Engstrom Carestation Pocket Guide Sw Ver 5.X

Refer to the User’s Reference manual for step-by-step instructions.

M1087323 03 08 English

Refer to the User’s Reference manual for step-by-step instructions.

M1087323 03 08 English

Table of Contents Ventilator Overview Operation and Tutorial Performing Procedures Modes Troubleshooting

Engström Carestation The ventilator is designed to be used with infant through adult patients with a body weight of 5 kg or greater. If the neonatal option is installed on the ventilator, patients weighing down to 0.5 kg may be ventilated with the EC. The EC is designed to maintain lung ventilation in the absence of spontaneous breathing effort as well as in support of the patient’s existing spontaneous breathing effort. The system is designed for facility use, including within-facility transport, and should only be used under the orders of a clinician. The Carestation consists of three main components: a display, a ventilator unit, and an optional module bay. The display allows the user to interface with the system and control settings. The ventilator unit controls electrical power, nebulization, and pneumatic gas flow to and from the patient. The module bay allows the integration of various patient monitoring modules with the ventilator.

Display controls and indicators Ventilator display Using menus Menus Screen configuration

Ventilator Overview

Ventilator overview 7

8

9 10 11 12

1 6

2 13 5

3

17

16

15

14

4



1. Module bay (optional)

10. Expiratory inlet

2. Ventilator lock

11. Expiratory flow sensor

3. Cart

12. Gas exhaust port

4. Caster

13. Leak test plug

5. Dovetail rails

14. Exhalation valve housing latch

6. Ventilator unit

15. Water trap

7. Display

16. Auxiliary pressure port

8. Nebulizer connection

17. Inspiratory outlet

9. Exhalation valve housing

Display controls and indicators 1

3

2

3 8 3 7

4

6

3

5

1

Alarm LEDs

The red and yellow LEDs indicate the priority of active alarms.

2

Silence Alarms key

Push to silence any active, silenceable high and medium priority alarms or to suspend any non-active high or medium priority alarms. Alarm audio is silenced for 120 seconds for Adult, Pediatric, and Neonatal patient types. Alarm Audio is suspended for 120 seconds for Adult and Pediatric patient types, and for 30 seconds for Neonatal patient type. Push to clear resolved alarms.

3

Menu keys

Push to show corresponding menu.

4

ComWheel

Push to select a menu item or confirm a setting. Turn clockwise or counterclockwise to scroll menu items or change settings.

5

Normal Screen key

Push to remove all menus from the screen.

6

AC mains indicator

The green LED lights continuously when the EC is connected to an AC mains source. The internal batteries are charging when the LED is lit.

7

Quick keys

Push to change corresponding ventilator setting. Turn the ComWheel to make a change. Push the Quick key or ComWheel to activate the change.

8

↑ O2 key

Push to deliver 100% FiO2 for 2 minutes.

Ventilator display 1

2

3

4

5 6 Adult

6

cmH2O Ppeak

PEEPe

Pmean

Pplat 7 % Leak RR /min

TVexp ml

FiO2 %

EtCO2 %s

VCO2 ml/min AB.98.013

MVexp

FiO2 %

TV ml

8

9

volume controlled ventilation Rate

Tinsp

/min

s

9

PEEP cmH2O

Pmax cmH2O

Compl

Raw

ml/ cmH2O

cmH2O/ l/s

8

7

Full or Normal Screen View 1

Alarm silence symbol and countdown

Displays the time remaining during an alarm silence or alarm suspend period.

2

Alarm message fields

Alarms will appear in order of priority.

3

Waveform fields

The top two waveforms are permanently set to Paw and Flow. The third waveform may be selected as CO2, O2, Vol, Paux, or Off.

4

General message field

Displays informational messages.

5

Clock

The time may be set in 12 or 24 hour format in the Time and Date menu.

6

Patient type icon

Displays Neonatal, Pediatric, or Adult patient type mode.

7

Measured value fields

Displays current measured values corresponding to the waveforms.

8

Digit field

Displays information related to Volume, CO2, O2, Compliance, Metabolics, Spirometry, Current mode, Spontaneous ventilation, or Volume per Weight.

9

Ventilator settings

Displays several of the settings for the current mode of ventilation.

1

2

3

4

5 6 6

Airway Pressures cmH2O

Measured Pressures Peak Pressure

Measured Oxygen FiO2 %

PEEPe

Pmax

Adult

Off Off

7

7 Measured Rate

Measured Volumes Minute Volume l/min

Respiratory Rate /min

Tidal Volume ml

AB.98.013

10

Off 8

9 pressure controlled ventilation - volume guaranteed

FiO2 %

TV ml

Rate

Tinsp

/min

s

PEEP cmH2O

Pmax cmH2O

Current Mode

PCV-VG

To select another mode press: Vent Setup button.

9

1

8

Basic Screen View 1

Alarm silence symbol and countdown

Displays the time remaining during an alarm silence or alarm suspend period.

2

Alarm message fields

Alarms will appear in order of priority. Refer to “Alarms and Troubleshooting” for more information on alarm behavior.

3

General message field

Displays informational messages.

4

Clock

The time may be set in 12 or 24 hour format in the Time and Date menu.

5

Patient type icon

Displays Neonatal, Pediatric, or Adult patient type mode.

6

Trigger icon

Displays patient’s inspiratory triggered breaths.

7

Measured value fields

Displays current measured values corresponding to the waveforms.

8

Digit field

Displays current mode of ventilation.

9

Ventilator settings

Displays several of the settings for the current mode of ventilation.

10

Pressure bargraph

Displays patient’s real-time airway pressure.

Ventilator display There are two display interfaces to choose from: Full and Basic. To select or change the display interface: 1. Push the ComWheel when no menus are shown.

• The Select Layout menu displays. 2. Select Full or Basic. 3. Select Previous Menu or push Normal Screen.

Screen configuration To change the ventilator display: 1. Push System Setup. 2. Select Screen Setup. 3. Select field to be changed. 4. Select parameter to be displayed. 5. Select Previous Menu when complete.

Using menus 2 1 3

6 4

1. Menu title 2. Present selection 5

3. Adjustment window 4. Submenu 5. Short instructions 6. Menu selections

1. Push a menu key to display the corresponding menu. 2. Turn the ComWheel counterclockwise to highlight the next menu item. Turn the ComWheel clockwise to highlight the previous menu item. 3. Push the ComWheel to enter the adjustment window or a submenu. 4. Turn the ComWheel clockwise or counterclockwise to highlight the desired selection. 5. Push the ComWheel to confirm the selection. 6. Select Normal Screen in the menu or push the Normal Screen key to exit the menu and return to the normal ventilation display. (Select Previous Menu to return to the last displayed menu, if available.)

Menus Select Patient Patient Type: Adult Pediatric Neonatal Patient Weight 70 kg Patient Setup

System Setup Patient Setup Screen Setup Neo Flow Sensor Setup Parameters Setup System Status Data Transfer Setup Install/Service Normal Screen

Patient Setup Checkout Start Ventilation Standby Monitoring Only Non-invasive Patient Weight Patient ID Vent Setup Vent Preferences Previous Menu

Off 70 kg

Checkout Start Check Stop Check Delete Trends Yes Check Log Check Help Previous Menu

Standby Start Ventilation Standby Monitoring Only Park Circuit Normal Screen

Vent Setup Adjust Settings Backup Mode Mode: VCV PCV PCV-VG SIMV-VC SIMV-PC BiLevel CPAP/PSV SIMV-PCVG Previous Menu

NIV Setup FiO2 50 PEEP 3 Psupp 5 Trigger 6 Rise Time 200 End Flow 25 Tsupp 4 Bias Flow 8 Minimum Rate 10 Backup Pinsp 5 Backup Tinsp 1.7

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

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