SPENCER 118 w w w. s p e n c e r.it
Contents
1. 2 1 INTENDED USE Spencer 118 is an emergency lung ventilator with completely pneumatic supply no constant flow time cycled pressure limited it can supply two diffe rent concentrations of medical gas with one gas supply source It guarantees minute volume and respiratory frequency An additional air valve allows the patient to breathe ambient air when the device is not supplied Interface with user is achieved by a front control panel realized in a material resisting to abrasions and to medical substances of common use The panel graphics is clear and intuitive On the right side the panel is provided with connections for oxygen and for medical gas supply The non rebreathing valve of the patient circuit is provided with a pressure limiting device adjustable for adults and children Characteristics and small dimensions make it particularly suitable for first aid emergency vehicles patient transport to substitute respiratory function in patients who do not breathe spontaneously controlled ventilation 2 2 MAIN COMPONENTS Device is constituted by following main components Frontal control panel all the control devices to operate the ventilator are lodged in the control panel Patient circuit constituted by atoxic hose g 22mm and a non rebreathing valve Inlet 2 3 TECHNICAL DATA AND DIMENSIONS Height 80 mm W idth 240 mm Depth 198 mm Weight 2 2 kg Box Technopolimer Controls Freq2. and correct use of the ventilator are essential to obtain reliable trouble free operation Any mechanical device used in connection with patients must be periodically checked 1 Switch off the ventilator 2 Disconnect the patient circuit 3 Disassemble the non rebreathing valve 4 Check for residual substances near the patient circuit connection and remove them 5 Clean wiping visible dirty parts with a single use cloth soaked with detergent 6 Autoclave treatment is required for the non rebreathing valve not exceeding 125 C Avoid detergent penetration into device A Patient circuit tubing is single use to be replaced Make sure that cleaning and disinfection operations do not affect material integrity Use for device surfaces following detergents PRODUCTS WHICH CAN BE USED PRODUCTS WHICH CANNOT BE USED Disinfectants with aldehydes Compounds liberating halogens Strong organic acids Compounds liberating oxygen Frequency counter is broken Contact Customer Service Contact Customer Service Disinfectants with alcohol Quaternaric ammoniac compounds A Lack of cleaning can cause risk of cross infections Check for ventilator functionality monthly switching it on and operating for some minutes 5 2 GENERAL REVISION Device must be sent to manufacturer every year It is then sent back with a final test report this check concerns flow rate frequency and incidental loss 5 3 SERVICE REQUEST Con
3. switch 4 Select frequency 5 Select minute volume the ventilator can supply an air oxygen mixture from 2 to 20 l min in multiples of 2 litres 6 Check that pressure gauge pointer is on 0 3 4 3 4 TROUBLESHOOTING CHART PROBLEM CAUSE Ventilator is not connected to a medical gas or oxygen Supplying source ACTION Connect the ventilator to a gas supplying source The ventilator does not work in switching on position Replace empty cylinder with a new one and arrange fon its filling Clean the regulator replace filter if possible or repla ce regulator Non rebreathing valve is not properly assembled Assemble correctly non rebreathing valve Non rebreathing valve is not connected to tubing or mask Connect adequately non rebreathing valve to tubing and it cannot guarantee gas tight and mask Non rebreathing valve is not properly assembled Assemble correctly the non rebreathing valve Internal components are broken Contact Customer Service Internal components are broken or internal pneumatic connections are disconnected Oxygen cylinder is exhausted Pressure regulator is obstructed Ventilator works but patient can not inhale Ventilator works but patient cannot exhale Internal leaks Contact Customer Service M oving the knob frequency does not change Pressure gauge pointer is locked Pressure gauge is broken 5 MAINTENANCE 5 1 CLEANING Good care cleaning
4. 1 4 3 2 DESCRIPTION OF OPERATION Device substitutes respiratory function of patients who cannot breathe spontaneously controlled ventilation In every moment attendant can visualize patient airways real pressure monitored by pressure gauge on the front panel When device is on it automatically operates in the controlled ventilation mode thus gas supply starts M edical gas is supplied to the patient at interval depending on the frequency value set by the control knob Current gas volume supplied at every respiratory act depends on the minute volume set on the front panel by the control knob it can be estimated dividing set volume by frequency To make selection easier and suggest values on the minute volume and frequency control knobs bands of different colours are used Frequency Minute volume l min RED adults 10 15 8 18 BLUE children 15 25 4 8 GREEN infants 25 30 2 4 AIR MIX NO AIR MIX selection depends on patient s needs ce AIR MIX low oxygen concentration is suggested for a medium long use and when there is a small oxygen bottle NO AIR MIX high oxygen concentration is absolutely necessary in case of air pollution Be sure ventilator is in the OFF position when non operating 4 3 3 OPERATING INSTRUCTIONS 1 Connect ventilator to gas supplying source by automatic outlet 2 Connect patient circuit and non rebreathing valve 3 Switch on the device I position on the
5. User s manual SPENCER 118 PNEUMATIC LUNG VENTILATOR INDEX General Information Device Description 5 S afety perations Maintenance 0123 Accessories and Spare Parts SPENCER ITALIA S r l Life Support Strada Cavi 7 43044 Collecchio PR ITALY tel 39 0521 541111 fax 39 0521 541222 e mail spencer tin it www spencer it Copyright Spencer Italia S r l All Rights reserved Rev 2 21 11 2001 Thank you for choosing 1 GENERAL INFORMATION 1 1 PURPOSE AND CONTENT The function of this M anual is to supply the C lient with all the necessary information to both use the product in the correct way and to handle it confi dently and safely The M anual includes information regarding Technical aspects Functioning Maintenance Spare parts and Safety 1 2 MAINTENANCE OF THE USER MANUAL The User Manual must be kept somewhere near the product in a purpose made container away from liquids and any other substance which may alter the legibility of it 1 3 SYMBOLS USED SYMBOLS MEANING NOTES A DANGER Indicates serious danger risk of death for the user Gives indications on the key functions or useful information cs WARNING Pay attention to the text accompanying this symbol ce Before each use read the instructions contained in this pubblication carefully Incase of doubts on how to interpret the instructions ask the manufacturer for the necessary explanation pecialized medical staff
6. anual resuscitator available to guarantee a continuous ventilation Make sure that all precautions were taken to avoid hazards deriving from with blood or body fluids 3 2 CONTRA INDICATIONS AND UNDESIRABLE EFFECTS M DO NOT USE ventilator in neonatal clinic and in patients with pneumothorax gt DO NOT USE ventilator in presence of inflammable substances and anesthetics To avoid hypercapnia effects DO NOT USE 100 oxygen for protracted ventilations 3 3 SAFETY SYSTEMS The device is provided with the following safety systems Mechanical overpressure valve maximum limits of device pressure 60mbar Overpressure valve on the patient valve non rebreathing valve enable if unlocked to limit the SPENCER pressure to 40 cmH20 SPENCER ITALIA S r 118 Spontaneous breathing when ventilator is off or gas supplying is interrupted patient can breathe Str Cavi 7 oe j gae g poe 43044 Collecchio PR ITALY REF 3 4 LABELLING can Labels on the ventilator must not be removed or covered Please indicate the product serial number SN to make customer service easier tel 39 0521 541111 fax 39 0521 541222 A C Eaz SN 4 OPERATIONS 4 1 HANDLING AND STORAGE Before handling the ventilator be sure to have packaged adequately it To avoid damages handle it with care Ea el the original packaging for possible future handling Damages to the device caused by handling are not covered by guarantee Repairs or replacement of damaged componen
7. ask Size 3 B Life Mask Size 4 RM 20401B RM 20402B RM 20403B RM 20404B Warning Reservation to make modifications Spencer products are exported in many different countries worldwide in which not always the same rules apply For this reason there could be some discrepancies between the descriptions above and the products delivered Spencer continuously strives for perfection in the production of all product types We therefore count on Your understanding if we make any ameliora ting modifications which may differ in shape equipment installation and technique to the above descriptions
8. tact manufacturer for any information concerning use installation maintenance etc 5 4 DEMOLITION Follow laws in force 6 ACCESSORIES AND SPARE PARTS 6 1 ACCESSORIES Basic version is provided with a patient circuit EV00106A constituted by atoxic hose 22mm and a non rebreathing valve and a quick connection inlet EV20216A to connect tubing to oxygen supplying system The following accessories are available upon request CODE DESCRIPTION CODE RM20400B B Life Mask size 0 RM20403B RM 20401B B Life Mask size 1 RM 20404B RM 20402B B Life Mask size 2 RM 20405B DESCRIPTION B Life Mask size 3 B Life Mask size 4 B Life Mask size 5 LS Spencer 118 KOMPAK EV50118A is available it includes Spencer 118 B Life Mask size 5 Pressure regulator Oxygen cylinder 2 litres Transport bag with fixing system for lung ventilators and cylinder 6 2 LIST OF REPLACEMENT PARTS Repair or replacement operations can be performed only by authorized personnel Ay User can only replace accessories whose interchange cycle depends on use frequency CODE DESCRIPTION CODE DESCRIPTION EV00106A Patient Circuit RM 20405B B Life Mask Size 5 EV50014C Non Rebreathing Valve EV20216A Quick connection inlet with connector RM 20400B B Life Mask Size 0 EV30020A Oxygen connection hose B Life Mask Size 1 EV50020A Pvc hose 22mm with connectors B Life Mask Size 2 EV50025E Silicone hose 22mm with connectors B Life M
9. ts are at customer s expense Whether device is not going to be used for a long period store it according to the following instructions A Store the device in a closed place e Keep it from stress and impacts Protect device from humidity as well as from excessive thermical excursions Avoid contact with corrosive substances 4 2 ARRANGEMENT At product receipt remove packaging and set aside check all the components Spencer 118 and patient circuit If damages to packaging have occurred first contact the carrier then Spencer Customer Service at 39 0521 836182 or write to Spencer Italia S r l A Check device before every use to point out working defects or damages due to transportation or and storage 1 Place device on a supporting surface e g shelf or trolley 2 Check integrity of patient circuit and accessories and verify connections to be correct A Supply the ventilator with oxygen central supply system or cylinder with pressure regulator or compressed air from 3 to 4 5 bar and with a minimum flow of 60 l min 4 3 OPERATION 4 3 1 FRONT CONTROL PANEL 2 Legend 1 On Off switch SPENCER 2 No air mix Air mix switch wine 3 3 Minute volume knob 4 Frequency knob v 5 Pressure gauge The legend 6 on the front panel specifies which colours are used to identify minute volume and frequency recommended values for different 4 3 d patient categories adult child infant 5 6
10. uency Minute volume Air mix No air mix Medical gas supply 3 5 20 3 bar Ventilation mode controlled I E 1 1 5 Oxygen concentration 55 100 Frequency 5 38 breaths min M inute volume 2 18 l min Maximum working pressure 60 mbar Airways pressure gauge range 20 70 mbar Pressure gauge accuracy from 20 to 10 mbar gt 2 mbar from 10 to 70 mbar gt 5 mbar MEDICAL GAS Oxyigen or compressed air Inlet pressure from 3 to 4 5 bar M inimum flow 60 I min 2 4 ENVIRONMENTAL CONDITIONS During operation During storage Temperature from 10 to 40 C Temperature from 10 to 65 C Pressure from 530 to 1100 hPa Pressure from 530 to 1100 hPa Humidity rel from 5 to 95 Humidity rel from 5 to 95 3 1 GENERAL WARNINGS A Operators have to read this manual carefully paying special attention to safety precautions and operating instructions gt e Use the device only as prescribed in this manual Never alter or modify it modification can cause unpredictable consequences and in this case Spencer declines every resposibilities The utilization of the ventilator in power feeding and environmental conditions different from the indicated ones compromises the safety of operating Ensure to execute periodically all preparation and maintenance operations described in this manual If at any time device does not operate properly take it out of service immediately and contact Customer Service Ensure to have a m
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