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E Series - End Tidal Carbon Dioxide (EtCO

2

) Option Insert

2

 9650-1212-01 

Rev. 

E

Safety Considerations

WARNINGS

General

•

Carefully read the 

E Series Operator’s Guide

 and 

these operating instructions before operating the 
EtCO

2

 monitoring option.

•

Ensure that the E Series EtCO

2

 option is operated 

by qualified personnel only. 

•

Do not use the E Series EtCO

2

 option as an apnea 

monitor.

•

Do not immerse the E Series unit, patient cables, or 
sensors in water, solvents, or cleaning solutions.

•

If the accuracy of any reading is suspect, first check 
the patient’s vital signs by alternate means and then 
check the E Series EtCO

2

 option for proper 

operation.

•

If an alarm condition occurs while the alarms are 
suspended, the suspended alarm indications will 
only be visual displays and symbols. No audio alarm 
indications will occur.

•

Elevated oxygen levels, nitrous oxide, or 
halogenated agents contained in the breathing 
gases may degrade the accuracy of measurements 
made with the E Series EtCO

2

 option. Activate 

oxygen compensation if O

2

 levels in excess of 60% 

are introduced. Activate N

2

O compensation if nitrous 

oxide is introduced into the airway circuit. The 
presence of Desflurane beyond 5% may positively 
bias the carbon dioxide reading by up to 3 mmHg.

•

Do NOT use the LoFlo module on patients who 
cannot tolerate the removal of 50ml/min of breathing 
gases from the airway.

•

Carefully route patient cabling to reduce the 
possibility of patient entanglement or strangulation. 

•

Do not touch the bed, patient, or any equipment 
connected to the patient during defibrillation. A 
severe shock can result. Do not allow exposed 
portions of the patient’s body to come in contact with 
metal objects, such as a bed frame, as unwanted 
pathways for defibrillation current may result. 

CAPNOSTAT and Accessories

•

Always ensure the integrity of the patient breathing 
circuit after insertion of the airway adapter by 
verifying a proper CO

2

 waveform (capnogram) on 

the monitor display.

•

Do not use CAPNOSTAT 5 or LoFlo sensors in the 
presence of flammable anesthetics or other 
flammable gases.

•

Do not attempt to open the sensor. An electrical 
shock hazard exists internally. Refer servicing to 
qualified personnel.

Summary of Contents for E SERIES EtCO2

Page 1: ...October 2007 9650 1212 01 Rev E End Tidal Carbon Dioxide EtCO2 ...

Page 2: ...on CAPNOSTAT is a registered trademark and LoFlo and CAPNO2mask are trademarks of Respironics Novametrix LLC Cidex is a registered trademark of Advanced Sterilization Products a Johnson Johnson Company Nafion is a registered trademark of DuPont System 1 is a registered trademark of the Steris Corporation 2007 by ZOLL Medical Corporation All rights reserved ...

Page 3: ...aminants and protecting the system from aspiration of these fluids In both systems the CO2 sensor generates infrared light and beams it through the airway adapter or sample cell to a detector on the opposite side CO2 from the patient flowing through the mainstream airway adapter or sample cell absorbs some of this infrared energy The E Series unit determines CO2 concentration in the breathing gase...

Page 4: ...ctivate oxygen compensation if O2 levels in excess of 60 are introduced Activate N2O compensation if nitrous oxide is introduced into the airway circuit The presence of Desflurane beyond 5 may positively bias the carbon dioxide reading by up to 3 mmHg Do NOT use the LoFlo module on patients who cannot tolerate the removal of 50ml min of breathing gases from the airway Carefully route patient cabli...

Page 5: ...rizontal position This helps keep patient secretions from pooling on the windows Do NOT insert any object other than the sample cell into the sample cell receptacle on the LoFlo module Remove the LoFlo sample cell from the sample cell receptacle when not in use Clean or replace the airway adapter if excessive secretions are observed ZOLL Medical Corporation recommends that the airway adapter be re...

Page 6: ...nasal oral sampling cannula sets and sidestream on airway adapters Mainstream EtCO2 Setup There are several steps involved with mainstream EtCO2 setup These steps include Attaching the CAPNOSTAT sensor cable Selecting a mainstream airway adapter Attaching the airway adapter to the CAPNOSTAT sensor Zeroing the CAPNOSTAT sensor airway adapter Attaching the airway adapter to the airway circuit Applyi...

Page 7: ...after removing the adapter from the patient s airway This time allows any CO2 remaining in the adapter to dissipate before zeroing Do not attempt to zero the adapter while it is connected to the patient s airway Zeroing with CO2 in the adapter can lead to inaccurate measurement and or other error conditions If you attempt zeroing while CO2 remains in the adapter the time required to zero the adapt...

Page 8: ...etely around the mouthpiece and breathes normally A nose clip may be needed if the patient is exhaling through the nose It is important that all or most of the exhalation be routed through the airway adapter Sidestream EtCO2 Setup There are several steps involved with sidestream EtCO2 setup These steps include Attaching the LoFlo Module Cable Selecting a Sidestream Airway Adapter Kit or Cannula In...

Page 9: ...softkey The unit zeroes the module and displays the ZEROING CO2 MODULE message for approximately 15 20 seconds The units displays the message ZERO DONE upon completion of the zeroing Note Do not attempt zeroing for 20 seconds after removing the adapter or cannula from the patient s airway This time allows any CO2 remaining in the adapter or cannula to dissipate before zeroing Do not attempt to zer...

Page 10: ...since most if not all of the CO2 is exhaled through the mouth If a standard nasal CO2 sampling cannula is used on such patients the EtCO2 values and capnogram displayed will be substantially lower than the actual CO2 levels present in the patient s expired breath CAUTION The disposable nasal and nasal oral cannula sets are intended for single patient use Do NOT reuse or sterilize the cannula as sy...

Page 11: ...le airway adapters may also be pasteurized or autoclaved Autoclave at 121 C 250 F for 20 minutes unwrapped Before reusing the adapter ensure the windows are dry and residue free and that the adapter has not been damaged during handling or by the cleaning process If you see this message Take this action CHECK CO2 LINE Verify that the sample cell is plugged into the module and seated properly Verify...

Page 12: ...g the last Energy Select button press Sync mode is turned off To cycle the display from the capnogram to the plethysmograph waveform if SpO2 is installed to no second waveform displayed press the Wave 2 softkey Use the Zoom softkey from the EtCO2 submenu to adjust the waveform display size Numbers shown on the left side of the capnogram display indicate the scaling Physiological Monitoring The phy...

Page 13: ...Configuration Guide for instructions on how to configure alternate units of measure Average Softkey The E Series unit provides 3 different time periods over which EtCO2 values are averaged 1 breath 10 seconds default and 20 seconds The user can select the averaging period by pressing the Average softkey When the Average softkey is pressed the unit displays the Average Enter and Return softkeys Pre...

Page 14: ...Recorder Operation If EtCO2 measurements have been taken press the RECORDER button to print a stripchart that includes the following values across the top part of the paper Date and time ECG lead and size Heart rate EtCO2 value Respiration rate The recorder runs continuously until the button is pressed again If selected the capnogram is also printed at a fixed scale of 40 mmHg cm under the ECG tra...

Page 15: ...gh and low limits until the unit Emits a continuous audio tone Highlights the alarming parameter s value and flashes the alarm symbol on the display Sidestream EtCO2 LoFlo Module Use an Adult Pediatric Airway Adapter kit when performing this procedure 1 Connect the LoFlo module cable to the EtCO2 connector at the back of the E Series unit 2 Insert the sample cell into the LoFlo module sample cell ...

Page 16: ...OFF Low EtCO2 Alarm Limit 25 mmHg 3 2 3 3 kPa 0 95 mmHg OFF 0 12 5 OFF 0 12 6 kPa OFF High Respiration Rate Alarm Limit 120 respirations per minute 5 150 respirations per minute OFF Low Respiration Rate Alarm Limit 5 respirations per minute 0 100 respirations per minute OFF Accessory REF Application CAPNOSTAT 5 CO2 Sensor and Cable 8000 0312 01 SPU Pediatric Adult Airway Adapter 8000 0260 01 Singl...

Page 17: ...annula Pediatric 8000 0355 SPU Oral Nasal CO2 sampling only pediatric Nasal CO2 Sampling with O2 Delivery Cannula Adult 8000 0356 SPU Nasal CO2 sampling with O2 delivery adult Nasal CO2 Sampling with O2 Delivery Cannula Pediatric 8000 0357 SPU Nasal CO2 sampling with O2 delivery pediatric Oral Nasal CO2 Sampling with O2 Delivery Cannula Adult 8000 0358 SPU Oral Nasal CO2 sampling with O2 delivery ...

Page 18: ...on again to reset Try another EtCO2 sensor If the problem persists return sensor and or unit for service CO2 DEVICE NOT READY The zero operation cannot be initiated because The sensor or module is still warming up No sensor or module is attached to the unit The sample cell is not plugged into the module Zeroing was attempted within 20 seconds of a detected breath Wait for sensor or module to warm ...

Page 19: ...ensor cable is not properly plugged in or is over temperature Check that the sensor cable is plugged in and properly seated in the connector Check that the sensor is not exposed to excessive heat If the problem persists replace the sensor CO2 IN ADAPTER WAIT There is CO2 in the airway adapter when attempting to zero Zeroing was attempted within 20 seconds of previous zero operation Remove airway a...

Page 20: ...kage then remove and reinsert the sample cell into the sample cell receptacle If the problem persists replace the sample line CHECK CO2 MODULE Module not properly plugged in Module over temperature Check that module cable is plugged in and seated properly in the connector Check that module is not exposed to excessive heat If problem persists replace module CO2 IN LINE WAIT CO2 in cannula adapter w...

Page 21: ...lt pediatric adapters 60 ms Infant pediatric adapters 3 seconds includes transport and rise time Respiration Rate Range 2 150 breaths per minute Respiration Rate Accuracy 1 breath per minute Sample Flow Rate N A 50 ml min 10 ml min Compensations Barometric pressure 400 850 mmHg automatic Operator selectable O2 N2O compensation EtCO2 Alarm Limits User selectable High 5 100 mmHg Low 0 95 mmHg OFF Re...

Page 22: ...lator discharges at maximum energy 200 J or 1 5 hours minimum of continuous ECG monitoring or 1 0 hour of continuous ECG monitoring pacing at 60 mA 70 beats per minute For a new fully charged lithium ion battery pack at 20 C 68 F 90 defibrillator discharges at maximum energy 200 J or 3 0 hours minimum of continuous ECG monitoring or 2 5 hours of continuous ECG monitoring pacing at 60 mA 70 beats p...

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