ParaPAC Plus 300 Technical Training Introduction V1.0 July 2017

paraPAC plus: Connections overview Pressure Relief Control

Function/Manual Switch

Visual Electronic Alarms / Indicators

Frequency Control

Supply Gas Indicator

Airmix Switch

Visual Electronic Alarms / Indicators

Manometer

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Tidal Volume Control

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paraPAC plus: Connections overview Gas Input Connector

Patient Output Connector

Pressure Monitoring Connector

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The paraPAC plus - The Controls

The eyeball is operated by the supply gas pressure. This should be between 280 – 600kPa at 65L/min

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When the supply pressure is within the limits shown above the eyeball rotates and only the white segment will show.

When the supply pressure falls below 280 kPa the eyeball starts to rotate and the red segment starts to appear.

Finally when the gas supply is at zero the red segment is displayed in the window.

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The paraPAC plus - The Controls – Mode selector

In the off position (0) 2 options are available Manual operation Delivering manual breaths at the selected Tidal volume settings via the manual button. Demand Oxygen

Oxygen on demand is available to a spontaneous breathing patient

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The paraPAC plus - The Controls – Mode selector

In the VENTILATE position (I) The paraPAC plus Delivers automatic ventilation at the selected frequency and tidal volume selected on the controls.

This mode is called CMV Controlled Mandatory Ventilation

Demand and SMMV are also activated if the patient breaths spontaneously

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The paraPAC plus - The Controls

The paraPAC plus incorporate an variable pressure relief valve.

The valve relief pressure is adjustable between 20 to 60cmsH20 and protects the patient against high pressure.

It would also come into operation when there is an occlusion in the circuit alerting the clinician to a problem.

The valve is also audible and is activated when the over pressure gas passes across it.

This system is also know as the high pressure relief alarm and the pressure limiting device.

This control also sets the high pressure electronic alarm.

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The paraPAC plus - The Controls

The Air Mix feature is common to all paraPAC’s

It gives the user a choice of the level of oxygen delivered to the patient.

In the No Air Mix position 100% O2 is delivered In the Air Mix position

≈ 50% O2 is delivered

In the Air Mix position the source oxygen is extended by 66% this could be vital during transport.

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The paraPAC plus - The Controls – Freq & Tidal volume

Frequency

Tidal Volume

8 – 40bpm

70 – 1500mls

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paraPAC plus: Controls and device overview Body Mass Symbols The colour coded symbols correspond to the Frequency and Tidal Volume controls. These symbols and markings on the controls are for guidance only and are intended to aid in identifying the most appropriate combinations of frequency and tidal volume that the user requires for the particular patient.

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The paraPAC plus - SMMV

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The paraPAC plus - The Alarm System

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Electronic Alarm

Normal Ventilation Above 10Pa / Below Relief Valve Setting

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Electronic alarms

Blockage / Overinflation Warning Approaching or Meeting Relief Valve Setting

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Leak / Disconnection Alarm Pressure drops below 10Pa

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The paraPAC plus - The Alarm System • The power source is a 3.6 V Lithium battery. • This battery (part number W269 - 023) is supplied as standard with the paraPAC plus • It is specially made for Pneupac and is MRI Compatible

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Servicing

Set Up, Functional Check and Use

paraPAC plus Model 310 and Model 300 Ventilator: “User Manual 504-2117A” Page 333 Performance Checking The frequency of performance checking is annually.

Service Servicing or adjustment of the ventilator should only be carried out by competent personnel who have been trained for such work. Changing of Battery The specified batteries will give several years of service under normal use conditions but to avoid the need to locate a spare battery whilst the ventilator is in field service it is recommended that the battery is replaced as a matter of routine at the same time as the Performance Checking as specified above.

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The paraPAC plus - The Patient Circuits

Standard patient circuit

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