Weinmann MEDUMAT Transport Ventilator Operating instructions

MEDUMAT Transport

Ventilator

Instructions for Use for Devices from Software Version 6.9

2EN Contents

Contents

1. Overview . . . . . . . . . . . . . . . . . . . . . 4

2. Description . . . . . . . . . . . . . . . . . . . 21

2.1 Intended use. . . . . . . . . . . . . . . . . 21

2.2 Applications . . . . . . . . . . . . . . . . . 21

2.3 Operator and user qualification. . . 22

2.4 Function . . . . . . . . . . . . . . . . . . . . 22

3. Safety information . . . . . . . . . . . . . 24

4. Installation . . . . . . . . . . . . . . . . . . . 30

4.1 Connecting oxygen cylinder . . . . . 30

4.2 Connecting the hose system . . . . . 32

4.3 Connecting the inhalation

adapter. . . . . . . . . . . . . . . . . . . . . 34

4.4 Accessories from other

manufacturers . . . . . . . . . . . . . . . 35

4.5 Permanent installation of the

unit . . . . . . . . . . . . . . . . . . . . . . . 37

5. Operation . . . . . . . . . . . . . . . . . . . . 38

5.1 Controls . . . . . . . . . . . . . . . . . . . . 38

5.2 Switching the unit on/Self-test . . . 41

5.3 Navigating in menus . . . . . . . . . . . 44

5.4 Selecting emergency mode . . . . . . 46

5.5 Selecting a ventilation mode . . . . . 47

5.6 Changing the ventilation mode. . . 48

5.7 Selecting additional ventilation

functions . . . . . . . . . . . . . . . . . . . 49

5.8 Performing ventilation. . . . . . . . . . 50

5.9 Monitoring ventilation . . . . . . . . . 51

5.10 Performing inhalation . . . . . . . . . . 53

5.11 Alarm signals . . . . . . . . . . . . . . . . 54

5.12 Ventilation with breathing

system filters (not supplied with

the unit) . . . . . . . . . . . . . . . . . . . . 56

5.13 Ending ventilation. . . . . . . . . . . . . 56

5.14 Calculating the Oxygen level/

Operating time . . . . . . . . . . . . . . . 57

5.15 Alternative ventilation. . . . . . . . . . 58

5.16 Changing the battery . . . . . . . . . . 58

5.17 Battery management . . . . . . . . . . 59

5.18 Using the simulation mode . . . . . . 63

6. Ventilation modes . . . . . . . . . . . . . 64

6.1 Classification of the ventilation

modes . . . . . . . . . . . . . . . . . . . . . 65

6.2 Important ventilation parameters . .66

6.3 Additional functions and safety

functions . . . . . . . . . . . . . . . . . . . 67

6.4 Pressure-controlled ventilation

modes . . . . . . . . . . . . . . . . . . . . . 69

6.5 Volume-controlled ventilation

modes . . . . . . . . . . . . . . . . . . . . . 79

7. Main menu . . . . . . . . . . . . . . . . . . . 85

7.1 Activating automatic alarm limits . . 85

7.2 Alarm Limits . . . . . . . . . . . . . . . . . 86

7.3 Curves . . . . . . . . . . . . . . . . . . . . . 87

7.4 Advanced ventilation parameters . .88

7.5 Apnea ventilation parameters . . . . 90

7.6 Audio/Video . . . . . . . . . . . . . . . . . 91

7.7 Options. . . . . . . . . . . . . . . . . . . . . 92

7.8 Night colors . . . . . . . . . . . . . . . . . 95

7.9 NVG (Night Vision Goggles) . . . . . 95

8. Operator menu . . . . . . . . . . . . . . . 97

8.1 Password Page . . . . . . . . . . . . . . 100

8.2 Ventilation Modes. . . . . . . . . . . . 100

8.3 File Export/Import . . . . . . . . . . . . 102

8.4 Software Update. . . . . . . . . . . . . 104

8.5 Options. . . . . . . . . . . . . . . . . . . . 106

8.6 User Settings. . . . . . . . . . . . . . . . 106

9. Hygienic preparation . . . . . . . . . . 110

9.1 MEDUMAT Transport . . . . . . . . . 110

9.2 Hose systems . . . . . . . . . . . . . . . 110

9.3 Parts and accessories. . . . . . . . . . 111

9.4 BiCheck flow sensor . . . . . . . . . . 111

9.5 Fittings . . . . . . . . . . . . . . . . . . . . 112

9.6 Hygiene input filter (optional) . . . 112

9.7 Cleaning, disinfection and

sterilization . . . . . . . . . . . . . . . . . 112

Contents EN 3

10. Function check . . . . . . . . . . . . . . . 116

10.1 Intervals . . . . . . . . . . . . . . . . . . . 117

10.2 Checking the system for leaks . . 118

10.3 Checking the patient valve

(reusable hose system only) . . . . 119

10.4 Performing a function check. . . . 120

11. Troubleshooting . . . . . . . . . . . . . . 124

11.1 Troubleshooting . . . . . . . . . . . . . 124

11.2 System alarms . . . . . . . . . . . . . . 125

11.3 Physiologic alarms . . . . . . . . . . . 128

12. Maintenance . . . . . . . . . . . . . . . . . 130

12.1 MEDUMAT Transport . . . . . . . . . 130

12.2 Sending in device . . . . . . . . . . . . 131

12.3 Batteries. . . . . . . . . . . . . . . . . . . 132

12.4 Accessories. . . . . . . . . . . . . . . . . 132

12.5 Changing the suction filter . . . . . 132

12.6 Changing the hygiene input

filter . . . . . . . . . . . . . . . . . . . . . . 133

12.7 Storage . . . . . . . . . . . . . . . . . . . 135

12.8 Disposal . . . . . . . . . . . . . . . . . . . 135

13. Product, accessories . . . . . . . . . . . 136

13.1 Standard scope of supply . . . . . . 136

13.2 Accessories. . . . . . . . . . . . . . . . . 137

13.3 Options . . . . . . . . . . . . . . . . . . . 141

13.4 Replacement parts . . . . . . . . . . . 141

14. Technical Data . . . . . . . . . . . . . . . 143

14.1 Specifications . . . . . . . . . . . . . . . 143

14.2 Battery specifications . . . . . . . . . 148

14.3 Block diagram . . . . . . . . . . . . . . 149

14.4 Technical data on electromagnetic

compatibility (EMC) . . . . . . . . . . 149

14.5 O2 consumption of the unit . . . . 150

14.6 Possible O2 concentration with

counterpressure . . . . . . . . . . . . . 151

14.7 Attainable tidal volume with

counterpressure . . . . . . . . . . . . . 152

14.8 Calculation of body weight on

the basis of body height . . . . . . . 153

15. Glossary . . . . . . . . . . . . . . . . . . . . 154

16. Warranty . . . . . . . . . . . . . . . . . . . . 157

17. Declaration of Conformity . . . . . . 157

4EN Overview

1. Overview

1 Alarm LED

Lights up to indicate alarms.

2 USB port

Means of data transfer for servicing and

maintenance purposes.

3 O2/Air inlet

Connection point, e.g., for an oxygen cylinder or

sterile compressed air.

4 O2/Air inlet/outlet

This connection point enables oxygen to be

extracted, e.g., using an inhalation device, or an

oxygen or sterile compressed air source to be

connected.

5 Filter compartment cover, air inlet

Covers the filter and ensures it is securely

positioned.

6 Ventilation connection terminal

The tube system is connected here.

7 Battery

Provides mobile power supply to the device.

8 DC connection

For DC power supply via an external power supply

unit or via the electrical circuit of an ambulance or

rescue vehicle.

9 External power supply unit

Supplies power to the device via a 100 - 240 V

grid.

MEDUMAT Transport connections

5Filter compartment

cover, air inlet

1Alarm LED

3O2/Air inlet

2USB port

7Battery

8DC connection

6Ventilation connection

terminal

9External power supply unit

4O2/Air inlet/outlet

Overview EN 5

1 CO2 measuring hose connection

The CO2 measuring hose of the patient hose

system is attached to this connection via the

connection plug.

2 PEEP control hose connection

The PEEP control hose of the patient hose system

is connected at this connection point via the

connection plug.

3 Pressure-measurement hose

connection

The pressure-measurement hose of the patient

hose system is connected at this connection point

via the connection plug.

4 Ventilation hose/inhalation adapter

connection

The ventilation hose of the patient hose system or

the inhalation adapter for an inhalation mask is

connected at this connection point.

5 Connection point connection BiCheck

flow sensor

The BiCheck flow sensor connection line of the

patient hose system is attached to this connection.

Ventilation connection terminal

1CO2 measuring hose connection

2PEEP control hose connection

3Pressure-measurement hose

connection

4Ventilation hose/inhalation adapter

connection

5Connection point connection

BiCheck flow sensor

6EN Overview

1, 3, 5 Context-dependent function

button

These buttons are used to set various ventilation

parameters, depending on the ventilation mode

selected.

2 Alarm mute button with LED

You can silence these acoustic alarms temporarily

(for 2 minutes) by pressing this button briefly

(< 1 s). If alarms are muted, the LED lights up.

Visual alarms are still displayed. The alarm menu

opens if this button is held depressed for longer

(> 2 s).

4 Function button for main menu

This button calls up the main menu.

6 Function button for 100% O2

This button calls up the 100% O2 function to

ventilate the patient briefly (for 2 minutes) with

100% O2 (FiO2 = 1.0).

7 Function button for inspiratory O2

concentration

This button calls up the O2 concentration menu.

The required inspiratory O2 concentration in the

respiratory gas can be set in this menu.

8 On/Standby/Off button

A short press switches the device on and off. A

long press switches it off completely.

9 Navigation knob

For navigating in menus and confirming your

settings on the device. During ventilation, this

knob is used to set the I:E ratio.

10 Context-dependent control knobs

For setting various parameters, depending on

which ventilation mode is active. Settings made

here must be confirmed with the navigation knob.

11 Function buttons for emergency

ventilation

These buttons start emergency ventilation. By

pressing the buttons, preset parameters for

infants, children or adults are activated.

MEDUMAT Transport controls 1Context-dependent

function button

11 Function buttons for

emergency ventilation

9Navigation knob

10 Context-dependent control knobs

4Function button for

main menu

3Context-dependent

function button

6Function button for

100% O2

7Function button for

inspiratory O2

concentration

5Context-dependent

function button

8On/Standby/Off

button

2Alarm mute button with

LED

Overview EN 7

1 Battery/Line operation indicators

Indicates whether the device is being operated

over the external power supply unit (upper LED) or

the internal battery (lower LED).

2 Function indicator for context-

dependent function buttons

The currently available function of the context-

dependent function buttons is indicated here.

3 Ventilation progress display

The ventilation procedure is shown here as a curve

or pressure gauge, depending on the selected

display mode.

4 Function indicator for context-

dependent control knobs

The currently available function of the context-

dependent control knobs is indicated here.

5 Function indicator for context-

dependent function buttons

The three directly selectable emergency

ventilation modes (Infant, child, adult) are

indicated here.

6 Numeric measurement display

The current measurements are shown here

numerically along with the corresponding alarm

limits.

7 Battery charge status

The battery charge status is indicated here.

8 Numeric measurement display

The measured inspiratory O2 concentration (FiO2)

is indicated here.

9 Info field

Information (error messages, visual alarms) about

the state of the patient and the ventilator is

displayed here. The time of day is also displayed in

this field.

10 Mode indicator

The ventilation mode set by the user is indicated

here.

MEDUMAT Transport display

2Function

indicator for

context-

dependent

function

buttons

9Info field 10 Mode indicator

8Numeric measurement

display

7Battery

charge status

6Numeric

measurement

display

3Ventilation progress display

1Battery/Line operation indicators

4Function

indicator for

context-

dependent

control knobs

5Function indicator

for context-

dependent

function buttons

8EN Overview

1 Ventilation hose

The respiratory gas flows through the ventilation

hose to the patient valve.

2 Water filter for CO2 measurement

The water filter protects the measuring chamber

of MEDUMAT Transport against moisture and

contamination from the patient's respiratory gas.

3 Connector

The measurement hose system is connected to

MEDUMAT Transport by means of this connector.

4 PEEP control hose

With this hose, MEDUMAT Transport controls the

patient valve and the PEEP.

5 BiCheck flow sensor connection line

This electric line transfers the measuring signals

from the BiCheck flow sensor to the MEDUMAT

Transport.

6 BiCheck flow sensor

This sensor supplies monitoring data on flow,

MVe, Vte and f.

7 Elbow

The mask/tube is connected here. The elbow is

removable, i.e., the mask/tube can also be

connected to the BiCheck flow sensor itself,

depending on the position of the patient.

8 Blanking plug

The blanking plug (Luer lock) is used to seal off the

CO2 outlet if your MEDUMAT Transport is not

equipped with CO2 measurement or if this is not

activated.

9 Patient valve

Switchover between inspiration and expiration

happens here.

10 CO2 measuring hose

Test gas is removed via this hose if your device is

equipped with the optional CO2 measurement

facility.

11 Pressure measuring tube

For patient-side measurement of ventilation

pressure.

Hose system (reusable and disposable versions available)

5BiCheck flow sensor

connection line

10 CO2 measuring hose

4PEEP control hose

11 Pressure measuring tube

1Ventilation hose

7Elbow

6BiCheck flow sensor

9Patient valve

13 Hose protec-

tion sleeve

2Water filter for CO2

measurement

3Connector

8Blanking plug

12 Velcro strap

with clip

Overview EN 9

12 Velcro strap with clip

Used for fixing the patient hose system to the

patient's clothing.

13 Hose protection sleeve

Protects hoses and leads against soiling and

damage.

Notice:

Detailed information about the hose systems can be found in the "Patient Hose

System" instructions for use WM 66696.

1 Filter grommet

Holds the suction filter in position.

2 Filter holder

For installing a hygiene input filter in the device.

3 Hygiene input filter

Protects the device from viral and bacterial

contamination.

Hygiene input filter (optional)

3Hygiene input filter

2Filter holder

1Filter grommet

10 EN Overview

1 Cover

Blocks the top two measuring ports on the device

during inhalation.

2 Inhalation mask

The patient inhales oxygen through the inhalation

mask.

3 Inhalation adapter

For connecting an inhalation mask to the device.

Inhalation adapter

2Inhalation mask

3Inhalation adapter

1Cover

Overview EN 11

Alarm limits

AActivate automatic alarm limits

Curves

Audio/Video

Options

Night colors

PPressure, flow

Pressure, CO

2

Pressure, flow, CO

2

Pressure, flow,

measurements

Pressure, CO

2

,

measurements

Pressure gauge

Automatic alarm limits

MVe n

MVe p

f n

Apnea

etCO

2

n

etCO

2

p

Advanced ventilation parameters

Brightness/Day

Brightness/Night

Brightness/NVG

Volume

Alarm LED

Year

Month

Day

Hour

Minute

CO

2

configuration

Date, time

Device data

Pressure ramp

Flow ramp

Flow progress

decreasing

constant

Plateau time

Trigger thresholds

Inspiration

Expiration

Trigger time slot

Apnea ventilation parameters

AActivated

Apnea mode

BiLevel + ASB

SIMV + ASB

Settings

PEEP

pInsp

Vt

Freq

I:E

Suction activated

Unit

mmHG

Vol%

kPa

Med. O΍

Compressed air

Concentrator O΍

Bluetooth

Compressed gas supply

Hygiene input filter

NVG

MEDUMAT Transport main menu

12 EN Overview

NIV

BiLevel + ASB

aPCV

PCV

CPAP + ASB

PRVC + ASB

IPPV

S-IPPV

SIMV + ASB

Inhalation

Pre-oxygenation

Mode menu

Overview EN 13

Symbols used on the display

Symbol Meaning

Emergency mode – Infant (up to approx. 1 year)

Emergency mode – Child (approx 1-12 years)

Emergency mode – Adult (approx 13 years and over)

Battery status indicator

Tick box: option activated

Radio button: function selected

Navigate upwards

Navigate downwards

Increase value

Decrease value

Confirm your selection



14 EN Overview

Navigation knob active

Bluetooth® connection:

– When connection is activated, symbol is: Blue

– When option is activated and no connection is active, symbol is: Black

Acoustic alarm output activated

Acoustic alarm output deactivated

Alarm volume set to < 50%

Acoustic alarm output permanently muted (NVG mode only)

Time

Trigger time slot

Symbol Meaning

Overview EN 15

Function of the controls during ventilation

Depending on the ventilation mode selected, the controls can be used to set the following

ventilation parameters

Ventilation

mode

Control

knob 1

Control

knob 2

Control

knob 3

Control

knob 4

Navigation

knob 5

Function

button 6

Function

button 7

Function

button 8

BiLevel +

ASB PEEP pInsp pMax Freq.

I:E and

Selection/

Confirmation

Δ pASB Trigger Mode

aPCV PEEP pInsp pMax Freq.

I:E and

Selection/

Confirmation

Trigger

time slot Trigger Mode

PCV PEEP pInsp pMax Freq.

I:E and

Selection/

Confirmation

--Mode

CPAP + ASB PEEP - pMax -

Only

Selection/

Confirmation

Δ pASB Trigger Mode

PRVC +

ASB PEEP Vt pMax Freq.

I:E and

Selection/

Confirmation

Δ pASB Trigger Mode

IPPV PEEP Vt pMax Freq.

I:E and

Selection/

Confirmation

--Mode

S-IPPV PEEP Vt pMax Freq.

I:E and

Selection/

Confirmation

- Trigger Mode

12345

6

7

8

16 EN Overview

Special markings

SIMV +

ASB PEEP Vt pMax Freq.

I:E and

Selection/

Confirmation

Δ pASB Trigger Mode

Inhalation - - - - Flow - - Mode

Pre-

oxygenation - - - - Flow - - Mode

Ventilation

mode

Control

knob 1

Control

knob 2

Control

knob 3

Control

knob 4

Navigation

knob 5

Function

button 6

Function

button 7

Function

button 8

MEDUMAT Transport

Battery

1MEDUMAT Transport type plate

3Safety check and service label

11 Rechargeable battery type plate

9Cover of USB interface

8Filter compartment

cover

7O2/Air inlet

2Voltage input

6O2/Air inlet/outlet

5Ventilation hose connection

Hygiene input filter (optional)

12 Hygiene input filter

4Follow the instructions for use

10 Battery clicks audibly into place

Overview EN 17

Symbol Meaning

MEDUMAT Transport type plate

1

Observe the instructions for use

1

Date of manufacture

1

Degree of protection against electric shock: Type BF device

1

Inlet

1

DC voltage

1Imin

Imax

Minimum and maximum current

1

Do not dispose of device in household waste.

1

Type of protection against electric shock: Protection class II device

1IPX4 Protection against ingress of water

1

CE mark (confirms that the device complies with the applicable European

Directives).

1SN Serial number

Other marks

2

Input voltage

18 EN Overview

3

Service label: Indicates when the next maintenance is required.

3STK label: (only in the Federal Republic of Germany) indicates when the

next safety check in accordance with §6 of the MPBetreibV (German

regulations governing owners/operators of medical devices) is required.

4

Follow the instructions for use

5

Maximum pressure ≤100 mbar

6

Volume flow rate

7

Input 2.7 bar–6 bar O2 or sterile compressed air

8, 9

Observe the instructions for use

10

Battery clicks audibly into place

Rechargeable battery type plate

11

Do not dispose of device in household waste.

11

Do not subject the device to hard knocks or shocks.

Symbol Meaning

O

2

/ AIR

270 – 600 kPa

80 – 150 l/min

Overview EN 19

Markings on the packaging

11

Do not use force to open the device.

11

Protect the device against heat.

11

Protect the device against moisture.

Hygiene input filter (optional)

12

Inlet

Observe the instructions for use

Do not reuse

Symbol Meaning

MEDUMAT Transport:

SN Serial number of the device

Permissible storage temperature: -30°C to +70°C

RH % 0-95 Permissible humidity for storage: max 95% relative humidity.

Symbol Meaning

3

20 EN Overview

Safety information in these instructions for use

The safety instructions in these instructions for use are marked as follows:

Warning!

Warns of the risk of injury and possible damage to the device.

Caution!

Warns of material damage and possibly incorrect therapy results.

Notice:

Offers useful tips.

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Weinmann MEDUMAT Transport Ventilator Operating instructions

Weinmann MEDUMAT Transport Ventilator Operating instructions

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