GE 750 Скачать руководство пользователя страница 4

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System overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Introduction

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

Front view components

. . . . . . . . . . . . . . . . . . . . . . . . .2

Breathing system components

. . . . . . . . . . . . . . . . . .3

Right side view components

. . . . . . . . . . . . . . . . . . . .4

Rear view components

. . . . . . . . . . . . . . . . . . . . . . . . . .5

Left side view components

. . . . . . . . . . . . . . . . . . . . . .6

Central and caster brakes

. . . . . . . . . . . . . . . . . . . . . . .7

Using the bag support arm

. . . . . . . . . . . . . . . . . . . . . .8

Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Display Controls

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Touch points

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Anesthesia system display

. . . . . . . . . . . . . . . . . . . . .11

Using menus

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Using the ComWheel. . . . . . . . . . . . . . . . . . . . . . . . . . 13

Using quick keys

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

Operation overview . . . . . . . . . . . . . . . . . . . . . . . . . .15

Turning on the system

. . . . . . . . . . . . . . . . . . . . . . . . .15

Changing gas settings. . . . . . . . . . . . . . . . . . . . . . . . . .16
Using the O

flush button

. . . . . . . . . . . . . . . . . . . . . .16

Using the APL valve . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Using the Bag/Vent switch

. . . . . . . . . . . . . . . . . . . . .17

Using the vaporizer

. . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Using the ACGO

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Aux O

+Air. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Checkout. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Checkout overview

. . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Checkout full test

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

Starting a case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

Start Case menu overview

. . . . . . . . . . . . . . . . . . . . .22

Starting a case using default settings

. . . . . . . . . . .23

Starting a case using custom settings

. . . . . . . . . .24

Starting manual ventilation

. . . . . . . . . . . . . . . . . . . .25

Starting mechanical ventilation . . . . . . . . . . . . . . . .25

Changing a ventilator mode and settings

. . . . . . .26

Alarms and Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Additional alarm settings

. . . . . . . . . . . . . . . . . . . . . .28

Setting Auto Limits

. . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Viewing Trends

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . .30

Volume control mode (VCV)

. . . . . . . . . . . . . . . . . . . 30

Pressure control mode (PCV)

. . . . . . . . . . . . . . . . . . 30

PCV-VG mode

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

SIMV VCV mode

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

SIMV PCV mode

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

SIMV PCV-VG mode

. . . . . . . . . . . . . . . . . . . . . . . . . . . .33

PSVPro™ Ventilation Mode

. . . . . . . . . . . . . . . . . . . . 34

CPAP + PSV mode

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Special features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

ecoFLOW overview

. . . . . . . . . . . . . . . . . . . . . . . . . . . .35

ecoFLOW menu components

. . . . . . . . . . . . . . . . . .36

Activating the ecoFLOW split screen

. . . . . . . . . . .37

Recruitment Maneuver

. . . . . . . . . . . . . . . . . . . . . . . . .37

Pause Gas Flow

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

Spirometry overview

. . . . . . . . . . . . . . . . . . . . . . . . . . .39

Spirometry loop components

. . . . . . . . . . . . . . . . . 40

Saving, viewing and deleting spirometry loops

Spirometry setup

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Cardiac Bypass

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

End of Case and Standby. . . . . . . . . . . . . . . . . . . . . .43

End Case

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Standby

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Turning off the system

. . . . . . . . . . . . . . . . . . . . . . . . .45

Contents

Содержание 750

Страница 1: ...Carestation 750 Anesthesia Delivery System Clinical Reference Guide Version 1 0 gehealthcare com...

Страница 2: ...ii...

Страница 3: ...ing procedures or maintenance methods for any of the products referenced Always refer to the official written materials labeling provided with the product for specifications operating procedures and m...

Страница 4: ...tarting a case using default settings 23 Starting a case using custom settings 24 Starting manual ventilation 25 Starting mechanical ventilation 25 Changing a ventilator mode and settings 26 06 Alarms...

Страница 5: ...ral inhalation anesthesia and or ventilatory support to a wide range of patients neonatal pediatric and adult The anesthesia systems are suitable for use in a patient environment such as hospitals sur...

Страница 6: ...tion regulator and control optional 5 On Standby switch 6 Vaporizer 7 Flip up shelf optional 8 Drawers 9 Central brake 10 Caster brakes and cable sweeper 11 O2 flush 12 Auxiliary Common Gas Outlet ACG...

Страница 7: ...ting APL valve 3 Bag Vent switch 4 Bag hose connection 5 Absorber canister 6 Absorber canister lifter handle 7 Leak test plug 8 Inspiratory port 9 Expiratory port 10 Breathing system guard 11 Bag hose...

Страница 8: ...lass I 1 A 220 240 V 1 A 220 240 V 1 A 220 240 V 1 A 220 240 V 4 Right side view components 1 Side rail 2 Pipeline connections 3 Right dovetail 4 Mains inlet and Mains power fuses 5 Outlet circuit bre...

Страница 9: ...5 Rear view components 1 Display arm 2 Suction trap 3 Back cover optional RS 232 2 3 1 2...

Страница 10: ...6 Left side view components 1 Airway module optional and sample gas return port 2 Left dovetail 3 Anesthesia Gas Scavenging System AGSS connection Save Loop Change Loop Spirometry M 3 1 2...

Страница 11: ...tem in place 1 Central brake Push down on the central brake to lock the system in place Lift up on the central brake to release the brake 2 Caster brakes Push down on the lower portion of the brake pe...

Страница 12: ...Using the bag support arm Use the optional bag support arm to hold the breathing circuit bag The bag support arm can be moved up or down and left or right 8 Bag support arm...

Страница 13: ...audio audio off for 90 seconds when no medium or high priority alarms are active 3 Start End Case key Initiates Start or End Case function 4 Screen Lock Unlock key Locks the touchscreen Toggles betwe...

Страница 14: ...10 1 Wave fields 2 Measured values 3 Function keys 4 Digit fields 5 Ventilator quick keys 6 Gas quick keys 7 Split screen values Touch points 7 1 2 4 5 6 3...

Страница 15: ...indicator 5 Measured values fields Displays the measured values 6 Clock Displays the current time 7 Function keys Select functions such as Audio Pause Trends etc 8 Digit fields Contains information fo...

Страница 16: ...isplays the title of the open menu For example Start Case 2 Menu items The menu items will vary depending on the selected menu 3 Instructions or help information This shows any additional instructions...

Страница 17: ...l to confirm a setting Turn the ComWheel to the left For menu items the highlight moves up For quick keys the highlight moves to the next key on the left For settings the value changes to the previous...

Страница 18: ...menu or select a parameter 2 If O2 Total Flow Gas Setup Mode or More Settings is selected a menu displays Select the desired value on the menu by touching the value If any other quick key is selected...

Страница 19: ...ower cord into an electrical outlet 1 Make sure the mains indicator light is on The mains indicator is lit when AC power is connected Battery is charging if it is not already fully charged 2 Push the...

Страница 20: ...he change using the ComWheel and push to confirm the setting The O2 flush button supplies a high flow of O2 to the breathing system 1 Push the O2 flush button to deliver a high flow of O2 2 Release th...

Страница 21: ...clockwise to increase the pressure limit turn the APL valve counterclockwise to decrease the pressure limit 17 Using the Bag Vent switch The Bag Vent Switch selects between manual ventilation bag and...

Страница 22: ...ck lever Fill port and cap Concentration control and release Using the ACGO 1 Open the ACGO switch cover 2 Set the ACGO switch to the ACGO position Fresh gas flows through the ACGO port Fresh gas oxyg...

Страница 23: ...rovides 100 O2 or a mixture of O2 and Air Select Gas quick keys to adjust the O2 concentration and total flow 1 Open the Aux O2 Air switch cover 2 Set the Aux O2 Air switch to the Aux O2 Air position...

Страница 24: ...e Checkout menu during the tests Use the Checkout menu to Perform a Full Test Perform any of the individual tests View the Test Log Start a case Perform the Full Test at the start of each day The full...

Страница 25: ...t Full Test and follow the instructions If a test fails follow the instructions to perform a retest or accept the results or select Help to follow the troubleshooting tips to check the problem Note In...

Страница 26: ...a and start the case A case can be started using default settings or using custom settings The default settings are configured by the Super User Default Settings selection shows the first of five defa...

Страница 27: ...y the Super User The fifth default case is Last Case 1 Set the Bag Vent switch to Bag 2 Select Start Case The Case Defaults selection shows the first preset case type Ideal Weight Age CO2 Alarms and V...

Страница 28: ...l Weight Age or Volume Apnea Alarm settings on the menu The Case Defaults changes from the case name to Preset If the CO2 Alarms setting on the menu is changed the Case Defaults remains as previously...

Страница 29: ...propriate value 3 Set the Bag Vent switch to Bag Starting mechanical ventilation 1 Set the ACGO switch to the circle circuit position 2 Set the Bag Vent switch If Bag Vent switch is set to Bag move to...

Страница 30: ...onfirm the primary ventilation setting to activate the ventilation mode 3 Controls that are frequently used in the ventilation mode can be adjusted with the ventilator quick keys and the More Settings...

Страница 31: ...imit 1 Select Alarm Setup or 2 Select one of the Measured Value fields 3 From the Primary Limits and More Limits tabs select the alarm limit and make the change 4 Push the Home key touch the waveform...

Страница 32: ...olume apnea alarm during manual ventilation 3 MV TV Alarms Use the MV TV Alarms setting to turn off the MV and TV alarms If MV TV Alarms is set to Off during manual ventilation the alarms remain off u...

Страница 33: ...and high alarm limits 3 Select Cancel to leave the alarm limits unchanged 4 Select Case Default Limits to set the alarm limits to the case default limits Viewing Trends Use the Trends menu to view pat...

Страница 34: ...ks Inspiratory pause is available VCV mode settings TV RR I E Tpause PEEP Pmax Flow TV Pressure Time Insp Pause Time Peep Texp Tinsp Pressure control mode PCV Supplies a constant set pressure during i...

Страница 35: ...V VG PCV VG mode settings TV RR I E PEEP Pmax Rise Rate Flow TV TV Time Tinsp Texp Pressure Time Variable pressure to deliver desired TV Tinsp Texp Peep SIMV VCV mode Periodic volume breaths are deliv...

Страница 36: ...nitiated If a trigger event occurs elsewhere during the expiratory phase a support for a spontaneous breath is provided with pressure support added as set by the clinician SIMV PCV mode settings Pinsp...

Страница 37: ...e is used The patient s compliance is determined from the volume controlled ventilation breath and the inspiratory pressure level is then established for the next PCV VG breath SIMV PCV VG mode settin...

Страница 38: ...is selected PSVPro mode settings Psupport PEEP Trig Window Flow Trigger End of Breath Pmax Backup Time Pinsp RR Tinsp Rise Rate Exit Backup Time Pressure Peep CPAP PSV mode Provides a constant suppor...

Страница 39: ...he calculated FiO2 flow value The FiO2 flow value is based on the FiO2 setting specified by a Super User This is the minimum O2 flow needed to deliver a preset inspired O2 concentration O2 Total flow...

Страница 40: ...maintain the set inspired O2 flow This item can be disabled by the Super User 6 O2 total numeric The O2 total equals the set of O2 flow If N2O is the balance gas this equals the set O2 flow If Air is...

Страница 41: ...entilation without making multiple ventilator setting changes Use the Multi Step recruitment maneuver to deliver pressure breaths through a series of ventilation steps during mechanical ventilation wi...

Страница 42: ...ation 1 Select the Pause Gas Flow function key and then select Pause Gas Flow from the Pause Gas Flow menu 2 The amount of time remaining in the gas flow pause shows in the window Gas flow stops for 1...

Страница 43: ...d loop Delete a saved loop Note If Spirometry is being displayed in a digit field you can also access the Spirometry menu by selecting the loop in the digit field To activate the Spirometry split scre...

Страница 44: ...Flow Volume Flow Vol and Pressure Flow Paw Flow Saving viewing and deleting spirometry loops Spirometry loops can be saved viewed and deleted through the Spirometry menu 1 Save Loop To store a loop t...

Страница 45: ...ked links the adjustment of the volume Paw and flow axis of the loop graph together Indep allows the axis of the loop graph to be changed separately for the volume Paw and flow axis 2 Patient and Sens...

Страница 46: ...Bag 2 Select Ventilation Mode quick key 3 Select Cardiac Bypass and then select Start Cardiac Bypass The Cardiac Bypass message shows in the waveforms and in the general message field when manual vent...

Страница 47: ...t alarms The amount of gas used and agent used during the case shows in the menu 1 Set the Bag Vent switch to Bag 2 Select End Case 3 Select End Case Now on the menu the gas flow and patient alarms st...

Страница 48: ...ndby menu 1 Select System Setup to open the System Setup menu 2 Select Checkout to open the Checkout menu 3 Select any other active function key to open the Start Case menu 4 A case can be started usi...

Страница 49: ...rocedure if appropriate 2 Push and hold the On Standby switch for 1 second 3 Select Confirm or push the ComWheel within 10 seconds to turn off the system If no action is performed within 10 seconds th...

Страница 50: ...of their respective holders Product may not be available in all countries and regions Full product technical specification is available upon request Contact a GE Healthcare Representative for more inf...

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