Home

PMG (3000)™™ Pulmonary Mechanics Graphics

1. MV mech Vt inspired spon MV spon Vt inspired total MV total MV inspired mech MV inspired spon MV inspired total Negative Inspiratory Pressure P 0 1 Peak Expiratory Flow Peak Inspiratory Flow Peak Inspiratory Pressure PEEP Plateau Pressure Rapid Shallow Breathing Index General Information File Naming Conventions 6 General Information 6 1 File Naming Conventions Data file names and folder names are assigned by Analysis Plus The six digit number that follows the two leading letters will increment by 10 for each patient saved In Settings gt Settings for Analysis Plus gt Data Path the Save Patients in Folder option is checked by default this is the recommended setting Using the Open Patient window you will see only the first two suffixes listed fpnnnnnO Dat patient file fdnnnnn dir patient folder with a five digit file name A patient file fp is actually a set of related files frnnnnn0O raw waveform data from the last five minutes ftnnnnnO trend data fgnnnnnO ABG events data fonnnnn0 waveform and loops overlay data fbnnnnnO patient information It is recommended that you copy and delete files using the Open Patient window rather than Windows Explorer this way all of the separate data files that comprise a single set of patient files will be included in the action If Windows or Analysis Plus stops respondin
2. IngMar Medical Ltd does not recommend any specific ventilator test or calibration procedures and no portion of these instructions shall be construed as doing so prT PAPAN 1ejy8ug soputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed e Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 79 Theory of Operation Flow Measurement With the PMG 3000 factors including the gas molecular weight temperature and airway pressure influence the measurement The PMG 3000 flow sensor a fixed orifice target flowmeter features a geometry that is designed to significantly improve its performance compared with variable orifice flowmeters when changes in upstream geometry adapter configurations are made The design allows for greater immunity to unpredictable flow velocity profiles without the need to add excessive length to the flow sensor adapter itself minimal dead space Because they have no moving parts these flow sensors are maintenance free and do not require user pre calibration Each configuration is characterized once at the factory and because of molding consistency individual calibration is not required Factors that can affect the accuracy of flow sensors include inlet conditions gas temperature and composition and circuit contamination Inlet Conditions The accuracy of all flowmeters is affected by the profile of the flowing gas and its rate as it enters the device The PMG 300
3. NOTE If you are using a Serial to USB adapter it might have been assigned a higher COM port number If there are no other serial ports on your PC it may be convenient to change it to 1 from the advanced properties of the respective entry in the COM LPT1 list If communication still can not be established verify that each of the items listed above are correct 4 2 Selecting a Flow Sensor 4 2 1 PMG 3000 in the A P Lung Model Operation Selecting a Flow Sensor The PMG 3000 module in the A P Lung Model is equipped with two flow sensors measuring Flow1 and Flow2 They are located in the pneumatic circuit of the lung model according to the schematic below R R2 Vent Rp gr C o 1 c R Lun E E L Lung Figure 4 2 1 Switching between flow sensor 1 ET tube location and flow sensor 2 right lung branch is performed with the twin toggle switch on the PMG module The positions are labeled e Front position e ET Tube Flow Back position right lung flow Lung How ET tube How hd Lung How ET tube How PMG 3000 Figure 4 2 2 PIT Teorpejy 1ejBu smopuryy 10 Y pe IST OOOE OWd suononasu Bunexodo NO A Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 65 Operation Exporting and Printing To Export waveform data from a snapshot or a stor
4. OWd suononasuj Burjexed y Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 81 Technical Data Hardware 10 Technical Data Hardware Flow sensors Flow range Minute volume Tidal volume Airway pressure Electrical Temperature 2 fixed orifice sensors one located in the main airway one in right lung branch 1 8 to 180 L min Accuracy flow sensor greater of 3 OR 0 5 L min 2 to 180 L min 100 to 2000 mL Adult Pediatric Lung Model is limited to 2000 mL 20 to 120 cmH2O 120 230 V wall mount supply UL VDE listed Operating 10 to 40 C Storage 0 to 50 C Ambient humidity 10 to 95 rH noncondensing Theory of Operation Flow Measurement With the PMG 3000 level anesthetic gases and helium oxygen mixtures When compensated gas density and viscosity effects do not cause significant errors in flow measurement Circuit Contamination The flow sensors used in the PMG 3000 system are used in patient monitoring systems and were therefore tested in the presence of breathing circuit contamination such as humidified air nebulized agents and mucus Although the flow sensors maintain acceptable accuracy in the presence of excessive water it is not practical and strongly discouraged to use humidified air with the IngMar Medical Adult Pediatric Lung Model The PMG 3000 is not equipped with a purging pump to clear rainout from its pneumatic circuitry In case of accidental use
5. Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 25 Operation Selecting a Flow Sensor 4 2 10 PMG in the QL Breather Both an adult flow sensor part no 15 20 142 or a neonatal flow sensor part no 15 20 143 may be used The low flow sensor is rated at a maximum flow of 25 L min and is recommended for use with the QuickLung Junior when simulating tidal volumes below 200 mL The flow sensor is attached externally in the back of the enclosure and inserted into the circuit below the swivel elbow of the QuickLung connector Operation Introducing Analysis Plus 6 1 4 3 Introducing Analysis Plus 6 1 Analysis Plus 6 1 enables the PC to display high resolution respiratory mechanics graphics from the PMG 3000 Module and to export that data to a spreadsheet for research applications 4 3 1 Modes of operation The software operates in two modes Monitoring and Playback Monitoring mode is in effect when a PC or laptop is actually connected to the PMG 3000 for data acquisition Playback mode is in effect whenever you review a saved data file NOTE The PMG 3000 Module does not need to be connected in Playback mode Although most program features are available in both modes there are some differences Those differences are noted later in this manual particularly in the Monitoring Application Windows and Advanced Features sections 4 3 2 Reviewing demo data Provided with Analysis Pl
6. or Select File gt Exit to close the Demo Data and exit Analysis Plus 6 1 4 3 3 Navigating Analysis Plus The Menu Bar A Analysis Plus se GEL lt lt pa Ep shee Figure 4 3 1 Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 27 File Open Open an existing patient file Close Close a new or existing file Page Setup Select the border style and margins for printed reports Print Print the current patient file Export gt Export the data type selected to a csv comma Breaths separated value file for use in a spreadsheet Waveforms program Exit Close Analysis Plus 6 1 Operation Settings Introducing Analysis Plus 6 1 Options Open the Options for Analysis Plus window and change program settings Breath parameters Open the Choose parameters to display window and change breath parameter selection Waves Range View 5 seconds 10 seconds 15 seconds 30 seconds 60 seconds or All waveforms in the Waveforms window Loops Range View 1 2 or 4 loops in the FV PV loops windows before clearing for the next set of breaths Monitoring Start Start an Analysis Plus 6 1 monitoring session Stop End an Analysis Plus 6 1 monitoring session Mark Event Place a time date stamp in the Patient Information window Comments field Screen Shot Make a screen shot of the currently open windows Actio
7. ssssssssesesee 63 Bion p M 63 Printing a Report cte tre tere e He e ees 66 prT PPPN 1ejyBug smopurM 10 y pe pue 000 OWd suononusuj Supeiado Os Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 83 Ordering Information 11 Ordering Information PMG 3000 in the Adult Pediatric Lung Model Item Description Part No PMG 3000 Module for A P Lung Model included RS 26 00 000 232 serial cable software User s Manual Replacement Parts RS 232 connection cable DB9 male female 26 00 040 RS 232 to USB adapter incl driver software 31 10 536 Wall mount charger supply PMG 3000 15 V DC 26 00 020 incl international prongs US EU UK AUS User s Manual this document 26 00 200 PMG for the QuickLung Breather Item Description Part No PMG Module for QuickLung Breather includes USB 15 20 400 cable software User s Manual Replacement Parts USB connection cable 2 x USB type A 15 20 141 grounded power cord US 31 10 500 grounded power cord EUR 3110511 grounded power cord UK 3110512 grounded power cord AUS 3110513 Adult Flow Sensor 26 00 041 Neonatal Flow Sensor max 25 L min 26 00 042 Technical Data Graphics Parameters Software Graphics Parameters Graphics Parameters Software Analysis Plus 6 1 Lung flow v RL t Airway flow v aw t Lung pressure PRL t Airway pressure PAW t Pressure volume loop
8. 7 4 7 1 4 7 2 Selecting a Flow Sensor sssssseeee 23 PMG 3000 in the A P Lung Model sss 23 PMG in the QL Breather ssssseseeeeeenreee 25 Introducing Analysis Plus 6 1 ssssssssseese 26 Modes of operation sese 26 Reviewing demo data sss 26 Navigating Analysis Plus sess 27 Menu shortcuts esee 31 Application Windows esses 32 Open patient window 32 Patient Information window eee 34 Waveforms window eese 35 Parameter windows eesssseseeeeeee 37 Current Breath Parameters window 38 Snapshot window sese 40 Options window esee 42 ado M 45 Begin a monitoring session sssessee 45 Ending a Monitoring Session ssssseee 48 Working with Patient Files 49 Waveforms m 51 Waveform Overlay essere 52 Shapshots 2 55 E E A NDS 53 Exiting Analysis Plus 6 11 55 Advanced Features of Analysis Plus usse 56 Scroll Waveform Playback sss 56 Waveform Overlay seen 57 MU EEE 58 Rescale and Auto Rescale sss 60 C rsor FUNCTIONS E 61 Copy a window Screen Capture esee 62 Exporting and Printing
9. CAUTION Do not operate PMG 3000 or Lung Model if it appears to have been dropped or damaged NOTE As with all flow measuring devices adverse conditions may affect the accuracy of flow measurement See Theory of Operation Flow Measurement with the PMG for a discussion of flow measurement prT TEPA 1ejy8ug soputA 10 Y P2 IST 000 OWd suononusu Supesado No Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 77 Maintenance Cleaning Scheduled Maintenance Software Upgrades 8 Maintenance 8 1 Cleaning Lung Model with PMG 3000 Turn the monitor module and any other peripherals off and unplug the wall mount power supply from AC Mains before cleaning Clean all surfaces with a damp cloth 8 2 Scheduled Maintenance The PMG 3000 module does not require periodic maintenance or calibration Sensors used with the PMG 3000 system do not need to be exchanged 8 3 Software Upgrades Software upgrades may be made available from time to time for both the PMG 3000 PC software Order No 26 00 253 or the module s firmware Order No 26 00 255 To check for updates contact IngMar Medical for support at 1 800 583 9910 internationally call 1 412 441 8228 Glossary List of Available Parameters Pressure at 100 ms P0 1 or mouth occlusion pressure at 100 ms is a simple index of respiratory drive often used as a measure for weaning PO 1 refers to the pressure
10. a breath plot pr Te ipey Ieu smopur 10 y pe IST 000 OWd suenonusu Bugezedo C2 ie Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 59 Operation Advanced Features of Analysis Plus Using the ruler for waveform and loops review in the Monitoring mode 1 Click the Snapshot button or select Actions Wave Snapshot 2 Click on the title bar of the Snapshot window Use the Previous page or Next page buttons on the toolbar or the Page Up and Page Down keys on your keyboard to view the waveform or loop window that you want 3 Click the waveform at the point you want to examine The data will display along the bottom of the Snapshot window 4 For loops and the SBCO waveform the ruler may be stretched from point to point on the curve to calculate the scope between those points Click the mouse on the part of the loop or SECO waveform of interest The ruler displays between that point and the zero point on the plot Point the mouse at the zero intersect point and a box appears around the tip of the mouse pointer Click and hold the mouse button and drag the box to the new position of inter est The slope between those two points will be calculated Measure differences with two rulers Available for waveform pages only 1 Click on the waveform window to place a ruler The single ruler shows the measurements for that point in time Click and drag the ruler to the
11. a baseline during monitoring or in Playback mode When you click on a waveform or within a waveform window it stores the selected breath presents it in static form and overlays subsequent breaths To select an overlay 1 Click the overlay hand button on the toolbar 2 The cursor changes to the overlay icon 3 Place the hand icon on a waveform or within a waveform page and click to select the waveform or loop NOTE In Playback mode you cannot choose a breath for overlay from a moving waveform 4 Click again to deposit the waveform overlay for comparison on the single breath waveform pages Waveforms amp Loops Flow Volume and Pressure Volume Loops and SBCO The waveform associated with that point in time becomes a template waveform and will remain until you click on the Clear Overlay button or select Actions gt Clear Overlay Playback Mode Using the horizontal scroll bar you may scroll forward or backward in time to overlay individual waveforms for review or click the Scroll Waveforms button to play back a moving waveform Clicking on the Scroll Waveform button will allow you to view both the template and the moving waveform and data associated with that point in time Operation Advanced Features of Analysis Plus 4 6 Advanced Features of Analysis Plus Analysis Plus offers a number of functions to help you review and analyze data collected during patient monitoring 4 6 1 Scroll Waveform Playback d The S
12. ice ON Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 53 Operation Monitoring The overlay will remain until you click on the Clear Overlay button or select Actions gt Clear Overlay See Waveform Overlay on page 57 in the Advanced Features section for more information 4 5 5 Snapshots During Patient Monitoring A snapshot records waveform data for a specific time period 1 60 minutes Snapshots must be taken during patient monitoring not from a stored patient file Operation Monitoring Rescale When you begin a monitoring session waveform and loop scales are selected based on the type of sensor being used neonatal pediatric or pediatric adult When a waveform set reaches the end of the display window Analysis Plus will automatically adjust the waveform and loop scales based on the highest peak measured during the last minute During monitoring you can adjust the waveforms scale using the two scaling buttons located on the toolbar The Rescale button allows you to manually perform a rescale or you can set the window to Auto Scale ON using the Auto rescale button For more information see Rescale and Auto Rescale on page 60 in the Advanced Features section View Spontaneous Threshold line For information on using the Spontaneous Threshold line see Shortcut keys on page 31 Export Breaths and Waveforms See Export tab on page 44 4 5 A Waveform Overlay Th
13. in the File Open window of your application Operation Exporting and Printing 4 7 2 Printing a Report Analysis Plus 6 1 allows flexibility when printing patient reports The system will print multiple pages when required and will place a maximum of two windows on any page The page number patient information and the hospital name if entered will be printed on each page To print out a file or particular patient window 1 Click the Print button aD Or Select File gt Print 2 The Print Options dialog box will appear 3 Select a Report type e Non minimized windows Minimize the windows you do not want to print and select this option All windows Prints all windows including minimized NOTE The Analysis Plus will print the time period currently displayed in each of the program windows If your report does not print or an error message is displayed the wrong COM port or serial output may be selected For more information see Setting the COM port for serial communication with the PMG 3000 Module on page 22 PrI PAPAN 1ejy8ug smoputM 10 Y P2 IST 000 OWd Ssuononusu 8ugexed O Ov Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 23 Operation Selecting a Flow Sensor NOTE The COM port selected must match the one that the serial cable is plugged into consult the Device Manager from your Control Panel gt System pane and look under COM LPT1 ports
14. level 100 ms after the start of inspiration if and only if there is an initial dip in pressure RAM Random Access Memory Resistance A mechanical form of Ohms law is the ratio of a pressure difference i e voltage over a flow i e current and defined as the ratio of the driving pressure to the resulting flow Vd Vt ratio The ratio of the deadspace volume compared to the tidal volume Indicates effectiveness of ventilation Ventilatory period The time from the beginning of inspiratory flow of one breath to the beginning of inspiratory flow for the next breath total cycle time the sum of inspiratory time and expiratory time the reciprocal of ventilatory frequency Work of breathing total For a spontaneously breathing intubated mechanically ventilated patient is the sum of the imposed work and physiologic work The imposed work is the work required to overcome the load of breathing due to the breathing circuit ventilator and other apparatus The physiologic work is the work required to overcome the elastic and flow resistive forces of patients lungs and chest wall The work of breathing is calculated as the integral over a specified time of Pdv where P is pressure and dv is change in volume PrI PPPN 1ejy8ug smoputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed N O Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 13 Introduction Overview 2 Introduction 2 1 Over
15. of humidified air the unit should be ventilated for an extended period of time with dry air to allow it to be dried internally PIT TEPA 1ejy8ug soputA 10 Y P2 IST 000 OWd suononusu Supesado Oo ie Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd Operator Safety Definitions 1 Operator Safety For correct and effective use of the product it is mandatory to read and to observe instructions WARNINGS and CAUTION statements in this manual If the product is not used as instructed the safety protection provided may be impaired 1 1 Definitions WARNING Indicates a potentially harmful condition that can lead to personal injury CAUTION Indicates a condition that may lead to equipment damage or malfunction NOTE Indicates points of particular interest or emphasis for more efficient or convenient operation File naming is covered in File Naming Conventions on page 72 Throughout this manual and in the software the word patient is sometimes used to describe a simulated patient as defined by the lung model settings This will correspond to the use of patient in respiratory mechanics patient monitoring in that the lung model is a representation of a patient receiving ventilatory assistance The product name PMG 3000 is specific to the option built into the Adult Pediatric DemonstrationLung Model Built into the QuickLung Breather it is just called the PMG Througho
16. ports on the PC Select the port that is connected to the monitor Select None if no monitor is connected Figure 4 4 9 In this tab select the correct communications port None or COMI COM4 The COM Port selected in the Analysis Plus software must match the COM Port that the PMG 3000 is connected to on your PC the COM Port that was assigned to the USB port or the USB Se rial adapter prT TEPA 1ejy8ug soputA 10 Y P2 IST 000 OWd suononusu Supesado x No Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 47 Operation Monitoring Select Parameters 1 Click on Settings gt Breath Parameters to select waveform and breath parameters 2 From the Choose parameters to display window highlight the parameters you want to select You can hold down the Ctrl key and click on multiple choices or select a range of parameters by holding the Shift key clicking on the first choice and clicking on the last choice Parameters will display in the order chosen 3 Click Select gt gt To remove parameters select them in the Selected window and click Remove NOTE A maximum of 32 waveform parameters will display in the Parameters windows but data for all parameters will be collected and available for analysis Begin Monitoring 1 Click the green GO button 2 A Gas Comp window will open From the three options Click the Air button to reset inspired and ex
17. the goods Legal Information Software License Agreement Trademarks Software License Agreement See software disk envelope Trademarks PMG 3000 is a trademark of IngMar Medical Ltd FloTrak FloTrak Elite and Analysis Plus are trademarks of Philips Respironics Inc Windows and MS DOSQ are registered trademarks of Microsoft Corporation All other trademarks or registered trademarks are property of their respective owners Copyright O 1997 2011 IngMar Medical Ltd Portions of this document are copyrighted property of Novametrix Medical Systems and reprinted here with permission This document may not be reproduced stored in a retrieval system translated transcribed or transmitted in any form or by any means without prior explicit written permission from IngMar Medical Ltd prT PPPN 1ejy8ug smopurM 10 y pe pue 000 OWd suononusuj Bugered aN Operating Instructions PMG 3000 3rd ed ed A for Windows IngMar Medical Ltd 00 C1 Flow sensot SELECTING orte rrt tree denen 23 G jas COMPOSITION zs eee Ete eo eie ee e e I Pee e YE ter Ae 79 GlOSSaPby cett estet ets ehe teh aie che eee 74 Graphis 25 tttm RP RIEN RU I AERA AI IIT 43 82 M Maintenance tia stesse GR UE NE EE A NAE 77 Menu b sico hi ice mE DOE I BEI 27 MONROE 2 eec terrier egre IO Orne Iue 45 Monitoring mode ertet pr ree rra eR dps 26 Monitoring SESSION qi oen ceci te teint nie teen 32 33 Monit
18. 0 flow sensors have been designed to be affected less by variations in flow profiles due to changes in the inlet conditions In the case of the use in a lung model variations of such origin do not present a major concern It should also be noted that the popular variable orifice type flowmeters exhibit typically larger errors under varying inlet conditions Gas Temperature The proper selection of the inspired and expired gas temperature is important to accurate flow measurement The inspired gas temperature can vary substantially from room temperature to near body temperature It is important to enter the best known value to improve the measurement accuracy of the flow sensor Gas Composition Density and viscosity of the flowing gases can lead to flow measurement errors of over 15 if not compensated The PMG 3000 system software compensations allow accurate flow and volume measurements in the presence of high oxygen Theory of Operation Flow Measurement With the PMG 3000 9 Theory of Operation 9 1 Flow Measurement With the PMG 3000 In critical care patient monitoring the use of fixed or variable orifice aperture differential pressure pneumotachometers is widespread These flow measurement devices are usually simpler in construction are typically lightweight plastic and thus can be made disposable to meet the unique requirements in the critical care environment and are designed to operate in wet mucus filled patient airway
19. 2 waveform parameters Press or select Page Down to see Volume Flow Timing Pressure and Mechanics in a chart format Operation Application Windows Breath Parameters and Current Breath Parameters windows include a third Overlay vs Current page when a waveform overlay is selected For more information on using the overlay function see Waveform Overlay on page 57 4 4 2 Current Breath Parameters window Current Breath Parameters Selected Parameters Ve mL Vi mL Raw i dyn Cdyn Cst mL cmH20 Te sec 250 0 773 4 15 0 104 8 120 8 1 2 MAP br Mech MV mech L MY spon L MV tot L MVi mech L MVispon L 7 1 Yes 4 28 0 00 4 28 13 34 0 00 NIP cmH20 POA cmH20 PEF L m PIF L m PIP cmH20 PEEP cmH20 Pplat cmH20 0 0 0 0 34 8 62 6 13 4 0 0 6 5 RSBI br m L RR mech br m RR spon br m RR total br m Vt kg mL kg Vtemech mL Vte spon mL Vtimech mL 0 17 0 17 0 0 248 6 0 0 773 4 Vtispon mL Vti tot mL 0 0 773 0 Figure 4 4 7 Part of every patient file set available only in monitoring mode Displays active waveform data Breath Parameters window In Monitoring mode the Breath Parameters window is available only from a Snapshot window In Playback mode it can be accessed from the Waveforms window or from a snapshot Select the information i button an i displays besi
20. Operating Instructions PMG 3000 3rd edition APlus for Windows IngMar Medical Ltd 2001 2011 INGMAR MEDICAL PMG 3000 Pulmonary Mechanics Graphics Module for the IngMar Medical Adult Pediatric Demonstration Lung Model 3rd edition A for Windows FloTrak Elite Module hardware Legal Information Product Warranty Legal Information Product Warranty Educational tools manufactured or distributed by IngMar Medical Ltd are fully warranted covering materials and workmanship for a period of one year from the date of shipment except for products with stated warranties other than one year IngMar Medical reserves the right to perform warranty service s at its factory at an authorized repair station or at the customer s installation IngMar Medical s obligations under this warranty are limited to repairs or at IngMar Medical s option replacement of any defective parts of our equipment except fuses and batteries without charge if said defects occur during normal service Claims for damages during shipment must be filed promptly with the transportation company All correspondence concerning the equipment must specify both the model name and number and the serial number as it appears on the equipment Improper use mishandling tampering with or operation of the equipment without following specific operating instructions will void this warranty and release IngMar Medical from any further warranty obligati
21. P Is considered to exist when inspiration occurs and the expired flow has not reached zero no pause apparent because insufficient time has elapsed to allow the lung to passively deflate Mean airway pressure The average of all the pressure samples over the last ventilatory cycle Mean expiratory flow The average value of the flow samples during expiration Mean inspiratory flow The average value of the flow samples during inspiration Mean inspiratory pressure The average pressure level during inspiration MHz Megahertz Minute ventilation The quantity of air inhaled expressed in terms of volume per minute Peak inspiratory pressure The largest pressure value acquired during the inspiratory period Peak expiratory flow rate The largest flow value sampled or required during expiration Peak inspiratory flow rate The largest flow value sampled or required during inspiration Physiologic deadspace total deadspace The total deadspace volume made up of airway and alveolar deadspace Positive End Expiratory Pressure PEEP Refers to mechanical ventilation with end expiratory pressure provided by a threshold resistor Glossary List of Available Parameters 7 Glossary Alveolar deadspace The volume of alveoli that are ventilated but not perfused Vd alv Airway deadspace The volume of inspired air that remains in the conducting airway COM Abbreviation for communication Typical la
22. Wait for flow sensor zero completion Message Disk Full Unable to store patient file Storage medium full Specify another drive or delete files Message Invalid Drive Path selection Unable to store patient files Wrong drive and or path is selected Select the correct drive path Message Bad Packet X Incomplete transfer of data 1 Communication error NOTE For optimal performance in the Microsoft Windows environment close all unnecessary applications and keep Analysis Plus 6 1 in the foreground 1 Stop monitoring session and restart 2 If condition occurs again close any other open programs and retry 3 If condition does not clear call Technical Support Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 69 Message Missing Packet X Incomplete transfer of data Communication error between PMG 3000 and Analysis Plus 6 1 If problem persists contact Technical Support Message Hardware Fault Loss of flow pressure or barometric pressure data Flow pressure transducer failure in COSMO Plus Remove from service Contact Technical Support Troubleshooting Problems Without Message Boxes 5 Troubleshooting The table below lists problems that may occur when using Analysis Plus 6 11 5 1 Problems Without Message Boxes Problem Cause Solution 1 Communication 1 Select the correct port not sele
23. a 3 Use the drive and directory lists to select a new destination Click Save to copy the file to the new destination 4 Clickthe OK button on the Open Patient window when finished NOTE A copied file will be assigned a new fpnnnnnO dat file name based sequentially on the other files of the same type located in the new directory Delete a Monitoring Session 1 With the correct patient file highlighted in the Open Patient window click Delete 2 A dialog box will appear Do you want to delete the selected patients 3 Click Yes to agree Click No to disagree and tro return to the Open Patient window 4 Click the close X button on the Open Patient window when finished NOTE Deleted files cannot be recovered Operation Application Windows 4 4 1 Patient Information window A Patient Information window is created for every new data file This information will be stored with the file and printed on the patient report Information about the simulated patient may be added to a new or saved file at any time ID Code Location Date of Birth John Doe 12345 Pittsburgh 8 27 55 Weight kg Height cm Fi02 Cire Temp 72 181 Test Date Test Time Test Duration Sensor 7 15 2003 11 42 AM Ohr GOmin This information can be used to describe in more detail the simulated patient Figure 4 4 3 Date time test duration and sensor type are alr
24. ble for moving waveforms Using the ruler for waveform and loops review in Playback mode Click the mouse in the waveform window and click at the point of interest The ruler will display with the associated data dis played along the bottom of the window prT PNPN 1ejy8ug soputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed Ol Oo Operation Introducing Analysis Plus 6 1 4 3 1 Menu shortcuts Right click menus In the Trend Waveform and Snapshot windows right click to access Choose parameters to display window export options time scale options or loops overlay as applicable to each window or page In the Breath Parameters and Current Breath Parameters windows right click and select Parameters to access the Choose parameters to Display window Select or Remove parameters for display Shortcut keys Analysis Plus offers a number of shortcut keys that allow you to perform functions by pressing a single button on your keyboard Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 31 Spontaneous Threshold monitoring mode Press the T key to bring up the spontaneous threshold line in the Flow Pressure and Volume waveform window Click and drag the line with the arrow pointer or use the up down arrow keys on your keyboard to adjust the setting Press Enter or Esc to erase the spontaneous threshold line Purge Not applicable to the PMG 3000 Zero Pres
25. cation ANESSE PE EEEE nennen 24 prT PPan 1ejy8ug smopurM 10 y pe pue 000 OWd suononusuj Bugeied Oo Ms Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd Contents 1 Operator Safety esee eee edet cedes 9 1 1 Definitions sas DAATROBIPENUMBRHBRINIBUR SR 9 1 2 Intended sek otago ena aati assed seas 10 1 3 General Precautions 12 2 Introduction erneute ee eee 13 2 1 I sane 13 22 FCALUICS asses sete 15 2 3 PC Hardware Requirements esee 16 3 Prep ar tiota 5 oue RR EORR ER ERE ER UR 17 3 1 Corinectlons dette t qe tee er qox ee redeas 17 3 2 Connecting Powerin ceret eni e a der errata 18 3 3 Installing the Analysis Plus 6 1 Software 19 3 3 1 Installing the software under Windows XP ViSt Or WIDZ i sce Re rie t e PLE peines 19 3 322 BlelpiSystetm 23 oireset to tiores rro ines 19 3 3 3 Uninstalling Analysis Plus 6 1 0 eee eee reece 21 4 Operation eee e e e egets 22 4 1 Starting the Software sissies etr et eene 22 4 1 Before you begi Misere ect teet tetrent 22 4 1 2 Setting the COM port for serial communication with the PMG 3000 Module eee 22 4 2 4 2 1 4 2 2 4 3 4 3 1 4 3 2 4 3 3 4 3 4 4 4 4 4 1 4 4 2 4 4 3 4 4 4 4 4 5 4 4 6 4 4 7 4 5 4 5 1 4 5 2 4 5 3 4 5 4 4 5 5 4 5 6 4 5 7 4 6 4 6 1 4 6 2 4 6 3 4 6 4 4 6 5 4 6 6 4
26. circuits Variable Orifice type The variable orifice type flow sensors have become popular in the long term critical care monitoring environment These flow sensors use a flexible sheet material plastic or stainless steel to create an opening that is small when flow is low and opening wider as flow increases The variable orifice type flowmeter s accuracy depends however upon the consistent stress strain characteristics of the variable orifice flap which in turn can be degraded by inter device variations created during manufacturing or intra device changes due to fatigue during long term use In order to solve this problem some manufacturers offer sensors with device specific factory pre calibration parameters stored within a memory chip attached within the flowmeter connector Variable flap flowmeters are also very susceptible to changes in flow patterns generated by different breathing circuit adapters inlet configurations placed immediately prior to the flowmeter In addition most variable orifice flowmeter systems ignore the effects of various gas compositions found in critical care and in anesthesia Fixed Orifice type The pressure drop across a fixed orifice is in general proportional to the square of the flow Because of this non linear relationship the dynamic range of a fixed orifice flowmeter is usually limited Nevertheless microprocessors can be programmed to store the parameters of these flow heads and compensate fo
27. croll Waveforms option is available in Playback mode only Click the Scroll Waveforms button on the toolbar to playback waveforms or snapshots You can also scroll waveforms manually using the scroll bar at the bottom of the window See Snapshot window on page 40 for more information Playback Options Keys Description lt Page Up gt or lt Page Down gt Toggles through the available page displays Up down arrows Controls the speed of the playback The up and down arrow keys increase and decrease the speed of the playback respectively Press key repeatedly lt Home gt Restarts playback to the beginning of the data lt F12 gt Performs a dual function freezes playback at the selected waveform then shows all of the waveforms for that time period 5 10 15 30 or 60 seconds counting back from when the waveform was frozen prT TEPA 1ejy8ug smoput y 10 Y P2 IST 000 OWd suononusu Suyesredg Oo OV Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 33 Operation Application Windows or Highlight the file and click Open NOTE Only one set of patient files can be open at any time For more information on file names see File Naming Conventions on page 72 Copy a Monitoring Session to a New Directory 1 With the correct patient file highlighted in the Open Patient window click Copy 2 A Save As dialog box opens to allow you to set the path for the dat
28. cted or communication port from incorrect port selected the Comm Port tab in the in Analysis Plus 6 1 Options for Analysis Plus Communication window between PMG 3000 2 PMG 3000 not and Analysis Plus 6 1 turned on has not been established No Response No GO button 2 Turn PMG 3000 on 3 Interface cable not connected or missing 3 Make sure that the interface cable is plugged into and securely fastened to the PMG 3000 and the PC Message Invalid The selected COM Select the correct COM COM Port port is not valid or port from the Hardware tab Monitoring will not one that is assigned in the Settings for Analysis start for another purpose is Plus window selected COM port doesn t exist on your PC Patient data is not Data path is notset Select Data Path from stored in the expected correctly Settings for Analysis Plus location window No parameter data No parameters have Select parameters from displayed in been selected Parameters to Display Parameter window window PrI PPPN 1ejy8ug smopur y 10 Y P2 IST OOOS OWd suoTonssuy 8ugexed Or Oo Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 21 Preparation Installing the Analysis Plus 6 1 Software Open your browser Internet Explorer or Firefox e In the Address field type in www adobe com and press Enter Click the Get Acrobat Reader button on Adobe s hom
29. d spontaneous esee 31 Toggle Switch a etre RP HH 24 rg M ay 29 Tro bleshootihg 2 tegit vtr ere ere retener et 68 prT PAPAN 1ejy8ug smoputM 10 y pe pue 000 OWd suononusuj Bugeied Oo Ov Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd Legal Information Limitation of Liability Limitation of Liability IngMar Medical Ltd s liability whether arising out of or related to manufacture and sale of the goods their installation demonstration sales representation use performance or otherwise including any liability based upon above defined product warranty is subject to and limited to the exclusive terms and conditions as set forth whether based upon breach of warranty or any other cause of action whatsoever regardless of any fault attributable to IngMar Medical and regardless of the form of action including without limitation breach of warranty negligence strict liability or otherwise THE STATED EXPRESSED WARRANTIES ARE IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING WITHOUT LIMITATION WARRANTIES OF MERCHANTABILITY FITNESS FOR ANY PARTICULAR PURPOSE OR NONINFRINGEMENT IngMar Medical Ltd shall not be liable for nor shall buyer be entitled to recover any special incidental or consequential damages or for any liability incurred by buyer to any third party in any way arising out of or relating to
30. de the arrow pointer Click anywhere on the Waveform window and a Breath Parameters window will appear To view breath data for a specific time period or point on the graph click on that point prT PPNP 1ejy8ug soputA 10 Y P2 IST 000 OWd suononusu Supesado C2 Oo Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 51 Operation Monitoring 4 5 3 Waveforms Analysis Plus displays three different waveform pages when using the PMG 3000 For a description of the waveform page set see Waveforms window on page 35 Time Scale Options See Waveforms window on page 35 for a variety of display and scaling options Select a Breath and Display Parameters When you want to view parameters for a specific breath or waveform you must first take a snapshot 1 Click on the Snapshot button uin I 2 Click the information i button on the toolbar an side the arrow pointer displays be 3 Click inside the waveform 4 The Breath Parameters window will appear Two pages are available in the Breath Parameters window a large format page displaying up to 32 waveform parameters and chart with Volume Flow Timing Pressure Mechanics and CO data For more information see Parameter windows on page 37 When a waveform overlay is selected the Breath Parameters window includes a third Overlay vs Current page For more information on using the overlay function see Wav
31. displayed in the order that you select them To remove a selection s from the Selected list click on the se lection s and click on the Remove button This moves your selection s to the Available list When you have made your selection s click on Apply to pre view your selection then OK to accept the changes and close the window You may also open the window to review the selected list and exit without editing by clicking OK or Cancel NOTE If no parameters are selected the message No parameters have been selected Right click to select will display Operation Application Windows 4 4 1 Snapshot window Figure 4 4 8 A snapshot records waveform data for a specific time period 1 60 minutes and must be taken during monitoring not from a stored patient file In Playback mode the Main Wave is all of the data a snapshot is a portion of the same data For more information on creating snapshots automatic snapshots and saving snapshots with your patient file see Snapshots on page 53 Viewing Snapshots A Snapshot may be viewed several ways Page forward or back to view all waveform screens by using the Next or Previous page buttons on the tool bar or by pressing the Page Up or Page Down key on your keyboard A horizontal scroll bar is available at the bottom of the Snapshot window to scroll forward or backward in time manually Press the Tab key to mo
32. e See Options window on page 42 for more information 4 Click OK to save the changes and exit the Options window NOTE The PMG 3000 does not need to be connected when exporting NOTE CSV Comma Separated Value files will export correctly into a table spreadsheet format only when comma decimal point usage is set to the English United States standard in Windows For example the number 2 8 MUST NOT have the format 2 8 or it Operation Advanced Features of Analysis Plus Or Select File gt Export gt Breaths 6 Export marked waves only for further analysis See Exporting on page 63 for more information Overlay See Waveform Overlay above 4 6 6 Copy a window Screen Capture You can take a screen capture of any graphic picture window Waveform screen captures can be made by taking a snapshot first and copying that window see Snapshot window on page 40 1 Click on the window you want to capture 2 Select Actions gt Copy window or Click the Copy button 3 Paste the picture into an open file in most word processing or graphics programs by doing one of the following Select Edit gt Paste or press Ctrl V PrI PPPN 1ejy8ug smoput y 10 Y P2 IST 000 OWd suononusu Supesado O N Operation Introducing Analysis Plus 6 1 To exit Demo Data e Click the close x button in the upper right corner of the Patient Info window Analysis Plus 6 1 will remain open
33. e overlay function allows you to choose a waveform the last completed breath for use as a baseline To select an overlay 1 Click the overlay hand button on the toolbar 2 The cursor changes to the overlay icon 3 Placethe overlay icon on a waveform or within a waveform page and click to select the waveform or loop 4 Click again to deposit the waveform overlay for comparison on the single breath waveform pages Waveforms amp Loops Flow Volume and Pressure Volume Loops prT TPPA 1ejy8ug soputM 10 Y P2 IST OOOES OWd suononusu Supesado C1 N Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 37 Operation Application Windows The Flow Volume and Pressure Volume Loops page displays 1 2 or 4 loops To view a single breath select 1 Loop to view overlaid loops select 2 or 4 Select Settings gt Breaths Range or right click to display option Waveforms and Loops page E i Volume ml Flow Ipm Seiso 1200 1600 2000 2400 A Pressure Volume ml rs Volume m Pressure omH20 4 4 40 60 80 100 120 140 160 180 Start 11 11 2009 at 2 06 41 PM Figure 4 4 6 The Waveforms and Loops page displays breath by breath Flow Pressure and Volume waveforms and Flow Volume and Pressure Volume loops 4 4 1 Parameter windows Analysis Plus offers several parameter windows Each window has a large format page displaying up to 3
34. e page and follow the on screen directions to download the program NOTE Websites change frequently The information above is the most recent available at the time this manual was printed 3 3 3 Uninstalling Analysis Plus 6 1 Windows XP 1 From the Windows taskbar select Start Settings Control Panel 2 Double click on Add Remove Programs 3 The Add Remove Programs Properties window will appear 4 Click on Analysis Plus 6 1 and follow the screen prompts to un install Windows Vista 1 From the Windows taskbar select Start gt Control Panel 2 Double click on Programs and Features 3 A window with a list of all installed programs will appear 4 Click on Analysis Plus 6 1 and follow the screen prompts to un install Windows 7 1 From the Windows taskbar select Start Control Panel 2 Double click on Uninstall programs in the Programs category 3 A window with a list of all installed programs will appear 4 Click on Analysis Plus 6 1 and follow the screen prompts to un install Operation Starting the Software 4 Operation 4 1 Starting the Software 4 1 1 Before you begin Before you begin using Analysis Plus 6 1 for Windows you need to understand the basic skills for working in Microsoft Windows This includes using windows menus and the mouse If you require help with the use of Windows please consult your Microsoft Windows User s Guide 4 1 2 Setting the COM port for serial communication
35. eady entered Enter other information in the text entry fields Simulation name may be any length ID Code may be any length e location Lab classroom etc Date of birth n a Comments may be any length prT TEPA 1ejy8ug smoputA 10 Y P2 IST 000 OWd suononusu Supesado C2 B Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 55 Operation Monitoring Saving Snapshots Snapshots will not be saved with the patient file unless Save Snapshots is activated Analysis Plus will save a maximum of 35 snapshots More snapshots can be taken but the message will not be saved will appear in the titlebar Those snapshots will not be saved with the patient file To save snapshots 1 Click the Options button Or Select Settings Options 2 In the Options for Analysis Plus window click on the Monitor ing tab 3 Select the Save Snapshots check box to save snapshots when a patient file saved Clear the Save Snapshots check box when you want to view snapshots but not save them for future use Snapshot Playback A moving snapshot waveform can be played back in Playback mode only For more information see Snapshot window on page 40 4 5 6 Exiting Analysis Plus 6 1 Do one of the following e Select File gt Exit or Click the Close X button in the upper right corner of the screen Operation Monitoring To create a Snapshot 1 Sett
36. ed patient file 1 Click on the Snapshot window or Waveform window 2 Select File gt Export gt Breaths or Waveforms or Right click and select Export Breaths or Export Waves as needed 3 An Export As dialog box will display Type in the name and lo cation of the file to be created and click Save Click Cancel to return to the Waveform screen Marked Waveforms See Marked Waveforms on page 65 and Export tab on page 44 Operation Exporting and Printing will not be read properly This setting can be found at Start Settings Control Panel Regional Settings gt English United States Waveforms Waveform data can be exported two ways from a stored patient file or from a snapshot During monitoring waveform data can be exported to a csv file only if a snapshot is taken first This freezes a specific time range of data for export counting backward from the current time For example if you take a snapshot at 1 15 p m with a five minute buffer set the data in the snapshot and therefore available for export covers the time period from 1 10 to 1 15 p m To set the buffer length 1 Click the Options button on the toolbar or Select Settings Options 2 In the Options for Analysis Plus window click on the Monitor ing tab 3 Enter the desired time in the buffer length field O unlimited O B prT PPan 1ejy8ug soputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed
37. eform Overlay on page 57 Operation Monitoring With the correct patient file highlighted in the Open Patient window click Copy A Save As dialog box opens to allow you to set the path for the data Use the drive and directory lists to select a new destination Click Save to copy the file to the new destination Click the OK button on the Open Patient window when finished NOTE A copied file will be assigned a new fpnnnnnO dat file name based sequentially on the other files of the same type located in the new directory Delete Monitoring Sessions 1 3 With the correct patient file highlighted in the Open Patient win dow click Delete A dialog box will appear Do you want to delete the selected patients Click Yes to agree Click No to disagree and return you to the Open Patient window 4 Click the close X button on the Open Patient window when fin ished NOTE Deleted files cannot be recovered prT PAPAN 1ejy8ug soputM 10 Y P2 IST 000 OWd Ssuononusu 8ugexed Ol e Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 39 Operation Application Windows To select or deselect a parameter s 1 Select Settings gt Breath Parameters to open the Choose param eters to display window From the Available list click on your selection s and then click the Select gt gt button This moves your selections to the Selected list Parameters will be
38. g while monitoring temporary files may remain on your hardrive The file prefix is U file extension tmp These files are not retrieveable and should be deleted prT TEPA 1ejy8ug smoput y 10 Y P2 IST 000 OWd suononusu Bugexed N NO Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 17 Preparation Connections 3 Preparation 3 1 Connections Newer models of the Adult Pediatric Lung Model feature a USB port for connecting the PMG 3000 Module to a PC NOTE Applies to PMG 3000 in older A P Lung Models Before beginning verify that both the correct RS 232 serial extension cable is available part no 26 00 040 as well as the Serial to USB adapter part no 31 10 536 included if your PC does not have a native serial port Input 15 v DC t 596 Output RS 232 eee Computer PMG 3000 Figure 3 1 1 NOTE Applies to PMG in QL Breather and newer A P Lung Models Before beginning verify that you have the correct USB cable available part no 15 20 141 with both ends USB type A connectors Make the necessary cable connection between the Lung Model and the PC Preparation Connecting Power 3 2 Connecting Power 1 Insert small barrel connector on the wall mount power supply cable into its socket above the DB9 connector on the left side of the Pediatric Adult Lung Model 2 Connect wall mount charger to line power PMG 3000 only The charger pro
39. he length of your snapshot Click the Options button Or Select Settings gt Options 2 Inthe Options for Analysis Plus window click on the Monitoring tab and enter the time period desired in the Snapshot Duration field 3 Click the Snapshot button on the toolbar or Select Actions Wave Snapshot NOTE Analysis Plus cannot take a snapshot longer than the buffer length For information on setting the buffer length see Monitoring tab on page 43 Automatic Snapshots Analysis Plus will automatically take snapshots for you at timed intervals You can activate this option anytime before or during monitoring 1 Click the Options button Or Select Settings Options 2 In the Options for Analysis Plus window click on the Monitor ing tab 3 Enter a time in the Automatic Snapshot Interval field maximum 500 minutes 4 Click OK PIT PAPAN 1ejy8ug soputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed Q1 BR Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 35 Operation Application Windows If no information is entered the area for the simulation name ID and location will be blank in the Open Patient window but the date monitoring session time and the file archive number will be visible by sliding the scroll bar to the right Clicking on the area will open the file and the patient information may then be entered Mark event Click the watch button or Monitori
40. her open a shared region was locked programs The disk is full Disk full You can only open one patient Selecting more than one patient in the at a time File Open window and clicking OK Invalid COM Port The wrong COM port is selected in Properties No Response Analysis Plus 6 1 and PMG 3000 are not communicating A hardware fault has occurred in the PMG 3000 module Hardware Fault Zeroing Flow sensor zero occurring PIT PPan 1ejy8ug smoputM 10 Y P2 IST OOOS OWd Ssuononusu Bugexed N e Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 19 Preparation Installing the Analysis Plus 6 1 Software 3 3 Installing the Analysis Plus 6 1 Software Important Before installing the software read Software License Agreement By opening the software envelope you indicate your agreement to the conditions of this license Analysis Plus 6 1 software Part No 26 00 055 3 3 1 Installing the software under Windows XP Vista or Win7 As a first step it is good practice to make a copy of the installer file AnalysisPlus61 Setup msi from the USB memory stick to your desktop This will also install the USB driver for the device QL Breather and newer A P Lung Models The software for the USB to Serial Adapter needs to be installed separately from the enclosed CD or by downloading the most recent software from the manufacturer Sealevel Tech
41. in the presence of leaks e Maintenance free fixed orifice flow sensors exchangeable in the version with the QL Breather 100 Hz data sample rate for excellent resolution in the time domain Automatic zeroing of pressure sensors e Auto switching wall mount power supply for use worldwide The software provided with the PMG 3000 includes e Window for Flow Pressure and Volume waveforms Window for Pressure Volume and Flow Volume loops including overlays Window displaying up to 34 waveform parameters e Alphanumeric screen for displaying all measured and calculated values R C tidal volumes peak flow pressures etc Multiple print options Data saving to file and playback The PMG 3000 allows respiratory care instructors to demonstrate the effects of changes in compliance resistance and leak in a very intuitive visual fashion As pulmonary mechanics graphics packages have become widely available on ICU ventilators the PMG 3000 provides up to date technology in the educational setting where ventilators without waveform graphics often are used for training With its software derived from patient monitoring it helps to develop familiarity with the terms and use of all the parameters available in pulmonary mechanics monitoring Introduction PC Hardware Requirements 2 3 PC Hardware Requirements For the Analysis Plus software which is a program running under Windows XP Vista or Win7 any PC supp
42. left create a second ruler You will now see the change d difference in time T flow F pressure P volume V or CO as applicable displayed in the status bar at the bottom of the window Click on either ruler to select it move the ruler by using the right and left arrow keys Operation Advanced Features of Analysis Plus Current vs Overlay Parameter page Selecting and placing a waveform for overlay automatically creates a third page in the Breath Parameters window In monitoring mode this Overlay vs Current page displays all of the parameters collected by Analysis Plus for the template waveform in a chart format side by side with the patient data currently being recorded In Playback mode the Overlay vs Current page displays all of the parameters collected by Analysis Plus for the template waveform in a chart format side by side with the patient data you have already recorded For more information see Parameter windows on page 37 4 6 3 Ruler The ruler acts as a pointer allowing you to select a point along a waveform to see the data associated with that point in time It may be used to review waveforms and loops from a snapshot in the Monitoring Mode and to review waveforms and loops while in the Playback Mode The arrow pointer must be selected Display Waveform Values Display the waveform you are interested in Click on the waveform to see the wave values on the status bar The ruler is not availa
43. ng gt Event to insert the current date and time in the Comments field Comments The Comments section allows notes to be added to the data file An unlimited amount of text may be entered here 4 4 1 Waveforms window The waveforms window displays five different waveform pages they can be viewed by clicking the Next page or Previous page buttons or by using the Page Up and Page Down keys on your keyboard In Playback mode a horizontal scroll bar allows you to scroll forward and backward in time for review of the stored waveforms Waveforms may also be played back by clicking the Scroll Waveforms button on the toolbar See Scroll Waveform Playback on page 56 for more playback options NOTE Several different animation styles and color schemes are available To customize your display see Graphics tab on page 43 and Colors tab on page 43 For scaling options see Rescale and Auto Rescale on page 60 Operation Application Windows Flow Pressure and Volume page Flow Ipm Volume ml Figure 4 4 4 The Flow Pressure and Volume page displays continuous waveforms for 5 10 15 30 or 60 seconds Select Settings Waves Range or right click to display scaling options Flow Volume and Pressure Volume Loops page Volume ml Flow Ipm 1200 1400 Figure 4 4 5 pr PEPEN 1ep qur smopur y JO Y pe IST 000 OWd suogonusuj Supesado
44. nguage used when discussing a communication port on a PC system Compliance The ratio of the change in volume over change in pressure over inspiration Deadspace volume That volume of the inspired air that is not in contact with pulmonary perfusion and therefore does not participate in gas exchange Expiratory phase expiration The part of the ventilatory cycle from the beginning of expiratory flow to the beginning of inspiratory flow Expiratory time The duration of the expiratory phase Expiratory volume The largest volume value during the expiratory interval Frequency Or respiratory rate is measured from start of inspiration of a breath to start of inspiration of the next breath N 1 Ttot Inspiratory Expiratory ratio I E Ratio The ratio of the inspiratory time time between start and end of inspiration and expiratory time time between end inspiration start expiration and start of next inspiration using all breaths Inspiratory time The duration of the inspiratory phase Inspiratory volume The largest volume during inspiratory interval prT PAPAN 1ejy8ug soputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed NI Ss Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 15 Introduction Features 2 2 Features The PMG 3000 module provides the following features Flow measuring system for inspiratory and expiratory flows and volumes operating correctly
45. nologies NOTE It is not necessary to close other applications before the installation Double click the installer file and follow the on screen instructions When a message Publisher could not be verified appears you will need to choose Install anyway the installer will place the software into a directory c program files IngMar Medical APlus and it will also put a shortcut onto your desktop 3 3 2 Help system Analysis Plus does not currently provide online help However a pdf portable document format copy of the User s Manual is included with the software and can be used for a quick reference during monitoring or review of patient files You can also print a copy if desired Preparation Installing the Analysis Plus 6 1 Software To read or print the manual from pdf you will need a copy of Adobe Acrobat software installed on your computer If you do not have Acrobat you can download a free copy from Adobe com PrI PAPAN 1ejy8ug smoputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed N e Troubleshooting Problems Without Message Boxes Problem Cause Solution No flow pressure or volume waveforms or data Flow sensor not in active flow path bellow turned off Set R to settings 1 2 or 3 for right bellow if sensor selector switch is in backward position Message Zeroingl emporary loss of flow pressure or volume waveforms or data Flow sensor is being zeroed
46. ns Rescale Wave Snapshot Clear Overlay Change the scaling of the current trend graph or waveform In Monitoring mode create a copy of the current waveform window In Playback mode Open the Available Snapshots window Clear any overlaid template breaths Clear Ruler Erase vertical cursor s from the active window Copy Window Capture a graphic of the active window prT Te rpej 1ejy8ug smoput y 10 Y P2 IST 000 OWd suononusu Supesado NY Oo Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 61 Operation Advanced Features of Analysis Plus 4 6 5 Cursor Functions Four different cursors are available in Analysis Plus Arrow pointer k Normal cursor mode Used for menubar and toolbar selections and for ruler placement in waveform windows see Ruler above Information o6 When selected an i displays beside the arrow pointer This feature allows you to point and click at any data point in the waveform window in Playback mode and to open a Parameter window to view the results from that point in time Mark Waveforms for Export fsa This cursor allows you to select specific breaths for export In Monitoring mode breaths may be marked only in a snapshot window In Playback mode breaths can be marked in the waveform window or in a snapshot but not during playback You may need to change the export settings in the Options windo
47. onitoring data collection or even playback but saved files will be easier to find if the data id information is entered now For error messages that may display in Analysis Plus refer to Troubleshooting on page 68 Add Comments to a Data File 1 Select the Patient Information window 2 Click on the Comments field 3 Enter unlimited information Add Time of Monitoring Session 1 Select the Patient Information window 2 Click on the Comments field 3 Clickthe Mark Event button to add a time and date stamp to the session 4 5 1 Ending a Monitoring Session 1 Click the red Stop button on the toolbar or Select Monitoring gt Stop from the menu bar 2 A dialog box will appear Do you want to stop monitoring Click Yes Click No to return to Analysis Plus 3 A dialog box will appear Do you want to Save This Session Click Yes to save the file An fpnnnnnO dat file name will be assigned See File Naming Conventions on page 72 4 The data will be saved to C Program Files Novametrix Analy sisPlus Data unless otherwise specified see Set a Data Path above to change file directory PrI PAPAN 1ejy8ug soputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed DA CO Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 41 Operation Application Windows e Toplayback a moving waveform Playback mode only click the Scroll Waveforms button Use the up and down arrow keys on y
48. ons The above is the sole warranty provided by IngMar Medical Ltd No other warranty expressed or implied is intended Representatives of IngMar Medical are not authorized to modify the terms of this warranty For factory repair service call Toll free 1 800 583 9910 International 412 441 8228 Facsimile 412 441 8404 prT PAPAN 1ejy8ug smopurM 10 y pe pue 000 OWd suononusuj Supeiado N Operating Instructions PMG 3000 3rd ed ed A for Windows IngMar Medical Ltd Oo N U Upgrades W Waveforms Waveforms window PRIMUN GS reports csset ede eee epit 66 pulmonary mechanics monitoring esse 15 R Replacement parts essere 83 Rescalg ssa ann notione tte ERES 52 60 S Safety operator eee nO Rei eR 9 Scale time txnicn me oum a ak oa DRE D n at ase 51 Screen capture seed DER emen 62 Seri l cable eee IRE NE ia 17 Serial to USB adapter 16 Shortcut keys erret eret eret ne ere TENSE Snapshotinterval eter edet eee ee Snapshot windows eter Ee Snapshots oc eis ah tied e op HERE Snapshots automatic Snapshots during patient monitoring sss 53 Snapshots saving ssssssseseeeeeeee eee 55 Spreadsheet EE E Hee HE Ponte ien 26 Spreadsheet analyzing data from sss 67 Status D r TrIe5sapges scs me ip UU Ee CO e Re D 46 T Technical data 1 eerte 81 Threshol
49. or the entire monitoring period or only the waveform data displayed in the current window Choose All or Displayed See the Exporting and Printing section for more information PIT Te rpej 1ejy8ug seoputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed aN A Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 45 Operation Monitoring 4 5 Monitoring Before beginning monitoring you should read the Getting Started section of this manual which covers setting up hardware software serial outputs and COM ports and the Application Windows section which covers use of the Options window 4 5 1 Begin a monitoring session Start Analysis Plus 6 1 To open Analysis Plus 6 1 from the Start button on the Windows deskop 1 Select Start gt Programs gt Novametrix gt Analysis Plus or Click on the Analysis Plus shortcut on your desktop See Websites change frequently The information above is the most recent available at the time this manual was printed on page 21 2Switch PMG 3000 on Charging Power OFF me On on 22 Depress l O switch to the left ON Mo Green Power On LED in the PMG 3000 Figure 4 5 1 1 Observe the main window status bar and wait for the PMG 3000 monitoring module to be recognized 2 The status bar message will change from No Response to Sensor type Adult Pediatric
50. oring session ending ssssssseee 48 Monitoring sessions COPY ccsssse ee 49 O Operation theory Of 1 eiie er ees 78 Options window inen e eh 42 Ordering Information sssssssseseeeee ee 83 Overlays iet thee tere ar Uv dd Heredes 62 Overlay WaVefOrt 5 n to tnt mde ees 57 OVENVIEW state 13 P Parameters list of available esses 73 Parameters selecting esses 47 Patient files ete rere CP p ar ORTUS 49 Patient Information window eee 34 Patient WIDIdOW 2 5 terere to ea RE Rte ees 32 PC Hardware Requirements sese 16 Playback mod sss rec ARA is 26 Index A Auto Rescale sce ondp A ccs Pd Od coe a Seca en 60 B Breath Parameters window essen 38 C agn 77 COLORS 5 n t ERE RENE FERRETUR 43 Comments adding asics tese dieteree rere tre prete rere end 48 Contamination of circuit 80 Conventions file Naming e e ero rd regn 72 Cursor functions enne enne nenne entren en 61 D Data acquisition module sse 14 16 Data path setting anten or i e BER EE HI Po be lel end 46 JefIDltlOris E et M OU BAA Oe 9 E MEI PR EE EEEE E E EEES 24 EXDOEUs aa o E A E els E E deer 44 Exporting data files ssssssssssseeeeeem eee 63 Exporting Waveforms i cote pereo eve ret e res 64 F Flow measurement 2 2 et RE FEEDS 78 Flow sensor lo
51. orting these operating systems will be sufficient To connect to the data acquisition module of the PMG 3000 A P Pediatric Lung Model the computer will need a USB interface port as is standard on all newer computer systems For the version built into the A P Lung Model the included serial to USB adapter should be used if the port on the enclosure is still a 9 pin sub D connector after its software has been properly installed from the CD Newer modules beginning in 2011 will also use USB directly For software installation on a PC a USB memory stick is supplied Any color display is suitable as windows may be resized to fit smaller screens netbooks for example prT PPPN 1ejy8ug soputA 10 Y P2 IST 000 OWd Ssuononusu Bugexed On General Information 6 2 List of Available Parameters The following parameters are calculated and displayed by Analysis Plus when using the PMG 3000 Module PMG 3000 Parameters Airway Resistance exp dyn Resp Rate mech Airway Resistance insp dyn Resp Rate spon Compliance Dynamic Resp Rate total Compliance Static Tidal Volume per kg Expiratory time Volume Expired I E Ratio Volume Inspired Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 73 Inspiratory Time Vt expired mech Mean Airway Pressure per breath Vt expired spon Mechanical Vt inspired mech
52. our keyboard to increase or decrease playback speed For more information see Scroll Waveform Playback on page 56 Press the F12 key during playback to return to the beginning of the waveform Press F12 again to resume playback You also have access to the ruler for point to point data review with the flow pressure and volume readings and the time of the reading displayed along the bottom of the window For more in formation on using the ruler see Ruler on page 58 NOTE If the waveforms and loops in your snapshot do not appear correctly cycle through the pages using the Page Up or Page Down keys This will cause the graphic to redraw and should fix the problem Viewing snapshots in playback mode In Playback mode 1 Click the Snapshot button 2 The Available Snapshots window will appear 3 Selectthe desired snapshot and click OK The snapshot window will replace the Waveform window 4 See Viewing Snapshots above Return to waveform window From an open Snapshot window 1 Click the Snapshot button 2 The Available Snapshots window will appear 3 Select Main Wave and click OK Operation Application Windows 4 4 1 Options window To open the Options for Analysis Plus window Select Settings Options or Click the Options button Comm Port tab Options Colom Graphics Montorna User Infomation Epot Communications The following lists the available COM
53. pired gas reading to ambiant air settings normal use of the ventilator then click OK 3 A patient file set will open Waveform window Patient Informa tion window and Current Breath Parameters window For more information about each of the windows see Application Win dows on page 32 Operation Monitoring Status Bar Messages No Response displays if the monitor is not turned on the inter face cable is disconnected or COMI is not the port used Hardware Fault displays when a flow system hardware fault is detected Invalid COM Port displays when an incorrect COM port is selected Set a Data Path The Data Path is the drive directory and folder where you want your patient files to be stored when they are saved it must be set before monitoring begins If a Data Path is not chosen files will be saved by default into the same directory where Analysis Plus is located The default is C Program Files Novametrix AnalysisPlus Data If a Data Path was selected during the last monitoring or review session files will be saved to that directory The data Path cannot be changed durring monitoring 1 Click on File gt Data Path to open the Choose Directory window 2 Select a drive and a folder or create a new folder by clicking New Analysis Plus can also be set to automatically save patient files in folders Without folders Analysis Plus saves a collection of numbered files Numbered file names waveform
54. r the non linearities Also note that several other prT Te rpej 1ejy8ug soputM 10 Y P2 IST 000 OWd suononusu Supesado N Oo Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 11 Operator Safety Intended Use WARNING Do NOT use PMG 3000 as a patient monitor It is not approved for use on patients or for use in patient areas The system may only be used in the installed configuration integrated into the Adult Pediatric Lung Model WARNING Explosion Hazard Do NOT use PMG 3000 in the presence of flammable anesthetics Use of this instrument in such an environment may present an explosion hazard WARNING Electric Shock Hazard Do NOT use power supplies other than the original 15V A P Demo Lung Model or 24V for QL Breather DC UL listed supplies Do NOT attempt to open the supplies they do not contain user serviceable parts Operator Safety General Precautions 1 3 General Precautions WARNING Connect power supply only to a wall outlet providing 100 240 VAC 50 60 Hz WARNING Do not operate the PMG or the power supply when it is wet due to spills or condensation Never sterilize or immerse the Adult Pediatric Lung Model or QuickLung Brather or accessories in liquids WARNING Always use dry air or oxygen air preferred with the simulator and the PMG 3000 Moisture may impair flow sensor functions and may eventually damage the simulator
55. s Flow volume loops Mean airway pressure Minute ventilation Tidal volume PEEP Peak expiratory flow AutoPEEP Respiratory rate I E ratio Airway resistance Dynamic compliance Windows XP Vista and Windows 7 compatible NOTE Specifications listed above are subject to change without notice prT PNPN 1ejy8ug smoput y 10 Y P2 IST 000 OWd Ssuononusu Bugexed CO N Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 4 7 3 5 1 5 2 6 1 6 2 8 1 8 2 8 3 10 10 1 11 Analyze Data in a Spreadsheet sss 67 Troubleshooting rote e rer ter eU UE 68 Problems Without Message Boxes cssssesss 68 Events With Message Boxes 70 General Information naseer rep net 72 File Naming Conventions csesseeee 72 List of Available Parameters ccccccssseeeeseeeteeeteeees 73 Glossaty aie ands te eed ee ere aaa niet 74 Matititenance s tel steel eden n o ds TI Cleaning eenden tee ee een hers 77 Scheduled Maintenance sssssssssseeeee 77 Software Upgrades itt ieri eee 77 Theory of Operation essent 78 Flow Measurement With the PMG 3000 78 Techmcal Data tree Pe e ttr 81 RE 81 Ordering Information sese 84 This page intentionally left blank pr PPPN ewU smopuryy 10 Y pe pig 000
56. s the Z key to zero F12 Playback mode Press the F12 key during waveform playback to return you to the beginning of the waveform Press F12 again to resume playback Tab key Playback mode or snapshots Press the Tab key to advance the waveform in one second increments Hold down the Shift key and press tab to go back in one second increments Operation Application Windows 4 4 Application Windows 4 4 1 Open patient window This window allows you to open copy or delete existing data files The PMG 3000 does not need to be connected Open a Stored Monitoring Session Az Open Look in jj APlus ok c u T Name Date modif Type Size d fp000010 aplus Recent Places fr000010 aplus Patientl aplus Desktop Administrator t A Computer K e Network TEE File name Files of type Analysis Plus Data Files aplus Mi Figure 4 4 1 1 Click on the Open button or Select File gt Open 2 A list of stored sessions in the last used directory will display 3 Use the drive and directory lists to select the desired file 4 Highlight the file and double click prT PEPA 1ejy8ug soputM 10 Y P2 IST 000 OWd suononusu Supesado GO N Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 57 Operation Advanced Features of Analysis Plus 4 60 Waveform Overlay The overlay function allows you to choose a waveform or loop for use as
57. snapshot etc CANNOT be changed but patient folder names can using Windows Explorer The Save Patients in Folders option is located at Settings Options Monitoring tab See Monitoring tab on page 43 and File Naming Conventions on page 72 for more information prT PAPAN 1ejy8ug soputM 10 Y P2 IST 000 OWd Ssuononusu Bugexed Es Or Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 43 Operation Application Windows Colors tab From this tab you can adjust the colors of the Analysis Plus 6 1 background and waveforms for maximum visibility 1 Click on the Colors tab 2 Clickon any option button then click Apply to preview the color scheme 3 Click OK to accept the changes or Cancel to exit without apply ing a new color scheme Graphics tab Settings in this tab will change the appearance of waveform pages Animation Choose Wipe Erase Line Erase Bar or Scrolling to change the appearance of a moving waveform during live mon itoring or playback Applies to the Flow Pressure Volume waveform page only Loop Selection Use to view only Mechanical Spontaneous or Marked loops as needed or choose Default All Applies to the Loops waveform page only e SBCO not applicable Show Phase I and II Volumes e Show Phase II and III Slopes Show Airway Deadspace Monitoring tab Enterable fields Buffer Length minutes How many minutes of waveform data do yo
58. t Opens a window with information about the Analysis Plus 6 1 program The Tool Bar The Tool Bar is a selection of features that are used most often These icons correspond to selections found in the Menu Bar V amp H eh 48 B m y 3 ME eo Figure 4 3 Open Open an existing patient file amp Print Print the current patient ee Options Change program settings Start Start a monitoring session or download stored trends End End monitoring session Mark Event Place a time date stamp in the Patient Information window Comments field lc e le E Operation Introducing Analysis Plus 6 1 le 5 e s EE pre e le BE D Wave Snapshot Rescale Auto Rescale Previous page Next page Copy Scroll waveform Clear Ruler Clear overlay Save overlay Arrow cursor Mark breath Info Create a copy of the current waveform window Change scaling of plotted waveform Automatic or manual scaling of waveforms Switch to previous page on current window Switch to next page on the current window Capture a graphic of the active window Play back patient waveforms Playback mode only Clear ruler s on waveform windows Clear any overlaid breaths Changes cursor function to picking a breath to be overlaid Changes cursor function to pointing for normal mouse functions Changes cursor function to marking unmarking a breath to be exported Display detailed information about
59. u want Analysis Plus to save For example if you set the buffer length to 60 minutes Analysis Plus will save 1 hour of waveform data counting backwards from when the session is Operation Application Windows stopped All data that occurred more than 60 minutes ago will not be saved For maximum time 8 hours set the buffer length to 0 e Snapshot duration From one to 60 minutes of waveform data Note that snapshot duration cannot exceed the buffer length For example if you set Analysis Plus to save 30 minute patient files 30 minute buffer you cannot set the snapshot duration for 60 minutes because that much data is not currently stored in the file Checkboxes Automatic Snapshot Interval minutes Analysis Plus will take a scheduled snapshot for you Time interval from 1 minute mini mum to 720 minutes maximum Save Snapshots When this option is checked Analysis Plus will save up to 35 snapshots with the patient file See Snapshots on page 53 for more information Export tab This function allows you to select the information to be exported to a CSV Comma Separated Value file Parameters Choose all of the parameters measured by Analysis Plus or only the ones selected for display in the Choose param eters to display window Breath Type all breath data or only the data for a particular type of breath Choose all mechanical spontaneous or marked e Range all the data f
60. us 6 1 are sample respiratory data and waveforms to allow you to explore the capabilities of the software To open Demo Data 1 Start Analysis Plus 6 11 2 Select File gt Open or Click on the Open icon 3 The Open Patient dialog box will appear 4 Select the folder where the sample data is stored e g c Program Files IngMar MedicallAPlus DemoData 5 Double click on any Demo Data file PIT PAPAN 1ejy8ug soputM 10 Y P2 IST 000 OWd suononusu Bugexed N O Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 63 Operation Exporting and Printing 4 7 Exporting and Printing 4 7 1 Exporting Patient files are exported in a CSV comma separated value format They can be opened as a text file or in any program that accepts this format Most spreadsheets such as Microsoft Excel will open CSV files You can export waveform and breath data from a snapshot window when monitoring and from the waveform window when in Playback mode Waveform data is comprised of the raw data stored in the waveform buffer 100 samples per second Breath data is all of the parameters for each breath Setup Before exporting any data you must set up the Export function 1 Click the Options button on the toolbar or Select Settings Options 2 The Options for Analysis Plus window will appear 3 Selectthe Export tab and click the appropriate option button for parameters breath type and rang
61. ut this manual PMG 3000 with parentheses refers to both versions where no specfic reference is necessary Operator Safety Intended Use Intended Use 1 2 Intended Use The IngMar Medical PMG 3000 Module is an available option for the Adult Pediatric Demonstration Lung Model PMG 3000 as well as for the QuickLung Breather simply called the PMG there It is used for ventilator demonstrations inservices and respiratory staff training It enhances the educational value of patient parameter modeling by employing computer graphics to visualize patient ventilator interaction similar to today s graphics equipped intensive care ventilators The PMG 3000 Module as built into the A P Demonstration Lung Model as well as the Adult Pediatric Lung Model itself are not intended to test or to calibrate ventilators Flow volume calibrations of ventilators are not part of the intended use of the PMG Module installed as an option to the QuickLung Breather In this configuration however it may be used for certain types of volume flow verifications as part of diagnostic and preventive maintenance When using the device for this purpose one has to bear in mind that the design of modern ventilators is complex and these devices incorporate a great variety of features and performance parameters It is therefore mandatory to always follow ventilator manufacturers instructions and recommendations regarding performance verification procedures
62. ve forward in one second increments Press and hold the Shift key then press the Tab key to move back wards in one second increments prT TEPA 1ejy8ug smoputM 10 Y P2 IST 000 OWd suononusu Supesado A Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 49 Operation Monitoring Click No to close the file without saving 4 5 20 Working with Patient Files The following functions are performed from the Open Patient window The PMG 3000 does not need to be connected Open a Stored Monitoring Session 1 Click on the Open button Or Select File gt Open 2 A list of stored sessions in the last used directory will be dis played 3 Use the drive and directory lists to select the desired file 4 Highlight the desired file and double click or Highlight the desired file and click OK NOTE Only one set of patient files can be open at any time Close a Patient File To close a patient file choose one of the following methods Click the close X button in the upper right corner of the win dow This closes both the patient file and Analysis Plus e Click the close X button in the upper right corner of the Patient Information window Select File gt Exit This also closes Analysis Plus Copy Monitoring Sessions to a New Directory Operation Monitoring This is a good time to enter data identification information It can be changed at any time during m
63. vided with your PMG 3000 features a wide range input and exchangeable prongs to adapt to different local electrical outlet styles and voltages The same applies to the power supply of the QuickLung Breather PIT PPPN 1ejy8ug smoputA 10 Y P2 IST 000 OWd suononusu Bugexed oo Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 71 Troubleshooting You need Windows 95 or later Windows version predates Win95 Analysis Plus 6 1 software can not be loaded There are no timers available for acquisition Too many programs running close the other programs Troubleshooting Events With Message Boxes Problem Cause Solution Hospital name does Hospital information Enter hospital information not print not entered in Hospital Name in the Options for Analysis Plus window Not printing the data The Windows that Maximize the windows that you want you want to print are that you want to print and minimized on reprint Analysis Plus 6 11 5 2 Events With Message Boxes Message Cause Can t save this test All or part Invalid drive path selected of the path is invalid File name is open It cannot The file is in use be deleted until closed There are no more directory Directory full entries There was a hardware error Probable hardware I O failure SHARE EXE was not loaded or Sharing violation close ot
64. view Figure 2 1 1 Integrated either into the IngMar Medical Adult Pediatric Lung Model or into the QuickLung Breather the PMG 3000 is a fully portable respiratory monitoring system taking advantage of state of the art computer technology This system monitors breath by breath the interaction between a ventilator and the respiratory mechanics simulator with precision and high sensitivity The PMG 3000 consists of a flow measuring board connected to one external in the QL Breather or two switchable when integrated into the Adult Pediatric Lung Model see flow sensor s 9 Lung Flow Charging Power OFF me INGMARMEDICAL gng oMa PMG3000 fum ae ora i ge em Figure 2 1 2 Introduction Overview In the QuickLung Breather the PMG module is integrated into the standard enclosure Its presence is visible only by the connectors for the flow sensor and USB cable in the back The data acquisition module connects via RS 232 PMG 3000 or USB PMG for QL Breather to a standard personal computer and includes software for data acquisition and display The flow sensor is connected externally see below Figure 2 1 3 PHI TEPON Jepu SMOpUI 10 tV pe IST 000 OWd suomnonijsuj DugeiedQo m D Operating Instructions PMG 3000 3rd ed A4 for Windows IngMar Medical Ltd 75 Glossary List of Available Parameters Intrinsic PEEP Auto PEE
65. w 1 Click on Options gt Export gt Breath Type gt Marked Or Select Settings gt Options gt Export gt Breath Type Marked 2 Click OK To export the marked breaths 3 Click the Mark Unmark Breath button 4 Select the desired breath s A square icon will appear before and after each marked breath 5 Right click on the waveform or snapshot window and select Ex port Breaths Operation Advanced Features of Analysis Plus Clear Ruler Li Press the Clear Ruler button on the toolbar to erase all rulers on trend and snapshot windows 4 6 4 Rescale and Auto Rescale E ik Waveforms During monitoring two rescaling options are available for the Waveforms window e Rescale Click on the rescale button at any time to rescale the Waveforms window Auto Rescale On Off Activate this function to have Analysis Plus automatically rescale the Waveforms windows The win dow will rescale when the waveform reaches the end of the dis play period prT Te rpej 1ejy8ug smoput y 10 Y P2 IST 000 OWd suononusu Supesado O Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 29 Operation Introducing Analysis Plus 6 1 Window Tile Arrange windows so that none overlap Cascade Overlap all windows Arrange Icons Position icons at the bottom of the screen Help User Manual Display or print a pdf version of the User s Manual this document Abou
66. with the PMG 3000 Module The COM port or communication port is a port that your computer uses to exchange information between Analysis Plus 6 1 and the PMG 3000 Module Analysis Plus 6 1 uses only standard COM port settings if the system is not set correctly communication between the devices will not occur The error message Invalid COM Port will display in the status bar when the wrong COM port is chosen and a communication link cannot be established To set the COM port in Analysis Plus 6 11 1 Click the Options icon on the toolbar or Select Settings gt Options 2 From the Options for Analysis Plus window select the Comm Port tab then select the correct COM port 3 Click OK prT Te rpej 1ejy8ug seoputM 10 Y P2 IST 000 OWd suononusu Bugexed N N Operating Instructions PMG 3000 3rd ed A for Windows IngMar Medical Ltd 67 Operation Exporting and Printing Page Setup Use this function to customize the Margin size and the Border Style of your printed report 1 Click on File gt Page Setup 2 Select a border None Rectangle Heavy Rectangle Box Heavy Box Shadow 3 Select a margin size 4 Click Apply and OK to exit 4 7 3 Analyze Data in a Spreadsheet See Exporting Waveforms and Marked Waveforms above Start your spreadsheet or other application Open the exported file in your spreadsheet program You may have to select a CSV file type option to see the exported data

PMG (3000)™™ Pulmonary Mechanics Graphics

Contents

Download Pdf Manuals

Related Search

Related Contents

PMG (3000)&trade;&trade; Pulmonary Mechanics Graphics

Contents

Download Pdf Manuals

Related Search

Related Contents

PMG (3000)™™ Pulmonary Mechanics Graphics