呼吸机840VentilatorSystem说明书.pdf

PURITANBENNETT840 Ventilator System840 VentilatorThe Puritan Bennett 840Ventilator isan evolution in critical care ventilationand the flagship product in our line of critical care ventilators.Compact and lightweight,it delivers sensitive,precise breaths to critically ill neonatalthrough adult patients.With its high-performance pneumatics,dual-microprocessor electronicsand DualViewtouchscreens,the 840 Ventilator can beupgraded to meet yourclinical needs.O.c 0146 840 datasheet 6/6/02 9:27 AM Page 2SP E C I F I C AT I O N S840 VentilatorApnea inspiratory time(TI):0.2 to 8.0 secondsApnea interval(TA):10 to 60 secondsApnea respiratory rate(f):2.0 to 40/min Apnea O2%:21%to 100%Apnea I:E ratio:1.00:1Apnea expiratory time(TE):0.2 secondDisconnect sensitivity(DSENS):20%to 95%Humidification type:Heat-moisture exchanger(HME),nonheated expiratorytube,or heated expiratory tube Patient circuit type:Pediatric or adultALARMLIMITSHigh circuit pressure(PCIRC):7 to 100 cmH2OHigh exhaled minute volume(V.E TOT):0.1 to 99.9 L or OFFHigh exhaled tidal volume(VTE):50 to 3,000 mL or OFFHigh respiratory rate(fTOT):10 to 110/min or OFFLow exhaled mandatory tidal volume(VTE MAND):5 to 2,500 mL or OFFLow exhaled minute volume(V.E TOT):0.01 to 60.0 LLow exhaled spontaneous tidal volume(VTE SPONT):5 to 2,500 mL or OFFMONITOREDDATABreath type:Indicates the type(control,assist or spontaneous)and phase(inspiration or exhalation)of the breath being deliveredDelivered O2%End expiratory pressure(PE END)End inspiratory pressure(PI END)Exhaled minute volume(V.E TOT)Exhaled tidal volume(VTE)I:E ratioMaximum circuit pressure(PCIRC MAX)Mean circuit pressure(_PCIRC)Spontaneous minute volume(V.E SPONT)Total respiratory rate(fTOT)Rapid shallow breathing indexMean inspiratory flowTI/TTOTratioIntegral waveforms function includes choice of:Pressure-time curve,flow-time curve,volume-time curve,or pressure-volume loop(one or two waveform curves or one pressure-volume loopcan be displayed at the same time).Pressure-volume loop automaticallycalculates inspiratory area.All waveforms can be frozen.Adjustable baseline and vertical/horizontal axis scalesWaveforms are automatically displayed and frozen when you press INSP PAUSE or EXP PAUSE.In INSP PAUSE,the calculated values forcompliance and,when possible,resistance,are displayed after theinspiratory pause.In EXP PAUSE,the measured values for intrinsic andtotal PEEP are displayed during and after the expiratory pause.INTELLIGENTUSERINTERFACEDualViewliquid crystal display(LCD)touch screens display moni-tored data separately from ventilator settings for easy patientassessment.The SandBoxscreen area lets you set up and review all proposedventilator and alarm limit settings before you apply them to yourpatient.You can change any proposed setting or press the CLEARkey to cancel.No settings are applied to the patient until you pressthe ACCEPT key.The SmartAlertAlarm System prioritizes alarm annunciation.Primary alarms are distinguished from secondary,or dependentalarms,helping you to efficiently resolve root causes of alarms.The setting for Ideal Body Weight(IBW)establishes boundaries thathelp prevent application of inappropriate ventilator settings.Entering IBW automatically creates default settings and alarm limits,which may either be quickly accepted for rapid setup or adjusted,as needed.The 840 ventilator offers an“undo”function that allows you toreturn to previous settings quickly and easily.VENTILATORSETTINGSIdeal Body Weight(IBW):7.7 to 330.7 lb(3.5 to 149 kg)1.1 to 330.7 lb(0.5 to 149 kg)with NeoModeoptionModes:Assist/Control(A/C),synchronous intermittent mandatory ventilation(SIMV),or spontaneous(SPONT).Optional BiLevel.Spontaneous breath types:Pressure supported(PS),none or tubecompensation optionPressure support(PSUPP):0 to 70 cmH2OFlow acceleration%:1%to 100%Expiratory sensitivity(ESENS):1%to 45%Mandatory breath types:Volume control(VC)or pressure control(PC)Tidal volume(VT):25 to 2,500 mLRespiratory rate(f):1.0 to 100/minPeak inspiratory flow(V.MAX):3 to 150 L/min for IBW 24 kg;3 to 60 L/min for IBW 24 kgFlow pattern:Square or descending rampPlateau time(TPL):0.0 to 2.0 secondsInspiratory pressure(PI):5 to 90 cmH2OConstant during rate change:Inspiratory time(TI),I:E ratio,or expiratory time(TE)Inspiratory time(TI):0.2 to 8.0 secondsI:E ratio:1:299-4.00:1Expiratory time(TE):TE 0.2 secondTrigger type:Pressure(PTRIG)or flow(V.TRIG,Flow-byflow triggering)Pressure sensitivity(PSENS):0.1 to 20 cmH2O below PEEPFlow sensitivity(V.SENS):0.5 to 20 L/minO2%:21%to 100%PEEP:0 to 45 cmH2OApnea ventilation:Apnea mandatory type-volume control(VC)or pressure control(PC)Apnea flow pattern:Square or descending rampApnea peak flow(V.MAX):3 to 150 L/min for IBW 24 kg;3 to 60 L/min for IBW 24 kgApnea inspiratory pressure(PI):5 to 90 cmH2OSpecifications subject to change without notice.O.c 0146 840 datasheet 6/6/02 9:27 AM Page 3PHYSICALCHARACTERISTICSWeightBreath delivery unit(BDU):40.1 lb(18.2 kg)Graphic user interface(GUI):12.6 lb(5.7 kg)Backup power source(BPS):14.6 lb(6.6 kg)Cart:34.2 lb(15.5 kg)Compressor:55 lb(25 kg)DimensionsBDU:13 H x 18 W x 10 D(330 mm H x 457 mm W x 254 mm D)GUI:18.1 H x 15.5 W x 6.7 D(460 mm H x 394 mm W x 170 mm D)BPS:3.25 H x 9.6 W x 10 D(83 mm H x 244 mm W x 254 mm D)Cart:39.3 H x 22.9 W x 23.7 D(998 mm H x 582 mm W x 602 mm D)Compressor:16.4 H x 18 W x 14.25 D(417 mm H x 458 mm W x 362 mm D)ConnectorsInspiratory limb connector:ISO 22-mm conical male Expiratory limb connector(on expiratory filter):ISO 22-mm conical maleAir and oxygen inlets:DISSOxygen sensor life:Two years or 10,000 hours of use,nominal(actual lifedepends on operating environment;operation at higher temperature orFIO2levels will result in shorter sensor life)Gas mixing systemRange of flow from the mixing system:Can be set to 150 L/min standardtemperature and pressure,dry(STPD)for patients 24 kg and up to 60L/min for patients 24 kg.Additional flow is available up to 200 L/minfor compliance compensation.Leakage from one gas system to another:Meets standard EN 794-1Operating pressure range:35 to 100 psi(241 to 690 kPa)Alarm volumeApproximately 45 db(A)to 85 db(A)COMPLIANCE ANDAPPROVALSThe 840 Ventilator System was developed in accordance with pertinentFDA guidances,and North American and international standards.The ventilators IEC 601-1 classification is Protection Class I,Type B,internally powered,drip-proof equipment,continuous operation.The ventilator meets all requirements for Electromagnetic Compatibility(EMC)under the IEC 601-1-2 standard including CISPR II,Group I,Class B.Authorized to bear the Canadian Standards Association(CSA)certifica-tion mark with NRTL/C indicator,signifying the product has been evalu-ated to the applicable Underwriters Laboratories Inc.(UL)and CSAstandards,for use in the U.S.and Canada.Certified by CSA to the following North American standards(120 V units):CSA C22.2 No.601-1+Supplement 1CSA C22.2 No.601-2-12UL No.2601-1Certified by CSA to the following international standards andrequirements under the CB Scheme:IEC 601-1+Amendments 1 and 2 IEC 601-2-12VENTILATORSTATUSINDICATORSHigh-urgency alarm:Blinking if active,steadily lit if autoresetMedium-urgency alarm:Blinking if active,turns off if autoresetLow-urgency alarm:Steadily lit if active,turns off if autoresetNormal operationNormal breath delivery unit operationVentilator inoperativeNormal graphic user interface operationLoss of graphic user interfaceSafety valve openBackup Power Source(BPS)readyVentilator operating on BPSBPS charged/BPS chargingCompressor readyCompressor supplying air to the ventilatorOTHERKEYS ANDINDICATORSScreen lock key:When lit,touching the screen or offscreen controls has noeffect until you press screen lock again.New alarms automaticallyunlock the screen and controls.Alarm volume key:Adjusts alarm volume(alarm volume cannot be turned off)Alarm silence key:Silences alarm sound for 2 minutes Alarm reset key:Clears active alarms or autoresets high-urgency alarms,cancels an active alarm silence,and is recorded in the alarm log?key:Displays basic operating information about the ventilator 100%O2/CAL 2 min key:Delivers 100%oxygen(if available)for 2minutes and calibrates the oxygen sensor MANUAL INSP key:Delivers one manual breath to the patient according tothe current mandatory settingsEXP PAUSE key:Allows you to measure auto-PEEP(not functional in SPONT,and has no effect during the inspiratory phase of a breath)INSP PAUSE key:Allows you to perform static mechanics maneuversKnob:Adjusts the value of a setting.A button that is highlighted meansthat the knob is linked to that setting.CLEAR key:Cancels a proposed setting ACCEPT key:Applies proposed settingsWARRANTYOne year parts and laborENVIRONMENTALSPECIFICATIONSPneumatic Gas SourcesAir and oxygen:Must be supplied at 35-100 psi(241-690 kPa)TemperatureOperating:50F to 104F(10C to 40C)at 10%to 95%relative humidity,noncondensing Storage:-4F to 122F(-20C to 50C)at 10%to 95%relative humidity,noncondensing Atmospheric pressureOperating:10.2 to 15.4 psi(700 to 1,060 hPa)Storage:7.3 to 15.4 psi(500 to 1,060 hPa)AltitudeOperating:-1,350 ft to 10,000 ft(-443 m to 3,280 m)Storage:up to 20,000 ft(up to 6,560 m)O.c 0146 840 datasheet 6/6/02 9:27 AM Page 4SP E C I F I C AT I O N S(C O N T I N U E D)Ordering Information840 VENTILATOR AND SOFTWARE OPTIONSTo order,call your local Puritan Bennett sales representative.STANDARDACCESSORIESFlex arm4-032006-00Inspiratory bacteria filterReusable(Re/Flex,each)4-074600-00Expiratory bacteria filter and collector vialReusable filter(Re/X800,each)4-070305-00Reusable collector vial(Re/X800,each)4-074647-00Test hose 4-018506-00Test lung4-000612-00802 Backup power source(BPS)4-070520-00SELECTIONREQUIREDOxygen hose assembly,DISS(U.S.)4-001474-00Air hose assembly,DISS(United States)4-006541-00Power cord(North America)4-071420-00Operators and technical reference manualEnglish 4-075609-00Spanish4-070147-00OPTIONALACCESSORIESService manual,English4-070089-00Wall air water trap kit4-075315-00Patient breathing circuitReusable,adult,with heated wire,for Fisher&Paykel G-061235-00Reusable,adult,without heated wireG-061208-00Reusable,pediatric,with heated wire,G-061237-00for Fisher&Paykel Reusable,pediatric,without heated wireG-061223-00Inspiratory bacteria filterDisposable(D/Flex,carton of 12)4-074601-00Expiratory bacteria filter and collector vialDisposable filter(D/X800,carton of 12)4-070315-00Drain bag,disposable(package of 25)4-048491-00Drain bag tubing,disposable(package of 10)4-048493-00Clamp,reusable(package of 5)4-048492-00Drain cap4-074613-00Seal,expiratory filter4-070311-00Mounting kit,humidifier,Fisher&Paykel 480/7304-075313-00Cart,ventilator 4-076102-00Oxygen sensor*4-072214-00Battery replacement kit 4-070523-SP10,000-hour preventive maintenance kit*,BDU/GUI 4-079046-0010,000-hour preventive maintenance kit*,compressor(For specific part numbers,call your local Puritan Bennett sales representative or 1-800-635-5267.)Filter,compressor inlet 4-074374-00*Oxygen sensor to be replaced every 2 years or as necessary by a qualified service tech-nician.Preventive maintenance kits must be installed by a qualified service technician.POWERInput powerVentilator operation without compressor and with Fisher&Paykel MR730Humidifier:120 V ac,60 Hz;4.5 AVentilator operation with compressor and with Fisher&Paykel MR730Humidifier:120 V ac,60 Hz;10.1 AMains overcurrent release Ventilator:5 AAuxiliary mains:10 ANOTE:Above values obtained using the following ventilator settings at 72F(22C)ambient temperature:mode,A/C;mandatory type,PC;IBW,85 kg;f,20/min;PSUPP,30 cmH2O;TI,1 second;flow acceleration%,50%;O2%,50%;PCIRC MAX,50 cmH2O;PSENS,3 cmH2O.Leakage currentEarth leakage current:120 V ac operation:300 A maxEnclosure/patient leakage current:120 V ac operation:100 A maxPatient auxiliary leakage current:Not applicable;no applied parts Humidifier leakage current:220 to 240 V ac operation:100 A max802 Backup Power Source(BPS):24 V dc,6.5 AhOperating time(for a new,fully charged battery):At least 30 minutes(actual duration depends on ventilator settings,battery age,and level ofbattery charge)Recharge time:Automatically recharges within 8 hours maximum whileventilator is connected to ac powerShelf life:24 months from date of manufactureStorage conditions:Store at-4F to 122F(-20C to 50C),25%to 85%humidity,avoid direct sunlight Recharge requirements:Recharge every 6 months when storagetemperature is 5F to 84F(-15C to 29C),every 3 months whenstorage temperature is 86F to 104F(30C to 40C),every 2 monthswhen storage temperature is 105F to 122F(41C to 50C)NOTE:BPS battery life specifications are approximate.To ensure maximumbattery life,maintain full charge and minimize the number of completedischarges.2001 Nellcor Puritan Bennett Inc.All rights reserved.O.c 0146-0901VE053004280 Hacienda DrivePleasanton,CA 94588Tel [phone]Toll Free 1.800.635.5267Tyco Healthcare UK LTD.154 Fareham RoadGosport,UK PO13 0ASTel+44.1329.224000O.c 0146 840 datasheet 6/6/02 9:27 AM Page 1