Exergy Solutions Bertie Quick Start Manual Download

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Alberta E-Vent User Manual Version 1.3 June 3, 2020

iii

UP TO DATE DOCUMENTATION

For the latest Alberta E-Vent User Manual and training video, please
refer to

www.exergysolutions.com/covid-19/bertie-manual

REVISION HISTORY

Table 0-1 Revision History

Version

Date

Description

1.0

2020-04-26

Issued for RT Testing

1.1

2020-05-01

Issued for Submission

1.2

2020-05-20

Issued for Resubmission

1.3

2020-06-03

Issued for Use

EMERGENCY CONTACT INFORMATION

If you require technical assistance, please contact Exergy Solutions:

Email:

[email protected]

Website:

www.exergysolutions.com/covid-19/

Summary of Contents for Bertie

Page 1: ...Alberta E Vent 1 0 Bertie Exergy Team Collaboration Emergency Resuscitator User Manual Quick Start Guide Version 1 3 June 3 2020...

Page 2: ......

Page 3: ...s endless hours of volunteer efforts and or financial support of Alberta Health Services Catch Engineering Partnership Exergy Solutions Inc Foothills Hospital Global Power Technologies Health Canada I...

Page 4: ...ny responsibility for or assurances regarding the quality functionality or safety of any Device and the Manual or any defect errors or malfunction in connection therewith Reliance on the Manual and us...

Page 5: ...REVISION HISTORY Table 0 1 Revision History Version Date Description 1 0 2020 04 26 Issued for RT Testing 1 1 2020 05 01 Issued for Submission 1 2 2020 05 20 Issued for Resubmission 1 3 2020 06 03 Is...

Page 6: ...ce 6 Chapter 4 What s what 7 4 1 Alberta E Vent Overview 7 4 2 List of Components 8 4 3 Hospital Supplied Accessories 9 4 3 1 Uninterruptable Power Supply UPS 9 4 3 2 FiO2 Monitoring Devices 9 4 3 3 A...

Page 7: ...ailure 21 8 5 2 Calibration Failure 21 8 5 3 High PIP 21 8 5 4 Low PEEP 22 8 5 5 Low PIP 22 8 5 6 High PEEP 22 8 5 7 Respiratory Rate High 22 Chapter 9 Troubleshooting 23 Appendix A Contact Informatio...

Page 8: ...lberta E Vent Attempting to operate the Alberta E Vent without fully understanding its features and functions may result in unsafe operating conditions General Warnings and Cautions applicable to the...

Page 9: ...ng the patient and related injury such as gastric insuffation volutrauma barotrauma etc A source gas failure will change the FIO2 and may result in patient injury The Alberta E Vent does not monitor g...

Page 10: ...you work with the Alberta E Vent Ensure that the voltage selection and installed fuses or breakers are set to match the voltage and ampacity of the wall outlet otherwise damage may result Do not subm...

Page 11: ...While other BVM s can be used the user must conduct their own tidal volume mapping and verify that the device performs as expected with respect to all user settable parameters Using other brands of BV...

Page 12: ...sting has not been conducted on the Alberta E Vent Oxygen Heliox and air supply are not supplied The Alberta E Vent BVM draws air from the surrounding environment and can be connected to an externally...

Page 13: ...nto the Alberta E Vent Resuscitator Mechanism or Programmable User Interface 3 2 Storage and Maintenance Alberta E Vent is designed for temporary use and a maintenance schedule and useful life has not...

Page 14: ...ta E Vent Figure 4 2 Resuscitator Mechanism with Splashguard Figure 4 1 above illustrates the complete Alberta E Vent and is composed of three main assemblies Resuscitator Mechanism 17 with Splashguar...

Page 15: ...t Test Lung Hospital 15 Elastics 2 Hospital 16 PRV Marking Collar Exergy 17 Resuscitator Mechanism Exergy 18 User interface UI Exergy 19 12V DC Power cable Grey Exergy 20 12V DC Power Supply Black Exe...

Page 16: ...le power in the event of a blackout or if they need to transport the patient 4 3 2 FiO2 Monitoring Devices The Alberta E Vent does not contain an FiO2 monitoring system FiO2 requires an external FiO2...

Page 17: ...arm set points low and high PEEP alarm set points and Resp Rate alarm set point Also displays current active alarms 3 The Emergency Motor Stop halts everything mechanical by turning off all power supp...

Page 18: ...ing LCD 2 1 15 cm H2O 15 PIP High Limit setting LCD 2 10 70 cmH2O 16 PEEP High Limit setting LCD 2 5 35 cmH2O 17 Respiratory Rate Alarm setting LCD 2 15 35 bpm 18 Alarm Silence supresses audible alarm...

Page 19: ...off Remove the large ring and the cone shaped spring Do not grasp the plastic rings with the forceps as ring damage can occur Step 4 Place the small and large rings on a level surface Step 5 Remove an...

Page 20: ...g a valve out of one of the BVMs Step 2 Clip the top of the port with scissors This can be seen in the figure orange circles This enables the User Interface pressure sensing tubing to fit over the por...

Page 21: ...o UI Pressure Sensing tubing 10 Step 9 Connect Patient Valve 8 to PEEP Valve 11 Step 10 Attach Patient Valve 8 directly to the Test Lung 14 Step 11 Pull apart the two arms of the Resuscitator Mechanis...

Page 22: ...Mechanism Motor Power Connector cable and Encoder Limit Connector 22 to the UI Step 2 Connect the UI 110V AC power supply cord 20 to the Power connector and the Hospital Supplied Uninterruptible Power...

Page 23: ...s to ensure that the arms of the assembly are touching the BVM The following Default settings take effect on power up Confirm all DISPLAY SETTINGS ARE AS PER Figure 5 7 and Figure 5 8 dashes represent...

Page 24: ...eath Alarm activates System continues to deliver breaths If High PIP condition clears alarm will self dismiss after 2 normal breaths Low PIP Disconnect patient circuit from the test lung Reconnect tes...

Page 25: ...alve connected to PEEP Valve 10 Patient Valve connected to the HME filter Testing Alarms Confirm 11 HME filter connected to ETT affix ETT to bed pillow 1 Calibration Passed 2 AC Power loss off alarm s...

Page 26: ...sure Setting Screen TP NOTE Threshold Pressure and Trigger Pressure are used interchangeably Figure 6 1 Alarms Display LCD 2 Figure 6 2 Alarms Display Screen Default Figure 6 3 PIP High Limit Setting...

Page 27: ...exposure The display switches between Inspiration Pressure and End Expiratory Pressure unless there is an active alarm The display has 6 different alarm conditions which appear in order of priority F...

Page 28: ...ary Following sections provides an alarm summary in the order of priority 8 5 1 Mechanical Failure Causes Commanded motor position does not match feedback Mechanical disconnection Consequences Device...

Page 29: ...breathing cycles with no low pressure Default Range 5 cmH2O 0 40 cmH2O 8 5 6 High PEEP Causes Air trapping patient is not fully exhaling baseline pressure exceeds setpoint Patient asynchronized with...

Page 30: ...o occur Contact the COVID Client Coordinator device will require servicing Device does not turn on Power cord not plugged in Unit not switched on Blown fuse Power not coming through to Control module...

Page 31: ...n User Interface is malfunctioning Alarm Silence was pressed If safe to do so wait two minutes for the alarm silence to reset Unplug device plug back in Switch device off and back on If problem persis...

Page 32: ...s Telephone 403 700 9333 Email covid_client_coordinator exergysolutions com Street 100 4th Ave SW Suite 600 City Calgary Province AB Country Canada Postal Code T2P 3N2 Website www exergysolutions com...

Page 33: ...require a tidal volume of less than 175 ml or greater than 865 ml PIP must be set at 60 cmH2O or below at this level the PRV will open releasing pressure in the breathing circuit In Assist Control mo...

Page 34: ...Alberta E Vent User Manual Version 1 3 June 3 2020 27 Appendix C Software Specifications...

Page 35: ...Alberta E Vent User Manual Version 1 3 June 3 2020 28...

Page 36: ...difficult to access assemblies This will make cleaning easier Control design alterations to the MIT design include 7 The user interface was completely redesigned based on clinical and RRT feedback a...

Page 37: ...ml 54 289 ml 56 308 ml 58 327 ml 60 347 ml 62 367 ml 64 388 ml 66 410 ml 68 432 ml 70 455 ml 72 478 ml 74 502 ml 76 526 ml 78 551 ml 80 577 ml 82 603 ml 84 630 ml 86 657 ml 88 685 ml 90 714 ml 92 743...

Page 38: ...46 65 78 97 98 99 99 99 99 99 99 55 43 59 71 94 97 98 98 98 99 99 99 60 40 55 66 84 93 97 98 98 98 99 99 65 38 50 61 75 86 96 97 98 98 98 99 70 36 47 57 69 80 92 96 98 98 98 99 75 35 44 53 64 74 86 9...

Page 39: ...l ring off Remove the large ring and the cone shaped spring Do not grasp the plastic rings with the forceps as ring damage can occur Step 4 Place the small and large rings on a level surface Step 5 Re...

Page 40: ...a valve out of one of the BVMs Step 4 Clip the top of the port with scissors This can be seen in the figure orange circles This enables the User Interface pressure sensing tubing to fit over the port...

Page 41: ...UI Pressure Sensing tubing 10 Step 9 Connect Patient Valve 8 to PEEP Valve 11 Step 10 Attach Patient Valve 8 directly to the Test Lung 14 Step 11 Pull apart the two arms of the Resuscitator Mechanism...

Page 42: ...wer Connector cable and Encoder Limit Connector to the UI Step 2 Connect the UI 110V AC power supply cord to the Power connector and the Hospital Supplied Uninterruptible Power Supply Step 3 Plug in t...

Page 43: ...ensure that the arms of the assembly are touching the BVM The following Default settings take effect on power up Confirm all DISPLAY SETTINGS ARE AS PER Figure F 7 and Figure F 8 dashes represent actu...

Page 44: ...h Alarm activates System continues to deliver breaths If High PIP condition clears alarm will self dismiss after 2 normal breaths Low PIP Disconnect patient circuit from the test lung Reconnect test l...

Page 45: ...onnected to PEEP Valve 22 Patient Valve connected to the HME filter Testing Alarms Confirm 23 HME filter connected to ETT affix ETT to bed pillow 9 Calibration Passed 10 AC Power loss off alarm sounds...

Page 46: ...ml 64 388 ml 66 410 ml 68 432 ml 70 455 ml 72 478 ml 74 502 ml 76 526 ml 78 551 ml 80 577 ml 82 603 ml 84 630 ml 86 657 ml 88 685 ml 90 714 ml 92 743 ml 94 772 ml 96 803 ml 98 833 ml 100 865 ml NOTE T...

Page 47: ...9 99 99 55 43 59 71 94 97 98 98 98 99 99 99 60 40 55 66 84 93 97 98 98 98 99 99 65 38 50 61 75 86 96 97 98 98 98 99 70 36 47 57 69 80 92 96 98 98 98 99 75 35 44 53 64 74 86 95 97 97 98 99 80 34 42 50...

Page 48: ...iratory Rate BVM Bag Valve Mask HPE High PEEP Alarm HPI High PIP Alarm HRR High Respiratory Rate Alarm IT Inspiration Time LPE Low PEEP Alarm LPI Low PIP Alarm Mode Ventilation Mode PEEP Positive End...

Page 49: ...5 PEEP High Limit Setting Screen HPE 19 Figure 6 6 PEEP Low Limit Setting Screen LPE 19 Figure 6 7 Respiratory Rate High Setting Screen HRR 19 Figure 6 8 Alarm Overview Screen 19 Figure 6 9 Mechanical...

Page 50: ...tings LCD 2 36 Table 0 1 Revision History iii Table 4 1 Alberta E Vent Components List 8 Table 5 1 Alarm Testing Methods 17 Table 9 19 Troubleshooting Methods 23 Table E 1 Tidal Volume Setting Table 3...

Page 51: ...Liability ii Low PEEP 17 20 22 Low PIP 17 20 22 M Maintenance 6 Mechanical Failure 19 21 Mode 4 11 N Note 1 8 10 11 14 16 17 18 19 32 O Operation 18 P PEEP High Limit Setting 11 19 PEEP Low Limit Sett...

Page 52: ...www exergysolutions com covid 19...

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