
Tel: ( 662)7421-015 Fax: ( 662) 311-3550
E-mail: starmed@kxc.th.com
BANGKOK – THAILAND – Mrs. Kunvadee
Egnukai
41
ETHOS TRADE CONCERN
EPC 7181 POBOX 8975
Tel: ( 977-1) 477205 Fax: ( 977-1) 473874
E-mail: ethos@wlink.com.np
KATHMANDU - NEPAL – Mr. Rajesh Man
Shrestha
BIOLOGIC MEDICAL SYSTEMS
Poonawala Terrace, Plo # JM711/5
n°6,Offive Mezzanine Floor
New M. A. Jinnah Road
Karachi 74800,Pakistan
Tel: ( 9221) 492-4029 Fax: ( 9221) 412-7459
E-mail: lighting@cubexs.net.pk
PAKISTAN – Mrr. Shahid Suri
MIDDLE EAST
NORMAS TRADING EST
P.O.BOX 105823 Riyadah 11 656
Tel: ( 9661) 472-5862 Fax: ( 9661) 472-5867
E-mail: normas@normas-nte.com
SAUDI ARABIA – Mr. Jamil H. Al Shahed
ABAJICO
Eskandaroon Street – POBOX 11096
Tel: ( 963-21) 228-3216 Fax: (963-21) 224-0042
E-mail:jamilia@net.sy
BUENO AIRES – ARGENTINA – Sra. Ana
Magalhães
EUROPE
LA BOUVET
Av. Bruselas,38
Tel: (341) 726-4229 Fax: ( 341) 356-6101
E-mail: grupacer@teleline.es
MADRID – ESPAÑA - Mr. Jorge Perez
UAB REMEDA
29,Siltnamiu
Tel: ( 3702) 362028 Fax: ( 3702) 362130
E-mail: remeda@takas.it
VILNIUS 2043 – LITHUANA
Mr. Romaldas Bogusis / Mr. R. Jonelis
PROMEI LTDA
Rua do Fetal, lote 5 fornas
Tel: ( 3512) 3943-1198 Fax: ( 3512) 3943-1700
E-mail: rcruz@promei.pt
COIMBRA – PORTUGAL – Sr. Ramos da Cruz
B&MC CARDIO-VOLGA
36, Sverdlov, Volzhsky
Tel: (7-8443) 312221 Fax: ( 7-8443) 312523
E-mail: irina@bimcvol.vlz.ru
VOLGOGRAD – RUSSIA -MrS. Irina Khorochoun
FOR MORE INFORMATION:
Rua General Izidoro Dias Lopes, 121/141
Bairro Vila Paulicéia – São Bernardo do
Campo/SP
CEP: 09687-100- Brasil
Tel: (11) 4176 - 3500 Fax: ( 11) 4176-3570
E-mail:k@takaoka.com.br
WEB Site: www.takaoka.com.br
 AUTHORIZED K. TAKAOKA TECHNICAL ASSISTANCE

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Information for Technical Assistance

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Hospital:

Address:

Phone: District:

POSTAL CODE: City State:

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Defect description:

Forward to Technical Assistance K. Takaoka in

agreement with authorized list of representatives K.
Takaoka attached to the manual.

Manual Code: 204010203_003 43