MODEL 5600i
Contents
1. 50 3 a g0 g2 SS 3 10 i k 0 p EEN File name Default pvt a bocno ee Files of type Preuview Templates 7 Cancel DA0IO0I Rp5 00570 05 ATPX Notconnected 00 MStart SSI A Wy Microsoft Word 03 5600 F Dual Adult PneuView ES IB d HE a54Pm Figure 33 Select Template Dialog Box Export Report Text Files This function will allow the user to generate a formatted text file containing the PneuView Notes Tabulated Data and Trend Test Results The text file is formatted to be both presentable as a readable document and easily assimilated into other databases such as Microsoft applications and other dedicated equipment management database systems To export this data go to File on the menu bar then select Export Report Text File The Export Test Report to Text File dialog box appears Select the Pneu View file to be exported and where the file should be exported to in the Save In box Click Save An information box will appear stating The report text file destination directory and file name will be listed has been saved The file will be saved with a txt extension 37 Export Real Time Data Files This function allows for the translation of Pneu View data files into delimited ASCII text files that should be readable by any text editor soreadsheet program or data analysis application To export this data go to File on the menu bar then select Export Real Time Data The Save R2. Figure 5 Select Parameters Window Ref is a reference value entered by the user This is used to compare a value with an actual measured value The reference value is not necessary for any PneuView calculations and has been provided only for references purposes Other commands on the menu are Print Preview and Print See page 34 for instructions on printing files On the tool bar is a Parameter Window button This button will access the Measured Parameters if that window was closed or minimized See Figure 6 for a display of the Parameter Window button Figure 6 Parameter Window Button NOTE The Select Parameters window can also be accessed by selecting the Parameter Window button then going to Window on the Menu bar and selecting Set Up 15 B Notes The Notes window is a text editor and provides capabilities for entering editing and saving text Right clicking the mouse in the notes window can access amenu The menu commands are File Edit Justification Font Word Wrap and Print Notes Standard sub menus appear when selecting these commands See Figure 7 for Notes Window and Menu ENI PneuView ADULT Lung Project Projecti pri File Edit Data Trend Options Window Help Fee eS DEEE Parameters A KiilNotes Projecti rtf a Pressure Baseline Pressure Peak Proximal Pressure Right Tidal Volume Left Tidal Volume File gt Edit gt Tidal Volume Average Inspiratory Flow Inspiratory Time Expirato
3. Several special features add to the versatility of the TTL Oxygen sensor ports in the top of each lung compartment and auxiliary pressure ports adjacent to each pressure gauge provide sites for the tie in of related monitoring equipment The 5600i houses an Electronic Interface Module which facilitates the transfer of information from the TTL to a personal computer The module converts pressure signals from the lung and airway of the TTL into digital data The data is then processed by an appropriate personal computer using our customized Pneu View Software The Pneu View program is specifically designed to acquire interpret and display data from the TTL Single breath information to long term trends can be dynamically displayed in real time and or saved for future use Printed reports of all displayed information may also be easily generated The Pneu View Software portion of this users guide Section 3 provides complete operating instructions The TTL As Compared to Typical Patients The Model 5600i is designed to realistically simulate the mechanics of the adult ventilatory system from upper airway to the lungs It is NOT a detailed model of actual human anatomy However the TTL offers simulation capabilities and versatility not seen in other devices and is useful for a wide variety of applications The variable lung compliance and airway resistance allows for simulation of both healthy and diseased pulmonary conditions Table 1 offe
4. Standard Temperature 32 F 0 C and barometric Pressure 760 mmHg 101 3 kPa under Dry conditions 0 humidity When STPD is selected the volumes and flowrates calculated and displayed will be those that would have occurred had the gas temperature and barometric pressure been at standard conditions 82 F 760 mmHg This requires that the values entered as the Gas Temperature and Barometric Pressure must be entered to represent the ambient conditions as accurately as possible This will ensure proper calculations and conversions for the displayed volume and flowrate information The Importance of Test Conditions The test conditions MUST be entered and adjusted before acquiring and saving data These conditions not only serve as a reference when reviewing data but are necessary for the proper calculation of volume and flow parameters When data is saved the test conditions are saved as a permanent part of the file Retrieving a template will not change the test conditions as the original conditions are necessary to generate accurate calculations and waveforms Saving Files The principle function of the New Project screen is collecting and saving data from the TTL Digital pressure signals are taken from the TTL every 10 milliseconds This raw pressure data is analyzed to determine fundamental information such as the beginning and end of breaths and peak and baseline pressure points Saving the data allows the user to review and re
5. bpm 10 20 20 20 30 Vt mL 1000 800 750 500 500 Flow Lpm 80 60 60 60 40 PEEP cmH20 0 10 20 10 5 Compliance 05 05 02 02 01 L cmH20 Resistance 5 20 20 20 50 cmH20 L sec 39 Procedure 1 10 11 Adjust the compliance and resistance on the 5600i as called for in Test 1 of the above protocol Attach the patient connection of the ventilators breathing circuit to the airway of the 5600i Set the ventilator as described in Test 1 of the above protocol With the Pneu View software running on your computer enter the above protocol in the Notes window Select the respiratory parameters from the Parameters window in Pneu View to be displayed and recorded in the table Select any waveforms to be displayed while testing Verify that the compliance and resistance values entered in the Reference Conditions window correspond with the 5600i setting When respiratory values appear on the screen save them with the Tabulate function This will be Test 1 Run Tests 2 through 5 of the protocol adjusting the 5600i ventilator and reference conditions between each test Use the Tabulate function for each set of parameter values Save this format as a template for future testing Save the tabulated file and print a report of the table and notes comparing the ventilator settings to the measured values Example B 24 hour trend test to evaluate an unexplained change in tidal volume after two hours of ventilator use NOTE A t
6. Data T able Project T able01 tab of x Inspiratory Time Expiratory Ratio __ Parameter Breath Rate aseline Pressure Peak Proximal Pressure Left Tidal Volume ight Tidal Volume Left Tidal Volume hil Graph Window Rig 1 200 1 000 800 600 S8sss Right Lung Pressure 1 Le fa 00 00 02 00 00 04 00 00 06 00 00 08 ea i ae ane ee Figure 16 Data Table Window 24 2 Data can now be Tabulated or additional Measured Parameters can be selected with the Setup icon on the data table tool bar The Select Parameters dialog box will appear and allow the user to select additional parameters See Figure 17 for the Setup Icon End Figure 17 Setup Button Right clicking the mouse in the top portion of the data table window and selecting Setup can also access the Select Parameters dialog box 3 There are three ways to collect tabulated samples A Click the Add Sample button on the Data Table tool bar with the mouse This button is also located on the main tool bar at the top of the screen See Figure 18 for a display of the Add Sample button BEES Figure 18 Add Sample Button B Press F5 on the keyboard or C Right click the mouse button in the top portion of the Data Table dialog box and select Tabulate Other functions by the right click include Open Save As Clear Set up Preview and Print There are three other buttons on the tool bar with specific functions The Clear Tabl
7. OR CONSEQUENTIAL 43 DAMAGES or any other expense or liability beyond the furnishing of materials and labor for the repairs covered hereby The warranty does not cover mars and blemishes scratches or denting which may result from normal use of this equip ment or malfunctions due to mishandling or damaging accidents This warranty is VOID unless the equipment to be repaired is returned in the original protective factory carton If unavailable the protective carton may be obtained from Michigan Instruments Inc If the attached warranty registration card is not returned the warranty period will begin the date the instrument was shipped from the factory This warranty is in lieu of all other warranties express or implied and shall be void as to any products which have been repaired or altered by others or have been subject to misuse or abuse The buyer agrees that this written warranty constitutes the entire agreement as to warranties between the parties Any prior or contemporaneous oral statements which have not been written into this agreement are not binding and this contract shall not be rescinded or modified except by a signed agreement Factory Service Policy The Model 5600i Dual Adult Pneu View System is covered by a limited two year warranty Return the registration card promptly to ensure proper registration of your unit and help expedite repairs if they should ever be necessary Registration is also available online at our
8. airway resistors 6 into the Y adaptor Connect one end of the hose assemblies 7 to the lower airway resistors and the other end to the lung inlet ports on the top plates Attach a single outlet pressure pickoff adaptor 8 to the proximal end of the upper airway resistor and connect this adaptor to the proximal pressure input port 9 using the 1 8 inch hosing 10 included with the accessories Please see Figure 1 for display of Dual Lung Simulation Figure 1 Dual Lung Simulation To Set Lung Compliance 1 Loosen the knob on the compliance spring 2 Grasp the compliance spring and slide the entire mechanism until the pointer is positioned on the desired setting Lock in place by tightening the knob Please see Figure 2 for compliance spring setting Figure 2 Compliance Spring Setting Single Lung Simulation 1 Loosen the rest knob 1 on the front of the TTL and insert the rest assembly 2 into the holder Lock it in place by tightening the knob 2 Select a PneuFlo resistor 3 to simulate total airway resistance and connect it to the proximal outward facing opening on the rest assembly 3 Connect the 15mm straight connector 4 to the distal lung side of the rest assembly Connect one end of the hose assembly 5 into the straight connector and the other end into the lung inlet port in the top plate of the right lung 4 Attach a single outlet pressure pickoff adaptor 6 to the proximal end of the r
9. for shipping However the carrying case is not meant to be used as a Shipping container If the 5600i is shipped in the case the carton containing the foam inserts should be used 47
10. screen 13 FA PneuView ADULT Lung Project Project1_prj File Edit Data Trend Options Window Help madee EE Bwe AA Measured Parameters Proximal Pressure Baseline Pressure Peak Proximal Pressure Right Tidal Volume Left Tidal Volume Tidal Volume Average Inspiratory Flow Right Lung Pressure Total Flow 1 1 1 1 ees ae 0 00 00 00 00 02 00 00 04 00 00 06 00 00 08 DA01001 Rp5 0 1 L cmH20 ATP Communication paused Figure 3 New Project Screen The Acquire button the green arrow on the tool bar is used to start acquiring data To the right of the Acquire button is the Pause button When New Project is selected from the Pneu View Title Screen the Acquire button will default to the on position and begin acquiring data To pause the display press the Pause button To resume the display press the Pause button again See Figure 4 for a display of the Acquire button and Pause button Figure 4 Acquire button and Pause button NOTE When Acquire is stopped button out data is no longer being acquired When restarted the display begins where it was stopped When in Pause data continues to be acquired When restarted the data display resumes as if it was never stopped Display Windows A Measured Parameters This window is a display of respiratory parameters as calculated by PneuView The user has a choice of 41different param
11. the user to choose by accessing the Color button If only one or two graphs are necessary to view uncheck the Visible box The Minimum and Maximum scale are adjusted to correspond to the measurement being displayed The Time Scale will adjust the graph display from 10 seconds up to 30 minutes When all of the changes are complete in the Graph Setup Dialog box choose OK to return to the review file display 31 Zoom in and Zoom Out controls are accessed by choosing the buttons at the top of the screen See figure 27 for a display of the Zoom buttons Figure 27 Zoom In Zoom Out Buttons Zoom in will give the user a closer look of the data in a graph window Zoom out will change the graph to allow more data to appear in the window NOTE The Zoom controls can also be accessed by moving the cursor into the graph window right clicking the mouse and choosing either Zoom in or Zoom out Reviewing Trend Test Files To review a trend file go to the Trend command on the menu bar and select Review A window will open displaying all of the trend files Choose the file that is to be reviewed The Trend Test Results window will open and display the results of the test See Figure 28 for display of the Trend Test Results window PneuView Reviewing Project Example_prj File Edit Data Trend Options Window Help fae ES Ean We Es See Era a7 Measured Parameters ioj x 4 Notes Example rtf L eicome tothe PneuView Single Lun
12. up The Minimum Average and Maximum are the actual values of the parameters recorded during the test The Minimum time is the time of the minimum value and the Maximum time is the time of the maximum value Review Graphs allow the user to view the entire graph or graphs of the trend test Choose the graph s from the pull down menu and select Create Graph The graph will appear on top of the Test Results A horizontal scroll bar at the top left of the graph allows the user to view the entire test This is accessed by left clicking the mouse on the scale and sliding the arrow in either direction A time scale is located at the bottom of the graph that will correspond with the scroll bar There is also a pull down time scale menu located to the right of the scroll bar This will change the time scale on the graph without using the scroll bar Also the user can adjust the color of the graphs and background by using the Avg Color Back Color Min Color and Max Color See figure 29 for a display of the Trend Graph PneuView Reviewing ADULT Lung Project Example_prj File Edit Data Trend Options Window Help ell ole fof el ofan ajal see fos Hours x Avg Color Back Color Min Color Max Color 4 vvelcome to the PneuView Test Lung system a Trend Test Results Be Baseline Pressu Peak Proximal F Test Name Trend01 Lung SN 1001 Review Graphs Length 1 hr Compliance 0 05 L cmH20 Peak Lung Pressure d
13. website www michiganinstruments com The Model 5600i is manufactured to very demanding quality standards It is designed to provide years of trouble free service if proper care is taken in its operation This instrument should be used and maintained as outlined in this user s manual To maintain peak performance factory service and recalibration is recommended every two years Requesting Factory Service for Your Model 5600i If you feel that factory service may be required call the Michigan Instruments Service Department at 800 530 9939 Monday through Friday between the hours of 9 00 a m and 5 00 p m EST Please have available the model number serial number and a description of the problem Requests for repair parts or any service related questions should also be directed to the Service Department If your Model 5600 must be returned to Michigan Instruments please observe the following procedures A Use the original carton and packing material It will provide maximum protection during shipping If you do not have the original shipping carton they may be purchased from Michigan Instruments 44 NOTE DO NOT USE THE 5600i CASE AS A SHIPPING CONTAINER It is not designed to withstand the rigorous handling that may occur during shipping Include with the unit 1 A description of the problem s 2 The name and phone number of a contact person 3 A packing slip listing all of the components being returned 4 Ship prepai
14. 88 0 L min 40 Peak Right Inspiratory Flow q 66 0 L min 30 e S T After confirming setup parameters select Trend Begin to start 5 select Trend End to stop a Trend test session early 40 i i i i 00 00 02 00 00 04 00 00 06 00 00 08 DA01001 Rp5 0 1 L cmH20 ATPX Communication paused Figure 13 Set up Trend Test Dialog Box 22 Begin From Trend Menu After the set up is completed the Trend Graph screen is displayed The user is now ready to begin trending Choose the Trend command from the menu bar The commands Set up Begin and End appear Choose Begin to start trending See Figure 14 for display of the Trend Graph Screen NOTE The test lung settings should be entered and adjusted before acquiring and saving data in the Trend mode il PneuView ADULT Lung Project Project1_prj File Edit Data Trend Options Window Help aiziz ieei e e aea AIA alele 4 t 4 1 1 00 20 1 00 40 1 00 50 1 01 00 aaa aaa aaa aaa aaa aaa 1 00 20 1 00 30 1 00 40 00 50 1 01 00 Time d hh mm wee eee eee ee ee ie et er te ee ee ee ee eee 1 00 20 30 1 00 40 1 00 50 4 r 4 i 1 00 00 1 00 10 1 00 20 i 1 00 40 1 00 50 1 01 00 DA0O0I Rp5 0 1 L emH20 ATPX Communication paused Figure 14 Trend Graph Screen End From Trend Menu To end the tren
15. A01001 Rp5 01L cmH20 ATPX Communication paused Figure 11 Test Lung Settings window 18 Changing the Test Lung Settings Test Lung S N This should match the serial number on the Pneu View software disk If the serial numbers do not match check both the test lung and software disk serial numbers Call Michigan Instruments if you need a new disk s Airway Resistance This is adjusted by the pull down menu to the right of the Rp value The choice of Rp5 Rp20 Rp50 Rp200 and Rp500 is selected by the user NOTE The airway resistance on the test lung must match the resistance value in the Test Lung Settings window Lung Compliance This is adjusted by the pull down menu to the right of the Compliance number The range is adjustable from 01 to 10 L cmH20 Note The Lung compliance on the test lung must match the compliance setting in the Test Lung Settings window Gas Reference Conditions Again this is adjusted by the pull down menu The following choices are available ATPX Ambient Temperature current gas temperature barometric Pressure current barometric pressure and X relative humidity Data collected from the TTL is collected at ambient ATPX conditions When ATPX is selected as the reference unit the volumes and flowrates calculated and displayed will represent those that occurred at the TTL under the current ambient conditions This is the default setting of the Pneu View software ATPD
16. Ambient Temperature current gas temperature barometric Pressure current barometric pressure under Dry conditions 0 humidity ATPS Ambient Temperature current gas temperature and barometric Pressure current barometric pressure under Saturated conditions 100 humidity Since relative humidity has virtually no effect on the calculations within the operating range of the TTL selection of ATPS will produce the same results as selection of ATPX BTPS Body Temperature 98 6 F 37 C and Barometric Pressure 760 mmHg 101 3 kPa under Saturated conditions 100 Humidity Selection of BTPS will cause Pneu View to display volume and flowrate information after it has been converted to body conditions 98 6 F 760 mmHg The information supplied by PneuView will represent that which would have occurred had the gas temperature and barometric pressure been at body conditions NTPD Normal Temperature 68 F 20 C and barometric Pressure 760 mmHg 101 3 kPa under Dry conditions 0 humidity When NTPD is selected the calculated and displayed volumes and flowrates will be converted to normal conditions This requires that the Gas Temperature and Barometric Pressure reference values be entered as accurately as possible for the conversion calculations to be made correctly The volumes and flowrates displayed will be those that would have occurred had the gas temperature been at normal conditions 68 F 760 mmHg STPD
17. MODEL 5600 Dual Adult PNEU VIEW SYSTEM OPERATION MANUAL Manufactured By Michi Instrarnents 4717 Talon Court SE Grand Rapids MI 49512 Tel 800 530 9939 or 616 554 9696 FAX 616 554 3067 Email mii michiganinstruments com Website www michiganinstruments com Table of Contents INTRODUCTION 1 Description General Information about the TTL TTL As compared to typical patients The TTL as Related to Ventilator Testing Standards Specifications Features and Components 2 Setup and Operation 5600i Computer Interface Setup Dual Lung Simulation Compliance Spring Setting Single Lung Simulation Measuring Oxygen Concentration in the lung Care of 5600i after Ventilation with Humidified Gases 3 Software Operation Limitation of Liability General Information Software Installation Welcome to PneuView New Project Display Windows A Measured Parameters B Notes C Graph Test Lung Settings Changing the Test Lung Settings Saving Files Save Project Command Save Data Buffer Begin Save End Save Trend Testing Setup From Trend Menu Begin From Trend Menu End From Trend Menu Tabulated Data Measure Pressure Volume and Flow Volume Loops Reviewing Files OWNN OOONDOD OO MPUNNMNNNNNNNNNNHAHHABAeFPHeteAe ees WOMDAWWNMNNH HH KH OOONDAARWH 00 A Reviewing a Project File Changing the Graph Window Reviewing Trend Test Files Reviewing Data Tables Printing Files Cr
18. SN 1001 T Rp20 r A Figure 30 Data Table Display This table displays all of the respiratory parameters along with the reference conditions In the right hand corner of the table is a Hide button This will move the display into the background so the user can view other functions of the programs To recall the table select the Tabulate button on the tool bar Printing Files To print choose Print from the file menu This will allow the user to print a number of reports listed below Also the preview command allows the user to view the report before printing 34 Basic Report This will print the Measured Parameters Notes Graphs and Reference Conditions from the New Project Screen Trend Report This will print the results of a trend test including the graphs measured parameters and reference conditions Data Table Report This will print the tabulated data notes and reference conditions from a data table Notes Window Notes are saved with a New Project or a Trend Test and can be printed separately from these files See Figure 31 for a display of the print commands PneuView Reviewing Project Example prj File Edit Data Trend Options Window Help New Project al e E Bean Say vel E End Save G A a AE Ex E Open Project Gave Project Girs Wile Ed gt Notes Example rtf e Ha Seve Froject s 2 Reference Measured Unis lt weicome tothe PneuView Single Lung Tes
19. Sample Interval 0 25 min Resistance Rp20 na ia Total Samples Recorded 242 Gas Temperature 20 C Peak Inspiratory Test Date 12 31 99 Barometric Pressure 760 mmHg E gt Insniratoru Time 1 00 18 1 00 39 1 00 44 o oo n 30 0 Limin l 50 0 L min 20 48 20 48 43805 0 000 1001 Rp20 0 05L cmH20 ATPX Not connected Figure 29 Trend Graph Display 33 On trend graphs there will be three lines displayed the maximum value the average value and the low value The default maximum color is red the default average color is yellow and the default low color is blue The user has the option of changing these colors Reviewing Data Tables To review data tables choose Review Data Table under the Data command on the menu bar The Open Data Table window will open and display the saved tabulated data files After selecting the file for review the Data Table window appears with the actual tabulated data See Figure 30 for a display of the Data Table PneuView Reviewing Project Example1_prj File Edit Data Trend Options Window Help PERCEPERE aa aee Peak Proximal Pressure Peak Lung Pressure Tidal Volume Minute Volume Average Inspiratory Flow a ES z Fi z PAE al B cal Peak Inspiratory Flow Inspiratory Time i me ee TET IE xpiratory Ratio q Breath Rate En Proximal Pressure Peak Lung Pressure eak Insp iraton Flow 10 Notes for Sample 5 Proximal Pressure 7
20. ations Port The Serial Number of the Test Lung is also displayed here Verify that the serial number of the test lung and the software are the same Choosing Options Preferences on the menu bar can also access the Test Lung Settings NOTE In order for Pneu View to maintain accuracy it is extremely important that the settings on the test lung compliance and resistance match the settings in the PneuView Program The Gas Reference conditions Barometric Pressure and Gas Temperature should also be set as accurately as possible See Figure 11 for a display of the Test Lung ied window fil PneuView ADULT Lung Project Project1_prj File Edit Data Trend Options Window Help mal eleje ee gt ik a EE Kil Measured Parameters mife zx fil Notes Project rtf Proximal Pressure EZE Baseline Pressure nnn rmH 0 Peak Proximal Pressure Test Lung Settings TestLung S N DA01001 fn henge lunasti Average Inspiratory Flow Inspiratory Time Gas Temperature fea TE Expiratory Ratio Barometric Pressure 760 mmHg Breath Rate Gas Reference Conditions AR Right Lung Compliance o os x L cmH20 Kil Graph Window Right Lung Prd Left Lung Compliance pe zi L emH20 Airway Resistance Rp5 Right Pulmonary Resistance Rp20 Sl Left Pulmonary Resistance Rp20 z x ee s8883 Volume Total Flow Right Lung Pressure ooo E A 4 1 i i i 1 00 00 00 00 00 02 00 00 04 00 00 06 00 00 08 D
21. d choose the Trend command from the menu bar and click End This causes a trend test in progress to be terminated before its set duration is complete The user is prompted to save or abort the test End is disabled if a trend test is not in progress Once the test is completed a dialog box prompts the user to save the data as default or user selected file name Name the project choose Save and the file will be saved with a trd extension This file can be printed or reviewed later 23 Tabulated Data There is a provision to save individual sets of calculated measured parameters as raw data In Pneu View saving data in this manner is called Tabulating Choose the Tabulate function to take a snap shot of the current respiratory parameter values in the Measured Parameters display window Each time the Tabulate key is pressed another snap shot is taken and appended to the last snap shot creating a table of respiratory parameters in memory NOTE Once the table is saved no more tabulations can be added to that file To Tabulate Data 1 Click on the T located on the tool bar This will open the Data Table window See Figure 15 for display of the Tabulate button and Figure 16 for display of the Data Table window File Edit Data Trend Options Window Help ime lee gt a a ef eal ane TE E EE Pressure Baseline Pressure Peak Proximal Pressure Right Tidal Volume mL mL Average Inspiratory FI L AA
22. d and insured to Michigan Instruments Inc 4717 Talon Ct S E Grand Rapids MI 49512 ATTN Service Department Upon receipt the unit will be evaluated and a repair estimate prepared for approval Michigan Instruments will contact you with the estimate and wait for approval and purchase order before repairs are started Repairs will be completed within two weeks from the date of approval All units returned to Michigan Instruments must be evaluated and require a 50 00 evaluation fee plus shipping charges This fee will be charged if repairs are not authorized and the unit is returned unrepaired All repairs parts and labor are warranted for 90 days New parts have a one year warranty These warranties are subject to the limitations and conditions of the original warranty and apply only to those components actually repaired rebuilt or replaced A limited number of loaner units are available Ask for details Terms for repair service 1 All repairs not covered by warranty are FOB Michigan Instruments Grand Rapids MI Warranty repairs are shipped to the customer at no charge Payment is net 30 days Open accounts are subject to credit approval N 45 6 Warnings and Cautions Warning Warning Caution Caution Caution Caution Explosion Hazard If this equipment is used to measure flammable anesthetics or other gases provide adequate ventilation and ensure that no leaks are pres
23. e Measurement displays are active Press Start Stop A D button if necessary 2 Vent the Test Lung Airway to atmosphere then press the Zero buttons for Proximal pressure and Lung pressure 3 Vent the High Pressure tansducer inlet to atmosphere then press the Zero button for High Pressure 4 Reference the User 3 input to the desired baseline then press the Zero button for the User 3 channel Measurement Proximal pressure om Zero Right lung pressure 005 eft lung pressure om digh pressure ool Jser3 ooo Start Stop A D i Close Figure 2 Calibration Zero Transducers Dialog Box To ensure the greatest possible accuracy s with this program simply press the Zero All Channels button See instructions in the dialog box Once the transducers are set at zero press the close button The New Project Screen will appear containing three windows Measured Parameters Graph and Notes Data will appear in the Measured Parameters window and waveforms will appear in the Graph window Text can be typed into the Notes window Each window can be sized as desired enlarged to full screen or minimized From the New Project window other features can be accessed such as long term trend testing and tabulated data All information can be saved by using the standard Windows Save commands found in the File menu See Pages 20 21 for instructions on saving files Please see Figure 3 for display of New Project
24. e Data menu on the New Project screen The following measurements can be acquired Proximal Pressure cmH2O Lung Pressure cmH20 External Pressure psig Flow Rate L min CAUTION The lung hose MUST be disconnected at the proximal airway to prevent overinflation of the lung bellows while measuring continuous flow 26 Resistance is also selected Choose Rp 5 Rp 20 Rp 50 Rp 200 or Rp 500 for the appropriate flow rate listed as follows Rp5 140 240 L min Rp 20 60 140 L min Rp50 14 60 L min Rp 500 0 6 See Figure 21 for Direct Measurement window Kil PneuView ADULT Lung Project Project _prj File Edit Data Trend Options Window Help Rp 200 6 14 L min L min 18 x AA Measured Parameters HPEH gt m BR m Begin Save Erndiseve aa ix fii Notes Project rtf ZERRE Proximal Pressure Baseline Pressure Peak Proximal Pressure Right Tidal Volume Left Tidal Volume Tidal Volume Average Inspiratory Flow Kil Graph Window Ri Right Lung Pressure sesssss oo 1 26 emh Proximal Pressure MEE H20 Right lung Pressure BEIM omH20 Left lung Pressure 0 00 cmH20 1 Extemal Pressure o o psig User Input EAN voc Continuous Flow Resistor Range Rp5 z 140 240 L min Flow Rate MEMEA L min 1 i i 00 13 06 00 13 08 00 13 10 00 13 04 0 13 00 00 13 02 DAgTOO1 Rp5 i 0 1 L cmH20 ATPX Receiving 64 Figure 21 Direct Measu
25. e button will clear the data table to allow the user to collect new data See Figure 19 for the Clear Table button N Figure 19 Clear Table Button 25 The Hide button puts the data table in the background so the user can easily see the graph table Pressing the Add Sample button or pressing F5 can still collect samples See Figure 20 for a display of the Hide button 13 Hide Figure 20 Hide Button The last button on the tool bar is the Save button This will save all tabulated files See figure 12 on page 21 for the Save button By right clicking the mouse in the data table notes window a menu appears with the commands Insert Edit Justification Font and Word Wrap This allows the user to add notes after each sample such as a date time stamp NOTE Test lung settings should be entered and adjusted before acquiring and saving tabulated data When a sample is collected the values will be listed as Sample 1 For each sample collected thereafter the data will be listed as Sample 2 Sample 3 etc NOTE No more than 20 samples can be collected in a single table Selecting the Save button on the Data Table Tool Bar or selecting Save Project or Save Project As from the File menu can save these files These files are saved with a tab extension Measure Choose the Measure function to display continuous flow and high pressure measurement values from the ventilation device This command is located under th
26. e displayed along with a scroll bar at the bottom of the screen Any text that was entered at the time of the test will appear in the Notes window If any tabulated data was taken the Data Table will appear See Figure 25 for a display of a reviewed file 29 bail PneuView Reviewing Project test_prj File Edit Data Trend Options Window Help fii Measured Parameters 0 xi CREE Units Ventilator Test SN 414143 Baseline Pressure i 00 0 05 cmH20 Peak Proximal Pressure 19 29 cmH20 Peak Lung Pressure 10 28 cmH20 Tidal Volume 470 mL Minute Volume 15 07 L Average Inspiratory FI ane fifi Data Table Iof x EAs cfe 55602PM_ 9 29 38 000l alal ale 1 f Notes for Sample 1 Notes for Sample 2 Notes for Sample 3 o e 5 a A D a T E Ed f z 00 00 02 00 00 04 00 00 06 00 00 08 Time AA0350 Rp20 0 05L cmH20 ATPX Communication paused Figure 25 Review File Display The horizontal scroll bar at the bottom of the screen controls the time scale of the data recorded By holding down the left mouse button with the cursor on the scroll bar the user can drag the arrow to a specific time of that test The waveform updates with the time scale The arrows on the keyboard may also be used to adjust the time scale The measured parameters can be updated by moving the cursor into the graph display and left click the mouse at various times of the test C
27. e new ones This conforms to Windows file handling structure Under Select Template there is a check box titled Connect to Test Lung at Start up This box should be checked for proper communications with the test lung at start up However if the user would want to open existing projects or create new templates without being connected to the test lung this box should not be checked At the bottom of the title screen are three more selections called Communications Test Lung and Exit Communications sets the correct serial communications port for data coming in the computer Test Lung allows the user to change the lung serial number if using a different TTL Exit will close the PneuView program See Figure 1 for PneuView Title Screen display fw eicome to PrewiewS PneuView Test Lung System by Michigan Instruments Inc P Directory Project Name Select Template EE J Connect to Test Lung at Start up Open Project TT 4 Communications comi DA oo xea Figure 1 PneuView Title Screen 12 New Project Select New Project from the PneuView Title Screen to begin acquiring data from the test lung The Calibration Zero Transducers dialog box appears This box allows the user to calibrate the transducers before acquiring data See Figure 2 for the Calibration Zero Transducers dialog box alibration Zero Transducers xi nstructions 1 Make sure the Test Luna power switch is ON and th
28. eal Time Data in ASCII Format to dialog box appears Select the Pneu View file to be exported and where the file should be exported to in the Save Inbox Click Save An information box will appear stating The text data file destination directory and file name will be listed has been saved The file will be saved with a txt extension The application that the Pneu View file is being translated for should have the capability to import the delimited format of the Pneu View file All data is translated into rows and columns Other Features of PneuView High Pressure Port This feature is used to measure pressure from 0 100 psi The port is located on the right hand side of the unit The connector is a DISS oxygen connector The data can only be accessed in PneuView in the measured parameters window trend tests and data tables User Input This feature is designed to allow the user to observe auxiliary inputs from other test equipment such as oxygen sensors humidity sensors nitrous oxide sensors etc This connection is located on the front of the TTL to the right of the proximal airway gauge This is a standard BNC connector The data can be accessed in PneuView in the Measured Parameters window trend tests and data tables under User 3 Value Average User 3 and Peak User 3 38 4 Applications The 5600i offers a unique combination of versatile lung simulation and compre hensive information gathering and display including a m
29. eating and Saving Templates Export Report Text Files Export Real Time Data Files Other Features of PneuView Applications Ventilator Testing Classroom Instruction Demonstration Maintenance and Service Calibration Check Model 5600i Leak Test Warranty Agreement Factory Service Policy Requesting Factory Service for Your Model 5600i Warnings and Cautions Storage and Shipping INTRODUCTION The Model 5600i Dual Adult Pneu View System Part Number 15090 combines the unique features of the TTL Training Test Lung with the data acquisition and processing capabilities of a personal computer This system was developed to allow the comprehensive evaluation and demonstration of ventilation devices and principles Pneu View is a Windows based software program that serves as the link between the TTL and computer The interactive environment of multiple overlapping windows the combination of pull down and pop up menus provides a user friendly system that will instill confidence and provide a useful lung simulation data acquisition system Pneu View has many potential applications including e Ventilator Testing e Product Demonstration e Classroom Instruction e Pulmonary Research e Product Evaluation e Design Engineering e Quality Control ORGANIZATION OF THIS MANUAL This manual has been designed for use as a reference manual The beginning sections deal with general descriptions and information about the system Subseq
30. ent in the system that would permit the accum ulation of such gases in the electronics enclosure Electrical Shock Hazard When plugged in 12 V is present within the enclosure of the 5600i Attachment removal and servicing of the Electronic Interface Module should be performed only by Michigan Instruments Inc Operate the 5600i within its specified limits Over inflation of the bellows or excessive pressure within the system may cause damage to the bellows gauges or transducers To prevent damage during shipping and handling set and lock the compliance springs at the 02 setting on the compliance scale Do not sterilize the 5600i The internal components are not compat ible with sterilization techniques The 5600i should be turned off and unplugged while moving the unit and between uses 46 7 Storage and Shipping The Model 5600i Dual Adult Pneu View System is shipped to the customer in a specially designed shipping carton This carton is used to protect the 5600i when not in use and should be used to transport the unit If the unit needs to be shipped via United Parcel Service or other carrier the unit MUST be placed in this carton See Factory Service Policy Page 44 for servicing instructions PLEASE SAVE THE SHIPPING CARTON FOR FUTURE USE Replacement cartons are available for purchase from Michigan Instruments If a carrying case was purchased with this unit it is not necessary to remove the 5600i from the case
31. esistor 5 Use the 1 8 inch hose 7 to connect the pressure pickoff adaptor to the proximal pressure input port 8 located to the left of the center gauge Please see Figure 3 for display of Single Lung simulation ne en Figure 3 Single Lung Simulation NOTE For accuracy and consistency the compliance spring must be perpendicular to the top plate during use CAUTION Changing the compliance setting while ventilating the lung may cause damage to the unit The TTL may now be ventilated by attaching an appropriate connector from a ventilation device to the airway assembly of the 5600i Measuring Oxygen Concentration in the Lung 1 Unscrew the oxygen port cover on the top plate of the unit 2 Place an appropriate oxygen sensor 15 mm fitting into the adaptor 3 Replace the cover when finished Care of the 5600i after Ventilation with Humidified Gases The airway and lungs of the 5600i are constructed of noncorrosive materials Typical humidification agents such as sterile water or normal saline will not damage the instrument Any accumulated fluid can be drained out through the drain ports located on the back of the unit After any fluids are drained from the unit the 5600i should then be ventilated with dry gas for several minutes For more information on the use of the TTL with specific chemical agents and medications contact Michigan Instruments Inc 3 Software Operation Limitation of Liability Michigan Instr
32. eters 14 that can be selected from a pop up menu To access the pop up menu move the cursor into the Measured Parameter window and right click the mouse Choose Set Up from the menu in the dialog box This will open the Select Parameters Window allowing the user to check the desired parameters See Figure 5 for the Select Parameters window AA PneuView ADULT Lung Project Projecti pri File Edit Data Trend Options Window Help elfen fe es eee AEEA Select Parameters hi Measured Parameters M Proximal Pressure Right Lung Pressure i Left Lung Pressure Baseline Pressure the Parane r ser 3 Value Peak Proximal Pressure Right Lung Volume Left Lung Volume Volume Right Lung Flow Average Inspiratory Flow E Len Lung Riow Inspiratory Time Baseline Pressure i Average Proximal Pressure Expiratory Ratio Peak Proximal Pressure Average Right Lung Pressure _ Average Left Lung Pressure Peak Right Lung Pressure Peak Left Lung Pressure Right Tidal Volume Left Tidal Volume Tidal Volume Minute Volume Average Right Inspiratory Flow _ Average Left Inspiratory Flow v Average Inspiratory Flow _ Peak Right Inspiratory Flow O Peak Left Inspiratory Flow Deil ERT aT TE i paea 1 n rs gt Clear All Select All r 00 00 00 X Cancel 00 00 08 DA0o01 ApS 01L cmH20 ATPX Communication paused
33. g Test Lung system Trend Test Results PIE E3 ji Test Name Trend01 Lung SN 1001 Review Graphs Length 1 oh Compliance 0 05 L cmH20 Proximal Pressure x Sample Interval 0 25 min Resistance Rp20 verage Inspira n Total Samples 241 Gas Temperature aT ERGA aeneeal peak nspi aion Test Date 1716799 Barometric Pressure 760 mmHg Eo e ene may Expiratory Ratio Parameter flow __ Target_ High Minimum Average Maximum Unt Min Time Max Time iara paa Breath Rate ProximalPressue f 361 Be Ee 4 03 323 00 omH20 High Pressure 0 0 27 7 psi Baseline Pressu the Menu tc User 3 Value x 3 0 00 2 44 VDC User3 vae voume 204 16150 mL i 0 0 4304 4 L min 0 00 0 00 cmH20 A 15 70 16 27 cmH20 17 97 18 53 cmH20 L Volume low _ Peak Proximal Pressure Average Lung Pressure i 4 11 78 266 30 cmH20 _ Peak Lung Pressure 17 23 323 00 cmH20 Minute Volume Tidal Volume 861 16150 mL Minute Volume i T T 80 41 1589 20 L 16 3 2364 0 L min I 34 5 4304 4 L min 298 30 0L min Peak Expiratory Flow T y 49 7 50 0 L min Proximal Pressure SN 1001 Rp20 0 05L cmH20 ATPX Not connected Figure 28 Trend Test Results Window 32 The Trend Test Results window lists the test name test length sample interval total samples and test date along with the reference conditions The Low Target and High values correspond to the values that were entered in the Trend Set
34. g stretched between the top plate of the lung and the track on the side of the TTL frame Lung compliance is adjusted by positioning the spring at various points along the top plate The greater the distance the spring is positioned from the hinge point of the top plate the less compliant or stiffer the lung The Airway The adult airway is constructed by using a hose assembly various connectors and one of the PneuFlo Airway Resistors included in your accessory kit Tapered fittings on all of these accessories prevent gas leaks during use The airway resistance exhibits parabolic characteristics in regards to pressure change as a function of flow This nonlinear parabolic characteristic is similar to that seen in standard endotracheal tubes Scales Compliance Scale The compliance scale is used to set a particular com pliance value for the lung This is done by positioning the compliance pointer of the compliance spring directly over one of the calibrated markings on the scale Volume Scale The volume scale may be used to measure the volume within each lung While this scale is calibrated for various lung compliances the resolution can make data acquisition difficult The volume scale is a useful indicator when not using the PneuView software To correctly read the volume scale the volume pointer must be positioned to correspond with the actual compliance setting for the lung being used Oxygen Analyzer Port Oxygen concent
35. hanging the Graph Window The graph window can be changed to display other waveforms such as baseline pressure or lung pressure To change the Graph window move the cursor into the graph and right click the mouse This will open a window with the commands Zoom in Zoom out Set up and Print Choose Set up to open the Graph Setup dialog box See Figure 26 on page 30 for the Graph Set up dialog box 30 itil PneuView Reviewing ii pea pri E 3 la x File Edit Data Trend Options Wind Help ELLE ENP SE fees 5 ala ee Paramet Pressure 0 0 E sno Peak Proximal Pressure 17 98 cmH20 Peak Lung Pressure 14 67 cmH20 Tidal Volume KAEA E X Proximal Pressure Volume Flow ha Peak Inspiratory Inspiratory Time IV Visible gt Color I Visible Y Color v Visible X Color Expiratory Ratio Breath Rate Minimum F20 ean Minimum 200 Maximum 120 Maximum 2000 Maximum 200 ft Graph Windo IRE Time Scale 20 Seconds E Dy Background Co Proximal Pressure SL01047 Rp20 0 05L cmH20 ATPX Communication paused Figure 26 Graph Setup Dialog Box Up to three graphs can be displayed in this program In Figure 26 Proximal Pressure Volume and Flow are the chosen graphs To change the graph click the down arrow to display the choice of graphs When a different graph is chosen click OK and the graph window will automatically change Multitudes of colors are available for
36. he system but it will indicate if a more thorough recalibration is necessary Procedure Aadult Lung 1 Enter the Calibration mode of PneuView Displayed pressures for the airway and lung should read zero 0 0 2 Set the adult lung compliance at 10 L cmH20 3 Draw 1 0 liter of air into the insertion syringe then connect it to the airway of the test lung 4 Insert the 1 0 liter of air into the adult test lung using a smooth steady motion NOTE It is very important that the syringe is empty after injecting air into the test lung If the syringe is not completely emptied the remaining air in the syringe will affect the volume and pressure readings in the lung 5 Wait 2 seconds after the insertion to allow pressure to stabilize in the sys tem then record the pressure generated in the lung Verify that it falls within the acceptable tolerance as shown in Table 1 below 42 6 Repeat these insertions into the lung using the compliance settings shown in Table 1 and verify the pressure generated in the lung falls within accept able limits Compliance Setting Pressure Limits 10 9 7 to 10 3 01 97 0 to 103 0 Table 1 Adult Lung Calibration Values If the displayed pressures do not fall within the acceptable range for either of the given compliance settings repeat the insertion to verify that there has been no error in the technique If the values are still not within the specified ranges a mechanical adjustment a
37. ith Setup Begin and End Setup From Trend Menu This initiates the trend test dialog allowing the user to select conditions and parameters for a trend test A dialog box called Set up Trend Test appears The user will set up the Test Name Test Length Sample Interval in minutes and Tolerance in percent Pull down menus allow the user to choose the graphed parameters The user has a choice of up to four different graphs under Initially Graphed Parameters These can be changed with pull down menus Also in the set up is a list of measured parameters The parameters are listed along with the Measured value and Target value Pneu View generates the measured value the user enters the Target value After all of the values are selected choose the OK button at the bottom of the Set up screen See Figure 13 for display of the Set up Trend Test Dialog Box Etil Pneuviewe ADULT Lung S Projecti pri BESI la xl E Bni fin Proxirmel Pr SS YY Baseline Pre Peak Proxim TestName Teni Parameter igh oa Right Tidal 2 M 1200 cmH20 Left Tidal Vc Test Length l 16 50 cmH20 27 50 emH20 Sampie interval o 00 11 00 cmH20 eee 11 00 emH20 10 00 16 50 emH20 Breath Rate I Apply to all i 3 16 50 cmH20 825 mL Initially Graphed Parameters 825 mL Graph1 Tidal Volume z 1650 mL Gteph2 Feat Foams Prone s aes aa Peak Proximal Pressure o 44 0 L min eog Graph3 inspraoy me E O 44 0 L min g 50 Graph4 Brannae
38. l PneuView ADULT Lung Project Project4_prj sei le x File Edit Data Trend Options Window Help e ea eel gt ae PERA Kil Measured Parameters Sje ix fiji Notes Project4 rtf Parameter eee Meas asured Units Proximal Pressure Baseline Pressure nnn Peak Proximal Pressure Right Tidal Volume A ame ret Tidal Volume Save in SJ Template Sl al c Tidal Volume a Average Inspiratory Flow Inspiratory Time Expiratory Ratio Breath Rate il Graph e e E LT File name fimpact 750 pvt E 100 Save as type Pneuview Templates 7 Cancel B888 1 1 1 Right Lung Pressure a 5 j 1 1 0 00 00 00 00 02 00 00 04 00 00 06 00 00 08 DAA1001 Rp5 0 1 L emH20 ATPX Not connected Figure 32 Save Template File Dialog Box To retrieve a saved template go to File on the menu bar and select New Project A dialog box appears asking the user to enter a name for a new project or to select a template By pressing Select a list of saved templates will appear See Figure 33 for the Select Template dialog box 36 Kil PneuView ADULT Lung Project Project pri 3 5 la x AR Fain File Edit Data Trend Options Window Help m e e el e ee gt ml elal SRA PERA MEERE Parameters _ B x MLEES Project rtf Pe Enter Name for new Project Proiect2 i Use Template Default pvt Select AN cironi zx Look in E Template z ce a Default pvt
39. me plate scale by grasping the volume scale latch knobs on the bottom of the scale and pull them towards each other Lift to upright position and release knobs Open the TTL accessory case All parts needed to construct the airway are located in this box 5600i Computer Interface Setup 1 Connect one end of the DB9F serial cable supplied with unit into the personal computer Connect the other end into the serial port located on the back of the 5600i Attach the power jack into the 5600i located to the left of the serial port connection and plug the transformer into an appropriate AC power source Turn the power switch located on the front of the unit to the on position The Pneu View Software program must be installed and operational on your personal computer See Pneu View Software setup Section 3 for complete instructions on software operation Dual Lung Simulation 1 2 NOO Loosen the rest knob 1 on the front of the TTL and insert the rest assembly 2 into the holder Lock it in place by tightening the knob Select one PneuFlo resistor to simulate airway resistance and two resistors to simulate lower airway resistance Connect the upper airway resistor 3 to the proximal outward facing opening on the rest assembly Connect the 15mm straight connector 4 to the distal lung side of the rest assembly Attach the Y adaptor 5 to the distal end of the straight connector Insert the lower
40. nd recalibration of the test lung may be required Contact Michigan Instruments for details Model 5600i Leak Test If you suspect an air leak in the test lung use the following procedure to locate the source of the leak 1 Assemble the airway for ventilation of the right lung and set the compliance at the 02 position 2 Enter the Calibration mode of the Pneu View program 3 Inject 1 0 liter of air into the lung through the airway and read the lung pressure 4 Hold the volume in the lung for 30 seconds and again read the lung pressure The pressure should not drop more than 1 0 cmH20O in 30 seconds 5 Repeat the test using the left lung If an unacceptable leak exists in your system and you are unable to locate the source please contact Michigan Instruments Service Department Warranty Agreement Your Model 5600i Dual Adult Pneu View System is warranted by Michigan Instruments Inc Grand Rapids Michigan to be free of defects in material and workmanship for a period of two 2 years from the date of its receipt by the end purchaser excluding the diaphragm gauges contained therein All repairs necessitated by malfunction of this equipment during the warranty period when in normal use in accordance with instructions provided will be accomplished at the Michigan Instruments Inc factory without charge other than the cost of transportation to the factory Michigan Instruments Inc under takes NO LIABILITY HEREUNDER FOR SPECIAL
41. produce the displayed breath parameters and graphs as it was originally acquired 20 Pneu View provides three methods of saving up to 30 minutes of this raw pressure data The Save Project commands in the File menu and toolbar the Save Data Buffer under the Data menu and the Begin Save and End Save buttons on the toolbar provide methods of saving the raw pressure data Save Project Command Files can be saved by selecting the Save Project icon on the toolbar of the New Project Screen or selecting Save Project or Save Project as from the Menu Save Project can save all files that are currently running within PneuView including the Notes files Tabulated data and the Data file When Save Project is selected the Save all Current Project Files dialog box will open and prompt the user for a file name Once the file is named and saved a Confirm dialog box appears with The Data Buffer has New Data Save New Data Select Yes to save the data file The Save Data File dialog appears next asking the user to name the file The same file name will appear as was used in the Save all Current Project Files dialog The same file name can be used or renamed and saved The Save Notes File dialog will appear next followed by the Save Data Table and Notes dialog Files are saved with a prj extension See Figure 12 for Save Project Button Bs a ra Figure 12 Save Project Button Save Data Buffer The Data Buffer is a memory buffer established by Pne
42. r display along with a time scale and choice of color of the waveform See Figure 9 for a display of the Graph Set Up Dialog window Mihi PneuView ADULT Lung Project Project pri File Edit Data Trend Options Wi Help ma elelee gt co el el iii Measured Parameters ioj xi RA Right Lung Pressure z Volume zj Total Flow 7 IV Visible gt Color iV Visible gt Com IV Visible gt Ea Minimum H Minimum 0 Minimum 109 Maximum feo Maximum 1200 Maximum 100 Time Scalel 10 Seconds z gt gt Background Cot x Cancel r 4 20 1 00 1 i i 00 00 02 00 00 04 00 00 06 00 00 08 vi Time DA01001 Rp5 0 1L cmH20 ATPX Communication paused Figure 9 Graph Set Up Dialog window The Graph button on the tool bar is used to access the graphs if that window was closed or minimized See Figure 10 for a display of the Graph button Figure 10 Graph Button NOTE The Graph Set Up Dialog window can also be accessed by selecting the Graph button then going to Window on the Menu bar and selecting Set Up 17 Test Lung Settings The Test Lung settings are displayed on the status bar at the bottom of the New Project screen To access these settings double click on the status bar These settings which can be adjusted by the user using a pull down menu include Lung Compliance Airway Resistance Gas Temperature Barometric Pressure Gas Reference Conditions and Communic
43. ration can be monitored in each lung through the oxygen analyzer ports located on the top plate of each lung The 15 mm fitting is designed to accept most common oxygen analyzers When not in use the oxygen port is covered and sealed with the port cover Pressure Gauges Three pressure gauges are found on the front of the 5600i The right and left gauges are internally plumbed to the left and right adult lungs The center or proximal pressure gauge is externally plumbed to the proximal airway via a pressure pickoff adaptor and the pressure input port adjacent to the gauge These gauges are most useful when not acquiring data through PneuView but may be used to confirm PneuView s pressure measurements Auxiliary Pressure Ports Adjacent to each pressure gauge is an auxiliary pressure port which is internally plumbed to the corresponding gauge These ports allow other pressure sensing or measuring equipment to be tied into the system These ports are equipped with a check valve and remain closed until the port is mated with a miniature quick connector These connectors are included in the accessory kit Lung Coupling Clip This clip is utilized when one lung is being used to drive the second for spontaneous breathing simulation 2 Setup and Operation To Start 1 2 3 Set the 5600i on a level surface Remove the top cover of the carrying case if included with your unit by unlatching the four clasps on each side Raise the volu
44. rdization ISO and the American Society for Testing and Materials ASTM outline minimum performance standards for mechanical ventilators These are the standards most frequently used by ventilator manufacturers The 5600i meets or exceeds the requirements set for testing in these standards Reference Standard ANSI Z79 7 Standard ISO 5469 1987 Standard ASTM F 1100 90 Specifications Adult Lung Tidal Volume Capacity 2 0 Liters Residual Lung Volume 1 022 Liters Lung Compliance 01 to 10 Accuracy 3 at calibration volumes Airway Resistance Rp 5 20 or 50 Accuracy 5 at calibration flows Size 20 x25 5 x8 5 Weight 33 Pounds in case Power Requirements 12 VDC 500 mA 110 or 220 VAC adaptor supplied Data Link DB9f PC serial cable Features and Components Frame The 5600i is built around an aluminum frame which provides stability for the components of the lung The Lung Bellows The adult lungs are simulated using elastomer bellows constrained by aluminum rings to ensure that filling of the lung results in a vertical rise of the top plate The bellows at rest retains a gas volume typical of an adult s functional residual capacity for a single lung The bellows secured to the top plate and frame of the 5600i are designed to withstand normal environmental conditions and inflation to at least 150 mmHg pressure Compliance Setting The lung compliance is simulated using a precision steel alloy sprin
45. rement Window Pressure Volume and Flow Volume Loops Another feature of the PneuView software is the acquisition of Pressure Volume and Flow Volume loops This allows the user to critically examine various modes of ventilation through the TTL In the PneuView program loops are referred to PV Graphs Pressure Volume graphs and FV Graphs Flow Volume Graphs To access the PV and FV graphs select the appropriate icons on the toolbar See Figure 22 for a display of the PV and FV icons and Figure 23 for a display of a PV Graph 27 Proximal Pressure 0 00 cmH20 Baseline Pressure 0 00 cmH20 Peak Proximal Press rarer Graph Right Tidal Volume Left Tidal Volume Tidal Volume Average Inspiratory Inspiratory Time k A Ey LT E Breath Rate Figure 23 Pressure Volume Graph By right clicking the mouse inside the graph window a menu will appear with the commands Setup and Print Setup allows the user to scale the graph for different volumes flows and pressures Also the user can change the line color or background color of the graph The Print command gives the user the option of previewing the graph or printing the graph directly from the menu Reviewing Files Reviewing files allows for the critical examination of saved data files When data is selected for review a static display of the entire data set is displayed in the graph window Special features in this mode allow the user to select
46. rence in the baseline pressure of the proximal airway and lung 8 Save this as a template for future demonstrations 41 5 Maintenance and Service The 5600i Dual Adult Pneu View System is designed to provide years of trouble free service Every unit is calibrated and thoroughly checked before leaving the factory All parts and accessories of the unit are designed for consistent repeatable long term performance Other than replacement of accessories the 5600i is NOT intended to be ser viced by the customer If problems develop which cannot be easily corrected by using this manual please contact Michigan Instruments Service Department at 1 800 530 9939 Michigan Instruments also recommends that the unit be returned to the factory every 2 years for complete recalibration and any necessary repairs Calibration Check The accuracy of all measurements and calculations made by Pneu View is dependent upon the proper mechanical and electrical calibration of the system This calibration can be checked using the following equipment and procedures Equipment Needed e Pneu View 5600i Software Test Lung operating with Pneu View Software e Calibrated 1 liter syringe or other calibrated volume injector e Independent reliable pressure gauge or manometer 1 or 1 cmH20 The following procedure can be used to quickly check the calibration of your 5600i system It is not a calibration procedure and does not guarantee the accuracy of t
47. rend test can be set up to run for up to 72 hours Procedure 1 2 2 O OT RO Adjust the compliance and resistance on the 5600i to roughly simulate the patient on which the ventilator had been operating Attach the breathing circuit of the ventilator in question to the airway of the 5600i and set the ventilator to operate as it was on the patient With Pneu View running enter the Ventilator Performance Trending mode Enter the correct reference conditions in the Pneu View software Select the Parameter Data Trends including tidal volume to be displayed In the Notes window enter a description of the problem you are assessing Enter the test setup Length of Test 24 hours Interval Time 15 minutes Enter Begin Test and let the ventilator run 24 hours without interruption View the trended data add notes save the results or print a report 40 Classroom Instruction Demonstration The 5600i Dual Adult Pneu View System is a dynamic lung model which can be of great assistance in the classroom The adjustable lung compliance and resistance allows the instructor or student to demonstrate or investigate a wide variety of ventilation phenomena The relationships between pressure volume and flow are more easily understood when dynamically displayed with the TTL and the Pneu View software provides yet another mechanism to demonstrate and evaluate the patient TTL Example D The distribution of delivered tidal volume with wo
48. rs some typical values for healthy adults However most ventilated patients do not possess these normal characteristics Compliance 05 to 10 L cmH20 Resistance 0 5 to 5 0 cmH2O L sec Respiratory Rate 10 to 20 Breaths per Minute Tidal Volume 3to5 mL kg body weight I E Ratio 1 2 Seconds Table 1 Pulmonary disease is often associated with a change in lung compliance and or airway resistance Table 2 shows some of the changes that are typically seen in restrictive and obstructive lung disease Obstructive Disease Restrictive Disease Examples Asthma Pneumonia Emphysema Pulmonary Fibrosis Bronchitis Kyphoscoliosis COPD Severe Obesity Airway Neoplasms Lung Neoplasms Changes Increased Airway Resistance Decreased Lung Compliance Increased Total Lung Volumes Decreased Lung Volumes Decreased Expiratory Flowrates Increased Respiratory Rate Table 2 The TTL as Related to Ventilator Testing Standards To evaluate the performance of any mechanical ventilating device a quantita tive test lung which dynamically simulates human physiology should be utilized Testing should take place on every ventilator before it is used in the clinical set ting and periodic testing is needed to ensure that the unit is performing in accor dance with established standards and the manufacturer s specifications Standards published by the American National Standards Institute ANSI the International Organization of Standa
49. rsening unilateral lung disease e g pneumonia Procedure 1 Set the lung compliance of the TTL to 05 L cmH20 2 Select an Rpd resistor 3 With the Pneu View running enter the correct compliance and resistance values in the Reference Conditions Window 4 Display Tidal Volume in the Respiratory Parameters window and Waveform Display window 5 Enter a description of the demonstration in the Notes window 6 Using a ventilator or resuscitation bag ventilate the TTL at a rate of 12 breaths per minute and tidal volume of approximately 800 liters 7 Note the tidal volume measured 8 Change the compliance of the lung to 03 then 02 and finally 01 and note the lung volumes with each change 9 Save this demonstration as a template for future demonstrations Example D AutoPEEP caused by increased upper airway resistance e g use of small endotracheal tube Procedure 1 Select an Rp20 resistor 2 Set the lung compliance at 08 L ecmH20 3 With Pneu View running enter the correct conditions in the Reference Conditions window 4 Display proximal airway pressure and lung pressure in the Waveform Display window 5 Enter a description of the demonstration in the Notes window 6 Ventilate the TTL at a rate of 26 BPM and a tidal volume of 1 0 Liters with a baseline PEEP of zero 7 Note the inadvertent PEEP in both proximal airway and lung pressures caused by the increased airway resistance Also note the diffe
50. ry Ratio Breath Rate Justification gt Eont v Word wrap Print Notes iil Graph Window Ri B8888 a 1 i 1 i 1 Total Flow 1 1 i at sh Right Lung Pressure o G 1 i i 1 i 1 1 00 00 06 00 00 08 0 00 00 00 00 02 00 00 04 401001 Rp5 0 1 L cmH20 ATP Communication paused Figure 7 Notes Window and Menu The tool bar contains a Notes button This button is used to access the Notes if that window was closed or minimized See Figure 8 for a display of the Notes button Figure 8 Notes Button NOTE The Notes Window can also be accessed by selecting the Notes button then going to Window on the Menu bar and selecting Set Up C Graph The Graph window is capable of displaying real time graphs 16 waveforms of up to three calculated parameters simultaneously These waveforms are displayed in easy to distinguish colors The color of a particular waveform will match the color of its corresponding Y axis at the left of the plot window The zero axis for each waveform within the plot window will also be indicated by a color coordinated dotted line matching the color of the corresponding waveform Right clicking the mouse in the graph area will display a menu with the commands Set Up and Print Choose Print to access the real time graph and printing options Choose Set Up to access the Graph Set Up Dialog window This window allows the user to set up graphs fo
51. s neither the documentation nor the software may be copied photocopied reproduced translated or reduced to any electronic medium or machine readable form in part or in whole without the prior written consent of Michigan Instruments Inc Copyright 1999 2001 Michigan Instruments Inc 4717 Talon Ct S E Grand Rapids MI 49512 USA Toll Free 800 530 9939 TEL 616 554 9696 FAX 616 554 3067 email mii michiganinstruments com web site www michiganinstruments com Acrobat Reader Copyright 1987 1996 Adobe Systems Incorporated All rights reserved Adobe and Acrobat are trademarks of Adobe Systems Incorporated which may be registered in certain jurisdictions 10 General Information Program Requirements Your computer system must possess the following specifications to guarantee proper operation of Pneu View Minimum Requirements Recommended Requirements e166 MHZ Processor 200 MHZ Processor e32 MB RAM 64 MB RAM e10 MB Hard Disk Space Available 10 MB Hard Disk Space Available e1 Free Serial Port 1 Free Serial Port e640 x 480 16 Color Display 640 x 480 16 Color Display eWindows 9X Operating System CAUTION Certain screen saver programs power management and or system management utilities may interfere with the continuous acquisition of data through serial ports Therefore it is important that such programs and utilities be disabled when running the PneuView system particularly during trend testing Technical Suppor
52. specific segments of the data set for closer analysis 28 Files can be opened from the Open Project area in the Pneu View Title Screen or from Open Project in the file menu in the New Project screen Once this command is selected the Open PneuView file s window is opened These files can be opened to review data files trend data and tabulated data See Figure 24 for a display of Open PneuView file s window Kil PneuView ADULT Lung Project Project pri eens i lej x File Edit Data Trend Options Window Help oo eo 8 ee ef el ole AIEEE Kil Measured Parameters _ 5 x Kil Notes Project ttf Bet E Ref Measured Units Proximal Pressure Baseline Pressure Peak Proximal Pressure Look in S DAPneuView 16 ic al ctl ae Average Inspiratory Flow Inspiratory Time Expiratory Ratio Breath Rate AN Graph Window B8882 En Right Lung Pressure Total Flow oo o 1 i 1 i 0 00 00 00 00 02 00 00 04 00 00 06 00 00 08 m DAOTO01 E AN ATPX naa e Mstart S E A Y Microsoft word 03 5600 F Dual Adult PneuView Bd BY Od 1 02PM Figure 24 Open PneuView file s window This window presents a file list and the drive and directory where these files are located All the files within the named directory are displayed alphanumeric icily Reviewing a Project File When a project file is opened for review the file name is located at the top left of the screen A graph will b
53. t To help ensure maximum performance and productivity from your equipment Pneu View comes with Michigan Instruments commitment to total customer satisfaction If you have a question please call us at 616 554 9696 or 1 800 530 9939 or e mail us at mii michiganinstruments com Our mailing address Technical Support PneuView Michigan Instruments Inc 4717 Talon Ct SE Grand Rapids MI 49512 USA Please include the following information when you contact Michigan Instruments eProduct name serial number and Software Version number of the product eComputer brand model and type of system used with the Pneu View Software Software Installation The enclosed disk provides all of the program files needed to operate Pneu View as it interacts with the TTL Installation instructions are included in the software package If you have any questions about installation please call Michigan Instruments Inc Welcome to PneuView To begin the program click on the Pneu View icon on the Windows desktop The Welcome to PneuView title screen will appear The following buttons can be selected to operate the system New Project Begins a new project and records data from the test lung in real time Select Template Selects an existing template of specific reference conditions notes and display options Open Project Opens an existing project of saved files Working Directory Allows the user to open existing directories or creat
54. t Lung system Close Project Slee gt gt P pse Notes Print Setup ii any time 7 Data Table Report Menu Exit AE Notes Window In general d tests may ated while re d Measured Peak Inspirator Inspiratory Time Test Date Parameter T Sampie 1 Expiratory Ratio Breath Rate i aes Proximal Pressure Peak Lung Pressure g Pressure the Menu tc Average Inspiratory Flow Peak Inspiratory Flow Proximal Pressure 50 0 L min 0 00 15 0 00 15 49 7 0 0 50 0 Peak Expiratory Flow 0 0 0 0 SN1001 Rp20 0 05L cmH20 ATPX Communication paused Figure 31 Print Commands From File Menu Creating and Saving Templates A template is a set of specific Measured Parameters Graphs Reference Conditions and Notes inputted by the user to create a test for a specific ventilator or other application 35 To create a Template go to New Project from the PneuView Title Screen Select the desired measured parameters graphs and reference conditions Type in any notes in the Notes window After all the changes have been made go to the Options command on the menu bar and select Save Template The Save Template File dialog box will appear prompting the user to name the template file Type in the file name and select the Save button Templates are saved with a pvt extension See Figure 32 for the Save Template File Dialog Box Ki
55. u View containing the last 30 minutes of data collected from the TTL Pressure data is collected every 10 milliseconds and 30 minutes worth of the most recent digital pressure data is retained in the buffer The Data Buffer is initialized every time a New Project is selected a reference condition has been changed or after data has been saved To save data from the data buffer select Data from the menu and press Save Data Buffer A dialog will appear prompting the user to name the file The files will be saved with a dat extension Begin Save End Save The Begin Save and End Save buttons are located at the top of the New Project screen When the Begin Save button is selected Pneu View begins and continues saving incoming data until the End Save button is selected When the End Save button is selected the user is given the opportunity to save the data 21 segment under a default name or user entered name If End Save is selected after more than 30 minutes of data has been acquired only the last 30 minutes will be saved to a file This is also a data file and will be saved with a dat extension Trend Testing Trend Testing is valuable in analyzing and documenting the performance characteristics of mechanical ventilation and related equipment over a long period of time With Pneu View trending is available for up to 72 hours To access the trending environment in Pneu View select the Trend option from the menu bar A menu appears w
56. uent sections address more specific operations and functions within the Pneu View software Please refer to the Table of Contents for quick and easy reference to the various sections included in this manual If you have any questions or need technical support call Michigan Instruments at 1 800 530 9939 1 Description General Information about the TTL The Model 5600i Dual Adult TTL is a unique mechanical simulator of adult human pulmonary mechanics This instrument is ideal for evaluating and demonstrating mechanical ventilation devices and phenomena Lungs are simulated using elastomer bellows with two adult lungs incorporated into the 5600i The adult lungs hold a residual capacity typical of an adult human lung Gas is inserted into the adult lungs through a simulated airway This insertion causes the vertical expansion of the lung and a corresponding rise of the top plate A volume scale behind the top plates and pressure gauges on the front of the TTL can be used to visually see the measurements of tidal volume in mL airway pressure in cmH20 and lung pressure in cmH2O Lung compliance is accurately set and adjusted for each lung using a steel alloy spring which is stretched during inflation of the lung Airway resistance is simulated by using a fixed orifice flow resistor These features of adjustable compliance and resistance allow the TTL to realistically simulate a wide variety of healthy and diseased pulmonary conditions
57. ultitude of respiratory parameters and waveforms This makes the 5600i the perfect tool for an end less number of applications including e Performance testing of ventilators and related equipment Classroom instruction on mechanical ventilation equipment techniques and phenomena e Product demonstration and evaluations e Product development and quality control Pulmonary research To offer examples of all the applications for this system would be impossible as new ones are continually being discovered or developed by users of the system The following are examples of some of the common applications for which the Model 5600i PneuView System can be applied Ventilator Testing The Joint Commission on Accreditation of Healthcare Organizations JCAHO states All equipment shall be calibrated and operated according to the manu facturer s specifications and shall be periodically inspected and maintained according to an established schedule as part of the hospital s preventive maintenance program The 5600i is designed to allow performance testing of mechanical ventilators within their range of typical use Protocols for testing may be stored in Pneu View software allowing routine testing to be performed quickly and consistently Adult Ventilator Testing Application Example A The following is a routine test protocol to create a table for documentation of test results Test Protocol Test 1 Test 2 Test 3 Test 4 Test 5 Rate
58. uments Inc warrants that the Pneu View software will conform to the published specifications and documentation provided that it is used ona computer system for which it is designed Michigan Instruments also warrants that the supplied distribution disks and documentation are free from defects in materials and workmanship for 90 days after delivery Michigan Instruments will replace defective disks or documentation at no charge provided you return the item to Michigan Instruments within 90 days of delivery Except as provided above Michigan Instruments makes no warranty or representation either implied or expressed with respect to this program or doc umentation including their quality performance merchantability or fitness for a particular purpose Because computer programs are inherently complex and may not be completely free of errors you are advised to verify your work In no event will Michigan Instruments be liable for direct indirect special incidental or consequential damages arising out of the possibility of such damages In particular Michigan Instruments is not responsible for any costs including but not limited to those incurred as a result of lost profits or revenues loss of use of the Pneu View program or computer hardware loss of data claims by third parties or for other similar costs In no case shall Michigan Instruments liability exceed the amount of the purchase price Copyright Under the copyright law
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