Latest training information can be found on:
https://portal.e-lfh.org.uk/Component/Details/606835
24-hour helpline number:
01455 849199
This quick start guide has been developed by the NHS and Cabinet Office for the Ventilator Challenge programme and should be use
d in conjunction with the manufacturer’s Instructions for Use
RESTRICTED DEVICE ONLY for use in COVID-19 pandemic
ONLY to be used for emergency ventilation.
• ALL adverse incidents must be reported to MHRA on 0800 731 6789
• Manual back up ventilation must be available
Follow instructions for use
1
2 3
4
5
6
7
8
Display screen
Oxygen
set to 9
Air
set to 3
Bacterial filter
HMEF filter
On switch
Bellows
Dial (turn to select, push to confirm)
This quick start guide has been developed by the NHS and Cabinet Office for the Ventilator Challenge programme and should be use
d in conjunction with the manufacturer’s Instructions for Use
This machine does not use an absorber
A
Pressure Controlled
Ventilation
(PCV) (image
A
)
4
How do I change settings
5
How do I check
the device?
• A P.O.S.T. will run automatically
when the device is switched on
• To run a function test, select
ADULT DEFAULTS setting,
connect a test lung, fill bellows
with oxygen, select VOLUME
CYCLE mode
• After 10 breaths check the
bellows returns to the top of the
housing. Check on the screen
that the tidal volume is between
600ml- 800 ml
• Remove the test lung and
occlude the patient ‘Y’ piece to
check the HIGH AIRWAY
PRESSURE alarm; unocclude
the patient ‘Y’ piece to check the
LOW AIRWAY PRESSURE
alarm
6
D
This machine does not use an absorber
OPERATE THE DEVICE
PENLON ESO2:
QUICK START GUIDE
TYPE B ANAESTHETIC MACHINE TYPE
V
1.4
5
0
0
9
4
5
7
What do the
alarms mean?
1. Pressure jumps excessively
at beginning of inspiration:
• Airway obstruction OR Flow rate is
too high; decrease TV setting
2. Pressure jumps excessively
at end of inspiration:
• TV setting is too high; decrease TV
frequency setting OR,
• Could be caused by mucous
plugging; patient requires
suctioning.
*
3. Sudden increase in patient
airway pressure:
• Tube kinking, coughing,
asynchrony or other obstructions
4. Inflation pressure too low:
• Leak in the circuit or disconnection;
check hose or connections
• Check ventilation parameters and
that patient valve is functioning
7
*
•
Procedures such as suctioning will cause a loss of pressure
within the circuit and emptying of the bellows
• To offset, increase the oxygen flow by turning the flow knob (IMAGE
A
)
anticlockwise past the point that the bobbin is at the top of the flow tube
• Return to 9L/min immediately after reconnection and check ventilation
• Use the touch screen
or the dial
,
pressing to confirm
• In the
ADULT DEFAULTS
setting,
VOLUME
mode, the parameters that can be changed
are:
frequency, tidal volume, pressure limit,
I:E ratio, PEEP
• Use the display screen to monitor parameters.
The default waveform is always Pressure vs.
Time (cmH2O vs. seconds) (image
D
)
• Start in
Volume Controlled Ventilation
(Section 3)
• Select ‘
PRESS’
on the display screen
and press once
•
Set TARGET to 35 cmH
2
O
• Select by pushing grey knob
•
Ventilation starts
• Set
Rate to 20, I:E 1:2, PEEP to 15
using
(with a compliant test lung / bag
large tidal volumes will be delivered)
• Check Oxygen reads
80%
• Attach to patient AND Check Tidal Volumes
Procedures requiring circuit disconnection
8
