background image

5

Operational 

Pressure

Multimeter

Insp. Flow

Insp. Time

CPAP

Frequency

Master  

Switch

Manual  

Inspiration

Nebulization

Chapter 1: Introduction

This chapter provides an overview of the IPV®-2C device and TRUE-IPV® therapy. 

Intrapulmonary Percussive Ventilation (IPV®)

Designed specifically for non-continuous institutional/hospital use, the IPV®-2C is a 
pressure-limited and time-cycled ventilator which provides IPV® therapy, a modality 
of mechanical ventilation  “Intrapulmonary Percussive Ventilation” (IPV®). The IPV®-2C 
provides high frequency percussive pulses between 60-330 cycles per minute. These 
high frequency percussive pulses ramify throughout the airways and alveolar ducts 
and augment diffusive ventilation in the gas exchange regions of the lung, allowing 
improved FRC, CO₂ removal, airway clearance, and lung recruitment.

The IPV®-2C percussive ventilator features 
selectable percussive amplitude and frequency 
for the mobilization and airway clearance of 
retained endobronchial secretions and the 
resolution of diffuse patchy atelectasis during 
mechanical airway recruitment.   

The IPV®-2C provides simultaneous high volume 
aerosol generation for the topical delivery of 
saline, sterile water, and/or bronchodilators. 

Demand Continuous Positive 

Airway Pressure (Demand-CPAP) 

 

Demand-CPAP for reducing the 

work of breathing.

Inspiratory Time

Selects independent i/e ratio 

control allowing for approximate 

1:2.5 clinical default setting. 

Inspiratory Flow 

Determines the amplitude 

delivered to the patient during 

inspiratory time. 

 

Frequency 

Controls the rate of high frequency 

percussions delivered.

Manual Inspiration 

Delivers a regulated source of 

gas through the orifice of the 

Phasitron®5 venturi. The longer the 

button is pressed, the greater the 

potential for tidal volume delivery. 

Operational Pressure Control 

Controls the peak operating 

pressure of the entire unit.  

This control at maximum output 

will only provide pressure slightly 

less than that of the institution.  

The optimal inlet wall pressure is  

50 psi (3.4 bar, 345 kPa). 

5

Содержание IPV-2C

Страница 1: ...IPV 2C USER MANUAL TRUE IPV THERAPY DEVICES EN...

Страница 2: ...naire Corporation Authorized European Union Representative MDSS GmbH Schiffgraben 41 30175 Hannover Germany The devices and products contained in this manual may be covered by one or more patents This...

Страница 3: ...Treatment Frequency 11 Chapter 4 Setup 12 IPV 2C and Stand 12 Rear Panel 13 Blended Gas Air Connection 13 Current Gas Air Connectors Available 13 Pole Mount 13 Phasitron 5 Breathing Circuit Setup 14 P...

Страница 4: ...Therapy with In Line Valve 35 Chapter 9 Cleaning and Disinfection 36 IPV 2C and Stand 36 Percussionaire Digital Multimeter PDM 36 Phasitron 5 Breathing Circuit 36 Disassembly of the Phasitron 5 37 Cl...

Страница 5: ...the mobilization and airway clearance of retained endobronchial secretions and the resolution of diffuse patchy atelectasis during mechanical airway recruitment The IPV 2C provides simultaneous high v...

Страница 6: ...for induced barotrauma Ventilation Oxygenation Mobilization of Airway Secretions Lung Recruitment cmH2O hPa 0 10 20 30 40 50 60 70 Frequency 300 Percussive Mechanical Mixing Diffusion Frequency 150 P...

Страница 7: ...ected peak oscillatory positive pressure oscillatory equilibrium which is cyclically maintained allowing the patient to spontaneously breathe through the oscillatory program at any time A Newtonian pu...

Страница 8: ...7 After peripheral lung recruitment a minimal cyclic expiratory oscillatory CPAP is maintained within the recruited bronchioles and alveoli to maintain the patency of the recruited structures during...

Страница 9: ...n neonatal pediatric and adult patient populations Untreated tension pneumothorax Untrained or unskilled operator History of pneumothorax Myocardial infarction Recent pneumonectomy Vomiting Pulmonary...

Страница 10: ...vital capacity FRC or the need for assistance in clearing airway secretions Partial deflation of the cuff during therapy may be necessary re inflation per hospital protocol post therapy WARNING Becau...

Страница 11: ...ol when possible WARNING Follow institutional protocols before disconnecting ventilator inspiratory limb prior to installation of Percussionaire TRUE IPV In Line Valve Chapter 3 TRUE IPV In Line Valve...

Страница 12: ...12 Phasitron 5 holder bracket Pole and stand assembly DISS supplied oxygen hose for incoming gas between 50 80 psig 345 551 kPa Normally supplied to USA devices Chapter 4 Setup IPV 2C and Stand...

Страница 13: ...ion Current Gas Air Connectors Available DISS USA NIST European AFNOR French UNIFOR Italian DIN German AGA Scandinavian BS British Supplied rear mounting bracket for pole mounting the IPV 2C device Ad...

Страница 14: ...stance is low as in a compliant lung all the pulsed air from the IPV 2C device enters the mouth of the venturi Each air pulse draws up to four times as much additional air into the venturi tube This l...

Страница 15: ...5 Housing Type BF Single patient use D Phasitron 5 kit can be used with or without a mouthpiece or standard mask as shown below Connection sizes 15mm ID or 22mm OD Phasitron 5 Diagram Configurations P...

Страница 16: ...ting to nebulizer bowl Press red tubing onto conical connector at rear of Phasitron 5 body Connect the clear tubing quick connect fitting to the cap at the rear of the Phasitron 5 body WARNING Green r...

Страница 17: ...wl Add saline and or prescribed medication Reverse to close 17 CAUTION Ensure yellow nebulizer tubing is not bent This may cause undue stress on connector CAUTION Do not bend nebulizer bowl while hold...

Страница 18: ...tory side of ventilator circuit Phasitron port connection Patient connection wye Installation of TRUE IPV In Line Valve with Phasitron 5 Press Blue cap over Phasitron 5 expiratory port Blue cap suppli...

Страница 19: ...2C device to access battery pull tabs by turning the PDM counterclockwise NOTE Toensurecorrectatmosphericpressurecalibrationatstartup removebatteries wait30secondsandre install Allow15secondsforpowero...

Страница 20: ...position increases the Inspiratory Time while simultaneously decreasing the Expiratory Time Sub tidal inspiratory expiratory ratio Ranges from 1 1 to 1 3 Affects mean airway pressure The Inspiratory F...

Страница 21: ...ion button is pressed the greater the potential for tidal volume delivery WARNING NOT FOR USE WITH NEONATES The Nebulizer ON OFF Switch turns the aerosol delivery ON and OFF Recommended to always use...

Страница 22: ...isplays the software revision battery voltage total usage time and serial number for 15 seconds This Start Up mode allows the software to perform additional tests on the hardware that are part of the...

Страница 23: ...Session Timer is the total time of the current usage The Session Timer can display a maximum of 59 minutes and 59 seconds If usage has been stopped for more than 5 minutes the Session Timer will reset...

Страница 24: ...isplay of the Pulse Amplitude This is calculated from the pressure measurements at the moment of instantaneous peak and trough amplitude averaged over 5 seconds The display on the right shows the curr...

Страница 25: ...ds alternating The alternating page display continues for 5 minutes or until usage resumes and the PDM enters Active mode During the 5 minute period a horizontal bar graph indicates the time by moving...

Страница 26: ...an error message on the LCD stating Contact Factory for Service and stays in Fault mode until both batteries are removed The displayed information includes the software revision PDM serial number the...

Страница 27: ...subset of the collected fault information is displayed on the LCD This data is intended for manufacturing and repair use only The user can exit the Fault mode by removing and replacing the batteries...

Страница 28: ...he ON position 10 Rotate the OPERATIONAL PRESSURE knob to ON to obtain a pressure between 40 42 psi 2 7 2 9 bar on the operational pressure gauge Verify pressure by occluding the REMOTE connection for...

Страница 29: ...r 100 18 Rotate both A and B knobs to the center up position 19 Rotate yellow D DEMAND CPAP PEEP knob full clockwise position OFF 20 Verify INSP FLOW green knob will achieve a MAP of 10 40 cmH O 21 Ro...

Страница 30: ...tion depends on Amplitude and Flow Frequency Depend on treating goal pathology 1 Pathology 4 Tolerance 2 Ventilation parameters 5 Chest Wiggle 3 Clinical conditions 1 Installed parameters 2 Resistance...

Страница 31: ...y Flow for a Amplitude pressure PIP of 5 10 cmH2 O Usually a mean of around 6 7 cmH2 O 9 Turn Demand CPAP to 2 4 cmH2 O then turn the Inspiratory Flow control knob on for mild percussion 10 When using...

Страница 32: ...fant should be positioned in the supine position with head elevated 15 degrees Recommended semi Fowler s or Fowler s position for non intubated patients 3 Set Operational working pressure to 30 psig t...

Страница 33: ...0 75 ml min of solution fill Nebulizer with 20 ml of solution Normal Saline NS should be used unless a medication is ordered 12 Important Remember Due to the effectiveness of the treatment it is easy...

Страница 34: ...trials or CPAP sprinting may be taken off the ventilator for the IPV treatment utilizing a flex adapter Decreasing cuff pressure still applies to this patient population NOTE Lowering of the cuff pres...

Страница 35: ...se the amount of chest movement wiggle NOTE Suctioning should be performed as needed NOTE It may take multiple treatments to identify optimal therapeutic effect for each patient Completion of Therapy...

Страница 36: ...cleaning methods not outlined in these instructions may cause damage to the multimeter WARNING The cell used in this device may present a risk of fire or chemical burn hazard if mistreated Do not rec...

Страница 37: ...on 5 until it stops 2 Gently separate nebulizer from Phasitron 5 3 Holding the nebulizer cap twist the nebulizer bowl to remove bowl from cap Discard any unused medication in accordance with hospital...

Страница 38: ...rness with an approved alcohol based cleaner 7 Reassemble the Phasitron 5 and place in the supplied bag until next use 8 Do not disinfect the Phasitron 5 for reuse with more than one patient Chemical...

Страница 39: ...sitron 5 diagram No flow from aerosol connector service required Reconnect Yellow Connections Clean or replace Phasitron 5 Check inlet gas source Check MASTER switch ON OFF Check REMOTE connector for...

Страница 40: ...ly 20 degrees 2 Gently pull on the multimeter to remove it from the housing 3 Remove the two old batteries 4 Install two new batteries Note that the positive terminals face the same direction Wait 30...

Страница 41: ...ed Maintenance 17cm x 24 13cm x 24 13cm 6 7 x 9 5 x 9 5 1 99 kg 4 4 lbs Temp 0 C to 49 C 32 F to 120 F Humidity 5 95 Temp 20 C to 60 C 4 F to 140 F Humidity 93 non condensing HospitalWall Gas 50 80 PS...

Страница 42: ...re Phasitron 5 Technical Specifications Percussionaire Digital Multimeter PDM Specifications Size Mass Storage and Transport Range Operating Range Display Fault Detection Serial Port Rate Range Pressu...

Страница 43: ...er for repair overhaul or annual preventive maintenance contact your distributor Chapter 12 Service and Repair Chapter 14 Limited Warranty Chapter 13 Disposal of Equipment At the end of useful life of...

Страница 44: ...P MDSS GmbH Schiffgraben 41 30175 Hannover Germany M 130 McGhee Road Suite 109 Sandpoint Idaho 83864 USA percussionaire com 1 208 263 2549 0123 P20046 Rev A...

Отзывы: