+ All Categories
Transcript
  • 7/31/2019 1 Introducere Shandrila

    1/59

    1. Introducere

    MANUAL DE UTILIZARE

    1 IntroducereVentilatorul Shangrila 510 este un aparat de ventilatie pentru urgenta, cu un principiul

    de functionare simplu pentru utilizator. Acesta poate fi folosit in uniti medicale, , ambulante, centre de prim-ajutor,( cabinete medicale din scoli, institutii, stranduri, aeroporturi,) in cazul accidentelor.

    Shangrila 510 Generalitati

    Sistem de ventilatie pneumatic controlat electric.Sistem de avertizare inteligenta in cazul detectarii unei defectiuni.Combinarea tastelor inpreuna cu cursorul rotativ face mai usoara combinarea

    parametrilor.Contine 5 moduri de ventilatie: A/C, SUSPIN, SIMV, SPONT si MANUAL. Autonomie electrica de 3 ore.Mod simplu de utilizat, volum si greutate mica, performant si siguranta pentru

    pacienti.

    AvertismentShangrila 510 nu poate fi utilizat langa generatorul RMN.

    Introducere in panoul frontal.

    1.1.1 Panoul central

    Figure 1-1 Panoul centralPanoul frontal include: display, taste pentru modul de ventilare ales, comutatorul de

    alimentare, i butoanele de stabilire a parametrilor de ventilatie.1

  • 7/31/2019 1 Introducere Shandrila

    2/59

    1. Introducere

    Figura 1-2 Fereastra de afisaj1 Fereastra de afi aj

    1 Alarma lumini indicatoare: contine 10 lumini si sunt mprite n 2 tablouri;Primul rnd indic alarme de urgen maximRndul al doilea indic alarme de urgen medie.

    2. Zona de afiare a alarmelor conine:- Afiarea timpului de apnee,- Baterie descarcat,- pierderea puterii,- Vt scazut sau lips O2,- valoare scazut / ridicat a Paw.- Toate alarmele luminoase sunt insotite de alarm Sonor.

    3. Pictograma bateriei arat capacitatea bateriei.4. Zona monitorizarii indic:

    - presiune-timp,- forme de unda: VT, MV, f (total), P( peack), P varf Display.

    Not Exist un buton "Setings" figura 1 2. Cand tasta este apsat pe ecran apare

    afisarea setarii respective. Pentru validarea setrii se apas din nou tasta "Setings" . Dup 30 de sec. Dup

    setare, Fereastra "Setings" va disprea automatDetalii despre zona "Setings" va fi descris n partea 3.3.

    2

  • 7/31/2019 1 Introducere Shandrila

    3/59

    1. Introducere

    2. Zona de afiare a alarmelor

    Figure 1-2 Condition indicator area

    1. Modul de setare a ventilrii:Cnd apsai tastele, luminile indicatoare de la stnga sus va fi luminoase

    Sunt 5 moduri de ventilaie: A / C (automat controlat), Suspin, SIMV, SPONT i manual2 Indicatoare luminoase: Arat modul de alimentare (sursa de alimentare extern sau baterie interna),Respiraiile spontane ale pacientului.

    3. Oprirea alarmei sonore pentru

  • 7/31/2019 1 Introducere Shandrila

    4/59

    1. IntroducereParameter setting area (Figure 1-3) includes 7 adjustment knobs, they control: breathingrates, pressure sensitivity, airway pressure lower limit, airway pressure upper limit, oxygenconcentration and peak flow (adjust tidal volume through this setting).

    Atenie:Utilizarea butoanelor se realizeaz cu finee.

    2.1.1 Partea dreapt a panoului

    n partea dreapt a panoului exista 3 orificii dup cum seobserv n fig. 1-5:

    1. orificiul de alimentare cu gaz a pacientului. O2 intr printubulatura circuitului pacient prin acest orificiu.

    2. Orificiu de prelevare de probe de presiune :- Se face conectarea cu tubul de prelevare de probede presiune in pct 2, de cealalt parte a tubului deprelevare de presiune este conectata la supapa derespiraie. Este important ca gazul sa fie pleluat catmai proximal de la pacient. Sistemul de control electronic colecteaza presiunepacient prin ea.

    3. Orificiu de alimentare gaz: Conector rapid ce conecteaz intrarea O2 (n care gazula fost decomprimat cu reductor la 3-6 Bar).

    2.1.1 Right hand side panel

    There are 3 connectors in the right hand side panel. AsError: Reference source not found shows:

    1. Gas outlet pipe connector: Gas enters the patient circuit pipe through this Connector.2. Pressure sampling connector: Connect with the pressure sampling pipe, the other side of the pressure sampling pipe connect with breathing valve. For this samples gas pressurenearest patient. Electronic control system collects patient pressure through it.3. Gas supply connector: Quick connector connects O2 Inlet pipe (in which gas has beendecompressed).

    2.1.2 Panoul stnga lateral

    Pe partea stng a ventilatorului, exist un panou carese poate deschide.

    Aceasta este pentru nlocuirea bateriei interne.Deschidei aceast panou pentru a nlocui bateria intern.Detaliile vor fi afiate n partea 5.4.

    2.1.3 Left Hand Side Panel

    In the left hand side panel (Error: Reference source not found) of the ventilator, there is awindow which can open. That is the internal battery replace window. Open this window to

    4

  • 7/31/2019 1 Introducere Shandrila

    5/59

    1. Introducerereplace internal battery. The details will be displayed in part 5.4.

    2.1.4 Rear panel

    Figure 1-4 Rear panel

    Dup cum arat Figura 1 7, panoul din spate include 4 piese:1. Admisie gaz proaspt: consumul de gaz proaspt, cantitatea de gaze

    introdus nu este legat de concentraia de oxigen. Nu-l blocati!

    2. Priza de alimentare: de intrare de putere al ventilatorului, cu adaptorul dealimentare sau de alimentare 12 V al masinii. O siguran este n spatele ei. Atunci cnd trnsiunea electric va creste nepermis de mult, sigurana va fidistrusa. nlocuii siguranta cu o siguran noua. Partea 5.2.1 va artaprocedura de nlocuire

    3. Orificiul de ieire de gaz: In timpul ventilatiei, pentru procesul de expiraresupapa se va deschide iar presiunea din caile aeriene va scadea.

    4. Buzzer: Pentru alarma sonora atunci cnd alarma a fost declanat

    As Figure 1-4shows, rear panel includes 4 parts:1. Fresh Gas Intake: The intake of fresh gas, the quantity of gas entered there is related tooxygen concentration. Do not block it.2. Power Supply Socket: Power inlet of the ventilator, for power adapter or +12V VehiclePower Supply. A fuse is behind it. When the electric power has a big change, the fuse willbe destroyed. Replace a new fuse here. Part 5.2.1 will show how to replace it.3. Gas Output: The vent for the expiration process, also for the save valve to vent.4. Buzzer: Buzz when the alarm has been triggered.

    5

  • 7/31/2019 1 Introducere Shandrila

    6/59

    1. Introducere

    1.3. Caracteristici

    1.3.1 Ventilatorul Shangrila 510 este de nalt fiabilitate Circuitul integrat este utilizape scar larg n Ventilatorul intern; toate prile ventilatorului au fost testate deimbatranire examen, fiabilitate ridicat a circuitului electronic.

    Potrivit cererii de proiectare, timp mediu ntre defectri (MTBF) pentru Shangrila 51este de peste 2000 de ore.

    1.3.2 diferii parametri de monitorizare Monitor: Volumul tidal, minut volumul, rade respiratie, Varful de presiune in caile aeriene, valori de presiune a cailor respiratorii,capacitatea bateriei, AC, DC, de ncrcare, de trigger.

    NOT software a Shangrila510 ventilator a fost testat c posibilitatea de a pericolelor care rezult din erori in programul de software-ul este minimizat.

    1.3.3 Capacitatea de alarm a parametrilor de monitorizare: Deficitul de O2,presiunea maxim a cailor respiratorii superioara,limita presiunii de PEEP, Apnee,Valoare Volum Tidal, defectiune alimentare DC , Capacitatea scazuta a bateriei,neetanseitatea sistemului pacient

    Exist 2 tablouri de lumini din panoul frontal, unul este de culoare roie, iar cellalteste galben. Culorile diferite indic diferite niveluri de alarm.

    Luminile rosii active nseamn c alarma de mare urgen, a fost declanat. Alarm demare urgen include: apnee, Valoare Volum Tidal, Presiune Limita cilor respiratoriidepasita, limita presiunii scazuta;

    Luminile galbene active nseamn alarma de medie urgen, c a fost declanat.Mediu-alarm de urgen include: Deficitul de O2, pan de curent extern.

    Cnd sistemul de alarm a fost declanat, luminile de culoare roie i alarma sonorapar afiate pe ecranul LCD.

    2.1.5 High dependability

    Integrate circuit is widely used in the Ventilator internal; all parts of the ventilator were testeby aging examination, high dependability of the electronic circuit. According to the desigrequest, the Mean Time Between Failures(MTBF) of Shangrila510 Ventilator is over 2000hours.

    2.1.6 Various monitor parametersMonitor: Tidal Volume, Minute Volume, Breathing Rate, Airway Pressure Peak, AirwaPressure Waves, Battery Capability, AC, DC, Charge, Trigger.

    6

  • 7/31/2019 1 Introducere Shandrila

    7/59

    1. Introducere

    NOTEThe software of Shangrila510 ventilator has been tested that the possibility of

    hazards arising from errors in the software program is minimized.

    2.1.7 Perfect alarm ability

    Monitoring Parameters: O2 Deficiency, Airway Pressure Upper Limit Airway PressureLower Limit, Apnea, No Tidal Volume, DC Failure, Low Battery Capability, SysteBreakdown. There are 2 arrays of lights in the front panel, one is red color, and the other isyellow. Different colors show different alarm levels. When the red lights turn on, it means thhigh-urgency alarm has been triggered. The high-urgency alarm includes: Apnea, No TidalVolume, Airway Pressure Upper Limit, Airway Pressure Lower Limit; Yellow lights turn means the medium-urgency alarm has been triggered, medium-urgency alarm includes: O2Deficiency, external power failure. When the system Breakdown alarm has been triggered,

    red lights turn on and buzzer buzzes continuously, noting displays in the LCD.Noiuni de baz Start

    Aceast seciune v spune cum s configurai ventilatorulnainte de a ncepe instalarea pacientului la ventilator verificati:- Conectarea la sursa de alimentare- Conectarea de aprovizionare cu oxigen- Conectarea circuitul pacientului i accesorii

    Avertisment: Toate componentele trebuie s fie bine montate i conectate de ctre un tehniciancalificat n conformitate cu instruciunile corespunztoare Aeonmed de instalare. Pentru a evita posibilitatea de deteriorare a componentelor ventilatorului sau ntreruperea functionarii ventilatorului, folosii ntotdeauna ventilatorului pe osuprafa plan, n orientarea corect. Pentru a minimiza riscul crescut de incendiu din cauza unui mediu mbogit cuoxigen, nu utilizai ventilatorul ntr-o camer hiperbaric. Pentru a evita creterea concentraiei de oxigen a aerului din ncpere, utilizaiventilatorul ntr-o camer ventilata n mod corespunztor. Nu scoatei bateria intern n timpul functionarii ventilatorului sau sa deconectatiaparatul de la sursa de alimentare DC cu care a fost echipat. Pentru a evita un pericol de electrocutare n timpul service-ului ventilatorului,asigurai-v c aparatul a fost deconectat de la orice sursa de alimentare. bateria intern trebuie instalata n ventilator de catre tehnicianul Service. Cndutilizai ventilatorului, asigurai-v c bateria de a fost instalata. Detalii despremanagementul bateriei interne vor fi artate n seciunea 5.4.

    Atenie: Nu blocai orificiul de aer de pe panoul din spate. Pentru a evita posibilitatea de deteriorare a componentelor de ventilatorului, nuamplasati obiecte pe carcasa ventilatorului

    7

  • 7/31/2019 1 Introducere Shandrila

    8/59

    1. IntroducereNOT: Pentru prima de instalare, consultai instruciunile de instalare separate, furnizatecu ventilator dumneavoastr. Aeonmed recomand ca nainte de a utiliza ventilator pentru prima dat, sa tergeisuprafaa exterioar ventilatorului sa curati i sa dezinfectati componentele sale nconformitate cu instruciunile din partea 5 din acest manual. Urmai protocolul dininstituia dumneavoastr pentru curarea i dezinfectarea ventilatorului i acomponentelor sale.

    2.1 Cerine de funcionare a ventilatorului1. Acest manual trebuie s fie citit i neles nainte de a utiliza acest ventilator.2. Cerine pentru persoanele care opereaza ventilatorului:1) mare responsabilitate pentru pacienti.2) Unele cunotine despre ventilaie.3) starea sntii bun, inteligent, rspundere

    2.2 Conectarea la sursa de alimentare Avertisment: Puneti tubul de alimentare cu O2 i tubul gofrat de inspir n asa fel incat sa nu secuteze, pentru a evita apneea pacientului. conectati doar adaptorul de alimentare extern cu ISO standard soclu. i s acordeatenie la polaritate, dac este necesar. Pentru dou faze de utilizare circuit de curent alternativ, nu ncercai s treac liniade pmnt i de linia zero. alarma baterie descarcata poate fi s apar, dac puterea de la ventilator cu ea, nu

    au surs extern de alimentare pentru o lung perioad de timp. Dac se ntmplacest lucru, conectai ventilator cu sursa de alimentare extern (folosii adaptorul dealimentare exclusiv) de a taxa pentru 10 ore cel puin. n cazul n care alarma este ncontinuare existat, bateria intern trebuie s fie nlocuit. (V rugm s v conectaitehnician calificat). nlocuii bateria intern, la o temperatur n timpul 0 ~ 45.

    Atenie: Dac net de alimentare au o fluctua peste 10%, Aeonmed sugereaz folosind un

    presostat de curent alternativ.O baterie ncrcat complet nou poate furniza ventilator pentru locul de munc de celpuin 3 ore. Este convenabil pentru tine de a utiliza Shangrila510 pe o ocaziespecial, fr surs de alimentare extern.

    8

  • 7/31/2019 1 Introducere Shandrila

    9/59

    2. Getting StartThis section tells you how to set up the ventilator, includes:

    Things to do before beginning patient setupConnecting the power supplyConnecting the oxygen supplyConnecting the patient circuit and accessories

    Warning All components must be securely mounted and connected by a qualified servicetechnician according to the appropriate Aeonmed installation instructions.To avoid the possibility of damage to ventilator components or interrupted ventilator operation, always use the ventilator on a level surface in its proper orientation.To minimize the increased risk of fire due to an oxygen-enriched environment, do notuse the ventilator in a hyperbaric chamber.To avoid raising the oxygen concentration of room air, use the ventilator in anadequately ventilated room.Do not remove the internal battery during ventilator is working or the DC power supplyhas been built.To avoid an electrical shock hazard while servicing the ventilator, be sure to remove allpower to the ventilator by disconnecting the power source and turning off all ventilator power switches.The internal battery must have been installed in the ventilator, or the protection of external power off will become inefficacy. When using the ventilator, make sure achanged battery has been installed. Details about the management for internal battery

    will be showed in section 5.4.

    CautionDo not block the cooler vent in the rear panel.To avoid the possibility of damage to ventilator components, do not use the horizontalsurfaces of the ventilator to place stack objects.

    NOTEFor first-time installation, refer to the separate installation instructions supplied withyour ventilator. Aeonmed recommends that before using the ventilator for the first time, wipe theventilator exterior surface clean and disinfect its components according to theinstructions in part 5 of this manual. Follow your institutions protocol for cleaning anddisinfecting the ventilator and its components.

    Requirements of operating the ventilator

    1. This manual must be read and understood before using this ventilator.2. Requirements for the people who operates the ventilator:1) High responsibility for patients.

    1

  • 7/31/2019 1 Introducere Shandrila

    10/59

  • 7/31/2019 1 Introducere Shandrila

    11/59

  • 7/31/2019 1 Introducere Shandrila

    12/59

    2. Getting Start

    Figure 2-7 Connect pressure sampling pipe

    Figure 2-8 Connect the O2 inlet pipe

    Figure 2-9 Connect gas outlet pipe to breath valve

    4

  • 7/31/2019 1 Introducere Shandrila

    13/59

    2. Getting Start

    Figure 2-10 Connect pressure sampling pipe

    Figure 2-11 Connect simulation lung to breath valve

    Figure 2-12 Connect mask to breath valve

    Warning avertisment:

    5

  • 7/31/2019 1 Introducere Shandrila

    14/59

    2. Getting Start Conectai numai de oxigen la admisie oxigen. Nu ncerca s se conecteze oricealt gaz. Pentru a minimiza riscul de rnire pacientului, utilizai numai circuite de pacientcalificate pentru utilizare n medii mbogite cu oxigen, cu ventilator Shangrila510.Pentru a evita un pericol de oc electric, nu folosii tuburi antistatic sau conductiv

    electric. Pentru a asigura o conexiune etan, folosesc numai conectori i tuburi cuISO-standard de con i priza. Aeonmed v recomand s utilizai unul dintre circuitele pacientului identificate de Aeonmed, sau echivalentele lor, pentru a se asigura c presiunea maxim / debitvalorile specificate de EN794-1 nu sunt depite (a se vedea coninutul legate nparte de 7 caietul de sarcini). Folosind un circuit cu o rezisten mai mare, nu se mpiedic de ventilaie, dar poate provoca compromite capacitatea pacientului de arespira prin circuit. folosi numai ventilator pentru a mareei pacient a carui volum de peste 100 ml iavoirdupois peste 10 kg. Aceasta masina nu este potrivit cu copilul. Distana dintre supap de respiraie i pacientul este ct mai scurt posibil, saupoate steagului concentraia de CO2.

    Pentru performane optime ventilator, lsai aparatul s ruleze timp de cel puin 3minute nainte de a utiliza pe un pacient pentru a permite sistemului s se nclzeasc, dac este necesar

    Anulai modificrile

    Connect only oxygen to the oxygen inlet. Do not attempt to connect any other gas.To minimize the risk of patient injury, use only patient circuits qualified for use inoxygen-enriched environments with the Shangrila510 ventilator. To avoid an electricalshock hazard, do not use antistatic or electrically conductive tubing. To ensure a leak-tight connection, only use connectors and tubes with ISO-standard cone and socket. Aeonmed recommends that you use one of the patient circuits identified by Aeonmed,or their equivalents to ensure that the maximum pressure/flow values specified byEN794-1 are not exceeded (see related content in part 7 specifications). Using acircuit with a higher resistance does not prevent ventilation, but can causecompromise the patients ability to breathe through the circuit.Only use the ventilator to patient whose tidal volume over 100ml and avoirdupois over 10kg. This machine is not suitable with infant.The distance between breathing valve and patient is as short as possible, or it canhoist the concentration of CO2.

    For optimal ventilator performance, let the unit run for at least 3 minutes before using on apatient to allow system to warm up if necessary.

    NOTE Alarm functionality is tested and verified as part of ventilator test before using. Detailsabout Alarms will be displayed in part 3.3 and part 4.

    6

  • 7/31/2019 1 Introducere Shandrila

    15/59

    2. Getting Start Power on (pornire)

    Figure 2-13 power on

    Apasand butonul de pornire, toate luminile indicatoare de pe panoul frontal se vor aprinde (a se vedea figura 2 9), mpreun cu o alarma scurta. Dac sa ntmplat cevaanormal, nu mai folosii ventilatorul, ci contactai productorul pentru unele reparatii.Detaliile erorii vor fi afiate n seciunea 5.1 i 5.3 "Sistem de alarma ".

    Presses the power button, all indicator lights on the front panel are ON (SeeFigure 2-13) together with a short buzz. If something abnormal happened, stop using the ventilator immediately, and connect the manufacturer for some repairing. Details about it will bedisplayed in the section 5.1 and 5.3 System breakdown alarm.

    Caution Atenie: Dupa pornirea ventilatorului daca ecranul LCD afieaz n mod

    normal, dar alarma Sonora nu apare, este defect sistemul da alarma. Trebuieacordata atentie acestui caz. Contactai productorul pentru unele reparaii,dac este necesar If the ventilator can power on with LCD displays normally but without any buzz, the

    alarm is failure. You should pay attention to this case. Connect the manufacturer for some repairing if necessary.

    Things to do before beginning patient setup

    Operatiuni ce trebuie executate nainte de instalarea pacientului.

    Nu numai dezinfectarea ventilatorului nainte de utilizare este importanta, cisi efectuarea procedurilor preoperatorii trebuie verificate nainte de a utilizeaparatul.

    Not only disinfect the ventilator before using, but also carry out the preoperative checkoutprocedures before putting the system back in use.

    7

  • 7/31/2019 1 Introducere Shandrila

    16/59

    2. Getting Start ATENTIE: Nerespectarea asigurarii de funcionarea corect de instalare nainte deutilizare poate prejudicial siguranta pacientului.

    Warning

    Failure to make sure of correct setup and operation before use can result in patientinjury.V rugm s urmai aceti pai pentru a face inainte de a incepe setarile de ventilator (descrise n partea 3):

    1. Alimentarea cu gaz de la surs de alimentare externVerificai daca sursa de alimentare extern poate furniza resurse suficiente pentruventilator. Verificai circuitul pacientului pentru eventuale scurgeri, deconectare sauerori de conectare. i asigurai-v c toate cablurile, prize, prize de curent itubulatura sunt acord cu cerina de siguran. Oprii sursa de alimentare extern siverificai daca pierderea alimentarii externe este semnalata prin alarma.

    2. Verificai Alarma apneeSetai modul de ventilator pentru a SPONTsi verificati daca timpul de apnee esterespectat, pn cnd alarma se declanseaza. Aceast perioad ar trebui s fie deaproximativ 12 la 18 de secunde.

    3. Verificai starea de lucru a ventilatorului Aceasta este o stare de lucru standard de la setarile de ventilator:

    Mod de ventilare: A / C;Rata de respiratie: 20 bpm;I: E: 1:2; Airway limita de presiune superioar ( 0.1kPa): 40; Airway limita de presiune mai mic ( 0.1kPa): 5;Presiunea de declanare pacient ( 0.1kPa): -3;Volumul tidal: 700 ml;Concentraia de oxigen: 48%;

    4. Verificai volumul tidal (volumul curent)Opturati aprovizionarea cu gaze, pentru a trece modul de ventilaie A / C, ar trebui sfie 0 al monitorului volumului tidal. Reporniti alimentarea cu gaze i adaptati debitul devrf la maxim, verificai monitorul volumul tidal care trebuie sa fie 1000ml la 1200ml.

    5. Testarea alarmei de nalt presiune cailor respiratorii:Reglai volumul tidal pentru a seta de vrf de presiune cailor respiratorii este deaproximativ 2.5kPa, apoi setai limita de presiune cailor respiratorii superioare la ovaloare numeric mai mic dect 2.5kPa uor. Alarm pentru presiune Airway Limitasuperioar a fost declanat ntre timp ventilatorului ntoarce la expirare, de presiunecailor respiratorii scade.

    8

  • 7/31/2019 1 Introducere Shandrila

    17/59

    2. Getting Start6. Testarea alarmei pentru presiune sczut a cailor respiratorii:Setai limita de presiune cailor respiratorii superioare la 0.1kPa, apoi deconectai tubulde pacient, alarma de presiune cailor respiratorii limita inferioar are loc dup 4-15sec.

    7. testarea sensibilitatii la presiune de ncercare de testare:Setai presiunea de declanare de la-0.1kPa, purta masca i de a face o surs deinspiraie, inspiraie pas a ventilatorului ncepe dup presiune cailor respiratoriiinferioare dect setarea, ntre timp "trigger", indicatorul luminos clipete pe panoulfrontal.

    8. SIMVSetai modul de aerisire pentru SIMV, modifica ratele de respiratie, a se vedea ecranulde "ftotal" n 1 minut, ar trebui ca n armonie setarea pe care tocmai ai fcut.

    9. SuspinS munca ventilatorul de la un stat standard de lucru, nregistreaz volumul de maree. Apoi, schimba modul de ventilare la A / C + oftat, a regla presiunea cailor respiratoriisuperioare limita la maxim, a se vedea de afiare a datelor de volum mareelor, ar trebui ca timp normal de 1.5 respiraia timp, are loc a doua. Acest lucru se intampla lafiecare 100 de ori, n acest mod de ventilaie.

    10. SPONT

    Setai modul de ventilare a SPONT, a regla presiunea de declanare cu-0.2kPa,purtai o masc. Ventilatorul ncepe o ventilaie atunci cnd presiunea cailor respiratoriiinferioare dect 0.2kPa. atunci cnd se termin pacientului spontane de inspiraie sautimpului de ventilaie pentru a ajunge anumit perioad de timp determinat derespiraie preurile i I: E, sau de presiune cailor respiratorii pana la 60cmH2O,ventilatorul se va ntoarce la expirarea inspiraie i de ateptare pentru pacientspontan viitor.

    Please follow these steps to do before you begin Ventilator Settings (described in part 3):

    1. Gas supply and external power supplyCheck the gas supply and external power can supply enough resource for the ventilator.Check the patient circuit for leak, disconnect or connecting mistakes. And make sure allcables, plugs, sockets and screw pipe are accord to safe requirement. Cut down theexternal power supply, check the external power lost alarm occurs.

    2. Check Apnea AlarmSet the ventilator to SPONT mode, meanwhile start to time until the alarm is triggered. Thisperiod should be about 12 to 18 seconds.

    3. Check the work state of the ventilator This is a standard work state of the ventilator settings:

    9

  • 7/31/2019 1 Introducere Shandrila

    18/59

    2. Getting Start

    Ventilation mode: A/CRates of breath 20 bpmI:E 1:2 Airway pressure upper limit (0.1kPa) 40

    Airway pressure lower limit (0.1kPa) 5Patient trigger pressure (0.1kPa) -3Tidal volume 700mLOxygen concentration 48%

    4. Check tidal volumeCut off the gas supply, turn to the A/C ventilation mode, it should be 0 of the tidal volumemonitor. Recover the gas supply and adjust peak flow to maximum, check the tidal volumemonitor is at a range of 1000ml to 1200ml.

    5. High airway pressure alarm testing: Adjust the tidal volume to set the airway pressure peak is about 2.5kPa, Then set the Airway Pressure Upper Limit to a numerical value lower than 2.5kPa slightly. The AirwayPressure Upper Limit alarm has been triggered meanwhile the ventilator turn to expiration,the airway pressure decreases.

    6. Low airway pressure alarm testing:Set the airway pressure upper limit to 0.1kPa, then disconnect patient pipe, the airwaypressure lower limit alarm takes place after 4-15 sec.

    7. Test trigger pressure sensitivity testing:Set the trigger pressure at -0.1kPa, wear the mask and do a inspiration, the inspirationstep of the ventilator begins after airway pressure lower than the setting, meanwhile thetrigger indicator light on the front panel flashes.

    8. SIMVSet ventilation mode to SIMV, change the breathing rates, see the display of f total in 1minute, it should accordant as setting you just made.

    9. SighLet the ventilator work at a standard work state, record the tidal volume. Then changeventilation mode to A/C+Sigh, adjust the airway upper limit pressure to maximum, see thedisplay of the tidal volume data, it should 1.5 time as normal the second time respirationtakes place. This happens every 100 times, during this ventilation mode.

    10. SPONTSet the ventilation mode to SPONT, adjust the trigger pressure with -0.2kPa, wear mask.The ventilator begins a ventilation when the airway pressure lower than -0.2kPa. when thepatient spontaneous inspiration finishes or the ventilation time get to the certain timedetermined by breathing rates and I : E, or the airway pressure up to 60cmH2O, theventilator will turn to expiration and waiting for next patient spontaneous inspiration

    10

  • 7/31/2019 1 Introducere Shandrila

    19/59

  • 7/31/2019 1 Introducere Shandrila

    20/59

  • 7/31/2019 1 Introducere Shandrila

    21/59

  • 7/31/2019 1 Introducere Shandrila

    22/59

    3. Ventilator settings

    Table 3-3 Setting for Ventilation Modes

    Key How to use

    A / C (Asistent / Control): Atunci cnd apsai tasta, indicatorulluminos de la stnga sus va fi luminos. Cu acest mod deventilaie, Triggerul de inspire (declanarea de inspir) depinde decererea pacientului, ceilali parametri sunt determinati de setarilestabilite de medic pe ventilator. A/C (Assistant/Control): When you press the key, indicator lightat the top left will be bright. With this ventilation, inspirationtrigger is depend on patients demand, other parameters isdetermined by the setting your give the ventilator.Oftat: Cnd apsai tasta, indicatorul luminos de la stnga susva fi luminos. Cu acest mod de ventilaie, la fiecare de 100 derespiratii n timpul ventilatiei A / C, avand o valoare max 1,5 x Vtpentru a fi suportatSigh: When you press the key, indicator light at the top left willbe bright. With this ventilation, every 100 times during the A/Cperiod, an at least 1.5 times Vt will supported.SIMV (sincronizat ventilaie intermitent obligatoriu): Atunci cndapsai tasta, indicatorul luminos de la stnga sus va fi luminos.Cu acest mod de ventilaie, rata de respiraie spontan i

    volumul tidal este controlat de ctre pacient, controlul ventilatieide control se face periodic in functie de frecventa presetata.SIMV (Synchronized Intermittent Mandatory Ventilation): Whenyou press the key, indicator light at the top left will be bright. Withthis ventilation, spontaneous breathing rates and tidal volume iscontrol by patient himself, a control ventilation happens every acertain period which you set.SPONT (spontan): Atunci cnd apsai tasta, indicatorul luminosde la stnga sus va fi luminos. Cu acest mod de ventilaie, toiparametrii de respiratie sunt modificati in functie de activitateapacientului.(ventilatie in support de presiune)SPONT(spontaneous) When you press the key, indicator lightat the top left will be bright. With this ventilation, all breathingparameters are due to patient himself.Manual: Cnd apsai tasta, ventilatorul se va face o ventilarevigoare la pacient, desface va termina de ventilaie. Aceastacheie poate grnera o respiraie suplimentara pacientului.Manual When you press the key, the ventilator will do a forceventilation to the patient, unloosen will finish the ventilation. This

    key can simulate breathing of patient.

    4

  • 7/31/2019 1 Introducere Shandrila

    23/59

    3. Ventilator settings

    Ventilation mode introduction

    3.2 Mod de introducere de ventilaie3.2.1 A / C ntr-un mod / C, ventilatorul ofer doar respiraii obligatorii. atunci cnd detecteazventilator efort inspirator pacient, acesta ofer un pacient-a iniiat obligatorii (PIM)respira (de asemenea, numit respiratie asistata). Dac ventilatorul nu detecteaz efortinspirator, acesta ofer un ventilator-a iniiat obligatorii (VIM), respiraie (de asemeneanumit un suflu de control), la un interval bazat pe rata respiratorie set. Respiraii poate fisub presiune sau de debit-a declanat ntr-un mod / C.Figura 3 2 prezint A / C de livrare respiraie atunci cnd nici un efort pentru pacient

    inspirator este detectat i de toate inspiraiile sunt VIMS. TB este i perioada derespiraie n cteva secunde

    2.1.11 A/C

    In A/C mode, the ventilator delivers only mandatory breaths. when the ventilator detects patient inspiratory effort, it delivers a patient-initiatedmandatory(PIM)breathe(also called an assisted breath). If the ventilator does notdetect inspiratory effort, it delivers a ventilator-initiated mandatory (VIM) breath (alsocalled a control breath) at an interval based on the set respiratory rate. Breaths can bepressure- or flow-triggered in A/C mode.

    Figure 3-15shows A/C breath delivery when no patient inspiratory effort is detectedand all inspirations are VIMs. And Tb is the breath period in seconds.

    Figure 3-15 A/C mode, no patient effort detected

    Figura 3 3 prezint A / C respira de livrare atunci cnd pacientul efort inspirator estedetectat.Ventilator ofer PIM respira, la o rat mai mare dect rata stabilit respirator.TB este i perioada de respiraie n cteva secunde.Figure 3-16shows A/C breathe delivery when patient inspiratory effort is detected. Theventilator delivers PIM breathes at a rate more than the set respiratory rate. And Tb isthe breath period in seconds.

    5

  • 7/31/2019 1 Introducere Shandrila

    24/59

    3. Ventilator settings

    Figure 3-16 A/C mode, patient effort detected

    Figura 3 4 prezint A / C de livrare respiraia atunci cnd exist o combinaie derespiraii Vim i PIM. TB este i perioada de respiraie n cteva secunde.Figure 3-17shows A/C breath delivery when there is a combination of VIM and PIMbreaths. And Tb is the breath period in seconds.

    Figure 3-17 A/C mode VIM and PIM breaths Atenie:Setarea a capacitii de presiune de declanare "false sau pentru respiraie a pacientului intensifica poate duce la un mod de / C ofer prea mult

    CautionSetting of trigger pressure false or ability for breath of patient intensify may lead

    to A/C mode delivers too much.

    2.1.12 A/C+SIGH

    A / C + suspin, n baza unui modul / C.Diferena este un volum mare maree (de 1,5 orimai set), ofer n fiecare respiraie 100. A/C+SIGH, base on A/C mode. The difference is a high tidal volume (1.5 times as set)delivers every 100 breath.

    2.1.13 SIMV

    SIMV (sincronizat ventilaie intermitent Obligatoriu) este un mod de ventilator mixt,care permite respiraii att obligatorii i spontan. Cele respiraii obligatorii pot fi de volum

    sau de presiune pe baz de, i respiraii spontane pot fi asistate de presiune (deexemplu, atunci cnd suportul de presiune este n vigoare). Putei selecta presiune saude debit, de declanare n SIMV.

    6

  • 7/31/2019 1 Introducere Shandrila

    25/59

    3. Ventilator settings

    Algoritmul SIMV este conceput pentru a garanta o respiratie obligatorie pentru fiecareciclu de respiratie SIMV. Aceasta respiratie este obligatorie, fie un pacient-a iniiatobligatorii (PIM), respiraie (de asemenea, numit respiraie asistat) sau un ventilator,iniiat obligatorii (VIM), respiraie (n cazul n care efortul pacientului inspriratory nu estesesizat n cadrul ciclului de respiraie). Anulai modificrile

    SIMV Synchronized Intermittent Mandatory Ventilationis a mixed ventilator modethat allows both mandatory and spontaneous breaths. The mandatory breaths can bevolume or pressure-based, and the spontaneous breaths can be pressure-assisted (for example, when pressure support is in effect.) You can select pressure- or flow-triggeringin SIMV.

    The SIMV algorithm is designed to guarantee one mandatory breath each SIMV breathcycle. This mandatory breath is either a patient-initiated mandatory (PIM) breath (alsocalled an assisted breath) or a ventilator-initiated mandatory (VIM) breath (in case thepatients inspriratory effort is not sensed within the breath cycle).

    Dup cum arat Figura 3 5, fiecare ciclu de respiratie SIMV (TB) are dou pri: primaparte a ciclului este intervalul obligatorie (TM) si este rezervat pentru un PIM. Dac unPIM este livrat, capetele Tm interval de ventilaie i trece la a doua parte a ciclului,intervalul spontan (T), care este rezervat pentru respiraie spontan tot restul cicluluide respiraie. La sfritul unui ciclu de respiraie SIMV, ciclul se repet. Dac un PIM nu

    este livrat, ventilatorul ofera o VIM la interval obligatoriu, trece apoi la interval despontan As Figure 3-18shown, each SIMV breath cycle (Tb) has two parts: the first part of thecycle is the mandatory interval (Tm) and is reserved for a PIM. If a PIM is delivered, theTm interval ends and the ventilator switches to the second part of the cycle, thespontaneous interval (Ts), which is reserved for spontaneous breathing throughout theremainder of the breath cycle. At the end of an SIMV breath cycle, the cycle repeats. If aPIM is not delivered, the ventilator delivers a VIM at the mandatory interval, then switchto the spontaneous interval.

    Figure 3-18 SIMV breath cycle (mandatory and spontaneous intervals) Warning

    7

  • 7/31/2019 1 Introducere Shandrila

    26/59

    3. Ventilator settings avertisment: Acest mod poate provoca ventilaie insuficient sau apnee n

    cazul n care starea pacientului "devine depravare. 3.2.4 SPONT n SPONT(spontan) modul, sursa de inspiratie este de obicei iniiat prin efort pacient.Respiraii sunt iniiate prin presiune sau de debit de declanare, oricare dintreacestea este activ n prezent. Un operator poate iniia, de asemenea, o surs deinspiraie n timpul SPONT manual. Un operator poate iniia, de asemenea, osurs de inspiraie n timpul SPONT manual. Respiraii Vim nu sunt posibile nmod SPONT.This mode may cause insufficient ventilation or apnea if patient state becomes

    depravation.

    2.1.14 SPONT

    In SPONT (spontaneous) mode, inspiration is usually initiated by patient effort. Breathsare initiated via pressure or flow triggering, whichever is currently active. An operator

    can also initiate a manual inspiration during SPONT. An operator can also initiate amanual inspiration during SPONT. VIM breaths are not possible in SPONT mode.

    Alarm Settings

    Setri de alarm Noi oferim o fereastr de afiare setare (figura 3 6),pentru limita de presiune cailor respiratorii superioare, Airway presiunelimita inferioar, de respirat Rata de presiune i de declanare stabilireamai convenabil. 1. Setarea cheie: fereastra Display setarea are loc

    atunci cnd apsai aceast tast. Apsai-l din nou pentru a reveni lafereastra de afiare de und. 2. Rata de respiraie: Rotiti Rata derespiratie Stabilirea butonul pentru a seta ratele de respiraie. 3.Presiunea Trigger: Reglai butonul Psens pentru a seta valoareanecesar. 4. Limita de presiune cailor respiratorii inferioare: Reglaibutonul Plug pentru a seta valoarea necesar. 5. Airway limita depresiune superioar: Reglai butonul Phigh pentru a seta valoareanecesar.Gama pentru setri de sus este de baz n tabelul 3 1.

    avertisment: Cnd setrile de alarm ajunge la limita, sistemul de alarm poate eec.

    We offer you a setting display window (Figure 3-19), for Airway Pressure Upper Limit, Airway Pressure Lower Limit, Breathing Rates and Trigger Pressure setting moreconvenient.

    1. Setting Key: the setting display window occurs when you press this key. Press itagain to return to waveform display window.

    2. Breathing Rates: Turn the Breathing Rates Setting knob to set breathing rates.3. Trigger Pressure: Adjust the Psens knob to set the value required.4. Airway Pressure Lower Limit: Adjust the Plowknob to set the value required.

    8

  • 7/31/2019 1 Introducere Shandrila

    27/59

    3. Ventilator settings5. Airway Pressure Upper Limit: Adjust the Phigh knob to set the value required.

    The range for settings upper is base onTable 3-1.

    Warning

    When the alarm settings reach the limit, the alarm system may failure.

    Figure 3-19 Setting Display Window

    9

  • 7/31/2019 1 Introducere Shandrila

    28/59

    4. Alarm Handling

    Alarm Handling

    4 de alarm de manipulare Aceast seciune descrie alarme de ventilaie i de ce sfac n cazul n care acestea apar. Figura 4 1 arat indicatorii de alarm.Shangrila510 Ventilator are mare urgen i de alarm mediu de alarm de urgen.High-anterioare alarme necesit o atenie imediat pentru a asigura sigurana pacienilor. n timpul unei alarme de mare urgen, indicatoare luminoase lumini deculoare roie, mpreun cu noutile buzzer. Mediu-anterioare alarme necesit oatenie prompt. n timpul o alarm mediu de urgen, luminile galbene indicatoareluminoase, mpreun cu noutile buzzer. Soluie pentru aceste alarme vor fi descrise n parte 4.3. avertisment: Fii atent la alarme, verifica starea pacientului primul. Dac ai gsit ceva n neregul cu sistemul de alarma, nu folosii ventilator

    sau se poate pune n pericol pacientul 4.1 Alarma de performan 1. Airway Limitasuperioar de presiune: 20 ~ 80cmH2O. precizie: 10%. 2. Airway limita de presiunede Jos: 0 ~ 20 cmH2O, precizie: 100Pa (0.5kPa de mai jos); 20% (altele). 3. Nuvolumul de maree: atunci cnd valoarea volumului de maree monitorizate este zero.4. Aprovizionarea cu gaz Low: apar atunci cand presiunea de alimentare cu gazenaturale 200ml, dar presiunea cailor respiratorii este de 0 (de exemplu, scurgeri de conducte de pacieni), volumul demaree este 0mL, dar presiunea cailor respiratorii> 1KPa (de exemplu, blocuri deconducte de pacieni). 9. Silence de alarma: 120 secunde. Alarme loc cu lumina si Buzz. Operatorul poate reduce la tcere noutate, dac este necesar.

    This section describes ventilator alarms and what to do if they occur.Figure 4-20 shows the alarm indicators. Shangrila510 Ventilator has high- urgency alarm andmedium-urgency alarm.

    High-prior alarms require immediate attention to ensure patient safety. During a high urgency alarm, the red indicator lights bright, together with the buzzer buzz.

    Medium-prior alarms require prompt attention. During a medium-urgency alarm, theyellow indicator lights bright, together with the buzzer buzz.

    Solution for these alarms will be described in part 4.3.

    Warning

    Pay attention to the alarms, check patient condition first.If you find something wrong with alarm system, do not use the ventilator or itmay endanger patient

    1

  • 7/31/2019 1 Introducere Shandrila

    29/59

    4. Alarm Handling

    Alarm performance

    1. Airway Pressure Upper Limit: 20~80cmH2O. accuracy: 10%2. Airway Pressure Lower Limit: 0~20 cmH2O, accuracy: 100Pa (below 0.5kPa);

    20% (other).3. No tidal volume: when the value of tidal volume monitored is zero.4. Low gas supply: occur when the gas supply pressure200mL, but airway pressure is 0 (e.g. patient pipe leaks); tidalvolume is 0mL, but airway pressure >1KPa (e.g. patient pipe blocks).9. Alarm Silence: 120 seconds.

    Alarms occur with light and buzz. Operator can silence buzz if necessary.

    2

  • 7/31/2019 1 Introducere Shandrila

    30/59

    4. Alarm Handling

    Alarm display

    Figure 4-20 Alarm Display1. Indicatorul de alarm: 2 rnduri, i a 5 lumini indicatoare n fiecare. Atunci cnd oalarm de mare urgen, a fost declanat, rndul de sus luminos de culoare roie. ncaz de urgen, alarme mediu, n conformitate cu rndul luminos de culoare galben.2. Indicator zon de alarm: Aceast zon poate afia informaii de alarm: apnee,baterie, ex. pierderea puterii, nr VT, deficit de O2, redus laba, lab de mare. Soluiipentru un mesaj de alarm sunt descrise n Tabelul 4 1:1. Alarm indicator lights: 2 rows, and 5 indicator lights in each. When a High-urgencyalarm has been triggered, the upper row bright in red color. In case of Medium-urgency alarms, the under row bright in yellow color.2. Alarm indicator area: This area can display alarm information: apnea, battery low,ex. power lost, No Vt, O2 deficiency, paw low, paw high.

    Solutions for Alarm message are described onTable 4-4:

    Causation for Alarm

    Table 4-4 Alarm Messages

    When you see this message It means Do this

    The ventilator hasentered apnea.

    Check patient andsettings.

    3

  • 7/31/2019 1 Introducere Shandrila

    31/59

    4. Alarm Handling

    Table 4-5 Alarm Messages

    When you see this message It means Do this

    The internalbattery have low

    capacity

    Replace internalbattery or allow itto recharge duringnormal ventilator

    operation.

    The power switchis ON, external

    power supply is notavailable, and theventilator is beingpowered by theinternal battery.

    Prepare for power loss. Obtain

    alternateventilation. Check

    integrity of external power source. Contact

    service if necessary.

    No tidal volumemonitored.

    Check the settingof Peak Flow

    adjustment. checkthe state of O2inlet pipe andpatient circuit.

    Oxygen supply

    pressure is lessthan the minimumrequired pressure

    for correctventilator operation.

    Accuracy of O2%delivery may becompromised.

    Check patient andoxygen source.

    Obtain alternativeventilation if necessary.

    4

  • 7/31/2019 1 Introducere Shandrila

    32/59

    4. Alarm Handling

    Table 4-6 Alarm Messages

    When you see this message It means Do this

    The patient circuitpressuretransducer hasmeasured apressure lower thanthe AirwayPressure Lower Limit you set.

    Check if your setting is suitablefor the patient, andalso check patientcondition. Obtainalternateventilation. Removeventilator form useand contact serviceif necessary

    The patient circuitpressuretransducer hasmeasured apressure upper than the AirwayPressure upper Limit you set.

    Check if your setting is suitable of the patient, andalso check patient.Obtain alternateventilation. Removeventilator form useand contact service

    if necessary

    The red alarm lights bright and the buzzer buzz continuance, and nothing display in the

    LCD.System Failure

    Check patient.Obtain alternateventilation. Removeventilator form useand contact service

    5

  • 7/31/2019 1 Introducere Shandrila

    33/59

    5. Maintenance and Service

    Maintenance and Service

    Pentru a asigura funcionarea corect ventilator, efectuai urmtoarele proceduri de ntreinere, la intervalele recomandate. Toate procedurile trebuie s fie adaptat la politicileinstituiei dumneavoastr i de protocol.Viata de utilizare a acestui ventilator este de 6 ani.

    Aceasta sectiune este despre unele tehnic de referin, se descrie: Curarea i dezinfectarea de ntreinere preventiv depanare de stocare

    Pentru instruciuni de tehnicieni de service calificai cu privire la efectuarea de depanaremai detaliate, sau alte proceduri de servicii, a se vedea 6 parte i o parte 7 pentru maimulte informaii, inclusiv teoria de funcionare i lista de piese. Ventilator componenteelectronice nu sunt de teren reparabile.

    avertisment:Personalul necalificat trebuie s ncerce s reparai mot ventilator. Reparaiinecorespunztoare sau modificarea neautorizat poate compromite sigurana i aprejudiciului rezultat din pacient. Asigurai-v c ai tiat n jos sursa de alimentare extern atunci cnd repara ventilator. adaptorul de alimentare este o parte important a ventilatorul nu se poate folosi aproapede foc, i de a folosi ntr-un mediu cu umiditate prea (cum ar fi n ploua mediu), i nufolosii eava de adaptorul de alimentare ca o funie!Adaptorul nu este domeniul-reparabile.

    NOT: Atunci cnd manipularea orice pat de sistemul ventilator Shangrila510, urmai ntotdeauna dvs. de control al infeciilor liniile directoare de spital de manipulare amaterialelor infecioase.

    To ensure proper ventilator operation, perform the following maintenance procedures atthe recommended intervals. All procedures should be adapted to your institution policiesand protocol. The use life of this ventilator is 6 years.

    This section is about some technical reference, it describes:Cleaning and disinfectingPreventive maintenanceTroubleshootingStorage

    For instructions for qualified service technicians on performing more detailedtroubleshooting, or other service procedures, see part 6 and part 7 for more information,

    1

  • 7/31/2019 1 Introducere Shandrila

    34/59

    5. Maintenance and Serviceincluding theory of operation and parts list. Ventilator electronic components are not field-repairable.

    WarningUnqualified personnel must mot attempt to service the ventilator. Improper repair or

    unauthorized modification can compromise safety and result in patient injury.Make sure you have cut down the external power supply when you repair theventilator.The power adapter is an important part of the ventilator it can not use near fire, anduse in a too humidity environment (such as in raining environment), and do not use thepipe of power adapter as a rope! The power adapter is not field-repairable.

    NOTEWhen handling any pat of the Shangrila510 ventilator System, always follow your hospital infection control guidelines for handling infectious material.

    2

  • 7/31/2019 1 Introducere Shandrila

    35/59

    5. Maintenance and Service

    Clean and disinfection

    5.1 Curenie i dezinfectare Tabelul 5 1 v spune cum s curai, dezinfectatcomponente ventilator. avertisment: Pentru a evita expunerea pacientului la ageni de dezinfectare, asigurai-v c pentru a dezinfecta pri n conformitate cu tehnicile descrise n tabelul 5 1. Expunerea la ageni de dezinfectare poate reduce durata de via util aunor piese. filtrul cu mner cu grij, pentru a minimiza riscul de contaminare bacterian.

    urmai ntotdeauna instituiei dumneavoastr / s orientri infectie de control. Urmai instruciunile din partea 2.5 pentru a verifica ventilatorul poate lucra ntr-o stare bun nainte de a conecta la un pacient. NOT: Acest manual poate da doar orientri generale pentru curarea i dezinfectarea. Este responsabilitatea utilizatorului de aasigura validitatea i eficiena metodelor folosite.Table 5-7tells you how to clean, disinfect ventilator components.

    WarningTo avoid patient exposure to disinfecting agents, be sure to disinfect parts according tothe techniques described inTable 5-7 . Exposure to disinfecting agents may reducethe useful life of some parts.Handle filter with care, to minimize the risk of bacterial contamination. Always follow your institution/s infection control guidelines.Follow the instructions in Part 2.5 to check the ventilator can work in a good conditionbefore connect to a patient.

    NOTEThis manual can only give general guidelines for cleaning and disinfecting. It is theusers responsibility to ensure the validity and effectiveness of the methods used.

    Table 5-7 Cleaning and disinfecting

    Part Procedure Comments

    Ventilator exterior (including LCD

    Screen)

    Curai cu o crp umed isoluie de spun sau cu una dintreaceste substane chimice sauechivalentele acestora. Folosesteapa pentru a se clateste reziduurichimice dup cum este necesar.Wipe clean with a damp cloth andmild soap solution or with one of these chemicals or their

    equivalents. Use water to rinse off chemical residue as necessary.

    Nu permite lichid sauspray-uri pentru a penetraventilator sau conexiunileprin cablu. Nu folosii aer sub presiune pentru acura sau se usuceventilator.Do not allow liquid or sprays to penetrate the

    ventilator or cableconnections. Do not usepressurized air to clean or

    3

  • 7/31/2019 1 Introducere Shandrila

    36/59

    5. Maintenance and Service

    dry the ventilator.

    Warning avertisment: Nu folositi impregnant organici pentru a curata suprafata

    de ventilator. Dac radiaii ultraviolete de utilizare pentru a dezinfecta, nu lasa timp de peste 1 or.

    Do not use organic impregnate to clean the ventilator surface.If use ultraviolet radiation to disinfect, do not let the timeover 1 hour.

    4

  • 7/31/2019 1 Introducere Shandrila

    37/59

    5. Maintenance and Service

    Table 5-8 Cleaning and disinfecting

    Part Procedure Comments

    Patient circuittubing

    Demontai i curai, apoiautoclave, pasteuriza, chimic saudezinfectat. Single-pacientutilizare: RenunaiDisassemble and clean, thenautoclave, pasteurize, or chemically disinfect.

    Single-patient use: Discard.

    Dac scufundat n lichid,se folosete aer comprimatpentru a sufla de umiditatedin interiorul tubului naintede utilizare. Verificaipentru porecle i buci, i nlocuii-l dac estedeteriorat.If submerged in liquid, usepressurized air to blow

    moisture from inside thetubing before use. Inspectfor nicks and cuts, andreplace if damaged.

    Caution Atenie: dezinfectarea cu abur este o metod viabil

    de dezinfectare a circuitelor pacientului Shangrila510furnizate de Aeonmed, dar se poate scurta durata detubulatura de via. Modificri de culoare (ingalbenirea),i de flexibilitate a sczut tuburile sunt de ateptat efectesecundare ale acestui tuburi de abur de dezinfectare. Aceste efecte sunt cumulative si ireversibile.

    Steam disinfection is a viable disinfecting method of Shangrila510 patient circuits supplied by Aeonmed, but itmay shorten the tubings life span. Discoloration (yellowing)and decreased tubing flexibility are expected side effects of steam disinfecting this tubing. These effects are cumulativeand irreversible.

    Admisie a aeruluiFiltru burete Air inlet filter sponge

    Curai i dezinfectai la fiecare 2pn la 3 sptmniClean and disinfect every 2 to 3weeks.

    nlocuii un burete nou, celpuin o jumtate de an.Replace a new sponge atleast half a year.

    Warning avertisment: de intrare a aerului filtrul de burete se poate filtra schelet, etc

    microorganisme peste 100m. Dezinfectarea dup infecie sau o utilizare special pacient infecioase: a se utiliza apa minerala de 2% pentru a curasuprafaa de ventilator. Dup ce c-l curai cu ap. Dup utilizarea

    ventilatorului pe un pacient de tuberculoz, un special de dezinfecie estenecesar. Scufund componentelor n soluie de dezinfectare anumite peste 2ore. i apoi pune-l ntr-o cutie de fum formalin de 12 de ore pentru

    5

  • 7/31/2019 1 Introducere Shandrila

    38/59

    5. Maintenance and Servicedezinfectare mai mult.

    Air inlet filter sponge can filter atomy, microorganism etc. over 100m.Disinfecting after special infection or infectious patient use: use 2 soda water toclean the surface of the ventilator. After that clean it with water. After using ventilator on a tuberculosis patient, a special disinfecting is needed.

    Immerse components in certain disinfection solution over 2 hours. And then put it in aformalin fume box 12 hours for more disinfection.

    2.1.15 Cleaning: general guidelines

    .1.1 Curarea: orientrile generaleNu curai sau reutilizai-un singur pacient de utilizare sau de produse de unic folosin.La curarea pieselor, nu utilizai perii dure sau a altor instrumente care ar putea deteriorasuprafeele.

    1. Splai pri n ap cald i soluie de spun.2. Clatiti pri bine n ap curat, cald (apa de la robinet este bine).3. Aeonmed v recomand s verificai toate prile de la fiecare curare. nlocuii toatepiesele deteriorate.4. Ori de cte ori nlocuirea unor piese de pe ventilator, asigurai-v c se poate lucra ntr-o stare bun nainte de a se conecta la pacient.

    Do not clean or reuse single-patient use or disposable products. When cleaning parts, donot use hard brushes or other instruments that could damage surfaces.1 Wash parts in warm water and mild soap solution.2 Rinse parts thoroughly in clean, warm water (tap water is

    fine).3 Aeonmed recommends that you inspect all parts at every

    cleaning. Replace any damaged parts.4 Whenever you replace parts on the ventilator, make sure it

    can work in a good condition before connect it to patient.

    6

  • 7/31/2019 1 Introducere Shandrila

    39/59

    5. Maintenance and Service

    Caution Atenie: Urmai instruciunile productorului de spun. Expunerea la soluie de

    spun, care este foarte concentrat mai mult dect este necesar se poate scurtadurata de via util a produselor. Reziduuri de spun poate provoca pete sau fisuri

    fine, mai ales pe piesele expuse la temperaturi ridicate n timpul dezinfeciei. 5.1.2Dezinfectarea Nu dezinfectat, sau reutiliza-un singur pacient de utilizare sau deproduse de unic folosin. Cnd dezinfectarea tubulatura, bobina ntr-o buclamare, evitnd ndoit sau tuburi de trecere.Lumenul tuburi ar trebui s fie liber deorice picatura de vizibile nainte de ambalare. 5.2 de ntreinere preventiv NOT:

    Evitai ventilatorului de oc sau se ciocnesc. Tabelul 5 3 rezum intervale de ntreinere preventiv i proceduri.Bateria intern poate ncrca peste 350 de ori, vrugm s ncrcai la temperatura cuprins ntre 0 ~ 45 . Dac bateria interntrebuie s fie nlocuit, v rugm s urmai etapele descrise n partea 5.4

    Follow the soap manufacturers instructions. Exposure to soap solution that is morehighly concentrated than necessary can shorten the useful life of the products. Soapresidue can cause blemishes or fine cracks, especially on parts exposed to elevatedtemperatures during disinfection.

    2.1.16 Disinfection

    Do not disinfect, or reuse single-patient use or disposable products. When disinfecting

    tubing, coil it in a large loop, avoiding kinks or crossing tubing. The tubing lumen should befree of any visible droplets prior to wrapping.

    Preventive maintenance

    NOTE Avoid the ventilator from shock or collide.

    Table 5-9 summarizes preventive maintenance intervals and procedures. The internalbattery can charge over 350 times, please charge it at temperature between 0~45 . If the internal battery must be replaced, please follow steps described on part 5.4

    Table 5-9 Preventive maintenance intervals

    .7

  • 7/31/2019 1 Introducere Shandrila

    40/59

    5. Maintenance and Service

    Frequency Part MaintenanceDe mai multe ori pezi, sau, dup caz, dectre instituiadumneavoastrcircuitul pacientuluipoliticaSeveral times a dayor as required byyour institutionspolicy

    Patient circuit Curai i pstraiuscciuneClean and keep dryness.

    Fiecare 2 pn la 3sptmniEvery 2 to 3 weeks

    de intrare a aerului filtrul de burete Air inlet filter sponge.

    .. CuraiClean.

    . La fiecare 3 luni(sau mai des, daceste necesar)Every 3 months (or more often, if required)

    baterie intern

    face un proces dedescrcare de gestiune ide rencrcareDo a discharge andrecharge process.

    ,. Fiecare ventilator de 2000 de oreEvery 2000 hours

    n ntregime i senzorii sai

    Entire ventilator and its sensors.

    Utilizai setul corespunztor de ntreinere preventiv. ide ntreinere preventivtrebuie s fie efectuat deun tehnician de servicecalificat.Use appropriate preventivemaintenance kit. Andpreventive maintenancemust be performed by aqualified service technician .

    8

  • 7/31/2019 1 Introducere Shandrila

    41/59

    5. Maintenance and Service

    2.1.17 Replacing fuses

    5.2.1 nlocuirea siguraneLocul de amplasare de sigurane este n panoul din spate a ventilatorului, a se vedeafigura 5 1.

    nlocuirea pai:1 Conectai surubelnita pentru a canelura de pe sfritul de cutia de sigurane.2 ntoarcei invers acelor de ceasornic 3 ~ 5 cercuri apoi tragei uor din tuburi desigurane.3 Scoateti tuburi de sigurane.

    4 ncadrai cele noi.5 tuburi de sigurante mping la locul iniial uor.6 Pornii sensul acelor de ceasornic 3 ~ 5 cercuri cu surubelnita pentru a strnge.7 Connect reea de aprovizionare.

    avertisment: Deconectai de la sursa de alimentare nainte de a nlocui sigurante, n caz contrar, carepoate afecta operatorul chiar la deces. nlocuii siguranele numai cu cele de tip specificat i de evaluare curent, de altfel, carepot deteriora echipamentul.

    Atenie: sigurana este fragil, att de nlocuire trebuie s fie atent. Nu utilizai for excesiv. Anulai modificrile

    The location of fuse is in the rear panel of the ventilator, seeFigure 5-21.

    Replacing steps:1 Plug the screwdriver to groove on the end of fuse box.2 Turn counterclockwise 3~5 circles then pull out fuse tubes lightly.3 Take off fuse tubes.4 Enclose the new ones.5 Push fuse tubes to original place gently.6 Turn clockwise 3~5 circles with screwdriver to tighten.7 Connect mains supply.

    WarningDisconnect from power supply before replacing fuses, otherwise that can injure

    operator even death.Replace fuses with only those of the specified type and current rating, otherwise

    9

  • 7/31/2019 1 Introducere Shandrila

    42/59

    5. Maintenance and Servicethat can damage the equipment.

    CautionThe fuse is fragile, so replacement should be carefully. Do not use excessive force.

    Figure 5-21 Replace fuse

    2.1.18 Maintenance during convey the machine

    5.2.2 de ntreinere n timpul transmite main Maina trebuie s fie pus n loc adecvatpentru confortul personal al clinicii n timpul funcionrii. n timpul n sus i n jos de scarcirculaie trebuie s aib grij de bucla de ventilaie i cablurile electrice. Este mai bine sia bucla de ventilaie de pe prevenirea pagubelor. NOT: face o micare de securitate

    n timp ce anume transmite ventilator. Figura 5 2 arat modul corect de a asigurasigurana. lichide Pstrai departe de componente electrice Repararea i mutarea este interzis n timp ce ventilatorul este de lucru. De asemenea, verificai nimic nu esteacoperit cu maina n timp ce funcioneaz.

    The machine must be put in proper place for the clinic personnels convenience duringoperation. During the up and down-stairs movement one must take care of the ventilationloop and power cables. Its better to take the ventilation loop off preventing damage.

    NOTEMake a certain security movement while convey the ventilator.Figure 5-22shows thecorrect way to ensure safety.Keep liquids far from the electrical componentsRepairing and moving is forbidden while the ventilator is working. Also check nothing iscovered with the machine while it works.

    10

  • 7/31/2019 1 Introducere Shandrila

    43/59

    5. Maintenance and Service

    Figure 5-22 The correct way to convey Shangrila510 ventilator

    11

  • 7/31/2019 1 Introducere Shandrila

    44/59

    5. Maintenance and Service

    Troubleshooting

    2.1.19 Ventilator technical troubleshooting and analyzing

    5.3 Rezolvarea problemelor 5.3.1 Ventilator rezolvari de probleme tehnice i analiza

    Table 5-10 Ventilator technical troubleshooting and analyzing

    Symptom Possible Cause Recommended Action

    ventilator does notwork

    Cablul de alimentare estedeconectat Comutatorul dealimentare este oprit Siguranta

    este arsPower supply cable isunpluggedPower switch is off Fuse is burned

    Conectai cablul dealimentare Pornii comutatorul de alimentarenlocuii cu o siguran nouPlug in power supply cableTurn on power switchReplace with a new fuse

    Ventilator defuncionare se opretebrusc, indicatorulluminos se stinge, isun alarmaVentilator stopsoperating suddenly,indicator light turnsoff, and sounds alarm

    Sursa de alimentare este ntrerupt Power supply isinterrupted

    Utilizai ventilaie manual,i verificai sursa dealimentare.Use manual ventilation, andcheck the power supply.

    Extern dealimentare, indicatorulluminos plpie,uneori,The external power

    supply indicator lightflicker sometimes

    Cablul de alimentare nu esteatt de conectai RezistenaPower supply cable is notconnect so fastness

    Fixai cablulFasten the cable

    2.1.20 Ventilator Clinic troubleshooting and analyzing

    5.3.2 Clinica Ventilator rezolvari de probleme i analizarea1. Cilor respiratorii superioare Limita de presiune

    12

  • 7/31/2019 1 Introducere Shandrila

    45/59

  • 7/31/2019 1 Introducere Shandrila

    46/59

    5. Maintenance and Service

    setting

    Schimbarea de respectareapacientului Changing of patients compliance

    Verificai situapacientuluiCheck patients situatio

    Auto-determinat lipsa derespiraie atunci cnd ntr-oventilatie SIMV sau SPONTSelf -determinate breathing lackwhen in a SIMV or SPONTventilation

    Proces-verbal de volum i rateletotale de respiraie prea mici.Minutes volume and totalbreathing rates too low

    A schimba modul dventilare i de parametrpentru pacientChange ventilation modand parameter to thpatient

    3. The patient trigger indicator light flicker Pacientul Indicatorul de declanare flickeruluiTabelul 5 7 de declanare Pacientul indicatorul luminos plpirea

    Table 5-13 The patient trigger indicator light flicker

    Symptom Possible Cause Recommended ActionDeclanare pacientde auto-determinareade respiraie .Patient trigger self-determine breathing

    Setarea de declanareeste prea micSetting of trigger is toolow

    Reajustai setarea dedeclanare pacientuluiReadjust the patienttrigger setting.

    5.4 nlocuirea bateriei interne Atunci cnd bateria intern a fost acuzat depeste 10 ore, putere pe ventilator, fr surs de alimentare extern,pictograma bateriei nc prezinta bateria intern este n capacitatearedus, mpreun cu alarma baterie descarcata, poate fi necesar s nlocuii o baterie nou interne.

    avertisment: Asigurai-v c sursa de alimentare extern a fost tiat nainte de a nlocui bateria.

    Shangrila510 adapta cu nlocuibil nichel-hidrogen acumulator (DCalimentarea cu energie), caietul de sarcini: (HY Ni-MH AA1800mAh 12V)dimensiune: mai puin de 52X15X145mm.Replacing internal battery

    When the internal battery has been charged over 10 hours, power on the ventilator withoutexternal power supply, the battery icon still shows the internal battery is in low capability

    together with low battery alarm, you may need to replace a new internal battery.

    Warning14

  • 7/31/2019 1 Introducere Shandrila

    47/59

    5. Maintenance and ServiceMake sure the external power supply has been cut off before you replace the battery.

    Shangrila510 adapt with replaceable nickel-hydrogen battery (DC power supply),specification: (HY Ni-MH AA1800mAh 12V); size: less than 52X15X145mmFollow thessteps to replace the internal battery:

    Urmai aceti pai pentru a nlocui bateria intern:

    Open the battery replacing window in the left hand side panel.Deschidei fereastra battery nlocuirea n panoul din stnga partea stng.

    Disconnect the electric connector between internal battery and ventilator.Deconectai conectorul electric ntre baterie intern i ventilator.

    Untie the batterys fix-tie.Dezlege a bateriei fix-cravat.

    15

  • 7/31/2019 1 Introducere Shandrila

    48/59

    5. Maintenance and ServiceTake out the battery and change a new one. Then put it back, tie the fix-tie, connect theelectric connector and close the Battery Replacing Window.Scoatei bateria i schimba unul nou. Apoi pune-l inapoi, lega fix-cravata, conectaiconectorul electric i nchide fereastra nlocuirea bateriei.

    Transport and storage

    5.6 Transport i depozitare

    5.6.1 Transport Numai produse i casetat poate transporta prin camion, cale ferat, navsau avion. Evitai oc feroce i vibraii n timp ce transporta ventilator. ntotdeauna setransporta cu un mediu dewiness.

    5.6.2 DepozitareProdusul trebuie s fie stocate n camera cu temperatura de -10 ~ 40 , umiditate relativ de a nu noroi mult de 80%, o bun ventilaie i fr gaz coroziune.

    Atenie: Atunci cnd condiiile de depozitare sunt dincolo de cerinele de mediu operaional, precum i starea de stocare este transferat n stare funcionare, singurul produs poate fi folosit dup ce a fost depozitat ntr-un mediu de peste 8 ore.

    2.1.21 Transport

    Only well cased products can transport through lorry, railway, ship or plane. Avoid fierceshock and vibration while transport the ventilator. Always transport it with a dewinessenvironment.

    2.1.22 Storage

    The product should be stored in the room with temperature of -10~+40 ,relativehumidity of not mire than 80%, good ventilation and without corrosion gas.

    CautionWhen the storage conditions are beyond the requirements of operational environment,and the storage state is transferred into operation state, the product only can be usedafter being stored in environment for over 8 hours.

    16

  • 7/31/2019 1 Introducere Shandrila

    49/59

    6. Theory of operation

    Theory of operation

    Teoria de funcionare Aceasta sectiune este despre unele tehnic de referin, n special cu privire la principiulde produs i de caracterul de proiectare a Shangrila510 ventilator.

    Schema bloc simplificat pentru 510 ventilator este aa cum se arat n figura 6 1. npartea dreapt a figurii, blocuri conectate prin conducte formeaz partea circuitul degaze din unitatea principal i n partea stng, blocuri conectate prin sgei sunt parteade control electronic al unitii principale.

    Dup intrarea, oxigenul trece supapei de siguran care limiteaz presiunea la

    0.28Mpa. Apoi, trece electrovalva, din care o parte din oxigen merge la supapa carecontroleaz rata de flux de oxigen furnizat pacientului n timp ce se deplaseaz n altparte supapa de reglare de aer-oxigen, care controleaz concentraia de oxigenfurnizate pacientului. De gaz n micare la vitez mare prin supapa de presiunenegativ prevede, la intrarea n mixer aer-oxigen, antrenor de o anumit proporie deaer sau de oxigen i de gaz mixt intr cailor respiratorii. Pentru scopul de siguranta,supapa de siguranta este proiectat n cilor respiratorii i folosite pentru a limita max.cilor aeriene de presiune a unui pacient. Presiunea este n mod normal, stabilit la6kPa. Cnd presiunea cailor respiratorii depete presiunea de siguran a sistemuluide circuitul de gaze, supapa de siguranta se va elibera. el fluxul de aer trece senzorulde debit inhalare i este transformat n semnal de monitorizare a sistemului, care indicvolumul aspiratory mareelor si ventilatie minut, i apoi, se duce la pacient i prinintermediul tubului de gaz. Aerul expirat, de ctre pacientul este externat din unitateaprin tub i supapa expirator.

    Aceasta este descrierea pe scurt a procesului de aer mixte se deplaseaz n plmniiunui pacient. n acest proces, supapa de gaz controleaz intrarea cailor respiratorii,care este supus reglementrii de operatori. n timpul inhalare, electrovalva deschide i nchide supapa expirator. n timpul expiratie, este invers, care este, electrovalva nchidei se deschide supapa expirator. Procesul complet este controlat de sistemul de controlelectronic. Aa cum se arat n diagrama simplificat, placa de baza ofera mai multe oride funcionare a unitii, inclusiv prin inhalare de timp, semnal de comutare n timpulrespiraiei autonom i semnalul de control de electrovalva. n plus, acesta ofer ceas detimp de baz, procesare de semnal de senzor de volum convecie, de prelucrare atastaturii de management i de afiare i diferite semnale de alarm. Partea demonitorizare a presiunii i de prelevare de probe, n principal monitorizeaz presiuneapacientului cilor respiratorii i le-a artat pe ecran, genereaza semnalul de alarm depresiune i de pacient-declanat de semnal, i monitorizeaz puterea de unitate

    complet.Este alarme n caz de anomalie de alimentare. Seciunea de afiare a panoului seadreseaz n principal, stabilirea parametrilor i afiarea de date. Consiliul de putere

    1

  • 7/31/2019 1 Introducere Shandrila

    50/59

    6. Theory of operation

    funcioneaz n principal, pentru furnizarea de energie necesar pentru funcionareanormal a diferitelor pri din sistemul complet.

    NOT

    Senzorul Shangrila510 ventilator de debit i senzor de presiune sunt integrate interne

    This section is about some technical reference, mainly about product principle anddesign character of Shangrila510 ventilator.

    The simplified block diagram for 510 ventilator is as shown inFigure 6-23. In the rightpart of the figure, the blocks connected by pipes form the gas circuit portion of the mainunit and in the left part, the blocks connected by arrows are the electronic control

    portion of the main unit. After entry, oxygen passes the relief pressure valve which limits the pressure to0.28MPa. Then, it passes the solenoid valve, from which part of the oxygen goes to thethrottle valve which controls the rate of oxygen stream supplied to the patient while theother part moves to the air-oxygen regulating valve which controls the concentration of oxygen supplied to the patient. The gas moving at high speed through the throttle valveprovides negative pressure at the inlet of the air-oxygen mixer, entraining a certainproportion of air or oxygen and the mixed gas enters the airway. For safety purpose,safety valve is designed in the airway and used to limit the max. airway pressure of apatient. The pressure is normally set at 6kPa. When the airway pressure exceeds thesafety pressure of the gas circuit system, the safety valve will release. he air flowpasses the inhalation flow sensor and is converted to monitoring signal of the system,which indicates the aspiratory tidal volume and minute ventilation, and then, it goes tothe patient via the gas tubing. The air exhaled by patient is discharged out of the unitthrough the tube and expiratory valve.

    This is the brief description of the process of the mixed air moving into the lungs of apatient. In this process, throttle valve controls the gas entering the airway, which is

    subject to regulation of operators. During the inhalation, the solenoid valve opens andthe expiratory valve closes. During the exhalation, it is the other way round, that is, thesolenoid valve closes and the expiratory valve opens. The complete process iscontrolled by the electronic control system. As shown in the simplified diagram, themainboard provides the various operating times of the unit, including inhalation time, theswitching signal during autonomous respiration and control signal of solenoid valve.Moreover, it provides basic time clock, signal processing of convection volume sensor,processing of management keyboard and display and various alarm signals. Theportion of pressure monitoring and sampling mainly monitors the patients airway

    pressure and has it shown on the display screen, generates the pressure alarm signaland patient-triggered signal, and monitors the power of the complete unit.It alarms in case of power supply anomaly. The section of panel display mainly

    2

  • 7/31/2019 1 Introducere Shandrila

    51/59

    6. Theory of operation

    addresses the parameter setting and data display. The power board functions mainly for supplying power needed for the normal operation of the various parts in the completesystem.

    NOTEShangrila510 ventilators flow sensor and pressure sensor are integrated internal.

    3

  • 7/31/2019 1 Introducere Shandrila

    52/59

    6. Theory of operation

    Figure 6-23 Product principle and anticipat

    Capacitatea de ventilare

    Volumul mareelor: 0 ~ 1200mL, precizie: 30ml (200ml de mai jos); 15% (altele).

    A / C ratele de respiraie: 4 ~ 99bpm, de precizie: 15%; alte 1bpm.SIMV ratele de respiraie: 4 ~ 40bpm, de precizie: 15% I: E Ratio: 2:1 - 1:04, precizie: 15% Concentraia de oxigen: 48% ~ 100%

    Sensibilitatea Trigger: -2 ~ 0kPa, precizie: 50Pa (mai sus-0.5kPa); 10% (altele)

    NOT Toate datele sunt baza pe un ntpd (20, 1013hPa, uscat), de mediu.

    7.2 Sistemul de pacient Combinat cu ventil respira si tuburi de 1,1 urub. Conformitate:10ml/kPa, si rezistenta la expirare: 0.6kPa/L/s, (pentru aduli folosi o viteza de curgerede la 60L/min pentru copii de la 30L/min) cavum este 12mL.

    7.3 Dimensiuni si Greutate Dimensiuni: nlime Adncime Lime (mm): 175 170 300 Greutate: 3.5 kg aproximativ

    7.4 Valoare de siguran Nu mai mult de 6KPa.

    7.5 Mod de ventilare A / C, suspin, SIMV, SPONT, Manual.

    7.6 Monitor capacitatea de

    1. Volum Tidal: 0 ~ 1200mL. (0 ~ 200ml: precizie de 30ml; volum Tidal altele: preciziede 15%)

    2. Presiunea de vrf:. Maxim de presiune cailor respiratorii pacient n timpul uneirespiratie pacient (0 ~ 60cmH2O.accuracy 10%)

    4

  • 7/31/2019 1 Introducere Shandrila

    53/59

    6. Theory of operation

    3. Rata de respiratie total: 4bpm ~ 99bpm. (Rata de 40bpm, precizie alte 1bpm, 5%)

    4. Pacient de declanare indicaie.

    5. Extern de alimentare indicaie7.7 capacitatea principal de activitate al Shangrila510

    1.Conformitatea sistemului de ventilator: 4mL/100Pa.

    2. Ventilator de zgomot: 65dB (A).

    3. Electrice n condiii de siguran: satisface cerinele pentru clasa II, de tip B,echipamente specificate n echipamentele electrice IEC60601-1 Medical: Partea nti:cerina general de siguran.

    4. Putere: 2 A.5.Consumul intern a ventilatorului: aproximativ 1.0L/min.

    Ventilation capability

    Tidal volume: 0~1200mL, accuracy: 30mL (below 200mL); 15% (other). A/C breathing rates: 4~99bpm, accuracy: 15%; other 1bpm.SIMV breathing rates: 4~40bpm, accuracy: 15%I:E Ratio: 2:1 to 1:4, accuracy: 15%Oxygen concentration: 48%~100%Trigger sensitivity: -2~0kPa, accuracy: 50Pa (above -0.5kPa); 10% (other)

    NOTE All dates are base on a NTPD (20,1013hPa, dry environment.

    Patient system

    Combined with breathe valve and 1.1m screw tubing. Compliance: 10ml/kPa, andexpiration resistance: 0.6kPa/L/s, (For adult use a velocity of flow at 60L/min for

    children at 30L/min) the cavum is 12mL. Size and Weight

    Size: Height Depth Width (mm): 175170300Weight: 3.5Kg approximately

    Safety Value

    Not more than 6KPa.

    5

  • 7/31/2019 1 Introducere Shandrila

    54/59

    6. Theory of operation

    Ventilation Mode

    A/C, Sigh, SIMV, SPONT, Manual.

    Monitor capability

    1. Tidal Volume: 0~1200mL. (0~200mL: accuracy 30mL; other Tidal Volume: accuracy15 )2. Peak Pressure: Maximum patient airway pressure during a patient breath.(0~60cmH2O.accuracy 10)3. Total Breathing Rate: 4bpm~99bpm. (Rate 40bpm, accuracy 1bpm, other 5)4. Patient trigger indication.5. External power supply indication

    Main capability of the Shangrila510

    1. The compliance of the ventilator system: 4mL/100Pa2. Ventilator noise: 65dB(A).3. Electric safe: Meet requirements for Class II, Type B, equipment specified inIEC60601-1Medical Electrical equipment: Part one: General requirement for safety .4. Power: 2 A.5. The internal consume of the ventilator: about 1.0L/min.

    Special icon, nameplate and graph on the ventilator

    7.8 pictogram special, plcua de identificare i grafic pe ventilator

    Tabelul 7 1 pictogram special i Graficul pe ventilator

    Table 7-14 Special icon and graph on the ventilator

    Sign Position Description

    Front panel Logo of manufacturer.

    Rear panel Position of buzzer.

    6

  • 7/31/2019 1 Introducere Shandrila

    55/59

    6. Theory of operation

    Figure 7-24 Nameplate and sigh under the ventilator

    7

  • 7/31/2019 1 Introducere Shandrila

    56/59

    6. Theory of operation

    1 . Asamblarea pentru indicarea funcionrii ventilaie, de ventilaie, de obicei,legtura de cauzalitate pentru alarm.

    1 Assemble for ventilation, operation indication for ventilation, usuallycausation for alarm.

    Note: Dont use the ventilator without supervising.

    Not: Nu folosii ventilatorul fr supraveghere.

    Figure 7-25 Internal battery replace window sign

    1.Internal nlocuii bateria fereastr semn: deschide pentru a nlocui bateria intern.

    2.Nameplate de ventilator, includ o mulime de informaii.Not: ncrcare i descrcare la fiecare 3 luni.1 Internal battery replace window sign: open to replace the internal battery.2 Nameplate of ventilator, include lots of information.

    Note: Charge and discharge every 3 months.

    External power supply

    extern de alimentare1. 230 V, 50 ~ 60 Hz, +12 V alimentare vehiculului. Baterie intern: nichel-hidrogenbaterie DC12V, 1.8Ah/20HR (10 de ore pentru un timp minim de ncrcare).2. Sursa de alimentare pentru ventilator de peste 3 ore la o stare normal de lucru.Pentru a prelungi durata de via a bateriei interne, Aeonmed sugereaz faci odescrcare i ncrcare de cel puin o dat la 3 luni .Descrcarea de gestiune: taie alimentarea extern i de alimentare de pe ventilator pn cnd alarma baterie are loc. ncrcare: Conectai sursa de alimentare extern(prin adaptor AC).1.2 Mediul de operareTemperatura: 0 ~ 40 C; Umiditatea relativa: 85%;

    8

  • 7/31/2019 1 Introducere Shandrila

    57/59

    6. Theory of operation

    Presiunea atmosferic barometric: 70 ~ 110kPa avertismentFolosind ventilator la un mediu de dincolo de obligaia de mediul de operare poateprovoca volumul mareelor i presiune cailor respiratorii inexacte, att de mult caventilatorul nu poate funciona.

    1.3 Precizia de volum a mareelor despre presiunea de schimbare (VT = 700ml)

    1. 230 V, 50~60 HZ, +12V Vehicle Power Supply.Internal battery: Nickel- hydrogen battery DC12V, 1.8Ah/20HR (10 hours for minimumtime charging).2. Supply power for the ventilator over 3 hours at a normal work condition. For prolonging the life-span of the internal battery, Aeonmed suggests you do adischarging and charging at least every 3 months.Discharge: Cut off the external power supply and power on the ventilator until the lowbattery alarm takes places.Charging: Connect external power supply (through the AC adaptor).

    Operating environment

    Temperature: 0~40C;Relative Humidity: 85%;

    Atmospheric pressure barometric: 70~110kPa

    WarningUsing ventilator at a environment beyond the operating environment

    requirement may cause the tidal volume and airway pressure inaccurate, so much asthe ventilator can not work.

    The accuracy of tidal volume about pressures changing (VT=700mL)

    Pressure Tidal volume accuracyP1=100kPa 700mL 0%

    P2=100.5kPa 696.517mL 0.5%P3=101.5kPa 689.655mL 1.5%P4=103kPa 679.612mL 3%P5=106kPa 660.377mL 6%

    9

  • 7/31/2019 1 Introducere Shandrila

    58/59

    6. Theory of operation

    Accessories

    Name Description Code manufacturecorporationCE

    symbol

    Main unit Full name: Shangrila510ventilator 510(E) Aeonmed _

    O2 Inlet pipe White ,2m 510(E).3 Aeonmed _

    Fillet silica gel WJ137 Aeonmed _

    Mask Big model REF35-40-205 VBM, Germany CE

    Breathe valve One patient use 71007 Galemed, TaiWan, China CE

    Bag 1L 50420300Dongguan,China CE

    AC adapter 12V 3A MW4012 ELPAC,Shenzhen CE

    Whorl outputpipe 1.1m, silica gel

    69-16-110/1100M22/22

    VBM, Germany CE

    BatteryHY Ni-MH: AA1800mAh12V; 52X15X145mm inthe Main unit

    KAN AA(49) Kaien, zhejiang,China CE

    10

  • 7/31/2019 1 Introducere Shandrila

    59/59

    6. Theory of operation


Top Related