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MAG2200 Mod-2 OpsMan - Oceanic Medical Products

1. PNEUPAC COMPPAC VENTILATORAND COMPRESSOR USER S INFORMATION 504 2107 3 Table of Contents SECTION 1 a Summary Statement b WARNINGS AND CAUTIONS i WARNINGS ii CAUTIONS SECTION 2 GENERAL INFORMATION a Intended Use b Contraindications None Known c General Description d Ventilator and Compressor Controls Indicators and Connections Figure 1 e Accessories SECTION 3 SET UP USE and FUNCTIONAL CHECK a Set Up i comppac Ventilator b Functional Check SECTION 4 OPERATION a User s Skill b Setting of the Ventilator i General ii Ventilating the Patient SECTION 5 CARE CLEANING and STERILIZATION a Care b Battery Care c Cleaning d Sterilization e Assembly and Function Testing f Decontamination SECTION 6 MAINTENANCE a General b Performance Checking c Service d Compressor Reservoir Maintenance e Storage Page 13 13 14 14 15 16 16 16 16 16 20 22 22 22 24 27 27 27 27 27 28 28 28 28 28 28 28 29 29 29 29 29 30 Smiths Medical Intemational Ltd reserves the right to make changes without notice which may affect the information contained in this manual Trademarks The names Pneupac comppac comppac and Smiths are trademarks of Smith sfamily of companies SECTION 1 a Summary Statement The comppac OEM ventilator is a gas powered automatic ventilator intended to provide ventila
2. WARNING Always ensure that an altemative means of ventilation is available in the event of ventilator failure or malfunction All operators should receive a full and proper initial and refresher instruction from a qualified person both on resuscitation and on detailed use of the equipment in the particular situations in which it might be employed WARNING To avoid harmto the patient this equipment should only be used by personnel trained in the use of automatic ventilation Information given in this manual beyond the basic operation of the comppac ventilator is only intended as a guide to supplement proper training and to indicate the specific operational requirements of the comppac The comppac ventilator is intended for use in anesthesia by users who are appropriately trained and where the patient is being constantly monitored WARNING Failure to constantly monitor the patient whilst using this equipment may lead to death or serious injury Although use of this ventilator outside the environmental conditions specified in this Manual will not directly lead to a safety hazard the performance will become increasingly uncertain as the conditions become more extreme Therefore the operator must exercise constant patient vigilance under these conditions WARNING Blood gas levels must be monitored independently correct operation of the ventilator will not necessarily achieve the required blood gas levels Also when used at modera
3. Attach the keyed filler adapter to the bottle Loosen the clamp screw and remove the plug Insert keyed end of bottle adapter fully into vaporizer receiver tighten clamp screw WNPRP WNP 37 Raise the bottle above the filler Open the filler control latch Fill the chamber by observing the fill chamber window Close filler control latch Lower bottle below the level of the filler Loosen clamp screw and remove the key adapter 10 Insert the clamp screw and tighten clamp screw OPNAY P C Use During Procedure A Tum percent control knob to desired position B Adjust percent control as needed by observing the patient monitor indicating percentage delivered WARNING Tilting the vaporizer past 45 degrees with liquid in the chamber can result in patient injury or death If tilted past 45 degrees empty the chamber fully open the percent control and then open the O2 flowmeter to 5 LPM for 10 minutes NOTE For complete vaporizer information refer to the provided Penlon Sigma Delta User Instruction Manual USE OF MECHANICAL VENTILATOR Purpose The mechanical ventilator is used to power the bellows The air or oxygen used to power the ventilator does NOT mix with the gas mixture that enters the inside portion of the bellows fromthe flowmeters and vaporizer Ventilator Nomendature Pneumatically Powered Time Cycled Inspiratory Flow Variable Volume Constant Square Wave Flow Pattem Only Volume Range 6 to 14L minut
4. CAUTION Do not attach the water trap to the outlet port of the Air Compressor as water may condense enroute to the anesthesia machine and cause possible malfunction of some of the components 6 Air Hose Attach one end of the 15 yellow Air high pressure hose to the inlet port of the Water Trap Attach the opposite end of the high pressure hose to the air compressor outlet port or to other Air sources wall or cylinder 7 Waste Gas Scavenger Tubing Connection 1 Attach the waste gas scavenger to the upper right hand side of the back frame using the Velcro strip or keyhole mounting then attach the reservoir bag to bottom port of the scavenger Attach suction source tubing to the inlet port of scavenger control knob port NOTE In military field conditionsthe reservoir bag to the bottom port of the scavenger may be replaced with a large bore hose to possibly evacuate waste anesthetic out of the Work area a physician WARNING Scavenger system should always be mounted in order to keep debris from entering the bellows outlet port 1 Attach one end of the first scavenger tubing to the scavenger outlet port of the B V Switch labeled to scavenger and the opposite end to the TEE connector 2 Attach one scavenger tubing with the 19mm purple connector to the center port located on the base of the Bellows and attach the other end to the TEE connector 3 Attach the final scavenger tubing to the top of the Waste Ga
5. P N 26 3 P N 26 5 P N 14 0 and 14 2 P N 15 0 and 14 2 P N A 116 P N A 117 PN 20 11 PN 20 0 P N 20 2 and 20 3 P N 16 0 P N 25 3 P N 25 2 P N 25 1 P N 25 0 P N A 107 P N 16 0 P N A 103 P N A 114 1 P N A 103 P N A 100 P N A 102 P N A 105 and A 106 P N A 110 P N A 109 ADDITIONAL ITEMS NEEDED FOR OPERATION AND MAINTENANCE Note Military specified means military provided part or component Part means can be obtained from Oceanic Medical Products Inc DESCRIPTION 1 Maintenance __ Annual Service Kit One each regular screwdriver One each 1 16 Allen s wrench One each Cresent wrench One each rubber test lung 1 liter capacity One each mechanical test lung or electrical mechanical test lung Patient tubing circuit for annesthesia machines any brand Small tube of Krytox or any brand of oil free lubricant 2 Operations __ Spare reusable King Systems CO2 absorber refillable __ Case s disposable King Systems CO2 absorber pre filled __ Spare oxygen sensor for P N A 105 Oxygen Monitor __ Additional anesthetic vaporizer agent specific Aluminum mobile trolley for CSH and general hospital use __ Soda lime in container any capacity Oxygen cylinders E or D size PART A 108 Military specified Military specified Military specified A 118 Military specified Military specified A 119 KAB 009 KAB 008 A 105 A 25 0 A 104 Milit
6. Then attach the other end of the tubing to the ventilator inlet port of the bellows far right port using the 17mm connector 8 Attach the GREEN labeled tubing to the brass outlet port of the B V Switch and the opposite end to the bottom right connector L shaped located on the bottom right position of the CO2Absorber 9 Attach the BLUE labeled tubing to the right side inlet port of the Bellows labeled blue and the opposite end to the lower outlet port of the B V Switch labeled To Bellows 10 Patient Tubing Circuit Attach the preferred Patient Tubing Circuit to the CO2 Absorber inlet and outlet connecting points NOTE Any patient tubing circuit approved for use with an anesthesia machine may be used The factory supplies a King Systems F 360 61 circuit with each machine as it is initially shipped 11 FRONT AND TOP OF ANESTHESIA MACHINE 3 Attach the O2 monitor O2 sensor into the blue O2 sensor bracket OXYGEN MONITOR ATTACHMENTS CAUTION Insure that the O2 monitor sensor is mounted into the sensor bracket facing upward 1 Attach the O2 monitor mounting bracket to the right side support post Insert the monitor into the slide bracket for best performance and to keep any humidity from accumulating around the sensor 2 Attach the blue O2 monitor sensor bracket into the Inspiratory outlet located on the left hand side of the front of the CO absorber i idi iL 4 i E 1 i 1 i L 1
7. To suit patient WARNING Setting the anaesthetic machine air flowmeter above 2L min may cause an excessive drop in compressor reservoir pressure with a subsequent drop ventilation performance 4 Set the anaesthetic machine as follows a Air flowmeter Closed b Ventilator power switch Off C PRV valve Closed 5 Where a suitable gas source is available connect the gas supply hose between the anaesthetic machine and the gas supply Turn on the supply if relevant 6 Adjust the anaesthetic machine flowmeters to provide fresh gas of approx 5L min and allow the bellows to fill up fully 7 Push the test cable disconnect alarm button While the button is depressed a continuous alarm should sound This tests the function of the cable disconnect alarm 8 When the bellows have been fully filled and the gas pressure to drive the ventilator is above 50 psi switch on the ventilator by selecting Air or oxygen as appropriate with the ventilator power switch on the anaesthetic machine 9 The ventilator alarms should start in the following sequence a The ventilator alarm LED s should illuminate in a clockwise sequence starting from the low power LED A single burst of the ventilator high priority audible alarm is given at the same time b The silence LED should flash for one minute of operation This allows for possible disconnection during setting up c Set the ventilation parameters to suit the patient 10 The ventilator should cycle
8. Atthe second level the performance of the ventilator should be checked as specified in Section 6 b Before the unit is put into storage it is recommended that it is run for about one hour on dry bottled gas as detailed in Section 5 a iv b Performance Checking WARNING Deviations noted at functional check should be reported immediately to Smiths Medical International Ltd and the unit must be taken out of service to avoid he risk of death orsenous injury Performance checking of the comppac ventilator must be carried out with equipment calibrated to ensure accuracy under the flow pattems generated by the machine It should only be carried out by suitably trained personnel If suitable personnel or equipment are not available it should be checked by Smiths Medical Intemational Ltd as part of service contract or its authorised represent ative Recommended performance checking procedures and suitable equipment are detailed in the product maintenance manual which is available to suitably trained personnel Thefrequency of performance checking should be determined bythe user Normally this would be not more often than once every 6 months but at least once every two years c Service Information will be made available to suitably qualified personnel upon request WARNING To avoid the risk of harmto the patient froman incorrectly set ventilator ser vidng oradjustment of this equipment should only be carried out by competent perso
9. Grade air compressor output may include oil which can cause physiologic problems for the Patient and could result in a combustible O2 oil mixture or damage the equipment beyond reasonable repair 35 8 Common Gas Outlet Provides a channel for all low flow gas and vaporto flow to the Inspiratory side of the CO2 Absorber and then on to the patient and the rest of the circle system NOTE An adapter is available to insert into the CGO in order that the operator may use either a J ackson Reese or Mapleson D system Vaporizer Mounting and General Use 1 Dismounting A Remove the two holding knob screws holding the retainer plate located on the botton front of the vaporizer Then remove the retainer plate T I n B Remove the two holding knobs and spacer plate fromthe back plate located on the backside of the frame behind the vaporizer o Pull the vaporizer forward and remove the inlet and outlet tubing connectors 2 Mounting A Reversethe preceding instructions CAUTION After re mounting the vaporizer be certain that all four of the retaining knobs are very secure in order to keep the vaporizer from moving during any transport or movement 3 Utilization A Pour Fill Type Ensure that the percent control knob is set to O Remove filler cap Pour agent into opening observing the fill chamber window to desired level Replace filler cap Key Fill Type Ensure that the percent control knob is set to O
10. PSI Air In Air Flow meter O Air Ventilator Gas Power Selector Gas Manifold L Frame GAS FLOW DIAGRAM Ill Air O2 From Flow Meters to Common Gas Outlet CGO Bag Vent Switch on BAG Position GAS FLOW DIAGRAM III Air O From Flow Meters to Common Gas Outlet CGO BAG Vent Switch on BAG Position O Flush Button Vent Power Supply Toaal j Check Valves oggle Switch me Gas Manifold Vaporizer ie Flow Meters CO Absorber To Patient From Patient CO zm Ji a BAG Vent Switch 4 j Reservoir Bag GAS FLOW DIAGRAM IV Air O2 From Flow Meters to Common Gas Outlet CGO Bag Vent Switch o Vent Position GAS FLOW DIAGRAM IV Air O From Flow Meters to Common Gas Outlet CGO BAG Vent Switch on Vent Position O Flush Button d Vent Power Supply Toggle Switch Check Valves Flow Meters CO Absorber To Patient d rom Patient Gas Manifold Vaporizer 47 GAS FLOWDIAGRAM V Gas Flow From O2 Concentrator to O2 Flow Meter GAS FLOW DIAGRAM V Gas Flow From O Concentrator to O Flow Meter High Low O Pressure Toggle Switch E O Flow Meter Low O Concentrator Flow Meter Outlet Alarm Inlet Nipple ems n ud Back of L Frame ITEMS FURNISHED WITH DELIVERY OF EACH MACHINE Effective Date March 2004 DESCRIPTION One each oxygen pressure reducing regulator
11. Pressure Gauge Pressure Gauge Tubing Mechanical Ventilator eVentilator Pressure Relief eMinute Volume Range elnsp How Range e Frequency breaths per minute eExp Ratio Fixed Ventilator Gas Power Requirements Waste Gas Scavenger Total Machine Gas Leakage Internal System Compliance Internal System Resistance APL Valve Pressure Drop Storage e Indoor Penlon SigmaDelta Series bolt cage mounted temperature compensated very low maintenance Dual scaled in cmH20 and mmHg located on front panel of ventilator May be attached to bag vent switch arm or to a point within the patient breathing circuit operators choice Pneumatically powered time cycled volume constant flow variable Pre set to maximum of 60 cmH20 located in main vent box 6to 14L 10 to 40 L min 10 to 30 1 1 8 nominal 40 to 70 psi 50 psi optimal Use toggle switch to select gas source Positive and negative relief valves 1 L reservoir bag vacuum control knob 930 amH20 O ml Min 280 amH20 O ml min 220 amH20 1 1 ml cmH20 940 amH20 1 3 ml cmH20 91 0 L sec gas flow 4 11 cmH20 50 5 L sec gas flow 1 80 cmH2O 23 0 L min gas flow 0 12 cmH20 230 L min gas flow 1 03 cmH20 160 F Allow unit to warm to normal 30 F ORtemp for 1hour The following procedures should be performed between the time the Magellan 2200 is assembled for use actually used and post use to ensure proper assembly of components and operatio
12. at 1 1 8 throughout the range of frequency 3 Patient monitoring port The ventilator electronic alarm sensors and inflation pressure monitor connect to the Magellan 2200 absorber manifold via the disposable filter and pipe assembly 4 Pressure Relief Valve See Figure 1 The relief valve is connected inside the ventilator direcly into the ventilator circuit and protects the patient from being delivered pressures in excess of the set level Note Cyding pressure will be up to that set by the pressure relief valve upon airway restriction and or lung compliance A fixed or adjustable relief valve set at 60 cm H2O may be fitted to the comppac ventilator If there is a battery in place or an external electrical supply is connected the independent electronically operated high pressure alarm will sound whenever the inflation pressure exceeds 60 x100Pa 60 cm H20 See Section 2d 77 The fixed relief valve can be unscrewed from the control panel but this is only advised for ceaning and maintenance Always use the wings on the body of the valve for tightening and untightening PT ADSL 1 il Tit Se oet LE url US Be el l i 17 RH Sede of the Ventilator Lidl Side of ihe Ventilator Rear of the Ventilator pressor front Panel Figure 1 Controls Indicators and Connectors 5 Inflation Pressure Monitor See Figure 1 This pressure manometer displays the patient inflation pressure as measured at the ventilator ou
13. avoid the risk of harm to the patient the NBC filter must be fitted Section 2e iv 11 WARNING To avoid the risk of electric shock when using the comppac ventilator in conjunction with the Power Supply Charger the Power Supply Charger should be located outside the patient environment ie gt 1 5 Metres from the patient Section 2d 15 and 3a 12 WARNING Switching on the ventilator before the compressor reservoir pressure reaches 50 psi as indicated on the anaesthetic machine air pressure gauge may cause the gas failure indicator to malfunction To avoid this always allow compressor reservoir pressure to build up to 50 psi before switching on ventilator Section 3b and 4 13 WARNING When running the ventilator from the compressor rapid extreme changes in temperature and humidity may cause the ventilator to malfunction Section 3b and 4 14 WARNING Setting the anaesthetic machine air flowmeter above 2L min may cause an excessive drop in compressor reservoir pressure with a subsequent drop in ventilation performance Section 3b and 4 15 WARNING Deviations noted at the functional check should be reported immediately and the unit must be taken out of service to avoid the risk of death or serious injury Sections 3b 9 amp 6b 16 WARNING To avoid the risk of chemical environmental hazards disposal of a contaminated used NBC filter must be in accordance with local regulations Section 3b 11 17 WARNING To a
14. dried and then reassembled Before putting the system back into stores or service the functional check described in Section 3 should be carried out f Decontamination WARNING To prevent transmission of any contaminants to both user and patient after use in a contaminated environment be aware that the comppac outer case is NOT hermetically sealed against ingress of gas or liquids Decontamination if necessary should involve removal of the module from its case by a suitably trained person For NBC decontamination the rubber boot the battery and the battery fixings should be completely removed see Figure 2 on page 20 The casing can then be decontaminated using the shroudingsto protect the panel and the intemal parts of the battery compartment Light contam ination of the controls on the shrouded panel should be decontaminated by a method suitable for instrumentation eg light dusting with Fullers Earth SECTION 6 MAINTENANCE a General The comppac ventilator requires checking for calibration settings at least annually Service is only required if calibration needs to be restored if component failure occurs or if damage is incurred It is recommended that maintenance of units in service is carried out at two levels At the first level the procedure specified in section 3 b should be followed at regular intervals typically once a month irrespective of use and a record kept by the use of the log sheet at the back of this manual
15. is sufficient charge to power the ventilator The battery may be trickle or fast charged using the PS11 power supply charger unit see section 2e iii however this should be undertaken in advance of use and where necessary ie battery does not retain its charge the battery may need replacing c Cleaning i comppac ventilator and compressor modules Each module should normally be cleaned by means of a damp cloth For obstinate marks a mild soap or non abrasive cleaner may be used Wipe dry immediately with a soft clean cloth Do not attempt to sterilize the Control Module or to clean it by immersion in any fluid Do not allow any oil or grease to come into contact with the input and output fittings because of the potential fire risk when oxygen is being used ii Hoses The Gas Supply Hose may be cleaned in the same manner as the Control Module taking the same care to keep free from grease The Patient Hose may be cleaned in the same manner as the Patient Valve parts The In Line Filter should be replaced after every use ii Control Module This module may be wiped with a mild disinfectant in accordance with the disinfectant manufacturer s instructions but must not be immersed d Sterilization No parts of the comppac Module come in contact with the casualty s expired gases and therefore this unit is not designed to be sterilized e Assembly and Function Testing After cleaning or sterilization parts must be carefully
16. panel This enables the system to be used for extended periods wherever a 24 28V d c supply is available The power requirement is less than 50 watts If the power supply is connected to this socket simultaneous trickle charging of intemal battery will occur whilst the ventilator is running WARNING To avoid the potential risk of explosion associated with re charging the Lithium version of battery ensure that only a Ni Cad battery Part No 510 A1490 CE NATO No 6140 99 620 8057 is installed UNDER NO CIRCUMSTANCES SHOULD THE LITHIUM BATTERY NATO No 6135 99 840 0109 OR ANY OTHER PRIMARY BAT TERY BE FITTED 16 An input gas pipe is provided to allow the comppac ventilator to be connected to a 280 to 600 kPa gas supply from the Oceanic Magellan 2200 anesthesia machine so that it can be operated independently of the compressor module In this way if oxygen or air cylinders or liquidoxygen are available this can be used to power the ventilator and the internal battery can be conserved Calibrated controls for frequency and minute volume are provided to set the required ventilation pattern A fixed pressure relief device limits the peak inspiratory pressure and provides a pneumatically operated audible high pressure alarm In addition an electronic high pressure alarm sounds if the inflation pressure exceeds 60 x100Pa 60 cm H20 There is negligible interdependence of these controls All controls and indicators are mounted on the front pane
17. Alarm Lo Pressure Box Low Pressure Switch Alarm Buzzer 9 Volt Battery 1 8 x 10 22 fitting On Off Switch Extender Tubing Color Green Tubing Color Blue Tubing Color Red Adapter from Red Tubing to Bellows 17mm Inlet Red ARMY BILL OF MATERIALS CONT D PART NO DESCRIPTION 21 0 Label L Frame 21 1 Label Vaporizer Waming 21 3 Label Ventilator Front Panel 21 4 Label Ventilator Side Panel 215 Label Magellan 2200 Large Oval 21 5 1 Label Magellan 2200 Small Oval for Trolley 21 6 Label Air Flowmeter Knob 21 7 Label O2 Flowmeter Knob 21 8 Label Pressure Relief Valve Scavenger Port Knob 219 Label O2 Concentrator Inlet 21 10 Label Fed Law Restricts Use 21 11 Label Low Pressure from O2 Concentrator O2 Alarm 21 12 Label Hi Pressure O2 Alarm 21 13 Label Front Manifold 21 14 Label O2 Out 2 21 15 Label O2 In lt 21 16 Label Air Out lt 21 17 Label To Absorber Pressure Gauge 21 18 Label Serial 21 19 Label Factory Address 21 20 Label To Scavenger 21 21 Label To Bellows 21 22 Label O2 Pressure CARRYING CASE INSERT LABELS 21 23 Label Water Trap 21 26 Label Regulator 21 27 Label Scavenger 21 28 Label Respirometer 21 29 Label Absorber Canister 21 30 Label Oxygen Monitor 21 31 Label Regulator Yoke 21 32 Label Flow Arrow for Auxiliary Flow Selector 21 33 Label Caution Energizing Ventilator 21 34 Label Oceanic Square 21 35 Label O2 Air Inlet Locations for G
18. DISS __ One each oxygen pressure reducing regulator Yoke type One each Air pressure reducing regulator DISS One each oxygen high pressure hose 15 __ One each oxygen high pressure hose 24 __ One each Air high pressure hose 15 _ Bag vent switch mounted on support arm w mounting knob amp screw CO absorber support arm with Mounting Knob One each King Systems CO absorber with adapters and reservoir bag __ One each King Systems Patient Tubing Circuit __ One each hose b v switch to bellows color coded blue One each hose b v switch to CO absorber color coded green __ One each hose ventilator outlet to bellows inlet with 17mm adapter color coded red __ One each low pressure bulb with Comon Gas Outlet adaptor __ One each Pre Use Checklist __ One each Set Up Instructions Card __ One each Penlon vaporizer manual __ One each CD with Operators Manual and Service Manual __ One each Mapleson A ackson Reese CGO adaper __ One each Waste Gas Scavenger __ One each Anesthesia Machine Carrying Case __ One each Carrying Case to Machine Securing Bolt __ One each Cylinder Holder for Carrying Case __ One each Air Compressor with Carrying Case One each Water Trap for Air Compressor __ One each Oxygen Monitor Mounting Clamp and Plastic Sensor Adapter __ One each PEEP Valve and Accessory Tubing with Connector __ One each Military Accessory Bundle PART NO P N 26 1 P N 26 0 P N 26 2 P N 26 4
19. E Sa Pull best ice koa et el roi oe Ey Lo ELUH ery Po rH Eee Bc pe Li lihera Fia 20m Lacs occu kl ed ey Ou eed ore ELE per se or E lel zi kaiako cacanile boe hk is note eo xi lod arai sain Ham cans EE BAT j ERY Erman des CH GLA P om dmt bt FE eau nori oniiEx E F ram A there VES T oof Fring Tas uns EU TGs ain s LU ibn TN HS LE k Mai or CAE Lx Us L is hilfe DYAN One Dp abate rebai iris me Gee zr pi Figure 4 See also Figure 2 Battery Installation And Removal Instructions P P SECTION 4 OPERATION WARNING To avoid the risk of over inflation of the patient it is important for the operator to constantly monitor the patient pressure manometer during manual ventilation WARNING Always ensure that an altemative means of ventilation is available in the event of ventilator failure or malfunction a User s Skill The comppac ventilator is designed to be used by medically qualified personnel All potential users should familiarise themselves with the machine and its operation to enable them to use it effectively They should study the contents of this manual to the extent required by their training WARNING To avoid harmto the patient this equipment should only be used by personnel trained in the use of automatic ventilation b Setting of the Ventilator 1 General The ventilator should be left with the controls set in the position specified in the functional check Section 3 b 1 to enable it
20. Magellan 2200 Model 2 Anesthesia Machine 1 E a gn T onim di I z I E 1 i 4 t E LA ceanic dical Products Inc oceanicmedical com Shannon Industrial Park Lane Atchison Kansas 66002 Tel 913 874 2000 Fax 913 874 2005 oceanicmedical ivnworth com TABLE OF CONTENTS SUBJ ECT eGeneral Desaiption e Definition of Statements eGeneral Wamings e Machine Specifications eFunctional and Operational Procedures Assembly of Components Pneupac CompPAC Ventilator and Compressor Pre Use Checklist Functional Operation of Controls and Accessories Post Use Checklist eCleaning Disinfecting and Sterilization Minor Maintenance Recommendations Tools Needed for Maintenance e PROBLEM SOLVING GUIDE VACUUM MANIFOLD e CYLINDER GAS DURATION FORMULA eGAS FLOW DIAGRAMS e TEMS FURNISHED WITH EACH MACHINE AND PART NUMBERS e ADDITIONAL ITEMS NEEDED FOR OPERATION AND MAINTENANCE e BILL OF MATERIALS WITH PART NUMBERS e EXPLODED DIAGRAMS OF MAJ OR COMPONENTS PAGE 12 28 31 36 a 8 0 08 8 8 8 GENERAL DESCRIPTION The Magellan 2200 Anesthesia Machine is compact robust and flexible easy to transport and was designed for military forward surgical teams combat surgical hospitals general Civilian hospitals outpatient surgical centers office based anesthesia military and civilian veterinary medicine The Magellan 2200 is completely pneumatically powered and is designed to be used with any com
21. ak is detected switch off the comppac ventilator disconnect the power source and remove the access cover M Re checkthe condition of the rubber O ring seal replace if necessary Also checkthe reservoir plate surface for any particles of matter or scratches which could prevent the O ring seal sealing After any corrective action repeat the steps i to iv above 14 On successful completion of the Leak test reolace the battery retaining jacket battery and boot Carry out the pre use checks as recommended in Section 3b Functional Check of the user manual 504 2107 before deploying the comppac ventilator e Storage If the comppac ventilator is to be stored for prolonged periods it should be located in a cool dry place out of direct sunlight Remove the intemal battery priorto any prolonged periods of storage Priorto use following any prolonged storage ensure that the comppac ventilator has stabilised to atemperature within its specified operating range 10 C to 4020 PRE USE CHECKLIST Emergency Ventilation Equipment l Verify backup ventilation equipment is available and functioning It is recommended that a self inflating bag valve mask device with the ability to provide high concentrations of O2 be immediately available High Pressure System 2 Check Oxygen Cylinder Supply A Open O cylinder and verify at least half full approx 1000 psi B Close cylinder 3 Check Central Pipeline Supplies A Check tha
22. alve Plastic Exhalation Valve Tee Pressure Relief Valve Plastic Adaptor Tee Adaptor Hose Nipple Adapter Acrylic Block Fittings 8 32 x 1 1 4 inch Brass Screws Timings Valves Inpiratory and Expiratory Time Air Volume Tank Street Elbow Nipple 1 8 inch Countersink Plug Flow Accelorator Components A B Inspiratory Flow Valve 1 1 32 inch Insp Flow Valve Nut Insp Flow Valve Bracket 8 32 Brass Nuts Pressure Gauge Dual Scale Non Magnetic Pressure Gauge Bracket 8 32 Brass Nuts 5 40 x Brass Nuts Aluminum Exhalation Valve Bracket Bracket 8 32 x Screws ARMY BILL OF MATERIALS CONT D PART NO 1224 12 25 12 26 12 27 12 28 12 29 12 30 12 31 13 0 14 0 14 1 14 1 1 14 12 142 15 0 142 16 0 17 0 3 1 18 0 18 1 18 2 18 3 18 4 18 5 18 6 18 7 19 0 19 1 18 3 18 5 18 6 18 7 7 1 20 0 20 1 20 2 20 3 DESCRIPTION Reduced Branch Cross Union x Urethane Tubing 1 8 inch ID 9 ft 6 32x Brass Screws 8 32x Brass Screws 6 32 x 1 8 Brass Screws Flow Control Locking Knob Time Valves Locking Knobs Bellows Complete Bag Vent Switch B V Switch Arm Coupling Body with one way shutoff valve Hose Barb 1 8 x Holding Knob CO2 Absorber Arm 1 8 x Holding Knob Scavenger Waste Gas Bulb Squeeze Low Pressssure Testing CGO Adapter for Bulb Alarm Hi Pressure Box Electric Switch Switch Cover Alarm Buzzer Alarm Plunger 9 Volt Battery 1 8 x 10 22 fitting On Off Switch
23. and volume delivery M Adjust the Pressure Relief Valve to a slightly open position i LS i NOTE After removing the reservoir bag and attaching the Patient Tubing Circuit to the Patients airway check the bellows again for complete filling and completely fill the bellows using the Flush Button if necessary N Observe the Airway Pressure Gauge and ensure that expected Inspiratory Pressure is Remove PEEP Valve from CO2 absorber canister when PEEP valve is not in use being generated 4 End of Mechanical Ventilation Procedure A Tum the Ventilator Gas Power Switch to off Position B Tum the Bag Vent Switch to Bag and allow the patient to breathe spontaneously or bag the tidal volume P Observe other monitoring devices if available for accuracy of respiratory and vaporizer function and adjust controls as needed 3 PEEP If PEEP is desired attach the PEEP valve between the expiratory limb of the breathing circuit and the 22 mm expired gas port on the King Systems KAB 9 refillable or KAB 1 pre filled disposable and set to approximate PEEP value desired by observing the Patient Airway Pressure Gauge adjust as necessary POST USE CHECKLIST A Tum off all inlet gas pipeline and cylinder supplies B Tum off the vaporizer and completely empty the fluid chamber C Remove all patient contact tubing and fittings D Tum off ventilation and physiologic monitors E Tum off the back up oxygen cylind
24. and power the bellows The tidal volume being dependant upon the ventilator settings The green cycle LED should illuminate every breath providing the peak proximal pressure is above 10 cm H20 11 If the airway is very restrictive and or the lung is very stiff or the airway is blocked the relief valve alarm should operate and sound during the inspiration cycle The manometer should give a reading of 60 cm H20 This may be accompanied by the ventilator high pressure LED flashing and alarm sounding 12 If the patient hose becomes disconnected the bellows will be driven down to completely empty The relief valve alarm should operate and sound during the inspiration cycle This should be accompanied by the ventilator disconnect LED flashing and alarm sounding 13 When the ventilator is switched off the ventilator alarms should carry on functioning for 60 seconds before shutting down l4 Ifthe compressor is required to power the ventilator and provide air to the anaesthetic machine follow the instructions given in the functional check WARNING Failure to constantly monitor the patient whilst using this equipment may lead to death or serious injury The Inflation Pressure Monitor should be kept under constant observation so that adverse ventilation conditions can be detected and corrected before the patient is put at risk If the pressure jumps excessively at the commencement of inspiration an airway obstruction is indicated and this must be r
25. ary specified Military specified ARMY BILLOF MATERIALS DATE INITIATED J AN 4 2002 PART 1 0 20 2 1 2 2 2 3 2 4 3 0 3 1 4 1 4 2 2 1 4 3 5 0 4 3 6 0 2 2 4 3 7 0 7 1 4 3 8 0 7 1 4 3 9 0 4 3 10 0 10 1 10 2 10 3 2 1 7 1 7 2 11 0 11 1 11 2 11 3 DESCRIPTION L Frame Flowmeter Pair 1 8 inch Hose Barb Male Connector Knob Green Fluted Flowmeter Guard Bar CGO Coupling Body CCO Coupling Insert O2 Flush Button Acutator 1 amp inch Hose Barb Elbow Vent On Off Switch Male Hbow High Low O2 Selector Toggle Switch Male Connector Male Hbow Air Press Gauge Female Coupling Elbow O2 Press Gauge Female Coupling Elbow O2 Auxiliary Flow Selector Elbow Main Body Frame Rods Steel Brass 1 4 20 Rod Screws Dowel Pin Absorber Mount 1 amp inch Hose Barb Female Coupling Y Connector Gas Manifold Air DISS Adapter Metal Spacer Air Bronze Filter ARMY BILL OF MATERIALS CONT D PART NO 114 115 11 3 22 L2 12 0 12 1 122 12 2 1 12 3 12 4 12 5 12 6 12 7 12 8 12 8 1 12 8 2 12 8 3 12 9 12 5 12 10 12 11 12 12 12 13 12 14 12 14 12 16 12 16 A 12 17 12 18 12 19 12 20 12 18 12 21 12 22 12 23 DESCRIPTION O2 DISS Adapter Metal Spacer O2 Bronze Filter Male Connector Y Connector Ventilator Container Container Front Plate Container Back Plate Container top Plate Plastic Valve Spacer Alum Spacer Posts 8 32 x 1 1 4 inch Brass Screws Exhalation V
26. as Manifold 21 36 Label Caution for Air Compressor Use ARMY BILL OF MATERIALS CONT D PART NO DESCRIPTION 22 0 Tubing Set from FM s 22 1 Tubing from Vaporizer 22 2 Tubing from CGO 22 3 Valve One Way 224 Tee Connector 23 0 Vaporizer Retainer 23 1 Retainer Holding Knobs 24 0 Vaporizer 24 1 Vaporizer End Male end 24 2 Vaporizer End Female 24 3 Felt Pads 24 4 Key Agent Specific 24 5 Holding Knobs 25 0 Manual Oper Serv CD 25 1 Penlon Vaporizer Manual 25 2 Card Set up Machine 25 3 Card Pre Use Checklist 26 0 O2 Regulator yoke 26 1 O2 Regulator DISS 26 2 Air Regulator DISS 26 3 Oxygen Hose 24 26 4 Oxygen Hose 15 26 5 Air Hose 15 Accessories indicates induded in military delivery of goods A 104 Aluminum Trolley for General Hospital Use A 105 Oxygen Monitor A 105 A Oxygen Sensor A 106 Oxygen Tee Adapter for Oxygen Sensor A 107 Mapleson Adaptor to fit into CGO A 108 Annual Service Kit Bellows latex free Tubing kit w valves for Flowmeters to vaporizer vaporizer to CGO Flush to CGO CGO to CO2 canister with metal end caps for vaporizer Manifold filters 3 and 3 metal spacers Tweezers for removing filters and spacers 51 ARMY BILL OF MATERIALS CONT D PART NO A 109 A 110 A 111 A 112 A 113 A 114 A 114 1 A 115 A 116 A 117 A 118 A 119 kK ek ek ek K DESCRIPTION 1 16 Allen s wrench Squeeze bulb with CGO adapter Tubing co
27. asal cannula or disposable oxygen mask The selector knob will allow the operator to provide oxygen flow at 2 4 6 10 and 15 liters per minute Note When not in actual use the O flow selector control knob should be kept in the OFF position as to not waste oxygen sources 2 Oxygen Pressure Gauge Indicates the source pressure of oxygen for all oxygen related components of the machine 3 Air Pressure Gauge Indicates the source pressure of compressed air for all air related components of the machine 4 Oxygen Pressure Toggle Switch This switch allows the operator to select which oxygen source is being used either high pressure from a cylinder or mains or very low pressure from an oxygen concentrator NOTE When using high pressure oxygen sources all of the functional oxygen controls may be utilized e g auxiliary oxygen selector oxygen flowmeter oxygen flush valve and oxygen selector to power the ventilator NOTE When using an oxygen concentrator as an oxygen source there is ONLY enough oxygen pressure to power the oxygen flowmeter No other oxygen powered related systems will be able to function The O flush will be powered by the backup D or E oxygen cylinder when the low pressure O2 concentrator is selected for use WARNING If the O2 flush button is depressed when using an O2 concentrator the flush valve will exhaust the oxygen concentrator reservoir for at least 10 seconds or longer Be certain that the backup O2
28. ators eMain supply cylinder e Safety back up cylinder Oxygen and Air Supply Gauges Oxygen Supply Alarms eMain and safety back up O2 Concentrator e Alarm power source eAlarm on off Air and O2 Howmeters Oxygen Concentrator Air Compressor Oxygen Analyzer Monitor Oxygen Analyzer Power Source Hand operated selector switch and rotating knob for PRV and scavenging outlet Latex free upward inflating range from Oto 1 6 L Pre set at 60 cmH20 Quick connect size indexed King Systems F 360 61 or any standard anesthesia circle circuit DISS and thread indexed female connectors at both ends DISS and thread indexed male connectors with one way valves Located behind Manifold Air and O inlet male connectors DISS thread indexed for O2 Pin indexed yoke mounted for D and E cylinders for O2 0 3000 psi range color coded and clearly labeled Pneumatically actuated when O2 supply falls below 30 psi Pneumatically actuated when O2 supply falls below 1 psi O volt battery located in body of alarm box Labeled toggle switch located on body of alarm box Calibrated and scaled 0 10 lpm color coded O2 flowmeter has a fluted control knob for easy identification by touch alone To power O2 flowmeter only May be used to power ventilator and air flowmeter OM 25 ME or equivalent Galvanic cell sensor life expectancy 2 years under normal conditions 2 each AA batteries life expectancy approx 3000 use hours Vaporizer Airway
29. c Any other gas source supplying the ventilator via the Magellan 2200 should be at 305 600 kPa 44 87 psi and be capable of supplying 13 litres min at this pressure 13 Electrical Power level Indicator See Figure 1 A yellow visual indicator is used to indicate the state of the electrical power supplies to the ventilator When the intemal battery has been selected as the power source or when a gas supply has been connected the absence of any signal from this indicator coupled with normal operation by the alarm system indicators confirms the internal battery is providing adequate voltage When the alarm system detects that the battery charge has dropped to the level where approximately several minutes running time remains the yellow power Indicator will commence to flash once every 30 seconds to give advanced warming of battery failure As the charge reaches the point where it can no longer ensure full performance of the ventilator the flashing rate of the power indicator will increase to twice every second accompanied by a medium priority audible alarm Although the ventilator may continue to operate whilst the battery failure alarm is annunciating ventilator operation will become increasingly uncertain and damage may be caused to the battery When an external electrical power source has been selected to power the ventilator and the internal battery is installed and charged then again absence of any signal fromthe power indicator couple
30. cylinder is turned on WARNING If the oxygen concentrator is employed and the operator desires to utilize the mechanical ventilator compressed air is the only power source that can energize the ventila tor for operation Once high pressure oxygen is again available the O2 pressure toggle switch can be returned to the high pressure position and all O2 related systems will then operate normally 5 Hush Button Press the button inwards to activate 100 oxygen through the system When activated the oxygen gas flows from the flush button to the Common Gas Outlet and thence directly to the inspiratory side of the patient tubing circuit NOTE One way valves prevent the oxygen flow from the Flush Button from mixing with other gases and vapors already in use fromthe flowmeters and vaporizer 6 Flowmeters The oxygen and air flowmeters are operated by turning the control knobs clock wise for decreased flow and counter clockwise for increased flow NOTE Titration of FIO2 is managed by using both flowmeters and adjusting them until the desired FIO2 is observed on the O2 monitor read out 7 Ventilator Power Selector Switch This toggle has three positions A Center OFF B Right Oxygen C Left Air NOTE Selection of gas power from the Air Compressor if available will allow O2 sources to be conserved WARNING The comppac compressor module is the only recommended compressor for use with the Magellan 2200 Model 2 air systems Non Medical
31. d to the NBC Filter should always be removed before fitting it to the comppac ventilator The ventilator should always be run with a NBC filter in place as this reduces the operating noise as well as filtering the air entering the compressor Other than the protection provided to the patient s air supply the filter also prevents ingress of dust and dirt into the ventilator circuit which could cause deterioration of ventilator performance 25 BATTERY FITTING AND REMOVAL INSTRUCTIONS BATTERIES SUITABLE FOR USE IH THIS EQUIPMENT ARE FELUM Ta PART Ha 51041490 HATO No t amp 1440 35 6 amp 20 BD57 WARNING To avid ihe potential risk of explesion associgteri with re charging the Lithium version of battery ensure that only a Ni Gad battery Peal Ho 51 0 417490 CE is installed UNDER ND CIRCUMSTANCES SHOULD THE LITHIUM BATTERY iHMATO Ho 6135 BB BA4D 01068 BE FITTED OBSERVE ALL HANDLING PRECAUTIONS APPLICABLE TS THE BATTERY TYPE REFER TH USER MANUAL FOR FULL INSTFILICETICIPISS shit HG ETE Eipuv die E Inbiu DF Pianeta the FL ET WTE ELSI neo Egi dran id bead Iris TE rn iTe Dirk mm r e fr SSS a Speer a icio EAI sliep ce medic eels hig Auer e rio ae paingia il Charki m oriens 20 or ea ard e nn er rrizs hus kamay cnn eae cione ee qn ran hes Fan nomma Ti mod Epod oed mec ard n Inari bp aer e b Deka ul y in con m ti TI Sen ee coe IP ZI ge Ges RE e pacqmeni mn i Tun p CMR E TS EDD EST EZ 512 A9 LZ E
32. d with normal operation of the alarm system indicators confirms that both the extemal supply and intemal battery are providing adequate voltage for correct ventilation operation With an adequate external power supply and no internal battery or a discharged battery the yellow power indicator will be constantly illuminated A drop in voltage of the external power supply will be indicated by the indicator flashing off once every 30 seconds If the supply voltage drops to the level where correct ventilator operation cannot be assured the power indicator flashes off twice a second and this is accompanied by a medium priority audible alarm See section 10 e for explanation of symbols and description of alarm priorities 14 Cable disconnect alarm Test Switch See Figure 1 The Cable disconnect alarm Test switch is used to test the function of the cable disconnect alarm which is housed within the compressor module When the switch is depressed the alarm sounder should sound continuously The function of the electronic alarm system is totally dependant upon correct connection of the interconnection cable between the compressor module and the ventilator For this reason the cable disconnect alarm should sound when the cable connection has become compromised by accidental disconnection or damage 15 Compressor ON OFF I O Switch See Fig 1 When the ventilator is connected to the compressor module via the interconnection cable the compress
33. e d The compressor motor should start and run at high speed as long as the compressor reservoir is below 44psi If the reservoir presser is above 44psi the compressor will not re start until the pressure has dropped to 44psi e The compressor motor should start and run at high speed f Thedisconnect LED and the silence LED should both flash initially The silence LED should stop flahing after one minute of operation 6 Adjust the anaesthetic machine air flowmeter to a flow of 2L min and allow the bellows to fill up fully The compressor motor may slow down during filling the bellows indic ated by a change in motor sound but this is normal 7 The sounder in the compressor should beep every 15 seconds to indicate that the compressor is running on back up battery power 8 Push the test cable disconnect alarm button While the button is depressed a con tinuous alarm should sound This tests the function of the cable disconnect alarm 9 When the bellows have been fully filled and the air pressure is above 50 psi switch on the ventilator by switching the anaesthetic machine ventilator power switch to Air 1O The ventilator should cycle and power the bellows with a breath of approximately 900 mls The green cycle LED should illuminate every breath providing the peak proximal pressure is abovelO cm H20 Check over several breaths 11 Disconnect the patient port from the re breathing bag or test lung and block the patient port The r
34. e volume Pre set High Pressure Relief Valve 960 cmH20 Positive End Expiratory Pressure external PEEP valve 37 1 Power Source Air or oxygen delivered to the gas manifold at 40 70 PSI 50 PSI Optimal CAUTION If Oxygen is the desired gas pressure source ensure that the Gas Power Toggle Switch top left on L frame is in the High Pressure position p i7 NOTE Use of the Air Compressor isthe preferred ventilator gas power source in order to conserve cylinder oxygen sources Minute Volume to Tidal Volume conversion table examples 3 Ventilator Gas Delivery A B C D E F G ASF Close the Pressure Relief Valve located on the Top of the Bag Vent Switch Place a 1 liter reservoir bag on the patient end of the Patient Tubing Circuit Tum the Bag Vent Switch to VENT position Allow the Bellows to completely fill Tum the Minute Volume to 8 L min Adjust the frequency to 10 min Ensure that the bellows is full and adjust with gas from the Flowmeters and or Flush Button if necessary Tum the Ventilator Gas Power Switch to either Air or O2 Allow the ventilator to cycle at least twice During the Inspiratory Phase of each cycle observe the depression level of the bellows Adjust the Minute Volume and or breaths pr minute controls to make the bellows depressto the desired approximate Tidal Volume L Readjust the three controls until the Operator is satisfied with the settings
35. ecessarily achieve the required blood gas levels Also when used at moderate altitude it is essential that the user dosely monitors delivered tidal volume and measures end tidal CO2 using suitable capnography Section 1 a 7 WARNING To avoid the potential risk of explosion associated with re charging the Lithium version of battery ensure that only a Ni Cad battery Part No 510 A1490 CE NATO No 6140 99 620 8057 is installed UNDER NO CIRCUMSTANCES SHOULD THE LITHIUM BATTERY NATO No 6135 99 840 0109 OR ANY OTHER PRIMARY BATTERY BE FITTED Sections 2c 2d 14 2d 15 2e iii 3a amp 5b 8 WARNING To avoid malfunction of the ventilator when using the battery as a power source periodically check the battery to ensure that there is sufficient charge to power the ventilator The battery may be trickle or fast charged using the PS11 power supply charger unit see section 2e iii however this should be undertaken in advance of use and where necessary ie battery does not retain its charge the battery may need replacing Sections 2e ii and 5b 9 WARNING To avoid the risk of fire or explosion or impaired ventilator performance always observe the correct polarity of the auxiliary supply Ensure the supply is a stable voltage from 23 to 30 volts capable of supplying 3 Amps 5 Amp surge on motor start and does not contain excessive interference Section 2e iii 10 WARNING When in use in a contaminated atmosphere to
36. ectified If the airway is clear the flow rate may be too high and this is reduced by decreasing the minute volume setting Excessive pressure at the end of inspiration indicates a high tidal volume This may be reduced by either reducing the minute volume or increasing the frequency If the inflation pressure is too low firstly check for leaks secondly check the ventilation parameters thirdly check the patient valve for proper functioning NOTE At all times check the adequacy of the gas source or the power supply battery as indicated by the electrical power indicator 27 SECTION 5 CARE CLEANING AND STERILIZATION a Care The compPAC ventilator is chemically hardened and is designed to be decontaminated by approved methods The casing is completely sealed apart from the control panel and the batter compartment which are protected by heavy shrouding The canister connector is protected in use by the NBC canister For NBC decontamination the rubber boot the battery and the battery fixngs should be completely removed see Figure 2 on page 20 The casing can then be decontaminated using the shroudings to protect the panel and internal parts of the battery compartment Light contamination of the controls on the shrouded panel should be decontaminated by a method suitable for insrumentation eg light dusting with Fullers Earth i Carefully inspect the complete Ventilator and Compressor system and make note of what actions should be
37. elief valve alarm should operate and sound during the inspiration cycle The manometer should give a reading of 60 cm H20 This may be accompanied by the ventilator high pressure LED flashing and alarm sounding 12 Unblock the patient port amp the bellows should be driven down to completely empty Again the relief valve alarm should operate and sound during the inspiration cycle This should be accompanied by the ventilator disconnect LED flashing and alarm sounding 13 Switch off the compressor The compressor should stop but the ventilator alarms should carry on functioning for 60 seconds before shutting down NOTE Short runs using the comppac compressor should be kept to a minimum in order to minimize the requirement to dry the unit after use Finally set the controls as specified in step 1 so the ventilator is left set for emergency use WARNING Deviations noted at functional check should be reported immediately to the manufacturer and the unit must be taken out of service to avoid the risk of death or serious injury 14 Battery Replacement If the battery needs replacing follow the instructions shown on label Part Number 504 223 located on the inside face of the rubber boot which is reproduced in Figure 4 on next page 15 NBC Filter Replacement WARNING To avoid the risk of chemical environmental hazards disposal of a contaminated used NBC filter must be in accordance with local regulations CAUTION The protective bung fitte
38. en assembled correctly and is operating safely It should be repeated periodically as specified under Maintenance 1 Set up the anaesthetic machine in accordance with the Oceanic Magellan 2200 user manual Connect a test lung or adult re breathing bag to the patient connection port 2 Install and set up the ventilator as in section 3 a with a fully charged battery installed in compressor 3 Set the ventilator controls as follows a Compressor power switch Off b Frequency 13 b min detent position c Minute Volume 12 L min WARNING Setting the anaesthetic machine air flowmeter above 2L min may cause an excessive drop in compressor reservoir pressure with a subsequent drop ventilation performance 4 Set the Anaesthetic machine as follows a Air flowmeter Closed b Ventilator power switch Off C PRV valve Closed 5 Switch on the compressor using the switch of the front of the ventilator and the ventilator alarms and compressor should start in the following sequence a The cable disconnect battery back up sounder located in the compressor should beep once b The ventilator alarm LED s should illuminate in a clockwise sequence starting from the low power LED Thedisconnect LED will notilluminatedunng thissequence with the ventilator Switch sex to Off The illumination of LED s will be followed byasingle beeo of the cebledisconned sounder c The battery power for compressor LED should illuminate at the same tim
39. er WARNING When a PEEP valve is utilized the airway pressure line connector MUST be attached to adapter on top of the PEEP valve If the airway pressure is measured at another point during PEEP pressure may not be properly measured CLEANING AND DISINFECTION Cleaning The Magellan 2200 may have the exterior of the device and its external components cleaned with a mild solution of soap and water then thoroughly dried off A mild hospital grade disinfectant may also be used to clean the exterior of the device and its components in accordance with the disinfectant manufacturers directions for use Steam Sterilization The following components may be autoclaved at a temperature of 121 degrees C for fifteen minutes Tubing and connectors from the common gas outlet to the absorberinlet port Tubing and connectors from the air and oxygen flowmeters to the vaporizer port Tubing and connectors from the outlet port of the vaponzer to the common gas outlet Tubing from the ventilator to the bellows bag vent switch to the bellows and from the CO absorber to bag vent switch support arm Tubing and connector for the scavenger system 6 Oxygen sensor tee mount 7 Bag Vent switch assembly and support arm BUNH Ul Bellows l Thelatex free rubber bellows may be cleaned disinfected and sterilized as stated above Vaporizer l The process of filling and emptying the vaporizer with agent will clean the intemal pa
40. etainer Screws 52 MAGELLAN 2200 ANESTHESIA MACHINE BACK DESCR TICN MAN BOOY FRANE MAIN LOW RE OXYGEN ALARM 3 245 VAPORIZER hOLCING SPACER A SECURING KNOBS aj 0 GAS MANIECLO MAN AR OXYOEN 5 190 O2CONCENTRATOR LOW PRESSURE ALARM
41. f electric shock when using the comppac ventilator in conjunction with the PS11 Power Supply Charger the PS11 should be located outside the patient environment ie 21 5 Metres from the patient WARNING To avoid harmto the patient this equipment should only be used by personnel trained in the use of automatic ventilation If a new NiCad battery is supplied it will need to be charged initially for 14 hours using the PS11 Mains Power Supply with the recharging lead connected to the battery terminals by means of the dedicated Charger to Battery recharging lead Pt No 51042422 WARNING To avoid the potential risk of explosion associated with recharging the Lithium version of battery ensure that only a Ni Cad battery Part No 510 A1490 CE NATO No 6140 99 620 8057 is installed UNDER NO CIRCUMSTANCES SHOULD THE LITHIUM BATTERY NATO No 6135 99 840 0109 OR ANY OTHER PRIMARY BATTERY BE FITTED After charging the battery install in accordance with the instructions shown on the upper face of the rubber boot when removed from the comppac which are reproduced in Fig 4 Fit an NBC filter canister to the compressor by means of the specially threaded adapter in the recess of the rear face Screw it in fully until sealing contact is made with the sealing washer at the internal base of the adapter The anaesthetic machine bellows unit can be screwed to the top of the ventilator enclosure using the four screws provided with the bellows unit wit
42. hout removing the lid from the ventilator enclosure The top lid of the ventilator enclosure is fitted with clinch nuts to accept the bellows unit screws The ventilator and bellows unit should be fitted into place on the Anaesthetic machine frame and secured with a single countersunk screw through the bottom plate of the machine frame and two screws through the back plate Before securing the ventilator in place connect the gas supply pipe to the ventilator supply port on the anaesthetic machine Fit an in line biological filter to the patient monitoring port luer lock connector and fit the sensing line assembly between the filter and the anaesthetic machine absorber manifold Interconnect the compressor to the ventilator as follows Fit one end of the interconnection cable into the strain relief bracket on the compressor frontpanel to mate with the interconnection port Check for orientation of the D shape 22 connector Orientation guidance is provided by the interconnection port label Screw in the screws on the cable to make connection secure Fit the other end of the interconnection cable into the strain relief bracket on the rear of the ventilator to mate with the interconnection port Again check for orientation by referring to label Screw in the screws on the cable to make connection secure i MAGELLAN 2200 MODEL 2 MACHINE AIR COMPRESSOR AND POWER SUPPLY BACK VIEW 2 If using the comp
43. ing System A Set selector switch to bag mode See photo B Check that the breathing circuit is complete undamaged and unobstructed C Verify that CO2 absorbent is adequate D Install breathing circuit accessory equipment e g humidifier and filter to be used during the case mpopp r Perform Leak Check of the Breathing System Set all gasflowsto zero or minimum Close PRV valve and occlude Y piece or install a reservoir bag to distal end of circuit Pressurize breathing system to about 30 cmH20O with O2 Flush Ensure that pressure remains fixed for at least 10 seconds Open PRV valve and ensure that pressure decreases X Manual and Automatic Ventilation Systems mpnppg I O Test Ventilation Systems and Unidirectional Valves Place a second breathing bag on Y piece Set appropriate ventilator parameters for next patient Switch to automatic ventilation ventilator mode Fill bellows and breathing bag with O2 Flush Turn ventilator power switch to air or O2 Set O2 flow to minimum Air to zero Verify that during inspiration bellows deliver appropriate tidal volume and that during expiration bellows fills completely Set fresh gas flow to approx 5 L min Verify that the ventilator bellows and simulated lungs fill and empty approximately without sustained pressure at end expiration Check for proper action of unidirectional valves located in CO2 canister Exercise breathing circuit accesso
44. l The layout is shown on Figure 1 The electronic alarm unit not only gives warning of high inflation pressure but also of patient circuit disconnection failure to cycle and low voltage It is powered from the internal battery within the compressor module and will operate even if the battery power is too low to operate the compressor The interconnection cable must be connected between the ventilator and the compressor in order for the electronic alarms to function There is no specific control switch on the alarm system With the main battery and interconnection cable in place it is energised automatically whenever the ventilator is operated by switching the compressor on or by the application of gas pressure to the auxiliary connection The alarm is turned off by removing the gas supply if an external source is being used or by retuming the compressor on off switch to OFF The comppac ventilator module is connected to the Magellan 2200 bellows by means of a corrugated hose and remote patient valve d Ventilator and Compressor Controls Indicators and Connections Figure 1 1 Minute Volume Control See Figure 1 This calibrated rotary control knob gives continuous adjustment of the minute volume delivered to the patient over the range 6 to 14 L min 2 Frequency Control See Figure 1 This rotary control knob gives continuous adjustment of frequency over the range 10 to 30 breaths per minute The I E ratio is nominally constant
45. lacement will be identical to those which would be appropriate to protect the spontaneous breathing of the rescuer Smiths Med ical International Ltd can supply Avon L12A1 NBC Filter Canisters which are registered as NATO No 4240 99 132 0941 CAUTION The protective bung fitted to the NBC Filter should always be removed before fitting it to the comppac ventilator For use in non NBC environments it is recommended that the Avon L12A1 filter is always used to act as a dust particle filter It will also act as a silencer For non NBC use the filter only need be replaced at service intervals and then only if it has been in normal emer gency use iv Drive Gas Supply Hose As standard Air Gas Supply Hose is provided in order to supply the anaesthetic machine and ventilator with compressed air from the compressor This hose has a DISS Air connector on either end LL rri z 2D re vam TIT m IE Lil m PI ir khu m m Erp kn mig iu gas LE 2258 9o ET 21 Intercannectinn pert 504 3590 Gas Supply Por 280 ta ADO kPa Ge 19 Li Mrin 504 353B Figure 3B comppac Compressor Label and Location SECTION 3 SET UP USE and FUNCTIONAL CHECK a Set Up 1 comppac Ventilator Unpack the comppac ventilator and its accessories and check all items against the contents checklist If any items are missing or incorrect or have become damaged notify your supplier immediately WARNING To avoid the risk o
46. lied to suit most mains outlet sockets used World wide CAUTION To avoid accidental disconnection of the power supply unit PS11 when it is connected to the comppac OEM unit the mains lead should always be locked in position CAUTION Avoid fast charging batteries outside the temperature range of 109C to 30 C The batteries will not accept a full charge outside this range and in certain circumstances the capacity of the battery may be permanently impaired At low temperature the elec trolyte may be electrolysed and small quantities of hydrogen liberated which in extreme circumstances present an explosive risk An auxiliary power supply lead part number 510A2582 is available from Smiths Medical International Ltd to which the user can fit specific connectors to suit alternative 24 28V d c power supplies This lead has only a single circuit so simultaneous battery charging will not occur with its use iii NBC Filter WARNING When in use in a contaminated atmosphere to avoid the risk of harm to the patient the NBC filter must be fitted The comppac ventilator is designed to accept any NBC filter with a NATO Stanag 4155 thread in order to filter NBC contaminants from gas being drawn from the atmosphere for supply to the patient The selection and usage of a suitable filter for a particular environment must be the judgement of a person trained in the use of such a filter but in principle the criteria for selection use and rep
47. linder or pipeline Tum the supply on and set the ventilator to 30 breaths per minute and 14 L min volume Run for 15 60 minutes depending on the ambient humidity under which the ventilator has been running If a humidity meter is available place it in the ventilator output connector and run the unit until a dew point of about the 0 C is achieved Additional instructions for the maintenance only applicable to suitably trained personnel of the compressor reservoir are detailed in section 6 d iv Reassemble the system and carry out the function check specified in Section 3 v Stow the system in a clean area away from heat and intense light b Battery Care The NiCad battery recommended for use with the compPAC ventilator should be periodically charged to ensure it remains at full capacity The battery should be removed for storage periods greater than one month Charging of the battery can be carried out both inside and outside of thecompPAC using a recommended charger WARNING To avoid the potential risk of explosion associated with re charging the Lithium version of battery ensure that only a Ni Cad battery Part No 510 A1490 CE NATO No 6140 99 620 8057 is installed UNDER NO CIRCUMSTANCES SHOULD THE LITHIUM BATTERY NATO No 6135 99 840 0109 OR ANY OTHER PRIMARYBAT TERY BE FITTED WARNING To avoid malfunction of the ventilator when using the battery as a power source periodically check the battery to ensure that there
48. lly However the user must be aware that in these circumstances the electrically operated alarms will NOT function ii Power Supply Charger WARNING To avoid the potential risk of explosion associated with re charging the Lithium version of battery ensure that only a Ni Cad battery Part No 510 A1490 CE NATO No 6140 99 620 8057 is installed UNDER NO CIRCUMSTANCES SHOULD THE LITHIUM BATTERY NATO No 6135 99 840 0109 OR ANY OTHER PRIMARY BATTERY BE FITTED The Main Power Supply Charging Unit is specially designed for use with the comppac ventilator It will accept leads for connection to supplies of 200 250V 50Hz 100 120V 60Hz or 24 28V d c respectively Oneof two different Powersupply Charging units may besupplied with the system depending upon the date of manufacture Earlier units may have a PS11 Power supply Charging unit amp later units will have aPS12 Power supply Charging unit Each unit has a separate user manual User Manua 504 2084NUS forthe PS 11 Part Number 510 2408 Power supply Charging unit User Manua 504 2109forthe PS12 Part Number 53541034 Power supply Charging unit WARNING To avoid the risk of fire or explosion or impaired ventilator performance always observe the correct polarity of the auxiliary supply Ensure the supply is a stable voltage of between 23 to 30 Volts capable of supplying 3 Amps 5 Amp surge on motor start and does not contain excessive interference Plug in supply leads can be supp
49. lor coded 3 and red adapter Instuctions for Service Sheet Krytox lubricant tube oz Washer Press Red Regulator Yoke 2 ea ReSposable Bundle Surgical masks size 0 5 inclusive 6 total masks Reusable mask hook rings 2 Breathing tube 16mm x 72 Breathing bag 1 0 L silicone 1 Breathing bag 3 0 L silicone 1 Elbow polysulfone white cap Wye fixed autoclavable Tee fixed autoclabavle Adapter autoclavable 22 ID x 15 ID 22 OD Silicone breathing tube 16mm x 12 Headstrap Resusable CO2 Absorber Connector KAB 1930 D Reusable Scavinging Tubing 3 pieces each 12 long 3 0 Lbreathing bag PEEP Valve Respirometer Mechanical Hand Held Rubber bellows only Scavenger Tubing Kit Machine Carrying Case Mounting Bolt Carry CS Cylinder Holder Crry CS King Systems CO2 Refillable Absorber w out APL King Systems Patient Tubing Circuit Rubber Test Lung Krytox lube T oz Tube MAGELLAN 2200 ANESTHESIA MACHINE FRONT DESCRIPTION Main Frame Roos Support Steel Ventilator Bellows Common Gas Outlet Vent Power Toggle Switch Flow Meter Pack Air amp Oxygen Oxygen Flush Button HVLC O Pressure Toggle Switc Air Pressure Gauge Oxygen Pressure Gauge Oxygen Auxiliary Flow Selector L Frame Vaporizer L Frame Securing Screws Bag Vent Switch Absorber Arm Bag Vent Switch Assembly and Dowel Pin Guide for B V Switch CO Absorber Support Arm Flow Meter Bar Vaporizer Retainer Vaporizer R
50. n 1 Removal and Mounting of Machine 2 Remove machine Turn open box so that 3 Review partsin lid of ventilator box 4 Positioning of parts in lid of ventilator box Tum on side open remove lid wheels are down 5 Mount anesthesia machine to top of 6 Reattach lid of box to front of box with 7 Attach small O2 cylinder mount to box back 8 O2 cylinder mount completely attached box securing with mounting screws dm ASSEMBLY OF COMPONENTS FOR USE OF THE MACHINE BACK OF MACHINE L Pressure Reducing Regulator Attach yoke type pressure reducing regulator to the D or E Oxygen cylinder to be used for safety back up purposes 2 Oxygen Hose Attach one end of the 24 inch green O2 high pressure hose to the outlet port of the pressure reducing regulator and the opposite end to the left side of the Gas Manifold 3 Oxygen Hose Main O2 Supply Attach one end of the 15 foot green O2 high pressure hose to the top left O2 inlet connector on the Gas Manifold and the opposite end to the O2 source either an O2 Cylinder or O2 Wall outlet 4 Oxygen Concentrator in Lieu of Main O2 Source If an O2 Concentrator is to be used instead of cylinder or wall O2 sources the tubing from the O2 concentrator should be connected to the specially labeled O2 concentrator only Inlet nipple located above and to the nght side of the Gas Manifold 5 Water Trap Attach the Water Trap to the Air inlet port on the GasManifold
51. nnel who have been trained by Smiths Medical Intemational Ltd to carry out such work If the comppac ventilator shows a malfunction during operation or testing or if its perform ance is measured to be outside the acceptable tolerance before re calibration stated in the specification during its performance checking then the unit should be withdrawn from operation and an appropriate service must be carried out Servicing or adjustment of the comppac ventilator should only be carried out by competent personnel who have been trained for such work d Compressor Reservoir Maintenance During routine calibration servicing of the comppac ventilator it is advisable to also clean the Compressor Reservoir The cleaning procedure detailed below may also be performed if there is suspicion that reservoir may be dirty or wet To carry out cleaning of the resevoir proceed as follows 1 Remove the rubber boot from the bottom of the comppac compressor 2 Remove the battery in accordance with the instructions detailed inside the rubber boot 3 Remove the battery retaining jacket from the battery compartment by separat ing the velcro fastenings 4 Remove the reservoir access plate retaining screws and detach the access plate 5 Drain out any excess residual moisture from the inside of the reservoir 6 Wipe clean all the inside surfaces of the reservoir with an absorbent lint free cloth 7 Carefully remove the rubber O ring seal fromthe g
52. or and electronic alarms are activated by switching this switch to the position Please note that to prevent accidental switching the switch has to be pulled out before changing state from O off to on and vice versa Switching this switch to the O position stops the compressor This will also stop the alarms after 60 seconds providing no other gas source is switched to the ventilator 16 Compressor power indicator LED s External Power for Compressor and Battery Power for Compressor When the compressor is switched on the most appropriate power supply is selected automatically depending on if the intemal battery is fitted if an external electrical supply is fitted and the level of the electrical power available The green LED is illuminated when the system has automatically chosen an external electrical supply to run the compressor The yellow LED is illuminated when the system has automatically chosen the battery to run the compressor Note Power for the alarm system is taken from the battery by default unless no battery is fitted or the battery is discharged 17 Interconnection Port The Interconnection port has a high density Female 15 pin D connector which will accept a screened high performance SVGA monitor to PC cable A box type bracket surrounds the connector to provide support for the cable connector and provide protection to the connection from excessive strain The cable can be locked in place using the two screws normally
53. parts Ventilator Module Part No 510A3053 1 Compressor Module Part No 510A3060 2 e Rubber Boot Part No 510A2271 3 e NBC Filter Part No W7265 4 Hose MA4 DISS to DISS Part No 500A4888 5 24 28 volt open ended Vehicle Supply lead to comppac Part No 51043096 6 comppac ventilator compressor User Manual Part No 504 2107 Not shown Water trap Assembly Part No 510A3105 7 e Interconnection cable Part No W288 001 8 e Reservoir Cover Spares Part No 510A2956 Not shown Sensing line Part No 510A3107 9 NiCad Battery Part No 510 A1490 10 e Microbiological Filter Part No W8860 11 The following labels are fitted on the ventilator module Ventilator Panel Label Part No 504 351 Patient monitoring port identification label Part No 504 353A eGas supply port identification label Part No 504 353B e nterconnection port identification label Part No 504 353C e Federal law label Part No 504 1166NUS Alarm Bezel Label set of 2 Part No 504 222 And the following fitted labels on the compressor module e Compressor panel label Part No 504 352 e Battery fitting and removal instruction Label Part No 504 223 WARNING Failure to read this user s handbook before first use of this device may result in death or serious injury WARNING To avoid harmto the patient pre use checks must be performed in accordance with section 4 of this manual before each use
54. plete or simple patient monitoring system that the operator prefers to use or has on hand The Magellan 2200 may be mounted on its custom made carrying case a mobile trolley especially designed for the unit other mobile carts or on a tabletop as the operator prefers Factory Quality Assurance Testing Each Magellan 2200 is tested several times during the manufacturing process Final testing and calibration of components and the completed machine are recorded and a final functional test copy is included in the shipment from the factory to the initial customer DEFINITION OF STATEMENTS The following terminology and statements are important for the operator to understand before proceeding with the manual or operation of the Magellan 2200 WARNINGS indicate a possibility of injury to the operator or others CAUTIONS indicate a possibility of damage to the equipment NOTES indicate points of interest for proper operation of the equipment General Warnings 1 Patients requiring life support equipment should be under the constant surveillance of competent medical practitioners There is always the possibility of machine and alarm failure and some malfunctions require immediate corrective action 2 Vaporizer Tilting the vaporizer past 45 degrees with liquid agent in the chamber can result in patient injury or death If tilted past 45degrees empty the chamber fully open the percent control then flush the vaporizer with Oxygen from the O
55. provided on the cable assembly 18 Compressor Gas Output The compressor gas output is fitted with a DISS Air type connector 19 External Electrical Input Connector The electrical input connector is a push pull bayonet type A red dot on the connector must line up with the red dot on the cable plug and the connection is made by pushing the cable plug into the connector The plug will be locked in place until the collar of the plug is pulled away from the connector 19 20 NBC Canister Adaptor Not Shown This threaded adaptor is to a standard military specification for the connection of NBC filters The filter should always be screwed in fully so that it seals against the sealing washer at the base of the adaptor thread The comppac should not be operated without a filter other than its obvious need when protecting the patient s air supply its presence ensures that dust and dirt do not enter the patient circuit valves and other intemal sensitive areas Figure 2a Battery in installed position Figui etc Plucefinger in loopand gently pull te extract batter Figure 2d Disconnect the Batters Figure 2e Battery RemovedAlso refer to figure 6 installation is the reverse of removal Figure 2 See also Figure 4 Removal of the Battery installation is reverse e Accessories i Batteries The comppac ventilator is designed to operate from the NiCad rechargeable version of a widely stocked military 24V batte
56. ressor to provide the air gas power to the anaesthetic machine and ventilator fit the 2m gas supply hose between the compressor and the anaesthetic machine inlet manifold Connect the ventilator to the bellows unit using the red colored hose supplied with the anaesthetic machine the patient valve and 22 mm female to 15 mm male taper adaptor supplied with the compPAC ventilator Note A 90 patient 22mm male female elbow connector may be fitted between the ventilator output port and the hose for ease of use NOTE If the ventilator output hose is incorrectly connected to the ventilator it will not deliver tidal volumes and the alarm may not sound during the functional occlusion test See Section 3 b A4 b ii and 4 9 iii 5 b Functional Check WARNING To avoid harm to the patient pre use checks must be performed in accordance with section 4 of this manual before each use WARNING Switching on the ventilator before the compressor reservoir pressure reaches 50 psi as indicated on the anaesthetic machine air pressure gauge may cause the gas failure indicator to malfunction To avoid this always allow compressor reservoir pressure to build up to 50 psi before switching on ventilator WARNING When running the ventilator from the compressor rapid extreme changes in temperature amp humidity may cause the ventilator to malfunction The following procedure should be followed when first setting up the ventilator to check that it has be
57. ries to ensure proper function Turn ventilator gas power switch to the OFF position and turn bag switch to BAG mode Ventilate bag manually and assure inflation and deflation of artificial lung and appropriate feel of system resistance and compliance Remove second bag from Y piece Turn B V switch to Vent Allow bellowsto fill Set minute volume contro to 8L min and frequency to 10 B min Utilize a 1 liter breathing bag asatest lung Turn on the ventilator to either air or O2 depending on which gas you will be using to drivethe vent Monitors 13 Check Calibrate and or Set Alarm Limits of All Monitors A Ventilator and ventilation monitor parameters including Oxygen analyzer B Physiologic monitor that may include vaporizer agent capnometer and pulse oximeter Final Position 14 Check Final Status of Machine Vaporizer off PRV valve open Selector switch to BAG All flowmeters to zero Patient suction device available Breathing system ready to use nmoompp FUNCTIONAL OPERATION OF CONTROLS AND ACCESSORIES With the Pre Use Checklist completed the Magellan 2200 is ready to use It is imperative that the operator understands how to utilize the controls of the machine properly and the following information will be helpful Center L Frame Controls and Gauges 1 Auxiliary O2 How Selector Designed to allow the operator to supply oxygen to a patient pre and post op with small bore tubing for a n
58. roove in the access plate 8 Wipe clean the O ring seal and all the surfaces of the access plate including the seal groove with an absorbent lint free cloth 9 Using a clean absorbent lint free cloth apply a disinfectant such as Ethyl or Iso Propyl Alcohol 7096to 90 to the inside surfaces of the reservoir the rubber O ring seal and the access plate and leave for a duration of at least 10 minutes 10 Rinse off the disinfectant with sterile water and fully dry the inside of the reser voir O ring seal and access plate This may be done with a lint free cloth or a clean forced air supply Note If no sterile water is available use tap water followed by alcohol and then dried by means of forced air 11 Inspect the rubber O ring seal for any sign of damage or detioration If it isin good condition carefully place it into the groove of the access plate If there is any doubt about the condition of the rubber O ring seal discard it and fit a replacement 12 Re fit the access plate to the comppac reservoir and securely tighten the 10 screws supplied as akit Part No 510A2956 13 Performaleaktest and any rectification asfollows i Temporarily reconnect the battery or a suitable d c supply to the comppac compressor ii Set the controls to 6MV and 10 b Min iii Switch on the comppac ventilator iv Apply soap solution around the access plate and to the screw heads to check for any air leakage v If an air le
59. ry campaigns and in disaster relief It is suitable for ventilating adults and children above 20 kg The comppac ventilator and associated equipment described in this manual conform to ASTM F1101 90 Standard specification for ventilators intended for use during anesthesia b Contraindications None Known c General Description The comppac COM OEM ventilator is gas powered and is housed in an enclosure designed to fit into the Oceanic Magellan 2200 portable anesthesia machine The separate compressor housing is designed to accept the long endurance battery that is used to drive a small compressor which in turn provides compressed air to power the ventilator and up to 2 L min for the anesthesia flow head fresh gas mix All ambient air via the compressor for the fresh gas mix from the anesthesia machine passes into the system through a standard NBC filter About 1 3 of the volume is compressed to drive the ventilator before expansion in an entrainmentmixing device which entrains the other 2 3 by creating a sub atmospheric pressure This entrained gas is not filtered through the NBC filter since the ventilator gas is separated from patient gas by the anesthesia machine bellows The NiCad rechargeable battery specified for fitting inside the unit will provide approximately 2 hours continuous ventilation also dependent on the ventilator setting during use The compressor has an extemal straight bayonet push pull type connection on the front
60. ry which was originally introduced to power the Clansman communications pack NATO No 6140 99 620 8057 It is packaged in either a plastic or metal casing but the comppac ventilator only accepts the plastic casing there are wider fixing lugs on the metal casing The Ni Cad battery has an 85 C internal thermal cut out WARNING To avoid malfunction of the ventilator when using the battery as a power source periodically check the battery to ensure that there is sufficient charge to power the ventilator The battery using the power supply charger unit see section 2e iii however this should be undertaken in advance of use and where necessary ie battery does not retain its charge the battery may need replacing This battery needs to be recharged within a month before use Battery life will depend on ventilator settings the table below shows typical battery duration for given settings Ventilator settings Battery Life min aM V JOBPM 2MPV BPM Id NP BPM The batteries are field exchangeable CAUTION It is recommended that the comppac ventilator is only used with a battery installed even if the ventilator is being powered by gas only as the battery is used to power the electronic alarm system The ventilator will work without a battery or extemal electrical supply since it operates as a conventional gas powered device with the patient protection devices and the high inflation pressure pneumatic alarm operating norma
61. s Scavenger and the other end to the TEE connector 8 VENTILATOR SIDE OF MACHINE 2 Bag Vent Switch Assembly Arm Attach the Bag Vent Switch Assembly Armto the top of the machine using the dowel pin guide located underthe top of the machine and insert the B V Switch hole provided forthe dowel pin Secure the B V Switch by inserting the knob screw through the top of the machine 1 CO2 Absorber Support Arm Attach the CO2 Absorber Support Arm to the Main body of the machine by inserting the two pins of the Arminto the two holes provided then screw in the knob screw from the back side of the frame to secure the Arm Ensure that the stem of the Arm is pointed upwards 9 3 Reservoir Bag 4 Airway Pressure Gauge Tubing Attach the Reservoir bag to the chrome inlet port connector Attach the Airway Pressure Gauge Tubing connector to the bottom of the B V Switch Arm located on the bottom of the B V Switch Arm Em tf bU 5 Gas How Tubing Attach the semi clear tubing from the Common Gas Outlet to the inlet connector of the CO2 absorber NOTE If the clear plastic connector Supplied with the CO canister is not available the semi clear tubing may be directly attached to the inlet port nipple of the CO canister 6 CO2 Absorber Canister Attach the CO Absorber Canister to the Absorber Support Arm BAG AND VENT ARM TUBING 7 Attach the labeled tubing to the outlet of the ventilator as shown on the label
62. s and highly restrictive airways ii CAUTIONS Cautions wam of dangerous conditions that can occur and cause damage to the ventilator or its accessories if you do not obey all of the instructions given in this manual 1 CAUTION It is recommended that the comppac ventilator is only used with a battery installed even if the ventilator is being powered by gas only as the battery is used to power the electronic alarm system The ventilator will work without a battery or external electrical supply since it operates as a conventional gas powered device with the patient protection devices and the high inflation pressure pneumatic alarm operating normally However the user must be aware that in these circumstances the electrically operated alarms will NOT function Section 2e 2 CAUTION To avoid accidental disconnection of the power supply unit PS11 when it is connected to the comppac OEM unit the power supply mains lead should always be locked in position Section 2e 3 CAUTION Avoid fast charging batteries outside the temperature range of 10 C to 30 C The batteries will not accept a full charge outside this range and in certain circumstances the capacity of the battery may be permanently impaired At low temperature the electrolyte may be electrolysed and small quantities of hydrogen released which in extreme circumstances present an explosive risk Section 26 4 CAUTION The protective bung fitted to the NBC Filter sho
63. sient pressure events Initially the visual alarm only indicates each time the pres sure exceeds the preset limit but if high pressure conditions persist the alarm latches to give continuous flashing Both audible and visual pressure alarms reset automatically after 10 seconds when the condition is no longer present 8 Cyde Indicator See Figure 1 During ventilation of the patient the inflation pressure is continuously monitored by a positive pressure detector pre set to 8 x100Pa 8 cm H20 Each time the inflation pressure rises through this set pressure level the green Cycle Indicator flashes for 1 10 second to indicate to the user that at the least this inflation pressure is being achieved each cycle 9 Low Inflation Pressure Disconnect Alarm See Figure 1 A medium priority audible and visual alarm will operate to warn the user of a possible disconnection in the ventilator breathing system or that the ventilator is not cycling correctly if the inflation pressure generated by the ventilator does not rise through the pre set level of 8 x100Pa 8 cm H20 at least once in any 10 second period Both the audible and visual alarms reset when the alarm condition no longer exists 10 Silencing of Electronic Audible Alarms See Figure 1 A visual signal consisting of an orange light flashing every 3 seconds is used to indicate when an electronically generated audible alarm has been silenced For the first 60 seconds after switching on the
64. ssageways of the vaporizer filler block satisfactorily 2 The exterior of the vaporizer should be kept clean and dust free with a dry cloth or if necessary use proprietary cold sterilized wipes or cloths and dry thoroughly CO2 Absorber Canister refillable version 1 The King Systems KAB 9 refillable absorber may be autoclaved 40 times then should be replaced MINOR MAINTENANCE RECOMMENDATIONS Purpose To ensure that the Magellan 2200 anesthesia machine is in proper operating condition Scope of Recommendation These recommendations are for routine maintenance Annual or other maintenance procedures are contained in the Magellan 2200 Service Manual Recommendations l Perform a Pre Use Check according to the Pre Use Checklist 2 Check all monitoring devices according to the manufacturers recommendations 3 Ensure that the Oxygen sensor can be calibrated properly If the sensor does not calibrate replace Tools Needed for All Maintenance l 1 16 Allen Wrench 2 Screwdriver regular head 3 Small adjustable wrench PROBLEM SOLVING CUIDE SOLUTION eCheck main pipeline O2 gas supply and the emergency O2 backup cylinder by observing the gas pressure gauges Resolve by ensuring adequate pipeline and cylinder O2 supplies are adequate and are attached to anesthesia machine Replace soda lime in canister eCheck Bag Vent Switch for vent position eCheck PRVY Control Knob for closed position eCheck entire t
65. t hoses are connected and pipeline gauges read approx 50 psi 31 Low Pressure System 4 Check Initial Status of Low Pressure System A Close flow control valves and tum vaporizer off B Check fill level and tighten vaporizer filler cap 5 Perform Leak Check of Machine Low Pressure System A Verify that the machine flow control valves are OFF B Attach Suction Bulb to common gas outlet C Squeeze bulb repeatedly until fully collapsed D Verify bulb stays fully collapsed for at least 5 seconds E Open vaporizer and repeat C and D above F Remove suction bulb and reconnect fresh gas hose 6 Tum on Ventilation Ventilator Alarm 7 Test Flowmeters A Adjust flow of Oxygen and Air through their full range checking for smooth operation of floats and undamaged flowtubes e jt i ra ry Scavenging System amp Adjust and Check Scavenging System A Attach hose from bag vent switch scavenger outlet to scavenger inlet B Attach reservoir bag to scavenger connection port C Attach suction source to suction inlet connection port D Adjust suction on and ensure bag collapses E Tum suction off 32 Breathing System 9 Calibrate Oxygen Monitor A Ensure monitor reads 21 in room air B Verify low oxygen alarm is enabled and functioning C Reinstall sensor in circuit and flush breathing system with Oxygen D Verify that monitor now reads greater than 90 10 Check Initial Status of Breath
66. taken In particular check for damage to hoses contamination of any component evidence of any part having been subjected to excessive force and missing parts ii Remove discard and replace the in line microbiological filter CAUTION Excessive ingress of moisture could result in deterioration of internal components if the device is unlikely to be used regularly i e more than once a week This could also result in the ventilator failing to start To avoid this ensure that the comppac is properly dried after each use The comppac ventilator must be dried internally as detailed below powered by the compressor alone i e delivering 2196 oxygen iii If ventilator has been running powered by the compressor and with no oxygen input humidity in the ambient air drawn in by the compressor may have condensed in parts of the intemal pneumatic circuit The design of the ventilator is configured to minimize this effect and to dissipate any excess water but some dampness may remain after the unit is switched off To avoid any internal deterioration due to this condensation after each use perform the following shutdown actions if the device is unlikely to be used more than once a week Run the compPAC powered only by the compressor i e delivering 2196 oxygen internally dry the comppac ventilator using the following procedure Pneumatic Circuit Drying Procedure Connect the Oceanic Magellan 2200 anaesthetic machine to a source of dry oxygen e g cy
67. te altitude it is essential that the user dosely monitors delivered tidal volume and measures end tidal CO2 using suitable capnography b WARNINGS AND CAUTIONS 1 WARNINGS 14 Wamings are given to make you aware of dangerous conditions that could lead to death or serious injury to the user or patient that can occur if you do not obey all of the instructions given in this manual The following Warnings highlight aspects of the use of the comppac ventilator that require particular emphasis The section of this manual referenced in each clause provides the relevant context 1 WARNING Failure to read this user s handbook before first use of this device may result in death or serious injury Section 1 a 2 WARNING To avoid harm to the patient pre use checks must be performed in accordance with section 4 of this manual before each use Sections 1a amp 3b 3 WARNING Always ensure that an altemative means of ventilation is available in the event of ventilator failure or malfunction Section 1a amp 4 4 WARNING To avoid harm to the patient this equipment should only be used by personnel trained in the use of automatic ventilation Sections 1 a 3 a 4 a amp Ag 5 WARNING Failure to constantly monitor the patient whilst using this equipment may lead to death or serious injury Sections 1 a amp 4b ii 6 WARNING Blood gas levels must be monitored independently correct operation of the ventilator will not n
68. tion during anesthesia in a military field hospital to adult and paediatric patients greater than 20 kg 44 Ib The comppac OEM ventilator comprises two separate cases one case containing the ventilator that is fixed into an Oceanic Magellan 2200 portable anaesthetic machine and the other case containing the compressor which is free standing and provides air for both the ventilator and anaesthetic machine flowmeter The primary role of the comppac OEM ventilator is to provide patient ventilation when fitted to the Oceanic Magellan 2200 Portable Anaesthesia Machine It can be powered by compressor oxygen compressed air or by an electrically operated compressor The ventilator can be driven in various ways i Oxygen from a nominal 60psi supply which can be powered by e Regulated compressed cylinder or Wall mounted outlets ii Air from a nominal 6Opsi supply which can be powered by e Regulated compressed cylinder or e Wall mounted outlets iii Internal compressor providing compressed fresh air This can be powered by internal 24V battery or eextemal 24 28V d c supply or external 115V a c supply via PS11 power supply or eextemal 240V a c supply via PS11 power supply 2 Graphical representation of electrical power source inputs their relevant interfaces devices and outputs To run the comppac Vehinle Wee Charging While Operati iator The comppac OEM ventilator comprises of the following standard kit
69. tlet It will give an accurate indication of the actual patient proximal inflation pressure under all normal settings of the ventilator 6 Supply Gas Failure See Figure 1 This mechanically operated visual alarm gives a warning that the supply gas has dropped to a pressure at which the ventilator will no longer be operating to specification if operating from a compressed gas supply With low pressure it shows red with adequate pressure it shows white Any visible red indicates that the supply should be changed In most cases the display will begin to oscillate from white to partial red as the supply pressure falls to the low threshold level The visual indication will be accompanied by an electronically generated medium pnority1 audible waming In order to conserve the battery if this audible alarm is ignored for more than 60 seconds the alarm system will ultimately switch itself off 7 High Inflation Pressure Alarm See Figure 1 In addition to the audible alarm described in Section 2 d 4 an independent electronically generated audible and visual alarm is provided which operates when the inflation pressure rises above 60 cm H20 irrespective of the setting or operation of the relief valve The electronic audible alarm only sounds after the alarm pressure has been maintained for a period of one second in order to avoid the sounding of the alarm during 1 See section 10 e for explanation of symbols and description of alarm priorities tran
70. to be brought into use with a minimum of re adjustment Where the comppac ventilator is likely to be used away from gas sources it should be stored with a fully charged known good battery and or connection leads for use with an outside power source ii Ventilating the Patient Pre Use Checks WARNING Switching on the ventilator before the compressor reservoir pressure reaches 50 psi as indicated on the anaesthetic machine air pressure gauge may cause the gas failure indicator to malfunction To avoid this always allow compressor reservoir pressure to build up to 50 psi before switching on ventilator WARNING When running the ventilator from the compressor rapid extreme changes in temperature amp humidity may cause the ventilator to malfunction l Setup the anaesthetic machine in accordance with the Oceanic Magellan 2200 user manual Connect a test lung or adult re breathing bag to the patient connection port 2 Ensure that the ventilator is installed and set up as in Section 3 a with a fully charged battery installed in compressor 3 Set the ventilator controls as follows the Minute Volume Frequency Tidal Volume Conversion table will assist the operator in selecting the appropirate intial control setting 26 Frequency b min n 2 E e LU s k in z 6 ex a E E 3 o E E 2 a Compressor power switch Off b Frequency To suit patient c Minute volume
71. ubing circuit for leaks eCheck O2 supply and O2 Pressure Gauge to ensure C2 is available eCheck O2 sensor to ensure proper seating in tee adapter eCheck that opposing Air or O2 flowmeter is OFF eCheck Air or O2 gas power supply for 40 70 PSI on pressure gauges eCheck Vent Power Selector Switch in Air or O2 position elf O2 is selected for power check O2 Power Selector Toggle Switch and ensure it is in the High Pressure Position VACUUM MANIFOLD VACUUM MANIFOLD li 400 117 WALL VACUUM CONNECTION POSITIVE RELIEF bun o N BAG TO ACT AS RESERVOIR FOR IRREGULAR FLOWS CONNECT 3 LITER BREATHING 41 CYLINDER GAS TABLE Cylinder Gas Formula Gas Volume of Cylinders 1 Pressure 2200 psi 2 Factors duration of flow Air O 3 Formula duration of flow C E G H Size 12 7 22 187 244 0 6 0 28 241 3 14 Flow minutes Cylinder press x factor liter flow Example E Cylinder 2200 x 0 28 616 77 minutes 8 8 77 1 28 Hours 60 GAS FLOW DIAGRAM I O2Flow from Gas Manifold to L Frame GAS FLOW DIAGRAM I O Flow from Gas Manifold to L Frame Low Pressure Auxiliary O Selector O Pressure Gage O Flush Button High O Flow Meter Toggle Switch O Air Ventilator Gas Power Selector L Frame GAS FLOW DIAGRAM II Air Flow from Gas Mnifold to L Frame GAS FLOW DIAGRAM II Air Flow from Gas Manifold to L Frame Air Pressure Gage 50
72. uld always be removed before fitting it to the comppac ventilator Sections 2e amp 3b 11 5 CAUTION Excessive ingress of moisture could result in deterioration of internal components if the device is unlikely to be used regularly ie more than once a week This could also result in the ventilator failing to start To avoid this ensure that the comppac compressor unit is properly dried after each use The comppac ventilator must be dried internally as detailed in Section 5 a iv powered by the compressor alone i e delivering 2196 oxygen Section 5ea SECTION 2 GENERAL INFORMATION a Intended Use The comppac OEM ventilator is a gas powered automatic ventilator intended to provide ventilation during anesthesia in a military field hospital to adult and pediatric patients greater than 20 kg lbs The comppac OEM ventilator comprises two separate cases one case containing the ventilator that is fixed into an Oceanic Magellan 2200 portable anaesthetic machine and the other case containing the compressor which is free standing and provides air for both the ventilator and anaesthetic machine flowmeter It has been designed to function using a NATO approved NBC filter NATO No 4240 21 912 5397 and is therefore suitable for use in chemically laden environments that are likely to be encountered on the battlefield It can be operated from a range of power sources to provide maximum flexibility of operation in remote areas in milita
73. ventilator all alarms except the supply gas failure alarm are automatically suspended although high priority visual alarms will still operate Any audible alarm can be silenced for a 60 second period subsequently by depressing the silencing button but if anew alarm condition occurs during this penod it will be Immediately annunciated If the silencing button is depressed pre emptively i e before any alarm sounds then only a new high priority alarm condition will cause an alarm to sound during the following 60 seconds 11 Patient Outlet Connection See Figure 1 GAS OUTPUT This outlet to the bellows from the ventilator is intended for the attachment of the patient circuit supplied by Oceanic Medical products Inc for the purpose 12 Gas Input Connector See Figure 1 DRIVING GAS INPUT This pipe is used to connect to the Oceanic Magellan 2200 anesthesia machine in order to supply gas power to the comppac This gas may be air or oxygen selected by the ventilat or power switch on the Magellan 2200 If the compressor module is used to supply the compressed air the supplied 1 5m hose and water trap must be fitted between the compressor module and Magellan 2200 air supply manifold and the interconnection cable fitted between the compressor module and the ventilator module T See section 10 e for explanation of symbols and description of alarm priorities NOTE The use of dry compressed gas is the preferred method of driving the comppa
74. void the risk of over inflation of the patient it is important for the operator to constantly monitor the patient pressure manometer during manual ventilation Section 4 18 WARNING To avoid the risk of cross contamination all re usable components in the patient circuit that can come into contact with the patient or the patient s exhaled gas Patient Valve and Patient Hoses should be sterilized or disinfected as per instructions detailed in Sections 5d and 5e of this user manual The sterilization process will also minimize the risk of contaminating the patient with Legionella which can found in some hospital hot water reservoirs 19 WARNING Failure to use approved circuits and accessories may lead to unsatisfactory ventilator performance Section 7 20 WARNING To avoid the risk of harm to the patient from an incorrectly set ventilator servicing or adjustment of this equipment should only be carried out by competent personnel who have been trained by Smiths Medical International Ltd to carry out such work Section 6c 21 WARNING Extreme environments may impair ventilator performance operator vigilance is required to monitor the patient 22 WARNING To avoid the risk of under inflation of the patient it is important for the operator to monitor tidal volumes This is espedally important iwth a combination of ventilator minute volume settings of 12L and above power supply voltages below 24 Vdc and patients with low compliance lung
75. xygen flowmeter set to 5 lom for 10 minutes 3 Gas Power Source Ensure that adequate Oxygen and Compressed Medical Air pressure and volumes are available before engaging the ventilator power toggle switch to ensure proper operation of the ventilator MACHINE SPECIFICATIONS DIMENSIONS Height Depth Width Weight eFree Standing e Enclosed in Carrying Case Machine Materials Carrying Case Materials Operating Temperature Range Required Gas Supply Sources e02 Main and Cylinders eAir and or Air Compressor Oxygen Concentrator Howmeter Fresh Gas How Oxygen Flush Valve CO gt Absorber System CO gt Absorber Canister Capacity Directional Valves 23 inches 23 inches 17 inches 45 Ibs 130 Ibs Aluminum brass and plastic Plastic military grade 35 degrees F to 110 degrees F 38 to 70 psi 50 psi is optimal 38 to 70 psi 50 psi is optimal 3 to 10 psi For O2 Flowmeter only 1 to above 20 Ipm each flowmeter Recessed self closing push button color coded and labeled provides 45 55 lpm constant flow while push button is depressed may not be used with O2 concentrator as O2 power source King Systems KAB 9 re fillable or KAB 1 pre filled disposable 400 grams soda lime Built in the CO2 Absorber Bag Ventilator Switch PRV and Scavenger Outlet Port Bellows Bellows Pressure Relief Common Gas Outlet Tubing Circuit Gas Pressure Hoses Gas Inlet Manifold Gas Inlet Manifold Filters Gas Inlet Pressure Regul

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