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Engler ADS 2000, Manual

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Engler ADS 2000 Manual Download Page 35

Q & A cont.

Q. How do I change my oxygen tank when it is low? 

A. As with any anesthesia system, be sure to check your oxygen supply 

BEFORE 

starting any procedure. To replace the tank, shut off the valve at the top of the oxygen
tank, then depressurize the GREEN, "

Oxygen In

" line running to the ADS 2000. The 

pressure may be released in the line by slightly loosening the GREEN, hose for a few 
seconds to bleed the line. Connect the regulator to a full tank.

Q. I have just successfully completed several procedures, but when I turn the ADS 2000

back 

ON

 and it goes through the 

SELF-TEST

, the LCD display gives me Error 4 - 

LEAK

/ SAFETY LO

, is this normal? 

A. Yes, this error is usually caused by a build up of condensation in the exhale valve of 

the ADS 2000. To remove this condensation simply perform the following procedure: 

a. Turn the ADS 2000 

OFF

. 

b. Place and hold your thumb over the end of the 

Gas Sampling

 

Elbow

 that

is connected to the end of the breathing circuit. 

c. Press the 

FILL / HOLD

 button and hold it down while turning 

the ADS 2000 

ON

.

d. The unit is now in the 

FLUSH

 

MODE

 and a full 60 LPM flow of

oxygen is passing through the ADS 2000. 

e. To exit this mode, simply release the  

FILL / HOLD

  button and

the unit will go through the 

Self-Test

. 

Q. Can I use the ADS 2000 with my 

Induction Chamber

? 

A. Of course, if you put the ADS 2000 into the 

MASK MODE

 it will allow a continuous 

flow of anesthetic gas to flow through the breathing circuit. All you have to do is 
connect the 

Mask Adapter

 to the unit as described in the section 

USING THE MASK 

MODE

 

 

, but instead of connecting the output to a mask, connect it to your I

nduction 

Chamber

. 

Q. Can I use my 

Vaporizer

 at the same settings that I am used to using on my

rebreathing system? 

A. Since the ADS 2000 always delivers a consistent breath, using a measured amount
of anesthesia, you may find that you can actually turn your vaporizer settings to about
half of what you had been using with your rebreathing system.

 

ADS 2000            

                                   Engler Engineering Corporation                                                              

35

Summary of Contents for ADS 2000

Page 1: ...REV F 10 21 2014 ...

Page 2: ...air unit high speed air water syringe Drill Aire Plus high speed dental air unit high speed low speed air water syringe Scale Aire Mini high speed dental air unit with ultrasonic scaler high speed low speed air water syringe Scale Aire high speed dental air unit with ultrasonic scaler high speed low speed air water syringe and compressor tank Tri Mate ultrasonic scaler micromotor polisher electro ...

Page 3: ... MINUTE VOLUME NUMBER 15 16 THE INSPIRATORY TIME 16 17 DISPLAYING TIDAL VOLUME 17 UNDERSTANDING FLOW RATE 17 UNDERSTANDING BREATHS PER MINUTE 18 HOW TO SET P I P 18 UNDERSTANDING ASSIST 18 USING THE FILL HOLD FEATURE 19 BUCKING THE ADS 19 UNDERSTANDING PEEP MODE 20 UNDERSTANDING THE FLUSH MODE 21 USING BREATHE FEATURE 22 USING THE MASK MODE 22 ENDOTRACHEAL TUBES and the ADS 2000 24 USING THE ADS 2...

Page 4: ...hat you inspect the package and if you find any pieces damaged or missing you must notify us immediately Claims for damaged or missing parts will only be accepted within five days of reciept EEC makes every effort to verify that our devices are built and tested to approved standards Any modification to the device hoses or power supply initiated by others nullifies all warranty statements Engler En...

Page 5: ...nd certified at least every year Anesthesia residue found in the ADS 2000 may void the warranty CAUTION It is important when connecting the vaporizer to ensure that The vaporizer is mounted lower than the ADS 2000 This will prevent liquid anesthetic from possibly entering the ADS 2000 4 This device must be flushed between procedures to ensure proper operation Failure to flush the device may allow ...

Page 6: ...ssive or active scavenging system This will help to eliminate all traces of anesthetic gases used in the operating room that could pose a hazard to personnel The use of a f air anesthesia gas filter unit or active anesthesia scavenger system is highly recommended Care must be taken to ensure that the scavenger port is not blocked by improper use of these devices as the animal s ease of expiration ...

Page 7: ...the breathing circuit as shown 4 Insert the Luer lock connector to the gas sampling elbow and rotate it clockwise one half turn Note You re ADS 2000 unit is fitted with a hose disconnect safety system In the event that the external sampling hose becomes disconnected the system will disconnect the gas input to the patient sound an alarm and flash the red LED on the front left corner of the unit Onc...

Page 8: ... indicated peak inspiratory pressure and hold it until the button is released BREATHE Button When this button is pressed the ADS 2000 will initiate a breath to the indicated peak inspiratory pressure to the patient WEIGHT UP DOWN Buttons When the ADS 2000 is in the SET MODE these buttons allow the operator to enter the weight of the patient from below 1 0 Kg to 68 Kg FLOW RATE UP DOWN Buttons Depr...

Page 9: ...elbow on the Breathing Circuit Note It is imperative that the Gas Sampling Hose stay connected during use Rear View SCAVENGER OUT Connect one end of the blue Scavenger tubing to this port and connect the other end to a scavenging filter canister or other scavenging device either active or passive FROM VAPORIZER Connect one end of the From Vaporizer hose to this port and connect the other end to th...

Page 10: ...o pounds Kilograms Pounds Kilograms Pounds 1 2 205 35 77 160 2 4 409 36 79 365 3 6 614 37 81 570 4 8 818 38 83 774 5 11 023 39 85 979 6 13 228 40 88 183 7 15 432 41 90 388 8 17 637 42 92 593 9 19 841 43 94 797 10 22 046 44 97 002 11 24 250 45 99 206 12 26 455 46 101 411 13 28 660 47 103 616 14 30 864 48 105 820 15 33 069 49 108 025 16 35 273 50 110 229 17 37 478 51 112 434 18 39 683 52 114 638 19 ...

Page 11: ...ng circuit Note By placing your thumb over the gas sampling elbow you are creating a closed circuit for the ADS 2000 built in self test feature Note The gas sampling system hose must be properly connected before the ADS 2000 self test is initiated 4 While still holding your thumb over the sampling elbow place the Power switch to I or On The ADS 2000 will now perform a self test This will be indica...

Page 12: ...DS 2000 is ready for operation Note Do not connect TEST LUNG patient until unit has passed self test SET MODE In this section you will learn and set up the parameters of the ADS 2000 in the SET MODE The SET MODE is the resting or static mode for the ADS 2000 The SET MODE is the mode in which you will enter the patients weight in kilograms and from that input the ADS 2000 will select all of the oth...

Page 13: ... 4 As you select different weight values the ADS 2000 automatically provides default ventilation parameters At any time before or during a procedure you can change any of following parameters a LITERS PER MINUTE To adjust the FLOW RATE to the patient simply press the FLOW RATE UP or FLOW RATE DOWN buttons on the front of the ADS 2000 b BREATHS PER MINUTE To adjust the number of BREATHS PER MINUTE ...

Page 14: ...eathing Circuit to your patient TEST LUNG 3 Place the SET RUN switch to RUN The patient s TEST LUNG chest should begin to fill up to the preset P I P Peak Inspiratory Pressure 4 After the patient TEST LUNG has reached the preset P I P the exhale valve will open and the patients TEST LUNG chest will exhale deflate The LCD display should look similar to the display below NOTE Numbers used in section...

Page 15: ... escape This would happen for instance if the surgeon leaned on the patient s chest It can also happen if the patient tries to exhale after he has already exhaled a tidal volume You will hear the exhale valve open and close rapidly This is normal To temporarily stop the ADS during a procedure place the SET RUN switch to SET Doing so will hold the current parameters the current breath will be compl...

Page 16: ... MODE THE INSPIRATORY TIME 1 The information in the upper right hand corner of the display shows the Inspiratory Time in seconds e g 1 20 and is updated with each breath The exact length of inspiration is not critical but it should allow an INSPIRATORY EXPIRATORY RATIO of at least 1 2 This means at 10 Breaths Per Minute the inspiratory time should be no longer than two seconds Generally intervals ...

Page 17: ...e initiated upon start up In order to have the ADS 2000 display the Tidal Volume press the Flow Rate up button while turning the ADS 2000 ON To exit this mode press WEIGHT DOWN while the SET RUN switch is on RUN or turn the ADS 2000 OFF and restart the unit UNDERSTANDING FLOW RATE The Flow Rate displayed on the ADS 2000 is an instantaneous value i e if the ADS 2000 was set to 24 LPM and if the uni...

Page 18: ...NOTE To see how the P I P setting works using the Test Lung press the P I P DOWN button until it displays 5 0 place the SET RUN switch to RUN The Test Lung will begin to fill up to 5 0 cm H2O shown on the display Notice that the Test Lung does not inflate as much as it did when the P I P was set at 15 cm H2O UNDERSTANDING ASSIST 1 The default setting for Assist assisted respiration is set at 3 0 c...

Page 19: ...H2O and for the shortest time necessary a few seconds when the chest is open RESISTING BUCKING THE ADS 1 If the patient is not in a deep enough plane of anesthesia it may attempt to buck the ADS 2000 You will see very short inspiration times and violent attempts to inhale and exhale There are several practical solutions to this problem a Patient may require additional medication on doctors orders ...

Page 20: ...ow a PEEP value instead of an Assist number NOTE An asterisk is displayed as an indication that the ADS 2000 is in the PEEP MODE NOTE The Assist MODE will not function when the ADS 2000 is in PEEP MODE NOTE PEEP pressures range from 0 to 9 cm of H2O Adjust the PEEP pressure by using the ASSIST UP and ASSIST DOWN buttons c To exit the PEEP MODE Press the ASSIST DOWN button until the unit displays E...

Page 21: ... until the end of this procedure c Press the FILL HOLD button and continue holding it down while turning the ADS 2000 ON Continue to hold FILL HOLD button down for 20 30 seconds d The LCD will now look like the display below The ADS 2000 is now in the FLUSH MODE and a full 60 LPM flow of oxygen is passing through the ADS 2000 e To exit this mode simply release the FILL HOLD button and the unit wil...

Page 22: ...hanged to Mask Mode 1 The Mask Adapter consists of the Y piece and the adapter Masking a patient down requires an adapter which is supplied with the unit 2 As shown below connect the Breathing Circuit to the end of the Y piece 3 Attach the Blue Scavenger Tubing to the large adapter that is connected to the Y piece 4 Connect the Gas Sampling Elbow to the large port of the Y piece as shown Mask Adap...

Page 23: ...olume based on the patients weight entered NOTE The scavenger system must be able to hold at least one Tidal Volume for the MASK function to work properly NOTE In the MASK Mode there is a built in pressure safety feature that stops the flow to the patient and causes an audible alarm if the pressure exceeds 35 cm of H2O This pressure can build up if the MASK ADAPTER is not used i e the mask is conn...

Page 24: ...de of the tube When they are on the inside the adapter narrows the opening significantly and can seriously interfere with respiration This is of course true whether positive pressure ventilation is used or not In fact it is even more important for regular anesthesia systems 3 The cuff should be tested to be sure there are no leaks Fill and cap the cuff then submerge in water to check for leaks 4 A...

Page 25: ...e ADS 2000 with the input pressure set at 5 PSI therefore always start the ADS 2000 in the NORMAL MODE at 50 PSI then set the 50 PSI 5 PSI switch to the 5 PSI setting 2 Now press the WEIGHT DOWN button until the LCD displays looks like the example below 3 On the back panel of the ADS 2000 you will find a TOGGLE SWITCH to select the pressure 50 PSI for normal operation and to start up self test and...

Page 26: ... 95 B P M 7 The MASK function in LAB MODE does not require the use of a Mask Adapter USE OF EXTERNAL EQUIPMENT WITH THE ADS 2000 Connecting any external apparatus to the ADS 2000 may adversely affect the operation of the unit EEC will not be held liable for any damage to the unit injury or death to the patient if any non approved equipment is used Always test for correct operation on the Test Lung...

Page 27: ...flushed at the end of each procedure To enter the FLUSH MODE perform the following a Turn OFF the ADS 2000 turn the vaporizer off and ensure the 5 PSI 50 PSI switch is set to 50 PSI b Place and hold your thumb over the end of the breathing circuit c Press the FILL HOLD button and continue holding it down while turning the ADS 2000 ON Continue to hold the FILL HOLD button down for 20 30 seconds d T...

Page 28: ...er forms click the repair tab d The female power socket in the back of the ADS 2000 has been damaged See engler411 com for return repair and loaner forms click the repair tab 6 Make sure that the Gas Sampling System is connected properly To connect the Gas Sampling System insert the Luer Lock connector to the Gas Sampling input and rotate it clockwise one half turn Now insert the Gas Sampling elbo...

Page 29: ...from electro surge interference Note Your ADS 2000 unit is fitted with a Hose Disconnect Safety System In the event that the external sampling hose becomes disconnected the system will disconnect the gas input to the patient sound an alarm and flash the red light on the front left corner of the unit Once the external sampling hose is reconnected the unit will continue to work properly If you encou...

Page 30: ... ADS 2000 Press the WEIGHT DOWN button to Retry b The To Vaporizer and or From Vaporizer connectors are loose check all vaporizer hoses and connections confirm they are secure and have no leaks Press the WEIGHT DOWN button to Retry c The vaporizer has an internal leak To diagnose this problem connect the To Vaporizer hose directly to the From Vaporizer hose and Press the WEIGHT DOWN button to Retr...

Page 31: ...o Retry c The Breathing Circuit has a leak or cuff is loose check the Breathing Circuit for leaks confirm it is securely connected to the Breathing Circuit Ports on the front of the unit Press the WEIGHT DOWN button to Retry d Vaporizer has a leak or hose s connected to vaporizer have come loose e Pop Off Valve adjustment needed This must be completed by EEC as specialized tools and test equipment...

Page 32: ...he following display This display indicates that there is an obstruction to the Exhale Valve or that the Exhale Valve did not open The following can cause this error a There is an obstruction in the scavenging system check to ensure that a free flow of exhaust gas can pass through the scavenging system Then Press WEIGHT DOWN button to Retry b An active scavenging system is being used and the activ...

Page 33: ...a hose disconnected Typically the Gas Sampling Hose a Inspect all the hoses and re install any disconnected hoses After a few seconds the system will automatically go back to normal operation b If the problem persists call EEC s assistance hot line 1 800 445 8581 ADS 2000 Engler Engineering Corporation 33 ...

Page 34: ...low Rate on LCD Display T on Inspiratory Time B Actual Breaths Per Minute Q How does the ADS 2000 calculate the Minute Volume per Kilogram A The formula for calculating minute volume is Mv Tv x B W Where Mv Minute Volume per Kilogram Tv Tidal Volume B Breaths Per Minute W Weight in Kilograms The ADS has a microprocessor which determines this number and updates the display after each inspiration ha...

Page 35: ...Elbow that is connected to the end of the breathing circuit c Press the FILL HOLD button and hold it down while turning the ADS 2000 ON d The unit is now in the FLUSH MODE and a full 60 LPM flow of oxygen is passing through the ADS 2000 e To exit this mode simply release the FILL HOLD button and the unit will go through the Self Test Q Can I use the ADS 2000 with my Induction Chamber A Of course i...

Page 36: ...e Gas Sampling System must be connected for the unit to work properly Q How often does my ADS need to be sent back to the manufacturer for service A We recommend sending your ADS with the supplied Hoses and Power Supply plug in for servicing every two years Service includes Checking the power adapter and socket Check the battery for voltage retention and leaks Check replace the pinch valve hose Ch...

Page 37: ...ined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures o Reorient or relocate the radio TV receiving antenna o Increase the separation between the equipment and receiver o Connect the equipment into an outlet on a circuit different from that to which the receiver is connected o Consult the dealer or an experienced...

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