HDSD M¸Y tHë Ensgtrom carestation

Version 3.X

I/ Giíi thiÖu:
M¸y thë Engstrom Carestation lµ m¸y thë dïng cho ch¨m sãc ®Æc biÖt cã ®Æc tÝnh kü thuËt
mÒm dÎo linh häat, phï hîp cho rÊt nhiÒu m«i trêng lµm viÖc. Nã cã giao diÖn trùc quan quen
thuéc cho ngêi sö dông c¸c s¶n phÈm cña Datex-Ohmeda. M¸y lµ mét hÖ thèng tßan bé cã ®Æc
tÝnh cña monitor bÖnh nh©n, m¸y thë bÖnh nh©n, vµ kh¶ n¨ng kÕt nèi víi m«nit¬ trung t©m.
M¸y ®îc thiÕt kÕ ®Ó sö dông víi bÖnh nhi ®Õn ngêi lín víi träng lîng nÆng tõ 5Kg trë lªn. M¸y
®îc thiÕt kÕ ®Ó gióp thë cho bÖnh nh©n kh«ng tù thë ®îc hoÆc cã cè g¾ng thë tù nhiªn.

H×nh 1-1: M¸y thë Engström Carestation

M¸y thë nµy bao gåm 3 bé phËn chÝnh: mét mµn h×nh, mét khèi m¸y thë vµ mét gian dïng ®Ó
l¾p c¸c khèi mua thªm. Mµn h×nh gióp ngêi sö dông giao tiÕp víi m¸y vµ ®iÒu khiÓn c¸c cµi
®Æt. Khèi m¸y thë ®iÒu khiÓn phÇn ®iÖn, vµ lu lîng khÝ trao ®æi víi bÖnh nh©n. C¸c khèi
mua thªm cã thÓ lµ monitor theo dâi bÖnh nh©n kÕt nèi víi m¸y thë. C¸c phô tïng option gåm cã:
m¸y nÐn khÝ, c¸c m«®un ®êng khÝ, gian kÕt nèi m«dun, thanh ®ì, gi¸ ®ì bé lµm Èm vµ bÉy
níc, vµ c¸c æ c¾m ®iÖn phô trî.
C¸c ký hiÖu sö dông trªn tµi liÖu hoÆc trªn m¸y:
Warnings and Cautions: nãi vÒ c¸c ®iÒu kiÖn nguy hiÓm cã thÓ x¶y ra nÕu kh«ng theo ®óng
híng dÉn trong tµi liÖu híng dÉn sö dông.
Warnings: nãi vÒ ®iÒu kiÖn cã thÓ g©y ra nguy hiÓm cho ngêi sö dông hoÆc bÖnh nh©n
Cautions: nãi vÒ c¸c ®iÒu kiÖn cã thÓ g©y ra nguy hiÓn cho thiÕt bÞ.
Ngêi sö dông cÇn ®äc vµ tu©n theo tÊt c¶ c¸c híng dÉn vÒ c¶nh b¸o vµ chó ý.

§Þnh nghÜa c¸c ch÷ viÕt t¾t:

A
ATPD: NhiÖt ®é m«i trêng víi ¸p lùc khÝ kh«.

B
BiLevel: ¸p suÊt thë ë hai møc
BSA: DiÖn tÝch bÒ mÆt c¬ thÓ
BTPS: NhiÖt ®é c¬ thÓ khi b·o hßa ¸p suÊt

C
Compl: §é gi·n në
CPAP/PSV: ¸p suÊt ®êng thë lu«n lu«n d¬ng/ thë hç trî ¸p suÊt

E
EC: M¸y thë Engstrom Carestation
EE: Tiªu tèn n¨ng lîng
ET: Nång ®é cuèi dung tÝch thë
EtCO2: CO2 cuèi cuèi dung tÝch thë
EtO2: oxy cuèi dung tÝch thë

F
F-V: Vßng lu lîng – dung tÝch
FI: HÖ sè khÝ thë vµo
FI-ET: sai kh¸c gi÷a nång ®é khÝ thë vµo vµ thë ra concentrations
FiO2: HÖ sè oxy thë vµo

I
I:E: tû lÖ thë vµo, thë ra
Insp Pause: qu·ng ngõng sau thë vµo

M
Mvexp: Dung lîng thë ra trong mét phót
Mvinsp: Dung lîng thë vµo trong mét phót

O
O2: Oxy

P
P 0.1: ¸p suÊt khi t¾c ®êng khÝ
P Vol: Dung lîng PEEPi
P-F: vßng lu lîng ¸p suÊt
P-V: vßng ¸p suÊt – dung lîng
Pair: ¸p suÊt ®êng cÊp khÝ
Paux: ¸p suÊt phô trî
Pbaro: ¸p suÊt khÝ quyÓn
PCV: thë ®iÒu khiÓn ¸p suÊt
PCV-VG: thë ®iÒu khiÓn ¸p suÊt – b¶o ®¶m dung lîng
Ped: bÖnh nhi
Pedi: c¶m biÕn Pedi-lite
PEEP: ¸p suÊt d¬ng cuèi kú thë ra
PEEPe: ¸p suÊt d¬ng cuèi kú thë ra ngo¹i lai
PEEPe+i: ¸p suÊt d¬ng cuèi kú thë ra tæng céng
PEEPi: ¸p suÊt d¬ng cuèi kú thë ra bªn trong
Pexp: ¸p suÊt thë ra
Phigh: ®Æt ¸p suÊt cao cho hai møc
Pinsp: ¸p suÊt thë vµo
Plimit: giíi h¹n ¸p suÊt cao
Plow: ®Æt ¸p suÊt thÊp cho hai møc
Pmax: ¸p suÊt cùc ®¹i
Pmean: ¸p suÊt trung b×nh
PO2: ¸p suÊt cung cÊp oxy
Ppeak: ¸p suÊt ®Ønh
Pplat: ¸p suÊt qu·ng lÆng (nghØ)
Psupp: ¸p suÊt hç trî

R
Rate: NhÞp thë
Raw: trë kh¸ng ®êng thë
RQ: th¬ng sè thë
RR: nhÞp thë
RSBI: ChØ sè thë n«ng vµ nhanh

S
SBT: Thë tù nhiªn thö
SIMV-PC: Thë cìng bøc (b¾t buéc) gi¸n ®o¹n ®ång bé - ®iÒu khiÓn ¸p suÊt.
SIMV-VC: Thë cìng bøc (b¾t buéc) gi¸n ®o¹n ®ång bé - ®iÒu khiÓn dung lîng.

T
Thigh: thêi gian ®Æt cho ¸p suÊt cao trong hai møc
Tlow: thêi gian ®Æt cho ¸p suÊt thÊp trong hai møc
TV: dung tÝch sèng (thë vµo vµ ra)
Tvexp: dung tÝch sèng thë ra
Tvinsp: dung tÝch sèng thë vµo

V
VCO2: CO2 t¹o ra
VCV: Thë ®iÒu khiÓn dung lîng
VO2: tiªu thô «xy
VO2/kg: tiªu thô «xy tÝnh trªn Kg
VO2/m2: tiªu thô «xy tÝnh trªn mÐt vu«ng
Vol: dung lîng
Quy íc:
PhÝm cøng: tªn phÝm cøng vµ c¸c m« ®un ®îc viÕt b»ng ch÷ nÐt ®Ëm, vÝ dô Normal
Screen.
Lùa chän menu: lùa chän menu ®îc viÕt b»ng ch÷ nÐt nghiªng, vÝ dô Patient Setup.
C¸c th«ng b¸o: c¸c th«ng b¸o thÓ hiÖn trªn mµn h×nh ®îc ®Æt trong ngoÆc, vÝ dô ‘Check
sample gas out.’
H×nh d¹ng m¸y vµ c¸c bé phËn:

1. Gian ®Æt m«®un (option) 8. Nèi b×nh phun

2. Khãa m¸y thë* 9. Buång van x¶*
3. Xe ®Èy 10. ®Çu vµo thë ra
4. B¸nh xe* 11. c¶m biÕn lu lîng thë ra
5. R·nh méng ®u«i Ðn 12. cæng x¶ khÝ
6. Khèi m¸y thë 13. gi¾c c¾m thö rß rØ khÝ
7. Mµn hiÓn thÞ 14. chèt buång van x¶*
15.bÉy níc*
16. cæng ¸p suÊt phô trî
17. ®Çu ra thë vµo
 C¸c bé phËn M« t¶ h×nh 2-1
2 Khãa m¸y thë Cã mét khãa bªn c¹nh xe ®Èy m¸y thë. KÐo khãa ra vµ
n©ng m¸y thë lªn ®Ó th¸o
Chó ý: m¸y thë rÊt nÆng

4 B¸nh xe

Ên xuèng ®Ó khãa, n©ng lªn ®Ó më

9, 14 Exhalation valve §Ó th¸o ra, Ên xuèng vµo chèt khãa ®Ó x¶ buång van x¶.
housing and KÐo buång ra khái m¸y thë.
latch

§Ó l¾p vµo, ®Æt tab cña buång (1) vµo r·nh groove (2) vµ
Ên buång vµo vÞ trÝ.

NhÑ nhµng kÐo buång ra ®Ó ch¾c ch¾n r»ng nã ®· ®îc

khãa chÆt.
15 BÉy níc Th¸o èc ®Ó nhÊc bÉy níc ra, ®æ hÕt níc bªn trong vµ l¾p
bÉy níc l¹i.
 H×nh 2-2 PhÝa sau m¸y thë

1. Bé läc qu¹t mµn h×nh

2. Gi¾c nèi mµn h×nh
3. Gi¾c nèi buång l¾p m«dun
4. Gi¾c c¾m ®iÖn nguån vµo
5. C«ng t¾c hÖ thèng*
6. Kªnh cßn gi÷ l¹i
7. Gi¾c nèi v¹n n¨ng
8. (èng) nèi cung cÊp «xy
9. Nèi cung cÊp khÝ (èng hoÆc m¸y nÐn khÝ)
10. èc tai hång ®Ó gi÷ modun*
11. Bé läc qu¹t khèi m¸y thë
12. Cæng nèi song song (cæng RS 232)
13. CÇn gi÷*
14. Cæng RS 485 (hiÖn nay kh«ng cã)
15. Cæng RS 485 (hiÖn nay kh«ng cã)
6. Cæng RS 422 (hiÖn nay kh«ng cã)
17. Cæng USB (hiÖn nay kh«ng cã)
18. Cæng nèi Ethernet (hiÖn nay kh«ng cã)
19. §iÒu khiÓn tõ xa bËt /hoÆc chê monitor (hiÖn nay kh«ng cã)
C¸c môc nµy ®îc m« t¶ chi tiÕt h¬n trong b¶ng sau:
C¸c môc trong h×nh 2-2 M« t¶
5 C«ng t¾c hÖ thèng §Æt c«ng t¾c vÒ vÞ trÝ On ®Ó cÊp nguån cho m¸y thë. M¸y
chØ cã thÓ t¾t khi ®ang ë tr¹ng th¸i chê.
10 VÝt tai hång g¾n chèt c¸c BÖ g¾n c¸c m«dun cã thÓ ®Æt ë mét trong hai bªn cña m¸y
modun thë.
§Ó chuyÓn:
1. Th¸o ®Çu nèi khái ®»ng sau cña bÖ g¾n c¸c m«dun vµ
kÐo c¸p ra khái ®»ng sau bÖ, kÐo c¸p ra khái kªnh gi÷.
2.Níi láng èc tai hång.
3.Trît gi¸ ®ì m«dun ra khái c¸c tai hång
4.§Æt c¸c m«dun sang pjhÝa bªn kia m¸y thë.
5.VÆn chÆt èc tai hång.
6. Cµi c¸p vµo kªnh gi÷
7.Nèi c¸p vao m«dun. Ch¾c ch¾n r»ng cã ®ñ c¸p ®Ó gi¸ ®ì
m«dun dÞch c huyÓn ®îc.
13 Tay ®ì Tay ®ì cã thÓ ®Æt trªn mét trong hai bªn cña m¸y thë.
§Ó di chuyÓn:
1. Níi láng èc tai hång.
2. N©ng tay ®ì ra khái gi¸ ®ì.
3. §Æt tay ®ì sang bªn kia cña m¸y thë.
4. VÆn chÆt tai hång l¹i.

C¸c ®iÒu khiÓn vµ c¸c chØ b¸o trªn mµn h×nh:

1 §Ìn b¸o LED: c¸c LED vµng vµ ®á chØ thÞ u tiªn c¸c b¸o ®éng ®ang häat ®éng.
2 PhÝm t¾t b¸o ®éng: Ên ®Ó t¾t bÊt kú b¸o ®éng u tiªn nµo, hoÆc tr× hâan b¸o ®éng
©m thanh trong 120 gi©y bÊt cø b¸o ®éng nµo cha häat ®éng.
3 C¸c phÝm Menu: Ên ®Ó hiÓn thÞ menu t¬ng øng.
4 Nóm xoay chÝnh: Ên ®Ó chän mét môc menu hoÆc kh¼ng ®Þnh mét cµi ®Æt.
Quay theo hoÆc ngîc chiÒu kim ®ång hå ®Ó chän menu hoÆc
thay ®æi cµi ®Æt.
5 PhÝm Normal Screen: Ên ®Ó xãa c¸c menu trªn mµn h×nh.
6 §Ìn b¸o nguån: LED xanh s¸ng liªn tôc khi nèi nguån vµ khi ®ã ¾c quy n¹p ®iÖn.
7 C¸c phÝm nhanh: Ên ®Ó thay ®æi cµi ®Æt t¬ng øng cho m¸y thë, vÆn nóm xoay
chÝnh råi Ên hoÆc Ên phÝm nhanh ®Ó kh¼ng ®Þnh thay ®æi.
8 PhÝm O2: Ên ®Ó cung cÊp 100% O2 trong 2 phót.

H×nh 2-4: C¸c phÝm menu

1 Alarms Setup: Dïng ®Ó xem vµ ®iÒu chØnh giíi h¹n b¸o ®éng còng nh ©m lîng
cña b¸o ®éng ©m thanh.
2 Help: Dïng ®Ó xem th«ng tin vÒ b¸o ®éng.
3 Trends: Dïng ®Ó xem c¸c d÷ liÖu cò cña bÖnh nh©n còng nh cµi ®Æt
m¸y thë b»ng sè hoÆc ®å thÞ.
4 Take Snapshot: Dïng ®Ó ghi c¸c d¹ng sãng, c¸c b¸o ®éng, vµ c¸c gi¸ trÞ ®o hoÆc
®Æt. GI¸ trÞ cc ®¹i cña ba lÇn ®äc ®îc ghi trong bé nhí.
5 System Setup: Dïng quan s¸t tr¹ng th¸i cña hÖ thèng vµ vµo hµng lo¹t menu cµi
®Æt
6 Spirometry: Dïng quan s¸t sè liÖu thë cña bÖnh nh©n trªn biÓu ®å díi d¹ng sè
liÖu c¸c vßng ¸p suÊt, lu kîng, vµ dung lîng.
7 Vent Setup: Dïng lùa chän mèt thë vµ ®iÒu chØnh tÊt c¶ c¸c cµi ®Æt cho m¸y
thë trong mçi mèt.
8 Procedures: Dïng lùa chän c¸c tr×nh tù ®Æc biÖt nh PEEP thùc chÊt bªn trong
vµ P0.1.
9 Nebulizer: Dïng tíi (phun, xÞt) cho bÖnh nh©n dùa trªn c¸c cµi ®Æt dung l-
îng vµ thêi gian.
10 Standby: Dïng ®Æt m¸y thë ë mèt chê vµ bËt m¸y (khi ®ang ë Standby).
Mµn h×nh m¸y thë:

H×nh 2-5: H×nh d¹ng mµn h×nh Normal screen

1 - Ký hiÖu t¾t ©m thanh b¸o ®éng vµ ®Õm ngîc: HiÓn thÞ thêi gian cßn l¹i trong mét chu kú
t¾t b¸o ®éng hoÆc kho¶ng thêi gian tr× ho·n b¸o ®éng.
2 - Trêng th«ng b¸o b¸o ®éng: C¸c b¸o ®éng sÏ xuÊt hiÖn the thø tù u tiªn. Tham kh¶o thªm phÇn
Alarms and Troubleshooting.
3 - Trêng d¹ng sãng: Hai d¹ng sãng trªn ®Ønh lu«n ®Æt cho Paw (¸p suÊt ®êng thë) vµ Flow (lu
lîng). D¹ng sãng thø ba cã thÓ chän cho CO2, O2, lu lîng, Paux (¸p suÊt phô trî) hoÆc bá trèng.
4 - Trêng c¸c th«ng b¸o th«ng thêng: HiÓn thÞ c¸c th«ng tin th«ng b¸o
5 - Trêng khãa thêi gian: cã thÓ ®Æt ë d¹ng 12 hoÆc 24 giê trong menu Time vµ Date
6 - Trêng gi¸ trÞ ®o: hiÓn thÞ c¸c gi¸ trÞ ®o hiÖn thêi tïy theo d¹ng sãng.
7 - Trêng c¸c cét sè hiÓn thÞ th«ng tin liªn quan tíi dung lîng, CO2, O2, ®é gi·n në, trao ®æi
chÊt hoÆc ®o dung tÝch phæi (®o phÕ dung).
8 - C¸c cµi ®Æt m¸y thë: HiÓn thÞ hµng läat c¸c cµi ®Æt cho c¸c mèt hiÖn thêi cña m¸y thë.
2 C¸c §iÒu khiÓn hÖ thèng vµ c¸c Menu:
Khi mét phÝm menu ®îc chän c¸c trêng d¹ng sãng b¾t ®Çu tõ lÒ bªn ph¶i cña menu.Tßan bé
d¹ng sãng lu«n lu«n ®îc hiÓn thÞ. Khi th«ng tin trong trêng sè liÖu ®o lµ kh«ng ®óng, c¸c sè sÏ
hiÓn thÞ díi d¹ng “---“.

H×nh 2-6 H×nh d¹ng Menu

1. Menu
2. C¸c trêng d¹ng sãng

Sö dông c¸c menu

Chøc n¨ng Menu lµ t¬ng tù nh nhau cho giao diÖn cña c¸c m¸y thë. Díi ®©y miªu t¶ c¸ch ®Þnh
híng trong menu vµ lùa chän c¸c chøc n¨ng cña Menu.

H×nh 2-7 VÝ dô vÒ menu

1. Tªn Menu
2. Lùa chän ®îc hiÓn thÞ
3. Cöa sæ ®iÒu chØnh
4. Menu con
5. C¸c híngdÉn ng¾n
6. C¸c lùa chän Menu

Sö dông menu
1. Ên 1 phÝm menu ®Ó hiÓn thÞ menu t¬ng øng.

2. Quay nóm xoay chung (ComWheel) ngîc chiÒu kim ®ång hå ®Ó hiÖn d¶i s¸ng trªn menu
tiÕp theo. Quay nóm xoay chung (ComWheel) theo chiÒu kim ®ång hå ®Ó hiÖn d¶i s¸ng trªn
menu tríc.
3. Ên nóm xoay chung ®Ó vµo cöa sæ ®iÒu chØnh hoÆc mét menu con.

4. Quay nóm xoay chung theo chiÒu kim ®ång hå hoÆc ngîc chiÒu kim ®ång hå ®Ó hiÖn s¸ng
lùa chän mong muèn.
5. Ên nóm xoay chung ®Ó kh¼ng ®Þnh lùa chän.

6. Lùa chän Mµn h×nh th«ng thêng (Normal Screen) trong menu hoÆc nhÊn phÝm Mµn h×nh
th«ng thêng ®Ó ra khái menu vµ quay vÒ hiÓn thÞ m¸y thë th«ng thêng.
(Lùa chän Menu tríc ®Ó quay vÒ menu ®· hiÓn thÞ tríc nÕu cã thÓ ®îc.)
C¸c Menu
Díi ®©y lµ danh môc c¸c menu cã thÓ lùa chän. Chøc n¨ng cña c¸c menu ®îc m« t¶ trong phÇn
“Giíi thiÖu vËn hµnh”. Tuú theo cÊu h×nh cã thÓ cã c¸c menu kh«ng vµo ®îc (hiÖn mµu x¸m),
C¸c menu díi ®©y lµ mÆc ®Þnh cña nhµ m¸y, c¸c cµi ®Æt thªm ë bªn ph¶i cña môc menu.

C¸c menu cµi ®Æt cho bÖnh nh©n

Patient Setup
Checkout
Start Ventilation
Standby
Monitoring Only
Patient Type Adult Adult or Ped
Patient Weight 70 kg 5 to 200 kg, 10 to 440 lb
Vent Setup
Vent Preferences
Previous Menu

Checkout
Start Check
Stop Check
Delete Trends Yes Check Yes or No
Log
Check Help
Previous Menu

Vent Setup
Adjust Settings
Standby Off Off or On
Mode:
VCV
PCV
PCV-VG
SIMV-VC
SIMV-PC
BiLevel
CPAP/PSV
Previous Menu

Vent Preferences
Backup Mode
ARC
Assist Control Off On or Off
Leak Compensation Off On or Off
 TV Based on ATPD ATPD or BTPS
Previous Menu

Backup Mode
Adjust Settings
Mode:
VCV
PCV
PCV-VG
SIMV-VC
SIMV-PC
BiLevel
Previous Menu

ARC
Endotrach. Tube Off On or Off
Trach. Tube Off On or Off
Diameter 7.5 5 to 10 mm 25 to 100%
Compensation 35
Previous Menu

Alarms Setup menu

Alarms Setup
Adjust Limits
Auto Limits
Default Limits
Leak Limit 50 10 to 90%
Apnea Time 30 10 to 60 s
Alarm Volume 3 1 to 6
Alarm History
Previous Menu

System Setup menus

System Setup
Patient Setup
Screen Setup
Parameters Setup
System Status
 Install/Service
Normal Screen Refer to “Installation Mode”

Screen Setup
Wave Field 1 Paw
Wave Field 2 Flow
Wave Field 3 Vol Off, CO2, O2, Vol or Paux
Digit Field Compl Vol, CO2, O2, Compl, Spiro, EE/RQ, VO2, vo2/m2, or VO2/kg
Split Screen None None, Spiro, SBT, or Trend
Brightness 4 1 to 5
Previous Menu

Parameters Setup menus

Parameters Setup
Data Source Vent Scaling Vent or Mod
CO2 Setup
O2 Setup
Paux Setup
Spirometry Setup
Gas Exch. Setup
Gas Calibration
Previous Menu

Scaling
Scaling AUTO AUTO, Linked or Indep
Vol Scale 1200 60 to 2400 for Ped, 300 to 4000 for Adult
Paw Scale 40 6 to 120 for Ped, 10 to 140 for Adult
Flow Scale 60 6 to 120 for Ped, 15 to 200 for Adult
Previous Menu

CO2 Setup
Scale 6% AUTO, or 6 to 20%
CO2 Alarm
Previous Menu

O2 Setup
Scale AUTO, or DIFF6 to DIFF30, 10-60%, 100%
100%
O2 Alarm
Previous Menu
 Paux Setup
Scale 80 AUTO, or 6 to 110
Purge Flow Off Off or On
Paux Zero
Paux Alarm
Previous Menu

Spirometry Setup
Sensor Type Adult Adult or Pedi
Loop Type P-V P-V, F-V, P-F
TV or MV TV TV or MV
Split Screen None None, Spiro, SBT, or Trend
Paw Alarm
MVexp Alarm
Previous Menu

Gas Exch. Setup

EE Average Time 2h 2, 6, 12, 24h
Patient Height 5 to 98 in, 15 to 250 cm
Patient Weight BSA Previous 5 to 200 kg, 10 to 440 lb
Menu 0.05 to 3.74

Gas Calibration
CO2 Zero
O2 Zero
Previous Menu
Last Calibration:

Spirometry
Loop Type P-V P-V, F-V, or P-F
Cursor
Scaling
Spiro Setup
Save Loop
Reference Loop None None or time of saved loops
Erase Loop None None or time of saved loops
FRC INview
SpiroDynamics
Normal Screen
 Scaling
Scaling AUTO AUTO,
Linked or Indep
Vol Scale 1200 60 to 2400
for Ped, 300 to 4000 for
Adult
Paw Scale 40 6 to 120 for
Ped, 10 to 140 for Adult
Flow Scale 60 6 to 120 for
Ped, 15 to 200 for Adult
Previous Menu

Spirometry Setup
Sensor Type Adult Adult or
Pedi
Loop Type P-V P-V, F-V, P-F
TV or MV TV TV or MV
Split Screen None None, Spiro,
SBT, or Trend
Paw Alarm
MVexp Alarm
Previous Menu

Procedures menus
Nebulizer menu
Procedures
Manual Breath
Suction
Intrinsic PEEP
PEEPi Volume
P 0.1
Inspiratory Hold
Expiratory Hold
Spont. Breath. Trial
Normal Screen

SBT
Adjust Settings
Time 30 10 to 120 min
Start
Stop
Adopt
Split Screen None None, Spiro,
SBT, or Trend
Previous Menu
 Nebulizer
Start
Stop
Volume 3.0 2.5, 3.0, 5.0, or 6.0 ml
Time 15 10, 15, 20, or 30 min
Cycles 1 1 to 10
Pause Time 15 5 to 60 min
Next Start
Normal Screen

CÊu h×nh mµn h×nh: §Ó thay ®æi mµn h×nh m¸y thë:
1. NhÊn System Setup.
2. Chän Screen Setup.
3. Chän trêng sÏ thay ®æi.
4. Chän tham sè hiÓn thÞ.
5. Chän Previous Menu khi hoµn thµnh.

Trends
Cursor
Next Page
View:
Graphical
Snapshot
Numerical
Settings
Time Scale 2 h 1 to 72 h
Normal Screen

3 Cµi ®Æt vµ nèi m¸y:

§èi víi sö dông th«ng thêng:
C¶nh b¸o sö dông ®iÖn thäai di ®éng hoÆc c¸c thiÕt bÞ bøc x¹ tÇn sè radio kh¸c (RF) gÇn hÖ
thèng cã thÓ g©y ra nh÷ng ho¹t ®éng kh«ng mong muèn hoÆc vËn hµnh ngîc. CÇn theo dâi
vËn hµnh thiÕt bÞ khi cã nguån bøc x¹ radio ë gÇn m¸y. Sö dông c¸c thiÕt bÞ ®iÖn kh¸c trªn hay
gÇn hÖ thèng cã thÓ g©y ra nhiÔu. KiÓm tra häat ®éng b×nh thêng cña thiÕt bÞ theo cÊu h×nh
do kh¸ch hµng ®Æt tríc khi sö dông trªn c¸c bÖnh nh©n. Kh«ng g¾n hÖ thèng thãat khÝ hay c¸c
phô tïng kh¸c vµo cæng x¶ khÝ
BÞt chÆt cæng x¶ khÝ sÏ ng¨n c¶n viÖc cÊp khÝ thë ®Çy ®ñ cho bÖnh nh©n. Thªm c¸c bé
phËn g¾n vµo hoÆc c¸c linh kiÖn kh¸c vµo hÖ thèng thë sÏ lµm t¨ng trë kh¸ng ®êng thë vµo
hay thë ra.
Chó ý: ChØ ®îc sö dông c¸p vµ phô tïng ®îc Datex-Ohmeda chÊp thuËn. Sö dông c¸p vµ phô
tïng kh¸c cã thÓ g©y ra h háng hÖ thèng hoÆc ¶nh hëng ®Õn phÐp ®o. C¸c phô tïng dïng mét
lÇn kh«ng sö dông l¹i ®îc. Datex-Ohmeda khÈn thiÕt ®Ò nghÞ kh¸ch hµng nªn sö dông Ýt nhÊt
hai läai khÝ trong ®iÒu trÞ l©m sµng. C¸c gi¸ trÞ mÆc ®Þnh cho hµng läat tham sè cã thÓ
®Æt trong mèt cµi ®Æt. Tham kh¶o phÇn “Installation mode” ®Ó biÕt thªm th«ng tin.
Nèi ®êng èng bÖnh nh©n cã bé phËn lµm Èm, èng ch÷ Y, bÉy níc, vµ c¸c phin läc nh m« t¶ trªn
h×nh. Chó ý lµm híng dÉn sö dông cho bÖnh viÖn ®Ó sö dông ®óng c¸c phin läc ®êng èng thë
ra cã nèi víi bé lµm Èm nung nãng.

H×nh 3-1 - c¸c ®êng nèi èng bÖnh nh©n

Chó ý: Datex-Ohmeda ®Ò nghÞ lu«n sö dông bé läc ë ®êng thë vµo.

1. §Çu c¾m èng thë ra

2. Bé läc ®êng thë ra (option)
3. BÉy níc ®êng thë ra (option)
4. èng ch÷ Y
5. Bé lµm Èm (option)
6. Bé läc ®êng thë vµo (®Ò nghÞ dïng)
7. §Çu ra ®êng thë vµo

Nèi nguån
D©y nguån ®îc nèi ®»ng sau m¸y nh h×nh vÏ. C«ng suÊt m¸y thÊp h¬n 200W.
Nèi thªm khèi vµo thanh g¸ modul:
Thanh g¸ m«dul cã thÓ ®Æt ë hai bªn cña m¸y thë.
1. Khãa b¸nh xe.
2. Nèi mét ®Çu c¸p vµo thanh g¸ m«dun ë ®»ng sau m¸y thë vµ vÆn chÆt èc.
3. §Æt thanh g¸ m«dun vµo mét bªn cña m¸y thë.
• Níi láng èc tai hång.
• Trît m«dun theo gi¸ ®ì vµ vÆn chÆt èc tai hång.
4. N¹p c¸p vµo kªnh gi÷ b»ng c¸ch b¾t ®Çu ë c¹nh bªn trong råi Ên phÇn cßn l¹i cña c¸p qua.
5. Nèi ®Çu cßn l¹i cña c¸p tíi ®Çu nèi c¸p ë gi¸ m«®un råi vÆn chÆt èc.
6. §Ó thõa c¸p ë ®Çu gi¸ m«®un ®Ó cho phÐp gi¸ m«®un chuyÓn ®éng t do.

1. èc tai hång
2. C¸p d d«i
3. §Çu nèi gi¸ m«®un
4. Kªnh gi÷
5. C¸p gi¸ m«®un
6. §Çu nèi gi¸ m«®un cña m¸y thë
H×nh 3-2 - §Çu nèigi¸ ®ì Module
C¸c ®Çu nèi cung cÊp khÝ
Chó ý chØ ®îc dïng c¸c nguån cung cÊp kh«ng khÝ vµ «xy kh« vµ s¹ch dïng cho y tÕ.
§Çu nèi «xy vµ kh«ng khÝ ®Æt ë ®»ng sau m¸y (kh«ng khÝ bªn tr¸i vµ «xy bªn ph¶i nh nh·n
d¸n trªn m¸y.

Nèi cæng th«ng tin nèi tiÕp

Mét ®Çu nèi RS-232 cho phÐp c¸c lÖnh vµ sè liÖu vµo/ ra nèi tiÕp. §Çu nèi 15 ch©n ®Æt ë
®»ng sau m¸y thë vµ ghi nh·n cæng 4 (port 4). Ph¬ng thøc truyÒn th«ng tin (output protocol) cã
thÓ xem t¹i trang web www.datex-ohmeda.com hoÆc qua tiÕp xóc víi Datex-Ohmeda.
Gi¾c nèi c¸i 15 ch©n D – CÊu h×nh truyÒn c¸c th«ng tin sè liÖu:
• Ch©n 1 – BËt m«nit¬ On/Standby
• Ch©n 5 – Nèi ®Êt
• Ch©n 6 – nhËn tõ khèi display
• Ch©n 9 – quay trë l¹i m«nit¬ On/Standby
• Ch©n 13 – hiÓn thÞ truyÒn tin cña khèi
Chó ý: giao diÖn c¸p RS-232 ph¶i ®îc bäc kim.
Than kh¶o phÇn “An tßan ®iÖn” cña “C¸c tÝnh kü thuËt” ®Ó nh¾c nhë c¸ch nèi cæng th«ng tin
nµy.

Bé x«ng thuèc khÝ dung dïng b¬m nhá ®iÒu khiÓn ®iÖn tö
HÖ thèng Aeroneb Professional Nebulizer System (Aeroneb Pro) do
Aerogen, Inc. s¶n xuÊt ®îc g¾n kÕt hîp vµo m¸y (®êng thë).
Aeroneb Pro ®îc thiÕt kÕ ®Ó vËn hµnh cïng lóc víi c¸c m¹ch thë tiªu chuÈn vµ c¸c m¸y thë c¬
khÝ trong m«I trêng ®iÒu trÞ cÊp tÝnh hoÆc gÇn cÊp tÝnh. Khi vËn hµnh nã kh«ng cÇn thay
®æi c¸c th«ng sè thë cña bÖnh nh©n vµ cã thÓ n¹p l¹i (thuèc) kh«ng lµm gi¸n ®äan qu¸ tr×nh
thë. Bé x«ng thuèc khÝ dung cã thÓ dïng cho m¹ch thë cho ngêi lín hoÆc trÎ em.
§äan adapter h×nh T dïng cho bé x«ng thuèc khÝ dung ®îc chÕ t¹o ®Æc biÖt cho tõng läai m¹ch
thë.
Chó ý: CÇn dïng bé läc ®êng thë ra khi dïng bé x«ng thuèc khÝ dung ®Ó b¶o vÖ sensor lu lîng
®êng thë ra.
C¶nh b¸o: dïng bé trao ®æi Èm- nhiÖt trong m¹ch thë cã thÓ t¨ng trë kh¸ng ®èi víi dßng khÝ khi
bé x«ng thuèc häat ®éng. Kh«ng dïng bé trao ®æi Èm- nhiÖt hoÆc bé läc trao ®æi Èm- nhiÖt
gi÷a bé x«ng thuèc vµ ®êng khÝ cña bÖnh nh©n.

L¾p bé x«ng thuèc khÝ dung:

1. Nèi bé x«ng thuèc tíi adapt¬ T b»ng c¸ch Ên ch¾c bé x«ng thuèc vµo adapt¬.
AB.98.046
2. Nèi bé x«ng thuèc vµ adapt¬ T vµo nh¸nh thë ra cña m¹ch thë bÖnh nh©n tríc ®äan ch÷ Y.

C¶nh b¸o: Lu«n gi÷ cho bé x«ng thuèc theo chiÒu th¼ng ®øng trong khi ë trªn m¹ch thë cña
bÖnh nh©n. §Þnh híng nµy
This orientation helps prevent
patient secretions and condensate from contaminating the
aerosol generator of the nebulizer and ensures proper
nebulization.
3. Attach the connector to the nebulizer connection as shown,
matching the red dots.

4. Complete a system Checkout prior to use on a patient.

5. Follow the nebulizer procedure in “Operation and Tutorial.”

Filling the nebulizer

CAUTION To help avoid damage to the nebulizer, do not use a
syringe with a needle.
w The maximum capacity of the nebulizer is 10 ml. Do not
fill the nebulizer beyond the maximum fill indication point.
The underside of the filler cap represents maximum fill
indication point.
1. Open the filler cap tab on the nebulizer.
2. Use a prefilled nebule or syringe to inject the medication into the
filler port.
3. Close the filler cap tab.

Disassembling the
nebulizer
The nebulizer and T-adapter may remain in the patient circuit when
not in use. The nebulizer may be removed from the T-adapter and
replaced with a plug to avoid leaks.
1. To remove the connector, grasp it close to the ventilator and pull
straight out.
2. Remove the nebulizer and T-adapter from the inspiratory limb of
the patient breathing circuit. Reconnect the circuit.
3. Clean and sterilize the nebulizer and T-adapter as described in
“Cleaning and Maintenance.”

Auxiliary pressure
Auxiliary pressure is a supplementary pressure measurement that
can be displayed with a waveform and numerics.
1. Attach tubing to the auxiliary pressure port as shown, sliding
tubing over barbed end of port. The internal diameter of the
tubing can range from 1/8 in (3 mm) to 1/4 in (6 mm).
AB.98.023

2. To display the Paux waveform follow the instructions in “Screen

configuration” in section 2.
3. To disconnect, grasp the tubing and pull straight off of the barb.
Purging of tubing Monitoring lines may become clogged and effect performance. To
purge the line complete the following steps.
WARNING Purge Flow will deliver 35 ± 15 ml/min of air. Do not
initiate Purge Flow when the Paux port is connected to a
closed system such as an endotracheal cuff.
1. Disconnect the patient end of the tubing.
2. Push System Setup.
3. Select Parameters Setup - Paux Setup - Purge Flow - On to begin
flow. The auxiliary pressure port is protected to 100 cmH2O to
prevent overpressuring the tubing.
4. Select Off to end flow.
5. Reconnect the patient end of the tubing.
Zeroing Auxiliary pressure measurements will be more accurate if the
pressure is zeroed before use.
1. Push System Setup.
2. Select Parameters Setup - Paux Setup - Paux Zero.
3. When complete, Done will appear next to Paux Zero.
When using auxiliary pressure with the purge flow continuously on,
the pressure should be zeroed with Purge Flow On. This will ensure
that any pressure offset caused by the monitoring line resistance will
be accounted for.

Humidifier mount (optional)

The EC is designed to work with active humidification.
Datex-Ohmeda does not recommend the use of a specific brand or
model of humidifier.
WARNING When adding attachments or other components to the
EC, the resistance to flow across the breathing circuit may
increase.
1. Unlock and remove the ventilator unit from the cart.
2. Slide the humidifier onto the humidifier mounting bracket.

3. Guide the power cord through the rear channel on the cart.
4. If a cord holder is attached to the top of the cart, place the power
cord on top of the square and bend the holder over to keep the
cord in place.

5. Replace the ventilator and lock onto the cart.

6. If the expiratory water trap will be used, slide the water trap onto
the bracket. Ensure the latch snaps into place.

7. Plug the humidifier into the electrical outlet or other AC mains

power source.
8. Set the humidifier as directed in the manufacturer’s operation
manual.
Note To remove the expiratory water trap, squeeze the latch at the base of
the bracket and slide the trap up.
Refer to the humidifier manufacturer’s operation manual for
information on cleaning and maintenance.
WARNING When a filter is used in the exhalation limb in conjunction
with a water bath humidifier, a water trap should be
placed between the filter and the patient.
• Never position any filter in the inspiratory limb
downstream of a water bath humidifier.
• Do not use the filter between the patient and any
source of nebulized drugs.
• When nebulized drugs are administered, breathing
resistance should be monitored and the filter should
be replaced following standard hospital procedure.

Support arm (optional)

The support arm may be placed on either side of the ventilator to
support the patient breathing circuit. To attach to the ventilator, place
the post into the arm holder and tighten the thumbscrew.
Important The support arm is not a sterile component and cannot be autoclaved
or immersed in cleaning solution.
To attach the arm:
1. Loosen thumbscrew.
2. Place post in the arm holder.
3. Tighten thumbscrew to hold arm in position.

1. Patient side of support arm

2. Central tension handle
3. Post
4. Thumbscrew
Figure 3-3 • Support arm
To position the arm:
1. Loosen by turning the central tension handle counter-clockwise
while holding the patient side of the arm in the other hand.
Note There is a stop to prevent the central tension handle from being
completely loosened.
2. Move the arm to the desired position.
3. Tighten by turning the central tension handle clockwise.

Isolated electrical outlets (optional)

The configuration of the electrical outlets varies by country.

1. Ventilator to outlet power cord

2. Outlet to AC mains power cord
3. Outlet to compressor power cord
4. Compressor to AC mains power cord
Figure 3-4 • Power cord routing with electrical outlets
WARNING Do not overload the electrical outlets.
Electrical outlet panel
ratings
AB.98.008
1
2
3
4
AB.98.049
Voltage Current
100 to 120 V 6 A
220 to 240 V 4 A

4 Operation and Tutorial

Preparing the ventilator for a patient
Turning on the
system
1. Plug the power cord into the wall outlet.
• The green mains indicator on the display lights when AC
power is connected.
• The ventilator automatically switches to battery power if AC
power fails.
2. Turn the System switch on.
• A start-up screen appears while the ventilator is booting up
and completing self tests.
• Once the self tests pass, the system is in Standby and the
display shows the Patient Setup menu. This should occur
within 60 seconds.
• If the self tests fail, the display shows an alarm. Refer to
“Alarms and Troubleshooting” for assistance.
• Ensure that two distinctly different audio alarm tones sound.
WARNING The EC is equipped with a backup audio buzzer. If both
the primary and backup audio tones do not sound when
the ventilator is powered up, take the ventilator out of
service and contact a Datex-Ohmeda trained service
representative.
• Ensure alarm LEDs blink.
• Ensure all water traps and filters are clean prior to using the
ventilator.
Pre-use checkout The EC is equipped with an automated checkout. Complete the
checkout before using the ventilator on a new patient. The ventilator
should be fully cleaned and prepared for a patient prior to performing
the checkout.
WARNING To help ensure the proper function of the system, it is
highly recommended to complete the pre-use checkout
between patients.
w If a checkout is not completed, the system uses the
compliance and resistance data from the last system test
for all internal compensations. If the current breathing
circuit differs significantly from the previous circuit,
differences in ventilation parameters due to changes in
the compensation process are possible. This may result in
risk to the patient.

Changing patient breathing circuits to a different

compressible volume after the checkout will affect the
volume delivery and exhaled volume measurements.
w The patient must NOT be connected to the ventilator
when completing the Checkout.
When in Standby, the Patient Setup menu will be displayed on the
normal screen.
1. Select Checkout.
2. Attach the patient circuit.
3. Occlude the patient wye.
4. Select Start Check.
• The results appear next to each check as they are
completed. When the entire checkout is finished ‘Checkout
complete’ will appear and the highlight will move to Delete
Trends.
5. Select Yes to erase trends or No to retain the saved trends.
6. If one or more checks failed, select Check Help for
troubleshooting tips.
7. If all tests passed, select Previous Menu.
Checkout includes the following checks:
• Paw Transducer Check
• Barometric Pressure Check
• Relief Valve Check
• Exhalation Valve Check
• Expiratory Flow Sensor Check
• Air Flow Sensor Check
• O2 Flow Sensor Check
• O2 Concentration Sensor Check
• Circuit Leak, Compliance, and Resistance